Doctor insights on:
What The Chance Of Surviving Pneumonia While Recovering On A Stroke
Unclear : I am assuming you mean hyperosmolar hyperglycemic nonketotic syndrome. It is difficult without more information to know what was first (hhns or stroke). Most consider that a stroke would precipitate hhns. After a stroke swallowing problems are common and this may cause pneumonia due to food or liquids trickling into the lungs. Discuss with the doctors what they think is the course of disease. ...Read more
100 yr old not sick in over 30 yrs, but TIA strokes. No longer able to hold her head up & bedridden. Concerned about pneumonia. Suggestions?
Call her Dr.: If you are truly concerned about pneumonia, possibly aspiration pneumonia, etc. Than she would need a chest x-ray. At 100 years old and with a history of tia's/strokes and worsening function, it sounds like she will need some nursing care at the least. Difficult decisions to make soon, regarding nursing home, skilled nursing facility, etc. May be needed. Best wishes. ...Read more
Brother had stroke, is in coma. Not waking up. Treated for pneumonia and fever. Happened Thursday night. What should I expect or prepare for?
If you had Pneumonia over 40 yrs ago am i now immune?
Recently had a Stroke am over 70 or would it be good idea
to get a Pneumonia Immunization ?
Yes: Don't assume you developed any lasting protection from that early pneumonia. Pneumonia is a generic term for a condition caused by many different germs. The pneumonia you had may have been triggered by a different germ than the shot is designed to help you avoid.Even if it was pneumococcal ,there many different strains & immunity to one would not help against another. The shot covers 13 strains. ...Read more
What's better for senior to have installed after stroke. Cannot eat and has dementia and is bedridden. Less regurgitation, and aspiration pneumonia?
Quality of life...: Sometime a feeding tube is used but with advanced dementia, feeding tube often causes more harm than good. It is not easy, but significant illnesses reduces hunger and so one often does not feel hungry. Use of feeding tube thus equals forced feeding which is not a good thing. Have a family meeting; discuss the wish of the person and respect it. It is not easy. Good luck. ...Read more
After a recent Ischemic Stroke at the age of 76 would it be wise to get a Pneumonia immunization while on Clopidogrel?
Immunization/Plavix: Yes ,Yes Yes. There is no contraindication. ...Read more
Had.bereavement+own illness 2015. Got 200mg Sertraline. Had pneumonia, 2 mini strokes and now labyrinthitis 7 wks. V low mood. To be expected?
Several health: conditions and a loss can result in reactive depression. This is a condition that happens in response to identifiable stress, which you obviously have. It normally resolves eventually but getting supportive psychotherapy can smooth the process out and perhaps speed it along. Staying in this condition is not to be expected. Please continue to see your doc. Peace and good health. ...Read more
After a recent Ischemic Stroke at the age of 76 would it be wise to get a Pneumonia immunization while on Clopidogrel and half immune system?
Vaccinations: Please see http://www.cdc.gov/vaccines/schedules/downloads/adult/adult-schedule-easy-read.pdf for immunization recommendations for adults. Starting at 65yo, we recommend vaccinating against pneumococcal pneumonia by getting PCV13 first followed by PPSV23 a year later. Previously, we had recommended PPSV23 only in adults and PCV13 only in children. Chat w/your Family Doc about getting fully immuniz ...Read more
Mom 86yrs bedridden dementia dysphagia and fed with peg tube. Had a stroke 6years ago.Got mild aspiration pneumonia. On 1liter sats at 91%. Is it bad?
Good for 1 liter: A pao2 of 60 mm/hg is 90% spo2 so your moms pao2 is slightly less, probably 2 liters will get her to 92% which is reasonable. Normal pao2 is 75-100mm/hg. To fully saturate the rbc' you need an oxygen tension between 75 and 100% which in your moms case will not be possible. Plus, giving her too much oxygen may decrease her respiratory drive and cause her to become apneic and retain co2. ...Read more
Gma had stroke unable to speak, swallow paralyzed traffic arm left leg. Did have pneumonia but never cleared up could that play role or ckd stage 3?
