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Pneumonia Treatment And Prevention

Streptococcus pneumoniae, or pneumococcus, is the most common cause of bacterial pneumonia in adults, and it can be prevented with vaccines.

There are two types of vaccines to build immunity to pneumonia and other forms of pneumococcal disease:

The Centers for Disease Control and Prevention (CDC) recommends vaccination for all adults age 65 and older. People in these groups should receive PCV20 or PCV21, or PCV15 followed by PPSV23.

Anyone ages 19 to 64 with certain risk factors that increase their odds of infection complications should talk with their healthcare providers about whether they would benefit from vaccination as well; the type of vaccine and number of doses may vary.

Adults at increased risk include smokers, people with conditions that weaken the immune system (such as HIV or AIDS), and patients with chronic illnesses or ongoing health challenges (such as heart, liver, kidney, or lung disease; diabetes; or alcohol use disorder).

For all babies and children under age 5, the CDC recommends a four-dose PCV series (PCV15 or PCV20). The CDC notes that some children ages 2 to 18 may need additional doses.

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Pneumonia vaccine side effects are generally mild and can include pain at the site of the shot, fatigue, fever, or muscle aches.

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Besides these vaccinations, other steps to protect against pneumonia include:

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Get vaccinated to prevent other infections that may lead to pneumonia, including flu, COVID-19, and (if you are eligible) RSV. Children younger than 5 should get the Hib (Haemophilus influenzae type b) vaccine.

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Wash hands often.

Quit smoking.

Keep your immune system strong by eating well and exercising.

Take certain precautions if you have trouble swallowing, since food or saliva that accidentally enters the lungs can lead to bacterial pneumonia. Try eating smaller meals of thickened food and sleeping with your head elevated.

If you do get sick, take steps to prevent spreading pneumonia.

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Cover your nose and mouth with a tissue or your sleeve when coughing or sneezing.

Clean and disinfect surfaces that get touched a lot.

Stay home when you're ill, and keep your child home if they're sick.

7 Common Dry Cough Causes (and Treatment/Remedy Options You Can Try)

A dry cough occurs as a natural reflex when inflammation or irritation affects your airway. It is also called an unproductive cough since it does not produce phlegm or mucus. A dry cough can be classified as acute or chronic, based on its duration.

A dry cough often occurs as a result of an upper respiratory infection and resolves with the course of the disease. However, it can also be a sign of chronic health problems such as acid reflux or asthma. Treatment of a dry cough depends on the cause.

