What Tests Diagnose Pneumonia
The diagnosis of pneumonia always begins with taking a medical history and performing a physical examination to look for characteristic signs. In particular, listening to the lungs may reveal areas where sound is diminished, wheezing, or crackling sounds in affected areas. Some commonly performed diagnostic tests are as follows:
- A chest X-ray is able to illustrate whether or not pneumonia is present, but it does not provide information about the organism responsible for the infection.
- In some cases, a chest CT scan may be performed. This will reveal more detail than the chest X-ray.
- Pulse oximetry measures the amount of oxygen in the bloodstream. The test involves a painless sensor attached to the finger or ear. Blood levels of oxygen may be reduced in pneumonia.
- Microbiology tests to identify the causative organism. Tests may be performed on blood or sputum. Rapid urine tests are available to identify Streptococcus pneumoniae and Legionella pneumophila. Cultures of blood or sputum not only identify the responsible organism but can also be examined to determine which antibiotics are effective against a particular bacterial strain.
- Bronchoscopy is a procedure in which a thin, lighted tube is inserted into the trachea and major airways. This allows the doctor to visualize the inside of the airways and take tissue samples if needed. Bronchoscopy may be performed in patients with severe pneumonia or if pneumonia worsens despite antibiotic treatment.
Are Vaccines Available To Prevent Pneumonia
Yes, there are two types of vaccines specifically approved to prevent pneumonia caused by pneumococcal bacteria. Similar to a flu shot, these vaccines wont protect against all types of pneumonia, but if you do come down with pneumonia, its less likely to be as severe or potentially life-threatening especially for people who are at increased risk for pneumonia.
- Bacterial pneumonia: Two pneumonia vaccines, Pneumovax23® and Prevnar13®, protect against the most common causes of bacterial pneumonia.
- Pneumovax23® protects against 23 different types of pneumococcal bacteria. It is recommended for all adults 65 years of age and older and children over 2 years of age who are at increased risk for pneumonia.
- Prevnar13® protects against 13 types of pneumonia bacteria. It is recommended for all adults 65 years of age and older and children under 2 years of age. Ask your healthcare provider about these vaccines.
If you have children, ask their doctor about other vaccines they should get. Several childhood vaccines help prevent infections caused by the bacteria and viruses that can lead to pneumonia.
Pleural Effusion Empyema And Abscess
In pneumonia, a collection of fluid may form in the space that surrounds the lung. Occasionally, microorganisms will infect this fluid, causing an empyema. To distinguish an empyema from the more common simple parapneumonic effusion, the fluid may be collected with a needle , and examined. If this shows evidence of empyema, complete drainage of the fluid is necessary, often requiring a drainage catheter. In severe cases of empyema, surgery may be needed. If the infected fluid is not drained, the infection may persist, because antibiotics do not penetrate well into the pleural cavity. If the fluid is sterile, it must be drained only if it is causing symptoms or remains unresolved.
In rare circumstances, bacteria in the lung will form a pocket of infected fluid called a lung abscess. Lung abscesses can usually be seen with a chest X-ray but frequently require a chest CT scan to confirm the diagnosis. Abscesses typically occur in aspiration pneumonia, and often contain several types of bacteria. Long-term antibiotics are usually adequate to treat a lung abscess, but sometimes the abscess must be drained by a surgeon or radiologist.
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Drink A Cup Of Turmeric Tea
Another review from 2018 supported curcumins activity against pain, meaning that it might provide some relief for pneumonias sometimes intense chest pain .
You can buy turmeric tea at your local grocery or online. You can also make your own tea using turmeric powder.
Who Is Most At Risk For Getting Pneumonia
People who have an increased risk of pneumonia include:
- People over the age of 65 and infants under age 2. The weakening immune system of older people makes them less able to fight off illnesses. Similarly, the immune system of infants is still developing and not at full-strength, making them more susceptible to infection.
- People with a health-caused weakened immune system. Examples include:
- People who are receiving chemotherapy
- Transplanted organ recipients
- People who have HIV/AIDS
- People with autoimmune disease and who are taking medications that suppress the immune system.
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What Are The Signs And Symptoms Of Bacterial Versus Viral Pneumonia In Adults
Symptoms of pneumonia can range from mild sometimes called walking pneumonia to severe. How serious your case of pneumonia depends on the particular germ causing pneumonia, your overall health, and your age.
Bacterial pneumonia: Symptoms of bacterial pneumonia can develop gradually or suddenly. Symptoms include:
- High fever
Additional symptoms appearing about a day later include:
- Higher fever
- Shortness of breath
For Shortness Of Breath
With pneumonia, your breathing may suddenly become rapid and shallow, or this symptom could develop gradually over the course of a few days.
You may even experience breathlessness while youre resting. Your doctor may prescribe medication or inhalers to help. Even as you try the suggestions below, make sure you keep up with your physicians instructions and dosages.
