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?

Pilonidal Sinus is the small channel in your skin near the tailbone that may sometimes be filled with pus or fluid. This accumulated pus leads to the formation of abscess or cyst. Pilonidal cysts occur near the coccyx or tailbone, right at the top of the buttock crease. Pilonidal sinus consists of dirt, hair and debris that penetrates your skin, becomes embedded and thereby causes infection. Once the cyst gets infected, you may see blood or pus oozing out of the channel, which causes severe pain.
Pilonidal sinus usually affects men and young adults (after puberty). This type of skin disease is mostly observed in people who sit for a prolonged period, such as desk-job workers, truck drivers etc.

What are the causes and symptoms? 
Doctors suggest pilonidal sinus or cysts is caused due to factors such as - hormonal changes during puberty, friction resulting from wearing tight clothes, prolonged sitting, hair growth etc. The hair growing in the region is forced to burrow back beneath your skin. In certain cases, the patient may develop multiple sinuses which connect under the skin.

The signs and symptoms of pilonidal sinus include-

  Pain when standing or sitting for long
  Swelling of the cyst
  Redness and soreness around the affected skin
  Formation of multiple holes (sinus tracts) in the skin
  Foul odor
  Blood or pus oozing out of the abscess
  Hair sticking out of the lesion
Pilonidal sinus can be embarrassing and painful if left untreated for long.

What is the treatment for this condition?
Pilonidal sinus usually goes away on its own, without medical intervention. However, if the cyst becomes infected, it may have to be operated or drained. The commonly used treatment procedures are-

  Conservative treatment - if the condition is diagnosed at an early stage, your doctor will prescribe a broad-spectrum antibiotic to treat a broad range of bacterial infection. This will relieve you from the pain and discomfort resulting from infection.

  Lancing - this procedure involves using a scalpel to open the abscess. Your doctor will give you an anaesthetic prior to the operation. The channel is then cleaned properly to drain out blood, pus or hair. The wound is packed with a sterile dressing and left to heal. It usually takes about a month for the wound to heal, after which no further treatment is required.

  Phenol injections - for this procedure, first and foremost, your doctor will give you anaesthetic so that you don t feel any pain. A chemical compound known as Phenol is injected into the cyst. Phenol acts as an antiseptic and is used to harden and eventually close the lesion. This procedure needs to be repeated multiple times to achieve the desired result.

  Surgery - if the pilonidal sinus tends to recur, or if you develop multiple sinus tracts, the most preferred choice of treatment is surgery. The surgeon will open the lesion, remove the debris and pus, and then suture the wound. You will be given an anaesthetic prior to the surgery, and once the treatment is done, you will need to change the dressing more often.
If you suffer from pilonidal sinus, you will also need to maintain good hygiene. Make sure you clean and wash the area with a mild soap, and rinse properly. If your job requires you to sit for a prolonged period, take a break in between your work. Avoid wearing skin tight clothes. Adopting these measures will help prevent the occurrence of pilonidal sinus.

Treatment For Pilonidal Sinus!

