A cough is probably one of the most common respiratory diseases that people suffer from. In most cases, it is nothing to worry about and can be cured with cough suppressants and salt water gargles. However, coughing of blood is a serious problem. The coughing up of blood that originates from below the level of the larynx is known as hemoptysis. This can vary in terms of severity depending on the amount of blood being expelled. This disease is a common condition, but on an average, less than 5% of hemoptysis cases are life threatening.

Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm

Fever
Anorexia and weight loss
Dyspnoea
Paroxysmal nocturnal dyspnoea
Fatigue
Chest pain: Medical attention should be sought in cases where this condition recurs often, if it lasts for longer than a fortnight or if the volume of blood expectorated is more than 30ml per day. The various tools that help in the diagnosis of this condition are:
Chest radiography: This imaging modality helps lateralize bleeding and understand the amount of lung involvement. It is quick, inexpensive and can also help detect other underlying abnormalities.
Bronchoscopy: This involves the insertions of a rigid or flexible endoscope into the bronchial passages to check the airways and determine active bleeding sites.
MDCT: A multidetector CT is a non-invasive imaging tool that provides a comprehensive evaluation of airways, lung parenchyma, and thoracic vessels. It can also be used to uncover potential causes of bleeding such as bronchiectasis, pulmonary infections and lung cancer. In some cases, a multidetector CT angiography may also be used.

Oral antibiotics are usually the first stage of treatment for this condition. Smokers will also be urged to quit cigarettes as this can worsen their condition. Treatment for minor hemoptysis may also include:

Oral hemostatics
Cough suppressants
Anticoagulants
Radiation of laser treatment
Therapeutic bronchoscopy
In its later stages, hemoptysis can be treated with a minimally invasive procedure known as endovascular embolization or with surgery. In some cases, endovascular embolization may also be sued to stabilise the patient before surgery. This procedure reduces the pressure in the hypertrophic arterial blood vessels and decreases the risk of perioperative bleeding.

Hemoptysis is also one of the most common complaints of lung cancer patients. Depending on the stage of cancer and the amount of blood expectorated, treatment in some cases may not be possible. In such cases, a parenteral opioid and fast-acting benzodiazepine may be administered. 

How to Treat Coughing Blood (Hemoptysis) Problem

What should you do when you are down with viral

Viral fever or in layman language, Flu causes runny nose , coughing , fever , bodyache and muscle pain. You need to isolate yourself first so that you do not spread to your near and dear ones as it really spreads fast. Common cold too is a viral infection! Many times when we think that our stomach is upset due to improper eating; but the reality is in many cases, it is viral infection. Viruses enter the body in multiple ways; it is almost impossible from stopping them entering inside. A few solutions though work wonders in keeping their effects at bay.

1. Adequate rest- Viruses take a lot away from your bodies. When you work while being affected by virus, you further bog your body down buying more opportunity for viruses to affect you more. Complete rest may sound lazy, but it in fact is a great way to start off the healing process.
2. Drink right- Drink a lot of water, a hydrated body fights virus better than one that is not. Consume fruit juices, energy drinks and vegetable soups every now and again. Stay away from dairy products like milk, butter milk, milkshakes etc.
3. Eat aplenty- Eat plenty amounts of food. When you are down with virus, you tend to lose appetite. But make sure that you eat as much as you can; this helps in replenishing the energy resource of the body which will battle the virus better. Don’t overeat though.
4. Eat it right- Eat salads, fruits, brown rice, cereals etc. In simpler words, eat light; don’t eat stuff that demands a lot of energy for digesting. If eating is difficult, vegetable soups with whole vegetables and dals in them are ideal.
5. Stay warm- Resting doesn’t just mean the lack of activity. Proper rest is when you keep yourself warm. It’s essential to feel good and almost all viral infections make you cold. Tackle this by staying inside your blanket. Use full sleeve shirts and long pants with gloves, a cap and socks supporting them. 

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What should you do when you are down with Viral Attack

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?

Diabetes is a metabolic disorder characterized by Hyperglycemia (elevated blood glucose level) due to either reduced production of insulin or the inability of the body to utilize the insulin produced. Today management of diabetes has become a prime concern. Over the winter months, diabetic patients are likely to suffer from higher blood glucose levels than during the warmer months. As the temperature drops and the sugar levels up, thus, diabetic patients should be extra careful about the temperature fluctuations or seasonal changes.The cold weather makes diabetics experience many health problems, besides creating a major change in their sugar levels.

