A cough is probably one of the most common respiratory diseases that people suffer from. In most cases, it is nothing to worry about and can be cured with cough suppressants and salt water gargles. However, coughing of blood is a serious problem. The coughing up of blood that originates from below the level of the larynx is known as hemoptysis. This can vary in terms of severity depending on the amount of blood being expelled. This disease is a common condition, but on an average, less than 5% of hemoptysis cases are life threatening.

Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm

Fever
Anorexia and weight loss
Dyspnoea
Paroxysmal nocturnal dyspnoea
Fatigue
Chest pain: Medical attention should be sought in cases where this condition recurs often, if it lasts for longer than a fortnight or if the volume of blood expectorated is more than 30ml per day. The various tools that help in the diagnosis of this condition are:
Chest radiography: This imaging modality helps lateralize bleeding and understand the amount of lung involvement. It is quick, inexpensive and can also help detect other underlying abnormalities.
Bronchoscopy: This involves the insertions of a rigid or flexible endoscope into the bronchial passages to check the airways and determine active bleeding sites.
MDCT: A multidetector CT is a non-invasive imaging tool that provides a comprehensive evaluation of airways, lung parenchyma, and thoracic vessels. It can also be used to uncover potential causes of bleeding such as bronchiectasis, pulmonary infections and lung cancer. In some cases, a multidetector CT angiography may also be used.

Oral antibiotics are usually the first stage of treatment for this condition. Smokers will also be urged to quit cigarettes as this can worsen their condition. Treatment for minor hemoptysis may also include:

Oral hemostatics
Cough suppressants
Anticoagulants
Radiation of laser treatment
Therapeutic bronchoscopy
In its later stages, hemoptysis can be treated with a minimally invasive procedure known as endovascular embolization or with surgery. In some cases, endovascular embolization may also be sued to stabilise the patient before surgery. This procedure reduces the pressure in the hypertrophic arterial blood vessels and decreases the risk of perioperative bleeding.

Hemoptysis is also one of the most common complaints of lung cancer patients. Depending on the stage of cancer and the amount of blood expectorated, treatment in some cases may not be possible. In such cases, a parenteral opioid and fast-acting benzodiazepine may be administered. 

How to Treat Coughing Blood (Hemoptysis) Problem

Whooping cough, also known as pertussis, is a bacterial infection of the respiratory system that is known to affect children below five years of age. It affects the lungs and is caused by the bacteria Bordetella pertussis. In some cases, even adults can also be afflicted with this infection. The infection is characterized by coughing or bouts of coughing, which is followed by a whooping sound made by the patient as they gasp for breath. 

Also, symptoms of a whooping cough are similar to that of cold and include low-grade fever, sneezing, runny nose. mild coughing, sore throat, loss of appetite, weakness, tears, and inability to sleep. Allopathic medicines, mainly antibiotics and cough suppressants, are prescribed by doctors but they impact the body adversely and do not treat the disease completely either. On the other hand, Ayurveda remedies are gentle in nature. They do not carry any side effects and cure the infection completely. 

Here are some well-known and effective Ayurvedic remedies for whooping cough.

Basil (Tulsi): Basil or Tulsi is one of the oldest and most popular herbs that carry strong anti-bacterial properties. Being an anti-allergic as well, it boosts the immune system and helps the body fight various infections. It provides instant relief from cough, cold, and fever.
Calamus (Vacha): This proves to be very effective in curing coughing. It flushes out phlegm and clears congestion. It also provides relief from a sore throat and cures hoarseness of voice.
Honey (Shahad): It is a gentle antibiotic and mild cough suppressant. Since it is sweet in taste, it is perfect for children. It soothes the throat walls and calms the patient. It can be consumed with lukewarm water as well.
Ginger (Adrak): A natural cough suppressant, ginger gives relief in throat irritation. Analgesic in nature, it also reduces pain in the throat and body. Its anti-inflammatory action relaxes the irritated respiratory tract and eliminates mucus from the lungs. Since ginger is bitter, its juice can be mixed with honey before consumption.
Dashamuli Ghrita: Medicated clarified butter (ghee) is for external use and it gives quick relief from a sore throat when massaged on the chest. It is also effective in the case of coughing as ghee loosens the cough. It provides relief from congestion too.
Oil Massage: Massaging the chest and throat with ginger, cinnamon, or eucalyptus oil gives relief from nighttime congestion and cough. It soothes the throat and ensures sound sleep.
Black Pepper (Kaali Mirch): Black pepper is a natural decongestant and thus, clears the nasal passage, bringing relief in coughing. It also eases the respiratory tract and boosts the immune system, helping it to fight the bacterial infection. To dilute its bitter taste, a little honey can be added during consumption.
Ayurveda believes that a whooping cough is the result of vata and kapha imbalance in the body and hence, all these remedies focus on correcting this imbalance. Though all these remedies are safe and free from side effects, it is always advised to consult an Ayurveda doctor. If given on one s own, the dosage should be kept light.

