Wheezing in the lungs without fever, with cough. Wheezing in the lungs, when breathing in an adult, without fever and cough Wheezing in the lungs on inspiration

Crackles in the lungs are noises during breathing, inhalation and exhalation, can be wheezing, dry or wet. This phenomenon is extremely common - it is observed as often as, for example, acute respiratory infections or SARS.

Usually, wheezing is a symptom of a pathology developing in the body, or it can be a residual phenomenon after an already suffered disease. In any case, this pathological phenomenon requires serious diagnosis and qualified treatment.

What are wheezing in the lungs, symptoms, treatment, and what are their causes, and what folk remedies are used? Let's take a closer look at wheezing in the lungs, what to do with them and a sick person on this page www.site:

How wheezing in the lungs manifests itself, the reasons for their appearance

Without fever:

Sometimes wheezing in the lungs is not accompanied by fever. This is usually characteristic of pneumonia, when wheezing is first dry and then wet. In this case, hard breathing also joins this symptom. Although, of course, pneumonia does not often occur without high fever, when patients endure it "on their feet." Most often, this disease is accompanied by fairly severe symptoms.

Other diseases that are accompanied by wheezing, but do not cause an increase in temperature include: tuberculosis, tumor neoplasms in the lungs. Noises heard during expiration are called expiratory. Arising during inhalation - inspiratory.

Wet, whistling sounds occur when inhaled (exhaled) air passes through the accumulated fluid. They are subdivided into small-bubble, medium-bubble, large-bubble. The specialist distinguishes them by intensity and sound.

Wet rales observed in many diseases. Let's list them briefly:

Pulmonary edema, bronchial asthma, as well as pneumonia and tuberculosis;

Heart failure and chronic obstructive diseases;

Bronchitis, SARS.

Dry wheezing appear when the gaps through which the air stream passes are narrowed. This phenomenon is often observed in diseases such as:

Inflammation of the lungs, bronchitis;

Various neoplasms, tumor diseases of the lungs.

Dry sounds when listening to the lungs may remain after an attack of bronchial asthma.

About how wheezing in the lungs is corrected, what treatment helps

The treatment for wheezing depends on the underlying cause. Therefore, first, a thorough diagnosis of the lungs is carried out, a complete examination of the patient.

This is especially important if the murmurs are not related to a recent illness and have been present for a long time. Based on the results of the survey, they develop the necessary in a particular
case treatment regimen.

For example, if the cause is a bacterial infectious disease, a course of antibiotics is prescribed, in particular, Flemoxin, Amoxicillin.

In the presence of a viral infection, the patient is prescribed treatment with antiviral drugs, for example, Immustat.

During the treatment of viral and bacterial infections, the patient may be recommended warming up, thermal procedures.

In inflammatory diseases of the upper respiratory tract, inhalations using nebulizers are indicated. With obstructive bronchitis, bronchospasmolytic drugs are connected to general therapy. According to the indications, inhalations with the inclusion of corticosteroids can be used.

About how folk medicine treats wheezing in the lungs, which folk remedies are effective

Remedies from traditional medicine can have a good effect when conducting general drug therapy. Just before you start using them, be sure to consult your doctor to avoid possible contraindications and complications. Here are some popular recipes:

Pour about 1.5 liters of boiling water into a bowl. Add 2-3 tbsp. l. drinking soda. Stir with a wooden spoon. Bend your head over the steam, cover yourself with a large, thick towel. Inhale hot steam for 10 minutes. This remedy liquefies sputum well, clearing the lungs and bronchi from it.

Grind a few fresh perennial aloe leaves to a pulp. Add the same amount of chopped lemon zest. Put everything in the bank. Pour the same volume of bee honey, mix well. Close the lid tightly, put it in the cellar or pantry. Wait a week. Then remove the product in the refrigerator. Take 1 tbsp. l. before meals. Treatment is 40 days, then a break - 10 days. After a break, the treatment must be repeated.

Pour 30 g of crushed birch buds into a bowl. Lightly heat half a glass of fresh butter in a water bath. Mix both ingredients. Now put the bowl with the mixture into a heated oven, simmer over low heat for about an hour. After that, the medicine must be cooled. Strain it through cheesecloth, squeeze the raw material. Pour into a clean jar, add 200 ml of flower honey. Mix well. Take 1 tbsp. l. up to 4 times per day.

Freshly squeezed carrot juice will also help, which you take half a glass three times a day. Black radish juice mixed in half with honey is very effective. You can take hot milk with soda before going to bed, do inhalations from Borjomi healing mineral water.

These folk remedies will help in the treatment of wheezing of various types. However, the underlying disease that caused them should be treated only under the guidance of a doctor, after an examination. Be healthy!

