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?

Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
 
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc.
 
Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
 
What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home.
 
Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it.
 
Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).
 
As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child. 

Parenting Tips for Fever in Children

Being a mother is the greatest gift to womankind. With the most amazing feeling of being a mother, comes big challenges and responsibilities. The first and foremost being, keeping the baby safe and healthy. Providing babies their best start begins with breastfeeding. Doctors around the world recommend exclusive breastfeeding to begin within the first hour of a baby s life and continue until six months.

A mother s milk has no substitute. It is packed with amazing nutritional benefits, the absence of which can lead children at risk of malnutrition and various diseases. Breast milk is often being termed as complete food with added antibodies, enzymes, hormones and fatty acids extremely vital for a delicate immune system of an infant. Babies build their immunity in the first few years of their life and breast milk is critical to developing immunity.
UNICEF working on child s rights and well-being world over promotes breastfeeding schemes across many countries. 

According to UNICEF reports, a non-breast fed child is 14 times likely to die within first six months than an exclusively breastfed child. An estimated 8,20,000 children under the age of five could be saved each year with increased breastfeeding. However, Only 38% of infants globally are breastfed. Looking at India s state, Malnutrition continues to be one of the greatest challenges. One cost effective, safe and smart intervention to curb malnutrition and decrease infant mortality is breastfeeding.

Let s now look at the benefits of breast milk for infants and mothers:

Breast milk is found to reduce the risk of respiratory tract infections, diarrhea, asthma, food allergies, leukemia, diabetes and celiac disease.
Psychologists have long established the positive effects of mother s touch in the emotional development of babies. In addition to this, breastfeed has positive effects on child s cognitive development.
Breastfeeding has amazing benefits for mothers. It is found to aid weight loss post pregnancy. It promotes better uterus shrinkage and delays menstruation. Lactating mothers naturally avoid pregnancy till they breastfeed. It reduces the risk of breast cancer, cardiovascular disease and rheumatoid arthritis later in life.
Considering the benefits of this super natural milk, many countries have now adopted an international code of marketing of breast-milk substitutes. The code promotes breastfeeding and restricts marketing of infant formula milk. India along with many other countries signed it.
India has also begun with a baby friendly hospital initiative where hospitals educate new mothers regarding breast feeding and strictly discourage infant formulas wherever possible. The myth of feeding newborn babies with honey, water, sugar does more harm than good. Thus, it is vital to exclusively breastfeed the baby at least for six months before introducing other foods. 

Ensure your child s right to a healthy life through breastfeeding!

Breastfeeding - Its Benefits for both Mother and Baby

Drug addiction is a major problem in today's world. The major part of these drug abuse victims are teenagers. There are several reasons may drive your teen kid to hard drugs which include peer pressure, neglect, curiosity or just for the sake of being cool. This could be a major concern for the parents whose children get addicted to drugs but an important thing to keep in mind is that the only person who can help your kid overcome addiction are the parents.

Here are a few measures that can help your kid overcome drug addiction:
1. In order to put your kids on the right path, the most important thing is to show them love. You should keep aside your anger, fear and grief and approach them. Tell them why you are scared or angry. Proper love and affection is required to bring your kids back to the normal track.

2. Try to find their strengths and weakness. Your child should be complemented for any good thing he or she does. You should observe them properly and try to perceive their current nature and mental state.

3. You should try to keep your calm and talk to them instead of scolding, shouting or threatening them. You must also listen to them carefully and try not to react in any way. Talk to them about your concerns and see whether they are cooperating with you.

4. Getting your kids involved in some activity, which will let them mix with a different group of peers will be a positive remedy. You have to make them feel good about themselves. Try to find ways so that your kids will get into some positive, productive activity.

5. Fixing an appointment with a psychiatrist who deals with drug abuse situations can also help you deal with the issue. You must explain to your kids that there is an obvious reason behind their addiction, and it must be solved for their own good.

6. You should also connect with the counselors at schools and colleges. They have seen many cases like your child s and know about the situation well. You can enroll your kids in a substance abuse program which is connected with his school.

7. You must tell your kids that what they are doing is risky and illegal and as parents, you have the right to help them overcome this in order to maintain good health, and that you do not want them to go to prison.

8. Find an expert therapist specializing in teen substance abuse and make your kids have weekly appointments with him. A good therapist knows the best ways to guide your kids to the right path.
Drug addiction in kids is a common syndrome these days. If your kid is into hard drugs, you need to do your best to save him and help him overcome the addiction.

How to Help Your Kids Overcome Addiction?

