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?

Asthma is a disease that can be only controlled and not completely cured. This chronic disease can make one feel breathless and experience chest tightening. Modern medicine has an answer to the stressful symptoms of asthma. A wide range of tools and medicines help a great deal in controlling this disease. Find what tools and medicines can help in bringing down the symptoms of asthma and help one breathe with ease.

Pink flow meter: This small tool helps in measuring the movement of air in the lungs. You need to blow into it and read the number. The result helps in finding out the frequency of doctor visits and the dosage of the medicines. Forthcoming asthma attack too is indicated by this device, and you can see it declining with constant use. In fact, you would slowly stop experiencing any other symptoms. Using the pink flow meter forewarns you about a forthcoming asthma attack.

Checkups: You need to visit your doctor regularly. The frequency can vary. You will be seeing your doctor after every two to six weeks, based on the severity of the disease. If you strictly stick to the instructions of your doctor, you can improve the lung function. You can stay active and sleep well if you follow the medicines. This way, there will be no fear of emergency treatment as the peak flow is almost always above 80 percent in case of complete compliance to medicine. Even if you know your condition cannot be cured, you can keep it in check to lead a healthy life.

Medications: Asthma has to be controlled with two types of medicines. You will need to take fast-reacting medicines and the long-term medications. Providing immediate relief is what the quick-relief medicines do, and reducing inflammation of the airways is what the long-term medicines aim at. While there are pills available, the inhalers play a vital role in keeping asthma patients healthy. Through an inhaler, the medication is administered straight into the airways. This makes it easy to give larger and continuous dose of medicines. In fact, this is the most effective way to prevent and treat the asthma symptoms. Corticosteroids are inhaled with an inhaler and it results in long-term relief. Even if taken daily, patients do not get addicted to corticosteroids. Physicians may also prescribe pills that reduce inflammation of the airways. Short-acting b2 agonists are often prescribed as quick-relief medicines. Asthma-affected individuals must carry the inhaler and the quick-relief medicines with themselves, wherever they go.

Treatment for different age groups: In children, only the quick-relief medicines are prescribed. If required, the long-term medications are used after six years of age. If desired results are obtained, the treatment is stopped after six weeks. Children can also be administered corticosteroids. This may result in slowed growth in a few children but the effect does not last long. In elders, long-term inhaling of corticosteroids can increase the risk of osteoporosis. It is essential to take vitamin D supplements along with it. Also, do not take pain suppressants and anti-inflammatory drugs. Speak with your doctor about taking pills for other diseases. When a pregnant mother is asthmatic, the chances of the child getting asthma are higher. They also suffer the risk of premature birth and low birth weight. Check with your doctor about taking medicines for asthma when you are pregnant. You need to consider the risk and stick to safe medication practices.

Asthma - Know About Its Treatment In Modern Medicine! 

What is allergic rhinitis?

Allergic rhinitis is defined as allergic symptoms in the nasal passage. Allergic rhinitis can be seasonal (occurring during specific seasons) or perennial (occurring year round). The allergens that most commonly cause seasonal allergic rhinitis include pollens from trees,grasses and weeds, as well as spores from fungi and moulds. The allergens that most commonly cause perennial allergic rhinitis are house dust mites, cockroaches,animal dander,and fungi or moulds. Perennial allergic rhinitis tends to be more difficult to treat.

How does allergic rhinitis occur ?

This condition occurs when allergens (allergy- causing substances) come into contact with the nose, and usually also the ears, sinuses, and the throat. When allergens come in contact with the lining of the nose and sinuses, they trigger the cells to release the chemical histamine, which causes the allergy symptoms described below.

What are the symptoms ?

Nasal congestion 
Sneezing 
Watery " runny nose" 
Itchy eyes,nose,or throat 
Puffy eyes or 'allergic shiners'
Post nasal drip 
Tears 
These symptoms may occur during a certain season or year long. They can occur at any age. 

What is the treatment for allergic rhinitis ? 

A number of medications ,including antihistamines, intranasal corticosteroids, and decongestants are available to control symptoms. Allergen immunotherapy could provide long lasting benefit. You can "train" your immune system not to react exaggerated to an allergen anymore.

Allergic Rhinitis - Signs That You are Suffering from it?

Symptoms of Acute Bronchitis

Most of India’s urban populace is highly prone to respiratory infections and problems due to the dangerously high air pollution levels in all major cities across the country. Air we breathe in travels through the bronchial tube to reach our lungs. Problem begins when these tubes get inflamed and mucus builds up. It leads to coughing and shortness of breath which is known as bronchitis. It is very important to identify the symptoms in the beginning and get yourself treated by a doctor immediately. 

Look out for these symptoms of acute bronchitis.

1. Prolonged Cough - If your coughing goes beyond ten days, it could be bronchitis. If you have been coughing so long, check if the mucus is coloured too.

2. Shortness Of Breath - If you are facing shortness of breath despite not being asthmatic, you should see a doctor.

3. Chest Pain - Chest pain and chest tightness could be a symptom of acute bronchitis as breathing troubles might cause problems in such areas.