Chest sounds are a very important symptom for diagnosis of pathological changes in the respiratory organs.

Wheezing in the lungs when breathing in adults, they help to determine by their sound, caused by non-physiological noises residual processes after an illness, or we are talking about a chronic disease, a complication after acute respiratory infections, bronchitis, pneumonia.

The breath of a healthy person should be almost silent. Any wheezing when breathing in an adult, wheezing on exhalation, or labored breathing should cause the person to required to visit a doctor, get tested. In children, whistling and wheezing during breathing, all the more, do not occur for no reason.

Passing through the respiratory tract, the air usually does not encounter obstacles, saturating every cell with oxygen.

But if something appears in the bronchi or lungs that interferes with free movement, this can be felt in the breath, some manifestations of oxygen starvation, fatigue, chest pain.

The body is trying with all its might to get rid of a foreign body or substance, so wheezing is heard during breathing, often they are accompanied by a cough.

Causes of wheezing:

acute respiratory diseases;
tracheitis;
bronchitis;
pneumonia;
tuberculosis;
neoplasms;
pulmonary edema;
bronchial asthma;
obstructive processes;
heart failure;
bronchiectasis;
pulmonary bleeding;
a foreign body in the airways and edema spreading around it.

Heard through a phonendoscope, and sometimes without it, cause any obstacles in the path of the air stream.

Important: Narrowing of the lumen in the bronchi due to swelling, accumulation of mucus, the appearance of partitions, which causes noise when trying to inhale or exhale, pathologies in the lungs pose a threat to human life.

In some cases immediate medical intervention required, since bronchospasm, damage to the bronchi or bleeding in the lungs can kill a person in minutes.

And although wheezing in the lungs is considered one of the most common symptoms of a cold diseases, the doctor must necessarily identify the exact cause of the appearance of noise and find the optimal one, which will eliminate the causes of their appearance.

Sometimes to ease the flow of mucus, sometimes relieve inflammation or spasm, but surgery may also be required.

What are wheezing

By the sound of breathing, noises in the bronchi and lungs, you can preliminarily determine what caused their appearance. Pulmonologists, therapists subdivide wheezing and whistles when breathing on:

Also an important characteristic is fine-bubble, medium-bubble and coarse-bubble sounds.

The viscous secret secreted by the bronchi, mucus or blood, when air passes through them, is filled with it, and then bursts, making peculiar sounds similar to the sounds of bursting bubbles (in the sternum, according to patients, something gurgles).

The most important for physicians colds become wheezing dry and wet.

: air passes through the bronchi with a large accumulation of mucus, swelling or neoplasm. There is such a noise, similar to a whistle, during an inflammatory process in the bronchi (bronchitis), asthma, it is heard from both sides. With bronchitis, it is characteristic of the initial stage of the disease, the timbre of the sound is constantly changing, it may disappear after the patient clears his throat. Unilateral dry rales are heard if the lung is damaged, it has a cavity (tuberculosis).
Moist rales: a large accumulation of sputum, mucus causes a noise similar to the seething of air blown through a tube into the water. Usually heard on inspiration. When a productive cough appears, wheezing disappears, so the main task of doctors is to thin the accumulated sputum to facilitate its removal in order to prevent congestion, the multiplication of harmful microorganisms and their spread through the respiratory system, which causes serious complications in the form of pneumonia, abscesses in the lungs.

Audible even from a distance wet rales in the lungs indicates serious complications, probable pulmonary edema, but if sounds are heard outside the bronchial tree, this may indicate the appearance of a cavity in the lung caused by a tumor process, tuberculosis, an abscess.

Not only characteristics such as wet or dry rales, but many others, including the localization and timbre of the sound of noises, the frequency of their occurrence are important in the diagnosis of the disease.

Self-diagnosis is ineffective and often dangerous, so that all complaints, incomprehensible and unpleasant sensations should be described to specialists in order to facilitate the diagnosis, to clearly define the range of necessary studies.

How are wheezing and cough treated?

The appearance of any wheezing in the lungs means a pathological process, most often inflammation, so you must definitely undergo an examination, pass all the tests recommended by the doctor. The main thing in any case is the treatment of the underlying disease.

With dry wheezing, if they mean the onset of the disease, doctors recommend taking anti-inflammatory agents to loosen mucus. A good effect is shown by bronchodilators, which also help in case of an allergic reaction in asthma.

When dry rales change to wet, a productive cough appears, the composition of the drugs during treatment changes in order to facilitate the removal of sputum from the body for expectorants. Among them are mucolytics Lazolvan, Bromhexine, Mukaltin and others.

With a debilitating cough, drugs are prescribed that affect the cough center, and in especially severe cases - antibiotics to prevent pneumonia.

