Treatment FAQ

what else could be wrong of pneumonia treatment doesnt work?

by Prof. Wilfred Breitenberg Jr. Published 2 years ago Updated 2 years ago

Possible complications include: Respiratory failure, which requires a breathing machine or ventilator. Sepsis, a condition in which there is uncontrolled inflammation in the body, which may lead to widespread organ failure. Acute respiratory distress syndrome (ARDS), a severe form of respiratory failure.Aug 16, 2021

Medication

If your pneumonia isn't treated, the pleura can get swollen, creating a sharp pain when you breathe in. If you don't treat the swelling, the area between the pleura may fill with fluid, which is called a pleural effusion.

Therapy

If you have bacteremia or septic shock, your heart may not be able to pump enough blood to your kidneys. It's not a common complication of pneumonia, but it's serious because your kidneys will stop working if they're not getting enough blood.

Self-care

It is important not to overdo daily activities until you are fully recovered. If your pneumonia is so severe that you are treated in the hospital, you may be given intravenous fluids and antibiotics, as well as oxygen therapy, and possibly other breathing treatments. It may take time to recover from pneumonia.

Nutrition

If your pneumonia is caused by bacteria, you will be given an antibiotic. It is important to take all the antibiotic until it is gone, even though you will probably start to feel better in a couple of days. If you stop, you risk having the infection come back, and you increase the chances that the germs will be resistant to treatment in the future.

What happens if pneumonia is not treated?

Can pneumonia cause your kidneys to stop working?

What can I do if I have pneumonia?

Should I stop taking antibiotics if I have pneumonia?

What happens if antibiotics don't clear up pneumonia?

If your pneumonia isn't treated, the pleura can get swollen, creating a sharp pain when you breathe in. If you don't treat the swelling, the area between the pleura may fill with fluid, which is called a pleural effusion. If the fluid gets infected, it leads to a problem called empyema.

What happens if antibiotics don't work for lung infection?

These include a cough, fatigue, fever and sometimes shortness of breath. Resistant infections can be longer lasting and result in damage to your lungs or a longer stays in hospital. They can sometimes lead to more severe infections such as sepsis.

How do you treat stubborn pneumonia?

The options include:Antibiotics. These medicines are used to treat bacterial pneumonia. ... Cough medicine. This medicine may be used to calm your cough so that you can rest. ... Fever reducers/pain relievers. You may take these as needed for fever and discomfort.

What can be misdiagnosed as pneumonia?

Less common diseases that may be confused with pneumonia include pulmonary emboli, or blood clots in the lung; bronchiectasis, and lung cancer.

Can pneumonia be resistant to antibiotics?

In 2019, ABCs estimated there were about 30,300 cases of invasive pneumococcal disease. Available data show that pneumococcal bacteria are resistant to one or more antibiotics in more than 30% of cases.

Can pneumonia be incurable?

With proper recognition and treatment, many cases of pneumonia can be cleared without complications. For bacterial infections, stopping your antibiotics early can cause the infection to not clear completely. This means your pneumonia could come back.

What is non resolving pneumonia?

[1] Non-resolving pneumonia is defined as pneumonia with a slow resolution of radiologic infiltrates or clinical symptoms despite adequate antibiotic therapy. [2] Exclusion of an alternate diagnosis like tuberculosis, malignancies, pneumonia mimics etc., should be the first step in the approach to this problem.

Can pneumonia linger for months?

"Pneumonia is a serious illness that can take quite a toll on a person's lungs and body. It can take anywhere from a week to several months to fully recover from it," says Dr.

Why would pneumonia keep coming back?

Common cause of recurrent pneumonia #1: Asthma. The mechanism is viral infection that produces both fever and an asthma exacerbation. Increased airway edema, bronchoconstriction, and excessive mucus production with mucus plugging produce the abnormalities on CXR.

Can pneumonia be a symptom of something else?

Serious medical conditions sometimes mistaken for pneumonia include: Acute respiratory distress / failure. Bronchitis. Chronic obstructive pulmonary disease (COPD)

How often is pneumonia misdiagnosed?

