What is a cough for pneumonia in children

Cough with pneumonia

At first glance, it seems that a simple cold can not develop into pneumonia. In fact, it turns out that it's quite simple, without worthy attention to one's health, it's easy to come to the fact that coughing inflammation of the lungs will be only a small problem, which will face on the way to recovery and recovery of normal state of health.

Is there a cough with pneumonia?

Most people who are faced with colds and taking care of their health, are interested in the question: "Is there a cough with pneumonia?". In the overwhelming majority of cases, it is present. Although, depending on the nature of the course of the disease, it is very different and can have all kinds of forms. In some cases, such as atypical inflammation of the lungs, there is practically no coughing, or it appears very rarely in an unproductive form. Specialists do not allocate cough for inflammation of the lungs as a fundamental symptom, as it can be a clear sign of another disease.

What is a cough for pneumonia?

To say unequivocally what cough with pneumonia is observed in the overwhelming majority of patients is very difficult. As already mentioned, much depends on the nature of the course of the disease. Of all the diversity can be identified the following types of cough:

• Barking. If the disease has a viral nature, then cough with pneumonia is manifested as a result of trachea and larynx injury. It has a painful character.
• Bitonal. A prolonged course of pneumonia can lead to the formation of ulcers or wounds in the trachea, which leads to high and low coughing sounds.
• Productive. Practically from the first day the excretion of the products of vital activity of pathogenic bacteria actively multiplying in the trachea and lungs takes place against the backdrop of inflammatory reactions taking place in the body.
• Sick. If against a background of strong fighting in the lungs region there is a coughing cough with sputum discharge of brown color or with impurities of blood, the cause is the inflammatory processes in the area of ​​the vocal cords subject to active action viruses.
• With the syncopation. Against the backdrop of active and violent attacks of productive cough, loss of consciousness occurs due to an active influx of blood into the chest.
• Staccato. A sharp, short and painful cough. Often, such a cough with pneumonia is caused by chlamydia actively multiplying in the trachea and larynx. It rarely occurs against the background of temperature and lasts for 5-6 days.
• Spastic. The lungs actively resist manifestations of allergic reactions, as a result of which they try to get rid of the foreign body. Often in adults, a similar type of cough occurs on the background of bronchial asthma.

There are several more types of coughing with pneumonia, but they are characteristic primarily of children, whose protective immune mechanism is not yet sufficiently developed and resistance to various viruses too low.

Dry cough with pneumonia

Quite often dry cough with pneumonia is taken for an ordinary cold. As a result, they start the disease. The products of the disintegration of microorganisms that have a harmful effect can not yet be fully derived, since the time has not yet come for their active reproduction. As a result, dry cough with pneumonia is manifested due to irritation of the nerve receptors, since a large amount of exudate irritating the mucosa has gathered between the tissues of the larynx. Such a course of the disease, against a background of high temperature, can be observed throughout the week. The sooner the products of the disintegration of pathogenic microorganisms begin to be excreted, the faster it will be possible to cope with the disease.

Cough with pneumonia in children

At first glance it seems that coughing with pneumonia in children does not differ from a simple cold. Even experienced parents, before taking a specialist, can not distinguish between a cough and pneumonia from an ordinary cold. For this it is necessary not only to learn the main symptoms of the course of the disease, but also to listen well to the lungs. Missing the moment you can permanently undermine the health of the child.

Cough for pneumonia in children is the following:

• Active dry barking cough. It arises suddenly. A child during attacks is painful in the larynx. Decay products are not output.
• Wet, with yellowish clots in expectoration. It appears no earlier than on the 4th-5th day of the course of the disease. At this stage, the body begins to actively fight bacteria and remove the products of their decay.
• Spastic, against the backdrop of active exposure to an allergen. The child's organism, recognizing a foreign body, tries to push it out with all its might. Against the backdrop of coughing, active sneezing and discharge from the nose can manifest.
• Whooping cough. Such a cough with inflammation of the lungs in children is very dangerous. Attacks lasting and active. Almost always end up with vomiting. The child literally does not have enough air. During the cough, you can hear an active whistle.

Whatever cough for lung inflammation in children is not observed, it carries a threat to health. In this case, in-patient treatment is necessary under the vigilant supervision of the pediatrician, since prolonged pneumonia can lead to disastrous consequences.

At first glance, coughing with pneumonia seems innocuous. But, after the first tests, the X-ray and the examination, the right medical and therapeutic treatment should be started. Now, with a problem like pneumonia, you can manage in a few weeks. This requires a rational approach and proper treatment under the supervision of specialists.

kashelb.com

What is a cough for pneumonia?

Pneumonia is a disease, which is sometimes not easy to recognize. Often patients are concerned about coughing with pneumonia.

What can be caused by a cough?

Coughing is a reflex reaction of the body, which arises in response to the irritating effect of any factors. As irritants are dust, foreign bodies, sputum. Therefore, cough should not be considered an independent disease, it is just a symptom of a disease, including pneumonia.

Many agree that coughing is one of the most unpleasant symptoms. Firstly, it is often accompanied by painful sensations. Secondly, it prevents a person from leading a habitual way of life: a long protracted cough literally exhausts, especially it is felt at night. Thirdly, it causes psychological discomfort. Many people are familiar with the situation when a sudden attack of loud cough in a public place attracts the attention of others. In this situation, a person feels uncomfortable. Therefore, those who suffer from cough, are ready to buy any medicine, just to get rid of this symptom.

As for the inflammation of the lungs, it rarely flows without a cough. To suspect a person of this ailment, it is important to know what cough is with pneumonia. Usually it is at first dry, obtrusive and constant, often very strong. When the inflammation develops, the cough becomes wet, with the release of phlegm containing mucus, pus, blood veins. It is called productive. Although it is unpleasant, but much more favorable than dry, because it allows you to remove the sputum accumulated during illness from the respiratory tract. Together with the phlegm, all unnecessary is also removed, which accumulated there. It speeds up recovery. In addition, if the sputum is excreted well, this reduces the risk of complications. Therefore, it is not necessary to suppress such a reflex reaction. If the body itself does not cope with the task, then the drugs prescribed by the doctor come to the aid. They dilute sputum and promote its better separation.

