Over the last couple of decades, most chronic diseases are being treated by modes other than just medications. Physiotherapy is one such approach, and the success rate has been quite high.

The lungs are extremely vital organs in that they supply oxygen to the entire body, which in turn ensures optimal body functioning. When the ability of the lungs to perform is reduced, which happens in chronic lung diseases, then each organ in the body is affected. Therefore, the lung s ability should be restored so oxygen supply to all organs is improved.

Symptoms of chronic lung disease:

Shortness of breath, with even minimal exertion
Reduced exercise tolerance
Tightness and fullness in the chest
Excessive mucus secretion in the lungs
Wheezing
Smoking is one of the main causes with pollution, dust, ageing, etc. also contributing to reduced lung function.

Physiotherapy aims to improve lung function by a combination of measures

Improve breathing techniques
Improve posture
Improve mucus secretion
Improve lung capacity
The patient is taught various techniques which help in both chronic cases and in acute exacerbations.

Posture: In most chronic lung diseases, the patient assumes a stooped posture with bent shoulders. This reduces the capacity of the upper lungs. The patient is made to consciously keep the shoulders upright and arms extended so that the upper lungs are available for breathing. Shoulder, neck, and thorax movements are practiced so that each breathing cycle provides greater ventilation and improves oxygen supply to the body.
Breathing: The patient is taught to breathe with full force on the diaphragm. This makes the lower chest movements effective and improves ventilation in those areas. The patient is also taught pursed-lip breathing, where forceful expiration is practiced. This again improves lung efficiency. This practice of coordinated breathing helps.
Posture drainage: With a combination of clapping and shaking, the patient is taught to work on the affected lung areas. This allows for removal of mucus from the lungs, thereby improving lung capacity. The patient may sometimes be required to induce coughing to clear secretions.
Overall exercise: Though chronic lung diseases reduce overall ability to exercise, the key is to maintain an active lifestyle and practice a regular workout regimen. This ensures ventilation and circulation are maintained at optimal levels. It would be a vicious cycle if a person stops regular exercise due to chronic lung diseases.
Lifestyle changes: In addition to the above physiotherapy, the patient also should quit smoking, reduce exposure to dust and pollution, and use a protective mask when possible. Eating healthy and getting adequate sleep is also essential in the long run.

Role Of Physiotherapy In The Management Of Chronic Lung Diseases!

COPD, which is short for Chronic Obstructive Pulmonary Disease, is a severe form of lung disease that is characterized by increased breathlessness and obstruction of airflow from the lungs. People who are suffering from COPD are at an increased risk of developing lung cancer, heart diseases and many other conditions. It includes progressive lung diseases such as chronic bronchitis, emphysema, few forms of bronchiectasis and refractory (non-reversible) asthma. The former two are the most common conditions contributing to COPD. 

Chronic bronchitis induces inflammation in the airway that carries air to the lungs and fills it with mucus. This either completely blocks the airway or narrows it, causing difficulty in breathing. However, in emphysema, the air sacs inside the lungs which inflate and deflate as you breathe in and out, lose their elasticity due to which less air comes in and goes out leaving you breathless.

The best way to treat COPD is to quit smoking. Your doctor may also prescribe you medications or ask you to enroll in a lung rehab program. 

Causes:

Smoking: Smoking is one of the most common causes of COPD. This is because smoking is known to destroy the stretchy fibers in people's lungs and irritate the airways. Even passive smoking is unhealthy. About 90% of the people having COPD are current or former smokers. 
Genetics: Some individuals suffer from COPD even after refraining from smoking. Genes might be at the helm of COPD in such a case. AATD i.e. Alpha -1 Antitrypsin Deficiency, is a protein in the lungs, the lack of which is one of the most common genetic factor causing emphysema. 
Environmental Factors: Breathing in harmful pollutants present in your environment is also one of the causes of COPD. Fumes, dust or certain chemicals are a few examples of harmful lung irritants. Organic cooking fuel may also cause COPD. Exposing yourself to the aforementioned environmental factors for a prolonged period of time increases your risk of developing COPD substantially. 
Symptoms:

Shortness of breath especially after exercising
Wheezing
Tightness in your chest
Unintended weight loss
Lack of energy
Frequent respiratory infections
Wheezing
Cough accompanied by mucus
Diagnosis:

Physical Exam where your doctor monitors the functioning of your lungs. 
Questioning about your past health (Smoking or other harmful lung irritants).
Spirometry and other breathing tests.
Chest x-rays and other tests to eliminate other problems which could be causing your symptoms.

