How to diagnose asthma in children

Asthma in children under the age of 5 is a matter of concern. It is not a rare disease and early diagnosis is important. Common signs of asthma in children are:

1. Recurring bronchitis
2. Wheezing
3. Discomfort in the chest
4. Coughing
5. Trouble breathing

While some children have persistent yet mild symptoms, some children have severe attacks at times. Seasonal allergies and smoke make the symptoms worse.

What to notice?
While feeding an infant, if you notice that your child is facing shortness of breath, it might be a symptom of asthma. In a toddler, if your notice a decreased desire to run and play, or easy fatigue, then this could be a symptom of asthma. Asthma attacks for many children under the age of 5 are worsened when they catch cold or have any other respiratory infections. All these, if noticed should not be ignored and your child's pediatrician should be consulted.

The above mentioned symptoms were mild. Some children have it worse and the attacks can be life-threatening, needing immediate treatment. If your child is under the age of 5 and you see them doing one of the following, contact emergency services immediately:

1. Trouble in speaking because they have restricted breathing
2. When they are breathing in, the effort is so much that the abdomen is getting sucked in
3. Gasping for air.

Diagnosing asthma in a child can be tricky as symptoms like coughing, wheezing, etc can be for other conditions also. Once a child is a little older and if the symptoms persist, breathing and lung function tests are taken to gauge the situation. 

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How To Diagnose Asthma In Children, Before It Attacks?

You must not let the cold and dry air worsen your asthma symptoms. The air that blows during winter time greatly affects people with sinus and respiratory troubles, and all these factors contribute to worsening asthma attacks. But thankfully, there are a few tips that can be followed to curb down asthma and enjoy a lovely winter.

Washing your hands: Doing this frequently with soap and water is one of the easiest and most effective ways of avoiding the spread of cold and other diseases. You must also inculcate this habit among your children, and when you are outside, you should practice using a hand sanitiser and sanitising wipes.
Getting a flu shot: The Centre for Disease Control and Prevention (CDC) advises that all people over the age of 6 months should get their dose of the annual flu shot for protecting themselves against the flu virus. This will help keep your asthma in check.
Avoid sitting by the fireplace: Though it sounds cosy, you should refrain from sitting by the fireside if you have asthma. Burning wood is quite similar to burning tobacco and it can irritate your lungs to a great extent.
Keeping your mouth closed: Though most people are taught this since they were children, they tend to forget it or ignore it. Keeping the mouth opened is more than a social disgrace, and it even affects your lungs adversely. You can wear a scarf for covering up the nose and mouth as it would help in making the air you breathe warm.
Replacing filters: The heating system of your home may be blowing out dust and debris throughout the house, particularly when you operate it after a long time in winter. Therefore, it is imperative to clean and check the condition of the filters and replace them if necessary.
Exercising indoors: The days when it is bitterly cold outside, it is recommended to exercise indoors in a fitness club or a gym instead of doing it in the open air.
Warming up before exercising: People who are affected with asthma are able to recover faster and have a greater lung function after working out when they are warmed up. Therefore, you should try to warm up for at least 15 minutes before exercising.
Preventing asthma flares: Before you head outside, take a dose of your asthma medication and your inhaler as these will help in opening the airways and give you the necessary protection.
Having an asthma action plan: Regardless of whether it is summer or winter, you should be aware of what you should be doing in times when the symptoms flare-up.
Taking your medications: Finally, you should work with your doctor towards understanding the cause and symptoms of your asthma conditions and follow his recommendations closely to avoid recurrence of such problems.
With all these tips, you can expect to spend a happy winter. But if anything goes wrong, seek medical assistance immediately.

Asthma - 10 Ways You Can Control It!

One of the best and easiest ways to manage the symptoms of the chronic obstructive pulmonary disease or COPD is through a healthy and nutrient dense diet. This would not only help you to not only keep the severity of the symptoms in check but also to maintain a healthy weight.

Tips to keep in mind when choosing a diet

Managing Weight: It is essential for patients with COPD to manage their weight. The symptom of breathlessness could be more severe if you are overweight. You might feel fatigued and tired if you are underweight. Therefore it is crucial to monitor your calorie intake and therefore also your weight as recommended by the American Lung Association.
Balanced Diet: It is essential for patients with COPD to eat a healthy, nutritious and balanced diet. One that is varied and rich in fruits, vegetables, whole grains and lean meats or proteins according to a study published in the August 2014 issue of the International Journal of Chronic Obstructive Pulmonary Disease. A well-balanced diet will ensure that you get all the necessary vitamins such as C, E, and D that are necessary to help you cope with this condition.
Protein: Lean proteins such as eggs, meat, poultry, nuts, beans, and fish especially oily fish such as mackerel and sardines, should be incorporated into your meal plan. These proteins are necessary for patients with COPD especially if they are managing their condition through exercise.
Carbohydrates and food high in fibre such as lentils, oats, and beans will improve the functioning of the digestive system.
Potassium: Fruits and vegetables such as beets, potatoes, bananas are especially beneficial in preventing water retention in patients
Foods To Limit Or Avoid
People react differently to foods, there are some foods that patients with COPD should limit or avoid but if they do not seem to have an impact on your symptoms you can make them a part of your meal plan.