As for the dry cough, it is a rather painful and unpleasant symptom. Since sputum is not excreted in this case, relief does not come. Attacks of dry cough are repeated many times, irritate the respiratory tract even more and cause new, more severe attacks. It turns out a vicious circle. Therefore, such a cough should be controlled.As a rule, after a few days it becomes wet.But, if during this time attacks of dry coughing cause a person discomfort, you should appoint him effective bronchodilators such as pectusin, licorice root syrups and Dr. Mom, Bromhexine, Mukaltin. To treat dry paroxysmal cough with pneumonia it is possible and folk remedies: a radish with honey or infusion of nettle.

Although moist cough with pneumonia is productive and contributes to the production of sputum, it must also be treated. First, sputum can be very viscous, especially in children, and it must be diluted. Secondly, if the sputum for a long time will be in the lungs, then it can develop bacteria. To stimulate the process of excretion of sputum, the patient is prescribed expectorants.

Another feature that is characteristic of pneumonia is this: usually a cough after pneumonia does not immediately pass.

It can be observed for a long period. And in adults, cough after pneumonia persists much longer than in children.

This is due to the final clearance of the lungs from phlegm. You need to perform breathing exercises, do chest massage, inflate and blow off the ball, do not swallow phlegm, which clears throat. So, the body will soon recover from the disease.

If the cough remains and does not pass for a long period, you should consult a doctor.

In such cases, usually not medicinal products are prescribed, but physiotherapy and folk remedies. To treat a cough after a disease, you need to take vitamin C, walk on fresh air, do gymnastics for the lungs, drink plenty of warm water, eat vegetables and fruits to strengthen immunity. Any catarrhal disease after a previous pneumonia can lead to a relapse. It is advisable after the inflammation of the lungs not to be supercooled and not overheat, to keep the temperature balance, to lead a healthy lifestyle and more often to be in the open air.

How dangerous is the sputum discharge with blood in pneumonia?

Sometimes with pneumonia, sputum has a rusty hue, which indicates the presence of blood in it.

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How dangerous is this for a person? It all depends on what pathogenic microorganisms caused by the disease. For example, for lobar pneumonia, sputum with blood is not dangerous, it is only a stage of the disease. But for focal pneumonia, the presence of blood in the sputum is a dangerous symptom. In any case, this manifestation of the disease should be alarming, additional diagnostics will be required.

respiratoria.ru

Pneumonia in a child - symptoms, treatment, causes

Inflammation of the lungs or pneumonia is one of the most common acute infectious and inflammatory diseases of a person. Moreover, the concept of pneumonia does not include various allergic and vascular lung diseases, bronchitis, and also pulmonary function disorders, caused by chemical or physical factors (injuries, chemical burns).

Especially often there are pneumonia in children, the symptoms and signs of which are reliably determined only on the basis of X-ray data and a general blood test. Pneumonia among all pulmonary pathologies in young children is almost 80%. Even with the introduction of progressive technologies in medicine - the discovery of antibiotics, improved methods of diagnosis and treatment - until now this disease is among the top ten most frequent causes of death. According to statistics in various regions of our country, the incidence of pneumonia in children is, %.

When and why can a child develop pneumonia?

Lungs in the human body perform several important functions. The main function of the lungs is the gas exchange between the alveoli and the capillaries, which envelop them. Simply put, oxygen from the air in the alveolus is transported to the blood, and from the blood carbon dioxide enters the alveolus. They also regulate body temperature, regulate blood coagulability, are one of the filters in the body, contribute to the purification, removal of toxins, disintegration products arising from various traumas, infectious inflammatory processes.

And when food poisoning, a burn, a fracture, surgical interventions occur, in case of any serious injury or disease, there is a general decrease in immunity, it is easy to cope with the filtration load toxins. That is why very often after a child has suffered or is suffering from injuries or poisonings, pneumonia occurs.

The most common pathogens are pathogens - pneumococci, streptococci and staphylococci, and recently cases of lung inflammation from such pathogens as pathogenic fungi, legionella (usually after staying at airports with artificial ventilation), mycoplasma, chlamydia, which are not often mixed, associated.

Pneumonia in a child, as an independent disease that occurs after a serious, strong, prolonged hypothermia, it is extremely rare, as parents try not to allow such situations. As a rule, in most children, pneumonia occurs not as a primary disease, but as a complication after an acute respiratory viral infection or influenza, less often other diseases. Why is this happening?

Many of us believe that acute viral respiratory diseases in the last decades have become more aggressive, dangerous their complications. Perhaps this is due to the fact that both viruses and infections have become more resistant to antibiotics and antiviral drugs, so they are so hard for children and cause complications.

One of the factors contributing to the increase in the incidence of pneumonia in children in recent years has been the overall poor health in the younger generation - how many children are born with congenital pathologies, malformations, lesions of the central nervous system. Especially severe pneumonia occurs in premature or newborn babies, when the disease develops against the background of intrauterine infection with insufficiently formed, not mature respiratory system.

In congenital pneumonia, the herpes simplex virus, cytomegalovirus, mycoplasmas are not infrequently causative agents, and with infection during labor, chlamydia, group B streptococci, opportunistic fungi, E. coli, Klebsiella, anaerobic flora, when infected with hospital infections, pneumonia begins on day 6 or 2 weeks after birth.

Naturally, pneumonia often happens in cold weather, when the organism is subjected to seasonal adjustment from heat to cold and vice versa, there are overloads for immunity, at this time there is a lack of natural vitamins in foods, temperature changes, damp, frosty, windy weather contribute to children's hypothermia and their infection.

