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?

The festival of Diwali is greeted with great pomp and splendour and along with the regular festivities, the pollution levels in the air also rise due to the ritual of bursting fire crackers. In an analysis, the rise of harmful pollutants such as sulphur dioxide and nitrogen dioxide seemed to reveal a disturbing outcome.

The rise in pollution during Diwali affects you in the following ways:

The PM (particulate matter which is smaller than 2.5mm) enters your lungs and bloodstream and has several health impacts including chronic respiratory symptoms such as painful breathing and shortness of breath which might cause premature death.
High sulphur dioxide levels in the air during Diwali also lead to inflammation of air passages and causes complications in respiration.
A compound called  strontium  found in the atmosphere multiplies by 120 times during the festival and causes bone damage and blood clotting ailments.
Firecrackers contain heavy metals which are toxic to the human body and the amount of magnesium in the air goes up by 22x, which poses a significant threat to all forms of life.
The noise pollution also rises during the festival and in extreme cases, can permanently damage one s hearing.
However, there are a few measures you can undertake to steer clear of the excessive pollutants present in the air:

Limit the amount of time you spend outdoors even while exercising. This is because the air remains contaminated, days after all the festivities get over and the pollutants take a very long time to dissipate.
Even on the road, drive with the windows of your car rolled up to avoid intake of adulterated air and use a face mask if you are a two-wheeler rider.
Plant a lot of green plants inside your house as they purify the air you are breathing and ensure a supply of fresh oxygen.
Install an air purifier in the room to make sure you breathe in fresh, uncontaminated oxygen when you sleep. The air purifier will also help in lessening your respiratory complications.
Also, in case you notice any respiratory or breathing problem, it is advisable that you consult a pulmonologist, to rule out serious health issues. 

Diwali - How the Rise in Pollution Level Affects Your Health?

Bronchitis is the inflammation of the lining of the bronchial tubes present in the lungs. The inflammation may occur due to a bacterial or a viral infection or even due to some allergy. As the mucous membranes get irritated due to the inflammation, there is swelling. This swelling can cause narrowing of the airways. This narrowing causes difficulty in breathing. At the same time, due to the inflammation, a lot of mucous is produced. The narrow airways are unable to wash off the mucous causing mucous to collect within the lungs.

Bronchitis can be of two different forms - mild and chronic. Those with chronic bronchitis would have to be extra careful during change of season and when they catch a cold so that their bronchial tubes do not flare up. At times, bronchitis is caused due to allergic reactions in the body. Such allergies mostly constitute allergies from pollen, dust, paints and the likes.

Bronchitis Symptoms

Cough and production of mucous or sputum are the two most common symptoms of bronchitis.

Due to excess production of mucous within the bronchial tubes, the cough reflex is induced in a bid to get rid of the mucous. The mucous is usually whitish in colour.

Often patients feel shortness of breath.

There may be wheezing in the chest while breathing. A sensation of tightness or heaviness in the chest may be felt.

Exercising or running or climbing stairs is often difficult as the compromised lungs are unable to meet the increased requirements of oxygen.

In such cases, many lines of treatments can be undergone to provide relief from the discomfort. However, homeopathy is one of the best treatments which would involve fast relief and quick comfort from bronchitis.

Homeopathic Treatment For Bronchitis

When it comes to treating bronchitis, Homeopathy is very effective. In fact, it is the most promising system of medicine for the treatment of bronchitis. Homeopathic medicines serve as a very reliable and safe treatment to get rid of Bronchitis. They are free from any side effects and there is absolutely no chance of suppression in the Homeopathic treatment of Bronchitis. They prove a great helping hand in easy coughing out of the mucus from the bronchi. As the mucus is effortlessly thrown out with aid of properly selected Homeopathic medicines, the cough, chest pain and difficulty in breathing also begin to subside and almost end. Here are five of the most used homeopathic medicines for treating bronchitis.

Arsenic Album: Bronchitis, mild or severe, manifests certain symptoms. In case, bronchitis experienced by you is accompanied by wheezing, increase in cough during the night, and extreme weakness and restlessness; then arsenic album is the best medicine for your treatment. There is also an ardent increase in your want to drink water, although very little liquid intake actually happens at one go. These symptoms are enough for the medical practitioner to prescribe the above medicine to you.

Bryonia: Bryonia is administered when the patient has a dry mucous and dry cough due to bronchitis. This dryness causes him/her to increase the liquid intake in the body. It has also been noticed that cough is aggravated on entering any warm space.