Allergic rhinitis, also known as hay fever, is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. An allergen is something that triggers an allergy. When a person with allergic rhinitis breathes in an allergen such as pollen, mold, animal dander, or dust, the body releases chemicals that cause allergy symptoms.

Signs and symptoms include a runny or stuffy nose, sneezing, red, itchy watery eyes, and swelling around the eyes. coughing, a sore or scratchy throat, itchy eyes, watery eyes, dark circles under the eyes, frequent headaches, eczema-type symptoms, such as having extremely dry, itchy skin that can blister and weep, hives, excessive fatigue. You ll usually feel one or more of these symptoms immediately after coming into contact with an allergen. Some symptoms, such as recurrent headaches and fatigue, may only happen after long-term exposure to allergens. 

Risk factors for allergic rhinitis - 

Allergies Can affect anyone, but you re more likely to develop allergic rhinitis if there is a history of allergies in your family. Having asthma or atopic eczema can also increase your risk of allergic rhinitis.

Some External factors can trigger or worsen this condition, including:

cigarette smoke, chemicals, cold temperatures, humidity, wind, air pollution, hairspray, perfumes, colognes, wood smoke, fumes

Complications of Allergic Rhinitis

Long-term (chronic) allergic rhinitis may cause a number of health problems including:

Sinus infections (sinusitis) - Allergic rhinitis can block the tubes that drain the sinuses, leading to infection of the sinus cavities (acute sinusitis). Symptoms include pain in the front of the head and upper face, postnasal drip, stuffy nose, and thick, colored mucus. With a severe sinus infection, you may have a fever and feel sick. Allergic rhinitis can also cause long-lasting (chronic) sinusitis or inflammation of the sinus cavities.

Plugged ears, pressure or pain in the ears and ear infections (otitis media) - These can occur when allergic rhinitis affects how much mucus you have in your ears and the eustachian tubes, which run between the inside of the ears and the back of the throat. In children, problems with the eustachian tubes can lead to difficulty hearing.

Asthma - Many people have both allergic rhinitis and asthma. If you have an allergy, you are more likely to develop asthma. And for people who already have asthma, allergic rhinitis can cause their asthma symptoms to get worse.

Nasal polyps - These are soft, noncancerous (benign) growths that develop on the lining of your nose or sinuses due to chronic inflammation. Small polyps may not cause problems, but larger ones can block the airflow through your nose, making it difficult to breathe.

Prevention

1. Do saline gargles.

2. Whenever possible do steam inhalation also.

3. Cover your nose and mouth with hanky for at least 30sec when you go in dusty areas also when you go in and out of AC. As our noses the most sensitive part of our body, When there is a temperature difference between two rooms or inside and outside, then if we do not protect our nose, it gets affected.

4. Drink Hot Liquids --Hot liquids relieve nasal congestion, prevent dehydration, and soothe the uncomfortably inflamed membranes that line your nose and throat.

5. Sleep With an Extra Pillow Under Your Head--  Elevating your head will help relieve congested nasal passages. If the angle is too awkward, try placing the pillows between the mattress and box springs to create a more gradual slope.

6. Treat That Stuffy Nose With Warm Salt Water--Salt-water rinsing helps break nasal congestion, while also removing virus particles and bacteria from your nose.

7. Blow Your Nose Often (and the Right Way)-- It's Important to blow your nose regularly when you have a cold rather than snorting mucus back into your head. But when you blow hard, pressure can carry germ-carrying phlegm back into your ear passages, causing earache. The best way to blow your nose: Press a finger over one nostril while you blow gently to clear the other.

8. Do not smoke or let other people smoke in your house. Smoking and breathing in other people's smoke will irritate the lining of your nose, eyes, throat and airways, and can make your symptoms worse.

Homeopathy

When it comes to the treatment of allergic rhinitis/cold, Homeopathy is much better at treating the problem. Itis in stark contrast to allopathy, where antiallergic and steroids are used to suppress inflammation. Homeopathic medicines do not aim at just reducing inflammation. They also intend to cure the basic cause of recurrent inflammation. This way, not only the symptoms of rhinitis are treated but the incidence of attacks is reduced/eliminated. It is worthwhile to mention here that all Homeopathic remedies are natural and do not contain any chemicals. That is why these purely natural homeopathic remedies do not have any side effects at all. Here is a list of the top homeopathic medicines for asthma, along with the symptoms when they are used -

Ars Alb: Thin watery discharge from the nose with irritation and sneezing.Restlessness. Arsenicum is an efficient homeopathic medicine, which treats attacks, which take place after midnight. The patient is anxious, restless, and cannot sleep because of the fear of being suffocated.

