COPD, also known as Chronic Obstructive Pulmonary Disease is a chronic medical condition that triggers extensive damage to the lungs, interfering with its functioning. In COPD, the lungs and the air sacs or the alveoli undergo severe inflammation that gives rise to a host of complications including wheezing, shortness of breath and other related breathing troubles. While an early medical assistance is instrumental in proper management and treatment of COPD, in most cases, the associated symptoms and discomfort appear at a later stage (when the lungs have already undergone damage and inflammation). Thus, a proper awareness about COPD is necessary. In this article, we will discuss some important points related to COPD to help people understand the condition better.

While there can be a plethora of triggers, two of the medical conditions that elevate the incidence of COPD are Chronic Bronchitis and Emphysema. The bronchial tubules functions as a carrier transporting the air (oxygenated and deoxygenated) from the lungs to the different body parts and vice versa. 

In case of Chronic Bronchitis, the lining of these tubules undergo severe inflammation. 
In the case of Emphysema, the inner walls of the alveoli may rupture resulting in deleterious consequences including breathlessness.
For long people were of the opinion that COPD only affects people who smoke. However, various surveys suggest that COPD does affect non-smokers as well. While smoking does make a person more susceptible to the condition (COPD as well as Chronic Bronchitis and Emphysema), other factors such as chronic and severe neonatal lung ailments or prolonged exposure to the harmful gases and lung irritants can also act as triggers.

Though the incidences of COPD are relatively higher in people above 45 years, the young adults or the middle-aged can also be affected. Also, COPD is not limited to males and can affect females as well. Some of the symptoms associated with COPD include chest tightness, wheezing, breathlessness, chronic cough (often with mucus). These symptoms are quite similar to those of Asthma with people often confusing between the conditions. Thus, a proper diagnosis is vital. Spirometry is a lung test used in the diagnosis of COPD. This test evaluates the functioning of the lungs by measuring the amount of air inhaled and exhaled.

When we talk about the treatment or management of COPD, quitting smoking does improve the condition. For people with breathing troubles and chronic cough, the Bronchodilators (can be long-acting or short-acting Bronchodilators depending on the extent of the discomfort) comes as a great relief. The use of corticosteroids (inhaled) can go a long way to alleviate the inflammation of the airways.

In extreme cases with reduced oxygen reaching the blood, a person may need Oxygen Therapy to improve the condition. Of late the Pulmonary rehabilitation program have been benefiting people in dealing with COPD better. The program involves an amalgamation of counselling sessions to educate the people about the diet and nutrition, precautions to be followed along with some healthy lifestyle changes.

COPD - Things You Must Always Remember!

Everyone knows that drinking a cup of coffee before bed can leave you tossing and turning for hours. Eating the right food not only gives the body the right kind of nutrition, it also affects the quality of your sleep. While some foods are sleep deprivers, others are sleep enhancers. Here are a few such types of food that you can include in your diet to improve your sleep.

Cherries: Cherries are rich sources of melatonin. This is the chemical responsible for controlling the body s internal clock. A serving of tart cherries in their raw, whole form or a glass of cherry juice(without added sugars) can improve sleep quality and help treat chronic insomnia. It can also be used to fight jet lag.
Walnuts: These nuts are rich sources of an amino acid known as trytophan. Trytophan boosts serotonin and melatonin production thus regulating the body s sleep-wake cycle. This can help you fall asleep faster and avoid tossing and turning.
Milk: A glass of warm milk is a well known home remedy for insomnia. Milk or any form of dairy is rich in tryptophan. As mentioned above, this helps people fall asleep faster by regularizing their circadian rhythm. Additionally, calcium also helps regulate muscle movements and calms the body by fighting stress and stabilizing nerve fibers. If you don t like the thought of plain milk, you could try other forms of dairy like cheese and yogurt.
Rice: Jasmine rice and other forms of white rice have a high glycemic index. This means that the body digests rice slowly and hence releases glucose produced during digestion very gradually into the body. This helps cut down the time it takes to fall asleep. A gradual absorption of glucose in the body also prevents a  sugar high  and its accompanying crash. This helps prevent waking up in the middle of the night and ensures that you sleep through the night comfortably.
Bananas: Bananas are great not only for your overall health but also for your sleep cycle. Bananas are rich sources of magnesium and potassium. These are natural muscle relaxants that promote sleep. They also help fight sleep disorders such as restless leg syndrome and muscle cramps to give you a more restful sleep. Bananas are also rich in carbohydrates that are slow to digest and hence make people fall asleep faster. Combining bananas and milk is a sure shot way of falling asleep faster.

5 Foods For a Good Night Sleep

The thought of waking up fresh in the morning after a good night s sleep itself is refreshing. However, many are deprived of this simple pleasure of life, one of the main cause behind it is snoring. Whether you are snoring or have a person next to you snoring, the result is a disturbed sleep, which leaves you feeling tired and not-very-rested.

