How Is Walking Pneumonia Different
Walking pneumonia, also known as atypical pneumonia, is caused by mycoplasma pneumoniae bacteria. It usually causes cold-like symptoms, in addition to a fever and a hacking cough. It is most common in school-aged children and young adults, says Annette Cameron, MD, a Yale Medicine pediatrician.
Because this type of pneumonia typically causes milder symptoms, it may go undiagnosed for a while, especially if the child is able to participate in normal activities and isnt as visibly sick as he or she would be with other forms of pneumonia. And thats why its called walking pneumonia, Dr. Cameron says. It might just be a little bit of malaise. Sometimes you can have community-acquired, or bacterial pneumonia, along with walking pneumonia, in which case we would just treat both of them.
What Is Walking Pneumonia
Walking pneumonia is a mild case of pneumonia. It is often caused by a virus or the mycoplasma pneumoniae bacteria. When you have walking pneumonia, your symptoms may not be as severe or last as long as someone who has a more serious case of pneumonia. You probably wont need bed rest or to stay in the hospital when you have walking 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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Holy Basil And Black Pepper
Holy basil or tulsi is an Ayurvedic herb with antimicrobial activity. Black pepper is used to enhance the medicinal benefits found in turmeric. Both these ingredients are beneficial for your lungs and useful in the natural treatment of pneumonia.
When To Call A Professional

A simple cold or bronchitis caused by a virus can share many of the same symptoms as pneumonia. Pneumonia is possible when your cough produces sputum with a green or brown color, you are having shaking chills or you are having trouble breathing. In these cases, you should call your doctor for an urgent evaluation.
Also, if you have been diagnosed with a cold or bronchitis and symptoms are getting worse or persist after a week, you should call your doctor’s office for another evaluation.
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How Do The Lungs Work
Your lungs main job is to get oxygen into your blood and remove carbon dioxide. This happens during breathing. You breathe 12 to 20 times per minute when you are not sick. When you breathe in, air travels down the back of your throat and passes through your voice box and into your windpipe . Your trachea splits into two air passages . One bronchial tube leads to the left lung, the other to the right lung. For the lungs to perform their best, the airways need to be open as you breathe in and out. Swelling and mucus can make it harder to move air through the airways, making it harder to breathe. This leads to shortness of breath, difficulty breathing and feeling more tired than normal.
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.
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Pneumonia In The Elderly
Elderly patients with pneumonia may not exhibit typical symptoms or physical examination findings seen in younger adults, such as pleuritic chest pain, cough, fever, and leukocytosis. Signs and symptoms more frequently seen in older adults include falls, decreased appetite, or functional impairment. A change in mental status should prompt evaluation for an infectious cause., As with any adult, risk factors for atypical or drug-resistant pathogens should guide treatment. Elderly patients with history of stroke or known dysphagia are at an increased risk for aspiration pneumonia. Residents of nursing homes or long-term care facilities are at an increased risk for methicillin-resistant Staphylococcus aureus or multidrug-resistant pathogens.
Drink A Cup Of Ginger Tea
Ginger has also demonstrated anti-inflammatory and pain-relieving properties in recent research . As with turmeric, current research on ginger hasnt looked at whether it helps specifically with chest pain, but its a harmless, hydrating way to try and soothe the uncomfortable effects of pneumonia.
You can find loose or bagged ginger teas at your local grocery or online. Or, you can use raw ginger to make your own ginger tea.
Your fever may develop suddenly or over the course of a few days. With treatment, it should subside within the week.
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When To See A Doctor
Anyone who has difficulty breathing should seek medical help for diagnosis and treatment.
It is essential to follow any medical treatment plan that the doctor recommends and request additional help if the symptoms worsen or do not improve after a few days.
A doctor can also advise on some ways to prevent pneumonia from developing again.
It is not always possible to prevent pneumonia, but some lifestyle choices can reduce the risk of developing it or experiencing severe symptoms.
These include:
- avoiding air pollution, if possible
- managing stress levels and getting enough sleep
- practicing good hand-washing to reduce the risk of infection
- following any instructions the doctor recommends for staying healthy
In the case of COVID-19, experts advise physical distancing from other people to prevent the spread of the virus.
Healthful lifestyle habits can help strengthen the body to fight off infections, including those that lead to pneumonia.
Types Of Antibiotics For Pneumonia
Pneumonia is a respiratory infection that affects the lower part of the respiratory system, primarily the lungs or the bronchi.
The bronchi are the air passages that connect the lungs to the windpipe.
Because pneumonia causes the air sacs in your lungs fill with pus and fluid, pneumonia can make it harder to take in oxygen and expel carbon dioxide.
Pneumonia is typically caused by a virus or bacterial infection.
Sometimes fungal infections can lead to pneumonia, but that is rarer, and typically occurs in people with weak immune systems due to other diseases.
Viral pneumonia will often resolve on its own, though it still frequently requires medical care for supportive treatment.
Sometimes pneumonia occurs during or after another viral illness, like the flu or a cold.
If your pneumonia is caused by a virus, antibiotics wont help unless there is also a secondary bacterial infection.
If you have bacterial pneumonia, you will need antibiotics to prevent complications and to help your body clear the infection.
Even with antibiotics, it can still take 4-6 weeks to recover from bacterial pneumonia.
Most bacterial pneumonia that is community-acquired comes from the bacteriaStreptococcus pneumoniae.
There are several different antibiotics are effective at treating this bacterial infection.
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What Are The Stages Of Pneumonia
Pneumonia can be classified or characterized in different ways. Health care professionals often refer to pneumonia based upon the way that the infection is acquired, such as community-acquired pneumonia or hospital-acquired pneumonia.
- Community-acquired pneumonia , as the name implies, is a respiratory infection of the lung that develops outside of the hospital or health care environment. It is more common than hospital-acquired pneumonia. CAP is most common in winter and affects about 4 million people a year in the U.S.
- Hospital-acquired pneumonia is acquired when an individual is already hospitalized for another condition. HAP is generally more serious because it develops in ill patients already hospitalized or under medical care for another condition. Being on a ventilator for respiratory support increases the risk of acquiring HAP. Health care-associated pneumonia is acquired from other health care settings, like kidney dialysis centers, outpatient clinics, or nursing homes.
Other classification systems for pneumonia describe the way the inflammatory cells infiltrate the lung tissue or the appearance of the affected tissue .
When Should I See My Doctor