Allium Cepa: Is useful when nasal mucus irritates your nose or upper lip; your eyes are runny but the discharge is bland and non-irritating; you feel worse from warm rooms and better in the open air.

Natrum Mur: Watery transparent discharge causing blister-like an eruption. Loss of taste or smell.

Sabadilla: Fluent coryza and violent sneezing, knowing not when will it end. Worse cold.Asthmatic form of rhinitis.

Euphrasia: Copious burning discharge from the eyes n bland discharge from the nose.

Bryonia: Nose blocked with congestion in the head. Cannot breathe through the nose. Dry cough with pain in the chest.

Gelsemium: It is indicated in bland discharge from the nose which is thick. It has sneezing, headache, chilliness in the back and aching pains. The patient is dull n weak
Homeopathy has no side effects and treats the underlying cause. You Should consult a homeopathic practitioner before starting homeopathic treatment for rhinitis.

Common Cold Allergy - All You Need To Know!

Child nutrition from age 6 months to 5 years growth and development of a child depends on the nourishment received by the child right from birth. Healthy diet and proper eating habits are essential to be inculcated in a child as early as possible. A balanced diet given to the child at the earliest provides all nutrients required for adequate growth and development. Nutritional value of every food item introduced in the child s diet should be gauged prior and then given to the child.

Nutritional requirement of children varies in accordance to the age group. It is necessary that the parents should have knowledge about the age-specific requirements of the diet, which will benefit the child in their growing years.

Following is the ideal child nutrition ranging from the age group of 6 months to 5 years.

1. 6 months to 12 months

A. Right from the birth of a newborn child, it is necessary to begin breastfeeding for the baby. It should begin within an hour of the child s birth. It is the ideal way of providing proper nutrition to the child.

B. Breastfeeding is beneficial by providing nourishment and also by improving the immunity of the baby.

C. From birth to 6 months, only breastfeeding is advised. It is a critical source of nutrition for the child even during illness.

D. After the baby turns 6 months old, solid food can be introduced in the child s diet.

E. Breastfeeding can be continued and supplemented with other food items.

F. Usually, fruit juices are introduced first in the diet.

G. Feeding bottle should be avoided and the child should be fed with a spoon and cup. Proper hygiene and good handling of the food is required.

H. It is necessary to wipe the gums and developing teeth clean with a wet gauge to prevent any decay that can be caused by sticking of the food on the teeth surfaces fed to the child.

2. 1 year to 3 years

A. Children in this age group can tell when they feel full after feeding. It is necessary to listen to their demand for food and also avoid overfeeding children.

B. This age group requires children to eat all types of nutrients, so parents should focus on providing a variety of food items to replenish their child s nutritional requirements.

C. Children in this age group require fat-rich foods and should be given dairy products for calcium requirements.

D. Processed foods should not be given to children at this age. Calories intake should be monitored to the optimum level.

E. Since children at this age are involved in activities like walking, running around and playing it is essential to keep feeding them at regular intervals to maintain the energy levels of their bodies.

3. 3 years to 5 years.

A. Children belonging to this age group require to eat a well-balanced, nutrient rich diet.

B. Grains should be included on a routine basis. They provide the child with carbohydrates, fibres and minerals. All these nutrients provide energy to the child s body.

C. Inclusion of whole wheat grains provides fibres in adequate quantity.

D. Refined foods should be avoided, whole grain bread should be included in the diet.

E. Fruit intake should be increased, as they are an important source of various vitamins. Fresh fruit should always be preferred over juices for growing children.

F. Sugar intake should be kept to a minimum quantity since refined sugars do more harm to the child s health than any good.

G. Vegetables should form a considerably greater part of the child s daily diet, with the inclusion of a variety of vegetables.

H. Protein sources of food include meat, poultry, pulses, beans and nuts. Along with protein, these food items also provide iron, zinc and minerals to the body.

Apart from the above specified food items, daily intake of milk is necessary for children of growing age. It provides the body with sufficient calcium to facilitate bone growth in growing children. Also, nuts like walnuts, almonds, cashews are advised to be given to the children daily.

In case you have a concern or query you can always consult a specialist & get answers to your questions!

Nutrition Tips For Children From Age 6 Months To 5 Years!

Don't wait any longer, manage your Baby Doctor online with a Lybrate doctor today

Consult for Baby Doctor - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES