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?

Choosing homeopathy to cure bronchitis

Bronchitis is a respiratory disease where people cough up thick mucus. Bronchitis can either be acute or chronic, with the most common cause of bronchitis being either viral or bacterial infection. Acute bronchitis improves within a few days with proper medications. On the other hand, chronic bronchitis is a serious condition causing constant irritation in the linings of bronchial tubes. The most commonly visible signs of bronchitis are a cough, fatigue, shortness of breath, chest discomfort and slight fever and chills. Exposure to excessive pollutants and smoking can cause chronic bronchitis.

How homeopathy can help you in treating bronchitis

Bronchitis can be treated with the help of homeopathy, which can be instrumental in providing relief, thereby improving your quality of life. In fact, homeopathy can be your best option for treating both the forms of bronchitis, as it offers significant relief from the symptoms as well as helps in improving your health in totality.

In the case of acute bronchitis, homeopathy can shorten the duration of the illness to a great extent. When a patient is on the homeopathic treatment he/she experiences a marked reduction in toxicity as well. For the management of an acute attack of bronchitis, the prescribed homeopathic medicines may have to be taken at shorter intervals, after every few hours.

Chronic bronchitis, though contagious, can be treated by homeopathy as well. The symptoms of chronic bronchitis can be significantly improved by homeopathic remedies. It can even aid the patient in quitting smoking.

The most important aspect of homeopathy treatment in the management of bronchitis is that the medicine works very fast and does not leave you weak and drained at the end of the infection. Homeopathic treatment can also help to prevent complications such as pneumonia, respiratory failure, right sided heart failure (the one that affects the right side of your heart), emphysema, etc.

Homeopathic medicines come without any side effects and are non-addictive. Also, there is no problem in administering the medicines to any patient irrespective of age; therefore, it's a safer choice to opt for homeopathy for the treatment of bronchitis.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Did You Know: Every 7th Urban Indian Is Prone To Bronchitis

Here's a Reason for Choosing Homeopathic Treatment for Bronchitis

Asthma is a condition that can flare up anytime; be it at your child's soccer practice or during the middle of the night. Whenever the condition sets in, it leads to your child struggling for breath. For a parent to witness this situation can be hard; but you should know the techniques to keep the situation under control.

Here are a few tips on how to manage the situation:

1. Find out the triggers in your home: Asthma is triggered due to substances that your child may be allergic to. Examples are cigarette smoke, fur of pets and dust. If possible, keep your child away from the known triggers so that the condition does not flare up again.

2. Keep records of the following: It is good to have an action plan ready for your child when the bouts of asthma strike. When you visit the doctor to discuss about your child's condition then make sure that you have these records at hand.

The triggers that caused the bout of asthma
How many times did your child have wheezing episodes?
The number of times your child has been admitted for the same reason
The medications that your child is currently taking, dosage and/or whether they have been changed
How often does he/she need medications if he/she has acute symptoms?
3. Knowledge of the test your child may require: Asthma control test is a type of test that allows parents and children to grade asthma symptoms without a doctor. A pulmonary function test is used to detect the capacity of the lungs and flow of air.

4. See how your child responds to the treatments: You should consider changing the treatments for your child if he/she has recurrent symptoms of asthma attack and require frequent visits to the Emergency Room even after taking medications for an extended duration.

5. Long term treatment plans require patience: Any asthma treatment plan requires patience as they might not immediately cure symptoms.

How to Manage if Your Child Is Suffering From Asthma

Asthma is a distressing condition during which people find it difficult to breathe as the bronchi or tubes carrying air to lungs swell up. This happens when mucus inside bronchi comes into contact with an allergen like a pollutant or dirt causing symptoms like wheezing, coughing, more mucus production and difficulty breathing. There is no cure for asthma. As of now, it can only be managed. But managing asthma becomes really difficult during low air quality days, especially during winters when it s cold and dry.

