Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

It is no longer so surprising to read about alarming air pollution levels in our cities. On more than one occasion, these levels have risen above the danger levels. For some people, this may simply create an annoying fog that makes it difficult to see. For others, it can cause serious health issues. Air pollution is one of the most common reasons for the growing instances of asthma and allergies. Children are most susceptible to such diseases caused by air pollution.

Asthma and Allergies
Asthma can affect children even before their fifth birthday and the condition is characterized by breathlessness caused by a constriction of the airways. While the root cause of asthma is unknown, it is usually seen that asthmatic patients are more sensitive to others to particles in the air such as pollutants, dander, dust, smoke etc. Thus, the airways construct as a reaction to these allergens. Changes in the weather, a sudden cold draft or the flu can also aggravate asthma.

Can you Protect Your Children from Asthma?
Wheezing, panting, finding it difficult to breathe and a persistent cough are some of the signs of asthma. If you notice these symptoms, you must consult a doctor immediately. At home, here are a few things you could do.

Avoid exposing your children to smoke: Do not smoke around your children or allow others to smoke around them. If you cannot give up the habit, wear a smoking jacket when you smoke and take this off before you play with your children. When you ll go out, drive with the windows up so that your child does not inhale exhaust smoke. Set your air conditioner to circulate air within the car itself.
Dust often: Try and keep your home as dust free as possible. Use a wet cloth to clean so that the dust does not fly in the air. Wash all your bed linen once a week. Carpets and rugs should be vacuumed regularly or dusted outside. It may also be a good idea to invest in dust mite impermeable covers for your child s mattress and pillows.
Keep your Pets clean: If you share your home with pets, bathe them once a week and brush them daily. Do not let them climb on to the furniture or your beds. Also, avoid having their toys lie on your beds.
Wear a face mask: Try and time your child s outdoor activities when the pollution levels are low. Buy yourself and your child a face mask that will filter the air they breathe in. These should be worn whenever they play outdoors.
These simple steps could help your child be healthier and can prevent asthma and other such allergic reactions.

Increasing Asthma & Allergy In Children - What Should You Do?

Asthma is the most common chronic condition for women in pregnancy. While Asthma control can affect pregnancy, pregnancy too can affect Asthma. Yet while pregnancy does not beget Asthma, neither does it abate.

Nevertheless, Asthma management during pregnancy is very important. Improper Asthma management, especially in difficult Asthma, during pregnancy may imperil both the mother and the child.

Along with taking the right medications, Asthma patients also need to avoid exposure to Asthma triggers.

Avoiding Asthma Triggers

Asthma triggers may be different for different people. In general, one or a few of the following act as Asthma triggers:

Allergens like pollen, dust mite etc.

Smoking

Certain exercises

Certain occupational exposure

Pollution

Certain drugs like  blockers, aspirin etc.

Alcohol, dairy products, orange juice, peanuts etc.

Additives like tartrazine, monosodium glutamate etc.

Certain medical conditions like gastric reflux, rhinitis etc.

Apart from avoiding these Asthma triggers, she would also need to follow the instructions of her gynecologists. She should always be concerned that if the treatment is not working or if she is experiencing any trouble, she must consult with the gynecologists. She can also do some exercises to stay active and healthy.

However, she should always consult a doctor before doing any exercise, especially for those who have experienced Asthma attacks in the past.

Effects of Asthma on Pregnancy

Poor Asthma management and difficult Asthma before pregnancy are associated with increased risk of hypertension during pregnancy, which can beget Preeclampsia. Studies have also shown that women with Asthma tend to undergo Caesarean sections more than others. It has also been observed that Asthma may restrict the growth of the fetus leading to low birth weight.

However, this is more due to poor Asthma control such as persistent breathing difficulty or poor lung function etc., than Asthma per se.

Effects of Pregnancy on Asthma

Certain physiological factors during pregnancy do affect Asthma. In difficult Asthma, control usually deteriorates between 24 and 36 weeks of pregnancy, mainly due to poor adherence to corticosteroids. This is why pregnant women with Asthma should be monitored closely irrespective of the severity of Asthma.

Breathlessness in Pregnancy

Breathlessness during pregnancy is common. In fact, even pregnant women with no Asthma symptoms may feel breathless at times. It reflects some normal physiological and anatomical changes during pregnancy. Even anxiety may precipitate breathlessness. This indicates that pregnant women with difficult Asthma may feel breathless, not just because of Asthma, but also because of normal changes during this period. However, new incidents of Asthma can also be a cause of breathlessness.