Snoring is caused by multiple reasons including stress, obesity, smoking, sinus problems, circulatory problems, poor diet, large tongue or tonsils and with age. This leaves the person sleep deprived, including a feeling of drowsiness, sore throat, increased risk of heart disease, reduced libido and decreased concentration.

While there are surgical corrections that can get rid of snoring, yoga has some simple, effective pranayamas and asanas that have been proven to be effective since times immemorial. They improve lung capacity, help in weight management, keep the air passages open and also help in stress management. Try the following asanas and pranayamas to see snoring disappear.

Pranayama: This improves the strength of the facial and throat muscles. Bhramari or Humming Pranayama and Ujjayi pranayama are specifically useful in snoring patients. In Bhramari Pranayama, the lips are closed and the soft palate vibrations are entirely due to nasal airflow. Practised mouth snoring over a period of time where the soft palate is lifted towards the pharynx produces a buzzing bee sound. Both breathing in and out happens through the nostrils producing this sound, although slightly different during inhalation and exhalation. Ujjayi Pranayama is where a hissing breathing sound is produced due to the nasal snoring instead of the mouth snoring in the Bhramari exercise.

Breathing and Chanting the Om Mantra: Sit on the floor in a relaxed position with eyes closed and take few deep breaths. Begin to chant the word OM repeatedly for a few minutes. Break the word into two parts, the first part of OOOO should come from deep within followed by the lighter MMMM. This helps meditate, relax, and reduce snoring. Try to do this breathing and chanting at least ten to twelve times, and more if possible, on a daily basis.

Another effective measure is the Simha Garjasana or Roaring Lion Pose where you kneel down on the mat, lean back so that the hips are resting on the heels. The palms are faced in the space between the knees with fingers spread apart. Tilt your head back while taking deep breaths. This improves the airway and reduces the snoring.

Kapalbhati, Bhujangasana Dhanurasana, Warrior Pose and Surya Namaskar are also other effective asanas. When done regularly over a period of time, it helps in getting rid of snoring. This in turn makes you feel fresh in the morning; ready to take on the day. 

Snore a Lot? These Yoga Positions Can Help You Control it 

How Thyroid issues affect your weight - When I talk with women suffering with unexpected weight gain, often one of the first questions I am asked is "Is it my thyroid?"

Sometimes, my answer is "Yes" - after all, our thyroid hormones play a huge role in regulating our metabolism and how we use nutrients.

And research shows that even small changes to the thyroid function can cause weight gain. In fact, many women who have been told their thyroid test results are "normal" may still have a reduced thyroid function (subclinical hypothyroidism) that's enough to cause weight gain and other bothersome symptoms.

At the clinic, I work with women suffering from a wide range of thyroid issues from those just starting to suspect they have a thyroid problem to those already taking medication. And I tell each and every one of them how they can benefit from natural thyroid support and a holistic approach that considers thyroid function as part of overall hormonal balance.

The thyroid and unexpected weight gain: an early signal - Unexpected weight gain and difficulty losing weight may be one of the first noticeable signals that you're struggling with hypothyroidism (a sluggish thyroid) or subclinical hypothyroidism. Many women tell me about their frustration with gaining five pounds every year and not being able to figure out why!

Reduced thyroid function may be the result of the thyroid's impaired ability to produce hormones, or the body may have difficulty using the thyroid hormones. Either way, problems with your thyroid hormones may cause the rate at which you use nutrients (your metabolic rate) to slow down.

We are especially prone to thyroid issues and weight gain as women because the thyroid is linked to other systems that affect weight including the proper functioning of our neurotransmitters, reproductive hormones, and adrenal glands.

Thyroid issues affect women of all ages - While we see women of all ages with thyroid issues, there are times in your life when your hormones fluctuate more and when the development of thyroid issues may be even more likely.

If you have any questions related to thyroid, ask me by clicking on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Revealed - How Thyroid Issues Affect Your Weight

Conventional medicine treats pain with the help of medications; by either blocking the transmission of pain signals in the body or by correcting the underlying problems caused by the pain in the first place. However, traditional and alternative forms of medicine such as acupuncture manage pain issues within the body through the means of redirecting disrupted energy flows. One of the very few forms of alternative treatments used in conjunction with conventional treatments, acupuncture is seen as a mercurial rise in popularity in the past few decades.


What is acupuncture?
Acupuncture dates back to ancient China, about 2500 years ago. It has been widely practiced there for a number of millennia, not only pain relief, but also for treating many ailments. Acupuncture isn t just considered a form of therapy, but a holistic form of medicine. Acupuncture works on the principle of the flow of energy within the body, also known as  Qi , in traditional Chinese medicine. Acupuncture strives to correct the disruptions in  Qi  that may cause pain by manipulating over 2000 of the specific pressure points within the body with the help of specially created needles.