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#1 COVID-19 COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. It causes mild to moderate respiratory illness that typically does not require special treatment. However, older people and those with underlying medical conditions like diabetes, chronic respiratory disease, and cardiovascular disease have the highest risk of developing serious illnesses from COVID-19. The COVID-19 infection inflames your lung tissues, making breathing, getting oxygen, and removing waste more challenging. With COVID-19, a dry cough occurs in about 50% to 70% of people who have the disease. While COVID-19 affects everyone differently, other common symptoms can include: Treatment Most people do not require special treatment for COVID-19. However, your healthcare provider may advise treatment based on your age and other health conditions. COVID-19 treatments include: #2 Asthma Asthma is a chronic lung disease that affects the airways that carry air in and out of your lungs. With asthma, your airways become narrowed when you encounter specific triggers such as smoke, viruses, or allergens like pollen, causing an asthma attack and making it harder to breathe. Asthma can cause a dry cough when the small airway muscles tighten and swell. Other symptoms of asthma include: Chest tightness with pain Cyanosis (a color change in tissue on mucus membranes, fingertips, or nail beds to bluish on lighter skin tones and grayish or whitish on dark skin tones Expanded chest that does not deflate when you exhale Faster or slower than normal breathing Hard or shallow breathing Nighttime waking due to asthma symptoms Ribs or stomach moving in and out rapidly and deeply Shortness of breath Wheezing (a whistling sound when you breathe) Treatment Asthma treatment is complicated because it involves preventing symptoms and symptom relief. Asthma treatments include lifestyle changes and medications, as well as bronchial thermoplasty. Making lifestyle changes to avoid exposure to common asthma triggers that cause the airways to constrict include: Quick-relief medications to help prevent or ease symptoms during an asthma attack include: Inhaled short-acting beta-agonists (SABAs) to open your airways so air can flow through Oral corticosteroids to reduce swelling in your airways Short-acting anticholinergics to help open your airways quickly Long-term medicines include: Another treatment is bronchial thermoplasty. It is a procedure that involves the application of heat to the muscles along the walls of your airways to help prevent airway narrowing. It is done via the insertion of a bronchoscope (a tube with a camera at the end, through your mouth to see inside your airways).  #3 Idiopathic Pulmonary Fibrosis Idiopathic pulmonary fibrosis (IPF) is a severe, progressive, and generally fatal lung disease that causes inflammation and/or scarring of your lungs' alveoli (air sacs) for unknown reasons. The scarring interferes with your ability to breathe because it thickens the lining of your lungs. This causes irreversible loss of the tissue's ability to transport oxygen until the lungs can no longer provide oxygen to your organs and tissues. A dry and nagging cough that worsens over time is a common early symptom of idiopathic pulmonary fibrosis. It can be triggered by factors such as exercise, laughing, crying, or breathing in smoke or other chemicals. Other symptoms of idiopathic pulmonary fibrosis are: Aching muscles and joints Digital clubbing (widening and rounding of the tips of your fingers or toes) Extreme tiredness Gradual unintended weight loss Malaise (generally feeling unwell) Rapid, shallow breathing Shortness of breath that worsens over time Treatment While there is no cure for IPF, treatments can slow down the progression of lung damage and help improve your quality of life. Treatment can include medications, breathing therapies, and surgery. Medications include: Antacids to prevent stomach aid from getting into your lung Antifibrotic agents Esbriet (pirfenidone) and Ofev (nintedanib) to help your lungs work better and prevent acute exacerbation Cough medicationsImmunosuppressant drugs to reduce inflammation if an autoimmune disease is present Steroids that reduce inflammation Breathing therapies include: Surgery includes a lung transplant for treatment of severe symptoms. #4 Gastroesophageal Reflux Disease Gastroesophageal reflux disease (GERD) is a condition in which your stomach acid repeatedly flows back up into your esophagus (the food tube that connects your mouth and stomach). The regurgitated stomach acid is called acid reflux. Problems arise because this highly acidic substance can irritate the lining of your esophagus. While periodic acid reflux is common, it happens repeatedly over time with GERD. GERD can cause a cough when the acid and other digestive enzymes irritate your throat. This change in sensation or irritation can stimulate a cough. In addition to a dry cough, symptoms of GERD can include: Asthma Bloating Burping Chest pain Difficulty swallowing or a sensation of having a lump in your throat) Nausea Regurgitation (the return of stomach contents up through your esophagus and into your mouth) Shortness of breath Sore throat, hoarseness, or laryngitis Sour taste in your mouth Tooth enamel erosion (wearing away) Treatment Treatment for GERD can vary based on the severity of your disease. Common treatments include changes to diet, medications, and surgery. Dietary and lifestyle changes include: Avoid eating before bedtime. Avoid lying down after eating. Avoid trigger foods. Elevate the head of your bed 6 to 8 inches while you sleep. Establish and maintain a healthy weight. Participate in smoking cessation. Over-the-counter (OTC) and prescription medications include: Antacids to neutralize stomach acids including Maalox, Mylanda, Rolaids, TUMS, and others (calcium carbonate) Histamine 2 (H2) blockers to reduce the amount of stomach acid including Pepcit (famotidine), Tagamet HB (cimetidine), Zantac (ranitidine), and Axid (nizatidine) Lyvispah (baclofen) to reduce lower esophageal sphincter relaxation, a condition that allows acid backwash to occur Proton pump inhibitors (PPIs) to reduce the amount of stomach acid including Prilosec (omeprazole), Nexium (esomeprazole), and Prevacid (lansoprazole) Surgery includes: Endoscopic gastric plication is the application of sutures around your lower esophageal sphincter to tighten it. Laparoscopic fundoplication is considered the gold standard of GERD surgery, it involves a laparoscopic procedure in which your fundus (the top of your stomach) is wrapped around the bottom of your esophagus. Magnetic sphincter augmentation (LINX device) entails the placement of tiny magnetic titanium beads in the area where your stomach and esophagus meet to quickly close the opening to prevent acid reflux after it lets in food and drink. Transoral incisionless fundoplication (TIF) is a procedure performed using an endoscope (a long tube with a camera that is inserted through your mouth into your esophagus) to fold your fundus around your esophagus without an incision. #5 Postnasal Drip Postnasal drip, also known as upper airway cough syndrome, is a feeling of mucus gathering in your throat or at the back of your nose. When you are healthy, you swallow mucus unconsciously many times a day. However, factors such as seasonal allergies, some medications, GERD, and spicy foods can increase the volume of mucus or thicken it. This can lead to coughing as you try to manage the abnormal flow and texture of the mucus. Postnasal drip typically lasts for a few days or weeks, though it can become chronic and persist for months. In addition to a persistent dry cough, symptoms of postnasal drip include: Treatment Treatment for postnasal drip varies based on the cause of the problem, including bacterial infections, chronic sinusitis, seasonal allergies, and GERD. For bacterial infections: Chronic sinusitis may require surgery to open blocked sinuses. Seasonal allergies may be treated with the following: Antihistamines Avoiding triggers Cromolyn and steroid nasal spray Decongestants Immunotherapy (desensitization) Oral steroids If GERD is the cause, traditional treatments for this condition will be used. Measures to allow the mucus to pass more easily include: Avoid diuretics (medications that reduce fluid from your body by increasing urination). Drink more water. Eliminate caffeine. Mucus-thinning agents such as Mucinex, Robitussin (guaifenesin). Saline nasal sprays such as Ocean or Ayr to reduce secretion thickness. #6 Upper Respiratory Infections Upper respiratory infections (URIs) are contagious infections that affect your upper respiratory tract (including your nasal passages, sinuses, and throat). The most common upper respiratory infections are viral infections, such as the rhinovirus, which causes the common cold. Viruses such as adenovirus and bacteria such as chlamydia can cause upper respiratory infections. A dry cough is a common URI symptom because these conditions affect your nasal passages and throat. Other symptoms of upper respiratory infections can vary by specific disease. These symptoms can include: Bad breath Body aches Conjunctivitis (itchy and watery eyes) Diarrhea Fever Headache Nasal congestion and difficulty breathing through the nose Nausea Runny nose Shortness of breath Sinus pain Sneezing Sore or scratchy throat and pain when swallowing Vomiting Treatment Treatment for an upper respiratory infection can vary based on the cause of the infection. Dry cough remedies can include medications and lifestyle changes. Medications include: Lifestyle changes include: Increased fluids Rest Supplemental oxygen #7 Lung Cancer Lung cancer is cancer that starts when cells in your lung mutate (develop abnormally) and grow out of control. It usually occurs from breathing dangerous chemicals, but can also develop without a known cause. As the abnormal cells grow, they join to form a tumor, which destroys surrounding healthy lung tissue. Lung cancer can cause a cough when it originates in your large central airways. A tumor can narrow the airway and cause coughing. While a dry cough can be an early sign of lung cancer, the disease affects everyone differently. In most people, symptoms do not occur until the disease advances. In addition to a dry cough, other possible symptoms of lung cancer include: Chest pain that worsens with coughing, deep breathing, or laughing Constant fatigue Coughing up blood or rust-colored spit or phlegm Loss of appetite Repeated episodes of bronchitis or pneumonia Shortness of breath Swollen or enlarged lymph nodes (glands) inside your chest in the area between your lungs Unexplained weight loss Wheezing Treatment Treatment for lung cancer varies based on its type and stage. Depending on additional factors such as your age and other health conditions, treatment for lung cancer can include one or more of the following therapies: Other Potential Causes There are many other