12 Causes of Respiratory Issues
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The body’s respiratory system includes the nose, sinuses,
mouth, throat, and lungs.
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Upper Respiratory
Infection Versus Lower: What’s the Difference?
The body’s respiratory
system includes the nose, sinuses, mouth, throat (pharynx), voice box (larynx),
windpipe (trachea), and lungs. Upper respiratory infections affect the parts of
the respiratory tract that are higher on the body, including the nose, sinuses,
and throat, while lower respiratory infections affect the airways and lungs.
Upper Respiratory
Infection
Types of upper
respiratory infection include the common cold (head cold), the flu,
tonsillitis, laryngitis, and sinus infection. Of the upper respiratory
infection symptoms, the most common is a cough. Other symptoms of upper
respiratory infection may include stuffy or runny nose, sore throat, sneezing,
muscle aches, and headache.
Lower Respiratory
Infection
Lower respiratory
infection can be caused by bronchitis, pneumonia, respiratory syncytial virus
(RSV), severe flu, or tuberculosis, for example). Lower respiratory infection
symptoms include a severe cough that may produce mucus (phlegm), cause
shortness of breath, chest tightness, and wheezing when exhaling.
Whooping Cough
(Pertussis)
Whooping cough
(pertussis) caused by the Bordetella pertussis bacterium.
Whooping cough is a highly contagious respiratory infection characterized by
uncontrollable, violent coughing that can make it difficult to breathe. The
whooping cough sound comes from an ill person taking a deep breath after a
coughing fit, making a "whooping" sound in the process of sucking air
in.
What are the Symptoms
of Whooping Cough?
Early whooping cough
symptoms resemble a common cold, and include sneezing, runny nose, stuffy nose,
fever, other cold symptoms, and a mild cough. After 1-2 weeks the cold symptoms
of whooping cough get better but the cough gets worse and can last for weeks.
Anyone, including
adults, can get pertussis, but whooping cough in infants can be particularly
severe and even life threatening. Once considered a disease of yesteryear,
whooping cough returned to national headlines in 2010 when 10 infants in
California died during a whooping cough outbreak.
How is Whooping Cough
Spread?
Whooping cough is highly
contagious. Pertussis bacteria are usually spread by coughing, sneezing, or
sharing a breathing space. People infected with whooping cough are most
contagious up to two weeks after the cough begins.
Whooping Cough
(Pertussis) Vaccine
The pertussis vaccine is
recommended for both adults and children. This vaccine helps prevent the spread
of infection of whooping cough in infants and others. Whooping cough vaccines
are available beginning at 2 months old, with subsequent doses (booster shots)
required throughout early adolescence.
Swine Flu (H1N1)
Swine flu (H1N1) is a
respiratory illness caused by an Influenza-A virus. A virus’s genetics allow
that particular virus to live inside a specific species, like a human, cat,
dog, monkey, and others. The swine flu gets its name because the Influenza-A
viruses that causes swine flu (H1N1v viruses) show genetic similarities to
viruses that infect pigs.
Swine Flu Symptoms
As with any seasonal
flu, swine flu symptoms can include fever, cough, sore throat, a general
feeling of being unwell (malaise), headache, chills, muscle pain, and joint
pain. Swine flu symptoms can also include vomiting and diarrhea.
Can You Catch Swine Flu
from Eating Pork? How is Swine Flu Spread?
Swine flu cannot be
spread by eating cooked pork products. It is possible for swine flu to spread
from pigs to humans, though this type of spread is most common among people in
places like pig barns and livestock fair exhibits housing numerous live pigs.
Usually, swine flu is spread from person to person though sneezing, coughing,
or kissing. H1N1 flu is typically contagious from 1 to 7 days of the initial
viral infection.
Swine Flu Vaccine
The swine flu vaccine is
prepared either as a shot or as a nasal spray. As a shot, the swine flu vaccine
is a “killed virus” vaccine. As a nasal spray, the H1N1 virus vaccine is a
“live virus” vaccine that has been weakened (attenuated). In each case, the
swine flu vaccine works by exposing patients to a small dose of the virus,
which helps the body develop its own immunity to swine flu. People as young as
six months old can begin to receive swine flu vaccination.
