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!

COPD, short for Chronic Obstructive Pulmonary Disease, is an inflammatory disease of the lungs. The disease obstructs the flow of air in the lungs and subsequently causes difficulty in breathing. Prolonged exposure to cigarette smoke, gases or particulate matter can lead to this condition. The condition transcends all age brackets meaning it can affect anyone from young teenagers to aged adults. People who contract this disease are at an increased likelihood of developing cardiovascular conditions and lung diseases, in addition to a horde of other conditions.

Causes of COPD
1. The chief cause of COPD is smoking tobacco and being subjected to fumes from cooking and heating. A study estimated that in and around 25% of long-standing smokers develop symptoms of this condition. Yet, statistics show that COPD is often misdiagnosed until an elaborate evaluation is diagnosed.
2. Conditions like Emphysema and chronic bronchitis are also known to cause the disease. Your lungs depend on the intrinsic elasticity of the air sacs and bronchial tubes that help facilitate the passage of air through the lungs. Chronic Obstructive Pulmonary Disease causes these passages to lose their elasticity thus rendering them partially ineffective.

Symptoms of COPD 
The symptoms of COPD do not appear until the lungs are significantly damaged and the condition tends to deteriorate if smoking persists. Apart from coughing and production of sputum, other apparent symptoms include:
1) Difficulty in breathing
2) Stiffness and tightness of chest
3) A persistent cough
4) Fatigue and weakness
5) Weight loss
6) Frequent allergic reactions of the respiratory glands

Along with the aforementioned symptoms, patients who are diagnosed with COPD are likely to experience bouts of exacerbation, during which their symptoms heighten and tend to grow worse for several days.
Although anyone can contract the condition, certain people are at an increased risk of condition. Such risk factors include:
a) Chronic smoking
b) A medical history of asthma
c) Exposure to chemicals and dusts
d) Weakening of the immune system with increasing age
e) Heredity
If you experience or entertain symptoms or suspicions of this disease, consulting a pulmonologist is duly advised.

Causes and Symptoms of COPD

Without our lungs, it would be impossible to breathe. People suffering from chronic lung diseases have compromised lung functioning. This leads to shortness of breath, fatigue and weakness. In turn, this can make the person avoid anything that exerts the lungs such as exercise. While this may seem like a good idea, it is actually detrimental. Not exercising can further weaken the lungs and muscles and make this a vicious cycle. This is where physiotherapy can help with lung rehabilitation or pulmonary rehabilitation.

Physiotherapy is a branch of medicine that treats diseases and health conditions with exercise and manual therapy. Physiotherapists may also use radiation, sound waves, electric therapy, prosthesis and assistive devices. The aim here is not to cure the disease but to improve lung functioning and the patient s quality of life. Pulmonary rehabilitation can help in a number of ways.

It reduces breathlessness: As the lung muscles weaken, their ability to pump oxygen and transport it to the other parts of the body reduces. This can make a person feel breathless even with the slightest exertion. Lung rehabilitation works on strengthening the lung muscles to reduce this breathlessness.
It increases muscle strength in the arms and legs: When oxygen does not reach the limbs, they, in turn, get weaker. By strengthening the lungs, lung rehabilitation increases the muscle strength in the patient s arms and legs.
It increases stamina and endurance: Stamina is directly linked to lung functioning. By helping the patient breathe more comfortably, lung rehabilitation increases the patient s stamina and helps him or her endure more physical exercise.
It helps patients understand your condition: Physiotherapy is part exercise and part education. By helping patients get an insight into their condition, physiotherapy helps them come to terms with their limitations and motivates them to work harder towards overcoming them.
It increases self-confidence: Feeling breathless and tired all the time can make people feel frustrated. This is especially so because these things cannot be controlled without help. Physiotherapy teaches patients how to deal with these issues and thus increases their confidence in dealing with their medical issues.
It makes patients more independent: A lack of energy can make people dependent on others. Even simple tasks like getting a bottle of water from the fridge can seem like a tiring task. Physiotherapy improves lung functioning and hence makes the person feel less tired doing everyday tasks. This makes the person more independent and improves their quality of life.

Lung Rehabilitation With Physiotherapy!

The festival of Diwali is greeted with great pomp and splendour and along with the regular festivities, the pollution levels in the air also rise due to the ritual of bursting fire crackers. In an analysis, the rise of harmful pollutants such as sulphur dioxide and nitrogen dioxide seemed to reveal a disturbing outcome.

The rise in pollution during Diwali affects you in the following ways:

The PM (particulate matter which is smaller than 2.5mm) enters your lungs and bloodstream and has several health impacts including chronic respiratory symptoms such as painful breathing and shortness of breath which might cause premature death.
High sulphur dioxide levels in the air during Diwali also lead to inflammation of air passages and causes complications in respiration.
A compound called  strontium  found in the atmosphere multiplies by 120 times during the festival and causes bone damage and blood clotting ailments.
Firecrackers contain heavy metals which are toxic to the human body and the amount of magnesium in the air goes up by 22x, which poses a significant threat to all forms of life.
The noise pollution also rises during the festival and in extreme cases, can permanently damage one s hearing.
However, there are a few measures you can undertake to steer clear of the excessive pollutants present in the air:

Limit the amount of time you spend outdoors even while exercising. This is because the air remains contaminated, days after all the festivities get over and the pollutants take a very long time to dissipate.
Even on the road, drive with the windows of your car rolled up to avoid intake of adulterated air and use a face mask if you are a two-wheeler rider.
Plant a lot of green plants inside your house as they purify the air you are breathing and ensure a supply of fresh oxygen.
Install an air purifier in the room to make sure you breathe in fresh, uncontaminated oxygen when you sleep. The air purifier will also help in lessening your respiratory complications.
Also, in case you notice any respiratory or breathing problem, it is advisable that you consult a pulmonologist, to rule out serious health issues. 