Asthma is a chronic respiratory disorder. In asthma, the airways of the lungs get inflamed. Due to this inflammation, there is swelling inside the airways. This also causes excess production of mucous. The combined effect of swelling and mucus production is that the passage of air gets obstructed. This makes breathing difficult. A whistling sound or wheezing is often heard in such patients. Often the patient gets cough due to this obstruction of the airways. This cough is a reflex of the body to get rid of the excess mucous in the airways. A sense of tightness or heaviness is felt in the chest. One cannot expand the chest fully while inhaling. This is a medical condition characterised by paroxysmal wheezing respiration dyspnoea. 
Homeopathy for Asthma-
When it comes to the treatment of Asthma, Homeopathy is much better at treating asthma. It is in stark contrast to allopathy, where inhalers 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 the recurrent inflammation. This way, not only the symptoms of asthma are treated but the incidence of asthmatic attacks is completely eliminated. With a couple of months of Homeopathic treatment, you will be able to live a disease-free and medicine-free life. 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-
Ipecac: Ipecac is used in treating asthma, where the patient experiences symptoms like heaviness and tension around the chest area. Sudden wheezing, suffocation is experienced followed by other symptoms like motions, vomiting and gagging. The cough remains constant, and the chest gets filled up with phlegm. Cold and perspiration is also likely to be experienced. A patient may feel as if a lump is present in the chest. Increased salivation is also indicated.
Arsenicum: Arsenicum is an efficient homeopathic medicine, which treats asthma attacks, which take place after midnight. The patient is anxious, restless, and cannot sleep because of the fear of being suffocated. In such cases, the patient dozes off a bit, and wakes up with great burning sensation and sore feeling in the chest. Arsenicum is prescribed during chronic stages of asthma, usually in elderly people.
Nux Vomica: Nux Vomica is used when asthma attacks occur due to gastric disorders and during simple spasmodic asthmas. People who consume an excess of caffeine or alcohol are more likely to experience such attacks. A constricting feeling in the lower chest region may be experienced. These attacks commonly occur during the morning.
Kali Bichromicum: This homeopathic medicine is used is asthmatic patients where the asthma attacks occur because of potashes. The attacks generally occur between three to four a.m. in the morning. The patient gets compelled to rise from sleep and sit up in order to breathe. A stringy yellow mucus may be produced, and the patient feels a lack of air in his chest.
Natrum Sulphuricum: This is another effective medicine for treating asthma. The symptoms of asthma treated with this medicine get worse in damp weather. Most asthma attacks occur with a rattling sensation being felt in the chest. Bowel movement may become loose after this type of asthma attack. Alcohol and aerated drinks make the symptoms even worse. Such attacks are common in the morning with the production of a green mucus.
Homeopathy has no side effects and treats the underlying cause of asthma. You should consult a homeopathic practitioner before starting homeopathic treatment for asthma. 

Treating Asthma With Homeopathy

There are many ways to treat pain and this includes acupuncture, several natural remedies, technological procedures and surgery. Among the different approaches for treating pain, massage therapy is an effective method.

Massage therapy is one of the earliest therapeutic processes for relieving pain for a long time as it provides ideal relief and performs recovery functions as well. In the modern day, massage therapy is a popular pain relieving remedy, which is utilized by people all over the world.
Massage therapy involves manipulation of the tissues, which is performed by special therapists. There are various types of massage therapies, which incorporate different techniques and procedures.
Long-term massage therapy is not very expensive and has no side effects on the body. With the help of massaging, there is an increased lymph flow, improved blood circulation and several positive effects on the immune system. 
Conflicting views

The current studies on massage therapy are quite conflicting and there are negative views regarding the effects of massage therapy to provide pain relief. Massage therapies are successful in treating several cases of lower-back pain. However, many experts consider massage therapy to be a relaxation technique and not a proper treatment procedure.

They say that massage provides relief to pain, but physical therapy, exercise and medicines are far superior in providing pain relief than massage therapy. Massage provides relief to neck pain, shoulder pain, headaches and carpal tunnel syndrome. However, it is considered that this relief is only temporary and not consistent enough. A single session of massage therapy does not really provide a long-term relief from pain. For better and lasting results, massage therapy should be undertaken regularly.

Multidisciplinary treatment

Massage alone will never provide ideal relief from any kind of pain and a multidisciplinary approach should be taken for pain relief treatment, where massage therapy would be one of the elements. For ideal pain relief, you should practice other measures such as physical therapy, behavioral health care, acupuncture, regular exercise and use massage therapy as a complementary relief method.

Massage therapy can never be the main treatment procedure for treating pain and it is an accompanying treatment method which you should practice along with major treatment procedures. Massage therapy combined with other therapies will provide you effective pain relief.

Massage therapy for pain provides effective temporary relief from pain. It should be performed by a trained massage therapist and for good results must be performed every day. However, massage therapy is not a primary treatment measure and should be a part of a multidisciplinary approach for pain relief. In case you have a concern or query you can always consult an expert & get answers to your questions!

Massage Therapy for Pain - An In-Depth Analysis!

Coughing during the night can really wreak havoc for your sleep and cause inexplicable discomfort in the throat and chest region. Thankfully, you can manage it by soothing your tickling throat as well as sensitive airways before you go to bed at night. 