Bird Flu (Avian Flu
H5N1)
Avian (bird) flu is an
illness also caused by an influenza- A virus. Most human illnesses from avian
flu have been caused by the LPAI (low pathogenic avian flu) H7N9 and HPAI (high
pathogenic avian flu) H5N1 variants that have genetic similarities to viruses
found to infect birds. People infected with bird flu have often been in close
contact with sick birds and their droppings, or in direct contact with someone
else already infected with the bird flu virus.
Bird Flu Symptoms
Bird flu symptoms
include fever, cough, difficulty breathing, diarrhea, headache, body aches,
confusion, sore throat, and runny nose. Bird flu can be life threatening. About
40% of those infected with H7N9 and 50% of people infected with the H5N1
variant die from complications.
Bird Flu Treatment
Antiviral medications
are usually prescribed and can help cope with bird flu symptoms; severe
infections usually require hospitalization in an intensive care unit with
supportive treatments like mechanical breathing support and oxygen
administration.
Bird Flu Vaccination
and Prevention
The best way to prevent
bird flu it is to avoid sources of exposure like contaminated poultry farms,
aviaries, or coops. In case of a bird flu outbreak, an H5N1 vaccine is
available from the US government; it is not typically suggested as a season flu
vaccine.
Enterovirus
Non-polio enterovirus
refers to a group of very common viruses that cause 10 to 15 million infections
annually. There are many non-polio enteroviruses such as enterovirus 71, which
has caused large outbreaks of hand, foot, and mouth disease worldwide, but
typically most people infected by enterovirus experience nothing more than the
common cold. Anyone can get the enterovirus, which is transmitted through
person-to-person contact. Those most likely to exhibit enterovirus symptoms are
infants, children, and teens.
Enterovirus Symptoms
Enterovirus symptoms
resemble those of the common cold, and include fever, runny nose, sneezing,
cough, skin rash, mouth blisters, and body and muscle aches. Of the many types
of enterovirus, about half are known to cause an enterovirus rash. People affected
by enterovirus symptoms may also have trouble breathing and experience
wheezing.
Enterovirus Treatment
Many infected patients
can be treated by their primary care physician. If complications arise,
infectious-disease specialists, critical-care specialists, cardiologists and/or
lung specialists may be called on for treatment. There are currently no
antiviral medications available for non-polio enteroviruses.
Flu in Children
Seasonal influenza (“the
flu”), is an acute respiratory illness caused by influenza A or B viruses and
is most dangerous to children, seniors, and those with weakened immune systems.
The flu is contagious, spreading through droplets created when an infected
person coughs, sneezes, or talks. Children may be able to pass the flu virus for
longer than seven days, and some people who are infectious may show no symptoms
of flu.
Pediatric Flu Symptoms
Flu symptoms begin one
to four days after the virus enters the body. Flu symptoms include fever,
chills, cough, sore throat, runny or stuffy nose, muscle or body aches,
headaches, and fatigue. Flu symptoms in children may also include vomiting and
diarrhea.
Differences Between
Flu and Stomach Flu
Although flu symptoms
may include vomiting and diarrhea, especially in children, this does not necessarily
mean a child has “stomach flu.” Stomach flu is caused by intestinal infection
from a virus, typically rotavirus or norovirus. In other words, stomach flu is
actually a different disease all together from influenza.
How Long Does the Flu
Last in Children?
Some flu symptoms in
children typically last longer than others. Fever and muscle aches usually go
away after two to four days, but cough and fatigue flu symptoms can continue
for one to two weeks or longer.
Flu Complications in
Children
The Centers for Disease
Control (CDC) estimates about 20,000 children under the age of 5 are
hospitalized due to flu complications every year. Severe complications from flu
symptoms are most common in children under 2 years old.
Flu Prevention,
Including Flu Shots
Everyone 6 months of age
and older should get a flu shot annually to help prevent the spread of the
seasonal influenza virus and flu infections. Flu vaccines contain inactive
(dead) viruses triggering an immune response without infection. This helps the
body produce flu antibodies thus preventing further infection. A nasal spray
vaccine has been approved for use in people ages 2-49.
