8 Signs Your Cough Could Actually Be Pneumonia

Depending on the type of pneumonia and other factors, you can have a dry cough or a chesty, sputum-producing one.

“People that have a typical bacterial pneumonia will more frequently have a phlegmy kind of a cough,” explains Dr. Glatt. The mucus they cough up is “dirtier, thicker, and ugly,” he says.

By contrast, viral pneumonia often (but not always) produces less phlegm, and people whose immune systems are not working well may not produce any at all, he adds.

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An elevated body temperature is very frequently associated with bacterial and viral pneumonia.

“However, the absence of a fever doesn’t rule out pneumonia,” Dr. Glatt cautions. He says a low temperature, known as hypothermia, may also be a sign of bacterial pneumonia, and it’s possible to contract pneumonia and have a normal temperature as well.

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Teeth-chattering chills may be a sign of pneumonia–and we’re not talking about the goose bumps you get when the temperature drops. Pneumonia-related chills usually come on quickly, and they can be pretty intense.

This type of shivering is typically accompanied by fever and may signal the growth of bacteria in the bloodstream, explains Charles Dela Cruz, MD, PhD, associate professor at Yale School of Medicine and director of the Center for Pulmonary Infection Research and Treatment in New Haven.

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If you have pneumonia, you may have difficulty breathing. You might increase your breathing rate to try to compensate, which in turn can leave you feeling short of breath, Dr. Glatt says.

If the infection is compromising your lung function, you may not be able to deliver enough oxygen to your blood. Some people require supplemental oxygen or treatments to help them breathe with pneumonia. In severe cases, a tube may be inserted into the airway to help the person breathe, he says.

A child with pneumonia who is having a hard time getting enough oxygen might have lips or fingernails that turn bluish. Contact your doctor immediately if you notice this in your kids.

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Labored breathing or coughing can exhaust the muscles, making it hurt to breathe or cough, doctors say. Or, you might have some pneumonia-related chest discomfort because it’s your lungs that are infected.

But if you’re having sharp chest pain, it could be due to the inflammatory effects of pneumonia throughout the body. “There are some instances where pneumonia can lead to heart attack,” cautions Dr. Dela Cruz. Call your doctor or 911 if you have sudden chest pain and other symptoms of a heart attack.

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When your body is trying to fight off an infection like pneumonia, you can have profuse sweating or skin that feels clammy to the touch.

Don’t take this symptom lightly, Dr. Dela Cruz adds, because it can be a sign of sepsis, a potentially life-threatening complication of pneumonia that occurs in response to bacteria in the blood.

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When pneumonia becomes sepsis, the body’s own immune system begins to wreak havoc. Blood pressure drops, urine output is low, and even your mental capacity can be affected. You may feel dizzy or confused, a sign that you need hospital care–stat!

“These are really bad signs that the pneumonia is out of control,” says Dr. Dela Cruz.

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Much like adults, infants, toddlers, and young children with pneumonia may have a fever, chills, or labored breathing.

But watch for less specific symptoms as well. Infants may feed poorly and become dehydrated, for example. Children may have a loss of appetite. Babies and toddlers will cry more than usual. Your little one won’t be full of energy. Pneumonia in kids can also lead to abdominal pain or vomiting.

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The key difference between bronchitis and pneumonia? Usually, it’s the scope of symptoms and their severity.

Bronchitis is an infection of the inner mucous lining of the branch-like passageways (called bronchial tubes) that carry air to the lungs.

“In an [otherwise] healthy person, bronchitis would be more of a hacking type of cough,” says Dr. Glatt. You start to think of pneumonia when the cough is coupled with a fever and breathing problems, adds Dr. Dela Cruz.

Of course, when you’re sick with one of these conditions, it may be impossible for you to distinguish one from the other–another reason why it’s important to seek medical attention. A doctor may order a chest X-ray to help determine whether bronchitis or pneumonia is causing your symptoms.

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