Ayurveda And Whooping Cough!

A cough is a sign that there is something wrong with the throat. Be it an infection or a sore throat or food stuck in the windpipe, a cough can start. While it may sometimes disappear, sometimes, it may just refuse to go. This not just is bothersome to you to allow to continue work, it also irritates the others in the surrounding and attracts attention. Everybody looks at you annoyed and gives a look which says  why don t you do something about it?  Well, they mean well, and there are definitely things that can help manage a nagging cough. Find out for yourself!

Salt water gargling: Mix about a teaspoon of water in a glass of warm water and gargle your mouth for about 1 minute. It helps soothe the throat and reduce the cough. It can also clear the bacteria along the throat, providing relief from the cough. If there is phlegm lodged in the throat, it gets easily expelled too.
Honey: This viscous liquid coats the inflamed and irritated mucous membranes along the throat and provides instant relief. It is also known for its antibacterial nature and has good enzymes from the bees, which are known for providing instant relief to both children and adults. The sweet taste makes it further appealing. Adding ground black pepper powder to it further improves the effect, as it clears congestion.
Steam: Cough is often the result of an irritated and inflamed throat mucosa. Inhaling steam is one of the best ways to soothe this mucosa and provide relief. It reduces mucosal inflammation and removes phlegm. Adding a few drops of essential oils like eucalyptus or tea tree oil further improves the effect. These have antibacterial and antiviral properties and so enhance the relief. With boiled water in a vessel, bend over it and cover your head to ensure the steam is inhaled. Be careful to avoid burns, as steam can burn. This can be repeated 4 to 5 times daily until you get sufficient relief.
Ginger and Mint: Another wonder substance is the ginger. To a cup of warm water, add honey, few slices of ginger, and some dried peppermint. This helps by acting as an expectorant and reduces irritation in the throat, which produces cough.
Cough drops or lozenges: If you are in a public space and cannot do the above, try cough drops. Sucking on them can soothe the throat and the constant swallowing of saliva helps relieve the irritation in the throat.
Nasal irrigation: This helps relieve the postnasal congestion and dripping, which often leads to nagging coughs.
These are some simple, effective ways to reduce constant coughing.

Nagging Cough - 6 Quick Ways You Can Manage It!

Chest congestion is a symptom of cough and cold and may also happen when you have other infections related to the nasal and bronchial tracts. It can erupt into potentially fatal diseases like pneumonia and bronchitis, if not treated on time. Mostly, patients should look at fixing the problem at home before it develops into a full-fledged infection or hazard. Here are a few home remedies for clearing chest congestion.

Gargling: a glass of moderately warm water with a teaspoon or two of salt should be used for gargling at least twice a day as this can help in flushing out the bacteria that are present in the throat. It can also clear the mucus from the airways and help in clearing the chest to a great extent. Take care not to drink the water. Tip your head back, gargle and then spit it out into the sink.

Steam sessions: whether it is a hot bath or a mug of your favourite piping hot beverage, there is nothing that a good steam session cannot fix. Take care to avoid exposure to a sudden dip in temperature after you step out of the bath or the shower stall, as this can worsen the situation and lead to a fever. Also, you can have mugs of green tea seasoned with peppercorns, ginger and basil. This concoction will gradually clear the chest and air passages. Taking steam with the addition of eucalyptus oil to steaming hot water, is also a good idea. Cover your head with a towel or a sheet as you inhale - and don't forget to be careful not to spill or tip the vessel.

Elevation: keeping your head in an elevated position as you lie down will help in keeping the air passages relatively free of mucus build up which can also eventually lead to chest congestion. Elevation can also help you sleep better.

Yoga: breathing exercises for at least ten to fifteen minutes can help in clearing all the passages starting from the nose to the chest.

Humidifier: using a humidifier when you sleep can lend some much needed moisture to the air, which can be particularly helpful if you have contracted the chest congestion during the cold and dry wintery months which can lead to heavy, hacking coughs. The use of a humidifier will help you in breathing better as you sleep. You can also add some nasal congestion medication to the slots so that it spreads in the air as you sleep.

For persistent problems and coughing that is accompanied by fever, you must see a doctor for more focused diagnosis and treatment.

Home Remedies for Chest Congestion

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

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