Definition

Pneumonia is an infection in the lungs. Aspiration pneumonia is an infection that develops after foreign items are accidentally inhaled into the lungs. This is a potentially serious condition that requires care from a doctor.

Food Inhaled Into the Lungs

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Causes

Only air should enter the airways of the lungs. Sometimes foods, liquids, or vomited stomach contents may accidentally get into these airways. Inhaling can move these substances further into the lungs. This is called aspiration. Once the substances are in the lungs, it will cause an irritation and swelling in the lungs. This creates an opportunity for an infection to develop.

Most people can prevent aspiration by creating a strong cough. However, some people may have impaired coughing ability. This may happen in people who are unconscious, have brain injuries, or have trouble swallowing foods or liquids.

Risk Factors

Factors that may increase the chance of aspiration pneumonia:

• Decreased level of consciousness due to alcohol intake, seizures, stroke, or other conditions
• Impaired swallowing function due to poor teeth or a history of Parkinson disease, amyotrophic lateral sclerosis (ALS) , stroke, or other conditions
• History of gastroesophageal reflux disease (GERD)

Symptoms

Symptoms may include:

• Increased cough
• Increased sputum production
• Fever
• Decreased energy
• Chest pain
• Change in mental status
• Trouble breathing
• Weight loss

If you experience any of these symptoms, do not assume it is due to aspiration pneumonia. These symptoms may be caused by other conditions.

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done. During the exam, your doctor will listen to your heart and lungs with a stethoscope.

Tests may include the following:

• Blood tests
• Sputum test

Your doctor may also need to take pictures of your lungs. This is done with a chest x-ray. You may also be asked to do a special x-ray called a swallowing study, barium swallow

Treatment

Antibiotics are used to treat aspiration pneumonia. It may need to be delivered through an IV in a hospital. In other cases, antibiotics may be taken by mouth.

In severe cases, mechanical ventilation may be needed to help with breathing.

Prevention

To help reduce the chances of aspiration pneumonia:

• Follow your doctor’s instructions when fasting before any surgery. This will lower the chance of vomiting while you are unconscious.
• If you have a swallowing problem, talk to your doctor and speech therapist about ways to help prevent aspiration.
• If you drink alcohol, only drink in moderation. Moderation is 2 drinks or less a day for men and 1 drink or less a day for women.