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Had pneumonia which is treated, still chest feels tight where pneumonia was located.

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I am recovering from a case of pneumonia that started 3 and half weeks ago.  I have completed all the necessary antibotics, no fever, cough is minimal, still a little weak and tired but not as bad. My doctor perscribed me on advair to take twice a day a week ago and I also use another inhaler as needed. My doctor recommended that I could start to exercise slowly starting today, nothing major. My chest still feels tight on the left side where the pneumonia was located in my lungs. How long will this persist? I'm still nervous of having a relapse, which my doctor advised me that all though there's always a chance, it's minimal as long as I follow the treatments, rest, continue to drink plenty of fluids, don't over extert myself, stay away from alcohol, etc. Does that sound right? Again, I'm just confirming.

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Category: Family Physician-GP
 26 Doctors Online


Your doctor is absolutely right. Although there are chances of relapse, it is unlikely if you follow a good regimen of drugs, exercise and diet.

The chest tightness you feel occurs due to involvement of the lung parenchyma, and it will persist for a while. The symptoms of chest tightness will reduce over time.

My recommendations are as follows-

1) Complete the course of antibiotics prescribed. Do not neglect any future lung infection, however minor you may think it is, as there is a slight chance of relapse.

2) As you haven't mentioned if it was bacterial or viral pneumonia, I would recommend you to wean of the Adavir and use only the other inhaler which helps improve the breathing. On the other hand, if you suffered viral pneumonia, continue using ADAVIR.

3) Follow a good routine of exercise .Start with minor exercises and walking and slowly increase the degree of exercise.

4) It is very important that you stop smoking and consumption of alcohol.

5) Remember to take the yearly flu shots as your lungs are very susceptible now and are prone for infections.

Thank you.

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
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