If the following suggestions dont help and your breath becomes even shorter, seek immediate medical care.
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Drink A Cup Of Coffee
Drinking a cup of coffee may also help relieve shortness of breath. Caffeine may help widen the airways, and a 2021 review even suggested that consuming it could help soothe some COVID-19 symptoms and work against SARS-CoV-2.
Caffeines half-life is 3-5 hours, meaning that your body gets rid of half the caffeine content in this time. If caffeine helps to widen your airways, this is the amount of time its likely to have its most noticeable effects.
Chest pain may come on suddenly or over the course of several days. You should expect some chest pain or ache if you get pneumonia. With treatment, any chest pain typically subsides within 4 weeks.
Going To The Hospital
If you have severe pneumonia, you may have to go to the hospital:
- In most cases of pneumonia you get in your daily life, such as at school or work , it is not necessary to go to the hospital.footnote 2
- About one-third of people with community-based pneumonia are age 65 or older.footnote 2 Older adults are treated in the hospital more often and stay longer for the condition than younger people.footnote 2 Pneumonia is more serious in this group, because they often have and may develop other medical problems.
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What Can I Do At Home To Feel Better
In addition to taking any antibiotics and/or medicine your doctor prescribes, you should also:
- Get lots of rest. Rest will help your body fight the infection.
- Drink plenty of fluids. Fluids will keep you hydrated. They can help loosen the mucus in your lungs. Try water, warm tea, and clear soups.
- Stop smoking if you smoke and avoid secondhand smoke. Smoke can make your symptoms worse. Smoking also increases your risk of developing pneumonia and other lung problems in the future. You should also avoid lit fireplaces or other areas where the air may not be clean.
- Stay home from school or work until your symptoms go away. This usually means waiting until your fever breaks and you arent coughing up mucus. Ask your doctor when its okay for you to return to school or work.
- Use a cool-mist humidifier or take a warm bath. This will help clear your lungs and make it easier for you to breathe.
Spreading Pneumonia To Others
If your pneumonia is caused by a virus or bacteria, you may spread the infection to other people while you are contagious. How long you are contagious depends on what is causing the pneumonia and whether you get treatment. You may be contagious for several days to a week.
If you get antibiotics, you usually cannot spread the infection to others after a day of treatment.
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What Are The Symptoms
Symptoms of pneumonia may include:
- Cough. You will likely cough up mucus from your lungs. Mucus may be rusty or green or tinged with blood.
- Fever, chills, and sweating.
- Feeling very tired or very weak.
When you have less severe symptoms, your doctor may call this “walking pneumonia.”
Older adults may have different, fewer, or milder symptoms. They may not have a fever. Or they may have a cough but not bring up mucus. The main sign of pneumonia in older adults may be a change in how well they think. Confusion or delirium is common. Or, if they already have a lung disease, that disease may get worse.
Symptoms caused by viruses are the same as those caused by bacteria. But they may come on slowly and often are not as obvious or as bad.
How Is Pneumonia Treated
When you get a pneumonia diagnosis, your doctor will work with you to develop a treatment plan. Treatment for pneumonia depends on the type of pneumonia you have, how sick you are feeling, your age, and whether you have other health conditions. The goals of treatment are to cure the infection and prevent complications. It is important to follow your treatment plan carefully until you are fully recovered.
Take any medications as prescribed by your doctor. If your pneumonia is caused by bacteria, you will be given an antibiotic. It is important to take all the antibiotic until it is gone, even though you will probably start to feel better in a couple of days. If you stop, you risk having the infection come back, and you increase the chances that the germs will be resistant to treatment in the future.
Typical antibiotics do not work against viruses. If you have viral pneumonia, your doctor may prescribe an antiviral medication to treat it. Sometimes, though, symptom management and rest are all that is needed.
Most people can manage their symptoms such as fever and cough at home by following these steps:
If your pneumonia is so severe that you are treated in the hospital, you may be given intravenous fluids and antibiotics, as well as oxygen therapy, and possibly other breathing treatments.
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Can Pneumonia Be Prevented Or Avoided
There are many factors that can raise your risk for developing pneumonia. These include:
People who have any of the following conditions are also at increased risk:
- chronic obstructive pulmonary disease
- sickle cell disease
You can help prevent pneumonia by doing the following:
- Get the flu vaccine each year. People can develop bacterial pneumonia after a case of the flu. You can reduce this risk by getting the yearly flu shot.
- Get the pneumococcal vaccine. This helps prevent pneumonia caused by pneumococcal bacteria.
- Practice good hygiene. Wash your hands frequently with soap and water or an alcohol-based hand sanitizer.
- Dont smoke. Smoking damages your lungs and makes it harder for your body to defend itself from germs and disease. If you smoke, talk to your family doctor about quitting as soon as possible.
