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Bronchitis is considered chronic when a cough with mucus persists for most days of the month, for at least three months, and at least two years in a row. Read What Your Physician is Reading on Medscape Bronchitis »Bronchitis is an inflammation of the bronchial tubes, or bronchi. Atherosclerosis is Accumulation of lipids and other materials (ATHEROSCLEROTIC PLAQUE) between the two layers of an artery’s inner wall, the intima. Atherosclerosis will most commonly affect medium-size arteries such as the CORONARY ARTERIES that supply the HEART, the carotid arteries that supply the BRAIN, and the primary arteries that supply the legs. Atherosclerosis typically does not present symptoms until it advances to a further disease state such as CAD or hypertension resulting from renal artery stenosis. The primary risk factor for atherosclerosis is elevated cholesterol blood levels, which allow fatty acids to accumulate in the blood.
Aside from allergens from food, exposure to other substances or objects may also cause hives to some people. Acute bronchitis happens when this inflammation of the air passages comes on quickly and resolves within two to three weeks.
Bronchitis occurs when the trachea (windpipe) and the large and small bronchi (airways) within the lungs become inflamed because of infection or irritation from other causes. Narrowing of the bronchial tubes result in increased resistance, this increase makes it more difficult for air to move to and from the lungs. Over time the accumulations form brittle, hard deposits called atheromas that thicken the intima and the media (the middle of the arterial wall’s three layers).
A key indicator that atherosclerosis exists, however, is elevated blood lipid (cholesterol and triglycerides) levels. Treating the damaged artery generally takes precedence as the atherosclerotic occlusions restrict and may even block the flow of blood.
Cigarette smoking, OBESITY, hypertension, and DIABETES further increase the risk for atherosclerosis.
Some people with hives also complain of a burning sensation on the areas with the red swollen lumps.
Some people are allergic to dust or pollen from various flowers and when they are exposed to these things, their skin may react by producing the red lumps in hives.
The usual consequence is that the ARTERY becomes stiff and less flexible, and its inner channel, the lumen, narrows. Atherosclerosis in the aorta presents a significant risk for aortic ANEURYSM, a potentially life-threatening circumstance in which the walls of the aorta weaken and begin to separate.
Cardiologists generally perceive a total blood cholesterol level of 200 as indicating that there is some degree of atherosclerotic disease present. Cigarette smoking and hypertension alter the cells of the arterial walls in ways that reduce their FLEXIBILITY, making them more susceptible to atherosclerotic accumulations. The combined effect limits the ability of the artery to dilate or constrict, increasing the pressure necessary to push BLOOD through the artery. The most significant risk of atherosclerosis, however, is HEART ATTACK or STROKE, resulting from particles of atherosclerotic plaque that break free and become lodged in an artery. Lowering CHOLESTEROL BLOOD LEVELS reduces the risk for further atherosclerotic deposits and can also reverse to some extent atherosclerotic disease that already exists. It can occur in girls as young as 11 years old.Return to topWhat causes PCOS?The cause of PCOS is unknown. Other symptoms include wheezing and shortness of breath.Chronic bronchitis is diagnosed based on the symptoms and physical exam. The result is CARDIOVASCULAR DISEASE (CVD), including HYPERTENSION (high BLOOD PRESSURE), CORONARY ARTERY DISEASE (CAD), and PERIPHERAL VASCULAR DISEASE (PVD). The diagnostic path typically includes CARDIAC CATHERIZATION or vascular catheterization, which allows the cardiologist to directly visualize the extent of atherosclerotic disease present. Preventive measures include a diet with fewer than 10 percent of its CALORIES from saturated fats (such as meats), daily physical exercise, SMOKING CESSATION, and WEIGHT LOSS AND WEIGHT MANAGEMENT. By definition, chronic bronchitis must persist for most days of the month, for at least three months, and at least two years in a row.

