Spirometry is a common medical test that is conducted in order to detect whether your lungs are working properly. This is done by detecting the amount of air you can inhale and exhale along with the time taken to complete both of these procedures. Spirometry is useful to diagnose any underlying medical condition like asthma, Chronic Obtrusive Pulmonary Disease, persistent coughing or problem during breathing. If you are receiving treatment for chronic lung disorder, spirometry is also useful to check whether or not your lungs are responding to the specific kind of treatment.

Procedure: The process of spirometry involves the use a mouthpiece and a tube adjoined with a machine which displays the recorded results. Before the onset of the procedure, which generally takes place in a hospital, you will be prescribed by the doctor to wear comfortable clothing which will not restrict your normal breathing process and will be asked to have a light meal before the procedure. The procedure will be conducted while you are sitting. 

Spirometry takes an estimated amount of 15 minutes to get over with. The nurse will put a clip on your nose in order to close your nostrils. After that, you have to take a deep breath and then breathe out as hard as possible on the tube for a few seconds. You have to make sure that there's no air leakage during this procedure by putting your lips tightly over the tube. In order to arrive at a stable result, you have to conduct the test three times at least. If the results are hugely diverse, then you have to take the test again. The highest result among the three tests is usually denoted as the ultimate test result.

Risks: Spirometry is generally a low-risk inducing procedure. But in some cases, it might cause loss of breath, moments after the procedure. Also, spirometry should not be conducted if the patient has recently had a heart attack or surgery of the eye, abdomen or chest. If you are suffering from vomiting tendencies and you have regular instances of blood in your cough, you should also avoid spirometry.

The Procedure and Risks of Spirometry

Tuberculosis or TB is a highly contagious airborne disease, which is caused by Mycobacterium tuberculosis. It typically affects your lungs and is characterized by the formation of greyish, hard nodules or tubercles.

Pathology of Tuberculosis

Diagnosis of the disease depends essentially on identifying the bacteria from the tissue. Methods of diagnosis usually include the following  

Skin Test   The most common test for detection of tuberculosis is the skin test. During the procedure, a small dose of PPD tuberculin is injected onto the skin of the forearm. The injection site needs to be monitored after a couple of days. Swelling in the forearm, usually, a hard, red bump could mean that you have contracted tuberculosis.
An X-ray of the Chest   Chest X-ray can reveal calcification, cavitations, and nodes in the upper lobes
Sputum Cultures and Smears   These are mostly used to detect pulmonary tuberculosis. Three specimens of sputum early in the morning are collected on three separate days. The specimen is prepared on a slide and stained with an acid-fast dye before being observed under the microscope. The slide may show the characteristic AFB or acid-fast bacilli.
Gastric Aspirates Test   This involves placing a tiny nasogastric tube in the abdomen early in the morning and gastric contents are suctioned and processed for culture and smears.
Lymph Node Biopsy   The procedure involves removing an enlarged lymph node and culturing a portion of it. The remaining section is sent for staining and examined under a microscope.
Biopsy   Biopsy is conducted when an abnormality develops in the airways during bronchoscopy. This involves threading a thin wire through the bronchoscope and attaching tiny biopsy forceps to its end in order to remove multiple tissue samples from the bronchi. The samples are sent to the laboratory for complete analysis.
Treatment of Tuberculosis

Studies show that in the majority of cases, patients were cured with the help of the right medication. The type and dosage of antibiotic treatment precisely depend on factors like   the patient s age, health condition, and potential resistance to certain drugs, whether the disease is active or latent, and the infection site.
Patients with latent TB may require one type of antibiotic, while those having active TB   particularly MDR TB   are often prescribed multiple drugs for about 6-9 months.
Patients who received proper treatment on time have shown vast improvement on the health aspect. After a few weeks of undergoing treatment, you might be tempted to quit taking your TB medications, but it is important that you complete the full treatment course. Skipping doses may allow the bacteria to become drug-resistant, leading to tuberculosis that is more severe and difficult to cure.



Tuberculosis - All You Must Know!

Asthma is a respiratory disorder, which is characterized by the narrowing down and inflammation of the inner lining of the airways of the lung, resulting in excessive secretion of mucous. The airways are responsible for the passage of air from and to the lungs. Asthma can affect any person of any age group; however, the symptoms of the condition can vary. The symptoms of asthma include severe pain in the chest, coughing and problems in breathing, interruption in sleep due to breathing problems and a croaking sound during exhalation. Asthma, in most cases, tends to be chronic and can exist throughout your life with eventual changes in the nature of attack.

The most common causes of asthma are:

    Common cold and allergies from dust particles, smoke and minute insects might be catalysts for asthma.
    Suffering from severe anxiety might also cause asthma.
    Asthma might occur as a result of physical exercise and as a side effect of some medications such as ibuprofen and aspirin.

