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?

The inflammations of the lining in the bronchial tubes, which are responsible for carrying air from and to your lungs are known as bronchitis. It is a respiratory disease and more than a million cases are reported each year. Bronchitis requires medical diagnosis by your healthcare provider and can be chronic or acute. Cold or other respiratory infections can cause acute bronchitis whereas smoking leads to chronic bronchitis. Acute bronchitis usually lasts for few days but with persistent cough. Whereas, chronic bronchitis can be responsible for chronic obstructive pulmonary disease.

Symptoms of bronchitis:
The symptoms common to both acute and chronic bronchitis are given below:
1. Cough which may form mucus
2. Body aches and breathlessness
3. Headaches, blocked nose and sinuses
4. Fever with chills
5. Wheezing

The diagnosis of bronchitis is done by your doctor who will ask you about your cough. Some other questions may include your medical history, about smoking or whether you have had cases of flu or cold recently.

Treatment for bronchitis:
Your doctor will mainly recommend pain relievers and cough syrup along with warm air to breathe mainly at indoors. However your doctor may prescribe the following medications in cases of severe bronchitis:

1. Cough medicine: These medicines will help to remove mucus and irritants from your lungs. Medicines may not be able to suppress the symptoms completely but will give you relief from pain.
2. Bronchodilators: Which clears out the mucus by opening your bronchial tubes.
3. Mucolytics: These helps loosen mucus in the airways and help to cough up sputum.
4. Oxygen therapy: It will help to improve the oxygen intake when you face difficulty in breathing.
5. Therapy: Pulmonary program will include a therapist who would work to improve your breathing.
6. Medicines: Using anti inflammatory medicines to reduce damage to your lungs tissue and to also avoid chronic inflammation.

Prevention of bronchitis:

Acute and chronic bronchitis can be reduced by the following measures; however, they cannot be completely prevented:
1. Avoiding dust, smoke, and air pollution. You can always wear a mask when you are on the road or in traffic.
2. Washing your hands often to avoid germs and infections.
3. Avoiding smoking as it can cause harmful damage to your lungs.

All About Bronchitis

Symptoms of Acute Bronchitis

Most of India’s urban populace is highly prone to respiratory infections and problems due to the dangerously high air pollution levels in all major cities across the country. Air we breathe in travels through the bronchial tube to reach our lungs. Problem begins when these tubes get inflamed and mucus builds up. It leads to coughing and shortness of breath which is known as bronchitis. It is very important to identify the symptoms in the beginning and get yourself treated by a doctor immediately. 

Look out for these symptoms of acute bronchitis.

1. Prolonged Cough - If your coughing goes beyond ten days, it could be bronchitis. If you have been coughing so long, check if the mucus is coloured too.

2. Shortness Of Breath - If you are facing shortness of breath despite not being asthmatic, you should see a doctor.

3. Chest Pain - Chest pain and chest tightness could be a symptom of acute bronchitis as breathing troubles might cause problems in such areas.

4. Sore Throat - Sore throat with persistent coughing is also a symptom for acute bronchitis.

5. Flu Like Symptoms - Most children show very different symptoms of bronchitis. They might show flu like signs of runny nose, sore throat, back or muscle pain and chills.

6. Weight Loss - You might also experience unexplained weight loss.

7. Barking Cough - Deep, barking cough is a sure shot symptom of something serious and you need a consult a specialist immediately.

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Did You Know: Every 7th Urban Indian Is Prone To  Bronchitis

Asthma is a condition that can flare up anytime; be it at your child's soccer practice or during the middle of the night. Whenever the condition sets in, it leads to your child struggling for breath. For a parent to witness this situation can be hard; but you should know the techniques to keep the situation under control.

Here are a few tips on how to manage the situation:

1. Find out the triggers in your home: Asthma is triggered due to substances that your child may be allergic to. Examples are cigarette smoke, fur of pets and dust. If possible, keep your child away from the known triggers so that the condition does not flare up again.

2. Keep records of the following: It is good to have an action plan ready for your child when the bouts of asthma strike. When you visit the doctor to discuss about your child's condition then make sure that you have these records at hand.

The triggers that caused the bout of asthma
How many times did your child have wheezing episodes?
The number of times your child has been admitted for the same reason
The medications that your child is currently taking, dosage and/or whether they have been changed
How often does he/she need medications if he/she has acute symptoms?
3. Knowledge of the test your child may require: Asthma control test is a type of test that allows parents and children to grade asthma symptoms without a doctor. A pulmonary function test is used to detect the capacity of the lungs and flow of air.