potential causes of a dry cough. These include: Smoking or Inhaling Cigarette Smoke Smoking or breathing in smoke can sometimes cause a smoker's cough fast your body tries to clear the irritants caused by smoking. Angiotensin Converting Enzyme (ACE) Inhibitors About 10% of people who take ACE inhibitors develop a dry cough. These drugs, such as Vasotec (enalapril) and Zestril (lisinopril), are commonly used to treat high blood pressure. Bronchiectasis Bronchiectasis is an obstructive lung disease that occurs from inflammation and infection. It causes permanent widening of your airways. Bronchiectasis occurs from inflammation and infection. Cystic Fibrosis Cystic fibrosis is a progressive, and life-threatening condition. It damages the lungs and digestive tract. Sarcoidosis Sarcoidosis develops when groups of cells in your immune system form called granulomas. These small, red, and inflamed lumps can cause permanent scarring in your lungs and lymph nodes in your chest. Pneumonia Pneumonia or other lung infections are contagious conditions caused by bacteria or viruses in your lower respiratory tract. They spread when an infected person coughs or sneezes. Laryngopharyngeal Reflux Laryngopharyngeal reflux is a type of reflux (the return of stomach acid from your stomach into your throat) that triggers postnasal drip, the sensation of a lump in your throat, and a dry cough. Environmental Allergies Environmental allergies are types of allergies cause your body to overreact to harmless substances in the environment. They can include pollen, mold, pet dander, or grass. Certain Medications A dry cough can occur as a side effect of the following types of medications: How to Get Rid of a Dry Cough at Home There are many ways to get rid of a dry cough at home. Choosing the best treatment depends on the cause of your symptoms. Since a dry cough can occur as a symptom of another condition, it is important to treat and manage underlying health problems. At-home remedies encompass lifestyle modifications and medications. Lifestyle Modifications These include: Avoid known allergens such as smoke and hay fever to reduce the risk of a dry cough caused by an allergic reaction. Avoid secondhand airborne irritants and cigarette smoke in your home and workplace. Consult your healthcare provider about changing your prescription if you take a medication known to cause a dry cough. Drink plenty of liquids such as water, soup broths, or herbal teas to moisturize a dry throat. Operate an air-conditioner rather than fans or open windows to cool the inside air. Take hot showers or use a humidifier to create moisture in the air. Try aromatherapy by using essential oils such as holy basil, eucalyptus, thyme, or peppermint in an oil diffuser. Use dust mite covers to encase pillows and mattresses inside dust mite covers. Use extra pillows or a wedge to elevate your head while sleeping. Nonprescription (Over-the-Counter) Treatments These treatments include: Breathe in steam from a humidifier or leaning a safe distance above a bowl of boiling water and drape a towel over your head to inhale the moisture. Consume holy basil as a tea or added to steam as an extract to treat a dry cough. Gargle with a mixture of one-half teaspoon of salt dissolved in 8 ounces of warm water. Make thyme tea by steeping 3 to 4 teaspoons of dried thyme leaves or powder in boiling water for five to 10 minutes. Thyme contains thymol, an antispasmodic to relax throat muscles. Steep freshly grated ginger root in hot water to make ginger tea or add ginger to other herbal tea blends to take advantage of ginger's anti-inflammatory properties and compounds called gingerols that can relieve coughing. Suck on hard candy or cough drops with ingredients like peppermint, honey, or eucalyptus oil to treat the sensation of a tickle in the back of your throat. Take a natural capsaicin (chili) supplement to reduce the effects of dry coughs triggered by environmental irritants. Take cough suppressants, such as Delsym (dextromethorphan), Mucinex DM (guaifenesin and dextromethorphan), and Tessalon (benzonatate) Take 1 to 2 teaspoons of raw, unpasteurized honey alone or in warm water or herbal tea to soothe irritation. Prescription Cough Suppressants Prescription cough suppressants include the following: When to Contact a Healthcare Provider With so many potential causes, it can be difficult to know whether your dry cough is a minor inconvenience or a symptom of a serious medical condition. To ensure you're not ignoring warning signs of a potential health problem, consider the following guidelines for when to seek medical attention for a dry cough. Contact a healthcare provider for a dry cough that occurs with any of the following characteristics: Call 911 or go to an emergency room if you have a dry cough with any of the following features: Summary In most cases, a dry cough is not a cause for concern. It typically occurs as a common cold or flu symptom that wanes as the condition resolves. While home treatments can relieve symptoms, they do not cure coughs. Curing a cough requires resolving or treating the underlying cause. Knowing the source of your cough can help you manage symptoms and avoid triggers in cases of problems like allergies and reflux. When a dry cough occurs as a sign of an underlying condition, it must be identified and treated to resolve the cough. Contact your healthcare provider if you have a dry cough that persists longer than three weeks or fails to improve with home treatment.