The most common air pollutants are gases like sulphur dioxide, nitrogen dioxide, vehicle smoke, and suspended particles. Each one of them can trigger an asthma attack by itself because of its deleterious effect on the lungs. The smaller the particulate matter is, the more dangerous it becomes as these particles get lodged in the air sacs inside lungs, causing not just asthma from worsening but also fatal diseases like lung cancer.

So, most asthma patients suffer from frequent attacks due to air pollution. How can these attacks be prevented? Here are some tips:

According to research, asthma can be managed by making modifications in everyday life. On high air pollution days due to ozone, for example, asthmatics tend to experience more lung inflammation. If you are an asthmatic, you should reduce time spent outdoors, especially doing strenuous activity in the mornings and evenings. Keeping medications on hand and using those at the very start of an asthma attack also helps. There should always be a plan in place to lessen the chance of an asthma attack on poor air quality days starting from a rescue inhaler to preventive medication if your doctor feels you need it.
Stay hydrated and breathe through the nose. Dehydration is dangerous for asthmatics especially when air quality is bad. In this case, lungs can become badly affected because they need right temperature and levels of water to work properly. It s crucial to breathe through the nose only and not the mouth as the air breathed in from the mouth can be very cold and dry and can cause even more inflammation of the lungs.
Know your asthma triggers and change lifestyle. Avoiding your triggers is key to managing asthma. If traffic fumes are a trigger, it s best to change the route you take to work to manage your asthma. If you don t know your triggers look back at your last asthma attack and remember what you were doing. Did you pet your dog? Write a diary and discuss with your doctor on how to avoid your triggers. Use a face mask when outdoors to limit exposure to allergens. 
Track your asthma to recognise early signs of asthma. If you know that it s getting worse, you should have a fool-proof plan in place.

Air Pollution - Tips to Prevent Asthma From Worsening!

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!

Air pollution is known to take a toll on the lungs of even the healthiest adults. So, it comes as no surprise that the effects of this pollution on the lungs of children is deemed as a grave situation, full of health hazards including the onset of Chronic Obstructive Pulmonary Disorders and conditions like asthma and other lung disorders. Read on to find out more about the link between air pollution and its effect on the lungs of children.

Children's Lungs: Mostly, all the organs of a child's body are considered delicate and not fully matured until the child reaches a certain age. The main and largest part of the child's lungs will usually grow only after the child is born, much like the arms and legs. In fact, it is a medically proven fact that about 80% of the tiniest of air sacs grow after the child's birth, these are called the alveoli and they facilitate the transfer of the oxygen into the bloodstream with a life-sustaining function that is built into our lungs. These alveoli continue to grow until the child becomes an adult. 

Immunity and Infections: Like the lungs of the child, the immunity of the child is also still in its growth phase, and is very much, unlike the immunity that an adult enjoys. This makes the child more susceptible to infections that are usually carried by air pollution in today's day and age of urban living when myriad pollutants are sent into the air every single day. Also, since children play outdoors more often and spend more time breathing in this air, they are more prone to these infections and lung or respiratory ailments due to this reason. Various studies and tests have shown inflammation in the respiratory passages caused by deposits of carbon dioxide emissions in the lungs of children.

Symptoms: Usually, the very first symptoms that show that air pollution is affecting your child's lungs can be seen when persistent coughing and wheezing sets in, without any proper reason. Also, when the child faces bronchial infections time and time again, all these are indicators of hazardous effects of air pollution in children.

Respiratory problems: Apart from respiratory problems, which can lead to asthmatic attacks, hay fever and allergies as well as other COPD ailments, there are other related dangers as well. These can happen when constant choking and obstruction of oxygen due to pollution becomes a regular affair. These include stroke and brain damage which can eventually also lead to a higher risk of dementia. 

How can you protect your child during such times?

Restrict outdoor activity for the time being, especially during the early morning and evening
Make sure that your child wears a face mask when outside, preferably N95 or 99
Use air purifiers at home 
Go green and use indoor plants that can remove indoor toxins
Boost your child's immunity
Lastly, keep a track of air quality index in your locality

Pollution - How It Can Affect Your Child's Lungs?

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