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?

Whooping Cough (another name for Pertussis) can be termed as an infection to the respiratory system caused by the bacterium Bordetella Pertussis (B. pertussis). It generally affects infants (below one year of age) and who have not yet been immunized; also kids between 11 to 18 years of age whose immunity graphs are on a downward spiral.

What are the Signs and Symptoms?
Initially, whooping cough produces signs and symptoms that may just seem to overlap with those exhibited during the average cough and cold; mild coughing, sneezing, runny nose, low fever, etc. These persist for about a week or two and then slowly, there is the onset of the dry, irritating cough which again turns to prolonged coughing spells. The child s face may seem flushed with a purple hue. The child may also vomit or make the distinctive whooping sound at the end of one such spell. Breathing difficulty can be another issue.

What is the Diagnosis?
The doctor performs an initial check-up followed by tests of mucus sample from the nose or throat. The mucus is checked for the presence of the Bordetella pertussis bacteria. To make a more thorough diagnosis, a blood test is also advisable.

What is the Treatment?
Hospitalisation might be required in case of acute distress. Respiratory support may also be provided if required. If there is intense dehydration, intravenous (IV) fluids may also be administered. As this disease is on account of a bacterial infection, antibiotics will be needed. But these will just treat the immediate effects and the cough cannot be completely done away with.
What can be the Possible Complications?

The possible immediate complications include:

Brain Damage
Pneumonia
Convulsion
Haemorrhaging in the brain
What can be the Prevention?
Vaccination is needed in order to prevent whooping cough. The vaccines are advised to be administered at the age of two months, four months and six months respectively. The 1st booster dose is to be given at 16 to 18 months age and 2nd booster dose is given on 5 year completion of age. An optional booster may be given at 10 year age.

Whooping Cough in Kids - How It Can Be Treated?

Homeopathy is a natural and mild form of medication. The remedies are natural substances, which have been diluted and potentized. Homeopathic medicines are best applied during childhood and work very effectively with children. A child's self-defense or immunity gets stimulated naturally towards a healthier state without any kind of side effects. Homeopathic remedies are very safe, effective and mild. They are especially effective for children, on the grounds that the remedies work by stimulating vitality of a child's body. Children have a higher vitality naturally and thus, homeopathic medicines are extra effective during childhood. Moreover, homeopathic medicines are soft globules, which dissolve in the mouth. They are easy to take and have a sweet, pleasant taste as well.

Here is a list of diseases and disorders, which are common during the childhood along with their homeopathic remedies.

Teething
1. Chamomilla is used in case of painful teething during childhood. It is used when a child has got one hot cheek and one cold cheek.
2. Coffea cruda may be used to treat restlessness in teething children.
3. Calcarea phosphorica is another homeopathic remedy used for delayed and difficult teething in children.

Colic
1. Dioscorea is the common homeopathic medicine for treating colic cramps in the abdomen.
2. Colocynthis is also used to relieve intense cramps and pain in children. The irritability factor of the pain is treated.
3. Magnesia phosphorica treats colics with spasmodic or intermittent characteristics.

Fever
1. Aconite is an effective homeopathic remedy for treating sudden fever. The child's skin is likely to be hot, and the temperature of the cheeks may differ.
2. Ferrum phosphoricum is used for treating fever that occurs due to inflammatory problems. This kind of fever gives you pale, red cheeks.

Irritability and restlessness
1. Passiflora is an ideal homeopathic relaxant for children.
2. Avena sativa is used when a child cannot sleep due to restlessness.
3. Kali phosphorica treats restlessness in children occurring because of over stimulation.
4. Magnesia phosphorica and natrum phosphoricum are other homeopathic medicines, which act as relaxants.

Cough and cold
1. Ipecac is the best homeopathic remedy for constant coughing along with nausea.
2. Aconitum napellus is used when a child wakes up from sleep with a dry, hoarse cough.
3. Spongia tosta cures cold, croup and cough which start from the throat.
4. Antimonium tartaricum is the homeopathic medicine used when mucous accumulates in the chest, giving rise to coughing.

Homeopathy is best applied in childhood as a child is at risk of developing a number of diseases. A child's body is delicate and much more sensitive than adults and is prone to getting affected easily. Moreover, homeopathy is natural and is the safest form of medicine for children.

Why Homeopathy Is Best Applied in Childhood?

ADHD i.e. Attention deficit hyperactivity disorder is a mental disorder that is commonly characterised by attention problems, excessive activity or difficulty in controlling one s inappropriate behaviour, given his/her age. If ADHD occurs in an adult, the person might face significant issues in maintaining a job, managing time or being in a relationship.

In spite of being the most regularly studied and analysed mental issue in kids and teenagers, the cause, in most of the cases, remains unknown. The symptoms of ADHD might develop as one gets old. Apart from the common symptoms, the person might show signs typical to ADHD such as hyperactivity, inattention, impulsivity and disruptive behaviour as well as relationships and academic difficulties. The symptoms of ADHD need to last for about six months to be diagnosed as a disorder.

The typical management methods of ADHD include counselling or medicines, either used separately or in combination.

