Spirometry is a common medical test that is conducted in order to detect whether your lungs are working properly. This is done by detecting the amount of air you can inhale and exhale along with the time taken to complete both of these procedures. Spirometry is useful to diagnose any underlying medical condition like asthma, Chronic Obtrusive Pulmonary Disease, persistent coughing or problem during breathing. If you are receiving treatment for chronic lung disorder, spirometry is also useful to check whether or not your lungs are responding to the specific kind of treatment.

Procedure: The process of spirometry involves the use a mouthpiece and a tube adjoined with a machine which displays the recorded results. Before the onset of the procedure, which generally takes place in a hospital, you will be prescribed by the doctor to wear comfortable clothing which will not restrict your normal breathing process and will be asked to have a light meal before the procedure. The procedure will be conducted while you are sitting. 

Spirometry takes an estimated amount of 15 minutes to get over with. The nurse will put a clip on your nose in order to close your nostrils. After that, you have to take a deep breath and then breathe out as hard as possible on the tube for a few seconds. You have to make sure that there's no air leakage during this procedure by putting your lips tightly over the tube. In order to arrive at a stable result, you have to conduct the test three times at least. If the results are hugely diverse, then you have to take the test again. The highest result among the three tests is usually denoted as the ultimate test result.

Risks: Spirometry is generally a low-risk inducing procedure. But in some cases, it might cause loss of breath, moments after the procedure. Also, spirometry should not be conducted if the patient has recently had a heart attack or surgery of the eye, abdomen or chest. If you are suffering from vomiting tendencies and you have regular instances of blood in your cough, you should also avoid spirometry.

The Procedure and Risks of Spirometry

Chronic Bronchitis is a result of inflamed bronchioles (pipes carrying air to alveoli or balloons) that can produce mucus and lead to coughing and difficulty in breathing. When smoking causes inflammation of the bronchioles, constriction or squeezing takes place. This results in wheezing because air is travelling through narrowed tubes.

Emphysema, in short, is basically a dead lung. As smoke travels farther down your respiratory tract, the air sacs in your lungs (alveoli), start popping out or dying. Your bank of alveoli gets depleted over time as you continue your habits. You will notice as you increase your heart rate whether its by running or walking a flight of stairs this activity requires your red blood cells to move faster through the alveoli and have less time to receive oxygen from the lung. This leads to having less oxygen on red blood cells whose job is to deliver oxygen to the rest of the body.

Symptoms

In COPD, Both the airways(pipes) and lung parenchyma are affected by the disease and airflow limitation is progressive. COPD has been predominantly seen in patients above 40-yearold and frequent smokers.

The symptoms indicative of COPD are as follows:

 

1) Chronic cough - Also referred to as smoker's cough, the cough is relentless and does not subside with regular cough treatment. This is one of the first indications of COPD.
2) Mucus buildup - There is constant built up of mucus which gets expelled during coughing. The person never feels completely clear of mucus, and the regular cough expectorants do not help relieve the symptoms.
3) Fatigue associated with limited activity - As noted earlier, the reduced capacity of the organs limits their activities. Therefore, regular activities like walking short distances or climbing stairs can induce fatigue.
4) Shortness of breath - The above fatigue is associated with shortness of breath, even with small physical exertion. A person with COPD will see marked tiredness and reduced ability to perform routine chores and feel a tightness in the chest.
5) Wheezing - Passage of air through the obstructed air tubes produces a whistling sound or wheezing. It is more pronounced when there is mucus accumulation in the airways.

Rarely, Frequent respiratory infections, more frequent flu attacks, swelling of the feet and ankles, cardiovascular disease, weight loss, and morning headaches.

Treatment 

While there is no cure for COPD, once it sets, the following are some ways to slow its progression and reduce severity of the symptoms:

1) Bronchodilators - Dilate the air tubes and ease flow of air
2) Corticosteroids - Help reduce inflammation and thereby improve airflow through the tubes
3) Flu vaccination - Helps curb the frequent flu attacks
4) Antibiotics - To contain infections
5) Pulmonary rehabilitation - A combination of breathing exercise and patient education to improve lung function.
6) Oxygen therapy - In very severe cases, oxygen may be required.
7) Lifestyle changes - Eating healthy foods, preventing exposure to dust and smoke, quitting smoking, breathing exercises, bi-annual medical check-ups to monitor lung functions are essential.

Knowing that you have COPD is the first step towards managing COPD, which can be managed effectively.

COPD Is Broken Down To Clinical Scenarios - Chronic Bronchitis & Emphysema!

Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases. Emphysema and chronic bronchitis are the most common lung diseases. Emphysema gradually ruins the air sacs in your lungs, which are interfered with exhalation. The inflammation and swelling of airways in the lungs is called bronchitis, which further allows production of mucus, which leads to increased difficulty in breathing.

COPD is a case which makes it harder to breathe. The symptoms like coughing and shortness of breath are light at first. With passage of time, these symptoms worsen and make it increasingly difficult for the patient to breathe.

The patient may experience wheezing and feel heavy on the chest. Some patients suffering from COPD experience flare-ups of severe symptoms or exacerbations.
The main cause of COPD is cigarette smoking and therefore, people who are used to smoking for a longer time may suffer from this diesease. It is a disease that takes time to build up inside one s body. COPD can further cause heart problems and worsen respiratory diseases.