Important: Coughing and wheezing when breathing can have a variety of etiologies, especially in children, so you do not need to start baking yourself. If wheezing is heard during breathing in an adult or a child, while breathing is clearly depressed, the color of the mucous membranes, skin integuments changes, a doctor is urgently needed.

Don't start on your own taking medications even with severe wheezing when breathing and coughing with sputum discharge, so that the doctor can clearly see the picture of the disease. Blurred symptoms can cause an incorrect diagnosis, and the prescribed treatment will be ineffective.

Treatment with folk methods

Among the recipes of traditional medicine there are many dedicated to how to treat wheezing and cough in children and adults.

Important: insisting radish with honey, it should be remembered that this composition is not recommended for hypertension and cardiovascular diseases, so it is better to consult a doctor before use.

Inhalation, heat, chest warming help to cope with colds in the absence of temperature.

Prevention, basic rules and methods.

After recovery, it is extremely important to protect your body from hypothermia, because a weakened immune system will not be able to adequately respond to a new threat.

Treatment cannot be interrupted, as soon as they disappeared, the course of treatment must be completed to the end in order to avoid relapses and complications.

The key to successful prevention is:

proper nutrition: the body needs vitamins and minerals so that the immune system can resist diseases;
hardening - not dousing with cold water, but gradual accustoming to low temperatures, its differences;
feasible physical activity, running and swimming, strengthening the lungs, increasing their volume;
good rest, walks before going to bed, airing the room at night;
during cold seasons, you should definitely drink a course of immunostimulants;
excellent results are shown by breathing exercises: a special set of exercises that teaches you to breathe correctly, for children who find it difficult to perform them, and adults will also benefit from 1 daily exercise: inflate 3-5 balloons.

Wheezing - an integral part of the life of smokers, you should definitely give up an addiction so as not to earn chronic bronchitis or lung cancer. A healthy lifestyle, good nutrition, exercise will help strengthen the body and avoid the recurrence of the disease.

Wet cleaning is essential room, which must be carried out daily to get rid of dust and harmful microorganisms.

When to See a Doctor

Wheezing - a sign of an obvious pathology, so you should not hesitate in any case.

Only doctors can correctly diagnose after an examination, blood test, fluoroscopy, so the sooner you turn to them, the more favorable the prognosis for a complete cure.

Which doctor to contact

In any clinic clinics have specialists dealing with diseases of the respiratory system.

The baby needs to be shown to the pediatrician, who will decide who to refer the baby to: an allergist, pulmonologist, phthisiatrician or cardiologist.

Adults need to see a therapist who will make a diagnosis and, if necessary, give a referral to a pulmonologist, allergist, phthisiatrician, oncologist, and other specialists.

You can not pull or rush to conclusions, modern methods of diagnosis and treatment help to cope with most diseases with timely treatment.

Any disease leaves a trace in the body, bronchitis and pneumonia also do not pass without a trace. And the recurrence of the disease will be inevitable if you do not change your lifestyle, eliminating all harmful factors.

Video how to treat a cough in a child

The doctor will tell you 5 specific tips on how to relieve a coughing fit.

Doctors, examining their patients, often find wheezing in the lungs. Normally, a healthy person should not have them. Wheezing is just a symptom caused by various diseases. This problem is faced by both children and adults.

Wheezes are pathological noises that are determined by listening to the lungs during auscultation and are associated with the presence of an obstacle to the passage of air masses or blockage of the bronchi. The lower respiratory tract is complex. The lungs are formed by the bronchial tree. Bronchi are large, medium and small. They end with bronchioles and alveoli.

Wheezing may appear in the bronchi themselves or in the cavities that communicate with them. There are the following types of wheezing:

dry and wet;
fine-bubble, medium-bubble, large-bubble;
inspiratory and expiratory;
pulmonary and extrapulmonary.

If pathological noises are heard on inspiration, then they are called inspiratory. If this occurs on exhalation, then such wheezing is expiratory. A variety of noises are whistling and crepitating. The cause of the whistle is the narrowing of the lumen of the respiratory tube due to edema or compression. This is often seen in chronic obstructive pulmonary disease and asthma.

Buzzing wheezing is a common symptom of chronic bronchitis in the acute phase. With moist noises, sputum accumulates in the lumen of the bronchi. The reason is its increased production, changes in composition, and difficulty in excretion. Small noises indicate a violation of air permeability in the alveoli and bronchioles.

This happens with pneumonia, heart failure and edema. Wheezes are divided into sonorous and non-voiced. Crepitus is often heard on auscultation. It resembles crackling and or creaking. Crepitus is often combined with small bubbling rales.

