Chronic Obstructive Pulmonary Disease, abbreviated as COPD, is an umbrella term which refers to the group of lung infections and diseases that include emphysema, chronic bronchitis, and diseases of the small airways. Most people feel breathlessness, which is caused due to impairment of gaseous exchange that happens because of prolonged damage to the lungs over a period of time.

Symptoms such as fatigue, reduced tolerance to exercise, muscular dysfunction, breathlessness even after simple tasks like walking, anxiety, panic, depression, and mood disorders are associated with major chronic disorders of the respiratory system.

Pulmonary Rehabilitation:

Physiotherapy is an effective intervention to treat patients suffering from COPD. It is the part of a formal supervised, multidisciplinary, and an intensive Pulmonary Rehabilitation Program that helps in treating manifestations of the conditions like COPD and Asthma. It consists of exercises to improve and maintain good lung capacity, resistance training, aerobic exercises, and support to behavioural and lifestyle changes for promoting self- efficacy. Your physiotherapist will choose from the different techniques and positions used to remove the unwanted excess sputum from the lungs and airways. The main purpose of the Pulmonary Rehabilitation is to help in improving the psychological and physical conditions of the pulmonary patients, along with training them for health enhancement techniques. Also, it should be noted that Pulmonary Rehabilitation is the cornerstone of care for patients suffering from COPD that uses integrated care by exploring underutilized opportunities.

Benefits of Pulmonary Rehabilitation: 

There are well-researched evidences of the improvement in the capacity of exercising, less breathlessness and fatigue, better control over condition, and an overall improvement in the quality of life of the patients suffering from COPD and Asthma.

Also, undergoing Pulmonary Rehabilitation lowers the rate of admissions, and re-admissions in hospitals due to recurrence of the symptoms and the related conditions.

It has also been reported that if Pulmonary Rehabilitation is properly undertaken, there is nearly no need for systematic health review to check COPD.

Pulmonary Rehabilitation, being a comprehensive program, helps in restoring fitness and easy breathing through breathing techniques, nutrition, exercise, relaxation, emotional support, medications, self-management, and other strategies for a better life, mainly by helping the lungs and the heart to function better.

How It Works?

Exercise is the key to any Pulmonary Rehabilitation Program for helping the lungs and the heart to function better and adjust to the condition. Some of the following exercises can be recommended based on the medical history of the patient:

1. Lower Body Exercise focuses on the workout of legs via running on a treadmill or climbing the staircase for rigorous training.

2. Upper Body Exercise includes working up the muscles of the arm and the chest by tasks as simple as lifting arms against gravity.

3. Breathing Exercise helps people with weak breathing and increasing their breathing and lung capacity.

4. Strength Training helps in building endurance and better stamina through activities like weight-lifting.

Other than exercise, Pulmonary Rehabilitation Program focusses on helping patients build an understanding of their situation and amend their lifestyles accordingly. This includes helping them understand their medication plan, teaching them to use their inhalers right, quitting smoking, consuming a healthy and balanced diet, and other methods as may be suitable based on their specific condition. Also, they are made aware of their symptoms so that if there is any recurrence, it can be immediately reported to the concerned health professional. They are trained through counseling to manage and deal with panic, anxiety, and depression caused due to their condition.

Take Away: Pulmonary Rehabilitation Program is an effective intervention and the cornerstone of care for improving the psychological and physical conditions of the pulmonary patients, along with training them for health enhancement techniques. It helps in treating manifestations of the conditions like COPD and Asthma.

Pulmonary Rehabilitation For COPD & Asthma!

Homeopathy and its role in treating ADHD

A brain disorder, attention deficit hyperactivity disorder (ADHD) is characterized by a continuous pattern of hyperactivity and inattention, resulting in interference with normal development and functioning. The term is applied to both adults and children who exhibit these two characteristics over a long period of time. The condition is usually discovered during a child's early school years, between the third and sixth year (during which he or she may display problems associated with attention) and can go on into adulthood. Although medications are available under western medical science for treating this condition, they aren't free from any side effects.