Limiting salt intake irrespective of whether you are a COPD patient or not is always a good step to take. But if you are a COPD patient excessive salt in your diet could cause fluid retention which could worsen your shortness of breath.
Dairy products such as milk and cheese can irritate the respiratory pathways making phlegm thicker.
Certain fruits and vegetables such as apples, cabbage, stone fruits such as peaches and soybeans can cause gas and bloating.
Caffeine in coffee and chocolate could interfere with certain medications that you have been prescribed. Confirm with your doctor if you can still include them in your diet. Patients with COPD need to drink plenty of fluids and it might be beneficial to opt for non-caffeinated beverages.
Fried, greasy and spicy food can cause gas and indigestion which can affect breathing.
Discuss your diet with your doctor or ask for a recommendation of a nutritionist who would help you to work out a meal or diet plan best suited for your condition. 

Best Diet For People Suffering From COPD!

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 inflammation of the cavities around nasal passage is known as sinusitis. When the cavities are full of fluid, germs attach themselves to the fluids, which give rise to infections. Some of the causes of sinusitis are common colds, allergic rhinitis, nasal polyps and deviated septum.

There are 4 different types of sinusitis:

    Acute sinusitis: It remains for about 4 weeks or less. It is usually characterized by a runny nose and pain in the face which will stay for at least 10 to 14 days.
    Sub acute sinusitis: It is almost like the acute sinusitis but stays longer for about 4 to 8 weeks.
    Chronic sinusitis: The inflammation in this case lasts about 8 weeks, sometimes longer than that.
    Recurrent sinusitis: In this, the sinusitis attack keeps occurring all through the year.

At times, to clear up the blocked sinuses, a surgery is mandatory. This can be painful hence many are hesitant to go through with a surgery. If you want to control sinusitis so that it doesn't reach the limit where you have to go through a surgery, here are some tips of what you might be able to do regularly to clear your chances of controlling this:

    Take steam: This is the most common and easy way to control sinusitis. The steam helps to break down the excess mucus in the nasal passage and also reduces the inflammation of the sinuses. All you need is water. Heat it up to the required temperature and then inhale the steam. You will get a lot of relief if you do this regularly.
    Nasal Irrigation: This is basically the process of flushing the infected and stale mucus out of the nasal cavity. Take a liter of sterile water, mix one tablespoon of kosher salt and baking soda each. Then with the help of a syringe or a neti pot, wash your nostrils with the solution. The mucus will start coming out and your nasal cavity will clear out.
    Use warm washcloth: Lie down and place a warm washcloth (a washcloth dipped in warm water and wringed) on your forehead and nose region. The warmth from the washcloth will break down the mucus and clear the congestion.

Sinusitis: Controlling it without Surgery

You are out in public, and a person next to you is incessantly coughing. It is natural to be worried if it is bronchitis and the possibility of you getting infected. Read on to know about the condition and if it is really contagious. Bronchial tubes are the airways in the lungs, and when they are inflamed due to an infection or an underlying medical condition, it results in bronchitis. Bronchitis can be acute or chronic and depending on the cause, may or may not be contagious.

Types of bronchitis
Chronic bronchitis occurs when the airways in the lungs get irritated again and again. Though it s a severe health condition that requires medical attention, it is not as contagious as it occurs due to the exposure to certain chemicals, dust, cigarette smoke or smoke from a fire, air pollutants that irritate the lungs.

On the other hand, acute bronchitis that usually lasts for one to three weeks is considered to be contagious because this particular type of bronchitis happens due to the flu or cold viruses. It is the infectious properties of the viruses causing it that makes it contagious.

Transmission
In the case of acute bronchitis, since it is caused mainly due to viral infections when an infected person coughs, sneezes or talks, the viruses get transmitted to others in the surrounding. Hence it can spread quickly.

Symptoms
Some of the common symptoms of acute bronchitis are a hacking cough, production of excessive mucus, shortness of breath, and feelings of discomfort in the chest. Note that as long as the infection is present, acute bronchitis remains contagious. Once the infection is gone, it is no longer contagious, though, the symptoms, like a persisting cough, may stay for several weeks afterward.

Prevention
Maintaining a healthy hygiene, such as washing hands regularly or keeping the surfaces clean, or using a handkerchief when coughing or sneezing can help in preventing the spread of the infection as well as getting affected with it. Also, taking flu vaccinations and quitting to smoke can also assist in preventing lung infections.

Treatment
For the majority cases of acute bronchitis, the condition is resolved by itself within a few weeks and antibiotics may not be an ideal treatment option if the acute bronchitis is caused by a virus. The most recommended treatment options that can quicken the recovery process are taking rest, opting for prescribed over-the-counter medications, drinking lots of fluids, inhaling the steam of hot water, whether from the shower or a bowl of hot water.

People who have asthma or chronic bronchitis sometimes may develop acute bronchitis as a result of further complications of their present lung conditions and not as a result of virus invasion. Therefore, the chances of such acute bronchitis being contagious are less than those caused by influenza viruses or bacteria.

Thus, acute bronchitis due to a viral infection is more contagious than chronic bronchitis that is due to an underlying medical condition like asthma and other lung diseases. With a few simple and effective measures, such contagious infections can be prevented.

Bronchitis - Can It Be Contagious?

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