When conducting auscultation in children or adults, the doctor must not only identify pathological noises, but also determine their nature. Physical examination is performed with the patient sitting, standing or lying down. The stethophonendoscope is placed on the points of best listening to the lungs in the region of the upper back and chest. During auscultation, the doctor should evaluate the following indicators:

localization of wheezing;
their caliber;
key;
timbre;
sonority;
homogeneity;
the size;
connection with inhalation and exhalation;
dependence on changes in body position and cough;
prevalence;
amount.

During the study, the condition of all segments of the lungs is necessarily assessed. You can listen before and after coughing. It is recommended to combine listening with percussion of the lungs.

The causes of the appearance of pathological noises in the lungs are very different. Extrapulmonary rales are observed in the following pathologies:

heart failure;
sarcoidosis;
severe degree of hypertension;
acute renal failure;
congenital and acquired heart defects (valvular insufficiency and stenosis);
graft-versus-host reactions;
typhus;
cystic fibrosis.

To make an accurate diagnosis, laboratory and instrumental studies are required. Most often, the appearance of wheezing indicates pulmonary pathology (acute and chronic bronchitis, COPD, tuberculosis, pneumonia, lung tumors, bronchial asthma in the period after an attack, pulmonary edema (cardiac asthma), bronchiolitis, abscess).

Possible causes include atelectasis of the lungs, as well as blockage of the pulmonary artery by a detached thrombus. In an adult, the appearance of pathological noise is a frequent sign of bronchiectasis, when a saccular protrusion forms in the bronchial region, which interferes with the normal movement of air. The greatest danger to humans is wheezing associated with tuberculosis and tumors (lung cancer).

Moist rales are characteristic of cystic fibrosis, chronic obstructive bronchitis, atelectasis, abscess, Williams-Campbell syndrome, asthma, COPD, pulmonary edema, tuberculosis. Often, dry noises appear first, and after a while they become wet. Rare causes of this pathology include the presence of helminthic invasion.

The following endogenous (internal) and exogenous (external) factors contribute to the occurrence of wheezing during breathing:

frequent colds (flu, SARS);
passive and active smoking;
occupational hazards (work in dusty rooms);
hypothermia;
living in a damp, poorly heated room;
contact with smokers or sick persons;
decreased immunity;
irrational nutrition;
contact with carcinogens;
violation of lipid metabolism in the body;
the presence of arterial hypertension;
alcoholism;
endocrine pathology;
overweight;
impaired renal function;
inflammatory diseases of the upper respiratory tract (sinusitis, tonsillitis, rhinitis, inflammation of the larynx and pharynx);
exposure to toxic substances and drugs.

Most often, whistling in combination with a cough is a consequence of colds. This is facilitated by the lack of vaccination against influenza, hypovitaminosis, clothing that is not suitable for the weather. In a child, a sore throat, combined with coughing and wheezing, is possible after getting your feet wet.

Some diseases accompanied by wheezing (asthma) occur in people who are constantly in contact with allergens. These can be: pollen, household and industrial dust, pet hair, food. In some individuals, a cough with wheezing is possible while taking certain medications (Aspirin).

The appearance of wheezing during breathing is possible with heart failure.

Most often, abnormal breathing is observed in acute failure of the left ventricle (cardiac asthma). This condition develops against the background of myocardial infarction and other forms of coronary artery disease, acute myocarditis, cardiosclerosis and cardiomyopathy. Heart defects are a common cause of asthma.

The following changes play a role in the development of pulmonary symptoms and the appearance of wheezing during breathing:

violation of hemodynamics in the left ventricle and left atrium;
overflow of pulmonary veins;
increased permeability of the walls of small vessels in the lung tissue;
violation of pulmonary ventilation;
excitation of the respiratory center.

Cardiac asthma is manifested by the following symptoms:

dry or wet small bubbling rales;
dry cough;
shortness of breath;
difficulty breathing;
high diastolic blood pressure;
frequent heartbeat;
blue fingertips and nasolabial triangle.

The attack lasts in different ways (from several minutes to a day or more). Cardiac asthma can turn into alveolar (true) pulmonary edema. The severity of wheezing is determined by the degree of heart failure (functional class) and stage. Cardiac asthma must be distinguished from simple bronchial asthma.

Inflammation of the bronchi is often manifested by wheezing or moist rales. Often, such a pathology as obstructive bronchitis develops. It is based on obstruction (blockage) of the lumen of the bronchus. This disease can occur in acute and chronic form. Mainly medium and small bronchi are affected.

The appearance of wheezing is associated with the following changes:

an increase in the function and number of goblet cells that produce a secret;
violation of mucociliary clearance;
change in the composition of sputum;
stagnation of secretions in the bronchi;
violation of ventilation;
the formation of mucous plugs;
swelling of the bronchial mucosa;
decrease in their lumen.

