Sputum production and chronic cough for at least three months in a year, consecutively for two years is termed as Chronic Bronchitis. Emphysema and Chronic Bronchitis are different from each other but are covered under the same umbrella COPD, which means Chronic Obstructive Pulmonary disease and that is because both are diseases related to respiration.

How is Chronic Bronchitis different from Emphysema?
Both of them occur when the airways in the lungs get damaged due to the inflammation of the airways. Emphysema is the result of air sacs break down whereas Chronic Bronchitis is the result of excessive mucus formation and inflammation in the Bronchi. Some people show either of the symptoms while some people show combined symptoms.

Symptoms of Chronic Bronchitis:
The following symptoms are seen in people with Chronic Bronchitis:

Long-term cough
Excessive mucus production
Sudden weight gain
Tight chest
Feeling breathlessness even when you are taking rest
Sometimes, these symptoms will be neglected by many people treating them as symptoms of cold weather, or attributing these symptoms to the presence of too much smoke or fumes around them. But it is always good to consult a doctor if the symptoms persist for a long time.

Physiotherapy and Chronic Bronchitis:
The main goal of your physiotherapy involves exercises that improve tolerance, education, mucus clearance, increase lung volume, reduce exacerbations, and reduce hospitalization.

Exercises that improve tolerance:
Upper and lower limb tolerance training have shown tremendous results in preventing, controlling and managing Chronic Bronchitis. This training helps in airway clearance, reduces airflow obstruction, mucus removal, and increased energy levels.

Postural draining:
Usage of different postures for moving the mucus through the throat and removing it through the mouth. There are different postures used for different patients. It is basically done by placing the affected part at a lower height and the unaffected part comparatively higher.

Autogenic draining:
This technique will help in proper and normal airflow through the bronchi. There will not be any blockage of the airway. Retention of carbon dioxide in the lungs will be reduced, the mucus will be removed and airflow through the airways will improve with this technique.

Percussion:
This technique is used by the physiotherapist along with the postural drainage technique. This is also a technique used for clearing the mucus that got stuck in the airways. Many patients find this technique really useful in mucus removal. In Percussion, the physiotherapist claps on the chest of the patient or on the back of the patients. It depends on how the patient prefers. This gives a relaxing and soothing effect on the patients and helps them release out mucus that got stuck in the airways.

Educating:
Finally, educating the patients about its causes and physiotherapy treatments can help them recover faster.

Chronic Bronchitis - What Should You Expect From A Physiotherapist?

Pilonidal Sinus/ Cyst is Characterized By 
   Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed. 
   It is usually seen in adults of college/ school going age & with hairy skin. 

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst. 

TREATMENT OF CHOICE (AYURVEDA) - 
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra  is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread. 

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra  treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra  is available only at Sushruta Anorectal Institute. 

Pilonidal Sinus/ Cyst Treatment FAQs 

Question 1 - What is Pilonidal Sinus/ Cyst Disease? 

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra , this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.) 

Question 2 - What are the Causes of Pilonidal Sinus Disease? 

Answer -Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible. 

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection? 

Answer -The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem. 

Sensation of pain while sitting or standing in the low back region. 
The cyst appears swollen 
Pus and blood mixed watery discharge from the cyst 
eddened skin near the cyst 
Cyst forming again and again

Pilonidal Sinus - Say No to Surgery!

What is Bronchits?

A cold or the flu runs its course in a couple weeks, if you re lucky. After that, you re back to normal. But sometimes you may get bronchitis, too.

That s when your bronchial tubes, which carry air to your lungs, get infected and swollen. You end up with a nagging cough and a lot more mucus.

Types:

-Acute bronchitis: This is the more common one. Symptoms last for a few weeks, but it doesn t usually cause any problems past that.
-Chronic bronchitis: This one is more serious, in that it keeps coming back or doesn t go away at all. It s one of the conditions that makes up what's called chronic obstructive pulmonary disease (COPD).

Causes:

Most often, the same viruses that give you a cold or the flu also cause bronchitis. Sometimes, though, bacteria are to blame.
In both cases, as your body fights off the germs, your bronchial tubes swell and make more mucus. That means you have smaller openings for air to flow, which can make it harder to breathe.
If any of these things describe your situation, you have a bigger chance of getting bronchitis:
You have a weaker immune system. This is sometimes the case for older adults and people with ongoing diseases, as well as for babies and young children. Even a cold can make it more likely since your body s already busy fighting off those germs.
You smoke or live with a smoker.
You work around substances that bother your lungs, such as chemical fumes or dust. (Examples: coal mining, working around farm animals).
You live in or travel to a place with poor air quality or lots of pollution.
Symptoms:

-Cough and production of mucous or sputum are the two most common symptoms of bronchitis.
-Due to excess production of mucous within the bronchial tubes, the cough reflex is induced in a bid to get rid of the mucous. The mucous is usually whitish in colour.
-Often patients feel shortness of breath. This shortness of breath is aggravated on any physical activity like walking, running or climbing stairs.
-There may be wheezing in the chest while breathing. A sensation of tightness or heaviness in the chest may be felt.
-Exercising or running or climbing stairs is often difficult as the compromised lungs are unable to meet the increased requirements of oxygen.

