Pneumonia
Chapter 24. Chronic Illnesses

Pneumonia is lung inflammation. It is one of the leading causes of death in the United States. Pneumonia can develop when the lungs are infected by bacteria, viruses, fungi, or toxins, causing inflammation. Certain people are at a greater risk for pneumonia than others. They include:
Elderly people, because the body's ability to fight off disease lessens with age
People who are hospitalized for other conditions
Individuals with suppressed cough reflex following a stroke
Smokers, because tobacco smoke paralyzes the tiny hairs in the lungs that help to expel germ-ridden mucus from the lungs
People who suffer from malnutrition, alcoholism, or viral infections
Anyone with a recent respiratory infection
People with emphysema or chronic bronchitis
People with sickle cell anemia
People getting radiation treatments or chemotherapy, or people taking any medications which wear down the immune system. (Example: corticosteroids)
People with HIV/AIDS

Signs and Symptoms
Pneumonia symptoms may include:
Chest pain when breathing in
Fever and chills
Coughing, usually with bloody, dark yellow, or rust-colored sputum
Difficulty in breathing, rapid breathing
General fatigue, headache, nausea, vomiting
Bluish lips and fingertips

Treatment, Care, and Prevention
Treatment for pneumonia will depend on its type (viral, bacterial or chemical, for example) and location. Blood tests, X-rays, and sputum analysis can help identify these. Treatment includes:
Getting plenty of bed rest
Using a "cool-mist" humidifier in the room or rooms in which you spend most of your time
Drinking plenty of fluids
Taking an over-the-counter medicine for pain and/or fever. {Note: See "Pain relievers" in Your Home Pharmacy.}
Taking any medications your doctor prescribes: antibiotics to treat bacterial pneumonia or to fight a secondary bacterial infection; antiviral medicines if indicated.
Nose drops, sprays, or oral decongestants to treat congestion in the upper respiratory tract
Cough medicines as needed: a cough suppressant for a dry, nonproductive cough; an expectorant type for a mucus-producing cough
Removing fluid from the lungs by suction, anti-inflammatory medications, and oxygen therapy may be used for some pneumonias such as ones caused by chemical irritants
Getting vaccines for influenza and pneumonia. They are recommended for persons aged 65 and older and for some persons younger than 65 who have certain medical conditions. Ask your doctor about them. (See Immunization Schedule.)
Not smoking

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99