Severe symptoms of COPD include:

Occasional shortness of breath
Mild and reoccurring cough with mucus
Constant need to clear your throat
Noisy breathing
Frequent cold and cough
Loss of energy or feeling fatigued
Swelling of ankles, legs or feet
Sudden weight loss
Treatment of COPD
The treatment of COPD can ease its symptoms and avoid further complications. To treat COPD, one needs a skillful and experienced pulmonologist and respiratory therapist.

The medications which are preferred by the doctor are bronchodilators, which soothe the muscles of bronchial tubes, making it easier for the patient to breathe. This medicine is basically taken from inhalers. To reduce the inflammation, Glucocortico steroids are added.
Oxygen therapy is undertaken to provide oxygen to the patient through an oxygen mask or nasal prongs to ease the breathing process of the patient. A portable unit is advised, if the patient is cured at home.
Surgery is an option for severe COPD patients, which is undertaken if and only all other medications have already failed to control COPD, which can be the case in emphysema. Bullectomy is a kind of surgery in which the doctors eliminate the large bullae (air sacs) from the lungs. Volume reduction surgery is the last option for the doctor to cure a COPD patient. In this process, the damaged lung tissue is removed. The doctors go for a lung transplant in some rare cases of COPD.
The treatment for many diseases is a healthy and disciplined lifestyle. One should quit smoking and get the nutrition that their body needs. People should consult a dietician and get a healthy diet plan, and ask a doctor about the extent of exercise they should perform daily.

COPD - Can Oxygen Therapy Help Treat It?

Chronic Obstructive Pulmonary Disease or COPD for short is a respiratory disease that makes it increasingly difficult to breathe; the lungs stop functioning properly. There are mainly two categories of COPD which are emphysema and chronic bronchitis. The primary reason for COPD is longstanding exposure to substances such as cigarette smoke, chemical fumes and air pollutants that damage the lungs gradually.

Initially, the symptoms of COPD may be really mild but over time it may become extremely severe. These include symptoms such as:

Shortness of breath
Coughing with mucous formation
Wheezing or gasping
Tightness in the chest
Feeling tired constantly after doing normal daily activities or after exercising.
In the long run, the damages can prove to be permanent.

Of the two subtypes mentioned, bronchitis is when the airways become inflamed as well as narrowed. People suffering from bronchitis tend to produce sputum which is basically a combination of mucus and saliva.
And the other subtype, Emphysema is the condition when the air sacs in the lungs become affected. The air sacs degenerate and become baggy with lots of holes in it. This, in turn, traps air. This narrows the airways making it difficult to breathe. In COPD, there is a narrowing of the lungs because:

The lining of the airway becomes inflamed
The lining of the airways which is elastic flops
The tissues of the lungs become damaged so there is an exertion on the airway.
COPD, in the long run, can lead to a number of health complications such as heart disorders, lung cancer, respiratory infections, depression and high blood pressure. COPD is treatable but not curable because it is a life-long condition. The following are some of the treatment methods for COPD:

Oxygen Therapy- If you are experiencing low levels of oxygen then opting for a portable oxygen unit will be extremely beneficial.
Medication- Bronchodilators help in relaxing the airway muscles for comfortable breathing. These medications are usually taken via an inhaler. Other medications include corticosteroids, theophylline, vaccines and antibiotics/antivirals.
Surgery- Surgery is usually advised as the last step when the COPD condition has become so severe that all other methods of treatment have failed. This is, more possible, in the case of emphysema. There are mainly two surgical methods: one is bullectomy when the surgeons remove the damaged air sacs. The other method is lung volume reduction which removes the lung tissues that have become damaged.
Adopting certain lifestyle changes can provide relief for the time being. Such alterations include:

Quit smoking immediately, if you haven t already.
Try to avoid passive smoking as much as possible. Passive smoking is as damaging as firsthand smoking.
Give your body the daily dose of nutrition so that the immune system doesn t falter as well.

Better Living with COPD - A Patient Guide!

COPD stands for Chronic Obstructive Pulmonary Disease and is generally used to describe a broad category of diseases. These include chronic bronchitis, emphysema, non-reversible asthma as well as some forms of bronchiectasis. All of these diseases, however, can be prevented from getting worse by taking similar measures as the causes of these diseases are very similar.

Here are the ways to prevent COPD exacerbations:
1. Cleanliness: It is crucial that you do not allow infections to set in. Infections are probably the worst type of exacerbation possible in COPD. All you need to do to prevent infection is to take a little care to ensure good hygiene. Wash your hands often and do not allow people with colds or flu to come close to you.

2. Take vaccines: Make sure your flu and pneumonia shots have not been missed.

3. Take medicines: It is crucial that medicines for your lungs are taken on schedule, if you have COPD. The possible medicines which you could take if your doctor prescribes it includes inhaled beta-agonists, steroids and anticholinergics.

4. Spirometry: Doctors often recommend the use of the portable Spirometry device, Spirometer, in case of COPD. Spirometers check the condition of the lungs by measuring various parameters to see how well the lungs are working. Spirometers can easily measure FEV1, a parameter which measures how much air can you blow out in one second. This is especially great if you do not know whether your condition has exacerbated or not.

5. Corticosteroid: It is another type of medicine used, which can prevent COPD exacerbations. In its place, even inhaled beta-agonists or anticholinergics can also be used.

Preventing COPD Exacerbations!

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!

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