Diagnosis:

Your doctor usually can tell whether you have bronchitis based on a physical exam and your symptoms.She ll ask questions about your cough, such as how long you ve had it and what kind of mucus comes up with it. She ll also listen to your lungs to see whether anything sounds wrong, like wheezing.

That s usually it, but in some cases, your doctor may:

-Check the oxygen levels in your blood. This is done with a sensor that goes on your toe or finger.
-Do a lung function test. You ll breathe into a device called a spirometer to test for emphysema (a type of COPD in which air sacs in your lungs thin out and are destroyed) and asthma.
-Give you a chest X-ray. This is to check for pneumonia or another illness that could cause your cough
-Order blood tests.
-Test your mucus to rule out diseases caused by bacteria. One of these is whooping cough, which is also called pertussis. It causes violent coughing that makes it hard to breathe. If your doctor suspects this or suspects the flu she'll also take a nasal swab.

Role of Homeopathy In Bronchits:

When it comes to treating bronchitis, Homeopathy is very effective. In fact it is the most promising system of medicine for the treatment of bronchitis. Here one must mention that the preventable or avoidable causes of bronchitis should be and must be removed. It is very important that one should stop smoking if the patient is suffering from bronchitis. Any sort of pollution should also be avoided. In homeopathy, I have seen pretty severe cases of bronchitis getting cured.

Diet and Non Diet Food:

Eat plenty of fruits, vegetables, and whole grains. You can also eat meats low in fat, chicken, fish, and low-fat or nonfat dairy.

Bronchits - All You Should Know!

Automatic Implantable Cardioverter Defibrillator is an electronic device that is located in the chest of the patient suffering from arrhythmia. Arrhythmia is a condition which causes abnormal rhythm of heartbeat in the patients. It is a life-threatening condition. The device is located in the chest to correct the rhythm of a heartbeat.

AICD device works in two ways:

Firstly, it tries to correct the abnormal heartbeat rhythm and release high- speed heartbeat pace. This is called cardioversion. Patients with AICD generally do not feel the process.

However, if the effect of cardioversion is null then the device will give a mild electric shock to the patient's heart to correct arrhythmia and reset the rhythm.

This second method is called defibrillation. The patient can feel the defibrillation.

The modern-day AICD device is programmed to store the data about the patient s heart rhythm. Doctors use the programmed device which contains your condition and provides medically correct therapy.

Preparation for AICD Implantation

The patient is required to fast six hours before undergoing the surgery. On admission, prescribed medicine is given to the patient and the latest heart condition is measured by an ECG test. If the patient is on blood-thinning medication, then it will be stopped 24 hours before the surgery.

The procedure will be carried out by a cardiologist. The patient will remain under observation in the hospital for at least two days.

Procedure

The entire process of setting up the device in the chest of the patient takes about 2 hours. The patient is sedated, and the area below the collarbone is numbed for the operation. A small incision is made in the chest area. With the help of imaging techniques, cardiologist sets up the device in the chest. The device is then connected to the veins and the heart. After the surgery, the patient is kept under observation. Heart rate, blood pressure, and overall health condition are observed by the doctors to determine successful implantation of Automatic Implantable Cardioverter Defibrillator (AICD). Post Procedure After the successful recovery of the patient, doctors usually discharge the patient with AICD attached. The doctors give complete care instructions of the device along with health. Doctors also guide the patient through the list of activities that one can and cannot perform. AICD is a life-saving device. Hence, proper care and regular check-ups are recommended by the doctors. The regular check-up of the device is also essential since the device runs on a battery. The doctors also train the patient about the workings of the device. They will also explain about the mild shocks of the device one may receive to correct the arrhythmia. Before leaving, make sure the site of the surgery is dry and healing, and you do not have a fever for the past 24 hours.

AICD Implantation - Know Procedure Of It!

Most people know all about Asthma, how dangerous it is and most importantly, with the rising levels of pollution and irritants how people are getting affected by it all over the world. Just like famous events, incidents and festivals have their special date in the calendar, May 1 apart from being the International Labour Day, holds another significant stance worldwide. As it is celebrated as the World Asthma Day. This day marks the initiation of the Asthma awareness campaign worldwide.

Understanding Asthma in brief

Asthma is a long-term respiratory condition, in which the airways of the human system may unexpectedly and suddenly narrow, often in response to an allergen, cold air, exercise or emotional stress. Common symptoms include wheezing, shortness of breath, chest tightness, and coughing.

Why is Asthma Day important?