In addition, if a child suffers from any chronic diseases - tonsillitis, adenoids in children, sinusitis, dystrophy, rickets (see. rickets in infants), cardiovascular disease, any severe chronic pathologies, such as congenital lesions central nervous system, malformations, immunodeficiency states - significantly increase the risk of developing pneumonia, weighed down its course.

The severity of the disease depends on:

• Extensibility of the process (focal, focal, draining, segmental, lobar, interstitial pneumonia).
• The child's age, the younger the baby, the narrower the airways, the less intense gas exchange in the child's body and the heavier the course of pneumonia.
• Places where and for what reason there was a pneumonia:
  - community-acquired: most often have an easier flow
  - hospital: more severe, because it is possible to infect bacteria resistant to antibiotics
  - Aspiration: when inhaled foreign objects, mixture or milk.
• The most important role in this is played by the general health of the child, that is, his immunity.

Improper treatment of influenza and ARVI can lead to pneumonia in the child

When a child falls ill with an ordinary cold, SARS, influenza - the inflammatory process is localized only in the nasopharynx, trachea and larynx. With a weak immune response, and also if the causative agent is very active and aggressive, and the treatment in the child is carried out incorrectly, the process of reproduction of bacteria descends from the upper respiratory tract to the bronchi, then bronchitis. Further, the inflammation can affect the lung tissue, causing pneumonia.

What happens in the body of a child in a viral disease? Most adults and children in the nasopharynx always have different opportunistic microorganisms - streptococci, staphylococci, without causing harm to health, because local immunity holds them back growth.

However, any acute respiratory disease leads to their active reproduction and with the correct action of the parents during the illness of the child, immunity does not allow their intensive growth.

What should not be done during ARVI in the child, so as not to cause complications:

• You can not use antitussives. Coughing is a natural reflex that helps the body to clear the trachea, bronchi and lungs from mucus, bacteria, toxins. If for the treatment of a child, in order to reduce the intensity of dry cough, use antitussives that affect the cough center in the brain, such as Stoptosin, Broncholitin, Libexin, Paxeladin, then sputum and bacteria may accumulate in the lower respiratory tract, which ultimately leads to inflammation lungs.
• It is not possible to conduct any preventive therapy with antibiotics for colds, with a viral infection (see. antibiotics for colds). Against the virus, antibiotics are powerless, and with opportunistic bacteria immunity should cope, and only when complications arise according to the doctor's appointment is shown their use.
• The same applies to the use of various nasal vasoconstrictors, their use contributes to a faster penetration of the virus into the lower respiratory tract; therefore, galazoline, naphthysine, sanorin should not be used in case of a viral infection safely.
• Abundant drink - one of the most effective methods of removing intoxication, dilution of sputum and rapid cleansing respiratory tract is an abundant drink, even if the child refuses to drink, parents should be very persistent. If you do not insist that the child drink enough fluids, in addition, the room will have dry air - this will help to dry the mucosa, which can lead to a longer course of the disease or complication - bronchitis or pneumonia.
• Permanent ventilation, lack of carpets and carpeting, daily wet cleaning of the room in which the child is, Humidification and air purification with the help of a humidifier and an air cleaner will help to cope faster with the virus and prevent development pneumonia. As clean, cool, moist air helps to dissolve sputum, quickly remove toxins with sweat, cough, wet breath, which allows the child to recover faster.

Acute bronchitis and bronchiolitis - differences from pneumonia

With SARS usually the following symptoms:

• High temperature in the first 2-3 days of the disease (see Fig. antipyretics for children)
• Headache, chills, intoxication, weakness
• Qatar upper respiratory tract, runny nose, cough, sneezing, sore throat (it does not always happen).

In acute bronchitis with Orvy, the following symptoms may occur:

• Minor increase in body temperature, usually up to 38C.
• First the cough is dry, then it becomes wet, there is no shortness of breath, unlike pneumonia.
• Breathing becomes hard, on different sides there are variously scattered rales that change or disappear after coughing.
• On the roentgenogram, the intensification of the pulmonary pattern is determined, the structure of the roots of the lungs decreases.
• There are no local changes in the lungs.

Bronchiolitis occurs most often in children up to a year:

• The difference between bronchiolitis and pneumonia can be determined only by X-ray examination, based on the absence of local changes in the lungs. According to the clinical picture, the acute symptoms of intoxication and the increase in respiratory insufficiency, the appearance of dyspnoea - very much resemble pneumonia.
• In bronchiolitis, the breathing in a child is weakened, shortness of breath with the help of an auxiliary musculature, nasolabial the triangle becomes a bluish hue, a common cyanosis is possible, a pronounced pulmonary-cardiac failure. When listening to a boxed sound is detected, the mass of scattered small bubbling rales.

Signs of pneumonia in the child

With a high activity of the causative agent of the infection, or with a weak immune response of the body to it, when even the most effective preventive medical measures do not stop inflammatory process and the child's condition worsens, parents can for some symptoms guess that the child needs more serious treatment and urgent examination doctor. In this case, in no case should not begin treatment by any popular method. If it really is pneumonia, it will not only not help, but the condition may worsen and time for adequate examination and treatment will be missed.

Symptoms of pneumonia in a child 2 - 3 years and older

How to identify attentive parents with a cold or viral illness that it is necessary to urgently call a doctor and suspect a pneumonia in the child? Symptoms that require an X-ray diagnosis:

• After Orvi, influenza within 3-5 days there is no improvement or after a slight improvement again there is a temperature jump and increased intoxication, coughing.
• Lack of appetite, sluggishness of the child, sleep disturbance, capriciousness persist within a week after the onset of the illness.
• The main symptom of the disease remains a strong cough.
• The body temperature is not high, but the baby has shortness of breath. In this case, the number of breaths per minute in a child increases, the rate of breaths per minute in children aged 1-3 years 25-30 breaths, children 4-6 years - a rate of 25 breaths per minute, if the child is in a relaxed calm condition. With pneumonia, the number of breaths becomes larger than these figures.
• With the other symptoms of a viral infection - cough, temperature, cold, severe pallor of the skin is observed.
• If the temperature is high for more than 4 days and antipyretic agents such as Paracetamol, Efferalgan, Panadol, Tylenol are not effective.

Symptoms of pneumonia in infants, children under one year of age

The onset of the disease can be noticed by the mom by changing the behavior of the baby. If the child constantly wants to sleep, become sluggish, apathetic or vice versa, a lot of naughty, crying, refuses to eat, while the temperature may slightly increase - mom should urgently turn to pediatrician.

Body temperature

In the first year of life, pneumonia in a child, a symptom which is considered to be high, not knocked down temperature, is different in that at this age it is not high, does not reach 3, or even 3, -3,. The temperature is not an indication of the severity of the state.

The first symptoms of pneumonia in an infant

This causeless anxiety, lethargy, decreased appetite, the baby refuses from the breast, the sleep becomes restless, short, there is a loose stool, there may be vomiting or regurgitation, a runny nose and a paroxysmal cough that worsens during crying or feeding child.

Child's breathing

Pain in the chest with breathing and coughing.
Sputum - with a damp cough, purulent or mucopurulent sputum (yellow or green) is secreted.
Shortness of breath or an increase in the number of respiratory movements in young children is a clear sign of pneumonia in a child. Dyspnoea in babies can be accompanied by nodding to the breath, as well as the baby blows his cheeks and extends his lips, sometimes there are foamy discharge from the mouth and nose. The symptom of pneumonia is considered to be the excess of the number of breaths per minute:

• In children up to 2 months - the norm is up to 50 breaths per minute, more than 60 is considered a high frequency.
• In children, after 2 months to a year, the norm is 25-40 breaths, if 50 or more, this is an excess of the norm.
• In children older than one year, the number of breaths more than 40 is considered a shortness of breath.

The skin relief during breathing changes. Attentive parents can also notice the retraction of the skin during breathing, more often on one side of the patient's lung. To notice this, it is necessary to undress the baby and observe the skin between the ribs, it retracts when breathing.

With extensive lesions, there may be a lag of one side of the lung with deep breathing. Sometimes you can notice periodic stopping of breathing, disturbance of rhythm, depth, breathing frequency and the child's desire to lie on one side.

Cyanosis of the nasolabial triangle

This is the most important symptom of pneumonia, when the blue skin appears between the lips and the spout of the baby. Especially this sign is pronounced when the child sucks the breast. With severe respiratory failure, a slight blueing can be not only on the face, but also on the body.

Chlamydia, mycoplasmal pneumonia in children

Among the pneumonias, the causative agents of which are not banal bacteria, but various atypical representatives secrete mycoplasmal and chlamydial pneumonia. In children, the symptoms of such pneumonia are slightly different from the course of the usual pneumonia. Sometimes they are characterized by a hidden sluggish current. Symptoms of SARS in a child can be as follows:

• The onset of the disease is characterized by a sharp rise in body temperature to 3, C, then a stable subfebrile temperature of -3, -3 is formed, or even a temperature normalization occurs.
• It is also possible the onset of the disease with the usual signs of ARVI - sneezing, choking in the throat, a bad cold.
• Persistent dry debilitating cough, shortness of breath may not be permanent. Such a cough usually occurs with acute bronchitis, and not pneumonia, which complicates the diagnosis.
• When listening to a doctor, scanty data are usually presented: rare variegated rattles, pulmonary percussion sound. Therefore, according to the nature of wheezing, it is difficult for a doctor to determine atypical pneumonia, since there are no traditional signs, which greatly complicates the diagnosis.
• In the analysis of blood in atypical pneumonia there may be no significant changes. But usually there is increased ESR, neutrophilic leukocytosis, a combination with anemia, leukopenia, eosinophilia.
• On the x-ray of the chest reveals a pronounced enhancement of the pulmonary pattern, non-uniform focal infiltration of the pulmonary fields.
• Both chlamydia and mycoplasma have a feature that exists for a long time in the epithelial cells of the bronchi and lungs, therefore, pneumonia usually has a prolonged recurrent character.
• Treatment of atypical pneumonia in the child is carried out by macrolides (azithromycin, josamycin, clarithromycin), because the pathogens to them are most sensitive (to tetracyclines and fluoroquinolones, too, but they are children contraindicated).

Indications for hospitalization

The decision on where to treat a child with pneumonia - in a hospital or at home, the doctor takes, while he takes into account several factors:

• The severity of the condition and the presence of complications - respiratory failure, pleurisy, acute disorders of consciousness, heart failure, falls AD, lung abscess, pleural empyema, infectious-toxic shock, sepsis.
• The defeat of several lobes of the lung. Treatment of focal pneumonia in the child at home is entirely possible, but with croupous pneumonia treatment is best done in a hospital.
• Social indications are poor living conditions, inability to perform care and doctor's prescriptions.
• Age of the child - if the infant is sick, this is the reason for hospitalization, because the pneumonia of the baby is a serious threat to life. If pneumonia develops in a child under 3 years of age, treatment depends on the severity of the condition and most often doctors insist on hospitalization. Older children can be treated at home provided that the pneumonia is not severe.
• General health - in the presence of chronic diseases, weakened overall health of the child, regardless of age, the doctor may insist on hospitalization.

