Dr. R.K.Chopra

Pneumonia is a serious ailment in the lungs which can affect people of all ages even though kids are most vulnerable to this. According to the estimates of the World Health Organization, over 160 million children across the globe get affected by pneumonia every year out of whom 20 million have to be hospitalized, and 2 million die.

Who is most susceptible to pneumonia?
Children who are exposed to the smoke of tobacco or have poor nutrition, asthma, high blood sugar, cold, flu, poor shelter, HIV infection and lack of proper breastfeeding are at risk. Also, if children don’t get an adequate amount of zinc in the diet, then they can get affected by pneumonia.

As the germs reach the lungs, this organ becomes infected and inflamed with a buildup of fluid. It can lead to breathing problems which can make inhibit the entrance of oxygen in the bloodstream. This prevents the cells in the body in performing their normal functions and infections cannot be flushed out of the body.

What are the common signs and symptoms of pneumonia?
The common symptoms of pneumonia include vomiting, chills, chest pain, rapid breathing and shortness of breath, chest retractions during respiration, fatigue, high temperature, nausea, muscle weakness, wheezing and coughing of green and slightly bloody mucus. It may also include unconsciousness, lethargy, convulsions and also feeding problems in infants. There is a type of pneumonia that does not show any major sign but which may interfere with daily functions is referred to as walking pneumonia.

You should ensure that your child is immunized as per prescribed schedule. Also, you should know about the warning signs of pneumonia and other ailments of the lungs which include fast breathing, frequent coughing, and difficulty in breathing to detect pneumonia in its early stages. And take them to visit the doctor as soon as you observe the signs. When it comes to an infant, you should breastfeed him/her as mother’s milk contains all the vital nutrients, hormones, antioxidants and antibodies that your child requires to ward off infections including pneumonia.

Thus, being aware you can protect your child from contracting the disease.
 

A cough is probably one of the most common respiratory diseases that people suffer from. In most cases, it is nothing to worry about and can be cured with cough suppressants and salt water gargles. However, coughing of blood is a serious problem. The coughing up of blood that originates from below the level of the larynx is known as hemoptysis. This can vary in terms of severity depending on the amount of blood being expelled. This disease is a common condition, but on an average, less than 5% of hemoptysis cases are life threatening.

Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm

1. Fever
2. Anorexia and weight loss
3. Dyspnoea
4. Paroxysmal nocturnal dyspnoea
5. Fatigue

Chest pain: Medical attention should be sought in cases where this condition recurs often, if it lasts for longer than a fortnight or if the volume of blood expectorated is more than 30ml per day. The various tools that help in the diagnosis of this condition are:

• Chest radiography: This imaging modality helps lateralize bleeding and understand the amount of lung involvement. It is quick, inexpensive and can also help detect other underlying abnormalities.
• Bronchoscopy: This involves the insertions of a rigid or flexible endoscope into the bronchial passages to check the airways and determine active bleeding sites.
• MDCT: A multidetector CT is a non-invasive imaging tool that provides a comprehensive evaluation of airways, lung parenchyma, and thoracic vessels. It can also be used to uncover potential causes of bleeding such as bronchiectasis, pulmonary infections and lung cancer. In some cases, a multidetector CT angiography may also be used.

Oral antibiotics are usually the first stage of treatment for this condition. Smokers will also be urged to quit cigarettes as this can worsen their condition. Treatment for minor hemoptysis may also include:

1. Oral hemostatics
2. Cough suppressants
3. Anticoagulants
4. Radiation of laser treatment
5. Therapeutic bronchoscopy

In its later stages, hemoptysis can be treated with a minimally invasive procedure known as endovascular embolization or with surgery. In some cases, endovascular embolization may also be sued to stabilise the patient before surgery. This procedure reduces the pressure in the hypertrophic arterial blood vessels and decreases the risk of perioperative bleeding.

Hemoptysis is also one of the most common complaints of lung cancer patients. Depending on the stage of cancer and the amount of blood expectorated, treatment in some cases may not be possible. In such cases, a parenteral opioid and fast-acting benzodiazepine may be administered.

In case you have a concern or query you can always consult an expert & get answers to your questions!