Chronic Bronchitis is a result of inflamed bronchioles (pipes carrying air to alveoli or balloons) that can produce mucus and lead to coughing and difficulty in breathing. When smoking causes inflammation of the bronchioles, constriction or squeezing takes place. This results in wheezing because air is travelling through narrowed tubes.

Emphysema, in short, is basically a dead lung. As smoke travels farther down your respiratory tract, the air sacs in your lungs (alveoli), start popping out or dying. Your bank of alveoli gets depleted over time as you continue your habits. You will notice as you increase your heart rate whether its by running or walking a flight of stairs this activity requires your red blood cells to move faster through the alveoli and have less time to receive oxygen from the lung. This leads to having less oxygen on red blood cells whose job is to deliver oxygen to the rest of the body.

Symptoms

In COPD, Both the airways(pipes) and lung parenchyma are affected by the disease and airflow limitation is progressive. COPD has been predominantly seen in patients above 40-yearold and frequent smokers.

The symptoms indicative of COPD are as follows:

 

1) Chronic cough - Also referred to as smoker's cough, the cough is relentless and does not subside with regular cough treatment. This is one of the first indications of COPD.
2) Mucus buildup - There is constant built up of mucus which gets expelled during coughing. The person never feels completely clear of mucus, and the regular cough expectorants do not help relieve the symptoms.
3) Fatigue associated with limited activity - As noted earlier, the reduced capacity of the organs limits their activities. Therefore, regular activities like walking short distances or climbing stairs can induce fatigue.
4) Shortness of breath - The above fatigue is associated with shortness of breath, even with small physical exertion. A person with COPD will see marked tiredness and reduced ability to perform routine chores and feel a tightness in the chest.
5) Wheezing - Passage of air through the obstructed air tubes produces a whistling sound or wheezing. It is more pronounced when there is mucus accumulation in the airways.

Rarely, Frequent respiratory infections, more frequent flu attacks, swelling of the feet and ankles, cardiovascular disease, weight loss, and morning headaches.

Treatment 

While there is no cure for COPD, once it sets, the following are some ways to slow its progression and reduce severity of the symptoms:

1) Bronchodilators - Dilate the air tubes and ease flow of air
2) Corticosteroids - Help reduce inflammation and thereby improve airflow through the tubes
3) Flu vaccination - Helps curb the frequent flu attacks
4) Antibiotics - To contain infections
5) Pulmonary rehabilitation - A combination of breathing exercise and patient education to improve lung function.
6) Oxygen therapy - In very severe cases, oxygen may be required.
7) Lifestyle changes - Eating healthy foods, preventing exposure to dust and smoke, quitting smoking, breathing exercises, bi-annual medical check-ups to monitor lung functions are essential.

Knowing that you have COPD is the first step towards managing COPD, which can be managed effectively.

COPD Is Broken Down To Clinical Scenarios - Chronic Bronchitis & Emphysema!

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!

The sound of the word cancer can be really traumatic and the fact the one may most of the time be unaware of this condition can be hard to handle. The same is the situation in the case of lung cancer as it does not produce any remarkable signs and symptoms in its early stages. However, there are ways in which you can be aware of this life-threatening ailment. Here are some tell-tale signs of an early stage of lung cancer:

A stubborn cough:
Beware when a cough is lingering on for long with no sign of relief. When a cough is related to cold and respiratory infection, it will subside within a week or so. But in case the cough is persistent, it can be a symptom of lung cancer. You should never dismiss a stubborn cough regardless of whether it is dry or producing mucus. You should talk to a doctor right away as he can check the lungs and may order for other tests to determine whether you have cancer.

Breathing problems:
Becoming easily winded or shortness of breath is considered the most prominent symptoms of lung cancers. This may occur when cancer blocks or inhibit the airway or when the fluid from the tumor starts building up in the chest. If you find that it is becoming difficult for you to breathe in doing tasks that you found easy before, you should not ignore it.



Wheezing:
When the airways become inflamed, blocked or constricted, then the lungs would produce a wheezing and whistling sound while breathing. It can be associated with a host of other causes that are easily treatable but could also be due to lung cancer.

Headache:
Even though headaches are considered one of the most common health problems, if there is a persistent headache, then it could be a sign that lung cancer has spread to the brain. It is important to understand that all headaches are not associated with the brain metastases. There are times when the lung cancer creates pressure on the superior vena cava which is in charge of supplying blood to the upper part of the brain. This pressure can also lead to headaches.