The CDC recommends
everyone get a flu shot as soon as they become available, or at least by
October as the flu shot takes up to 2 weeks to become effective. Beyond
vaccination, experts recommend keeping children home if they are sick with the
flu. Washing hands often with soap and water when available, and when not,
using an alcohol-based hand rub. Avoid sharing food utensils, dishes, bedding
and clothes with children who are sick with the flu. Clean and disinfect
frequently touched surfaces such as toys and play areas to prevent the spread
of flu viruses.
Flu in Adults
Seasonal influenza (“the
flu”) in adults is also caused by the Influenza A or B viruses. The flu can be
unpredictable and flu symptoms can range from mild to severe. Flu symptoms in
adults are often the same as in children: fever, chills, cough, sore throat,
runny or stuffy nose, muscle or body aches, headaches, and fatigue. Vomiting
and diarrhea may also count among flu symptoms in adults, though this is more
common in children.
Adult Flu
Complications
Complications of the flu
can include bacterial pneumonia, ear infection, sinus infection, dehydration,
and worsening of chronic medical conditions, such as congestive heart failure,
asthma, or diabetes. The Centers for Disease Control (CDC) estimates 200,000
people are hospitalized each year due to flu complications and deaths from the
flu range from 3,000 annually to 49,000, depending on the severity of the flu
virus in a particular season. Seniors and those with compromised immune systems
are the most at risk for flu complications.
Flu Treatment
Treating flu depends on
what flu symptoms are present. Decongestants work for nasal or sinus congestion
flu symptoms. Antihistamines may be helpful for runny nose, postnasal drip, or
itchy, watery eyes.
An occasional cough can
help clear the lungs, while a persistent cough can be treated with various
cough medicines, often containing combinations of decongestants,
antihistamines, analgesics/antipyretics, expectorants, and cough suppressants.
Ask a pharmacist for help choosing which combination is best for relieving your
symptoms. Over-the-counter medicines available to treat fever and body aches
include ibuprofen (Advil, Motrin) and naproxen (Aleve).
When is Flu Season?
Each year, different flu
viruses spread at different times each year. In the United States, flu season
begins as early as October and ends as late as May. Flu infections usually peak
in January or later.
Bacterial Pneumonia vs
Walking Pneumonia
Walking pneumonia
symptoms are similar to the common cold and may include sore throat, fatigue,
fever, headache, and a worsening cough that lasts from weeks to months. Other
walking pneumonia symptoms may include loss of appetite, wheezing, and
shortness of breath.
Bacterial pneumonia (for
example, Streptococcus spp.) produce more serious symptoms than
walking pneumonia; many patients need hospitalization. In contrast to walking
pneumonia, patients experience more severe fatigue, fever, a productive cough
and are not able to be “walking “around. Some may require intensive care and
respiratory support.
Bacterial and Walking
Pneumonia Treatments
Antibiotics are highly
effective in treating bacterial pneumonia and walking pneumonia if the bacteria
are not resistant to the antibiotics. Most people see improvement in two to
three days after beginning antibiotic treatment but some bacterial pneumonias
take longer even with IV antibiotics.
Walking Pneumonia
(Mycoplasmapneumonia) and Bacterial Pneumonia Transmission
One third of all people
who contract the Mycoplasma pneumoniae (M. pneumoniae)
bacterium develop a bacterial pneumonia often referred to as “Walking
pneumonia,” so-called because the symptoms are typically mild. M.
pneumoniae can also develop into tracheobronchitis, causing
inflammation and chest congestion. Walking pneumonia occurs most often in
crowded settings such as schools, military barracks, nursing homes, and
hospitals.
Bacterial pneumonias,
except for tuberculosis, are not very contagious. They can occur from bacteria
normally in the nose or throat when conditions allow their spread to the lungs.
Walking Pneumonia
Symptoms and Bacterial Pneumonia Symptoms
Walking pneumonia
symptoms are similar to the common cold and may include sore throat, fatigue,
fever, headache, and a worsening cough that lasts from weeks to months. Other
walking pneumonia symptoms may include loss of appetite, wheezing, and
shortness of breath. To treat the symptoms of walking pneumonia, drink plenty
of water, rest, avoid smoking, and take aspirin or acetaminophen for body
aches.