Respiratory Distress in Pregnant Women

Respiratory distress in pregnant women may not always be due to asthma. There may be a whole host of reasons that include Anxiety, Hyperventilation, chest infection, dysfunctional breathing, pneumonia, interstitial lung disease, thromboembolic disease, amniotic fluid embolism, pneumothorax, ischemic heart disease, arrhythmias, cardiomyopathy and a variety of endocrine, hematological and renal disorders.

Preventing Respiratory Distress During Pregnancy

Apart from avoiding Asthma triggers, pregnant women with Asthma or difficult Asthma need to strictly adhere to Asthma control. This indicates that they need to adhere to their corticosteroids religiously. However, before that, they also need to make sure that the corticosteroid is safe to be taken during pregnancy.

Asthma may or may not affect pregnancy. However, it is always a great idea to go for Asthma management. This will help women deal with complications related to Asthma during pregnancy.

Apart from that, always consult a doctor before going for any medication related to Asthma control, or actual treatment of Asthma.

Difficult Asthma - All You Should Know!

Pollen is a common trigger for seasonal allergies. It may manifest as runny nose, cough, sneezing, stuffy nose, swelling around the eyes, etc. People begin to feel the bite of pollen allergy during spring when pollination in plants begins.

Pollen allergy affects a vast majority of people, and over-the- counter allergy relief medication is big business. However, it must be noted that there is hardly any permanent cure for pollen allergy. Nevertheless, there are ways in which one can get relief from the symptoms.

What Is Pollen and How Does It Cause Allergy:

The microscopic granules contained in flowering plants are known as pollen. While almost all flowering plants have pollen, all of them don t cause allergies. Plants that have bright flowers can hardly trigger allergy symptoms. It is the tiny and dry pollen that comes from trees, weeds, and grasses that precipitate the symptoms. These granules blow in the wind and get into the respiratory system. This precipitates an immune reaction which produces histamines. These are the chemicals that cause sneezing, stuffy nose, itching, runny nose etc.

Pollens can traverse distances of up to about 100 miles from the source. Since different varieties of plants, trees and weeds pollinate at different times, the season of pollen allergy is quite an extended one. It calls for precautions to prevent allergies and medicines and means to counter the effects.

Pollen Allergy Relief:

Allergy medicines are the best way to get relief from allergy symptoms. Doctors suggest starting on these medicines even before the onset of pollination season. These medicines are known as Antihistamines, which counter the effects of pollen.

These medicines block the histamine receptors in the ear-nose-throat region and thereby nullify the effects of pollen. If a person continues to take antihistamines throughout the pollination season, he/she deny the histamines a chance to get attached to the receptors and precipitate symptoms.

However, if a person is already suffering from the symptoms, antihistamines will not be able to quickly stop the problem. It will also not be able to reverse the effects of allergies. However, it can surely prevent exacerbation of symptoms.

Doctors also suggest using nasal corticosteroids for at least two weeks before pollination season so that the symptoms can be kept at bay. They work by modulating the response of the immune system and thereby preventing the release of chemicals that trigger allergies. If people take these medicines before exposure to pollen, they may even stabilize the immune system and prevent it from reacting to pollen.

Quick Allergy Relief:

If a person has not been proactive enough to take allergy medicines before the onset of pollination season, one needs to fight out the symptoms. However, there are some home remedies that can help a person put up a good fight with the irritating symptoms. One can do regular nasal irrigation with saline water several times a day throughout the pollination season to get some relief from allergies.

Conclusion:

There is hardly any perfect treatment for pollen allergy. However, one can stay safe with antihistamines or corticosteroids starting before exposure to pollen. In case a person gets attacked by these pollen allergies, seeking an immediate help is always advisable and recommended. Following the preventing instructions will help a person to fight against these allergies.

Pollen Allergy - How To Get Relief From It?

Asthma is a condition characterized by wheezing and difficulty in breathing. Asthma is a common disease that affects children, teenagers and adults alike. Depending on what triggers an asthmatic attack, asthma can be categorized as four types. These are:

1. Allergic asthma: this sort of asthma usually begins in childhood and is caused by the overproduction of immunoglobulins as a reaction to the allergen. This type of asthma can also be passed on from one generation to another through genes.

2. Infective asthma: this is caused by viral bronchial or upper respiratory tract infections. It is not hereditary.

3. Emotional asthma
Some cases of asthma can be triggered by psychological factors such as stress, grief or anxiety. 
However, it is not clear if this is the sole trigger for asthma.