4. See how your child responds to the treatments: You should consider changing the treatments for your child if he/she has recurrent symptoms of asthma attack and require frequent visits to the Emergency Room even after taking medications for an extended duration.

5. Long term treatment plans require patience: Any asthma treatment plan requires patience as they might not immediately cure symptoms.

How to Manage if Your Child Is Suffering From Asthma

 Asthma  is a serious expiratory disorder, whereby, the patient faces difficulty in breathing or dyspnoea due to various factors such as allergies, bronchial infection, anxiety or stress and occupational hazards. In all the cases, it leads to excessive bronchial spasm and mucus accumulation, plugging the bronchial which leads to paroxysms and the patient starts panting heavily. But it is completely chronic without any complications. 

Although allopathic measures such as inhalers and steroids can temporarily help to control the situation, yet, homeopathy has proved even more useful for asthma as the treatment is completely natural and does not carry the uncertainty of side effects like the steroids. It not only helps to reduce the intensity of spasms, but also, tries to cure the actual cause of asthma itself. Consequently, after a complete and proper treatment of asthma with homeopathy for a couple of months, it has been found, that the patients are living a happy life without any sign of the disease. Given below are the various homeopathic medicines used for curing asthma:

Arsenic Album   This medicine comes into rescue when the patient is extremely restless, unable to sit or stand comfortably, feels extremely thirsty but is unable to drink too much water, feels suffocated with pain in upper-right chest. Arsenic Album is said to have provided great relief to such patients.

Ipecac   When a patient suffers from vomiting and nausea during these asthmatic attacks, this medicine can prove very useful, especially in children and adults who are a little fat.

Antim Tart   One of the effective medicines for asthma accompanied by rattling cough caused due to eating making the patient feel very weak and sleepy. This medicine is generally suitable for old people and children.

Nux Vomica   This medicine helps patients who suffer from gastric problems due to asthma causing headache and epigastric pain in the stomach region.

Carbo Veg   This medicine helps in cases where asthmatic attacks make the patient s face blue and also cause coldness of hands and feet.

Although above medicines are very effective, yet, they should always be taken strictly under doctor s guidance.

Homeopathy Treatment For Asthma

With the increase in pollution, there has been a significant increase in allergies and asthma patients off late. The reason is that apart from genetic problems, allergens or pollutants play a significant role. Homeopathy is the best way to treat these with less or no side effects!

Allergens

These are types of antigens responsible for drastic immune responses. Here, the immune system acts against these to protect the body and the reactions are called allergies. Allergy can be expressed via sneezing or rashes, itching, redness in eyes, vomiting and so on.

Types of allergens

1. One could have food allergies from foods such as peanuts (a legume), nuts, seafood and shellfish.

2. Other allergens could be, but not limited to dust mite excretion, pollen, pet dander and royal jelly.

3. Some drugs, dander or even dye can also cause allergy.

Homeopathic treatment for allergies

1. Ailanthus: for those allergic to smell of flowers

2. Apis mel: for those allergic to heat

3. Argentum nit: for those allergic to sugar

4. Arsenic album: helps patients allergic to cold drinks; fruits; rotten foods, iodine

5. Bryonia: for those allergic to castor oil

6. Carbo veg: helps those allergic to aspirin; bad liquors, salt butter, bad eggs, poultry items

7. Dulcamara: act against dampness allergy

8. Histamine: act against dust and strong perfumes allergies

9. Justicia adhatoda: for those allergic to dust

10. Petroleum: helps those allergic to cabbage

11. Natrum mur: helps those allergic to bread and acidic food

12. Nitri-spiritus dulcis: acts against cheese allergy

13. Nux vom: for those allergic to coffee

14. Sepia: for those allergic to warm boiled milk

15. Sulphur: act against antibiotic allergy

16. Tellurium: for those allergic to rice

17. Thuja: for those allergic to sweets; fatty meats, onion

Know about asthma before you treat it

In case of asthma, lungs are affected causing inflammation of lungs thereby narrowing airways. Asthma can start by allergies.

Symptoms

1. Tightening of chest

2. Difficulty in breathing

3. Persistent cough, particularly at night.

Homeopathic remedies

1. Natrum sulphuricum cures children: in case of hereditary cases, this is effective. Important symptom to have the remedy is wheezing.

2. Arsenic album for all: it is effective in acute phase as well as chronic state.

3. Sambucus for children: it is given if the attack is sudden at night.

Asthma is a form of allergy. However, it can co-exist with other nasal and skin allergy symptoms. Arsenic, allium cepa and histaminum are homeopathic remedies for asthma along with nasal allergy.

Now you know what is to be given and when. It is advisable to call up a doctor in case of severity.

Allergy or Asthma Cure in Homoeopathy

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