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[Sticky] Bronchitis


Michael Gray MD JD
Posts: 108
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Yes — telemedicine can commonly and safely evaluate and treat uncomplicated acute bronchitis, particularly in otherwise healthy adults.


✅ What telemedicine can do for uncomplicated bronchitis

🩺 Clinical evaluation

A clinician can assess:

  • Cough (often lasting 1–3 weeks)

  • Sputum production (color alone does not mean bacterial infection)

  • Wheezing or chest tightness

  • Recent cold or flu symptoms

  • Fever pattern

  • Shortness of breath (to rule out pneumonia)

  • Smoking or vaping history

  • Asthma or COPD history

Most diagnoses are based on history, not imaging.


💊 Treatment

Supportive care (mainstay)

  • Hydration and rest

  • Cough suppressants or expectorants

  • NSAIDs or acetaminophen

  • Honey (adults only)

Prescriptions when appropriate

  • Short-acting inhalers (e.g., albuterol) for wheezing

  • Inhaled corticosteroids in select cases

  • Avoidance counseling (smoking/vaping)

Antibiotics are usually NOT indicated, as most bronchitis is viral.


🧪 Testing & referrals

Telemedicine may:

  • Order COVID or flu testing if indicated

  • Refer for chest X-ray or in-person exam if pneumonia is suspected


🚨 When telemedicine is not appropriate

In-person or urgent care is needed if there is:

  • Shortness of breath at rest

  • Oxygen saturation < 94%

  • High or persistent fever

  • Chest pain

  • Bloody sputum

  • Confusion

  • Symptoms lasting >3–4 weeks without improvement

  • Known COPD with worsening symptoms


🧠 Why bronchitis is well-suited to telemedicine

  • Clear symptom patterns

  • Evidence-based treatment guidelines

  • Low complication risk in healthy adults

  • Avoids unnecessary antibiotics


⚠️ Important note

Telemedicine clinicians should rule out pneumonia, asthma exacerbation, and COPD flare, which may require in-person care.


✅ Bottom line

✔ Yes — telemedicine is appropriate and effective for uncomplicated acute bronchitis, with proper screening and follow-up instructions.


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