72 percent of patients were misdiagnosed with pneumonia upon readmission to the same hospital. African-Americans were twice more likely than Caucasians to be misdiagnosed with pneumonia. Patients who smoke or have lung disease were likely to be misdiagnosed with pneumonia.

Can you have pneumonia for 6 months?

"In addition, it's important to get plenty of rest, drink plenty of fluids and take fever-reducing medicine if you have a fever," he adds. Most people start to feel better within three to five days, but a cough from pneumonia can last weeks or months after treatment.

How to stop coughing when you have pneumonia?

Cough medicine. This medicine may be used to calm your cough so that you can rest. Because coughing helps loosen and move fluid from your lungs, it's a good idea not to eliminate your cough completely. In addition, you should know that very few studies have looked at whether over-the-counter cough medicines lessen coughing caused by pneumonia. If you want to try a cough suppressant, use the lowest dose that helps you rest.

How to check for pneumonia?

Your doctor will start by asking about your medical history and doing a physical exam, including listening to your lungs with a stethoscope to check for abnormal bubbling or crackling sounds that suggest pneumonia.

What is the test for pneumonia?

This measures the oxygen level in your blood. Pneumonia can prevent your lungs from moving enough oxygen into your bloodstream. Sputum test. A sample of fluid from your lungs (sputum) is taken after a deep cough and analyzed to help pinpoint the cause of the infection.

What happens if you stop taking a medication too soon?

If you stop taking medication too soon, your lungs may continue to harbor bacteria that can multiply and cause your pneumonia to recur.

What is the best way to check for pneumonia?

CT scan. If your pneumonia isn't clearing as quickly as expected, your doctor may recommend a chest CT scan to obtain a more detailed image of your lungs.

What tests are done to determine if you have pneumonia?

If pneumonia is suspected, your doctor may recommend the following tests: Blood tests . Blood tests are used to confirm an infection and to try to identify the type of organism causing the infection. However, precise identification isn't always possible. Chest X-ray.

How long does it take for a person to feel tired after pneumonia?

Although most symptoms ease in a few days or weeks, the feeling of tiredness can persist for a month or more. Specific treatments depend on the type and severity of your pneumonia, your age and your overall health. The options include: Antibiotics. These medicines are used to treat bacterial pneumonia.

How can doctors help with pneumonia?

However, until those arrive, Tillotson said that doctors can help with pneumonia treatment by paying attention to risk factors and modifying prescribing habits.

How many people die from pneumonia at 65?

The danger of pneumonia becomes increasingly risky for the very young, and for those over the age of 65. About 85 percent of all pneumonia deaths occur in those over the age of 65, according to the American Lung Association.

How many people will not be cured by an initial prescription?

Researchers say as many as 1 in 4 patients will not be cured by an initial prescription. They urge special treatment for younger and older patients. People with pneumonia are failing treatment at an alarming rate, and doctors are in for a wake-up call.

Can pneumonia worsen?

Without some change to current pneumonia treatment , the seriousness of the illness will only worsen.

Can you start pneumonia treatment with two antibiotics?

He told Healthline that in high-risk cases, such as with older adults, it might be smarter to begin treatment with two antibiotics, rather than using a wait-and-see approach to treating pneumonia. “None of the drugs we are talking about are branded, expensive things, they are all generic.

How to treat pneumonia in the future?

It is important to take all the antibiotic until it is gone, even though you will probably start to feel better in a couple of days. If you stop, you risk having the infection come back, and you increase the chances that the germs will be resistant to treatment in the future.

What to do if you have pneumonia in the hospital?

If your pneumonia is so severe that you are treated in the hospital, you may be given intravenous fluids and antibiotics, as well as oxygen therapy, and possibly other breathing treatments.

How to get rid of an infection?

If your cough is preventing you from getting the rest you need, ask your doctor about steps you can take to get relief. Drink warm beverages, take steamy baths and use a humidifier to help open your airways and ease your breathing.

What to do if you are a smoker and have trouble staying smokefree?

This includes smoking, secondhand smoke and wood smoke. Talk to your doctor if you are a smoker and are having trouble staying smokefree while you recover. This would be a good time to think about quitting for good. Get lots of rest.

