What is a cough for pneumonia in adults?

The first signs of pneumonia in children and adults

Pneumonia is a disease that has an infectious origin and is characterized by inflammation of the lung tissue in the event of provoking physical or chemical factors such as:

• Complications after viral diseases (influenza, ARVI), atypical bacteria (chlamydia, mycoplasma, legionella)
• Effects on the respiratory system of various chemical agents - poisonous fumes and gases (see. chlorine in household chemicals is hazardous to health)
• Radioactive radiation, to which infection is attached
• Allergic processes in the lungs - allergic cough, COPD, bronchial asthma
• Thermal factors - hypothermia or burns of the respiratory tract
• Inhalation of liquids, food or foreign bodies can cause aspiration pneumonia.

The cause of the development of pneumonia is the emergence of favorable conditions for the multiplication of various pathogenic bacteria in the lower respiratory tract. The original causative agent of pneumonia is the aspergillus mushroom, which was the culprit of the sudden and mysterious deaths of researchers of the Egyptian pyramids. Owners of domestic birds or lovers of urban pigeons can get chlamydial pneumonia.

For today, all pneumonia is divided into:

• out-of-hospital, arising under the influence of various infectious and non-infectious agents outside the walls of hospitals
• hospital, which cause hospital-acquired microbes, often very resistant to traditional antibiotic treatment.

The frequency of detection of various infectious agents in community-acquired pneumonia is presented in the table.

Causative agent	Average% detection
Streptococcus is the most frequent pathogen. Pneumonia caused by this pathogen is the leader in the frequency of death from pneumonia.	3, %
Mycoplasma - affects most children, young people.	1, %
Chlamydia - chlamydial pneumonia is typical for people of young and middle age.	1, %
Legionellae - a rare pathogen, affects weakened people and is the leader after streptococcus by frequency of deaths (infection in rooms with artificial ventilation - shopping centers, airports)	, %
Hemophilus rod - causes pneumonia in patients with chronic bronchial and lung diseases, as well as in smokers.	, %
Enterobacteria are rare pathogens, affecting mainly patients with renal / hepatic, cardiac insufficiency, diabetes mellitus.	, %
Staphylococcus is a frequent pathogen of pneumonia in the elderly population, and complications in patients after the flu.	, %
Other pathogens	, %
The causative agent is not installed	3, %

When the diagnosis is confirmed, depending on the type of pathogen, the patient's age, the presence of concomitant diseases, a corresponding therapy, in severe cases, treatment should be performed in a hospital setting, with mild forms of inflammation, hospitalization of the patient is not is required.

Characteristic first signs of pneumonia, the vastness of the inflammatory process, acute development and danger of serious complications in untimely treatment - are the main reasons for the urgent circulation of the population for medical help. At present, a sufficiently high level of medical development, improved diagnostic methods, and a huge the list of antibacterials of a wide spectrum of action has considerably lowered a death rate from an inflammation of lungs (cm. antibiotics for bronchitis).

Typical first signs of pneumonia in adults

The main symptom of the development of pneumonia is a cough, usually it is first dry, obtrusive and persistent. protivokashlevye, expectorants with a dry cough), but in rare cases cough at the beginning of the disease can be rare and not strong. Then, as the inflammation develops, the cough becomes pneumatic with pneumonia, with a discharge of mucopurulent sputum (yellow-green color).

Any catarrhal virus disease should not last more than 7 days, and a sharp deterioration of the condition later 4-7 days after the onset of an acute respiratory viral infection or influenza indicates the onset of an inflammatory process in the lower respiratory ways.

Body temperature can be very high up to 39-40C, and can remain subfebrile 3, -3, C (with atypical pneumonia). Therefore, even with a low body temperature, coughing, weakness and other signs of malaise, you should definitely consult a doctor. Caution should be a repeated temperature jump after a light gap during the course of a viral infection.

If the patient has a very high temperature, one of the signs of inflammation in the lungs is the inefficiency of antipyretic drugs.

Pain with deep breath and cough. The lung itself does not hurt, as it is devoid of pain receptors, but involvement in the pleura process gives a pronounced pain syndrome.

In addition to cold symptoms, the patient has dyspnea and pale skin.
General weakness, increased sweating, chills, decreased appetite are also characteristic for intoxication and the onset of the inflammatory process in the lungs.