Bacterial pneumonia
symptoms are more severe; including a severe cough with thick yellowish or
blood-tinged sputum, chest pain with coughing or breathing, high fever,
headache, chills and possible breathing difficulty.
Mycoplasma Pneumonia
and Bacterial Pneumonia Prevention
M. pneumoniae and other bacteria are spread by coughing
and sneezing. To avoid spreading the disease, cover your mouth when you cough
or sneeze, put used tissues in the trash, wash hands with soap and water for at
least 20 seconds or use an alcohol rub if no water is available. If you don’t
have a tissue, cough into your elbow or sleeve rather than your hands.
Viral Pneumonia
Viral pneumonia is a
lung infection that can occur in anyone of any age, but is more common in young
children and the elderly. Common causes of viral pneumonia include Influenza A
or B ("flu"), respiratory syncytial virus (RSV), parainfluenza, and
adenovirus. Worldwide, viral pneumonia is the leading cause of death among
children younger than 5 years old.
Is Viral Pneumonia
Contagious?
Because it is caused by
infectious microbes, viral pneumonia is contagious. This is true with many
forms of pneumonia. However, viral pneumonia is considered less contagious than
the flu. Risk factors for developing pneumonia include smoking or underlying
medical conditions such as heart disease or diabetes.
Viral Pneumonia
Symptoms
Viral pneumonia symptoms
include cough with phlegm, fever, chills, shortness of breath, fatigue, muscle
aches, headache, sweating, clammy skin, and confusion (especially in the
elderly).
Viral Pneumonia
Treatments and Medications
Unlike bacterial
pneumonia, antibiotics won’t help if you have viral pneumonia. A doctor may
prescribe antiviral medications. Because different viruses may cause pneumonia,
your doctor will choose different treatment drugs depending on the infecting
microbe.
If influenza has caused
your viral pneumonia symptoms, a doctor may prescribe medications to help stop
the spread of flu in your body such as oseltamivir (Tamiflu), zanamivir
(Relenza), or peramivir (Rapivab). If RSV is to blame for your viral pneumonia
symptoms, your doctor may try to limit the spread of the virus with medication
such as ribavirin (Virazol).
Viral Pneumonia
Vaccines and Prevention
Viral pneumonia can
often be prevented with vaccines for the instigating viruses (the flu shot, for
example). In addition, cleanliness can help prevent the spread of
pneumonia-causing viruses: wash hands often with soap and water for at least 20
seconds (especially before eating or preparing food), stay away from people who
are coughing or sneezing and keep your hands away from your eyes, ears, nose
and mouth.
Bronchitis
Bronchitis is a
condition whereby the bronchi (the air passages within the lungs) become
inflamed. Smoking is the most common cause of chronic bronchitis, but dust,
allergens, and toxic gases can also trigger bronchitis. In addition to inhaled
pathogens, viruses or bacteria are the most common causes of acute bronchitis.
Bronchitis Symptoms
Bronchitis symptoms
include persistent cough, coughing up phlegm (mucus), shortness of breath,
chest congestion, chills, body aches, and wheezing. Fever is an uncommon
bronchitis symptom, and when it occurs it is usually low-grade.
In acute bronchitis, symptoms
last for more than five days, and up to three weeks. If bronchitis symptoms
last for at least three months of the year during two consecutive years, the
illness is considered chronic bronchitis.
Is Bronchitis
Contagious?
Since bronchitis
symptoms can be brought on by either viruses, bacteria or allergens, answering
the question “Is bronchitis contagious?” depends on the cause of the
bronchitis. Most people with acute bronchitis are contagious if they were
infected by a virus or bacterium. As infectious bronchitis symptoms wane,
people with bronchitis are less likely to be contagious.
Bronchitis Treatment
Acute bronchitis
treatment consists of drinking plenty of fluids, resting, and avoiding smoking
and fumes. Chronic bronchitis treatment may include an annual flu vaccine,
pneumococcal vaccine, bronchodilators or inhalable steroids.