Blood clots also may form at the sites of the plaque accumulations (atheromas), occluding the artery at the site or, like the plaque particles, breaking free and becoming lodged elsewhere in the body. ELECTRON BEAM COMPUTED TOMOGRAPHY (EBCT) SCAN, a noninvasive imaging procedure, shows promise for identifying atherosclerosis in its early stages. Health experts encourage people to develop heart-healthy lifestyle habits early in life, as so much research now confirms that the cardiovascular diseases common in people who are in their 60s and beyond get their start in the teenage years or earlier. Women with PCOS are more likely to have a mother or sister with PCOS.A main underlying problem with PCOS is a hormonal imbalance. Many researchers believe the process of atherosclerotic accumulation begins in late childhood.
High levels of these hormones affect the development and release of eggs during ovulation.Researchers also think insulin may be linked to PCOS.
Insulin is a hormone that controls the change of sugar, starches, and other food into energy for the body to use or store. Untreated or poorly managed chronic bronchitis can result in permanent and severe damage to the lungs.What is chronic bronchitis? Many women with PCOS have too much insulin in their bodies because they have problems using it. Some of the symptoms of PCOS include:Infertility (not able to get pregnant) because of not ovulating.
When the egg matures, the follicle breaks open, the egg is released, and the egg travels through the fallopian tube to the uterus (womb) for fertilization. This is called ovulation.In women with PCOS, the ovary doesn't make all of the hormones it needs for an egg to fully mature. Plus, the ovaries make male hormones, which also prevent ovulation.Normal ovary and polycystic ovary Return to topDoes PCOS change at menopause?Yes and no. So, many symptoms may persist even though ovarian function and hormone levels change as a woman nears menopause. For instance, excessive hair growth continues, and male-pattern baldness or thinning hair gets worse after menopause.
Also, the risks of complications (health problems) from PCOS, such as heart attack, stroke, and diabetes, increase as a woman gets older.Return to topHow do I know if I have PCOS?There is no single test to diagnose PCOS. Your doctor will take the following steps to find out if you have PCOS or if something else is causing your symptoms.Medical history. Your doctor will ask about your menstrual periods, weight changes, and other symptoms.Physical exam. Your doctor will want to measure your blood pressure, body mass index (BMI), and waist size. You should try to allow the natural hair to grow for a few days before the visit.Pelvic exam.
Your doctor might want to check to see if your ovaries are enlarged or swollen by the increased number of small cysts.Blood tests. Your doctor may check the androgen hormone and glucose (sugar) levels in your blood.Vaginal ultrasound (sonogram).
It might be used to examine your ovaries for cysts and check the endometrium (en-do-MEE-tree-uhm) (lining of the womb).
This lining may become thicker if your periods are not regular.Return to topHow is PCOS treated?Because there is no cure for PCOS, it needs to be managed to prevent problems.
Treatment goals are based on your symptoms, whether or not you want to become pregnant, and lowering your chances of getting heart disease and diabetes. You can help manage your PCOS by eating healthy and exercising to keep your weight at a healthy level.
Even a 10 percent loss in body weight can restore a normal period and make your cycle more regular.Birth control pills. Women may also think about taking a pill that only has progesterone (proh-JES-tuh-rohn), like Provera, to control the menstrual cycle and reduce the risk of endometrial cancer (See Does PCOS put women at risk for other health problems?). It has also been found to help with PCOS symptoms, though it isn't approved by the U.S Food and Drug Administration (FDA) for this use.

Metformin affects the way insulin controls blood glucose (sugar) and lowers testosterone production.
It slows the growth of abnormal hair and, after a few months of use, may help ovulation to return.
Recent research has shown metformin to have other positive effects, such as decreased body mass and improved cholesterol levels. Even so, other reasons for infertility in both the woman and man should be ruled out before fertility medications are used. The doctor makes a very small cut above or below the navel (belly button) and inserts a small tool that acts like a telescope into the abdomen (stomach). The doctor then punctures the ovary with a small needle carrying an electric current to destroy a small portion of the ovary.
This treatment doesn't help with loss of scalp hair or increased hair growth on other parts of the body.Medicine for increased hair growth or extra male hormones. Spironolactone (speer-on-oh-LAK-tone) (Aldactone), first used to treat high blood pressure, has been shown to reduce the impact of male hormones on hair growth in women. Finasteride (fin-AST-uhr-yd) (Propecia), a medicine taken by men for hair loss, has the same effect.
Some research has shown that bariatric (weight loss) surgery may be effective in resolving PCOS in morbidly obese women.
Morbid obesity means having a BMI of more than 40, or a BMI of 35 to 40 with an obesity-related disease. Similar drugs without the same side effect are being tested in small trials.Researchers continue to search for new ways to treat PCOS. Most of the time, these problems occur in multiple-birth babies (twins, triplets).Researchers are studying whether the diabetes medicine metformin can prevent or reduce the chances of having problems while pregnant. Metformin also lowers male hormone levels and limits weight gain in women who are obese when they get pregnant.Metformin is an FDA pregnancy category B drug. But, there have only been a few studies of metformin use in pregnant women to confirm its safety. Talk to your doctor about taking metformin if you are pregnant or are trying to become pregnant.
Talk with your doctor about metformin use if you are a nursing mother.Return to topDoes PCOS put women at risk for other health problems?Women with PCOS have greater chances of developing several serious health conditions, including life-threatening diseases.
This is when breathing stops for short periods of time during sleep.Women with PCOS may also develop anxiety and depression.
It is important to talk to your doctor about treatment for these mental health conditions.Women with PCOS are also at risk for endometrial cancer. Irregular menstrual periods and the lack of ovulation cause women to produce the hormone estrogen, but not the hormone progesterone.
Progesterone causes the endometrium (lining of the womb) to shed each month as a menstrual period. Without progesterone, the endometrium becomes thick, which can cause heavy or irregular bleeding. Over time, this can lead to endometrial hyperplasia, when the lining grows too much, and cancer. What can I do to prevent complications?If you have PCOS, get your symptoms under control at an earlier age to help reduce your chances of having complications like diabetes and heart disease. Talk to your doctor about treating all your symptoms, rather than focusing on just one aspect of your PCOS, such as problems getting pregnant.
You may also want to look for support groups in your area or online to help you deal with the emotional effects of PCOS.

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