4. Occupational asthma: exposure to metallic dusts, biological detergents, polyurethane, etc. Can also trigger asthmatic attacks. This type of asthma is called occupational asthma.

A homeopath will not only determine the type of asthma, but will also delve into a detailed medical history of the patient before prescribing medication. Some forms of homeopathic medication that can be used to treat asthma are:

1. Lpecac: this is used to treat asthma in cases where the difficulty breathing is accompanied by a feeling of heaviness over the chest, dyspnoea, constant coughing with no expectoration and cold perspiration. It is often aggravated by motion.

2. Arsenicum: asthmatic attacks that begin in the middle of the night and are accompanied by restlessness and anguish can be treated with arsenicum. This is especially beneficial in cases of chronic asthma in elderly people and habitual dyspnoea.

3. Nux vomica: this is used mainly to treat asthmatic attacks triggered by gastric troubles or be excessive intake of coffee and alcohol. A constricted feeling around the lower part of the chest is another symptom of this type of asthma.

4. Kali bichromicum: asthmatic attacks that wake a patient up in the wee hours of the morning compelling him to sit up, in order to be able to breathe can be treated with kali bichromicum. A stringy yellow mucus expectoration is another symptom of this type of asthma. It can also be used as an effective form of treatment for asthmatic attacks caused by nervousness.

5. Natrum sulphuricum: this is used to treat asthmatic attacks caused by a change in weather. In such cases, the asthmatic attack is accompanied by diarrhea and greenish expectoration. It is usually worst in the early mornings.

Homeopathic Cure for Asthma

In reality, dust allergy is precipitated by dust mites, a kind of microorganisms that thrive in dust. They acquire their food from dead skin cells and absorb water from the environment and thrive. Moist and warm environments are ideal for them to thrive. However, they themselves don t cause allergic symptoms. 

It is the response of the immune system to them that precipitates the symptoms. Once they are inside the human respiratory system, the immune system responds to them in a negative way. This leads to the production of histamines, a kind of protein that abates swelling, cough, mucous production, runny nose, sneezing, etc.

Symptoms of Dust Allergy:

Dust allergies may lead to various symptoms, some of which may be short lived, while others may be chronic. Some of these symptoms may also be life threatening. While in general people may suffer from running nose, stuffy nose, sneezing, coughing, itchy eyes, postnasal drip, swollen skin under the eyes, etc., in severe cases, people may also suffer from asthma, chest pain and tightness, trouble in sleeping due to shortness of breath, bouts of severe cough, sinus infection, etc.

Risk Factors:

Some of the common risk factors are: 

Family History: People who have a family history of dust allergy are most susceptible to this problem. These people develop a sensitivity to dust mites.

Exposure: Exposure to dust mites is the main cause of dust allergy. If someone is exposed to dust mites for a long time, it enhances the risk of allergy symptoms.

Being a Child: Children are more susceptible to it than adults. They are more likely to develop allergies during childhood and early adulthood compared to adults.

Diagnosis:

Most dust allergy symptoms are similar to common cough and cold symptoms. This is why it is necessary to confirm that the symptoms owe their origin to dust allergy. As a primary physical examination, the doctor may examine the lining of nasal passage to see if it is swollen.

In case the person is allergic to dust or pollen, the lining of the nasal passage is likely to become inflamed. However, the doctor also needs to conduct some tests. He may conduct skin tests and blood tests to confirm the allergy. If the allergy is confirmed, the doctor goes for treatment.

Treatment:

There are a number of treatment options for dust allergy. Some of these may act as over-the-counter to counter the effects of dust allergy, while others may act as modulators to modulate the immune response.

Antihistamines: These are medicines that counter histamines responsible for allergic reactions like itching, runny nose, sneezing, etc.

Corticosteroids: Corticosteroids are usually delivered through nasal sprays to bring down inflammation and control the allergic response of the immune system.

Decongestants: They help to decongest nasal airways which get inflamed and swell up due to allergic reactions.

Leukotriene Modifiers: These medicines block certain immune system chemicals responsible for allergic reactions and prevent allergic reactions.

Immunotherapy: The doctor may go for immunotherapy if no other effort is yielding any results. This therapy trains the immune system so that it does not become sensitive to dust mites. It is delivered via injections.

Conclusion:

The primary defense against dust allergy is avoiding breathing in dust. However, if a person is already exposed to them, there are a number of medicines and treatment options to prevent a flare up.

Dust Allergy - Risks, Diagnosis & Treatment Of It!

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