As of now, asthma is incurable. But medications can control the symptoms. Homeopathic preparations can also be useful for the treatment of asthma. Some common homeopathic remedies are as follows:
1. Arsenic album: If the symptoms include severe episodes of stress and nervousness, immense thirst but the inability to drink much water, severe attacks at night and intense pain in the upper right portion of the chest, Arsenic Album might be very useful to cure the problem.
2. Nux Vomica: If the attack is primarily caused because of gastric disorders or sudden outbursts of anger along with symptoms of dry cough, headaches and stomach aches, Nux Vomica might be used as a remedial medicine.
3. Carbo Veg: Carbo veg can be recommended if the symptoms include a pale face at the time of attack along with cold feet and hands and an itchy sensation in the larynx.
4. Kali bichromicum and Moschus: If the attacks become worse in the morning accompanied by yellow mucus discharge, the above mentioned homeopathic preparations are recommended.

Asthma: Breathing Made Easy with Homeopathy

Acute sinusitis is a type of infection of the sinus. It involves an infection or inflammation of your sinus membranes. The most common symptom of sinusitis is that you have trouble draining mucus from your nose. The sinus is the cavity around the nasal passage and it may swell up when this condition occurs. Usually, the symptoms are temporary. However, sometimes, especially if you suffer from chronic sinusitis,medical intervention is required.

Saline Nasal Spray: This is a spray you put into your nose several times a day to clean your nasal passages.
Nasal Corticosteroids: There are many types of nasal corticosteroids. They include fluticasone, budesonide, mometasone, beclomethsone. These nasal sprays not only help to treat inflammation, they help prevent to prevent inflammation as well.
Aspirin: This is a type of OTC pain relievers and they help relieve the pain of acute sinusitis. Acetaminophen and ibuprofen are two other OTC pain relievers which can be used instead of aspirin.
Antibiotics: Antibiotics are usually not required and should never be taken without the doctor's prescription. However, sometimes the doctor may recommend it if he thinks there is a bacterial infection or if the symptoms progress rapidly.
Immunotherapy: Immunotherapy is given when allergies are the reason you are having acute sinusitis. It is rarely needed, however.
Surgery: For sinusitis symptoms which are chronic or occur frequently, nasal surgery may be the best option for permanent relief. A number of different surgical procedures can be used to treat acute sinusitis such as balloon sinuplasty, endoscopic sinus surgery etc.

Treatment of Acute Sinusitis

Panchakarma is a unique treatment process followed in the ancient field of alternate medicine, Ayurveda. Over the years the practice has found takers not only in India but in several other countries, including the advanced ones such as the US. The recent opening of an Ayurveda kendra or center in New Jersey is ample proof of the popularity of this system of treatment. Practically every health condition is addressed through the panchakarma treatment and sinusitis is also included among them.

Different Levels of the Condition
Sinusitis is a form of inflammation inside the nasal passage that causes pain in the areas surrounding the nose and there are many causes for the condition to develop. Those who undergo the disorder, may experience different levels of sinusitis. It becomes essential for the physician to first diagnose if the sinusitis is acute, sub-acute, chronic or recurrent. Each type can show slightly different symptoms or last for longer durations. Starting from 4 weeks one could have sinusitis conditions lasting a whole of 8 weeks or even longer and there are those who experience it several times during a year.

Not Difficult to Diagnose
Someone with any level of sinusitis usually shows symptoms of a cold or nasal block and accumulation of mucus and so on. But there are simple diagnostic methods using which the doctors distinguish a common cold from sinusitis-like conditions. If the symptoms are severe, the doctor may order a scan done.

Panchakarma Can Offer Effective Remedies
Under the Ayurvedic system, the practitioner would first identify the  dosha  and then go about prescribing the remedy. Since the condition is related to the presence of toxins, detoxification will be a primary form of addressing the issue. There are different methods prescribed within the panchakarma method of treatment. Among them, for sinusitis, Nasyam and Rasaayan therapies are the most frequently suggested ones for this condition.

Under the Nasyam method, the patient is generally asked to lie on his or her back and a specially prepared medicated oil is passed through the nostrils to clean the area. It can result in the condition not only getting cured, but can prevent it from recurring.

The other panchakarma treatment for sinusitis is Rasaayan. In reality, sinusitis is seen as an imbalance in the levels of fluids within the body and if the balance is restored, then health will automatically return. Based on this, the treatment of sinusitis is formulated using the appropriate herbs and elements needed to provide a healthy restoration of the nasal passage and removal of blockages.

If administered by professional Ayurveda practitioners, sinusitis, whichever type it is, can be effectively cured using the panchakarma treatment. As indicated, in many cases the remedy can be so useful that it can go beyond curing and can stop the condition from resurfacing again. That is the beauty of panchakarma.


Panchakarma Treatment For Sinusitis!