Which remedies are generally used for treating ADHD?

Homeopathic remedies can help in easing some of the symptoms of this condition, making it easy for children to take part in normal school and social activities. A homeopath prescribes the relevant remedies after having a clear understanding of your characteristics. Some of the medicines that are used for treating the condition are Cina, Hyoscyamus Niger and Stramonium. While Cina is prescribed for alleviating aggressive behavior, Stramonium is recommended for treating fears or PTSD and Hyoscyamus Niger for sexualized or manic symptoms. But the one remedy that is most preferred for treating the varied symptoms of ADHD is Tarentula Hispana.

How is homeopathy different from conventional medicine?

When it comes to the homeopathic treatment approach for ADHD, it differs from conventional western medicine in two very different ways. Firstly, the treatment is personalized to suit your needs and health condition. For this reason, the remedy that is suggested to you differs from the one that is suggested to another individual. Such an approach allows a homeopath to better help you by addressing your specific symptoms compared to the conventional treatment of ADHD. Secondly, it treats the condition using smaller doses of the remedies and not higher doses so as to not aggravate the symptoms of ADHD.

In addition to being safe and non-toxic, when these homeopathic remedies are taken along with dietary modifications and lifestyle changes, they can bring about vital improvements in your health.

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

How Hyperactivity of ADHD can be Controlled by Homeopathy

Bipolar mood disorder, otherwise called manic depressive disorder or manic depression, is a genuine and serious mental problem. It is a disorder that can lead to unsafe conduct, damaged relations and career, and even self-destructive inclinations if it is not treated properly and on time.

Bipolar disorder is portrayed by outrageous changes in the state of mind, from mania to depression. Between these mood swings, a man with bipolar disorder may encounter normal moods as well. Here is how it can affect a relationship:

Bipolar disorder can turn into an issue from the very begin of a relationship. Exploring any sentimental relationship - whether it is dating or marriage - can be a risky attempt. Including bipolar disorder with its crazy ride of feelings in with the general problems in a relationship, and connections can turn out to be all the more difficult.
However, not everybody with bipolar disorder encounters the state of mood swings of depression and mania, but when those scenes do happen, they can destroy a relationship.
During the hyper stage, a person can lose his or her feeling of judgment. That implies spending all their money carelessly, breaking rules, and taking part in dangerous practices like medication and liquor abuse. When you have a partner with the bipolar issue who gets into a hyper stage, it can be extremely harmful to a great degree for the relationship since they might do things that hurt you or may trouble you financially.
Any number of things, from work problems to financial issues, can lead to fights and put a strain on a marriage. However, if one of the partners has a bipolar disorder, simple stressors can trigger their mood swings. That might be the reason why around ninety percent of the relations and marriages with a bipolar partner, fail.
Having a relationship when you live with bipolar disorder is troublesome. Nevertheless, it can surely be dealt with. It takes the efforts of both the partners to make it work.
The initial step is to get diagnosed and treated for your condition. Your specialist can give you hormone balancing drugs, for example, Lithium, with antidepressants to control your symptoms. Treatment with a clinician or psychologist is additionally vital. With treatment, you can figure out how to control the practices that are putting pressure on your relationship.

Here are a couple of different approaches to alleviate a portion of the weight on your relationship:

Take your medicine as recommended
Take a marriage education and counselling class
Manage your stress in different ways whether it is writing in a diary, taking long strolls, or listening to music
Attempt to adjust work with more calming exercises
Adhere to a customary rest cycle
Eat healthy and exercise frequently
Maintain distance from liquor and caffeine

Bipolar Mood disorder - Is It Hampering Your Relationship?

Also called gluten-sensitive enteropathy and celiac sprue, celiac disease is an autoimmune digestive disorder, wherein the consumption of gluten-based foods leads to damage of the tissues that line the small intestine. This hinders the ability of your body to absorb the essential nutrients from the foods you eat.