If such symptoms appear either in the midst of a cold, or a few days after the improvement, these may be the first signs of pneumonia. The patient should immediately consult a doctor to undergo a complete examination:

• To pass blood tests - general and biochemical
• To make a roentgenography of a thorax, if necessary and a computer tomography
• Sputum for culture and sensitivity of the pathogen to antibiotics
• Sputum for culture and microscopic determination of mycobacterium tuberculosis

The main first signs of pneumonia in children

Symptoms of pneumonia in children have several characteristics. Attentive parents may suspect the development of pneumonia with the following discomforts in the child:

• Temperature

Body temperature above 38C, lasting for more than three days, not knocked down by antipyretics, there may also be a high temperature of up to 3, especially in young children. At the same time, all signs of intoxication are manifested - weakness, increased sweating, lack of appetite. Small children (as well as elderly people), can not give high temperature fluctuations with pneumonia. This is due to imperfect thermoregulation and immaturity of the immune system.

• Breath

There is frequent shortness of breath: in children up to 2 months of age, 60 breaths per minute, up to 1 year, 50 breaths, after a year, 40 breaths per minute. Often the child spontaneously tries to lie down on one side. Parents may notice another sign of pneumonia in the child, if you undress the baby, then when breathing from the patient lung can be noticed the retraction of the skin in between the ribs and the lag in the process of breathing one side of the chest. There may be irregular breathing rhythm, with periodic stops of breathing, changes in the depth and frequency of breathing. In infants, shortness of breath is characterized by the fact that the child begins to nod his head in time with the breath, the baby can stretch his lips and inflate his cheeks, foamy discharge from the nose and mouth can appear.

• Atypical pneumonia

Inflammation of the lungs caused by mycoplasma and chlamydia differ in that first the disease passes like a cold, there is a dry cough, runny nose, swelling in the throat, but the presence of dyspnea and a stably high temperature should alert parents to the development pneumonia.

• Character of cough

Because of the perspiration in the throat, only coughing can appear first, then the cough becomes dry and painful, which is amplified by crying, feeding the baby. Later, the cough becomes wet.

• Behavior of the child

Children with pneumonia become capricious, whiny, sluggish, they are disturbed by sleep, sometimes can completely refuse to eat, and also to appear diarrhea and vomiting, in babies - regurgitation and rejection of breasts.

• Blood test

In the general analysis of blood, changes are detected that indicate an acute inflammatory process - increased ESR, leukocytosis, neutrophilia. Shift of the leukoformula to the left with increasing stab and segmented leukocytes. In viral pneumonia, along with high ESR, there is an increase in leukocytes due to lymphocytes.

With timely access to a doctor, adequate therapy and proper care for a sick child or adult, pneumonia does not lead to serious complications. Therefore, at the slightest suspicion of pneumonia, the patient should be given medical care as soon as possible.

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What are the first signs of pneumonia in an adult

Pneumonia (pneumonia) can develop in different ways, depending on many factors: the type of pathogen, the way it enters the lungs, the individual characteristics of the body.

Often a person with pneumonia does not even suspect that he has health problems and does not consult a doctor, hoping to be cured by domestic methods. As a result, health can be severely damaged. Therefore it is important to know what are the symptoms of pneumonia, especially at the very beginning of the disease, in order to start treatment as soon as possible.

Classic signs of beginning pneumonia

In most cases, the onset of pneumonia is manifested by symptoms such as coughing, runny nose, sneezing. Then there comes a rise in temperature and a breakdown - fatigue, fatigue. After a while these symptoms can be supplemented with shortness of breath, a feeling of lack of air. Often also about the beginning of pneumonia is evidence of a strong sweating, which can not be explained by objective reasons (hot weather, high physical loads, etc.). At such signs it is necessary to address to the doctor and pass or take place inspection which includes a roentgen of lungs, and in different projections.

Symptoms of developing pneumonia

However, pneumonia may be accompanied by other symptoms. For example, it often develops as a complication against the background of influenza. Then her symptoms are: pain ("aches") in the joints and muscles, headache, severe weakness in the body. Runny nose and sneezing, as a rule, no. Cough causes pain in the chest, often with sputum. With such symptoms, you should immediately consult a doctor and do not refuse hospitalization if it is offered.

If the pathogen causing pneumonia is bacteria of the genus "legionella the initial symptoms are: lethargy, weakness, sore throat. Often the onset of the disease is accompanied by severe diarrhea.

With pneumonia caused by a particular kind of microorganisms - mycoplasmas, the first signs of the disease are: general weakness (albeit in most cases, insignificant), headache, perspiration in the throat, as well as a prolonged cough - at first dry, and then with a retreat phlegm. There is swelling of the nasopharynx, bronchitis can develop. Body temperature is increased slightly. But on the 5th-7th day of the disease, it can reach 39-40oC. To knock down a heat of a body in house conditions at times it is very complex or difficult.

In any case, to put the correct diagnosis and prescribe the treatment can only the doctor. Therefore, it is better not to risk and seek medical advice.