- Practice a healthy lifestyle. Eat a balanced diet full of fruits and vegetables. Exercise regularly. Get plenty of sleep. These things help your immune system stay strong.
- Avoid sick people. Being around people who are sick increases your risk of catching what they have.
How Is Viral Pneumonia Treated
Viral pneumonias are more likely to be treated at home, and not at the hospital.
Viral pneumonia caused by the flu can be treated with an antiviral medication called Tamiflu , but for many other viral pneumonias, your doctor can only treat the symptoms. This means drinking lots of fluids, eating well, resting, taking medication for pain or fever, and treating breathing difficulties.
Viral pneumonia may take one to three weeks to clear completely.
Mycoplasmal pneumonia is caused by Mycoplasma pneumoniae, which was originally thought to be a virus or a fungus, but has since been classified as a bacteria. Also called atypical pneumonia, it’s a mild and common type that’s most likely to affect children and young adults.
This type of pneumonia can be treated with several types of antibiotics, and usually doesn’t require hospitalization.
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What Are The Symptoms And Signs Of Pneumonia
Infants and newborns may not show specific symptoms of pneumonia. Instead, the baby or child may appear restless or lethargic. A baby or child with pneumonia may also have a fever or cough or vomit. Older adults or those who have weak immune systems may also have fewer symptoms and a lower temperature. A change in mental status, such as confusion, can develop in older adults with pneumonia.
How Common Is Pneumonia
Approximately 1 million adults in the United States are hospitalized each year for pneumonia and 50,000 die from the disease. It is the second most common reason for being admitted to the hospital — childbirth is number one. Pneumonia is the most common reason children are admitted to the hospital in the United States. Seniors who are hospitalized for pneumonia face a higher risk of death compared to any of the top 10 other reasons for hospitalization.
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What Are The Symptoms Of Pneumonia
The symptoms of bacterial pneumonia include:
Bluish color to lips and fingernails
Confused mental state or delirium, especially in older people
Cough that produces green, yellow, or bloody mucus
Mycoplasma pneumonia has somewhat different symptoms, which include a severe cough that may produce mucus.
Cough And Cold Medicines
Be careful with cough and cold medicines. They may not be safe for young children or for people who have certain health problems, so check the label first. If you do use these medicines, always follow the directions about how much to use based on age and weight.
Always check to see if any over-the-counter cough or cold medicines you are taking contain acetaminophen. If they do, make sure the acetaminophen you are taking in your cold medicine plus any other acetaminophen you may be taking is not higher than the daily recommended dose. Ask your doctor or pharmacist how much you can take every day.
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Are There Treatments For Covid
Clinical trials are looking into whether some drugs and treatments used for other conditions might treat severe COVID-19 or related pneumonia, including dexamethasone, a corticosteroid.
The FDA has approved the antiviral remdesivir for treatment of patients hospitalized with COVID. The drug was origininally developed to treat the Ebola virus.
How To Treat Pneumonia In Covid
How to treat pneumonia in Covid? Until now, no medicine has been approved for treating COVID-19 pneumonia completely. The course of treatment is symptomatic. Dr. Ankit said, the treatment of Covid pneumonia varies depending on the severity. Mild cases only require supportive care and there is no need of oxygen cylinders or ventilator. It can be managed as the condition is not poor. Sometimes, the patient responds to conservative treatment but it can gradually progress to severe pneumonia. If hospitalised for Covid pneumonia, the patient is put on oxygen support. Severe patients are put on a ventilator to help with breathing and IV fluids are given to prevent dehydration.
In some cases, people with primary viral pneumonia get infected with secondary bacterial pneumonia. Antibiotics can be prescribed to treat this condition. Some medicines have been found to treat the symptoms of COVID-19 pneumonia. Besides hospital admission and medications, according to Dr. Ankit, here are some natural ways to treat the symptoms of pneumonia in Covid:
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How Do You Get Pneumonia
You may get pneumonia:
- After you breathe infected air particles into your lungs.
- After you breathe certain bacteria from your nose and throat into your lungs.
- During or after a viral upper respiratory infection, such as a cold or influenza .
- As a complication of a viral illness, such as measles or chickenpox.
- If you breathe large amounts of food, gastric juices from the stomach, or vomit into the lungs . This can happen when you have had a medical condition that affects your ability to swallow, such as a seizure or a stroke.
A healthy person’s nose and throat often contain bacteria or viruses that cause pneumonia. Pneumonia can develop when these organisms spread to your lungs while your lungs are more likely to be infected. Examples of times when this can happen are during or soon after a cold or if you have a long-term illness, such as chronic obstructive pulmonary disease .
You can get pneumonia in your daily life, such as at school or work or when you are in a hospital or nursing home . Treatment may differ in healthcare-associated pneumonia, because bacteria causing the infection in hospitals may be different from those causing it in the community. This topic focuses on community-associated pneumonia.