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?

Yearly flu vaccination is the best tool currently available to protect against influenza (flu).

While how well the flu vaccine works can vary, the Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccination as the first and most important step in protecting against flu and its potentially serious complications. Millions of people have safely received flu vaccines for decades. Flu vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations.

A flu vaccination does not guarantee protection against the flu. Some people who get vaccinated might still get sick. However, people who get a flu vaccine are less likely to get sick with flu or hospitalized from flu than someone who does not get vaccinated.

Why do I need to get vaccinated every year?

New flu vaccines are released every year to keep up with rapidly adapting flu viruses. Because flu viruses evolve so quickly, last year's vaccine may not protect you from this year's viruses.

After vaccination, your immune system produces antibodies that will protect you from the vaccine viruses. In general, though, antibody levels start to decline over time   another reason to get a flu shot every year.

Flu vaccines bring down the risks of suffering from flu. However, its effectiveness is based on different factors.

Age: Usually, the flu vaccine happens to work the best for healthy adults. However, these vaccines cannot work as well with children, especially infants (below the age of 2-3 years). Nevertheless, the efficacy improves with age. Since older people are more prone to contracting the flu virus, it is essential that they get themselves vaccinated. Even if the vaccine is not able to ward off the flu entirely, it can still help reduce the risks to some extent.

General Health: Vaccine spurs immunity into action. It helps your body in identifying and fighting the virus. The efficacy of the flu vaccine solely depends on the capability of your body s immunity system and how well it responds to the virus. Chronic illnesses weaken your body s defense mechanism and with a poor immunity system, the vaccine may not work properly.

The time of the vaccination: For optimal protection, it is advised to go for the vaccination every year right before the  flu  season starts. This is because after the flu season gets done with, old vaccines may not work as effectively.

The flu vaccine needs to be updated every season to guard you against the kind of flu dominant in that particular year. Getting yourself vaccinated is also not a guaranteed foolproof protection, however, it does render partial immunity and helps reduce the severity of the symptoms. However, it should be noted that flu vaccine cannot shield one from cold viruses.

Flu Vaccine Effectiveness: How Well Does It Work?

There are a variety of reasons why a person can fall sick. A good number of these illnesses cannot be prevented though a person may take general precautions. Having said that, in the case of influenza, it can be prevented to a large extent and it does not seem all that smart to avoid taking easy precautions when one has an option, right?

Every year, thousands of people die from influenza, which is so unfortunate because an annual shot can reduce that number by almost 60 percent. So what exactly makes a flu shot or vaccine work? As a result of the vaccine, after about two weeks or so, antibodies begin to develop in the body. These antibodies help fight off infection, specifically the kind that is targeted by the vaccine. It is important to get vaccinated for this flu on an annual basis.

Choosing the right flu shot
Considering the great number of options there are when it comes to flu vaccines, which are the ones to be injected? It is a good idea to get the opinion of a doctor to see which one to choose. This is because the choice is dependent on a variety of factors, which a medical professional would be able to assess appropriately. Note that it is important not to use the nasal spray version of the vaccine as the medical authorities have recently found that it is not as effective a method as it once was.

When should you get it?
Flu season does vary across the world, but in the US, it starts in about October and goes on till May. During this time, the flu viruses are a lot more active. When one gets a flu shot, it is this period that one needs to look out for. So, it is better to get vaccinated in late September or the start of October, so that there is minimal unprotected exposure to the viruses.

Who is it for?
It is to be kept in mind that every individual who is older than six months should be vaccinated. While it is said that getting a vaccine shot year after year reduces its effectiveness, it is still important to do so. This is because each year, the shot is altered to reflect the biggest virus threats in that year. There might be few side effects of the flu vaccine such as redness in the injected area, soreness or swelling. However, as long as one gets a flu shot in time, it is almost a given that there will be almost no time spent  down with the flu .

Flu Shot - Why Is It So Important?

Chest congestion is a symptom of cough and cold and may also happen when you have other infections related to the nasal and bronchial tracts. It can erupt into potentially fatal diseases like pneumonia and bronchitis, if not treated on time. Mostly, patients should look at fixing the problem at home before it develops into a full-fledged infection or hazard. Here are a few home remedies for clearing chest congestion.

Gargling: a glass of moderately warm water with a teaspoon or two of salt should be used for gargling at least twice a day as this can help in flushing out the bacteria that are present in the throat. It can also clear the mucus from the airways and help in clearing the chest to a great extent. Take care not to drink the water. Tip your head back, gargle and then spit it out into the sink.