How to keep germs from spreading?

Cover your mouth and nose when you cough, promptly dispose of tissues in a closed waste container and wash your hands often .

What is lung abscess?

Lung abscesses, which are infrequent, but serious complications of pneumonia. They occur when pockets of pus form inside or around the lung. These may sometimes need to be drained with surgery.

What is the condition where there is uncontrolled inflammation in the body?

Sepsis, a condition in which there is uncontrolled inflammation in the body, which may lead to widespread organ failure.

Why is pneumonia considered a serious condition?

It's a serious condition because your organs need oxygen to work.

What causes pneumonia and bronchitis?

Pneumonia or Bronchitis? When you get pneumonia -- whether it was caused by bacteria, a virus, or a fungus -- there's a chance it could lead to other medical troubles. Learn the signs of these complications and get treatment right away to keep any health problems you get under control.

What does it mean when your lungs hurt when you breathe in?

One wraps around the outside of your lungs and the other lines the part of your chest where your lungs sit. They help your lungs move smoothly when you breathe. If your pneumonia isn't treated, the pleura can get swollen, creating a sharp pain when you breathe in.

Why is it important to know if you have bacteremia?

It's not a common complication of pneumonia, but it's serious because your kidneys will stop working if they're not getting enough blood.

How to check for infection in lungs?

Your doctor can test your mucus or the pus in your lungs to look for infection. They may also take an X-ray or a CT scan of your lungs.

What happens if you breathe in fluid?

If the fluid gets infected, it leads to a problem called empyema. Tell your doctor if you are having any of these symptoms: Chest pain that gets worse when you breathe, cough, or sneeze. Pain that travels to your back or shoulder. Fever.

Why does my blood pressure drop?

It's a reaction to the infection in your blood, and it can cause your blood pressure to drop to a dangerous level. When your blood pressure is too low , your heart may not be able to pump enough blood to your organs, and they can stop working. Get medical help right away if you notice symptoms like: Fever.

How to recover from pneumonia?

Besides taking the prescribed medications, there are a few things that you can do to help you achieve a faster recovery from pneumonia. They include: 1 Getting a lot of rest, as it helps your body fight the infection. 2 Drinking plenty of fluids, as this keeps the body from being dehydrated and also loosens the mucus in the lungs. 3 Avoiding alcohol, smoking, and drugs 4 One can also use a cool mist humidifier to loosen the mucus.

How to diagnose pneumonia?

A diagnosis of pneumonia is done by a doctor through physical examination. A chest X-ray helps the doctor to determine how wide the infection has spread. Blood and mucus tests will help the doctor tell whether it is bacteria, a virus, or a fungal microorganism that is causing the infection.

Why is it important to follow the prescribed course of antibiotics?

The reason is that if the course of the antibiotic treatment is not followed properly, some bacteria might remain alive in the body. There would then be the possibility of pneumonia resurfacing.

What is the term for a collection of pus in the area that is infected with pneumonia?

Abscess – is a collection of pus in the area that is infected with pneumonia. Abscesses are usually treated using antibiotics. The surgical removal of abscesses can also be done in rare cases. Bacteremia – occurs when the infection spreads from the lungs to the bloodstream.

What happens if you smoke and have weak lungs?

When you have weak lungs due to smoking, your body will no longer have the capacity to fight pneumonia.

How many days do you die from pneumonia?

Death – most people successfully recover from pneumonia. However, the lung infection can also be fatal at times. The 30-day mortality rate of patients who are admitted to a general medical ward is approximately 5 to 10 percent.

Can pneumonia cause heart attacks?

Cardiovascular events – some studies have shown that patients who have had pneumonia are at an increased risk of having a cardiovascular event, such as a heart attack during recovery from pneumonia. This risk persists for several years after the episode of pneumonia.

How to treat pneumonia?

Most times, pneumonia 1  can be managed with home remedies, but other treatments may be necessary, including over-the-counter medications, antibiotics, antivirals, antifungals, and breathing treatments. In some cases, hospitalization may be necessary.

What is the best treatment for pneumonia?