Chronic obstructive pulmonary disease is a long-term condition of the lungs where the flow of air to the lungs is restricted (obstructed). Symptoms include cough and breathlessness. The condition is most often caused by smoking and the most important treatment is to stop smoking. Inhalers are commonly used to ease symptoms. Other treatments such as steroids, antibiotics, oxygen, and mucus-thinning (mucolytic) medicines are sometimes prescribed in more severe cases, or during a flare-up (exacerbation) of symptoms.

What causes COPD?
Smoking is by far the biggest risk factor for COPD. The lining of the airways becomes inflamed and damaged by smoking. Cigarette smoking is the biggest risk factor.

Air pollution may cause some cases of COPD, or make the disease worse. Air pollution can be indoor air pollution or outdoor air pollution. Indoor air pollution seems to be involved in more cases of COPD than outdoor air pollution. Indoor air pollution includes fumes from indoor fires or stoves, and dust, fumes or chemicals present in some workplaces. The combined effect of exposure at work to air pollutants and smoking increases the chances of developing COPD.

A small number of people have a hereditary (genetic) risk of COPD due to very rare protein deficiencies that can lead to lung, liver and blood disorders. (The condition is called alpha 1 antitrypsin deficiency. Less than 1 in 100 cases of COPD are due to this.


COPD symptoms-


Cough is usually the first symptom to develop. It is produced with phlegm (sputum). It tends to come and go at first, and then gradually becomes more persistent (chronic). You may think of your cough as a 'smokers cough' in the early stages of the disease. It is when the breathlessness begins that people often become concerned.
Breathlessness (shortness of breath) and wheeze may occur only when you exert yourself at first. For example, when you climb the stairs. These symptoms tend to become gradually worse over the years if you continue to smoke. Difficulty with breathing may eventually become quite distressing.

Sputum - the damaged airways make a lot more mucus than normal. This forms sputum. You tend to cough up a lot of sputum each day.

Chest infections are more common if you have COPD. A sudden worsening of symptoms (such as when you have an infection) is called an exacerbation. Wheezing with cough and breathlessness may become worse than usual if you have a chest infection and you may cough more sputum. Sputum usually turns yellow or green during a chest infection. Chest infections can be caused by germs called bacteria or viruses. 
Other symptoms of COPD can be vaguer. Examples are weight loss, tiredness and ankle swelling.

What is the difference between COPD and asthma?


COPD and asthma cause similar symptoms - in particular difficulty breathing (breathlessness). However, they are completely different diseases. Briefly:

In COPD there is permanent damage to the airways. The narrowed airways are fixed, and so symptoms are persistent (chronic). Treatment to open up the airways is therefore limited.

In asthma, there is inflammation in the airways which makes the muscles in the airways narrow (constrict). This is temporary so the narrowing comes and goes. So, the symptoms tend to come and go, and vary in severity from time to time. Treatment to reduce inflammation and to open up the airways usually works well.

COPD is more likely than asthma to cause an ongoing cough with phlegm (sputum).

Waking at night with breathlessness or wheeze is common in asthma and uncommon in COPD.

COPD is rare before the age of 35, whilst asthma is common in under-35s.

There is more likely to be a history of asthma, allergies, eczema and hay fever (so-called atopy) in people with asthma.

Do I need any tests?

The most common test used in helping to diagnose the condition is called spirometry. This is a breathing test. You will be asked to breathe or blow into a small machine called a spirometer which will measure how well your lungs are working. This test can help make a diagnosis of COPD.


A chest X-Ray show signs of COPD and can be used to help exclude other serious conditions (including lung cancer). Occasionally, a special CT scan of the chest - high-resolution CT - is needed. A blood test to make sure you are not anemic is often helpful.

A pulse oximeter is a device which can be clipped on to your finger. It measures your heart rate (pulse) and the amount of oxygen in your circulation (oxygen saturation). Lower levels than normal tend to be found in people who have COPD, especially if you have a flare-up (exacerbation) of your symptoms.

COPD treatment-

Smoking cessation is the most important step towards treatment.
Inhalers

The main treatments are medications given in devices called inhalers. The medicine within the inhaler is in a powdered form which you breathe in (inhale). The medicines in standard inhalers reach the lungs better if used with a spacer device. Inhalers include one, two or even three types of medicines. They may include:


A bronchodilator agent - this is a medicine which opens up (dilates) the airways. Some work quickly but don't last very long; others are longer-acting.
A steroid - these reduce the inflammation in the airway, thereby reducing the swelling. This, in turn, adds to the space available for air to pass.
A medicine which helps to dry up the secretions produced by the airways.
Home oxygen
This may help some people with severe symptoms or end-stage COPD. It does not help in all cases. Unfortunately, just because you feel breathless with COPD it does not mean that oxygen will help you. Great care has to be taken with oxygen therapy. Too much oxygen can actually be harmful if you have COPD.
Regular follow up in OPD is an essential part of treatment success.

Chronic Obstructive Pulmonary Disease - Know More About It!

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