What should I do if chronic bronchitis with persistent cough does not get better?

Dec 10, 2025 Source: Cainiu Health

Dr. Ren Yi

Introduction

Chronic bronchitis with persistent cough requires intervention through standardized medication, strict avoidance of triggers, enhanced respiratory care, lifestyle adjustments, and regular follow-up monitoring. If cough lasts more than 2 weeks and is accompanied by wheezing, blood-tinged sputum, or persistent fever, prompt medical attention is necessary. Follow doctor's instructions for the use of bronchodilators and expectorants.

Chronic bronchitis with persistent cough requires intervention through standardized medication, strict avoidance of triggers, enhanced respiratory care, lifestyle adjustments, and regular follow-up monitoring. If the cough lasts more than two weeks and is accompanied by wheezing, blood-tinged sputum, or persistent fever, prompt medical attention is necessary.

1. Standardized Medication: Use bronchodilators and expectorants as prescribed. Add antibiotics when bacterial infection is present. Avoid self-discontinuation or switching of medications to ensure anti-inflammatory, cough-suppressing, and airway ventilation improvement effects.

2. Strict Avoidance of Triggers: Stay away from tobacco smoke, dust, cold air, and irritating gases. Reduce outdoor activities during hazy weather or wear a mask to prevent respiratory irritation that may worsen coughing.

3. Enhanced Respiratory Care: Drink adequate water daily to thin mucus, learn effective coughing and sputum-clearing techniques, and use nebulizer inhalation when necessary to humidify airways and facilitate sputum expulsion.

4. Lifestyle Adjustments: Ensure sufficient sleep, avoid excessive fatigue, maintain a light and easily digestible diet, and increase intake of vitamins and protein to boost immunity and reduce infection risk.

5. Regular Follow-up Monitoring: Attend scheduled hospital visits for pulmonary function tests, complete blood count, and other examinations as directed. Monitor disease progression and adjust treatment plans promptly to prevent worsening.

Daily care should include maintaining indoor ventilation and appropriate temperature and humidity levels, preventing colds and chills, and engaging in mild physical activities such as walking or tai chi. Gradually improve cardiopulmonary function to reduce the frequency of coughing episodes.

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