Tuberculosis is an opportunistic infection caused by the bacteria Mycobacterium tuberculosis. The infections occurring in people with weak immunity as compared to the people with a healthy immune system are called as opportunistic infections. As, HIV enters the human body, it replicates and weakens the immune system which in turn increases the risk of contracting Tuberculosis in people already suffering from HIV infection.

An HIV and Tuberculosis co-infection occurs when an individual has both, the HIV infection and an either latent or active TB disease simultaneously.  Each disease acts in speeding up the progress of the other, when HIV and TB infection is present together in the body. HIV infection speeds up the progression from latent to active Tuberculosis, Mycobacterium tuberculosis also accelerates the progression of replication and spread of the HIV infection.

HIV infection and Tuberculosis are totally different type of infectious diseases. HIV is a viral infection and TB is a bacterial one. An HIV infected person will not contract TB unless a contact happens with a TB infected person. TB spreads via droplet infection and is communicable. If a person lives in a country with a high prevalence rate of TB, an HIV patient is highly susceptible to contracting the infection. In the similar manner, a person suffering from TB gets infected with the HIV infection only through the blood and bodily fluids borne route, with unprotected sexual intercourse with an HIV infected individual being the most important cause.

Amongst all the other opportunistic infections, TB occurs at an earlier stage in the course of an HIV infection than most other opportunistic infections. Mortality rate in the co-infected patients is more than twice that of HIV infected individuals without a TB infection. Even if a patient is undergoing anti-retroviral therapy, the death rates remain high in co-infected individuals.The natural history and course of TB gets altered in people with an infected immune system. The damage to immunity due to HIV infection causes a drastic reduction in the pathogen killing capacity of the body. In such patients if there is no anti-retroviral treatment prescribed, then the latency period between the infection and progression of disease gets eliminated. 

An active phase of TB is observed in such individuals progressing within a short span of time, ranging from weeks to months, rather than years as it normally should be spanning. Risk of progression from a latent stage to an active stage of TB is around 10-15 times greater in an HIV infected individual as compared to the non-infected person. Such individuals also communicate the disease more rapidly to others.Pulmonary tuberculosis in an HIV infected person can present similar symptoms like that of a classic TB disease. However, a co-infection can sometimes show less presenting TB symptoms, where even the chest X-ray scans can be observed to be normal. A  subclinical  phase of Tb in co-infected patients can cause delay in the diagnosis of the symptoms and subsequently affect the prognosis due to lack of timely treatment.

Social stigma and discrimination has caused an obstacle in provision of adequate treatment for people with HIV. Proper counseling  and initiatives taken to provide indiscriminate care can aid in identification of co-infection and earlier stages. Anti-retroviral treatment teamed up with anti-tubercular drug regimen is prescribed and a successful treatment for drug sensitive cases of TB can be provided with medications for 6-8 months.

How HIV & TB  Are Related?

Cystic Fibrosis is a genetic disorder that is known to affect some of the vital organs of the body including the lungs, digestive system to name a few. For long it was believed that cystic fibrosis affects a person in their childhood. However, various research and studies suggest that adults are also susceptible to this inheritable disorder. In this article, we will discuss the cause and symptoms associated with cystic fibrosis.

Cause
The epithelial cells that line the stomach, nasal cavity and lungs, are responsible for the production of the digestive fluids, sweat, tears, mucus. The Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene codes for a protein called the CFTR protein. The CFTR protein, a membrane protein plays a pivotal role in transporting the chloride ions of the epithelial cells inside and out of the cell. This regulation of the chloride ions goes a long way in ensuring that the mucus produced is free-flowing and thin.

In the case of Cystic Fibrosis, the CFTR gene that codes for the protein undergoes a mutation. With the CFTR protein unable to perform its function, sticky and thick mucus builds up and clogs some of the major systems of the body including the digestive system, reproductive, and respiratory system. There is also a higher salt content in the sweat of the affected person.