Pneumonia can be life-threatening if left untreated, especially for certain at-risk people. You should call your doctor if you have a cough that wont go away, shortness of breath, chest pain, or a fever. You should also call your doctor if you suddenly begin to feel worse after having a cold or the flu.
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What Are The Risk Factors For Pneumonia
While pneumonia can affect people of all ages, the following age groups face a greater risk:
- Infants who are two years old or younger
- Adults who are 65 years old or older
Several conditions place people at risk for pneumonia, as they often result in a weakened or suppressed immune system. These include:
- Conditions that require an organ, blood or marrow stem cell transplant
Other risk factors for pneumonia include:
- Abusing alcohol
- Exposure to some chemicals, toxic fumes or pollutants
- Smoking cigarettes
- Staying in a hospital intensive care unit, especially if using a ventilator
Avoid Exposure To People Who Are Ill
Most respiratory infections are spread through tiny particles in the air or on the surfaces we touch. Avoiding contact with people that you know are sick is an important step in preventing respiratory infections and possible pneumonia.
If youre in a crowded area or cant avoid being near people who are sick, be sure to:
- wash your hands frequently
- encourage others to cover their cough or sneeze
- avoid sharing personal items
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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.
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
- asthma
- 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.
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Critical Care Management Of Covid Pneumonia
Pneumonia may lead to acute hypoxemic respiratory failure, with intensive care unit admissions typically occurring in patients at approximately 712 days after the onset of symptoms . Acute respiratory distress syndrome was seen in 6070% patients admitted to ICU. Data from China and Italy report 59% of patients admitted to hospital are admitted to a critical care environment for organ support . It is important that patient’s preferences for their care should be ascertained after discussion of the risks, benefits and likely outcomes of treatments options available. A meta-analysis published in early 2021 reported a mortality of 35.5% for patients admitted to intensive care , a reduction when compared to a similar analysis in early 2020 when treatments and understanding of the disease were in their infancy .
NHS England recommends CPAP as first-line ventilatory support for hypoxemia in the setting of COVID-19, with NIV reserved for patients with acute on chronic hypercapnic ventilatory failure. Patient tolerance of ventilatory support is a limiting factor which may be improved with low dose benzodiazepines or opioids. In the absence of appreciable improvement using a non-invasive ventilation strategy, early intubation and mechanical ventilation should be considered.
How Can I Help Myself Feel Better
If your doctor has prescribed medicine, follow the directions carefully.
You may feel better in a room with a humidifier, which increases the moisture in the air and soothes irritated lungs. Make sure you drink plenty of fluids, especially if you have a fever. If you have a fever and feel uncomfortable, ask the doctor whether you can take over-the-counter medicine such as acetaminophen or ibuprofen to bring it down. But don’t take any medicine without checking first with your doctor a cough suppressant, for example, may not allow your lungs to clear themselves of mucus.
And finally, be sure to rest. This is a good time to sleep, watch TV, read, and lay low. If you treat your body right, it will repair itself and you’ll be back to normal in no time.
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Potential Side Effects Of The Pneumonia Vaccines
Both pneumonia vaccines may have some side effects. These may include:
- redness or swelling at the injection site
- muscle aches
- fever
- chills
Children should not get the pneumonia vaccine and the flu vaccine at the same time. This may increase their risk of having fever-related seizures.
Although pneumonia itself isnt contagious, it can be caused by a variety of infectious organisms like viruses, bacteria, and fungi. Washing your hands is the best way to avoid transferring these organisms into your respiratory system.
When washing your hands, be sure to clean them thoroughly using the following steps:
- Wet your hands with clean preferably running water.
- Apply enough soap to cover all surfaces of your hands and wrists.
- Lather and rub your hands together briskly and thoroughly. Make sure to scrub all surfaces of your hands, fingertips, fingernails, and wrists.
- Scrub your hands and wrists for at least 20 seconds.
- Rinse your hands and wrists under clean preferably running water.
- Dry your hands and wrists with a clean towel, or let them air-dry.
- Use a towel to turn off the faucet.
If you dont have access to soap an water, you can also clean your hands with an alcohol-based hand sanitizer.
What Increases Your Risk

You are more likely to get pneumonia if you:
- Smoke. Cigarette smoking is a strong risk factor for pneumonia in healthy young people.
- Have another medical condition, especially lung diseases such as chronic obstructive pulmonary disease or asthma.
- Are younger than 1 year of age or older than 65.
- Have an impaired immune system.
- Take medicine called a proton pump inhibitor that reduces the amount of stomach acid.footnote 3, footnote 4
- Drink excessive amounts of alcohol.
- Recently had a cold or the flu.
You are more likely to have complications of pneumonia and need to go to the hospital if you:
- Are older than 65.
- Have some other illness , or have gone to the hospital for a medical problem within the last 3 months.
- Have had your spleen removed or do not have a working spleen .
- Have an alcohol use problem.
- Have a weak immune system.
- Reside in a place where people live close together, such as a university dorm or nursing home.
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