Drink herbal tea: A mugful of non-caffeinated tea mixed with a teaspoon of honey before going to bed can help you to a considerable extent. This is because any warm liquid has the power to break down the formation of mucus in the throat region and with a bit of honey, the herbal tea becomes even more powerful.
Try to sleep in an inclining position: Gravity is your greatest enemy while combating night-time cough. When you lie down flat on your back at night, all the mucus and dust particles, which you have swallowed all through the day, would accumulate in the throat area and aggravate it making more cough. But you can easily defy gravitational force by piling up some pillows and prop yourself on them while sleeping. You may also keep a wooden block of 4 inches height under your head, which would keep the acids in the stomach so that they don t come up to irritate your throat.
Make sure you use the steam cautiously: When your airways are dry, it can make you cough harder. Therefore, you may find relief if you take a warm shower or a bath before going to bed. But you have to be sure that you don t have asthma as steam can prove harmful for you.
Check the level of humidity: Humidifiers are known to soothe the problem of persistent coughing when the surrounding air is dry. But too much of moisture during the night can also make you cough. This is because dust mites, mold and other allergens thrive well in the damp air and they could conspire to make your cough even worse. So, pick up a cheap hygrometer from a hardware store and see that the humidity level stays within 40 to 50 percent.
Equip yourself at night: Keep all the things from drops to water to cough syrup or anything that soothes coughing at your bedside so that you can help yourself in case you wake up in the middle of the night and start coughing.
By following these few tips every day, you can manage the night time cough and have a good night s sleep without any interruptions.

Night Time Cough - 5 Tips to Manage it

4 Life Lessons to Learn from Kangana Ranaut

Despite being an outsider in the industry, Kangana Ranaut has made her mark in Bollywood. The 'Queen of Bollywood' bagged the National Award in the best actress category for the third time for her double act in the commercial hit Tanu Weds Manu Returns. Ranaut is one of the highest paid actresses in India and is known for playing emotionally intense roles in films like Gangster and Woh Lamhe. But behind the fame and the glory, lies a story of struggle and constant perseverance. Kangana's rise to fame did not happen overnight, and her travails and triumphs have quite a few important lessons stored for all of us.

Here are 4 inspiring life lessons to take away from Kangana's real life story.

1. Be Yourself

Accept yourself and embrace the person you are. Making desperate attempts to fit in a social circle or trying to make people like you could turn depressing. Be yourself and don't compromise on your identity and be afraid to have a mind of your own. Kangana has constantly inspired us to be rebellious and to question stereotypes and sexism.

'People in the industry treated me like I didn't deserve to be spoken to and I was some unwanted object. I couldn't speak English fluently and people made fun of me for that. So dealing with rejection became a part of life...Today, when people say that I have made it and made it on my own.'

She said on an interview with Daily News and Analysis

2. Deal with your relationship problems

Stop tolerating abuse. Your partner is supposed to love and support you and not hurt you physically or emotionally. Don't be afraid of getting out of a relationship. It might be difficult and hard to deal with but it's best to get over with and start afresh. Ranaut was in a relationship with Aditya Pancholi, which turned sour after he assaulted her. Later she was also in a relationship with Adhyayan Suman and Nicholas Lafferty, an English doctor, which did not last either, but she always moved on with her head held high, personifying dignity.

3. Beat the odds

There might situations when your family does not support your career choices but don't let that stop you from going ahead with it. Believe in yourself and work hard on your goals. Kangana Ranaut inspires us to not give up easily. In spite of being an industry outsider, Ranaut made her mark with remarkable performances in Fashion, Queen, Woh Lamhe and Tanu Weds Manu. She quit pursuing medical and went for modeling instead and refused to take financial aid from her father. In short, don't give up on your dreams no matter how difficult it gets.

4. There is no end to learning

You can always continue with your interests even if you have a very busy professional life. Make time for your hobbies and interests as they expand your outlook. Ranaut learns Kathak as she enjoys dancing and considers it as a form of therapy. She also did a course on the technical aspects of filmmaking from New York Film Academy. She did not let her stardom affect her personal interests and wants to have a normal life.

'I don't want to lose my rights as a common person to learn and grow'

She said on an interview with Filmfare.



4 Life Lessons to Learn from Kangana Ranaut

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