Treatment of pneumonia in children

How to treat pneumonia in children? The basis of therapy for pneumonia is antibiotics. At a time when there were no antibiotics in the arsenal of doctors with bronchitis and pneumonia, a very frequent cause of death of adults and children there was pneumonia, therefore, in no case should one refuse to use them, no folk remedies for pneumonia are effective. From the parents it is required to strictly follow all the doctor's recommendations, the proper care of the child, the observance of the drinking regime, nutrition:

• Reception of antibiotics must be carried out strictly in time, if the appointment of the drug 2 times per day, this means that there should be a break of 12 hours between meals, if 3 times a day, then a break of 8 hours (cm. 11 rules how to take antibiotics correctly). Antibiotics are prescribed - penicillins, cephalosporins for 7 days, macrolides (azithromycin, josamycin, clarithromycin) - 5 days. The effectiveness of the drug is estimated within 72 hours - an improvement in appetite, a decrease in temperature, dyspnea.
• Antipyretics are used if the temperature is above 39C, in infants above 38C. Initially, antibiotic treatment of antipyretics is not prescribed, as the evaluation of the effectiveness of therapy is difficult. It should be remembered that during a high temperature in the body, the maximum amount antibodies against the causative agent of the disease, so if the child can tolerate the temperature of 38C, it is better not to knock down. So the body quickly cope with the microbe that caused pneumonia in the baby. If the child had at least one episode of febrile seizures, the temperature should be knocked down already at 3, C.
• Nutrition of the child with pneumonia - lack of appetite in children during illness is considered natural and the child's refusal from food intake due to increased strain on the liver when fighting infection, so you can not force a child to feed. If possible, prepare light food for the patient, exclude any ready-made chemicals, fried and fatty, try to feed child simple, easily assimilated food - cereals, soups on a weak broth, steam cutlets from low-fat meat, boiled potatoes, various vegetables, fruit.
• Oral hydration - in water, natural freshly diluted juices - carrot, apple, weakly boiled tea with raspberries, rose hips infusion, water-electrolyte solutions (Regidron and etc).
• Airing, daily wet cleaning, use of air humidifiers - ease the condition of the baby, and the love and care of parents works wonders.
• No restorative (synthetic vitamins), antihistamines, immunomodulating agents are not used, as often lead to side effects and do not improve the course and outcome of pneumonia.

Reception of antibiotics for pneumonia in a child (uncomplicated) usually does not exceed 7 days (macrolides 5 days), and if bed rest is observed, perform all the doctor's recommendations, in the absence of complications, the child quickly recovers, but for a month there will still be residual effects in the form of a cough, slight weakness. With atypical pneumonia, treatment can be delayed.

In the treatment of antibiotics in the body, the intestinal microflora is broken, so the doctor prescribes probiotics - RioFlora Immuno, Acipol, Bifiform, Bifidumbacterin, Normobakt, Lactobacterin. Analogues of Linex - a list of all probiotics). To remove toxins after the end of therapy, the doctor can prescribe sorbents, such as Polysorb, Enterosgel, Filtrum.

With the effectiveness of treatment for general regimen and walks, it is possible to transfer the child from the 6th to the 10th day of the disease, the hardening to resume after 2-3 weeks. With a mild pneumonia, large physical exertion (sport) is allowed after 6 weeks, with complicated after 12 weeks.

zdravotvet.ru

Inflammation of the lungs without coughing

Can there be pneumonia without a cough?

Many are wondering if there can be pneumonia without a cough and often doctors give an affirmative answer to this question. All known symptoms are described in terms of a certain number of patients, but there are exceptions to the general rules. Every organism has its own reaction to this or that disease, that's why they take different forms in everyone. It often happens that even X-ray studies are not able to detect lung inflammation, which occurs with the complete absence of cough. In a special group of risk of asymptomatic inflammation of the lungs are children. Very often parental vigilance is blunted in the absence of pronounced symptoms of the disease and the doctor does not go on time. The bad thing is that in this way there is a serious threat to the health of the child.

Inflammation of the lungs without coughing symptoms

Symptoms of inflammation of the lungs without a cough is an increased temperature, indicating the presence of infection in the body. The main difficulty in this situation is the impossibility of determining the presence of inflammation in the lungs. In this case, the diagnosis should be carried out in a differentiated way, provided that the relationship with other morbid conditions is excluded. When diagnosing pneumonia, attention should be paid to signs of a non-specific nature, which include:

• pallor of the skin;
• unhealthy blush;
• low susceptibility of physical activity;
• appeared shortness of breath;
• pains in the chest accompanying each movement.

Defining a hidden inflammation of the lungs, it is most difficult to examine a small child. His state, he can not really describe, when trying to do this is often confused. In this case, the consultation of a qualified doctor will help laboratory diagnosis in order to correctly diagnose and prescribe the appropriate treatment.

Inflammation of the lungs without fever with a cough

Pneumonia without fever with a cough is a very dangerous disease, which can result in the death of the patient. The danger lies in the absence of symptoms, which allows you to put the correct diagnosis on time and prescribe the appropriate treatment. Cough in this case plays an insidious role, being a symptom of diseases of a different kind and thereby causing the possibility of setting the wrong diagnosis. Ill person can not guess about the nature of his condition, taking measures to alleviate it, while he will be treated completely from another disease. Thus, his condition will be aggravated more and more. In order for this to happen, it is necessary to undergo an X-ray examination in time in order to identify the true cause of what is happening.

Inflammation of the lungs without cough and temperature

Symptoms of inflammation of the lungs may be absent due to the localization of the disease in a certain segment or part of the lung tissue. In this case, the patient does not suffer from pain in the lungs, and he does not have a cough. Body temperature also remains within normal limits. This becomes possible with a weakened immunity of the patient or can occur against the background of an uncontrolled intake of antibiotics. Also, the cause of inflammation of the lungs, which occurs in the absence of cough, can be the use of drugs, whose action is aimed at eliminating cough. This pathology is extremely dangerous in pediatric practice, because the child can not properly describe his feelings. Statistical calculations point to the fact that inflammation of the lungs without cough and temperature in most cases results in the death of the patient. This fact explains the need for clear ideas about the nature of the disease, the forms of its course and methods of dealing with it.

kashelb.com

Symptoms of pneumonia in adults

Pneumonia is an infectious disease. It remains one of the most common in the world. It is the leader among nosocomial infections leading to death. It is important to know the symptoms of pneumonia in adults in order to take timely action. Treatment of pneumonia and the prognosis of the development of the disease depends on the nature of the infection, age and general condition of the patient.

