Pleural Effusions Empyema And Pleurisy
There are two layers of tissue surrounding your lungs called the pleura. One wraps around the outside of your lungs and the other lines the part of your chest where your lungs sit. They help your lungs move smoothly when you breathe.
If your pneumonia isn’t treated, the pleura can get swollen, creating a sharp pain when you breathe in. If you don’t treat the swelling, the area between the pleura may fill with fluid, which is called a pleural effusion.
If the fluid gets infected, it leads to a problem called empyema. Tell your doctor if you are having any of these symptoms:
- Hard time breathing
- You don’t want to breathe deeply because it hurts
Your doctor may look for swelling or fluid with an X-ray, ultrasound, or CT scan. They might also give you an electrocardiogram to make sure that a heart problem isn’t the cause of your chest pain.
If you do have pleurisy, you may need medications that can stop the swelling.
For pleural effusions and empyema, your doctor may suggest a procedure that removes fluid from your body with a needle. Antibiotics are also an option to treat empyema.
Signs Of Pneumonia In Dogs
Dogs with pneumonia will often display signs similar to people when they have this condition. Signs of pneumonia in dogs include:
- Blue, grey or purple mucus membranes
Mucus membranes can become tinged with purple, grey or blue if oxygenation is extremely poor. Lethargy and fatigue are also common symptoms. Because a dog wont be able to smell its food and wont feel well, he may experience lack or loss of appetite.
Take Steps To Help Your Body Recover
The following steps can help your body recover from pneumonia.
- Choose heart-healthy foods, because good nutrition helps your body recover.
- Drink plenty of fluids to help you stay hydrated.
- Dont drink alcohol or use illegal drugs. Alcohol and illegal drugs weaken your immune system and can raise the risk of complications from pneumonia.
- Dont smoke and avoid secondhand smoke. Breathing in smoke can worsen your pneumonia. Visit Smoking and Your Heart and Your Guide to a Healthy Heart. For free help quitting smoking, you may call the National Cancer Institutes Smoking Quitline at 1-877-44U-QUIT .
- Get plenty of sleep. Good quality sleep can help your body rest and improve the response of your immune system. For more information on sleep, visit our How Sleep Works health topic.
- Get light physical activity. Moving around can help you regain your strength and improve your recovery. However, you may still feel short of breath, and activity that is too strenuous may make you dizzy. Talk to your doctor about how much activity is right for you.
- Sit upright to help you feel more comfortable and breathe more easily.
- Take a couple of deep breaths several times a day.
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Take Something For The Aches
If aches or fever are wearing you down, a pain reliever might help, like ibuprofen or acetaminophen. Be sure you follow the instructions on the label for how much to take and how often. Speaking of taking medicine: If your doctor gives you an antibiotic, take every dose of it, even if you start to feel good again before you use it up. When you quit too soon, the pneumonia could come back.
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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Diagnostic Tests And Procedures
If your doctor thinks you have pneumonia, he or she may do one or more of the following tests.
- Chest X-ray to look for inflammation in your lungs. A chest X-ray is often used to diagnose pneumonia.
- Blood tests, such as a complete blood count to see whether your immune system is fighting an infection.
- Pulse oximetry to measure how much oxygen is in your blood. Pneumonia can keep your lungs from moving enough oxygen into your blood. To measure the levels, a small sensor called a pulse oximeter is attached to your finger or ear.
If you are in the hospital, have serious symptoms, are older, or have other health problems, your doctor may do other tests to diagnose pneumonia.
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.
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Who Is At Risk For Getting Fluids In The Lungs From Pneumonia
Medical research has identified different groups of people that are at a higher risk of getting fluid buildup in the lungs from pneumonia.
Here are those gruops:
What We’ve Learned About Managing Covid
How we now treat COVID-19 pneumonia compared to 12 months ago makes a significant difference to survival.
Since the early days of the COVID-19 pandemic, researchers have made significant advancements in effectively managing COVID-19 induced pneumonia.
“When the COVID-19 outbreak first occurred, we were seeing catastrophic outcomes in patients who were admitted to hospital with rapidly progressive pneumonia. Unfortunately, the treatments that were used empiricallyinitiallywere not effective, and really had no modifying effect on the evolution of COVID-19 pneumonia,” said Conjoint Professor at UNSW Medicine & Health Christine Jenkins.
Professor Jenkins, who is Head of the Respiratory Group at the George Institute for Global Health, explained most people at that time died from respiratory failure. No matter what strategy was implemented, it was not possible to get enough oxygen into the individual’s system and maintain it.
“That’s because when people developed severe pneumonia from COVID-19, their lungs become filled with fluid and inflammatory cells, and some blood vessels developed clots, so the oxygeneven when it was driven in by mechanical ventilationjust couldn’t get through that inflammatory process. The membranes in the lung were very swollen, so people died from respiratory failure.
What we now know about managing COVID-19 pneumonia
Lung disease and COVID-19 pneumonia
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When Do The Symptoms And Signs Of Pneumonia Start
The incubation period for pneumonia depends on the type of organism causing the disease, as well as characteristics of the patient, such as his or her age and overall health status. Most cases of pneumonia begin with symptoms similar to those of a cold or the flu that last longer than the flu and become more severe. The symptoms of pneumonia can occur from a few days to a week following the flu-like symptoms.
Will My Child Need To Go To Hospital
Your doctor will assess if you child should be looked after in hospital based on their symptoms and other factors, including their age. Babies under 6 months old are more likely to be admitted to hospital.