World Chronic Obstructive Pulmonary Disease Day - Know More About COPD!

Eye twitching, tics in the eyelids and spasms in the eye are pretty common. In case of eye twitching, usually the lower eyelid becomes involved. The upper eyelid may also twitch in certain cases. Twitches are not permanent in nature, and they leave after some time. In some cases, eye twitching may last for long durations of time such as weeks or months.

Eye twitching is not a critical medical condition. It is a temporary prickling and irritation in the eyes, which ceases after some time. Common twitching of the eyes is not related to any neurological disorder.

Here are some reasons which cause eye twitches-

Stress
Every individual goes through some amount of stress, and the body reacts differently in different people as a result of stress. An eye twitch may be caused due to stress, especially related to strain in the eyes.
In order to reduce stress you should practice yoga, meditation, perform breathing exercises and take a break. Reducing the stress would also cease the twitching in the eyes.

Tiredness
Eye twitching can appear when you are fatigued or very tired. Lack of proper sleep makes your body tired, and this might trigger eye twitching.
You should improve upon your sleeping hours and sleep more.

Eye strain
Vision problems and any issue related to the eyes can cause stress, which may result in constant twitching in your eyes. Whenever too much stress is imposed upon your eyes, they tend to react and twitching occurs. Any problem would make the eyes put in more effort, which results in strain.
You should have an eye check up if you experience an eye strain accompanied by twitching sensation in your eyes.

People who use computers, laptops, tablets and smartphones for a profuse period of time experience pain and twitching in the eyes. There is a 20-20-20 rule to be followed while using such devices, which reduces eye strain and reduces itching or twitching. You can also avail special eyeglasses for people who spend a lot of time on computers.

Caffeine
Intake of an excess amount of caffeine leads to eye twitching. Cut down your doses of coffee, tea, dark chocolates and soft drinks in case of eye twitching and you may observe an easing in the twitching.

Alcohol
Alcohol also leads to eye twitching so you must abstain from alcohol in case you are having twitching in the eyes.

Dry eyes
This disorder develops in people who have crossed the age of 50. People who use computers a lot also develop dry eyes, which leads to eye twitching.

Our eyes twitch because of a lot of reasons. You should know the facts right and avoid situations that lead to eye twitching.

Why Our Eyes Twitch?

Your diet plays a major role in the health of your heart, so eating healthy should be somewhere on the top of the list for keeping your heart healthy as well. There are numerous heart disorders that occur due to unhealthy food patterns and consumption. Lifestyle factors are the major causes of heart disease, and diet occupies an almost compelling spot when lifestyle factors are taken into consideration. Here is a list of foods that keeps your heart healthy:

Salmon: Omega-3 fatty acids are very important for your heart to function optimally. Fishes such as salmon and sardines are rich in omega-3 fatty acids which lower the risk of heart diseases such as arrhythmia (irregular heartbeat) and atherosclerosis (accumulation of plaque in the arterial walls).

Oats: Like oats and milk for breakfast!? Congratulations! You are in luck; oatmeal has soluble fibers which help in lowering bad cholesterol levels. Just make sure that there is no added sugar in your oatmeal, as it will defeat the entire purpose.

Blueberries: Blueberries are rich in antioxidants that reduce the risks of heart attack and also decrease your blood pressure. So go ahead! Toss some blueberries in your oatmeal to get your daily dose of antioxidants which are such pre-requisites for supreme health.

Dark Chocolate: This will probably bring a smile to your lips. Dark chocolates contain polyphenols, a type of flavonoid, which is very good for your heart. Dark chocolate is known to reduce the risks of strokes and heart attacks. Watch the portion size as no matter what its benefits are, dark chocolates are still rich in calories.

Citrus Fruits: Citrus fruits such as lemons and Indian gooseberry are rich in compounds that lower cholesterol levels in the body. Tip   Start your day with a lemon juice and warm water. This betters your metabolism and also keeps your heart in fine shape.

Soy: Lo Behold Vegetarians! (and non-vegetarians as well). Soy is a protein rich food that is so good for your heart. It also contains heart-healthy fats and fibers that help bring down and normalize cholesterol levels.

Tomatoes: Tomatoes are rich in an antioxidant called  lycopene , which is very effective in getting rid of bad cholesterol. It thus helps in keeping your arteries healthy and reduces the risks of heart attacks.