What is pneumonia and how dangerous it is

Inflammation of the lungs in an acute form is called pneumonia. It is caused by infections that can be transmitted in various ways, affecting the lung tissue. In the list of diseases that caused death, she is in fifth place, and medicine does not always help. Lethal outcome among adults from pneumonia is 10-33%. Intrahospital and atypical form of the disease takes even more lives - the risk of dying increases to 50%. In elderly people, people with weakened immunity, the prognosis of pneumonia is often disappointing.

From usual pneumonia, 1-3% of young patients who do not have diseases that die, can die. Among elderly patients, the mortality rate is up to 40-50%. Causes of death from pneumonia:

• Concomitant diseases, such as cardiac pathologies, existing respiratory diseases (such as bronchitis), diabetes mellitus, problems in the genitourinary system;
• bad habits (smoking, especially lengthy experience, drug addiction, alcoholism);
• dysfunctional living conditions;
• weakened immunity.

A special risk of inflammation of the lungs is for pregnant women. The disease itself is heavy due to dangerous pathologies. For a woman who carries a child, she is doubly dangerous - for the future mother and fetus. In early terms, pneumonia is threatened by an embryo, the tissues and organs of which are not yet formed. In the last trimester for a child, pneumonia is less dangerous than for a mother. Prevention is simple: strengthening the immune system of the mother.

The first signs of pneumonia

Symptoms of pneumonia in adults depend on the type of infection that caused the disease. There are several types of pneumonia, and each has its own clinical picture. The provoking factor for the onset of pneumonia is hypothermia affecting the upper respiratory tract. In the elderly, it often goes into a pathological form. Symptoms of pneumonia in adults are several: they are divided into varieties of insidious disease. The common form of pneumonia is viral, occurs in half the cases. Other reasons:

• bacteria;
• mycoplasma;
• fungus;
• parasites;
• chlamydia;
• streptococcus.

Atypical

A disease that occurs without symptoms characteristic of pneumonia is called atypical. The latent inflammation of the lungs is dangerous because it is delayed for its treatment, when many complications appear. Pulmonary manifestations fade into the background, the patient is more concerned about general intoxication. The X-ray does not show changes in the airway. Signs of atypical inflammation:

• dry cough;
• sore throat;
• muscle pain;
• headache;
• weakness.

Aseptic atypical pneumonia is caused by Legionella, viruses, chlamydia, mycoplasmas, therefore, it is treated with antimicrobials. After infection, the symptoms of the disease manifest themselves in a period of 2 to 10 days. Changes in the lungs begin later than with a typical pneumonia. The temperature rises, the patient starts to suffocate, he does not have enough air. A large percentage of patients can be cured at home, but sometimes the ailment is difficult. The mortality from this type of disease is 3-5%, the cause is cardiopulmonary insufficiency.

Viral

This type of disease is caused by several viruses. In the first place - the flu. At the onset of pneumonia, triggered by the influenza virus, malaise is noticeable during 3-5 days. Then the condition worsens, shortness of breath starts, chest pains appear. Pneumonia is treated with rimantadine, zanamivir, oseltamivir. Viral pneumonia is caused by cytomegalovirus.

Serious complication of viral pneumonia is SARS, respiratory syndrome. It is caused by the viruses of Paramyxoviridae (they are also the cause of measles and mumps). The syndrome poses a great danger. Symptoms of pneumonia in adults with viral pneumonia are:

• very high temperature accompanied by chills;
• dry cough (unproductive);
• headache and muscle pain;
• fatigue without reason.

Bacterial

The cause of pneumonia in this case are bacteria: pneumococcus, staphylococcus, streptococcus. Bacterial pneumonia begins with a sharp temperature jump to a mark of 41 degrees. It lasts up to 3 days, and this symptom is considered a clear sign of bacterial infection. If the temperature then falls, then rises - this is a viral picture. Pneumococcal pneumonia is accompanied by the escape of "rusty" sputum, cardiac contractions become more frequent (tachycardia), breathing becomes more difficult. Treat the disease with antibiotics.

Grybkovoy

The most dangerous variant of pulmonary inflammation is fungal infection. It is due to the fact that fungal pneumonia is not manifested at first, and people do not know that they are sick. The disease is diagnosed late. The onset of the process of inflammation of the lung tissue is like atypical pneumonia, but with the exacerbation of symptoms, the nature of lung damage changes, cavities are formed. A frequent causative agent of such pneumonia is Candida albicans, a fungus. Initially, the patient has catarrhal symptoms: fever, cough, fatigue and shortness of breath. Then, when pussy is pus, then the correct diagnosis is made.

The main symptoms of pneumonia in an adult

The cold, the flu, should not last more than 7 days, if in 4-7 days after the onset of an acute respiratory infection the condition of the patient worsened, this signal starts in the lower respiratory tract of a dangerous inflammation. Symptoms of pneumonia in adults include pallor and dyspnea. If they have a cold, they are accompanied by weakness, sweating, decreased appetite - this is typical for intoxication in the beginning of pneumonia.

Temperature with pneumonia

With atypical pneumonia, body temperature is not always greater than 3,. In the usual cases, a sharp increase to 40 degrees is typical. With pneumonia, antipyretic drugs do not work. If you can not bring down the temperature - it's a sign of pneumonia. The temperature begins to drop when antibiotics work. It is dangerous if the disease runs without temperature: the patients sometimes do not take measures until the condition worsens. How much the temperature lasts depends on the pathogen: a fungus, a bacterium or a virus.

What a cough with pneumonia

At the beginning of the disease, a cough is dry, this is called unproductive. He becomes obtrusive, constant, exhausting. Inflammation develops - this symptom also changes. The sputum departs, the color of which depends on the nature of the infection: yellow-green, purulent, "rusty." Nasal cough, which does not pass for 7-10 days, is a clear sign of the inflammatory process in the lungs.

Voice tremor

The doctor can recognize the symptoms of the disease, assessing the patient's jittery response. The patient says words where there are several "p" sounds, and the doctor puts his hands on his chest, and determines the voice trembling. With pneumonia, part of the lung, or it is whole, becomes denser. This will be noticed by the medical doctor who conducts the diagnostics, by the fact that the voice tremor is amplified.