Following are the most harmful effects that diabetic patients may suffer from during the cold weather

Change in hemoglobin level: There is a great change in their glycated hemoglobin levels. Whatever the type of diabetes an individual has, the freezing temperature can increase the level of HbA1c or glycated hemoglobin. This is most likely because of decreased physical activity. Cold weather makes it difficult for some people to go out. A little activity each day can help with insulin sensitivity (in all types of diabetes) which can help the body to regulate sugar level in a better way.
Prone to diseases: Since the immune system is also not at its best strength in winters, there are increased incidences of microbial infections like cold and flu or in some cases pneumonia. As a result, the body produces counterregulatory hormones (Cortisol, Adrenaline, and Glucagon) to counteract the situation. These hormones affect the utilization of insulin by the body thereby elevating the blood glucose level. Also, conditions like flu and cold tend to make them feel lethargic and stress and can prevent them from taking the diet, which is required, which eventually can lead to an increase in the blood sugar level.
Winter blues: It is often seen that people feel low during winters, as they tend to go out less and prefer to stay indoors. Less outdoor activity during winters can sometimes trigger mood swings or in some cases depression, which in turn can shoot up the level of blood sugar in their body. Thus it is advisable that one should spend more time with friends and family, in order to keep these blues at bay. 
Other problems: Most diabetic people are unaware of their nerve functions, and are unable to feel the difference between the cold and hot water, which can lead to burn injury. Also, during the winter season, most diabetic patients tend to lose feeling in their toes and feet due to vascular changes. Therefore, it is advisable that people should check their feet frequently, so as to ensure that there is no open wound or pressure area in their feet. One must take very good care of their feet, keep them moisturized, inner fingers clean and dry, prevent any type of fungal growth in toes, etc. By taking required preventive measures before the onset of winters diabetic patients can control their blood sugar level, which enables them to stay away from associated problems. 
In case the blood sugar level goes beyond 130, one should not take the medicine on their own but should get in touch with their endocrinologist (diabetologist).

Cold Weather - How It Can Affect Diabetic Patients?

A cough is not necessarily to be worried about always. It is the natural response of our body to throw out harmful particles which somehow managed to enter our respiratory tract. There is sticky mucus situated in the pathway to lungs which plays a major role in trapping harmful particles. Coughing once or twice is generally a natural phenomenon but if it s persistent it is called the chronic cough, and there is a reason to worry.

Is your cough chronic?
An acute cough aggravates within a very short span of time, maybe 2-3 days. There are situations when coughing doesn t hinder your day to day activities and are easily neglected. Sometimes these infrequent bouts of a cough can persist for long and continue for more than 2 months, which has been characterized as a chronic cough.

A chronic cough is sometimes found associated with blocked or running nose. Persons suffering from a chronic cough feel very exhaustive and suffer from a headache, dizziness along with excessive sweating. Under such situations, you must consult a pulmonologist.

Know the causes of a chronic cough
There are several causes for persistent coughing, and the following are the common causes of a chronic cough and medication is taken in consultation with a trained medical practitioner only.

Infections: Bacterial or viral infection in lungs can be one of the causes of a chronic cough. Tuberculosis is one of them which initiates as a chronic cough and is later characterized by emitting blood after cough bouts.
Drug Interactions: Antihypertensive drugs have been found to be responsible for a chronic cough in some people. Hypersensitivity to the prescribed drugs is found to responsible for the cough bouts, and change in medication takes care of the issue.
Asthma: It s a situation characterized by blockages in the bronchi which disallows the normal air flow during inhalation and exhalation. Due to inadequate oxygen, brain assumes that there is a blockage which needs to be expelled and coughing pattern starts. However, asthma has to be treated, and the bronchi have to be brought back to normal with the help of medication by an expert medical practitioner.
COPD: The most common cause of a chronic cough nowadays is COPD, better known as Chronic Obstructive Pulmonary Disease. This is one of the progressive diseases which means it deteriorates with time. Active smokers are the biggest victims of it. Persons exposed to high degree of pollution or similar occupational hazards are also at high risk. Exposure to these pollutants causes inflammatory responses in lungs resulting in the tapering of the airways and destruction of lung tissues. These can be measured by lung function tests. In asthma, the narrow airways can be broadened by external medication, but in case of COPD, it s not possible.
To conclude, chronic cough is a preventable disease by reducing the exposure to risk factors as mentioned above. Quitting smoking, improving the indoor air quality with the use of solar cooking and moving on battery run vehicles can prevent COPD from further worsening. You can also undergo pulmonary rehabilitation program which is being counseled and coordinated by many physicians to benefit the individual suffering from the issue.

Chronic Cough - Why It Happens?

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?

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