Suggest a best advice/Treatment for a 83 year old patient having aspiration pneumonia,history of two strokes, temporary high blood sugar and high BP?
What's better for a senior after a stroke and dementia, a peg or pej tube. Which one is more likely to have less regurgitation and aspiration pneumoni?
Good if healthy: If he has been otherwise quite well, and if the pneumonia is not severe, his chances of surviving with timely treatment with antibiotics is very good. If he has other complicating medical problems and is debilitated, then the risk of complications is higher. A very severe pneumonia also could be dangerous in an older person. ...Read more
My dad is having pneumonia and doctors said there are chances for cancer.. And by chance- death .. Will he recover ?
Possible Lung Cancer: He should be monitored carefully from his pneumonia until he is feeling better. They should order ct scan of the chest to evaluate his lung disease and his pulmonary specialist should evaluate him for bronchoscopy evaluation of his lung disease and he may be able to take a biopsy from his lung. If his pulmonary specialist will not be able to do his biopsy he may need to be seen and evaluated by t. ...Read more
Chance of grandfather surviving pneumonia? He is almost 88. He was just in the hospital for a UTI and he went back in after a seizure = new medicine.
QOL: Question would be how otherwise healthy is your grandfather. Why the seizure? History of seizures? Probably better if history of seizures, since people with history of seizures tend to have them when they are sick. Also better if had a seizure secondary to an antibiotic lowering threshold for seizures...Meropenem, etc. On ventilator? ...Read more
Yes....: With the proper treatment and supportive care, there is a chance of survival. However, age as well as other medical problems affecting major organ systems will have an impact on survival. In general, the older the patient and the more major organ systems involved in the person's illness, the higher the morbidity and mortality rate. ...Read more
NOT GREAT: If subarachnoid hemorrhage from aneurysm, about 50% die within the first few days in hospital. If intracranial bleed, with/without stroke, the death rate within year one approaches 60%. Figures have remained constant for years. A generic suggestion, control blood pressure diligently. ...Read more
Depends: It depends on type and location of the stroke. Volume of brain involved, patients age, and comorbidities (whether they are also diabetic, smoker, have elevated cholesterol, heart disease etc.). ...Read more
Possible: Survival after hemorrhagic stroke depends largely on location and size of the bleeding so it is impossible to say what the chances of survival are without more information. That said, many survive and of those some with minimal deficit. ...Read more
Good: The chances of getting lung infections increases with age and underlying diseases, but is far more common in those over the age of 60. Pneumococcal pneumonia used to be called the "old man's friend" because it would produce death in elderly individuals with chronic diseases that were debilitating. ...Read more
Yes: If fever is down and child feels better and pool is not cold then swimming may be therapeutic. This is well served with common sense...Fatigued, short of breath, etc...No exertion= no swimming . Feeling good, back to normal and not an all day event at the water park, and water is warm (not a lake!) then yes. Ask your doc as that is best answer in your geographic area. ...Read more
Depends: Does the kid have normal health prior to the illness? What circumstances led to the pneumonia?What type of pneumonia is it? We routinely see/treat pneumonias in 11 yo as an outpatient.Most have a viral process that self heals, some have other germs that can be worrisome. I have seen influenza & bacterial pneumonia almost kill a kid, but illness that bad is quite rare. ...Read more
Depends on the cause:
Depends on the cause
but most pneumonias in this age group are treated with antibiotics and babies recover in 10 to 14 days with treatment. ...Read more
Hi, I am slowly recovering from pneumonia, but am an avid triathlete. What are the guiding principles as to when i may resume exercise? Thanks!
Two to four weeks: If you are fully recovered, then a couple of weeks at least to make sure is advisable. Start slowly and if all is well, you can resume normal training after four weeks. ...Read more
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