KakProsto.ru

Symptoms of pneumonia in adults

Do not underestimate the common cold, because an untreated infection can lead to the development of pulmonary inflammation, i.e. pneumonia. This is a more serious disease, even fatal. Having found out signs of a pneumonia at the adult, the last it is necessary to address to the doctor. This is necessary because the inflammation can have not only a pronounced, but also a hidden character. The instructions below will help to recognize what pneumonia is and what symptoms it indicates.

The first symptoms of pneumonia in an adult

Pneumonia, depending on the type of pathogen and the nature of the flow is divided into several types:

• acute or chronic;
• virus;
• fungal;
• radical;
• croup or pleuropneumonia;
• bronchopneumonia;
• aspiration;
• bilateral or one-sided.

There are several types of pneumonia, but they have common symptoms:

1. Persistent cough. First dry, and with the development of the disease wet with pus and mucous sputum yellow-green hue.
2. The duration of the cold is more than a week. Viral disease not only does not pass, but is characterized by deterioration.
3. Repeated increase in body temperature after period of improvement.
4. Absence of a positive effect of antipyretic drugs.
5. Painful sensations when coughing in the chest and back, shortness of breath, pale skin.
6. General malaise, excessive sweating, lack of appetite.

Bronchopneumonia

A distinctive feature of bronchopneumonia is its foci, i.e. the disease affects many small areas of the pulmonary lobules. More often it occurs as a result of complications of bronchitis, when the virus descends lower in the respiratory system. A large number of lesions makes it difficult to diagnose and treat such a form of pneumonia, therefore it is characterized by frequent relapses. Signs of focal pneumonia in adult women and men look like this:

• chills, intense fever;
• cough dry, with abundant phlegm or even with bloody discharge;
• quickening of breathing;
• internal rales;
• increase in temperature up to 39 ° С;
• lack of appetite;
• pale skin;
• sleep disorders;
• cramps of the lower part of the legs;
• lack of air;
• pain with deep breath and cough.

Hidden pneumonia

Pneumonia of the lungs may not manifest symptoms. This is a particularly severe, latent form of infection caused by chlamydia or mycoplasmas, i.e. Atypical for common inflammation it is difficult to determine, because the nature of the course of the disease is often asymptomatic and sluggish, but doctors can notice signs of atypical pneumonia in adult:

• intermittent breathing with whistles;
• the appearance of sweat on the forehead, even with minor loads;
• the blush on the cheeks stains;
• dyspnea;
• a constant thirst;
• increased heart rate;
• difficult breathing;
• general malaise;
• one half of the chest remains immobile during breathing.

Two-sided

What is the risk of bilateral pneumonia? The lesions are extensive and located in both lungs, which causes oxygen starvation of the body, because healthy departments can not cope. In addition, the following signs of viral pneumonia are noted:

• heat;
• weakness of the body, low appetite;
• lack of air;
• blanching of the skin;
• blue lips and fingertips;
• impaired consciousness;
• dry or wet cough;
• hard breath.

Grybkovoy

Another dangerous form of pneumonia is fungal. With her, too, there are difficulties in diagnosis, because the clinical picture is poorly due to the specificity of the fungus - the causative agent of the disease. This leads to the fact that the potential patient does not even know about his disease. A person can get infected while in a room where there is damp and there is mold.

First there are signs characteristic of usual pneumonia in the form of dyspnea, heavy breathing, malaise and high fever. Then they are joined by a cough with purulent discharge as a result of rupture of inflammations formed by microorganisms. Complications of pneumonia of the fungal form are more often presented in the form of pleurisy due to the ingress of pus into the pleural cavity.

Pleuropneumonia

This form of infectious disease is also called croupous. Pleuropneumonia often affects up to 2-3 lobes of the lung and necessarily draws into its process the membrane - the pleura. The following are the first symptoms of infection:

• the temperature rises to 40 ° C;
• there is a strong chill and a headache;
• when breathing, there is pain in the chest;
• breathing becomes superficial because of pain.

With the development of the eye the patient's eyes become shiny, the lips acquire a bright cherry color, a blush appears on the side of the pneumonia. Herpes sores can form on the neck. After the appearance of a cough, rusty sputum begins to disappear the next day, sometimes vomiting occurs. After another day, there is such shortness of breath that the patient is unable to rise even to the floor.

Aspiration

This kind of pneumonia develops when fluids get into the lungs, vomit or food. As you can see in the photo, the foreign body is determined by x-ray. The following features are distinguished by the aspiration form:

• cough with discharge of unpleasant smelling mucus with impurities of pus and blood;
• feverish condition;
• pain in the chest;
• constant shortness of breath;
• blue skin;
• increased sweating;
• difficulty in swallowing.