In acute obstructive bronchitis, wheezing is most often dry. The disease is manifested by wheezing, which is heard at a distance. Wheezes in acute inflammation of the bronchi are expiratory (appear during exhalation). After coughing, they may temporarily disappear. Along with wheezing, there are other symptoms (fever, headache, chest discomfort during coughing, shortness of breath, dry or productive cough).

Chronic obstructive bronchitis is characterized by constant wheezing with wheezing. Some patients experience hemoptysis. This happens when small blood vessels rupture during coughing. In the acute phase, the volume of sputum secreted increases, and wheezing becomes wet.

Wheezing is a condition in which foreign bodies enter the lower parts of the respiratory tract. It can be bones, toy parts, bones. The following changes are observed:

bronchospasm;
redness;
exudation.

Blockage of the bronchus is complete and partial. Signs of wheezing appear in phase 2, when a foreign object penetrates the main or segmental bronchus. In such patients, wheezing is heard at a distance. This condition is called stridor (wheezing). It occurs during inhalation. With the development of complications, a wet cough appears.

Blockage of the bronchus by a foreign body is manifested by shortness of breath, chest pain, separation of mucopurulent sputum, fever. In the early stages, the cough resembles that of whooping cough. He is painful and agonizing.

The presence of wheezing and moist rales is a reason to see a doctor. Treatment begins after the examination. The following studies are needed:

bronchoscopy;
radiography;
sputum examination;
percussion and auscultation of the lungs and heart;
measurement of blood pressure;
general clinical tests;
Ultrasound of the heart;
electrocardiography;
testing with bronchodilator drugs;
assessment of the gas composition of the blood;
provocative tests;
biopsy;
study of pulmonary vessels;
plethysmography;
spirometry.

Whistling type of breathing is often detected by ear. Symptoms of the disease allow for differential diagnosis. In asthma, along with wheezing, periodic attacks of suffocation are observed, expiratory dyspnea and a productive cough are noted. With pneumonia, wheezing is often dry. They are associated with dry cough, fever, sputum, often rusty, and signs of hypoxia (acrocyanosis).

With pulmonary edema, the appearance of wheezing is combined with the release of frothy sputum, persistent cough, discoloration of the skin, fear. When listening, bubbling rales are determined. In a child, the appearance of pathological noises can often be associated with cystic fibrosis. He has a dry, hacking cough with wheezing.

Treatment of patients with wheezing depends on the underlying disease. It is often done at home. In the presence of broncho-obstructive syndrome, treatment involves air humidification, the use of mucolytics (ACC, Lazolvan, Ambrobene, Ambrohexal), chest massage, the use of antiviral drugs or antibiotics, inhalations.

The latter are carried out with drugs such as Berotek and Salbutamol. Pulmonary edema requires hospitalization. Treatment at home is inappropriate. In this situation, you need to give the patient a half-sitting position. Treatment includes oxygen therapy, venous tourniquets, the use of diuretic and analgesic drugs, and the use of glucocorticoids.

The selection of drugs depends on the cause of the edema. It is necessary to treat patients with wheezing against the background of tumors surgically. If pneumonia is detected, antibiotics are the mainstay of treatment. Thus, the appearance of wheezing in the lungs is possible with a variety of pathologies.

Additional sources:

Clinical pulmonology. S.V. Naryshkina, O.P. Korotich, L.V. Kruglyakova, 2010.

Internal diseases: respiratory system. G.E. Roitberg, A.V. Strutynsky, 2013.

Respiratory diseases. IN AND. Makolkin, S.I. Ovcharenko, 2005.

Wheezing without coughing, appearing during breathing, but not accompanied by temperature, indicates the presence of various diseases of the respiratory organs. Most often this is a consequence of incompletely cured acute bronchitis. In some cases, wheezing sounds appear as a result of the formation of mucus in the bronchi. In order to establish the cause of their manifestation during breathing, you should consult a doctor.

The resulting cough with wheezing in an adult or child, as well as noises, is usually a symptom of pneumonia. In cases where colds are not accompanied by fever and cough, there are always other signs. These include:

· weight loss;

general weakness;

appearance of shortness of breath.

It is on indirect signs that you should pay attention.

What are wheezing? Depending on the type of manifestation, wheezing during breathing is divided into the following types:

1. Dry. It occurs at an early stage in the development of the disease. Such a cough always indicates the development of severe inflammation in the bronchi, as a result of which mucosal edema develops. Breathing is always heavy and is accompanied by whistling and wheezing. In the lungs, wheezing sounds are also observed in bronchial asthma. The only difference is that the cause of this condition is not inflammation, but a spasm of the organ against the background of a negative reaction. Allergens can be present in the environment or in the human body, such as certain foods.

