How is a chest infection diagnosed?
Your doctor will be able to make a diagnosis of a chest infection by listening to your story and examining you. They will ask about your symptoms and how you are feeling. They may also ask about your medical history and that of your family. They will be interested in whether you smoke, how much and for how long.
The examination may include checking your temperature. Sometimes your doctor will check how much oxygen is circulating around your body. This is done with a small device that sits on the end of your finger. The doctor will listen to your chest, so they may want you to lift or take off your top. If you want a chaperone during the examination, the doctor will arrange one. If you have asthma, they may ask you to check your peak flow measurement.
Often no tests are needed if you have infection of the large airways (bronchi) in the lungs (acute bronchitis) and your symptoms are mild. If your symptoms are more severe and you need to go to hospital then you may need to have the following tests:
- A chest X-ray may be taken to be sure of the diagnosis and to see how bad the infection is.
- Blood tests and phlegm (sputum) tests may be taken to find which germ (bacterium) is causing the serious lung infection (pneumonia). This helps to decide which antibiotic medicine is best to use. Sometimes the germ (bacterium) that is causing the pneumonia is resistant to the first antibiotic. A switch to another antibiotic is sometimes needed.
Further reading and references
Guidelines for the management of community acquired pneumonia in adults; British Thoracic Society (2009), Thorax Vol 64 Sup III
Guidelines for the management of adult lower respiratory tract infections; European Respiratory Society and European Society of Clinical Microbiology and Infectious Diseases (September 2011)
Over-the-counter cough and cold medicines for children; Medicines and Healthcare products Regulatory Agency (MHRA), 2009
Antibiotic awareness resources: key messages on antibiotic use; Public Health England
I usually wake up with this weird feeling my lower throat/chest. There is no pain. I don't feel blockage in my throat or feel like something needs cleared but I cough to think it helps somehow. It's...sara59945
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