For a person to be affected by cystic fibrosis, he/she must inherit a copy of the mutated CFTR gene from both the parents ( Autosomal Recessive Disorder) at birth.

Symptoms
The symptoms associated with cystic fibrosis depends on the organs and systems affected.

The thick mucus formed can clog the digestive tract resulting in incomplete absorption of the essential nutrients from the food. This may have an impact on the overall growth and development of the body.
- There may be stunted growth or no weight gain.
- The stool may appear greasy and foul smelling. Some may also suffer from constipation.
- Newborns and infants may suffer from an intestinal blockage.
Cystic fibrosis, left unattended can lead to diabetes, intestinal blockage or obstruction.
- The mucus can also block the bile duct triggering a host of problems including liver disorders.
- At times, the obstruction or blockage can occur at the junction where the large and the small intestine meets (Distal intestinal obstruction syndrome).
The thick mucus can also affect the lungs and the respiratory system by blocking the tubes that act as a passage carrying the air inside and out of the lungs. As a result,
- A person may suffer from lung infections frequently.
- There may be difficulty in breathing, stuffy and blocked nose, or wheezing.
- Some people may also suffer from a chronic cough with a thick sputum.
Left untreated the complications can worsen resulting in

Nasal polyps, Chronic infections, Hemoptysis (there is blood while coughing), and Pneumothorax (air fills up in the space bifurcates the chest wall from the lungs).

In severe cases, there may be a respiratory failure.

Cystic fibrosis can also trigger fertility problems (both in males and females).

Cystic Fibrosis- Causes and Symptoms!

If there is one disease which most people would definitely be affected by, it has to be the common cough and cold. It is not without reason that it is called  common cold.  When we look back though, common cold and cough was not so common. It is evident that it has become common due to the lifestyle and environmental changes and can be managed again by looking at how it used to be managed earlier.

Ayurveda believes that health is determined by the balance between the tridoshas in the body, namely vata, pitta, and kapha. Common cough and cold are caused by an imbalance between all 3 components. The type of cough, phlegm, congestion, etc., will vary depending on which dosha is predominant. People who repeatedly have attacks of common cold would be delighted to know there are remedies which are commonly available and can keep these attacks at bay. Read on to know more.

Garlgling with salted lukewarm water soothes the throat and helps in relieving cough.
Taking a combination of honey, lemon, and lukewarm water 3 times a day is very effective in preventing common cold.
Drinking warm liquids like herbal teas and clear vegetable soups with garlic added soothes the throat and also provides antioxidant benefits against cold and cough.
Boil some handful of tulsi leaves in a litre of water, strain and drink it through the day to get rid of cough and cold.
Eating onion dipped in honey also can prevent chronic cough and cold.
Boiling tulsi seeds and ginger in water and drinking this after straining also helps the throat.
Drinking juice of betel leaves is another natural remedy.
Add some salt to mustard oil and rub it on the nose and throat to get immediate relief.
Similarly, a mixture of curd, sugar, and black pepper powder provides relief from cough and congestion.
A mixture of cinnamon, honey, and pepper also helps people with cough and cold.
Add a small quantity of asafetida (hing) to a glass of warm water and feel the relief in the lungs and throat.
Boil water with jaggery and coriander seeds, strain and drink twice a day.
A mixture of ginger and milk can be used in concentrated form to be instilled in the nose.
A mixture of fennel seeds and clove powder mixed with honey provides great relief.
Inhale the vapour of ladies finger from water in which it was boiled. This relieves throat infections and dry cough.
In addition, Ayurveda has specific yogasanas like jal neti, sutra neti, kapalbhati and setubandha, which are aimed at clearing out nasal and airway passages.

Common Cough & Cold - Ayurvedic Remedies For It!

A respiratory disorder, the inflammation of the lining in the bronchial tubes, which are responsible for carrying air to and from your lungs is known as bronchitis. Allergic bronchitis is a disorder that develops, if you have severe allergies which result in a bronchial immune system reaction.