2. Whistling. It is observed in patients suffering from chronic bronchitis, most often wheezing does not appear during breathing, but whistling and noises are observed. They are evidence that inflammation develops in small bronchioles. As a result of the fact that the pathological process spreads slowly, the symptoms of the disease do not appear for a long time. That is why cough and fever are absent at an early stage of the disease. This period can last more than 1 week, depending on the activity of the immune system. Increased whistling indicates the spread of inflammation.

3. Wet. Indicates the presence of sputum and mucus in the lungs. Occurs against the background of the fact that oxygen during inhalation or exhalation passes through a liquid formation, and the bubbles of the lung burst when pressure is applied. Often, a wet wheeze speaks in the early stages of pulmonary edema or bronchial asthma.

Each type of noise that occurs during breathing in an adult or a child is characteristic of certain diseases of the respiratory system. During examination and listening to the lungs, this factor allows the specialist to establish a preliminary diagnosis and prescribe treatment.

Why there are wheezing in the lungs

Before you start taking medicines, you need to find out what provoked the occurrence of coughing and wheezing when breathing. The causes of their occurrence in medicine are divided into two categories:

1. Pulmonary. All diseases belonging to this category result from the penetration of an infection that affects the organs of the respiratory system. These can be various viruses, pathogens or bacteria.

2. Extrapulmonary. The cause of such wheezing is other diseases. These may be pathologies of the cardiovascular system.

Wheezing sounds and whistles without temperature in a child or an adult that occur during breathing of various types may indicate the development of quite serious diseases that affect the respiratory system. That is why it is important to establish the cause of their occurrence in a timely manner and prevent the occurrence of complications.

Moist rales when inhaling or exhaling can occur with the following diseases:

1. Pulmonary edema.

2. Flu.

3. Tuberculosis.

4. SARS.

5. Bronchial asthma.

6. Violation of the heart rhythm and pathology of the heart muscle.

7. Thromboembolism developing in lung tissues.

8. Tumors of a malignant course.

9. Acute renal failure.

10. Chronic obstructive pulmonary disease.

11. Flea typhus.

In addition, moist rales in the bronchi during exhalation or inhalation may appear after an incorrectly implanted graft. This symptom appears with bronchial asthma and bronchitis. In cases where the inflammatory process does not affect the lungs, noises are formed that are not accompanied by temperature. However, it is rather difficult to establish their presence.

In the lungs, dry rales can appear with the following diseases:

1. Pneumonia.

2. Pneumosclerosis.

3. Laryngitis.

4. Pharyngitis.

5. Chronic bronchitis.

6. Heart failure.

7. Emphysema.

Also, dry wheezing during expiration may be evidence that tumors are forming in the lungs. This symptom manifests itself during attacks of suffocation, when a foreign body enters the body and clogs the trochea.

Noises, a type of wheezing and whistling allow the doctor to suggest a particular disease. In order to accurately determine the cause of their appearance, the doctor prescribes methods of instrumental research.

Diagnosis of wheezing in the lungs

Whistling and wheezing in the lungs during breathing in children and adults is manifested in various diseases. To establish the diagnosis, the doctor listens to the chest to determine the presence of accompanying sounds. This is what allows him to identify the cause.

In addition, special attention is paid to other signs, such as the presence of a cough that can manifest itself with temperature, the general condition of the patient, and the occurrence of shortness of breath. A very important indicator is also the absence or presence of temperature, since some diseases are not accompanied by this symptom. To confirm the preliminary diagnosis, the following diagnostic measures are prescribed:

1. X-ray of the lungs. Allows you to establish the presence of inflammation and the location of the focus of the pathological process.

2. Laboratory blood tests. It is prescribed to determine the infection that caused the wheezing.

3. Fluorography. It is carried out in order to exclude tuberculosis, when a cough occurs without fever.

Based on the data obtained, the doctor determines the cause, the degree of development of the inflammatory process, the type of disease and stage. This allows you to prescribe a course of treatment to avoid serious complications.

Treatment of wheezing in the lungs

How to treat wheezing, the attending physician will tell you after the examination. If the cause is an allergic reaction, you should find out the source. Patients are advised to follow a special diet that includes only healthy foods, such as cereals or lean meats. From the menu it is necessary to remove coffee, tea, chocolate, citrus fruits, berries. In addition, alcohol is excluded. The doctor prescribes drugs such as Spazmalgon or Drotaverin.

Wheezing in the lungs during breathing, which were caused by the pathology of the cardiovascular system, does not require special treatment. Therapy is aimed at compensating for the negative effects of heart failure. Also, patients are prescribed mucolytic drugs to remove sputum from the lungs and bronchi. After the course of treatment of the underlying disease, the wheezing that occurs when coughing in the sternum disappears.

If wheezing in the lungs is not accompanied by fever or cough, often their occurrence is associated with the development of oncology. The patient is shown chemotherapy, radiotherapy or surgery. In a severe course of the disease, when the tumor almost completely blocks the lumen of the bronchi, it is necessary to remove part of the lung.