World Asthma Day is celebrated every year on the first Tuesday of May. This year it falls on 1st May. The day is celebrated to spread awareness about Asthma and how people all over the world can spread it amongst their families. Therefore to commemorate the event and educate the students in school and parents at home, World Asthma day was commenced. The aim of this campaign is to make people understand the types of Asthma that can affect them and immediate safety tips so as to ensure that the severity of the disease can be curtailed. 

Things to keep in mind about Asthma

All over the world, there are several people who do not opt for Asthma treatment and that proves to be a fatal mistake later on in life. Chronic Asthma disease can be easily prevented by a simple treatment in the initial stages. People who suffer from Asthma often face chronic attacks if they forget to carry their inhaler and different kinds of allergies are also very fatal for asthma people.

Things that can trigger Asthma in people

Dust 
Pollens
Gastroesophageal Reflux
Pet Dander
Certain foods 
Exposure to chemicals 
Excessive physical activity 
Stress 
39-50% Of Sinusitis patients have Asthma also 
Extremely cold conditions
Signs someone is suffering from Asthma 

Persistent coughing
Difficulty in breathing
Wheezing 
Tightness in chest
Diagnosis and severity are established by a simple air blowing test known as Spirometry.

Chest X-ray and Sinus X-ray Help 
Serum IgE a blood test tells about type and severity
Severe cases may require special blood test known as Arterial Blood Gases to look at blood oxygen and carbon dioxide.

Sheet anchor of therapy is the inhaled medication to dilate airway and to reduce inflammation. The dose being in microgram dose is harmless and delivered to the site of the problem.  New drugs known as Omalizumab and Benralizumab are approved for specific nonresponding patients with severe asthma.

Prevent asthma from being harmful

Asthma is a chronic disease can stay for the rest of someone's life. So on this World Asthma Day make sure that you know how it can be treated and prevent the disease from harming someone you love. Here are some treatment tips.

First get to know more about asthma and become a partner with the doctor to carry out treatment for a long time period.

Be aware of the allergens that may trigger asthma and prevent them from coming in contact with the person.

Make sure to keep the doctor updated regarding the status of a patient's condition and for any sign of potential risk.

If a loved one is suffering then ensure that they lead their life as per the guidelines shared by the doctor, in order to prevent any risky situation. 

So here are the important things that you should be knowing about asthma. And, in case you notice any of the symptoms mentioned above, one should immediately contact their doctor. On this World Asthma Day be aware of the disease and keep the people safe who are suffering from it. Stay Healthy!

World Asthma Day - Spreading Awareness Is Important!

If you are suffering from bronchitis, it is important for you to recognize whether your condition is acute or chronic in nature. Bronchitis is a condition that involves the inflammation of the airways between your lungs and the windpipe. The lining of these tubes produces mucus in large amounts that trigger a lingering cough.

Acute bronchitis is the form of bronchitis that onsets rapidly after a virus infection in your upper respiratory tract. The viruses that cause common cold or influenza, are also responsible for acute bronchitis. Moreover, the germs that are responsible for measles and whooping cough may lead to acute bronchitis. In such cases, the condition is referred to as acute infectious bronchitis. In case of dust, smoke, or fumes causing bronchitis, it is referred to as acute irritative bronchitis.

Diagnosis

For the diagnosis of acute bronchitis, you will be inquired about the symptoms you are experiencing.
After that, an overall and detailed physical examination is carried out, which confirms acute bronchitis.
In some cases, the patient might have to get an X-Ray done for ruling out other conditions such as pneumonia.
Treatment
Generally, in about two weeks, acute bronchitis resolves on its own without any medical treatment.
Medications: Several medications may be prescribed for the treatment of acute bronchitis.

Antibiotics: These are usually not used for treating bronchitis, as the condition occurs from a viral infection. However, when you have a bacterial infection, antibiotics may be useful for treating it.
Cough medicine: It is recommended for you not to suppress cough bringing up mucus, as the coughing helps in removing irritants from the lungs and air passages. In case of cough that hampers your activities, you may take cough suppressants before going to sleep at night.
Other medications: In case you have allergies, or suffer from asthma or chronic obstructive pulmonary disease (COPD), an inhaler along with other medications may be recommended for the reduction of inflammation, and for opening the narrowed passages within your lungs.
Prevention

Quit smoking immediately and try to keep away from secondhand smoke.
Keep yourself clean and hygienic during the flu season.
Try to avoid direct contact with people who are sick or infected.
Get a flu vaccine on a regular, yearly basis.
Drink a lot of fluids throughout the year.
Consider using a warm or cool, moist air humidifier for helping to thin the mucus layers blocking your air passages.
It is important for you to consult a doctor on experiencing any symptom of acute bronchitis. This will allow timely diagnosis and treatment, and prevent the condition from worsening.

Acute Bronchitis - 6 Tips To Help You Prevent It!

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