Diwali - How the Rise in Pollution Level Affects Your Health?

Tuberculosis during pregnancy is the third leading cause of maternal mortality. In fact, it is one of the most feared diseases during pregnancy for mothers as well as children. The problem with Tuberculosis during pregnancy is that it is most often not diagnosed until very late in pregnancy or until child birth. This acts as a double-edged sword since it leads to progression of the disease in the mother and transmission of the disease to the child concurrently.

The best way to prevent Tuberculosis during pregnancy is to stay away from causative factors for tuberculosis.

Effects on Pregnancy

Tuberculosis during pregnancy can harm both the mother and the child. It can be grouped in two ways: effect on mother and effect on fetus.

Effect on Mother

Diagnosing Tuberculosis during pregnancy becomes difficult due to various changes in the body, including the immune system. Diagnosis is further vitiated due to no apparent weight loss. In fact, weight loss due to Tuberculosis is disguised by weight gain during pregnancy. However, pregnant women with Tuberculosis may experience less than normal weight gain.

There is an increased risk of miscarriage and abortion and premature labor.

Effect on Fetus

Tuberculosis during pregnancy affects the baby in different ways:

The fetus may contract the disease from the mother through the umbilical cord. This is referred to as congenital tuberculosis. The baby can contract the disease during its passage through the birth canal too.  However, the symptoms of congenital Tuberculosis are often non-specific in nature. Since the mother also does not show any specific symptoms, it becomes difficult to diagnose the disease right after birth.

The child may suffer from swelling in the liver or spleen.

It may also suffer from respiratory problems, fever, etc.

How to Stay Away from Contracting Tuberculosis

The danger of contracting Tuberculosis bacteria during pregnancy is multiplied if the pregnant mother has a weak immune system. If a pregnant woman is exposed to bacteria during pregnancy, she may contract the disease. This is why pregnant women need to stay away from the disease by doing the following:

Staying away from TB infected persons around you

Stopping smoking since it enhances the risk of contracting the disease

Avoiding poor living conditions

Fighting Tuberculosis During Pregnancy

Management of Tuberculosis during pregnancy is extremely important since that can help you avoid any harm either to the mother or to the child. Though doctors would in all probability prescribe antibiotics, there are certain medicines that you need to avoid during pregnancy. Gynecologists are well aware of these drugs. Along with taking antibiotics, you also need to make sure that you:

Eat a balanced and healthy diet.

Breathe plenty of fresh air.

Talk to doctors about side effects like headaches, nausea, vision changes, etc.

Conclusion

People might think that taking medicine for Tuberculosis can harm their unborn child. However, the untreated Tuberculosis is even more harmful for the fetus. This is why doctors may recommend some TB drugs that help prevent the child from Tuberculosis. There are many medicines available that won t affect the child.

Eating healthy food, following proper treatment and medication, and some preventing measures will surely help the women to save the child from these conditions.

Tuberculosis - All About The Disease!

The human lungs are an intricate and a vital organ of the body. This organ is responsible for filtering the air you breathe, separating the oxygen and infusing it in the blood to be used by the body. The lungs have multiple tube-like structures within it, known as the bronchial tubes. The lining of these tubes may become inflamed due to a bacterial or viral infection and thus result in bronchitis. However, a significant percentage of bronchial inflammation or bronchitis is also caused by allergies. Inflammation causes swelling which not only results in breathing difficulties, but also causes other problems as well such as excess production of mucus, painful coughing and heaviness in the chest area, etc.

Homeopathic approach towards curing allergic bronchitis
Homeopathy is a form of medication which is symptom based and takes into account the general disposition of the person along with the apparent symptoms. Thus, prescribing medications also differs according to the differences in each patient. Some of the more well-known homeopathic medications usually prescribed are mentioned below. However, you should consult a homeopathic doctor first as they would be able to evaluate your condition best and then prescribe the correct medications accordingly.

Arsenica Album: This medication is usually prescribed for people who have general weakness in the body that accompanies bronchitis. Some of the other indications wherein Arsenica Album may be prescribed may include restlessness and increased coughing after midnight and wheezing.
Antimonium Tartaricum: This is another very effective medication when there is rattling in the chest. However, although you can feel a lot of mucus within, very little of it tends to come out. Antimonium Tartaricum is very effective in such cases. Another indication for this medication is the worsening of the coughing after eating.
Pulsatilla: If you have a lot of mucosal discharge after coughing which is yellow to greenish in color, then Pulsatilla may be prescribed for you. Some of the other indications wherein Pulsatilla is usually prescribed are a lack of thirst and the cough worsening while lying down which may force you to sit up. Cough also tends to be loose in the morning and becomes drier in the evening.
Bryonia: Another allrounder medication very effective in treating multiple disorders, Bryonia is very effective in treating Bronchitis as well. Some of the indications where this medication is prescribed would be   extreme thirst, dry cough, dryness of the mucosal membranes in general, pain in the head and chest while coughing and the cough starting when getting into a warmer room.
Hepar Sulph: An overtly increased sensitivity to cold air or coldness, in general, is the prime indicator for this homeopathic medication. Any exposure to coldness immediately triggers a cough and the coughing tends to be worse in the morning. You may also rattle excessively from cold and wheezing may also be present.

Allergic Bronchitis - Homeopathic Remedies That Can Help!

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