Medications

Often wheezing sounds when inhaling dry or wet type occurs as a result of inflammation. That is why antibiotics are used, for example "Amoxiclav". When diagnosing pneumonia, pneumonia, drugs such as "Kanamycin" or "Ceftriaxone". In especially severe cases, the funds are administered intravenously or intramuscularly. This helps to stop the acute stage much faster, since the active substances of the drug reach the source of infection faster.

Medicines used to loosen mucus include: Cysteine, Mukomist. After it becomes more viscous, the process of expectoration is easier, expectorant drugs are prescribed. They provoke a spasm of the lungs and help to remove mucus. This group includes Lazolvan, ACC and Mukobene.

If a child is hoarse, drugs are used, which are based on herbal ingredients. They are available in the form of various infusions, mixtures or syrups. With a dry cough, antitussive drugs are also used, and after it develops into a wet one, mucolytic agents are needed. Simultaneous reception of these groups of drugs is strictly prohibited. In cases where wheezing is caused by an allergic reaction, antihistamines are prescribed.

Physiotherapy procedures

Physiotherapy occupies a special place in the treatment of various diseases. The use of procedures in combination with drug therapy can speed up recovery. If wheezing sounds occur that are not accompanied by temperature, the following is used:

1. Warming up. Improves blood circulation and promotes sputum discharge.

2. Inhalation. They relieve inflammation and swelling of the mucosa, wheezing in the throat disappears within a week.

3. Compresses. Increase blood circulation and help remove accumulated mucus.

Methods of physiotherapeutic influence are used only as prescribed by a doctor after studying the anamnesis and establishing the type of disease. Procedures are not performed in cases where coughing and wheezing during breathing are accompanied by fever.

Phytotherapy

Phytotherapy is used for the complex treatment of various colds. Many recipes that are used for coughs and wheezing in the lungs are also suitable for children from 3 years old. In order to get rid of dry or wet cough, various herbs are used. The most popular recipes in case of wheezing during exhalation or exhalation are:

1. Peppermint, coltsfoot, root, marshmallow and plantain. Dry herbs in equal proportions are crushed and mixed. The finished mixture in the amount of 25 grams is poured with boiling water and infused for at least 2 hours. After that, the tincture is brought to a boil and cooled. Use the solution before meals three times a day, 12 ml.

2. Grind mint, oregano, plantain, licorice and wild rosemary in the amount of 5 g of each plant and pour 400 ml of boiling water. After that, put on a slow fire. After the solution has boiled, boil for 4 minutes. Then insist half an hour and use a tablespoon 2 times a day

Phytotherapy allows you to speed up recovery, get rid of wheezing that occurs during inhalation and exhalation. The use of prescriptions must be agreed with the attending physician. Self-medication can lead to serious consequences.

Prevention measures

In order to avoid the appearance of wheezing in the lungs, manifested without fever with a cough, hypothermia and being in a draft should be avoided. To increase the body's defenses, it is recommended to play sports and regularly take a course of vitamin complexes. In addition, you should avoid the development of colds and consult a doctor at the first symptoms.

Wheezing of various types may indicate the development of various diseases. Only a doctor can determine what caused their appearance. That is why, in case of symptoms, it is necessary to consult a specialist. He will conduct an examination, establish the degree of the disease, and also prescribe treatment. Lack of therapy in some cases can lead to the development of pneumonia or pneumonia.

A healthy person should not have any wheezing and whistling when breathing. These symptoms indicate the presence of any problem in the respiratory system. Of course, not all wheezing during breathing is equally dangerous, but only a doctor can determine the level of risk. It is important to remember that if remote wheezing develops, i.e. heard at a distance, then this is an indication for immediate treatment to a specialist.

Causes of respiratory failure in adults

Wheezing and whistling in the respiratory system can occur when the passage of air is difficult, which can be caused by a variety of reasons:

As a rule, most often of these diseases, distant whistles and wheezing in the lungs during breathing accompany pneumonia, bronchopneumonia, acute or chronic bronchitis.

Usually there is an increase in temperature and a general deterioration in well-being. But there are cases of atypical inflammatory processes in the lungs that pass without any temperature changes. In addition, noise in the lungs may indicate diseases such as:

death of a portion of the myocardium (heart attack) and other heart diseases;
pulmonary edema of various etiologies.

Diagnostic methods and types of wheezing

Only a specialist can diagnose the cause of wheezing! Since wheezing can be a symptom of completely different diseases, sometimes not related to the respiratory system, self-medication in this case is strictly prohibited.

The main method for diagnosing noises developing in the respiratory organs is auscultation - the process of listening by the doctor to the patient's respiratory system using a special instrument.

