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Stages of Pneumonia in Children - A Detailed View

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Pneumonia is an infection of the lung lobes when the air sacs get infected. Read to know more.

Medically reviewed by

Dr. Veerabhadrudu Kuncham

Published At February 20, 2024
Reviewed AtFebruary 20, 2024

Introduction

Understanding the phases of pneumonia in kids can assist people with perceiving side effects and looking for convenient clinical considerations for their kids. Being informed about this illness, which affects the lungs and breathing, can help people monitor their child's health as concerned parents. Understanding how pneumonia spreads through the lungs, going from mild congestion to more severe infection, is important. This article will outline the gentle, moderate, and high-level phases of pneumonia in a straightforward configuration. With this knowledge, people will better recognize early symptoms when their child requires immediate medical attention. Keep an eye out, act quickly, and learn about this respiratory infection that impacts thousands of children every year around the world.

What Is Pneumonia?

An infection of the lungs that causes inflammation of the air sacs (alveoli) is known as pneumonia. The air sacs might load up with liquid or discharge, making relaxing hard. Pneumonia is brought about by microorganisms, infections, and parasites that enter the lungs, generally through the respiratory tract. Pneumonia, the most widely recognized pneumonia, occurs due to microorganisms. The microscopic organisms, for example, Streptococcus pneumoniae, can spread from one individual to another through coughing and wheezing. Viral pneumonia is brought about by seasonal infection and is more uncommon yet exceptionally infectious. Parasitic pneumonia is rare and commonly affects individuals with weakened immune systems. The side effects of pneumonia include:

  • Cough, which might create greenish, yellow, or bloody mucous.

  • Chest pain, particularly while breathing or coughing.

  • Trouble while breathing.

  • Fever and chills.

  • Loss of hunger and weakness.

In kids, the side effects may incorporate loose bowels and stomach pain. Pneumonia can become severe and potentially fatal as the lungs become more inflamed and filled with fluid. Hospitalization might be required for diagnosis and treatment in some cases.

What Are the Stages of Pneumonia in Children?

When kids contract pneumonia, the condition creates four phases. Understanding the various stages can assist the physician in deciding how serious the condition is and help with treatment.

1. First Stage: Congestion: During this phase of pneumonia, the lungs become vigorously clogged because of the development of fluid that has collected in the alveoli. Kids might encounter the following side effects:

  • Coughing.

  • A sensation of chest heaviness.

  • Fast breathing.

  • Loss of appetite.

  • Fatigue and weakness.

  • The congestion stage lasts 24 hours when the lungs become inflamed and infected.

2. Stage Two: Red Hepatization

  • In this stage, red blood and immune cells aggregate around the alveoli to assist with combatting the contamination. It can keep going for a couple of days.

  • During the red hepatization stage, enlarging around the alveoli is supplanted with fibrous tissues that evaporate and firm the lung tissue.

  • While this occurs, the alveoli have less capacity to transport oxygen and other gasses into the circulatory system.

  • However, the body is preparing to fight the illness during this stage.

Kids could encounter deteriorating side effects, for example,

  • Increase in cough.

  • Shortness of breath.

  • Muscle pain.

  • Fatigue and more weakness.

  • Migraines.

  • Fever.

  • Chills.

  • Increased sweating.

  • Blue lips or nails because of low blood oxygen levels.

  • Individuals who have been tainted with pneumonia may encounter episodes of disarray or daze because of an absence of oxygen.

3. Stage Three: Grey Hepatization: Grey hepatization occurs during the third phase of a pneumonia infection when red blood cells are destroyed and fibrous tissue grows. The blood's iron-storing hemosiderin proteins may also begin to accumulate. The lung tissue may become gray due to these significant cell and tissue changes. This stage ordinarily appears a few days after red hepatization and can endure as long as eight days. The immune cells will safeguard the lungs and body; however, symptoms typically persist.

4. Stage Four: Resolution: The last phase of contamination, the resolution stage, is when Infected patients begin to feel much improved. It commonly happens around the eighth to tenth day after contamination and can last up to half a month. This indicates that alveoli function is returning and the body's immune system has been able to establish a defense against the infection. As the symptoms start to go away, breathing can become easier. A productive cough, which is intended to help remove fluid from the lungs, can occur.

How Is Pneumonia Diagnosed in a Child?

Pneumonia frequently presents nonspecific signs and symptoms that change greatly depending on the kid's age and the infectious agents involved.

One of the most crucial initial steps in detecting pneumonia in children is to watch their respiratory effort during a physical examination. The following respiratory rate thresholds are used to diagnose pneumonia in children:

  • Infants Under Two Months Old: 60 breaths per minute or more.

  • Children Between the Ages of Two and 12 Months: 50 breaths per minute or more.

  • Youngsters Age One to Five: 40 breaths per minute or more.

When respiratory symptoms are evident, a pulse oximetry assessment of oxygen saturation should be carried out early in the evaluation process. In more severe cases, cyanosis may be seen. Capnography could help assess kids who could have respiratory problems. Additional diagnostic exams could consist of the following:

  • Stethoscope auscultation.

  • Traditions.

  • Serology.

  • Total cell count (CBC) in its entirety.

  • Radiography of the chest.

  • Sonography.

How to Manage Pneumonia in Children?

When an infection brings about pneumonia, there is generally no treatment other than rest and the standard measures for fever control. Cough suppressants containing Codeine or Dextromethorphan should not be utilized because coughing is useful in clearing the extreme discharges brought about by the disease. Viral pneumonia generally works following a couple of days, although the cough might stay for quite some time. Since it is frequently challenging to tell whether an infection or microbes bring about pneumonia, the pediatrician might recommend an anti-toxin. All antibiotic medicines need to be taken for the full course and at the particular measurements suggested.

Conclusion

If treatment is not received, childhood pneumonia develops into multiple phases. Knowing the early warning signs and symptoms will help get a child's medical attention quickly and stop the problem from worsening. With this new knowledge, people can closely monitor their child's health, identify any signs of pneumonia, and take the necessary measures. With this information, people may make better decisions for their child's health and ultimately achieve better results. Going ahead, keep an eye out for respiratory infections in kids that could turn into pneumonia, and keep in mind that the illness can be stopped in its tracks with the right care and early intervention.

Dr. Veerabhadrudu Kuncham
Dr. Veerabhadrudu Kuncham

Pediatrics

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