Where is acupuncture effective?
Acupuncture is very effective in treating a host of ailments, especially in relieving the associated pain. Some of the areas where acupuncture has proven its effectiveness are:
1. Treating nausea and vomiting caused due to chemotherapy treatment for cancer patients
2.  Very useful in treating post-operative pain caused due to dental procedures
3.  Rehabilitating patients who have suffered strokes
4.  Fibromyalgia (musculo-skeletal pain with fatigue accompanied by sleep and memory issues) 
5.  Effective in combating withdrawal symptoms caused due to addiction
6.  Pain from menstrual cramps
7.  Tennis elbow
8.  Osteoarthritis (a type of arthritis caused due to the erosion of tissues present at the ends of one s bones)
9.  Pain of the lower vertebrae within the spinal column
10. Asthma


How does acupuncture work within the body?
According to modern medicine, the specific pressure points utilized by acupuncture within the body help in releasing chemicals that can block or at least reduce pain. It encourages the flow of chemicals from the brain, which act as nerve and pain blockers. It also helps stimulate the muscles and nerve endings, which can lessen inflammation and thus help in reducing pain.

Acupuncture - Why Should You Use it to Combat Pain?

Obsessive Compulsive Disorder is also known as OCD. It is a mental ailment that causes specific changes in the brain as well as the behaviour of the patient. It can also cause severe anxiety and lead the patient to consume a lot of time for completing even the most normal tasks. These obsessions are like thoughts, images and even videos playing where the cause of a certain action becomes more profound with the number of imagined risks if it is not done in a specific way, as per the mind of the patient. These turn into repetitive actions undertaken by the patient, where these actions are known as compulsions.

Hence the term: obsessive compulsive disorder. Washing, cleaning, losing control, contamination fears and more are only a few of the thoughts that plague patients suffering from this disorder. While this disorder may not have a specific cure, there are various ways in which it can be managed. Let us look at some of these methods.

What Causes OCD-

The exact cause of OCD is unknown. It is generally considered unlikely that OCD develops purely psychologically as a consequence of the way we are brought up.

Genetics and Physiology: It is generally accepted that OCD arises from differences in the physiology of the brain in people with the condition.
Serotonin: Lack of serotonin activity appears to be involved in causing OCD. Serotonin is a calming and inhibitory neurotransmitter, one of its main actions is to control and put the brakes on painful, worrying or anxious thoughts.
Traumatic Life Events: Traumatic emotional events such as bereavement may trigger or worsen OCD in people who already have a tendency to have the condition.
Treatment of OCD-

For best results in treating this troublesome anxiety disorder combine brain-chemistry balancing approaches with psychotherapy techniques.

Nutritional Therapy: Try tryptophan and St John's Wort to increase serotonin. Rhodiola has been shown to help generalised anxiety disorder however Rhodiola has the ability to raise 'brain energy' and therefore hypothetically may exa-sperate OCD symptoms.
L-theanine or just theanine for short is an amino acid found in tea that has a calming and anti-anxiety effect. Theanine increases GABA activity in the brain and is well worth a try.
The Inositol Treatment of OCD: Inositol, one of the B vitamins, has been found effective in treating OCD. Inositol is used in biochemical processes that affect serotonin receptors.
Psychotherapy: This is also known as discussion or talk therapy where the patient is allowed to engage with a therapist who is usually a psychiatrist or a clinical psychologist. The doctor will help the patient in first of all, becoming aware of the problem by helping the patient carry out various tasks in a controlled environment. These tasks will be timed and then relayed to the patient before the exposure therapy begins, where the patient will be taught to build a better quality of life. This a long term and time taking process which can also involve group sessions and sessions with the family members. Also, this method takes a lot of practice so that the patient learns how to regulate the obsessions and stop the compulsive behaviour gradually.
Exercise: Numerous studies have shown the benefits of exercise upon mental health. So, a minimum of 20mins of daily exercise can help you a lot.
Relaxation Training & Meditation: Learning meditation and relaxation techniques may enhance one's ability to control anxiety and one's thoughts in general.
Medication: There are various kinds of medicines that can be prescribed for these patients. Anti-depressants can help the patient in overcoming the fears and anxiety that a person feels when the wheels of one's imagination begin to turn towards obsessive thoughts. This will also help in tackling the hopelessness that the person feels when faced with the so called depressing outcome of not bowing to the compulsive habits.
Putting It All Together-

Follow the diet for serotonin deficient depression, and GABA deficient anxiety.
Consult with a qualified therapist using behavioural rather than analytical techniques.
Do some repetitive mind-occupying/filling as opposed to mind-emptying meditations everyday.

How to Deal with OCD

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