Nuts: Nuts such as almonds and walnuts are rich in Vitamin E which helps in lowering bad cholesterol in the body. Avoid nuts that come with added salt.

Foods That Help You Maintain A Healthy Heart

What should you do if you have an overactive bladder?

Overactive bladder, also known as OAB, is a condition where sudden involuntary contractions of the urinary bladder's muscular walls cause bladder storage dysfunction. It leads to sudden and frequent urges to urinate (urinary urgency), as well as unintentional leakage or urine (urinary incontinence).

This is a condition that affects both men and women and causes tremendous discomfort in nearly every aspect of daily life. The specific causes of OAB vary from case to case but it is generally attributed to infection of the urinary tract or dysfunction of the nervous system. The symptoms are intensified by unhealthy lifestyle choices such as overindulging in caffeinated drinks, spicy foods, and alcohol.

There are several ways in which you can deal with the problem of OAB, depending on the nature of the case. It is necessary for you to consult a urologist for a detailed diagnosis to formulate the best treatment option.

Following are the most effective remedies to treat an overactive bladder:

1. Lifestyle Modifications

Also known as behavioral therapy, this is the first step in the treatment of OAB. It involves inculcating simple changes into everyday habits such as avoiding food and drinks that irritate the bladder, scheduling (and in some cases, practice delaying) bathroom visits, exercising the pelvic floor and bladder muscles, keeping a record of urinating habits in a 'bladder diary' for better understanding the problem, etc. You can incorporate these habits into everyday activities for an easy alleviation of the problem with absolutely no side effects.

2. Medication and Surgery

There are several different kinds of medicines and drugs that can treat the problem of OAB. The most common types are muscle relaxants that loosen the muscles of the urinary bladder to prevent involuntary contractions, and antibiotics and anti-inflammatory drugs that treat urinary tract infections. Many types of implants are surgically set into the pelvic area to act as electrical nerve stimulators for neuromodulation therapy. Reconstructive bladder surgery is another remedial option.

3. Devices and Products

Urinary urgency and incontinence can be managed through the external use of various devices and products which collect and hold urine or absorb leakages. These include indwelling catheters, condom catheters (for men), urine drainage bags, absorbent pads and adult diapers, and toilet substitutes such as bedpans and bedside urinals.



What Should You Do if You Have an Overactive Bladder?

Measles or rubeola as it is also known is one of the leading causes of children s death around the world. This viral infection is communicable through the air and spreads through contact with infected saliva and mucus. Thus sharing cutlery or glassware with an infected person can increase a person s risk of suffering from this disease. Thankfully measles can be prevented through vaccination known as MMR. This vaccination is given to infants and also protects them against mumps, rubella and chickenpox. The first dose of MMR vaccination is given when the child is about 1 year old and a booster dose is repeated when the child is 4-6 years old.

One of the most characteristic symptoms of measles is a reddish rash that begins inside the mouth and later erupts all over the body. This is usually preceded by a high fever, cold, cough, sore throat and swelling of the lymph nodes. Fatigue, diarrhoea and redness of the eyes are other symptoms of this disease. Measles symptoms are not apparent the moment a person is exposed to the virus. It can take 7 to 18 days for symptoms to become visible after catching the infection, this is known as the incubation period. Measles affects adults is a more severe way than children.

Children and adults with a weak immune system are highly susceptible to complications associated with measles. In some cases, it can lead to life threatening conditions, such as pneumonia and encephalitis or inflammation of the brain. Other complications associated with measles include ear infections, bronchitis, blindness and a sharp fall in platelet count. A pregnant woman suffering from measles also has a high risk of miscarrying the baby or preterm labour.

There is no definitive form of treating measles and doctors typically address the symptoms while prescribing medication. In most cases, the symptoms and the virus should disappear in two to three weeks. Some of the common forms of medicine prescribed to deal with measles are:

Medication to relieve fever
Antibiotics to prevent or treat accompanying bacterial infections
Vitamin A supplements to reduce the severity of measles symptoms
Pain relievers to deal with muscle pains
In addition, the patient needs plenty of rest and fluids to strengthen the immune system. The use of a humidifier can also help treat a sore throat and cough. Bright lights can aggravate headaches and irritation and hence should be avoided. Hence, avoid watching television and activities like reading.

Measles - How They Affect You? + Treatment

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