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A history of coughing or choking in association with vomiting strongly suggests aspiration and hydrocarbon pneumonia. Hydrocarbon pneumonia is an acute hemorrhagic necrotizing disease that can develop within 24 h after the ingestion. Pneumonia may require several weeks for complete resolution. [2]
Pulmonary aspiration is the entry of solid or liquid material such as pharyngeal secretions, food, drink, or stomach contents from the oropharynx or gastrointestinal tract, into the trachea and lungs. [1] When pulmonary aspiration occurs during eating and drinking, the aspirated material is often colloquially referred to as "going down the ...
Chronic inflammation of the lungs is a key feature in aspiration pneumonia in elderly nursing home residents and presents as a sporadic fever (one day per week for several months). Radiological review shows chronic inflammation in the consolidated lung tissue, linking chronic micro-aspiration and chronic lung inflammation.
Incision and drainage may be associated with a lower chance of recurrence than needle aspiration but the evidence is very uncertain. Needle aspiration may be less painful but again the evidence is very uncertain. [13] Treatment can also be given while a patient is under anesthesia, but this is usually reserved for children or anxious patients.
The ingestion and aspiration of foreign objects pose a common and dangerous problem in young children. It remains one of the leading cause of death in children under the age of 5. [ 20 ] Common food items (baby carrots, peanuts, etc.) and household objects (coins, metals, etc.) may lodge in various levels of the airway tract and cause ...
Children of this age usually lack molars and cannot grind up food into small pieces for proper swallowing. [8] Small, round objects including nuts, hard candy, popcorn kernels, beans, and berries are common causes of foreign body aspiration. [2] Latex balloons are also a serious choking hazard in children that can result in death.
If the symptoms worsen, the pneumonia does not improve with home treatment, or complications occur, hospitalization may be required. [69] Worldwide, approximately 7–13% of cases in children result in hospitalization, [ 23 ] whereas in the developed world between 22 and 42% of adults with community-acquired pneumonia are admitted. [ 69 ]
In children, viral infections such as croup or epiglottitis are frequent causes. [4] Adults are more likely to experience obstruction from enlargement of the tonsils or vocal cord paralysis. [3] Obstructive sleep apnea is the most common chronic cause of upper airway obstruction. [2]