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A functional medicine approach to bronchitis aims to address underlying causes, reduce inflammation, and support respiratory health and immune function. Chronic or acute bronchitis often results from infections, environmental factors, or lifestyle issues that affect the lungs. Here are several key strategies in a functional approach to managing and preventing bronchitis:

1. Address and Eliminate Triggers

  • Environmental Irritants: Pollutants, smoke, mold, and allergens can worsen bronchitis. Reducing exposure to indoor and outdoor air pollutants, using HEPA air purifiers, and ventilating indoor spaces can help reduce respiratory irritation.
  • Smoking Cessation: For smokers, quitting smoking is the most effective way to reduce chronic bronchial irritation and improve lung function. Smoking cessation resources and counseling may be helpful.

2. Strengthen the Immune System

  • Vitamin C: Known for its immune-boosting properties and ability to protect lung tissue, vitamin C can help reduce the severity and duration of respiratory infections.
    Suggested Dosage: 500-1000 mg daily from dietary sources (citrus fruits, bell peppers) or supplements.
  • Vitamin D: Adequate vitamin D levels are associated with better immune function and lower susceptibility to respiratory infections. Testing levels and supplementing accordingly can support immune health. Suggested Dosage: 1000-5000 IU daily, based on blood levels.

  • Zinc: Zinc supports immune function and can help prevent and manage respiratory infections.
Suggested Dosage: 10-30 mg daily, ideally from dietary sources or supplements.

3. Anti-Inflammatory Diet

  • Whole Foods and Antioxidant-Rich Diet: A diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats (such as omega-3s) helps reduce inflammation in the body.
  • Avoid Pro-Inflammatory Foods: Refined sugars, processed foods, and trans fats can worsen inflammation and should be limited.
  • Omega-3 Fatty Acids: Found in fatty fish, walnuts, and flaxseeds, omega-3s have anti- inflammatory effects and can help reduce respiratory inflammation. Suggested Dosage: 1000-3000 mg daily of EPA and DHA from fish oil or algae oil supplements.

4. Support Respiratory Health with Targeted Herbs and Supplements

  • N-Acetylcysteine (NAC): NAC is a precursor to glutathione, the body’s primary antioxidant. It helps thin mucus, making it easier to expel from the lungs, and protects lung tissue. Suggested Dosage: 600-1200 mg daily.

  • Quercetin: Quercetin has anti-inflammatory and antioxidant properties and may help reduce lung inflammation.
 Suggested Dosage: 500 mg twice daily.
  • Licorice Root: Licorice is known for its soothing effects on respiratory tissues and may help ease cough. However, it should be used short-term, as long-term use can cause blood pressure issues. Suggested Dosage: Consult with a provider for proper dosing.

  • Mullein Leaf: This herb is used traditionally to support respiratory health and may help reduce mucus buildup.
 Suggested Dosage: Tea or tincture form as directed.

5. Optimize Gut Health for Immune Support

  • Probiotics: Gut health and immunity are closely linked, and probiotics can help support a balanced immune response. Probiotics are beneficial for preventing respiratory infections and reducing inflammation. Suggested Dosage: 5-10 billion CFUs daily from a diverse probiotic supplement or fermented foods.
  • High-Fiber Diet: Fiber-rich foods like vegetables, fruits, and whole grains support beneficial gut bacteria, which can, in turn, support immune function and respiratory health.

6. Manage Stress and Support Adrenal Health

  • Adaptogens: Herbs such as ashwagandha, rhodiola, and holy basil support the adrenal glands, which play a role in regulating inflammation and immune responses.
  • Mind-Body Practices: Stress management techniques, including deep breathing, yoga, meditation, and tai chi, help manage stress, reduce inflammation, and support respiratory function.

7. Hydration and Humidity

  • Stay Hydrated: Hydration helps thin mucus, making it easier to expel from the respiratory tract. Aim for at least eight 8-ounce glasses of water daily.
  • Humidifiers: Using a humidifier can help keep airways moist, reduce irritation, and ease breathing, especially in dry climates or during winter.

8. Targeted Breathing Exercises

  • Diaphragmatic Breathing: This breathing technique can improve lung function, reduce stress, and increase oxygen levels. To practice, breathe deeply from the diaphragm (rather than shallow breathing from the chest) for several minutes each day.
  • Pursed-Lip Breathing: Breathing in through the nose and out through pursed lips helps keep airways open longer, aiding in oxygen exchange and easing respiratory strain.

9. Physical Activity and Lung Exercises

  • Exercise: Regular, moderate physical activity can improve lung capacity and reduce inflammation. Activities like walking, swimming, and gentle cardio can benefit respiratory health.
  • Respiratory Exercises: Tools like incentive spirometers (used to encourage deep breathing) can help improve lung capacity and function over time.

10. Investigate Underlying Infections or Conditions

  • Chronic Infections: Chronic or recurrent infections can contribute to bronchitis symptoms. Testing for conditions like chronic sinusitis, mold exposure, or allergies can help identify triggers.
  • Address Mold or Fungal Exposure: Exposure to mold or fungi can cause respiratory issues and chronic bronchitis-like symptoms. Testing the home and taking appropriate remediation steps can reduce respiratory irritation.

Summary

Functional medicine for bronchitis focuses on removing irritants, strengthening immunity, reducing inflammation, and supporting respiratory health through nutrition, lifestyle adjustments, and targeted supplements. This holistic approach addresses both acute and chronic bronchitis by identifying root causes and creating a tailored plan to support long-term respiratory health.