Allergic Bronchitis requires medical diagnosis by your healthcare provider who can differentiate the allergic form of bronchitis from the normal form of bronchitis by searching for other symptoms related to the allergy. Allergic bronchitis often occurs due to seasonal allergies, making it an acute condition. If you are suffering from lingering bronchitis issues caused due to allergies, an allergy test is recommended so that the doctor can accurately assess the condition.

The symptoms of allergic bronchitis are similar to the regular form bronchitis. Only difference is that the symptoms are triggered by allergies. Some of the symptoms are given below:

Cough which may form mucus

Body aches and breathlessness

Headaches, blocked nose and sinuses

Fever with chills

Wheezing

Over the years, Ayurvedic practitioners have prepared and prescribed a number of remedies that can address the issue of allergic bronchitis.

Some of the Ayurvedic remedies are listed below:

Below listed remedies should be taken 3 times in a day for quick relief.

2 grams of Shringyadi Churna should be taken along with 100 mg of Kaphachintamani and Kaphaketu.

Talisadi churna should be mixed with honey and ginger juice.

2 grams of Sitopaladi Churna should be mixed with 200 mg of Praval Pisthi as well as 100 mg of Rasa Sindur.

Haridra khand (one spoon) should be taken along with a cup of warm milk.

Other natural remedies, according to Ayurveda include:

Haldi (turmeric powder) mixed with a glass of milk

Juice of Vasa

Tulsi (Basil leaves ground to make a juice)

Equal quantity of black pepper, dried ginger and long pepper (piper longum) mixed with honey

Ayurvedic Treatment for Allergic Bronchitis - Ayurvedic Remedies

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!

Cough and cold are very daunting diseases for anyone out there. Especially for people who have a tendency of catching cold easily. Nobody likes to have a runny nose, vigorous cough and fever. But all these symptoms occur when anyone suffers from cough and cold. However, the symptoms get doubled when anyone suffers with whooping cough. Though any kind of chronic cough can be severe enough but whooping cough is the most panic striking among them all. 

What is whooping cough?

Whooping cough begins with a little respiratory illness and includes runny nose, relentless cough. In later stages a development of vivid, copious mucus with the cough and the whoop sound while coughing develops. Whooping cough can be treated safely. If we look at the homeopathic treatment, there are various remedies for whooping cough. But first and foremost, it is very important to boost your immunity. Good immunity helps you to recover faster. Next you need to add nutrition to your diet, which are very important for your health. So intake green veggies and fruits as much as you can. Talking about the homeopathy treatment, yes there are some common homeopathic medicines available, which are prescribed for whooping cough. However, it depends upon individuals and their condition as to which one would be prescribed. 

Listed are homeopathic medicines for whooping cough:

 Antimonium tartaricum: this medicine is prescribed if anyone suffers with scanty and prolific cough along with difficulties in chest or lung. The patient may get mucus with cough, but it hardly comes out. As a result, the patient might end up vomiting in an effort to expel the mucus. The cough can be worse in this case, and the patient might feel breathless often. This medicine is prescribed in such a condition when the chest is filled with mucus, but it barely comes out. 
 Drosera: this medicine is prescribed when a person experiences convulsions of coughing and ends up having cyanosis and shortness of breathing. The cough will be worse, especially at night, and the patient may end up vomiting. There is a chance of getting cramps in feet and hands while coughing.
 Belladona: this is a very common medicine for whooping cough, which is usually prescribed in the early feverish stages of whooping cough. If taken properly, it can be effective in terms of curing the illness. 

Mostly in the coughing stage, patients may face violent cough with red nose and bulging out of eyes, there can be abdominal pain too. Severe irritation in larynx and headache too are noticed in this period. All the above mentioned homeopathic medicines are likely to be used in treating whooping cough infection. However, it is advised to consult a homeopathic doctor before starting any treatment.

Treating whooping cough with homeopathy

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