Behavioural Therapies: Some of the psychological therapies used are:
Cognitive Behavioural Therapy (CBT): Focuses on changing the thinking patterns of a person that ultimately alters the way he/she generally feels
Interpersonal Psychotherapy: IPT is a focused form of psychotherapy that involves symptomatic recovery and resolving interpersonal problems.
Social Skills Training
Family Therapy: Focuses on providing therapy to the individual as well as the family
School-Based Interventions
Parent Management Training
Medication: Stimulant medications are the more preferred forms of medications for ADHD. They have short-term effects on the symptoms of ADHD. One such example is that of Methylphenidate. Non stimulant medicines are administered for people who indulge in compulsive or recreational stimulant use. Examples include atomoxetine, guanfacine, bupropion and clonidine. Although these medications are usually safe, over dosage can cause side-effects and contraindications.
Diet: Modification in diet can prove beneficial for children suffering from ADHD. The benefits are usually confined to children having food sensitivities or those who are being medicated using ADHD medicines simultaneously.

ADHD - Best Amazing Ways It Can Be Managed!

In many cases; divorce and separation leads not only to bad blood between the parents, but also in a child alienating himself from one parent. Insulting or belittling one parent without justification or under pressure from the other parent is known as parental alienation syndrome. Parental alienation involves one parent undermining the other and interfering with the child s relationship with the other parent by limiting contact with them, bad mouthing them, forbidding discussion about them etc. This can have a very negative effect on the child s emotional state.

1. Self hatred: For children, hatred is not inborn, but developed by the situations they are in. By bad mouthing a parent and teaching the child to hate the parent, the child himself is harmed. With time, he begins to internalize this hatred and believe that there is something wrong with him that made the alienated parent not want him.

2. Low self esteem: When a child is not allowed to speak his mind and has to bottle up his thoughts, he becomes socially withdrawn. Often the child begins to feel that he is the cause for the rift in the family and makes himself responsible for the separation. This intensifies with time and makes the child lose confidence in himself leading to low self esteem.

3. Lack of trust: When a child is suddenly pulled away from one parent and told how that parent is not a  good person  the child is likely to feel betrayed. This creates a sense of doubt in the child s mind and makes it difficult for him to trust other people. As he grows up, this can affect his own adult relationships as well.

4. Depression: Depression is a commonly seen in children from broken homes and this is intensified in cases of parental alienation. It is rooted in the child s feeling unloved by either one of the parents and built up by the separation. Not being given a chance to speak about their feelings or talk about the situation makes them more depressed and they begin to withdraw into themselves. In many cases, it is noted that alienated children have strained relationships with their own children as well.

5. Substance abuse: Depression is one of the most common triggers for substance abuse. Alienated children often feels trapped and that they have no outlet to vent their feelings and frustrations. This often makes them turn towards drugs for relief and can make them victims of substance abuse.

Effects of Parental Alienation Syndrome on Children

Is your child undergoing Primary Immunodeficiency Disorders (PIDDs)? If you are tired of seeing your child suffering with regular cold and cough which could be solely due to a lack of nutrients in the diet, resulting in low immunity of the body. Adopting healthy habits by cutting back on junk food while including healthy items will help raise your child s immunity levels immensely. 

Some of the best foods to include in the diet to increase the immunity of your child are mentioned below:

Eggs, pulses, lean meats and other healthy protein: Immunity buildup may be disrupted if there isn t enough protein in your diet. Milk protein in cow s milk or dairy products like butter and cheese, animal protein in lean meats such as chicken and ovo-protein in eggs are highly beneficial and raise immunity levels.
Fish for immunity build up: Fish is a great immunity builder and also helps in making the brain work more efficiently. Fish meat contains lean proteins as well as essential Omega-3 acids which help properly regulate many functions within the body raising immunity.
Stay healthy with yogurt: There are a lot many flavored varieties of curd or yogurt that your child may like and which is also considered as a power food source. It helps reduce gastrointestinal illnesses. However, try and go for the less flavored ones as they would have lesser amounts of processed sugar.
Oats and Barley for your rescue: The reason why oats and barley are healthy alternatives, especially for children is because they are composed of beta-glucan (fibre containing antioxidants and antimicrobial properties). This helps in avoiding constipation thus cleaning the intestine and hence avoiding the buildup of harmful bacteria within the body.
Fruit toppings are delicious: Fruits are not limited to mangoes, apples and bananas only. Darker the color of the fruit, greater is the nutritional value. Berries, peaches, melons, pomegranates etc, can and should also be included in your fruit intake as they are healthy as well as tasty.
Vegetables can be tasty too: Growing children require leafy green vegetables for physical and mental development as they contain zinc, iron and folic acid. Foods like fenugreek leaves and spinach are an example of vitamin rich food items. You can include spinach and other vegetables in a clever manner by making the food interesting so that children would want to eat it willingly.
Carrots to fight infection: Carrots are beneficial for good eyesight and protection from infections. With carrot intake it becomes quite difficult for the bacteria and germs to ender the blood vessels. This can be made into a salad or craved figuring to make it interesting to the kids.

Immunity of Your Child - 7 Foods that Help Boost It!

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