Pneumonia in Kids

When it comes to pneumonia in kids, knowing what to look for and how to act quickly can make all the difference in keeping your child healthy and safe. This article covers everything you need to know about pneumonia in kids, including the different types, causes, symptoms, diagnosis, and treatment options. 

At Bootin and Savrick Pediatric Associates in Houston, TX, we are committed to your child’s health and well-being. If you have concerns about pneumonia or need advice, we’re here to help. Keep reading to learn more and discover how we can support your child’s health.

A child in bed is feeling sick because she has pneumonia in Houston, Texas.

What is Pneumonia?

Pneumonia is a common childhood illness that affects the lungs, causing inflammation and making it difficult for children to breathe. It can be caused by bacteria, viruses, or fungi, and often follows a cold or respiratory infection. Symptoms of pneumonia in kids can include a persistent cough, fever, rapid breathing, and chest pain.

Pneumonia can range from mild to severe, but with proper care, most children recover fully. Understanding and recognizing pneumonia early can help parents ensure their child’s health and well-being.

Different Types of Pneumonia

Pneumonia in kids can be caused by various types of infections, each affecting the body differently. Understanding these can help you manage your child’s health more effectively.

  1. Viral Pneumonia: This type is caused by viruses such as the flu or respiratory syncytial virus (RSV). Symptoms often start with a fever and cough, and may include wheezing and rapid breathing. Viral pneumonia tends to be less severe than bacterial pneumonia and is usually treated with rest, fluids, and medications to ease symptoms. It is important to monitor your child and seek medical advice if symptoms worsen.
  2. Bacterial Pneumonia: Bacterial pneumonia is often caused by bacteria like Streptococcus pneumoniae. This type typically presents with high fever, chills, a severe cough, and chest pain. It usually requires antibiotics for treatment. If your child has symptoms of bacterial pneumonia, it’s crucial to get prompt medical care to prevent complications.
  3. Mycoplasma Pneumonia: Commonly known as “walking pneumonia,” this type is caused by Mycoplasma pneumoniae. It often results in milder symptoms, such as a persistent cough, low-grade fever, and fatigue. Despite being less severe, it still needs medical attention and can be treated with antibiotics specific to this type of infection.

What Are the Signs and Symptoms of Pneumonia?

Recognizing the signs and symptoms of pneumonia in children is crucial for ensuring timely medical care. Pneumonia, a lung infection often following a respiratory infection like the flu virus, can present with several key symptoms:

  1. Persistent Cough: A cough that doesn’t go away or worsens over time can be a sign of pneumonia. It may produce mucus or phlegm.
  2. Fever: Elevated body temperature is common with pneumonia. The fever might be high and persistent, often accompanied by chills.
  3. Difficulty Breathing: Children with pneumonia might breathe rapidly or have trouble catching their breath. You might notice flaring of the nostrils or a retraction of the chest and ribs with each breath.
  4. Chest Pain: Pneumonia can cause discomfort or pain in the chest, which may worsen with coughing or deep breaths.
  5. Fatigue and Weakness: A child with pneumonia may appear unusually tired or weak. They might also have reduced appetite and energy levels.
  6. Bluish Skin Color: In severe cases, a bluish tint around the lips or face can occur, indicating a lack of oxygen.
 

Pneumonia is contagious, spreading through droplets when an infected person coughs or sneezes. If your child displays these symptoms, especially after a respiratory infection, seek medical advice promptly. 

How is Pneumonia Diagnosed?

Diagnosing pneumonia in children involves several steps to ensure accurate and effective treatment. If you suspect your child has pneumonia, a healthcare provider will use the following methods to make a diagnosis:

  1. Medical History and Physical Exam: The first step is a thorough examination. The doctor will ask about your child’s symptoms, such as cough, fever, and difficulty breathing. They will listen to the lungs with a stethoscope to detect abnormal sounds like crackling or wheezing.
  2. Chest X-ray: This imaging test helps the doctor see the condition of the lungs. It can reveal areas of inflammation or fluid buildup, which are signs of pneumonia.
  3. Blood Tests: Blood tests may be ordered to check for signs of infection. These tests help identify the severity of the infection and guide treatment.
  4. Nasal secretions obtained with a nasal swab can be tested to identify the specific bacteria or virus causing the pneumonia.
  5. Pulse Oximetry: This test measures the oxygen level in your child’s blood. Low oxygen levels can indicate that the lungs are not functioning properly.

How is Pneumonia Treated?

Pneumonia treatment in children involves a combination of medical care and supportive measures to help them recover quickly and comfortably. Here’s how pneumonia is typically treated:

  1. Medications: The treatment often starts with medications. If the pneumonia is caused by bacteria, antibiotics are prescribed to target and kill the bacteria. For viral pneumonia, the focus is on relieving symptoms, as antibiotics are not effective. Sometimes, antiviral medications may be used if a specific virus is identified.
  2. Breathing Treatments: To help with breathing difficulties, doctors may recommend breathing treatments. These can include nebulizers or inhalers that deliver medication directly to the lungs to ease inflammation and open up the airways.
  3. Rest and Hydration: Ensuring your child gets plenty of rest and stays hydrated is crucial. Fluids help keep mucus thin and easier to cough up, which can speed up recovery.
  4. Fever and Pain Relief: Over-the-counter medications like acetaminophen or ibuprofen can help reduce fever and ease chest pain. Always use these as directed by your child’s doctor.
  5. Hospitalization: In severe cases, if your child is having trouble breathing or has low oxygen levels, they may need to be hospitalized for more intensive treatment, such as oxygen therapy or intravenous fluids.

How Long Does Pneumonia Last?

Pneumonia in children typically lasts between one to three weeks, depending on the severity and the type of infection. Most cases of pneumonia usually improve within a week to ten days with proper care and rest. Bacterial pneumonia, which may require antibiotics, often shows improvement within a few days of starting treatment, but the full recovery may take a bit longer.

With appropriate treatment, including medications and supportive care, pneumonia is generally well-managed, and most children recover completely. During this time, it’s important for your child to get plenty of rest, stay hydrated, and follow your doctor’s instructions to ensure a smooth recovery.

If your child’s symptoms persist beyond this typical recovery period, or if they worsen, consult their doctor for further guidance. Early intervention and appropriate treatment help in managing pneumonia effectively and support your child’s swift return to health.

Ensuring Your Child's Health

At Bootin and Savrick Pediatric Associates, we are dedicated to keeping your child healthy and providing comprehensive care. If you suspect your child may have pneumonia or if they need a check-up, don’t hesitate to reach out. Schedule an appointment with us today in the Greater Houston area to discuss how we can help get your child back to full health and answer any questions you may have about how pneumonia is treated.

Medically reviewed by Monica McGrann, MD