Steam sessions: whether it is a hot bath or a mug of your favourite piping hot beverage, there is nothing that a good steam session cannot fix. Take care to avoid exposure to a sudden dip in temperature after you step out of the bath or the shower stall, as this can worsen the situation and lead to a fever. Also, you can have mugs of green tea seasoned with peppercorns, ginger and basil. This concoction will gradually clear the chest and air passages. Taking steam with the addition of eucalyptus oil to steaming hot water, is also a good idea. Cover your head with a towel or a sheet as you inhale - and don't forget to be careful not to spill or tip the vessel.

Elevation: keeping your head in an elevated position as you lie down will help in keeping the air passages relatively free of mucus build up which can also eventually lead to chest congestion. Elevation can also help you sleep better.

Yoga: breathing exercises for at least ten to fifteen minutes can help in clearing all the passages starting from the nose to the chest.

Humidifier: using a humidifier when you sleep can lend some much needed moisture to the air, which can be particularly helpful if you have contracted the chest congestion during the cold and dry wintery months which can lead to heavy, hacking coughs. The use of a humidifier will help you in breathing better as you sleep. You can also add some nasal congestion medication to the slots so that it spreads in the air as you sleep.

For persistent problems and coughing that is accompanied by fever, you must see a doctor for more focused diagnosis and treatment.

Home Remedies for Chest Congestion

Having a fever makes you feel weak such that you don t feel like doing anything. Medical treatment for flu includes usage of antiviral drugs as prescribed for decreasing the severity and duration of the infection. You may also consult your doctor to know about the antibiotics that can treat bacterial infections which may arise as an effect of flu. However, antibiotics are not always required for treating viral infections like flu. On the contrary, you can also follow a few home remedies to get rid of your suffering.

Home remedies for treating flu
You can treat flu by following a few home remedies like resting in bed and avoiding physical exertion. Hydration is very important and minor pains and aches can be relieved with over-the-counter medications as prescribed by the physician. You should avoid spreading the flu virus and germs and wash your hands often.

Stay hydrated: You should drink ample amount of water, clear soup and fruit juices. Though flu causes appetite loss, you should not depend on water entirely, as it doesn t contain enough amount of electrolytes that are required for your body to function optimally. Energy drinks can also help you in this respect. In case these products are not available, you can also prepare a homemade solution by mixing plain or rice water with sugar and a pinch of salt. You can also enhance the taste by adding orange juice and freshly cut bananas, and you can drink it right away irrespective of your age.
Getting rid of cough: Though expectorants and cough suppressants would help the cough to subside, steam inhalations can also prove to be useful for opening a blocked nose. To create steam, pour water in a pot and heat it. After removing the pot from the stove, cover your head with the towel and inhale the steam. The water should be hot, but not boiling, and you can also add eucalyptus oil and few slices of ginger to the hot water. Another way is to steam up your bathroom by allowing the shower to run with hot water and inhale the moisture from the steamy room. You should refrain from touching hard surfaces where the viruses would remain alive. Sneeze and cough into a soft tissue or a handkerchief and carefully dispose of the tissues once they are used. If possible, stay away from people who have flu.
With these simple homemade tips, you would be able to control the symptoms of flu. But in case it does not subside, you shall have to seek medical assistance.

Seasonal Flu in Adults - How It Can Be Treated?

Have you been coughing for a long time and don't know what to do? Well, here are 5 ways in which you can manage your chronic coughing:
1. Give up Smoking: Give up smoking before life gives up on you. Quitting at any point of time slows down the deterioration of lung function though not reverting to non smoking status.
2. Practice Pursed Lip Breathing: It's a very useful technique. Breathe in with your lips sealed up and breathe out with your lips slightly opened as if you're blowing birthday candles.
3. Wear a Mask when Going Out: Be cautious while going outdoor when there is sudden change in ambient environmental temperature and when pollution is high or pollen are there in the environment. (Actually simple mask do not help too much)
4. Stick to the prescribed inhaled treatment - Rush to doctor if there is increase in breathlessness, cough and/or sputum production which is not controlled by ongoing treatment. That marks exacerbation and may need hospitalisation.
5. Get vaccinated - by annual influenza vaccine and if you are above 65 then an additional single shot of pneumococcal vaccine. This will prevent infectious exacerbation.


Chronic Bronchitis - 5 important tips to manage it

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