Diagnosis of the disease

If there is a suspicion of an inflammatory process in the lungs, a comprehensive diagnosis is performed. Sometimes already at the primary admission the doctor can determine the disease by conducting an auscultation, that is, having listened to the chest with a phonendoscope. But the main method of diagnosis in an adult is an X-ray. Necessarily the patient will take blood for general and biochemical analysis. If the patient is in the hospital, examine the culture of sputum, urine, check blood for antibodies to viruses.

Types of pneumonia

The mild forms of pneumonia, found in the initial stage, are treated at home. Remember that even mild pneumonia will complicate with improper care. It is necessary to adhere to the doctor's recommendations how to treat pneumonia in the home:

• antipyretic drugs, anti-inflammatory;
• an abundant drink is prescribed;
• an important component of the treatment is a diet: the body is poisoned by toxins, light foods, more fluids are required.

How to treat pneumonia, how long the process will last depends on the severity and variety of the disease. Infection is sometimes found in the lung tissue for years, leading to a chronic illness. Fibers and connective tissues are damaged, they press on the pulmonary vesicles, which leads to hardening of the lungs, pneumosclerosis. The patient feels discomfort, constantly coughs. It is a slow, prolonged illness, which gradually leads to complications.

Conventional pneumonia is divided into mild, moderate, severe and extremely severe in severity, it depends on how the disease proceeds. Severe acute forms include pleuropneumonia, when one or more of the lungs are inflamed. There is pneumonia in the localization:

• Focal (concentrated in the focus of inflammation);
• segmental or polysegmentary, depending on whether one or more segments are located;
• share - does not exceed one share;
• total - covers all the lungs.

One-sided and two-sided

The inflammatory process is concentrated either on one side or it is bilateral. Unilateral pneumonia is divided into two types:

1. Right-sided - occurs more often, the right bronchus is wider than the left and shorter than it, the infection penetrates there freer.
2. Left-sided - develops less often, with it there are stagnant processes in the lung.

Two-sided covers both lungs: all lung tissue becomes inflamed, and the disease is provoked by bacteria (pneumococcus, hemophilic rod). Against the background of one infection, other harmful microorganisms are multiplied, mixed-infection develops. In the fight against a person enter several pathogens, to select antibacterial drugs for treatment is difficult.

Basal

The focus of inflammation, located along the root of the lung, is difficult to diagnose. Such cases are called basal pneumonia. In the diagnosis of computed tomography. The doctor should exclude tuberculosis and lung cancer, the focus of inflammation is similar to a picture on a tumor. Tuberculin tests are carried out. If you mistakenly prescribe drugs against tuberculosis, but they do not give an effect - this is considered a diagnostic sign.

Bronchopneumonia

Bronchial pneumonia characterizes the lesion of small branches of the bronchial tree of the patient. Bronchopneumonia refers to focal. The process of recovery will take a long time. Sometimes the disease is secondary, develops against the background of bronchitis. A person tries to cure bronchitis, that is prolonged, the condition worsens, weakness appears, temperature jumps. The cough that accompanies bronchitis intensifies, unpleasant purulent sputum is separated, at times - with veins of blood.

Important symptoms of this disease: shortness of breath, increased heart rate to 110 strokes for a minute, chest pain. To the development of bronchopneumonia leads not only bronchitis, but also ARVI. Often this type of pneumonia and viruses cause this kind of pneumonia, in order to treat the disease correctly, establish a pathogen, prescribe antiviral drugs or antibacterial. How much the disease is treated depends on the type of pathogen.

Hospital

In addition to community-acquired pneumonia, which develops under normal conditions, there is a serious form of illness - hospital, it is also hospital-acquired. The diagnosis is made when the inflammation appears after two days and more after placing a person in a hospital clinic with a completely different diagnosis. This is the most ruthless species, killing 50% of patients. The disease is caused by microorganisms. Types of nosocomial pneumonia:

• associated with artificial ventilation;
• postoperative;
• Hospital-acquired pneumonia in hospitalized in serious condition.

Immunity of patients is weakened, the body struggled with another disease, was not ready to invade new microbes. To save the situation, patients are placed with droppers, use intravenous nutrition to maintain the vital forces of the body, use drugs of a new generation, potent drugs. Cure nosocomial pneumonia can not always. Treatment of pneumonia in this case is excluded.

The equity

Fracture pneumonia affects the lobe of the lung and the pleura. With this type of pneumonia, it is important to schedule injections of antibiotics, the duration of which is determined by the doctor. Applied physiotherapy, detoxification. Partial pneumonia begins suddenly and sharply. There are three forms of the disease:

• Upper-lobar - it is difficult, with neurological disorders;
• lower-lobed - gives a pseudo-picture of the "acute abdomen which confuses during diagnosis, chills and "rusty" sputum are characteristic;
• central - inflammation develops deep in the lung, symptomatology is poorly defined, difficult to define.

Croupous

Croupous pneumonia proceeds acutely. The nature of the defeat of the lungs is bilateral. If the pathology is not recognized and the treatment is not started quickly, the patient will die from cerebral hypoxia and cardiovascular insufficiency. The first day the patient has a dry cough. The next day, sputum is rusty, vomiting occurs. On the third day, it becomes worse, dyspnea appears, tachycardia develops. The patient is not able to climb to one floor. Treat croupous pneumonia in pulmonology, in a hospital or resuscitation. Pulmonary lobes of the patient are totally affected on both sides.