Your doctor will take into account if your child:
- has difficulty breathing
- is dehydrated because they wont feed or drink
- cant take antibiotics through their mouth
- is breathing very fast
- has low oxygen levels in their blood
- is not responding to the prescribed antibiotics
- has another lung, heart or immune deficiency condition
In hospital your child may be given antibiotics through a drip. If they need it, they may be given oxygen to help them breathe more easily. If they are dehydrated, they may also be given fluids through a drip.
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Key Points About Pneumonia
Pneumonia is an infection of one or both of the lungs caused by bacteria, viruses, or fungi.
There are more than 30 different causes of pneumonia, and theyre grouped by the cause. The main types of pneumonia are bacterial, viral, and mycoplasma pneumonia.
A cough that produces green, yellow, or bloody mucus is the most common symptom of pneumonia. Other symptoms include fever, shaking chills, shortness of breath, low energy, and extreme tiredness.
Pneumonia can often be diagnosed with a thorough history and physical exam. Tests used to look at the lungs, blood tests, and tests done on the sputum you cough up may also be used.
Treatment depends on the type of pneumonia you have. Antibiotics are used for bacterial pneumonia. It may also speed recovery from mycoplasma pneumonia and some special cases. Most viral pneumonias dont have a specific treatment and just get better on their own. Other treatment may include a healthy diet, more fluids, rest, oxygen therapy, and medicine for pain, cough, and fever control.
Most people with pneumonia respond well to treatment, but pneumonia can cause serious lung and infection problems. It can even be deadly.
What Does Covid Do To Lungs
COVID-19 can cause lung complications such as pneumonia and, in the most severe cases, acute respiratory distress syndrome, or ARDS. , another possible complication of COVID-19, can also cause lasting harm to the lungs and other organs.
As we have learned more about SARS-CoV-2 and resulting COVID-19, we have discovered that in severe COVID-19, a significant pro-inflammatory condition can result in several critical diseases, complications and syndromes, Galiatsatos says.
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What’s The Link Between Covid
A quick refresher first: COVID-19 is a serious respiratory illness caused by the virus SARS-CoV-2. It can lead to a range of intense symptoms, including a cough, fever, trouble breathing, and loss of taste or smell, according to the Centers for Disease Control and Prevention . Pneumonia is an infection of the tiny air sacs in the lungs that can cause mild to severe illness in people, the CDC says.
Some patients with COVID-19 develop pneumoniain fact, the World Health Organization first called the virus -infected pneumonia , before shortening the name to COVID-19. The SARS-CoV-2 virus was also first identified in Wuhan, China due to cases of “pneumonia of unknown etiology,” or unknown cause, the WHO reported in January 2020.
It’s not uncommon to develop pneumonia as the result of any virus, Raymond Casciari, MD, a pulmonologist at St. Joseph Hospital in Orange, California, tells Health. In the case of COVID-19, the virus can damage your alveoli and cause fluid to build in your lungs as your body fights the infection, he explains. That can also lead to the development of acute respiratory distress syndrome , which is a serious form of respiratory failure that makes the alveoli fill with fluid. “The immune system starts attacking the lung itself, which results in ARDS,” Dr. Casciari says.
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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.
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What Are Complications Of Pneumonia
There are a number of potential complications of pneumonia. The infection that causes pneumonia can spread to the bloodstream, causing . Sepsis is a serious condition that can result in lowering of blood pressure and failure of oxygen to reach the tissues of the body, resulting in the need for intensive care management. Another complication is the accumulation of fluid in the space between the lung tissue and the chest wall lining, known as a pleural effusion. The organisms responsible for the pneumonia may infect the fluid in a pleural effusion, known as an empyema. Pneumonia can also result in the formation of an abscess within the lungs or airways.
What Are The Symptoms And Signs Of Pneumonia
Nausea, vomiting, and diarrhea are other possible symptoms that can accompany the respiratory symptoms.
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.
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Drink Hot Peppermint Tea
Peppermint can also helpalleviate irritation and expel mucus. Research suggests that it can be an effective decongestant, anti-inflammatory, and painkiller.
If you dont already have peppermint tea, you can pick up loose or bagged teas at your local grocery or online. And if you have fresh peppermint, you can easily make your own tea.
You may wish to deeply inhale the aroma of the peppermint tea while the tea is steeping. This might help clear your nasal pathways.
How Many Pneumonia Vaccines Do You Need
PCV13 or Prevnar 13, is currently recommended for all children younger than 2 years of age, all adults 65 years of age or older, and people 2-64 years of age with certain medical conditions.
PPSV23 is currently recommended for all adults 65 years of age or older and for people who are 2 years of age or older and at high risk for pneumococcal disease . PPSV23 is also recommended for use in adults 19-64 years of age who smoke cigarettes.
There is no evidence about the safety of PCV13 or PPSV23 vaccine use in pregnancy. Women who need the vaccine should be vaccinated before a pregnancy, if possible.
Some people may be recommended to receive both the PCV13 and PPSV23 vaccines. The U.S. Centers for Disease Control and Prevention recommends two pneumococcal vaccines for all adults 65 years or older. The PCV13 and PPSV23 should not be given at the same time. When both vaccines are recommended, a dose of the PCV13 should be given first, followed by a dose of PPSV23 at another visit to a health care provider.
Seasonal influenza vaccines are available yearly and are recommended to decrease the chance of contracting influenza. Vaccines against the measles virus and varicella virus, two viruses that can also cause pneumonia, are also available. The common side effects of these vaccines are similar to those listed below for the pneumonia vaccine.
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