The main symptoms of pneumonia

Pneumonia is an insidious disease that can go on without pronounced symptoms. The danger is that a person connects the ailment with overstrain at work or with other factors, and therefore does not hurry to see a doctor. For this reason, complications often occur or the disease becomes chronic, which complicates both diagnosis and treatment.

Without temperature

The latent form of pneumonia in an adult without a cough and other characteristic symptoms is one of the most dangerous. The patient does not notice signs, and therefore delays with the necessary treatment. Symptoms of pneumonia in an adult without fever are presented in the following list:

• constant weakness and tendency to sleep;
• tired look with a painful blush;
• hard, wheezing;
• the appearance of dyspnea with light loads;
• violation of the heart rate, increased heart rate;
• increased sweating, especially at night;
• lack of normal appetite.

Chronic pneumonia

Any untreated disease flows into a chronic form. This also applies to pneumonia. When there is at least one focus of inflammation in the lungs, it can cause chronic pneumonia. Such a process is dangerous because it can lead to cardiovascular failure. Characteristic chronic signs of pneumonia in adults are as follows:

• hard breath;
• cough with phlegm, sometimes including pus;
• rapid pulse;
• dyspnea;
• general malaise of the body;
• lack of appetite;
• weight loss;
• during periods of relapse - cough, fever.

Video about the symptoms and treatment of pneumonia

Having found out at itself signs of a pneumonia, it is necessary to address immediately to the doctor. Only he will be able to determine the form, the nature of the course of the disease and will prescribe the right therapy. To know what changes in the body indicate pneumonia, look at the video below, from which you will understand both the symptoms and the treatment of pneumonia.

sovets.net

Signs of pneumonia in adults without fever. Symptoms of pneumonia without fever

Pneumonia is a serious infectious disease. Under normal conditions, it can have a fairly pronounced clinical course, but certain factors can strongly lubricate the main manifestations of the disease.

Pneumonia in adults: symptoms, signs, causes in normal conditions

This disease occurs due to the development of microflora in the lung tissue and its gradual destruction. The beginning of such a pathological process is capable of getting into the body of a wide variety of infections.

Another factor contributing to the development of pneumonia, is a local or general decrease in immunity.

Among the main symptoms of this disease, it is necessary to note primarily a rise in temperature body, a strong cough, the occurrence of dyspnea with the least physical exertion, poor general state of health.

Pneumonia in adults: symptoms, causes, types in unusual conditions

There are two main reasons why the clinical manifestations of the inflammatory process in the lungs will differ from the classics. Among them it is necessary to note the following:

• decreased immunity;
• uncontrolled use of antibacterial agents.

Both of these causes can significantly change the clinical picture of pneumonia.

Incorrect use of antibiotics

To date, the uncontrolled use of antimicrobials has become a real problem for society. The fact is that this circumstance gradually leads to the formation of resistance to an antibacterial agent in infection. As a result, the antimicrobial drug simply ceases to have a sufficient effect on pathogenic bacteria.

In addition, the independent reception of such drugs can significantly reduce the severity of the main clinical manifestations of the disease. For example, pneumonia occurs in children and adults. Without a temperature reaching high enough values, few will immediately become worried and make a decision to consult a doctor. As a result, the disease will proceed in a latent form, and the patient will not receive rational treatment. This will lead to the gradual involvement in the pathological process of new and new areas of lung tissue. As a result, the patient will have other, more health-threatening clinical manifestations. The main signs of pneumonia in adults without temperature are the increase in dyspnea, the appearance of blood veins in escaping coughing sputum, as well as pain in the chest, arising from involvement in the pathological process pleura.

Now doctors are trying to limit the independent reception of antibacterial drugs by patients. One of the main ways was the issuance of such drugs only by prescription.

On the decrease of immunity

The clinical picture of inflammation of the lungs can vary greatly not only under the influence of antibacterial agents, but also in the conditions of reducing the protective properties of the body. As a result, typical first signs of pneumonia in adults may not be present. As a result, the patient does not immediately notice a serious problem. Signs of pneumonia in adults without a temperature in such conditions are expressed in the appearance of a painful blush on the side of the lesion of the lung tissue. Especially high diagnostic value this symptom has in the case of isolated lesions of one lung.

The increase in temperature in this case is not observed for the reason that the defenses of the body are depleted. At the same time, hyperthermia is the most important factor of defense. The fact is that in conditions of elevated temperature, pathogenic bacteria are much more difficult to grow and multiply. As a result, they are gradually destroyed by white blood cells.

