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

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?

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?


Lung cancer may not always give out noticeable symptoms in the early stages. Most cases get diagnosed in later stages. It can happen to anybody irrespective of age or geographical location although smokers fall under high risk groups. Prevention and awareness can help. Check these lung cancer symptoms as early screening/diagnosis may help people fight the disease.

1) Unstopable Cough: Be cautious if your cough lingers. While a cough associated with a cold or respiratory infection will go away in a week or two, a persistent cough that lingers can be a possible sign of lung cancer. Don't dismiss a stubborn cough, whether it is dry or mucus-producing, as "just a cough."  See your doctor right away.

2) Disrupted Chronic Cough: Pay attention to any changes in a chronic cough, esp. if you smoke. If you are coughing more often and it has gone deeper or hoarse, or you are coughing up blood or more mucus than usual, it’s time to make a doctor’s appointment.

3) Short breath: Shortness of breath or becoming easily winded is also a possible symptom of lung cancer. This symptom occurs if lung cancer blocks or narrows an airway, or if fluid from a lung tumor builds up in the chest. Keep a track of how quickly you go short on breath. Does it happen while taking stairs or doing routine jobs is a question to answer.

4) Wheezing: When air passages of the body become blocked, constricted, or inflamed, the lungs produce a wheezing  or whistling sound as you breathe. While it can be due to other causes, wheezing is also a lung cancer symptom, which is why it demands your doctor’s attention. If wheezing continues, don’t assume it’s asthma or an allergy. Let your doctor find out what's causing it.

5) Chest Pain: Lung cancer may cause pain in the chest, shoulder, or back area. These aches may not be associated with coughing. Consult a doctor if you notice any type of chest pain, whether it is sharp, dull, constant, or twitching.

6) Hoarse Voice: If there is a noticeable change in your voice that stays for more than 2 weeks, or if someone else points out that your voice sounds hoarse or deeper, get it checked out by your doctor.

7) Loss of  weight: A sudden and unexplained loss of weight can be associated with lung cancer or another type of cancer. Cancer cells use energy in the body. Do not ignore it.

8) Painful Bones: If it gets spread to the bones, lung cancer may produce pain in the back or in other areas of the body. This pain may get worsen at night while resting on the back. Notice your aches and pains, and discuss them with your doctor.

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Alert! Don't Ignore These Signs of Lung Cancer

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?

There are two tissue masses (oval shaped) at the backside of the throat and those are known as tonsils. Tonsils trap airborne germs that enter the windpipe through the nostril and such germs can cause infections. So, tonsils don t just trap the germs, they fight the germs by producing antibodies targeted to the germs.

However, tonsils themselves can also get infected if there is an overwhelming presence of viruses or bacteria. In such a situation, the tonsils swell up and become inflamed. This condition is known as tonsillitis.

If the tonsillitis is caused due to the flu virus, it can also cause stomach infection which can lead to  Diarrhea .

Diarrhea is a watery, loose, and more frequent bowel movement problem which causes dehydration and weakness.

Sometimes, both tonsillitis and Diarrhea, are not considered an illness, but these can be symptoms of some other diseases. For example, if a person is suffering from fever, there are chances that he/she may experience tonsillitis and Diarrhea.

Causes -

What Cause Tonsillitis?

Infections from bacteria and viruses are responsible for tonsillitis. The most common bacteria that can precipitate tonsillitis is Streptococcus. And among the viruses that can cause tonsillitis, there are many, such as Influenza virus, adenovirus, Epstein-Barr virus, Enteroviruses, Parainfluenza viruses, Herpes simplex virus, etc.

What Cause Diarrhea

Usually, Diarrhea is caused due to an infection in the gastrointestinal tract. The microorganisms that can cause this infection include:

Viruses

Bacteria

Parasites

Symptoms -

Symptoms of Tonsillitis -

Symptoms of tonsillitis include swelling and inflammation of the tonsils. If the swelling is severe, it may even block airways causing severe distress. Other symptoms include:

Throat tenderness or pain

Redness of tonsils

A yellowish or whitish coating on tonsils

Painful blisters in throat

Headache

Loss of appetite

Ear-ache

Fever and chills

Symptoms of Diarrhea

Stomach ache

Bloating

Abdominal cramps

Weight loss

Vomiting

Fever

Thirst

How Diarrhea is Associated with Tonsillitis? 

Since both, Tonsillitis and Diarrhea can be caused due to the attack of virus or bacteria, so both of these can be associated with each other. This case or condition is most common in young children. Young children who suffer from tonsillitis due to the flu virus may also experience the problem of Diarrhea. They can also experience stomach infection which causes vomiting, stomach ache, dehydration, nausea, etc.

Treatment -

To treat any problem, doctors first identify the cause. In most cases, limiting the causes can help to get rid of the problem. This is also true in the case of Diarrhea associated with Tonsillitis. Doctors first diagnose the problem performing different tests and if both the conditions are caused by the flu virus, doctors will prescribe a few medicines. If the condition is not too severe, then within a week you can see the changes and results.

Take Away -

Though the problem of having both tonsillitis and Diarrhea at the same time might not seem to be associated, it is possible. If this happens due to the attack of the flu virus or any other disease, it is advisable to consult a doctor as soon as possible and get rid of it.

Diarrhoea - Is It Associated With Tonsillitis!

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