Video: types and symptoms of pneumonia

Pneumonia is a dangerous disease, it is important to determine it in the early stages, when the treatment is effective even with folk remedies at home. In the video offered below, experts will tell in detail about the symptoms of pneumonia, teach what to look for if pneumonia occurs without the typical symptoms. Timely detection will avoid irreversible consequences.

sovets.net

Pneumonia without fever and without coughing

Inflammation of the lungs in itself is a very dangerous disease, but pneumonia without a cough is much more dangerous. Not many people know, but this pathology can develop quite unnoticed, without any pronounced symptoms and a sharp deterioration in well-being. This term is a collection of several pathologies relating to lung tissue, and each has its own characteristics. It is important to remember that the ailment is not always accompanied by the usual symptoms: cough or temperature.

Facts about the disease

The main and main respiratory organs are the lungs. They let oxygen into the human body and remove carbon dioxide from the blood. It is here that gas exchange of substances occurs, air purification from toxins, microorganisms and harmful elements, as well as nutrition of each cell. In a healthy person, pushing the air outward is normal, the patient's breathing is much more difficult.

As soon as the infection enters the respiratory system, their functioning, normal functioning of the cardiovascular and immune system are hampered. Infection occurs through inhaled particles of vomit, through viruses, harmful bacteria and fungi, foreign objects and the like. In addition, the factor of the appearance of pneumonia may be both hypothermia, and the recently transferred cold. Not all lungs, but only separate parts of different areas can be affected. Such a disease is not contagious and is not transmitted by airborne droplets, although it has the character of an infectious disease.

A term such as pneumonia without a cough was introduced due to the fact that due to the inflammation of various sections of the respiratory organs were identified different types of disease, which, in turn, flow differently. The most dangerous condition is when the patient does not know the true reason for his poor health. He will not feel pain in his chest, there will be no coughing or wheezing, and if the temperature is present, then a small one (it can easily be confused with the symptom of an ordinary cold).

Note that the risk of getting sick is most common among older people over 60 and children under 2 years old. Finding the root cause of infection, you can determine how a person fell ill: because of an infection that got into the body through the airways, or because of deterioration in health against the already existing disease. For example, if the flu is not completely cured, the consequences can be unpredictable.

Despite the main prerequisites for the emergence of ailment, the negative impact can have both medicines and medical intervention. This includes the following:

• organ transplantation;
• manifestation of the disease after intubation of the trachea or artificial ventilation;
• infection can occur and as a result of visiting the infectious disease department of the hospital.

How to discover the disease in time

Analyzing existing types of the disease, you can be ready for anything. However, do not forget that all kinds of bacteria and microbes surround us everywhere. So, the causative agent of pneumonia may be one of the harmful microorganisms, such as staphylococcus, streptococcus, legionella or chlamydia, which primarily affects the lung tissue. As for viruses, the most dangerous are the herpes virus, the pulmonary plague and those that appeared due to complications after the flu (A and B).

The condition of the body is affected by the human condition. Such reasons as an unfavorable environment, poor diet and bad habits can lead not only to pneumonia, but also to other serious illnesses. Therefore, most patients can be found in nursing homes and similar institutions. In addition, people who suffer from narcological and alcohol addiction, with weakened immunity and HIV-infected are also prone to infection.

Anyone with a weak immune system may not notice the development of the infection. Protection capabilities are reduced due to the presence of microorganisms and viruses in the blood, so the body can not fully resist the harmful effects of the environment.

Self-medication and taking medicines without doctor's supervision affects the internal microflora and promotes the favorable reproduction of harmful bacteria. They quickly adapt to the environment and become insensitive to treatment.

Cough is an important indicator for infection of the respiratory tract. This is a normal reaction of the body to the appearance of foreign pests. This process allows you to get rid of mucus and sputum. Its appearance means inflammation of the upper respiratory organs.

It is accompanied by temperature, fatigue and weakness in general. Not everyone wants to see a doctor when a cough occurs, because they think that the usual home treatment will be more effective. However, this is how the inflammatory process begins, which can lead to serious complications if you do not give enough attention to the treatment (or if you do not cure the ailment).

Absence of obvious symptoms

With a careless approach, a mild cold can take on a chronic character. Slime does not go away from the bronchi, and suppression of cough drugs leads to the development of pneumonia, which is very difficult to detect under such conditions. All pathological changes remain directly in the lungs and continue to develop there. A more severe stage leads to the appearance of pus of a green or yellow hue. If a person does not have a temperature, then the following symptoms are possible:

• weakness;
• pallor;
• excessive sweating;
• dyspnea;
• pain in the chest during movement;
• coughing.

These signs indicate a weakened immunity. It can also be a consequence of an untreated disease. Without contacting a specialist, you can not correctly diagnose and begin treatment. And after taking medication from one disease the body can not cope with a new wave of infection. If the cough intensifies and lasts for more than two weeks (especially in children), then this is the signal for urgent in-depth diagnosis.

If symptoms are found in a child, it is necessary to go to the doctor as soon as possible. At home, observe how the child performs physical exercises, whether there are signs of drowsiness or a decrease in appetite. The specialist will be able to conduct the necessary examination and make analyzes and, of course, explain the harm of self-treatment.

Correct approach to recovery

As practice shows, not all follow the doctors' warnings about the back side of self-treatment. We must not forget that, without knowing the cause of infection, it is impossible to find the right drugs, which will once and for all get rid of the pathogen. A full course of treatment, affecting both temperature, cough, and the condition of a person as a whole, is a comprehensive approach. For this purpose, a specialist (in the case of children, a pediatrician) prescribes anti-inflammatory drugs and general strengthening therapy. Such methods will have a beneficial effect on the body. In addition to taking medications, the patient can in another way contribute to his recovery:

1. Observe the sleep regime and the correct diet. Eat more foods with protein and zinc.
2. More fish, dishes from cereals, berries, vegetables and fruits. These products reduce the risk of developing pneumonia.
3. Abandonment of bad habits will speed up recovery.

It is very important to return the cough reflex, otherwise it is necessary to perform a sanation with bronchoscopy. To all this, physiotherapy and special gymnastics are prescribed.

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Concerning folk remedies: medicine does not prohibit such an approach, but to rely solely on recovery with home-made decoctions and tinctures is dangerous enough.

respiratoria.ru

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