Causes
Under normal conditions, the immune system of the body offers protection against external intruders. When individuals diagnosed with celiac disease consume gluten-based foods, gluten resistant antibodies are formed by the immune system. This causes them to attack the linings around the intestines, thus causing irritation in the digestive tract and harming the villi (hair-like structures on the covering of the small intestine which absorb nutrients from the food). This impairs the nutrient absorbing capacity of the individual, thus increasing chances of malnourishment.

Symptoms
Celiac disease has symptoms that vary from patient to patient. Some of the common symptoms include:

A severe skin rash called dermatitis herpetiformis.
Digestive problems such as:
Pain
Gas
Abdominal Bloating
Diarrhoea
Weight loss
Pale stools
Musculoskeletal problems such as bone and joint pain as well as muscle cramps
Seizures
Aphthous ulcers which are basically sores occurring in the mouth
Tingling sensation in the legs which are caused by low calcium and nerve damage
Growth issues in children since they cannot absorb the required amount of nutrients
Irregular menstrual cycles
Other complications associated with celiac disease

Miscarriage or Infertility
Osteoporosis. This is a disease which weakens the bones and causes fractures. It is caused because of a deficiency of Vitamin D and calcium.
Intestinal Cancer
Other birth defects: Such as irregular spinal shape because of the deficiency of certain nutrients, especially folic acid.

Celiac Disease - Signs You Are Suffering From It!

A dialysis diet is a special diet that is customized for patients who are or will be starting dialysis within a short period of time. Such a diet is prepared to reduce the waste and fluid levels that keep on accumulating between the dialysis sessions so that the patient remains healthy for the process to be carried out seamlessly.

What can you eat?
Eat foods which are rich in high-quality proteins (poultry, fish, lean meat and egg whites).

What can t you eat?
Eat less of foods which are rich in sodium and phosphorus.

Foods high in Sodium
1. Use minimum salt in preparing the dishes; this helps control BP and probable weight gain that might happen between the dialysis sessions.
2. Make use of spices, herbs and other salt-flavored enhancers.

Meat
1. Patients on dialysis need to include more of high-quality protein foods in their diet. This will help regulate blood protein levels. Eat about 10 ounces of foods rich in high-quality protein every day.
2. 1 egg,   cup of ricotta cheese,   cup of tuna.

Salads/Vegetables

The potassium content of vegetables can be alarming for a patient on dialysis. Eat 3 servings of vegetables that are low in potassium every day. These include broccoli, cauliflower, cabbage, carrots, garlic, cucumber, eggplant, celery, radishes, etc.
Avoid vegetables such as beets, potatoes (in any form- wafers or wedges), winter squash, cooked spinach, pumpkin, asparagus and avocado.
Note:

Although seeds, nuts, peanut butter, lentils, dried beans and peas are rich in protein, they are generally struck off from the diet plan because of their high phosphorus and potassium content.
You can have moderate amounts of grains, bread and cereals.
Try and not have brown bread and other whole grains as they are loaded with phosphorus.
Usually, 5-10 servings of these are considered sufficient for patients on dialysis.
Also, limit intake of milk and other dairy products.
  cup yoghurt or   a cup of milk is considered safe. Also, remember that all varieties of milk- skim, whole and low fat, have the same amount of phosphorus.
All fruits contain some amount of potassium. However, some of them contain more potassium than the others. Limit your intake of fruit juices.
Avoid or limit fruits like: 
Orange juice and oranges
Kiwis
Prune juice and prunes
Dried fruit and raisins
Melons
Bananas

Dialysis - What To Eat & What To Avoid?

We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High blood pressure
When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy
As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia
An irregular heartbeat is also known as arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous positive airway pressure (cpap)
This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto cpap machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices
Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than cpap machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.

Sleep Apnea and Its Link to Heart Failure

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