Pulsatilla: This is prescribed when cough worsens during the evening and night while it is relatively stable during the day. The patient suffers from greenish to whitish mucous discharges and goes relatively thirstless during the suffering period. It becomes difficult for the patient to lie down while having this kind of bronchitis as it only aggravates cough, thus forcing him to sit up all the time.

Antim Tart: Mostly administered to children and elders, this medicine works best when there is rattling of cough inside the chest. However, it actually becomes difficult to discharge it. Moreover, the patient finds it difficult to lie down peacefully on their right side, forcing them to shift often while sleeping.

Hepar Sulphur: When cough is excited by advent of cold air, it becomes increasingly needful to administer Hepar Sulphur. Here, cough increases in the morning followed by wheezing and rattling.

Bronchitis is a common chest infection and can be treated with much ease with these tested homeopathic medicines. However, before you take on any medication, it is always recommended to consult a specialized homeopath for individualized treatment.

Homeopathy - A Perfect Remedy For Allergic Bronchitis!

Asthma is a respiratory disease that takes place with a variety of symptoms including breathlessness, wheezing and coughing. It usually occurs when the airways get obstructed, which in turn leads to inflammation of the tubes. So how can you recognise the signs and symptoms of asthma? here is a list of ways!

Risk identification: it has been observed by doctors and medical science that there is no specific reason for the onset of this ailment. It can be caused due to genetic as well as environmental factors. So, in order to recognise the symptoms, you will first of all have to take stock of both these factors. Find out if you have any blood relatives who have suffered from this ailment and try to find out how it started and at what age, so that you can watch out for the same warning signs. Also, if you are more prone than others when it comes to allergic conditions like rhinitis and atopic dermatitis, then you are at risk. Other risk factors also include living in a high pollution zone, as well as being overweight, smoking, working within close range of exhaust fumes and other chemicals, and other such factors.

Symptom identification: to be able to identify whether or not you are at risk, you must identify the potential symptoms including persistent shortness of breath, which may strike regularly. Also, another symptom is not being able to sleep comfortably due to excessive coughing and breath shortness as well as shallow breathing and wheezing. You may also experience some amount of chest tightening or constriction. These symptoms will usually get worse if you happen to be suffering from the flu or a cold. 

Respiratory health: if you are suspecting the onset of this disease, it would be a good idea to watch your respiratory health by observing the rise and fall of your breath when you are doing energy consuming and strenuous activities like exercising or other such tasks. Sports induced asthma is an actual condition that can get worse when your lungs are faced with cold and dry air. Also, if you are facing exhaust fumes and chemicals as a part of your job, then you are at risk of occupational asthma, in which case you should watch your respiratory health very closely. These symptoms can also get worse when you are around animals and pets due to the allergens that may trigger wheezing and coughing. A lung function test can be conducted by the pulmonologist in case you are suffering from any of these symptoms and conditions on a persistence and prolonged basis. 

Knowing and reporting your symptoms to the doctor is important for getting timely treatment.

How to Recognise Asthma?

Asthma is a common disease, characterized by the inflammation of the airways. These airways are responsible for the passage of air and therefore their inflammation causes shortness of breath and extreme discomfort. Though different branches of medicines have tried in their own ways to deal with this problem, ayurveda with its emphasis on natural remedies has emerged as a clear favorite. According to ayurveda, it is the stomach that is the source of all chronic diseases. The science believes that as impurities accumulate in our system, diseases like asthma come to the fore. The different ways by which ayurveda treats asthma are:

1. Maintaining a proper diet: since stomach is identified as the source of most diseases, any attempt to treat them should begin from the stomach itself. Ayurveda believes that those foods, which are easy to digest, inevitably helps in relieving you from the bouts of asthma. The concept that operates behind this is that easily digestible food provides nutrients, which are further absorbed by the tissues. This helps in rebuilding the strong strength as well as keeps the stomach in a sound condition.

2. Herbal oil massage: a daily massage with herbal oil has always proved to have an extremely soothing and a calming effect on your system. Ideally the massage should be performed before taking a bath as it increases the blood circulation and pacify the nervous system.

3. Exercise: ayurveda is perhaps the only branch of medicine that gives equal priority to medications as well as exercises. It is believed that stretching and those exercises that facilitate flexibility can markedly reduce bouts of asthma.




Role of Ayurveda in Treating Asthma 

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

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