Additional signs

Symptoms of pneumonia without temperature in adults are quite diverse. First of all, we are talking about the appearance of a painful blush. This symptom is especially well distinguished if the patient has unilateral pneumonia without temperature. Signs of bilateral pneumonia are noticeable worse, as the blush will be located on both cheeks.

In addition, a patient with pneumonia, which is not treated rationally, has a pale complexion. When breathing, there may be a lag in the excursion of the half of the chest in which the inflammatory process is taking place. Naturally, such signs of pneumonia in adults without a temperature are well detected only in cases with one-sided pathology. Thus the second cheek can be paler than usual.

There are a few other signs that pneumonia develops in children and adults. Without a temperature, people often do not pay attention to the soreness in the chest, which increases with every breath. This approach is dangerous in that you can skip a serious pathology. So, when there are painful sensations in the chest, intensifying during inspiration, it is better to consult a specialist so that he excludes the inflammatory process in the lung tissue.

When should shortness of breath make you think?

Symptoms of pneumonia without temperature in adults, as you can already see, are quite diverse. One of the manifestations of the disease is shortness of breath. Normally, it can occur in any person after certain physical exertion. In the event that dyspnea appears at rest, one of the reasons may be an inflammatory process that occurs in the lung tissue. In this case, despite the lack of motor activity, without rational antibacterial therapy, dyspnea gradually only increases.

However, this symptom does not always indicate that pneumonia develops without temperature. Signs of the same type can also occur in cardiac pathology, when the patient gradually develops stagnant phenomena. Identify the exact cause of dyspnea with this help radiography chest organs.

It must also be remembered that young patients should pay special attention to dyspnea at rest, since in the overwhelming majority of cases they have no expressed cardiac pathology.

What should I do first?

In the event that there are typical first signs of pneumonia in adults, you should immediately turn to a specialist - doctors, therapist or pulmonologist. They will conduct a general examination, including auscultation of the lungs. Based on the results of the primary diagnostic measures, the doctor will decide whether it is necessary to perform an X-ray examination of the chest organs. If the doctor suspects something and sends the patient to such a survey, then in no case should you refuse. After radiography, the doctor will be able to accurately establish the diagnosis and prescribe rational treatment.

What is the danger of pneumonia without temperature?

This disease, if it occurs without hyperthermia, is very insidious. The fact is that, in itself, even under the condition of timely rational treatment, pneumonia is very, very dangerous. If, with inflammation of the lung tissue, antibiotic therapy is not performed, then there is a real danger that the disease will lead to the most disastrous consequences. But not only this should frighten pneumonia without temperature. Such a disease is also dangerous because the patient, most likely, has weakened immunity, or he recently took certain antibacterial drugs. In both cases, one usually has to use one of the most modern antimicrobial agents. In a situation with reduced immunity, it is a matter of the fact that the body itself does not have the strength to resist infection. In the second situation, the resistance of pathogenic microorganisms to one or another form of antibiotics has already been developed.

How to reduce the risk of pneumonia?

First of all, you must avoid serious hypothermia. The fact is that with a significant decrease in temperature in this or that area of ​​the human body, the level of local immunity decreases. As a result, pathogenic microorganisms have an excellent opportunity to multiply unhindered, hitting more and more sections of lung tissue.

In addition, it is very important to take antibacterial drugs strictly according to the recommendations of doctors. At the same time, it is necessary to stop using them when the signs of an infectious disease cease to make themselves felt, but only after the completion of a full course of treatment. Otherwise, a number of pathogens will persist. The next time the use of this same antibiotic will have a much more modest success, and will have to change the drug.

Another important point is the support of immunity. In order for it to be normal, it is necessary to maintain a normal level of physical activity, to eat properly and in sufficient quantities, to give the proper time to sleep and ordinary rest.

About laboratory research

They are carried out in the event that there are signs of pneumonia in adults. Without temperature or with hyperthermia, this disease occurs - laboratory tests are necessary. First of all, we are talking, of course, about a general analysis of blood. This study allows you to assess how pronounced the infectious process is in the lung tissue. In this case, doctors are most interested in the number of leukocytes, as well as the rate of erythrocyte sedimentation. The fact that the process has an infectious etiology will be said to increase the level of white blood cells (more than 9 * 109 / L). The fact that there is inflammation in the body will be indicated by an increased level of erythrocyte sedimentation rate. Often, the doctor does not assign a usual general blood test, but a study with a formula that allows the doctor to determine which type of microorganisms triggered the development of pathology. With an increased level of neutrophils, we can talk about bacterial pneumonia, and with an increase in the number of lymphocytes - about the viral etiology of this disease.

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