All right, what is going on everybody? Today we're going to be discussing steroids and

acute bronchitis. Is there any evidence? Is there any reason to you using steroids

in the management of acute bronchitis. Now this is a follow-up

question regarding the acute bronchitis lecture that I posted on YouTube a

while back and we're gonna get into her question and then we're gonna go

over the data. So she says, I have a couple of questions.

What is your opinion on giving a steroid burst to those with a cough?

I have seen this done a bunch and seems to knock out that inflammation and bronchospasm that

perpetuates that ongoing cough. Is this due to a kind of reactive airway?

All right, so we're talking about acute bronchitis here.

We're not talking COPD, we're not talking chronic bronchitis.

We're talking acute bronchitis that's more than likely due to a viral, to a virus, right, a viral ideology. So here's the thing. When we have

a cute bronchitis, the cough can last anywhere from two to three weeks and this is normal.

Now let's do a couple of definitions right just to kind of recap.

A cute cough means that we have a cough less than three weeks.

Sub-acute cough we have anything between three and eight weeks, and a chronic cough is going to be anything

more than eight weeks, meaning two months, right?

So the far majority of patients with acute bronchitis will have a cough for two to three weeks after the infection is cleared.

Just because we have a cough does not mean that we continue to have that infection.

What it means is that we might have some type of either inflammation or we might have some type of reactive airway.

So we have airway hyper-reactivity, right?

Now this airway hyper-reactivity can last anywhere from five to six weeks and this can definitely lead to a cough.

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