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?

Flu is caused by a virus known as influenza and is a common respiratory disease. It is typically caused from the month of October to May. Some of the common symptoms include fatigue, runny nose, fever, cough, muscle ache, sore throat, body ache, etc. 

The flu vaccination helps to protect from influenza. The effect generally lasts for a year. It is recommended that an individual takes this vaccination once in a year since the strain of the virus keeps changing every year. Flu vaccine comprises of an egg-based technology.

Who Can catch flu?
Anyone can get a flu vaccination. Children above the age of 6 months or more are eligible to get a flu vaccination. In addition, the person who has a severe outbreak of allergic reaction due to the flu vaccination should also stay away from this. 

Pregnant women can also get this vaccination without any worry about the baby. They not only safeguard the mother, but protect the child from influenza too. Adults who are more than 65 years old can take this vaccination without worrying. Patients with an acute allergy should consult their doctors before taking a flu shot.

Are there any side effects?
Although most people do not feel a thing after the flu shot, some might experience mild symptoms, such as redness of the area where the vaccine has been injected, mild body aches, soreness, redness and fever. Other serious side effects include allergic reaction resulting in soreness and very high fever. A doctor or healthcare personnel should be immediately contacted in such an instance. 

Can flu shot cause flu?
This is totally a myth. A flu vaccine doesn t result in the flu. The virus content of the flu vaccine doesn t contain any live virus that can potentially trigger an outbreak of flu in the body. They are noninfectious in every sense of the word. It takes a couple of weeks for the flu vaccine to build immunity in the body. A person might get affected during this time if he comes in contact with an infected person.

Confusing flu with similar symptoms:
Common symptoms of flu such as nausea, vomiting, sneezing, body ache and fever can be symptoms of an entirely different disease such as diarrhoea. Until the tests are conducted and the doctor gives an assured verdict of flu, it is unwise to take a flu vaccination based on gut feel and mere speculation. 

When is an ideal time to take flu vaccine?
There is no right or wrong time of taking a flu shot. It is seriously infectious and can catch hold of a person at any time. The right time to take a flu shot is now. It is readily available over the counter and can be injected at any time of the year.

Flu Shot - Things You Need to Know About 

Fever in children is a very common phenomenon, but still parents absolutely dread it. It can completely break your heart to suddenly see a happy, healthy child not getting up from the bed. Your first instinct when that thermometer crosses that dreaded 100 degrees F is to rush to the doctor for an immediate cure. That is probably the best remedy as a doctor can often catch additional signs of any disease that you may miss out on. Beyond that, here is how you can understand about fever in children better and how you can help. Technically, your child has fever when the body temperature crosses 100.4 degrees F.
 
Some children manage to stay active even then, but slowly get bogged down with muscle pain or other accompanying symptoms like cold, diarrhea, vomiting etc.
 
Causes: Fever is normally caused by the body's reaction to fighting an infection. (That is why most doctors say it's a sign of a robust immune system). When the body's natural defense system is stimulated, the core inner temperature rises, thereby making it harder for the bacteria and viruses that caused the infection to survive. Most fever subside on their own but that's a tough thing to accept as a parent who only wants to see their child up and running as soon as possible.
 
What you can do: Keep an eye on that temperature obviously. You need to find a doctor the moment the fever crosses the threshold temperature (101+ for less than three months olds, 102+ for 3-6 month olds and over 102 for older children). You should also see a doctor if there are accompanying symptoms or if you've given a dose of Paracetamol but the fever shows no sign of subsiding. It might happen at midnight and beyond, when no regular pediatrician is unavailable. So it is best to find out which hospital has an emergency center capable of handling such eventualities near your home.
 
Fever medications: It is super important for parents to know that fever medications must be given in the correct dose at the right times based on a child's weight, age, and overall health. An overdose can lead you straight to the emergency room. Don't mix a cold/cough medication that also has a fever medication in it.
 
Home remedies: Encourage your child to drink as much fluids as possible to prevent dehydration. Some doctors advise complete body sponging to bring down the temperature and this can be done as long as it doesn't cool the body too suddenly (there are contradictory notes on this practice, so do consult you doctor before your do this).
 
As parent, it is important you equip yourself with the right knowledge before you provide treatment to your child. 

Parenting Tips for Fever in Children

Have you been coughing so often that it is intervening with your daily routine? Drop that bottle of cough syrup that gives you an instant relief but along with a feeling of drowsiness. Though coughing may appear to be a simple issue, it is very harassing and can lead to various severe problems. Ayurveda has the power to alleviate the suffering to a considerable degree. The Pranavaha Srotas show how the  vata  that controls the respiratory systems in the body can be balanced with Ayurvedic means so that you are relieved.

Symptoms and their mistreatments
There are two types of cough, one with the phlegm that s termed as wet cough and creates congestion, due to which you are unable to breathe. The other type of cough is the dry one, which hurts your throat and forms a pressure on the chest area while you cough. Well, whether dry or wet, a simple disease related to coughing is powerful enough to deprive you of your night s sleep. If you are a patient of bronchitis or any other respiratory disease like sinus, then you are required to deal with the nagging problem of cough.

Ayurveda offers a great way of relieving cough.

Gargles: Whenever you feel soreness around your neck, take a glassful of warm water and add a pinch of salt in it and start to gargle. The salt would help to drain out the excess fluids from the inflamed areas, thus, reducing the symptoms. It also helps in removing the mucus and thinning of the mucus. Gargling with salt should be avoided by patients suffering from hyper-tension. Such people can use simple warm water without salt.
Take honey: It is not feasible to gargle anywhere and everywhere and in such cases, you can have a spoonful of honey as it is believed to soothe the irritation in the throat area. If you have a particular tendency to cough during the night time, then a glassful of warm milk with some honey can relieve your suffering. Diabetic patients should avoid honey.
Turmeric remedies: A traditional Indian remedy to alleviate soreness of the throat region is to drink hot milk mixed with honey. You may even opt for turmeric gargles where you will have to mix half teaspoon of turmeric along with the same quantity of table salt in a glassful of lukewarm water and gargle with it. To get rid of dry cough, alternately, you can mix some turmeric powder in a spoonful of honey and take it thrice in a day.
Allopathic and synthetic medicines are generally loaded with numerous side-effects including nausea and drowsiness. In the worst case, it may lead to dependence and addiction as well. Thus, embracing Ayurveda can help you get out of the ailment permanently.

Cough - 3 Easy Home Remedies for Treating it!

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

Coughing of blood is a serious problem in comparison to normal coghing. 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.

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.

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
What should you follow in following situations?

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 determines 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.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Coughing Up Blood: Know The Causes Of It! 

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