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

A cough is not necessarily to be worried about always. It is the natural response of our body to throw out harmful particles which somehow managed to enter our respiratory tract. There is sticky mucus situated in the pathway to lungs which plays a major role in trapping harmful particles. Coughing once or twice is generally a natural phenomenon but if it s persistent it is called the chronic cough, and there is a reason to worry.

Is your cough chronic?
An acute cough aggravates within a very short span of time, maybe 2-3 days. There are situations when coughing doesn t hinder your day to day activities and are easily neglected. Sometimes these infrequent bouts of a cough can persist for long and continue for more than 2 months, which has been characterized as a chronic cough.

A chronic cough is sometimes found associated with blocked or running nose. Persons suffering from a chronic cough feel very exhaustive and suffer from a headache, dizziness along with excessive sweating. Under such situations, you must consult a pulmonologist.

Know the causes of a chronic cough
There are several causes for persistent coughing, and the following are the common causes of a chronic cough and medication is taken in consultation with a trained medical practitioner only.

Infections: Bacterial or viral infection in lungs can be one of the causes of a chronic cough. Tuberculosis is one of them which initiates as a chronic cough and is later characterized by emitting blood after cough bouts.
Drug Interactions: Antihypertensive drugs have been found to be responsible for a chronic cough in some people. Hypersensitivity to the prescribed drugs is found to responsible for the cough bouts, and change in medication takes care of the issue.
Asthma: It s a situation characterized by blockages in the bronchi which disallows the normal air flow during inhalation and exhalation. Due to inadequate oxygen, brain assumes that there is a blockage which needs to be expelled and coughing pattern starts. However, asthma has to be treated, and the bronchi have to be brought back to normal with the help of medication by an expert medical practitioner.
COPD: The most common cause of a chronic cough nowadays is COPD, better known as Chronic Obstructive Pulmonary Disease. This is one of the progressive diseases which means it deteriorates with time. Active smokers are the biggest victims of it. Persons exposed to high degree of pollution or similar occupational hazards are also at high risk. Exposure to these pollutants causes inflammatory responses in lungs resulting in the tapering of the airways and destruction of lung tissues. These can be measured by lung function tests. In asthma, the narrow airways can be broadened by external medication, but in case of COPD, it s not possible.
To conclude, chronic cough is a preventable disease by reducing the exposure to risk factors as mentioned above. Quitting smoking, improving the indoor air quality with the use of solar cooking and moving on battery run vehicles can prevent COPD from further worsening. You can also undergo pulmonary rehabilitation program which is being counseled and coordinated by many physicians to benefit the individual suffering from the issue.

Chronic Cough - Why It Happens?

A cough and cold are caused by infections, sinusitis, bronchitis, and exposure to dust. Ayurveda recommends not just medications to treat a cough and cold. It also insists on incorporating certain dietary and lifestyle changes for complete cure. A cough is a way that the human body uses to blow off foreign bodies from the respiratory airways. However, when someone coughs for long, it can lead to dizziness, hoarseness of voice, and wheezing. In case of a chronic cough, fatigue and aches in the joints are experienced.

In Ayurveda, cold is also known as Vata-Kaphaja Pratishaya. According to Ayurveda, Virudh ahar (incorrect combination of foods), Ama (toxins), and Asatmya (change in environment) lead to allergic reactions, and cold is one such example. Toxins may accumulate in the body of an individual due to impaired metabolism and digestion. On the other hand, intolerance towards specific food items may lead to an allergy.

Vamana Panchakarma, followed by Virechana can be administered for the treatment of a chronic cough and cold. This helps correct the balance between the three doshas and to eliminate toxins. In some individuals, nasal drops therapy or Nasya treatment can be administered to clear congestion. This is done by pouring herbal oils such as Shadbindu or Anu taila in the nostrils. Ayurvedic medications can also be administered to strengthen the immune system and the respiratory tract.

The following sections explain some of the other Ayurvedic remedies that a person can try out to relieve cough and cold.

Home remedies: Ayurveda points the kitchen to get relief from a cough and cold. Ingredients from the kitchen shelf can help a lot, along with medications. Ginger juice is an effective way to treat a cold and cough. This helps in ejecting mucus. To try out this remedy, an individual can prepare fresh ginger juice and add turmeric (one-fourth teaspoon), tulsi leaves juice and honey (half teaspoon each) and a pinch of black pepper powder to it. Mix everything together. If you want to use it multiple times, you can increase the quantities in the same ratio and refrigerate it. Consume one and a half teaspoon of the mixture at least three to four times a day to get relief from a cough. For children, give half the quantity thrice a day. This is an excellent remedy to relieve a cough and cold without leading to any side-effects.

Gargling also helps. Mix a spoon of salt to warm water. Gargle twice a day with this. Chewing cardamom buds and cloves also help in eliminating cough. You can also take four black raisins and add a pinch of rock salt and black pepper powder to them. Dry roast and take this three times a day. You need to eat this for at least for 15 days.

Otherwise, take a glass of water. Boil with licorice powder and black pepper powder (half teaspoon each). Grate fresh ginger and add one spoon of it to the mixture. Add 10 basil leaves, and make a decoction of everything. The water should turn half the quantity. Palm candy can be added to sweeten the decoction. Try this instead of coffee or tea in the morning and evening to relieve cold and cough.