4. Sore Throat - Sore throat with persistent coughing is also a symptom for acute bronchitis.

5. Flu Like Symptoms - Most children show very different symptoms of bronchitis. They might show flu like signs of runny nose, sore throat, back or muscle pain and chills.

6. Weight Loss - You might also experience unexplained weight loss.

7. Barking Cough - Deep, barking cough is a sure shot symptom of something serious and you need a consult a specialist immediately.

If you would like to consult with me privately, please click on 'Consult'.

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Did You Know: Every 7th Urban Indian Is Prone To  Bronchitis

With the increase in pollution, there has been a significant increase in allergies and asthma patients off late. The reason is that apart from genetic problems, allergens or pollutants play a significant role. Homeopathy is the best way to treat these with less or no side effects!

Allergens

These are types of antigens responsible for drastic immune responses. Here, the immune system acts against these to protect the body and the reactions are called allergies. Allergy can be expressed via sneezing or rashes, itching, redness in eyes, vomiting and so on.

Types of allergens

1. One could have food allergies from foods such as peanuts (a legume), nuts, seafood and shellfish.

2. Other allergens could be, but not limited to dust mite excretion, pollen, pet dander and royal jelly.

3. Some drugs, dander or even dye can also cause allergy.

Homeopathic treatment for allergies

1. Ailanthus: for those allergic to smell of flowers

2. Apis mel: for those allergic to heat

3. Argentum nit: for those allergic to sugar

4. Arsenic album: helps patients allergic to cold drinks; fruits; rotten foods, iodine

5. Bryonia: for those allergic to castor oil

6. Carbo veg: helps those allergic to aspirin; bad liquors, salt butter, bad eggs, poultry items

7. Dulcamara: act against dampness allergy

8. Histamine: act against dust and strong perfumes allergies

9. Justicia adhatoda: for those allergic to dust

10. Petroleum: helps those allergic to cabbage

11. Natrum mur: helps those allergic to bread and acidic food

12. Nitri-spiritus dulcis: acts against cheese allergy

13. Nux vom: for those allergic to coffee

14. Sepia: for those allergic to warm boiled milk

15. Sulphur: act against antibiotic allergy

16. Tellurium: for those allergic to rice

17. Thuja: for those allergic to sweets; fatty meats, onion

Know about asthma before you treat it

In case of asthma, lungs are affected causing inflammation of lungs thereby narrowing airways. Asthma can start by allergies.

Symptoms

1. Tightening of chest

2. Difficulty in breathing

3. Persistent cough, particularly at night.

Homeopathic remedies

1. Natrum sulphuricum cures children: in case of hereditary cases, this is effective. Important symptom to have the remedy is wheezing.

2. Arsenic album for all: it is effective in acute phase as well as chronic state.

3. Sambucus for children: it is given if the attack is sudden at night.

Asthma is a form of allergy. However, it can co-exist with other nasal and skin allergy symptoms. Arsenic, allium cepa and histaminum are homeopathic remedies for asthma along with nasal allergy.

Now you know what is to be given and when. It is advisable to call up a doctor in case of severity.

Allergy or Asthma Cure in Homoeopathy

Asthma is an inflammatory disease, which affects the airways of your lungs (respiratory tract that pumps oxygen into the lungs). It is long term in nature. It is characterized by shortness of breath, coughing and wheezing. It occurs a few times a day or a few times a week depending on the person it affects. Sometimes it worsens during the night.

What triggers Asthma?

Airborne particles such as dust mites, mould spores, pollen and cockroach waste.
Infections in the respiratory system such as a common cold.
Cold air can also trigger asthma.
Physical or outdoor activities which make you pant such as running, skipping, jogging and jumping can cause shortness of breath, thus triggering asthma.
Pollutants and irritants in air such as smoke.
Some medications can also trigger asthma.
Stress and nervous attacks (panic attacks) also trigger asthma.
How to manage asthma better by changing your lifestyle:

Try to avoid keeping animals in your houses such as dogs, cats and rabbits. Many times animal fur, waste, urine and saliva contains particles which can cause allergic reactions and make you cough uncontrollably. This, in turn, triggers asthma attacks. If you have pets try keeping them away from your bedroom.
Dust mites also cause allergies which trigger asthma. So wash your carpets, rugs, bed-linen and pillowcases in hot water.
Bugs and insects such as cockroaches are not only unhygienic but can also trigger asthma. Cockroach droppings near your bed, kitchen and food are dangerous and you should call an exterminator to get rid of these bugs.
Sometimes, the heavy fragrance also aggravates your respiratory tract and triggers shortness of breath. Avoid using heavy perfumes, deodorants and room fresheners.
Pollution also triggers asthma. Dust particles come out from the vehicles and mix with the air. If this air is inhaled, it might trigger uncontrollable asthma. So try to cover your mouth with a cloth when you step out of your house.
Asthma can be very severe and can bring many hurdles in your day to day activities. Changing your lifestyle and certain habits can reduce asthma to a great extent.

Lifestyle Changes to Manage Asthma Better

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