As a rule, at the reception, the doctor listens to the patient with the help of:

phonendoscope;
stethoscope;
stethophonendoscope.

When listening to the patient's respiratory system, the doctor determines the specifics of the sounds. Wheezing when inhaling or exhaling differ in nature. It also matters whether these rales are coarse, medium, or fine.

Auscultation is performed in horizontal, vertical positions, as well as sitting, since it is often the difference in wheezing in different positions that helps to make a diagnosis. The nature of the sounds is determined before and after coughing or during the pronunciation of certain sounds.

In some cases, when it is difficult to make a diagnosis, the doctor may prescribe additional procedures and tests:

radiography of the respiratory organs;
general blood test;
PCR analysis of secretions;
spirometry (determination of the volume of the lungs and the degree of their disclosure);
ELISA diagnostics.

Varieties of wheezing

The doctor must very accurately determine the nature of wheezing in the chest, because the accuracy of the diagnosis depends on this, and hence the success of the entire treatment. By their nature, wheezing is divided into:

So, for example, a clearly audible whistle on exhalation (expiratory) indicates that it can develop:

bronchial asthma;
allergic reactions;
lung diseases (both chronic and acute);
gastroesophageal reflux.

And in acute bronchitis, on the contrary, wheezing and whistling are heard on inspiration (inspiratory wheezing). With inflammation and swelling of the bronchi, mucus is secreted, while its stagnation occurs in the lower respiratory sections. These signs may not be accompanied by fever and usually indicate pulmonary obstruction.

Dry rales in the lungs are whistling and buzzing.

Whistlers are caused by:

edema;
the development of spasms in the bronchi (asthma, COPD);
ingestion of a foreign body,
neoplasms.

As a rule, with a dry form of wheezing, diseases such as pharyngitis, laryngitis, and bronchitis are diagnosed. Buzzing (buzzing) wheezing occurs when sputum of a thick consistency accumulates in the bronchi (bronchitis, lung obstruction).

Wet rales in the lungs are heard when there are accumulations of liquid sputum, blood, and edematous fluid in the bronchi. Air currents foam these liquids and create many bubbles on their surface, which immediately burst.

Depending on the size of the cavity in which these accumulations appeared, 3 types of moist rales are distinguished:

Resounding moist small bubbling rales occur, as a rule, with inflammation (for example, with pneumonia). Fine bubbling, non-sound rales accompany diseases such as pulmonary edema, heart failure, as they are caused by the accumulation of edematous fluid.

When it comes to the respiratory organs, then crepitus is understood as a characteristic sound, similar to crackling or crunching, which is found when listening or palpation. Crepitus is of great importance in the diagnosis. As a rule, it is heard on inspiration, when the walls of the alveoli that stick together during exhalation are separated. This is due to the impregnation of tissues with secreted mucus or blood.

Crepitus indicates in most cases about:

bilateral pneumonia;
death of a piece of lung tissue (organ infarction);
accumulation of fluid in the lungs.

Often, crepitant rales are similar to wet rales, which differ, however, in the nature of their occurrence.

Crepitus in the lungs may be accompanied by the following symptoms:

chest tightness or pain;
the appearance of a bluish tint on the skin or on the lips;
loss of consciousness or confusion;
nausea or vomiting;
temperature rise;
difficulty breathing.

Pneumonia

The most common wheezing disease in adults and children is pneumonia, or pneumonia. This disease is characterized by inflammation of the alveoli, or intervening tissue, and usually a radiograph shows many tissue changes.

The main causes of pneumonia are pneumonia caused by bacteria, viruses, intracellular organisms, fungi, or specific infections such as tuberculosis and syphilis that have entered the respiratory system.

In most cases, wheezing, caused by diseases such as pneumonia, bronchitis, obstructive pulmonary diseases, is treated with antibiotics (Ceftriaxone, Azithromycin) while taking probiotics (Yoghurt, Lineks) to improve the intestinal microflora. For asthmatic or allergic wheezing, antihistamines (Claritin, Suprastin) and bronchodilator (Budesonide, Salbutamol) drugs are used.

With wet breathing with whistling of any etiology, mucolytic and thinning drugs can be used to more productively remove sputum (Ambroxol, Bromhexine, ACC), with dry pulmonary noises, Sinekod, Libeksin can be used to soften the airways.

Given the huge number of reasons that cause the symptom of wheezing and whistling during breathing, it is strongly not recommended to take any means on your own.

Firstly, it will blur the clinical picture, and the doctor will not be able to prescribe adequate treatment, and secondly, it can lead to serious complications, up to the development of suffocation. In any case, the duration, the regimen of taking the drugs and the drugs themselves should be prescribed only by a doctor after a thorough examination.