Dietary changes: Take lots of fresh pulses with grains. Taking pulses with grains help in gaining all the goodness of the pulses. Green gram, yellow lentils, and red lentils can offer nutrients that are required and are easy to digest. Vegetables such as pumpkin, marrow, squashes, ivy gourd, ridge gourd, snake gourd, smooth gourd, onions, beetroot, celery, carrots, and parsnips can be consumed as well. However, consume cooked vegetables only. Grains such as rice, oats, and millets are good choices. You should refrain from taking wheat and processed flour. Almonds, apricots, figs, dates, and hazel nuts are beneficial. Limit your consumption of fish, chicken, and turkey. Red meat can be taken twice a week. Avoid dairy milk. You can take soy milk or oat milk as a replacement.

Lifestyle changes: Quit smoking. The health of the lungs can be damaged to the core with smoking and this can also lead to cancer. When you suffer from chronic cold and cough, immediately consult a doctor, if you smoke. Avoid exposure to pollens, dust, and pollutants. Use a mask while driving, and cover ears and nose exposed to cold.

Talk less: This gives enough rest to vocal cords. Taking warm water instead of plain water is a good option. Take tea made of herbs. Tulsi, mint leaves, and ginger can be added to the herbal tea. Do not mix milk with tea. Take a balanced diet and keep yourself away from processed and junk foods.

Chronic Cough And Cold - How Ayurveda Remedies Can Help? 

Cough and cold are very daunting diseases for anyone out there. Especially for people who have a tendency of catching cold easily. Nobody likes to have a runny nose, vigorous cough and fever. But all these symptoms occur when anyone suffers from cough and cold. However, the symptoms get doubled when anyone suffers with whooping cough. Though any kind of chronic cough can be severe enough but whooping cough is the most panic striking among them all. 

What is whooping cough?

Whooping cough begins with a little respiratory illness and includes runny nose, relentless cough. In later stages a development of vivid, copious mucus with the cough and the whoop sound while coughing develops. Whooping cough can be treated safely. If we look at the homeopathic treatment, there are various remedies for whooping cough. But first and foremost, it is very important to boost your immunity. Good immunity helps you to recover faster. Next you need to add nutrition to your diet, which are very important for your health. So intake green veggies and fruits as much as you can. Talking about the homeopathy treatment, yes there are some common homeopathic medicines available, which are prescribed for whooping cough. However, it depends upon individuals and their condition as to which one would be prescribed. 

Listed are homeopathic medicines for whooping cough:

 Antimonium tartaricum: this medicine is prescribed if anyone suffers with scanty and prolific cough along with difficulties in chest or lung. The patient may get mucus with cough, but it hardly comes out. As a result, the patient might end up vomiting in an effort to expel the mucus. The cough can be worse in this case, and the patient might feel breathless often. This medicine is prescribed in such a condition when the chest is filled with mucus, but it barely comes out. 
 Drosera: this medicine is prescribed when a person experiences convulsions of coughing and ends up having cyanosis and shortness of breathing. The cough will be worse, especially at night, and the patient may end up vomiting. There is a chance of getting cramps in feet and hands while coughing.
 Belladona: this is a very common medicine for whooping cough, which is usually prescribed in the early feverish stages of whooping cough. If taken properly, it can be effective in terms of curing the illness. 

Mostly in the coughing stage, patients may face violent cough with red nose and bulging out of eyes, there can be abdominal pain too. Severe irritation in larynx and headache too are noticed in this period. All the above mentioned homeopathic medicines are likely to be used in treating whooping cough infection. However, it is advised to consult a homeopathic doctor before starting any treatment.

Treating whooping cough with homeopathy

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

Common cold and cough is one of the most common viral illnesses that have no specific treatment. Allopathic medicines provide palliative cure to just treat the symptoms, there is no definite antiviral for it. There is also popular belief having cold once or twice a year is a good way to cleanse the body. On the contrary, cough and cold could be the first symptoms of a serious underlying disease like pneumonia. From that angle, it is better to treat it than to just let it run its natural course. Especially in children and elderly, it can be chronic issue with repeated bouts and therefore, treatment becomes mandatory.

The good news is that homeopathy provides a cure for this, that not just treat external symptoms. Also, like any other condition, homeopathy looks at treating the whole myriad of associated symptoms, thereby providing holistic treatment. Below are 5 common homeopathic remedies for chronic cough and cold:

1. Aconitum or aconite: used in the early stages of a cold that was sudden in onset and severe. There could be associated nasal discharge, fever and chills, chest congestion, itchy throat, and a traumatic experience. The person may also feel thirsty, anxious, and agitated.

2. Allium cepa: severe burning and watery eyes, nasal irritation, copious amounts of discharge, hoarseness, and headache. The runny nose improves in open air, but worsens when being indoors.

3. Arsenicum album: the patient usually has complaints on the right side including watery nasal discharge, weakness, restlessness, chills, thirst. The discharge can irritate the upper lip and nasal mucosa. The cold gradually moves to the throat and the irritation also shifts down (this phase requires a different treatment). 

4. Belladonna: when the cold has a sudden onset with red face, high fever, cold feet, this can be used in the early stages of the cold. There is associated high fever, tickly throat, glassy eyes, dry cough, restlessness, and delirium 

5. Euphrasia: burning eyes and profuse nasal discharge lead to reddened eyes and cheeks. More common in children, the condition worsens in open air, at night, and while lying down. The cough then moves down into the larynx, produces a harsh, hoarse voice. 

6. Pulsatilla: yellow or greenish mucous, nasal congestion, mouth breathing are some symptoms where this is used. It is very commonly used in newborn babies, if the discharge colour is green or yellow. Associated symptoms include moodiness, easy crying, craving for attention, easily hurt and sensitive. 

Homeopathy does'cure' the cough and cold in patients, in the true sense of the word. That provides palliative care and holistic treatment of the condition too.


Homeopathy for Common Cold and Cough

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