Over-the-counter remedies that are typically used to help treat the symptoms of pneumonia include: 1 Fever reducers/pain relievers: Tylenol (acetaminophen), Motrin or Advil (ibuprofen), Aleve (naproxen), or aspirin will help bring your fever down and decrease any pain you might have. 14  Remember to never give aspirin to children because it increases their risk of developing Reye's syndrome, a rare but potentially life-threatening illness. 2 Expectorants: These medications help loosen and move mucus out of your lungs. 15  Your doctor probably won't want you to take cough suppressants, or at the very least, will only want you to take a low dose because you need to be able to cough to move the infection out.

What does walking pneumonia mean?

It's often referred to as "walking pneumonia," meaning that you don't feel so sick that you have to stay in bed all day. Technically, mycoplasma pneumonia 24 is caused by a bacteria and in some cases is treated with antibiotics, though it often goes away on its own without treatment as well.

How to treat aspiration pneumonia?

Aspiration Pneumonia: Aspiration pneumonia 25 is treated by removing the foreign object, if possible, and stopping the aspiration of more food or fluids. This may mean that you're not permitted to eat and will be given calories and fluids through an IV or via a feeding tube.

How to get rid of a cough after pneumonia?

3 Drinking more water will help thin the mucus in your body, making it easier to expel when you cough, an important part of recovering from pneumonia. Drink broth, soup, tea, or even hot water to help ward off chills and get some extra hydration.

What is the best medicine for a fever?

Fever reducers/pain relievers: Tylenol (acetaminophen), Motrin or Advil (ibuprofen), Aleve (naproxen), or aspirin will help bring your fever down and decrease any pain you might have. 14 Remember to never give aspirin to children because it increases their risk of developing Reye's syndrome, a rare but potentially life-threatening illness.

How to improve breathing?

Studies have shown that caffeine can improve breathing 4 by opening up the airways for up to four hours.

How Are Pneumonia Complications Treated?

Complications may be more common in pneumonia that starts after stomach contents are inhaled into the lungs, a type of condition called aspiration pneumonia.

How to prevent pneumonia?

While there's no sure way to prevent pneumonia, there are a number of steps you can take to reduce your risk of infection. There are also proven methods for treating the various types of pneumonia, once properly diagnosed.

How Is Viral Pneumonia Treated?

Viral pneumonias are more likely to be treated at home, and not at the hospital.

What is necrotizing pneumonia?

Another dangerous variation is necrotizing pneumonia, a bacterial pneumonia that can result from a large number of pathogens, including staphylococcus. ( 6) Complicated pneumonias such as these may result in respiratory failure, which requires assisted breathing with a machine called a ventilator.

What causes pneumonia in the elderly?

Other causes of pneumonia include bacteria and fungi. Your doctor will outline a plan that's specific to you, considering the type of pneumonia you have, the severity of the condition, your age, and your overall health. From there, you'll know whether you can be treated at home or at the hospital, and whether or not you need antibiotics.

What is the procedure to drain the lung?

Your doctor may refer to this procedure as "lung scraping."

How many types of fungi cause pneumonia?

These conditions can be diagnosed with a blood test that shows your body is making antibodies to the fungus. More than 10 types of fungi can cause fungal pneumonia, which is more common in people with weakened immune systems. ( 5)

What are the common diseases that are confused with pneumonia?

Less common diseases that may be confused with pneumonia include pulmonary emboli, or blood clots in the lung; bronchiectasis, and lung cancer.

What happens if you smoke and have pneumonia?

Chronic obstructive pulmonary disease (COPD) associated with smoking may result in lung sounds that are similar to pneumonia. Someone with asthma may simply be having an exacerbation that requires treatment with a bronchodilator like albuterol. People with heart failure also have crackles and rales, but a chest x-ray will probably show an enlarged heart. They don’t need antibiotics, but the use of a diuretic can be critical to keep that patient out of the hospital.

What are the consequences of misdiagnosis?

Misdiagnosis delays treatment and can result in long-term disability or death. Despite the serious potential consequences of misdiagnosis, there have been reports of an alarming number of diagnostic errors among patients with common problems. One of these commonly misdiagnosed disorders is pneumonia.