What To Know About Small Cell Lung Cancer And Pneumonia

Small cell lung cancer (SCLC) may increase the risk of pneumonia due to a weakened immune system or structural changes to the lungs.

SCLC is one of the two main types of lung cancer. Pneumonia is an infection of the lungs due to bacteria, viruses, or fungi.

This article looks at the link between SCLC and pneumonia, and the diagnosis, treatment, prevention, and outlook of pneumonia in people with SCLC.

People with SCLC may be more vulnerable to developing infections because cancer and cancer treatments can weaken the immune system.

Pneumonia can also be a common complication of major surgery for cancer. Surgery for lung cancer can be highly invasive and can lead to severe complications, including pneumonia.

Lung cancer can also cause changes to the structure of the lungs which can increase the risk of infections.

Post-obstructive pneumonia is a type of pneumonia that occurs due to a blockage in the airways. This causes fluid and mucus to build up behind it, leading to infection. A blockage of the airways, or bronchial obstruction, is more common with SCLC than some other types of tumors.

Both SCLC and pneumonia can cause shortness of breath and fatigue. However, the other symptoms differ.

Other symptoms of pneumonia include:

Other symptoms of SCLC include:

blood gas test, which measures oxygen levels in the blood

sputum test, which tests a spit or mucus sample for pneumonia-causing germs

blood culture, which tests for germs in the blood, and checks if a bacterial infection has spread to the bloodstream

polymerase chain reaction (PCR) test, which uses a blood or sputum sample to identify the DNA of the germ causing the pneumonia

bronchoscopy, to look inside the airways and collect tissue samples to find the cause of pneumonia

CT scan, to see how much of the lungs the pneumonia is affecting

thoracentesis, in which a doctor takes a fluid sample from the space between the lungs and the chest wall to test for bacteria

Treating pneumonia in people with SCLC may depend on the severity of the pneumonia and a person's overall health.

Home treatment

If the pneumonia is mild, people may be able to treat it at home. A doctor may advise prescription or over-the-counter (OTC) medications, such as:

antibiotics, if a bacterial infection is causing pneumonia

antiviral medication, for viral pneumonia, although this is not effective for every person

antifungal medication, for people with cases of fungal pneumonia

OTC medications to manage symptoms, such as fever, muscle pain, or breathing difficulties

Hospital treatment

For people with severe cases of pneumonia, they may need treatment in a hospital. Doctors will give people intravenous (IV) antibiotics and fluids.

People may also receive oxygen therapy, which increases oxygen levels in the blood. Some people may need a ventilator to assist with breathing.

Taking steps to prevent pneumonia is important for those with SCLC. Steps that may help prevent pneumonia include:

getting a pneumococcus vaccine, which prevents pneumococcus bacterial infections, and is particularly important for people with cancer

getting a yearly flu vaccine

washing the hands regularly to get rid of germs

avoiding smoking

strengthening the immune system with physical activity and healthy eating

for any swallowing difficulties, eating smaller meals with thicker food may help prevent any food from reaching the lungs

elevating the head of the bed to help prevent saliva from getting into the lungs when sleeping

Reducing the risk of infections is important. Professional oral care and hygiene around the time of surgery may help reduce the risk of pneumonia in people with cancer.

The outlook of pneumonia with SCLC may depend on the severity of the pneumonia, the stage of SCLC, and factors, such as age and the person's overall health.

A large-scale 2023 study found the risk of death due to pneumonia was higher in people with a cancer diagnosis, and the risk increased with lung cancer.

A weakened immune system and respiratory failure due to cancer treatment may worsen the outlook of pneumonia in people with cancer.

Can a person with cancer survive having pneumonia?

Pneumonia can be serious in people with cancer, but early diagnosis and treatment may improve outlook.

What lung cancer mimics pneumonia?

Lung adenocarcinoma, a subtype of non-small cell lung cancer, can mimic the appearance of pneumonia on CT scans and cause similar symptoms.

Small cell lung cancer (SCLC) may increase the risk of pneumonia due to a weakened immune system, cancer treatments, and changes in lung structure.

Cancer can increase the risk of serious complications with pneumonia, so prevention or early diagnosis and treatment are important.

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