Bronchitis Vaccine and
Prevention
Because many cases of
acute bronchitis result from influenza, a yearly flu shot can help protect
against bronchitis as well. To avoid the spread of the underlying causes of
bronchitis, prevention includes avoiding cigarette smoke, washing your hands,
and wearing a surgical mask at school, at work and in crowds if you think you
may be infected.
Common Cold (Head Cold)
Adenoviruses
are the most common cause of the common cold (also called a “head cold”).
People infected with the common cold become contagious a few days before
symptoms appear and remain contagious until all symptoms have gone. In total,
those infected with the common cold remain contagious for about two weeks. The
common cold spreads by touching surfaces contaminated by infected droplets,
including other people’s skin, and then touching your mouth, nose or eyes. The
cold virus can also spread by inhaling tiny droplets of fluid containing the
cold virus that are released when an infected person coughs or sneezes.
SARS (Severe acute
respiratory syndrome)
Severe acute respiratory
syndrome (SARS) is a severe viral respiratory infection caused by coronavirus
SARS-CoV. The SARS virus outbreak began in China in 2003 and spread worldwide,
infecting over 8,000 people before it was contained. SARS virus spreads mainly
through person-to-person contact. Since 2004, there have been no known SARS
virus cases reported.
SARS Symptoms
SARS symptoms include
fever, cough, chills, muscle pain, shortness of breath, headache, and diarrhea.
Most SARS patients go on to develop pneumonia.
SARS Treatment
SARS victims usually
require oxygen and possibly mechanical ventilation. Currently there are no
medications that aid in SARS treatment. Local, state agencies, the CDC and WHO
should be notified immediately if a SARS infection is diagnosed.
SARS Vaccine and
Prevention
Chinese and U.S.
scientists have been working to create a SARS vaccine, but research has been
made difficult by an absence of active disease to test treatments against.
Research has been based around monoclonal antibodies, which hold promise as
future diagnostic tools for SARS infection and treatment.
Recommended SARS
prevention measures include washing hands with soap and hot water or an
alcohol-based hand rub, wearing disposable gloves if contacting an infected
person’s body fluids or feces and throwing those gloves away immediately,
wearing a surgical mask, washing personal utensils, towels, bedding and clothes
with soap and hot water, and disinfecting any household surfaces that may have
come into contact with an infected person’s sweat, saliva, mucus, vomit, stool
or urine.
Middle East Respiratory
Syndrome (MERS)
Middle East respiratory
syndrome is caused by coronavirus MERS-CoV. Middle East respiratory syndrome
was first reported in Saudi Arabia in 2012, and the original source of the
virus is unknown but is suspected to have come from camels. Only two patients have
ever tested positive for MERS in the United States. Both worked in health care
and had recently been to Saudi Arabia.
Middle East
Respiratory Syndrome Symptoms
Symptoms of Middle East
respiratory syndrome include fever above 100.4°F (38°C) with chills or
shivering, sore throat, cough (sometimes coughing up blood), difficulty
breathing, vomiting, abdominal pain, diarrhea, and muscle aches.
Middle East
Respiratory Syndrome Treatment
There is no specific
antiviral treatment recommended for MERS-CoV infection. Other forms of medical
care may be available to help treat symptoms related to MERS. As with SARS,
MERS patients usually require oxygen supplementation and possible mechanical
ventilation. Local, state agencies, the CDC and WHO should be notified immediately
if a MERS-CoV infection is diagnosed.
Middle East
Respiratory Syndrome Vaccination and Prevention
There is currently no
vaccine or cure for MERS. The same preventative measures for other respiratory
illnesses apply to MERS infection: wash hands or use an alcohol-based
sanitizer, cover your nose and mouth when coughing or sneezing and throw the
tissue away immediately, avoid touching eyes, nose and mouth with unwashed
hands, avoid kissing, sharing food or drinks with sick people, and clean and
disinfect contaminated surfaces such as doorknobs and bathroom countertops.
Reviewed by Charles Patrick Davis, MD, PhD on Tuesday, August 16, 2016
Common Respiratory
Illnesses
Sources:
THIS IS NOT MEDICAL TOOLS .
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