What are the five findings of a doctor who diagnoses pneumonia?

These include: Fever: a temperature greater than 100.4 degrees Fahrenheit. Heart rate (pulse) more than 100 beats per minute.

Is pneumonia a misdiagnosed condition?

Pneumonia is the second most misdiagnosed condition leading to readmission after a previous hospitalization, second only to congestive heart failure. Blood tests and sputum cultures can be helpful to make the diagnosis of pneumonia. The diagnosis should be confirmed by X-ray, and if pneumonia is not evident, antibiotics should be discontinued and other causes of the patient’s symptoms should be sought. In healthcare clinics outside of the hospital setting, the diagnosis is often made solely on clinical symptoms and a physical examination.

Can you diagnose pneumonia after a period?

An article in ScienceDaily several years ago noted that doctors often fail to use diagnostic standards and criteria to diagnose pneumonia when readmitting patients after a period in the hospital for the same illness. This leads to unnecessary antibiotic use, an increased risk of acquiring another infection in the hospital, and additional expense, including time, missed at work.

Can pneumonia be seen on a chest xray?

Pneumonia Can Often Be Seen on a Chest X-ray. A chest x-ray in a person with pneumonia does not always have the characteristic “infiltrate” early in the course of the illness. Sometimes, the infiltrate may be in a portion of the lung that is not easily seen by standard x-ray, and other patients may have congestive heart failure or scarring in their ...

How to know if asthma treatment no longer works?

Signs your treatment no longer works. Keep a close eye on your asthma symptoms to determine if your current treatment plan no longer works. Signs you might need to talk to your doctor about modifying it include: Symptoms occur more regularly than before. You have to use a rescue inhaler three or more times a week.

How to manage asthma?

You should meet regularly with your doctor if you have asthma. During your appointment, you’ll get to discuss your symptoms and determine whether your treatment plan is effective . Share the records you keep of your symptoms with your doctor so they can get a clear idea of how your management plan is working .

What is the goal of asthma treatment?

The goal of treatment is to use as few treatments as possible so you can live with minimal symptoms.

What are some ways to treat asthma?

Your doctor may also discuss complementary or alternative therapies, such as stress-reducing methods, breathing exercises, or acupuncture. Many of these therapies lack significant research to prove they can effectively control asthma symptoms. Your doctor may still encourage you to incorporate them into your treatment plan.

Can asthma change over time?

Your asthma treatment plan should be able to control most of your symptoms. But your asthma can change over time, prompting the need for a new plan. Record your daily symptoms and share them with your doctor to determine how to control your condition.

Can asthma be adjusted?

Adjusting your treatment plan doesn’t always mean more interventions. Well-controlled asthma may be a sign that you can reduce the medications in your treatment plan. You may also find that your plan needs seasonal adjustments depending on how you react to certain triggers.

Can you stop using an asthma inhaler?

While there are many treatments available to keep your asthma under control, it’s possible for them to stop working as they should. You may notice this if your symptoms occur more regularly, if you have to use your rescue inhaler frequently, or if your condition begins to interfere with your daily life. Asthma doesn’t have a one-size-fits-all ...

Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Govind Desai
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The course of treatment depends on the cause of infection, symptoms and severity of the condition.
Medication

Antibiotics: To treat bacterial infection.

Levofloxacin . Azithromycin


Antivirals: To treat viral infection.

Oseltamivir . Zanamivir


Antifungals: If the infection is caused by fungi.

Fluconazole . Itraconazole


Analgesics: To ease symptoms of pain.

Acetaminophen . Ibuprofen


Cough suppressants: To relieve cough.

Dextromethorphan . Codeine

Therapy

Oxygen therapy:To maintain oxygen level in the blood.

Self-care

Always talk to your provider before starting anything.

  • Take rest
  • Drink plenty of fluids
  • Do not over strain the body

Nutrition

Foods to eat:

  • Increase fluid intake; broth based soups provide relief from symptoms
  • Take plenty of fruits and vegetables
  • Consume lean proteins such as chicken

Foods to avoid:

  • Refined starch and sugar; pasteurized milk and dairy products

Specialist to consult

Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.

Preparing For Your Appointment

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