Pain in the bone:
If the lung cancer has spread to the other parts of the body, then it may produce mild pain in the back and other parts of the body. It tends to become worse during the night when you are resting on your back. But it can be difficult for a commoner to differentiate between muscle and bone pain. In case you are suffering from bone pain, you will see that it is becoming worse with movement. Moreover, lung cancer is also associated with pain in the shoulder, neck, and arm even though it is very rare. You should be very attentive to the pain and aches in the body and consult with an expert at the earliest.

You can easily combat lung cancer if diagnosed and treatment is started in its early stages. In case you have a concern or query you can always consult an expert & get answers to your questions!

Five Signs That You Might Be Suffering From Early Stage Lung Cancer!

Tuberculosis or TB as it is commonly known in medical circles is a bacterial infection commonly affecting the lungs. While there are some countries in the world, where TB is more common, anybody can develop TB if they are not very healthy. The TB bacteria spreads through the air. While some people's immune system would be able to fight the disease back; some people who have risk factors, the disease may continue to develop and present with symptoms. 

So, a person can develop TB in two circumstances:

Exposure to TB
Visited a country where TB is very common
Spent time with a person who is infected with TB
Exposure to crowded places like a market or a healthcare facility where TB virus is present
Weakened immune system
Be HIV infected
Weak immune system due to long-term use of steroids
Chronic diseases like diabetes, malnutrition, end-stage kidney or liver disease, cancer, etc.
Extremes of age (children whose immune system is not fully developed, elderly whose immunity is weakened)
Chronic smoker, IV drug abuse, and/or alcohol user
Repeatedly exposed to TB bacteria in the last two years
Had TB bacteria, but not identified or treated
Drug therapy like chemotherapy, long-term use of steroids, auto-immune disease treatments, etc.
Signs and symptoms of TB: 

If you are at risk, it is also suggested that you know the early warning signs and symptoms of TB. TB most commonly affects the lungs and is known as pulmonary tuberculosis. Watching out for these helps in early diagnosis which can both help arrest the condition in the early stages and improve prognosis.

A persistent cough which lasts for more than 3 weeks
Pain in the chest worsened with coughing
Presence of blood in the sputum
Generalized and extreme weakness or fatigue
Unexplained weight loss
Loss of appetite
Fever and chills
Profuse sweating at night
If a person has TB bacteria in the system but does not feel sick and does not have the above systems, then it means that the person is not actively infected. This person also cannot spread the disease to another person. However, when immunity is weak, this can develop into an infection. In a country like India where tuberculosis is quite prevalent, it is best to get yourself screened for active tuberculosis infection if you display any such symptoms.

Tuberculosis (TB) - When A Person Can Develop It?

As we go about life and routine activities, we may be exposed to a lot of different types of environments. We may have to travel in heavy traffic and may be exposed to vehicular pollution, there may be times when we are at places that allow smoking and that may expose us to smoke from cigarettes. Our nature of work today requires us to be constantly in a situation where we take in industrial fumes and exhausts. Being in any of these conditions temporarily may not be a big matter of worry, but when the incidents get more frequent they may lead to troubles in breathing and diseases such as bronchitis or acute bronchitis.

Acute bronchitis is a condition in which the bronchial tube that carries air to and from the lungs gets inflamed due to different reasons. The biggest hazard related to the inflammation of the bronchial tube is that the patient may suffer from constant coughing and irritation of the throat putting pressure on the lungs. In advanced cases, a bronchial infection may also leave the nodes of the lungs inflamed, making it more difficult for the patients to breathe.

Causes of Acute Bronchitis:

The most common causes of bronchitis include the infection of the bronchial tube with bacteria or virus, which lead to the inflammation of the tube and subsequent bouts of coughing.
A habit of smoking cigarettes or being exposed to cigarette smoke as a passive smoker may lead to the infection of the bronchial tube.
Vehicular smoke and fumes also lead to the inflammation and infection of the tube that plays an imminent role in supplying oxygen to the lungs.
Finally, when one works in a position where he/she is exposed to chemicals or harmful exhausts on a constant basis may also have to suffer from acute bronchitis.
What is the treatment for acute bronchitis?

Bed rest and supportive care such as reducing coughing are the main treatments for acute bronchitis. In most individuals, antibiotics are not needed, especially those who have as cause viral or environmental factors. For some patients who have wheezing with their cough, beta2 agonists may be helpful (bronchodilators). Perhaps the most useful treatments are directed at reducing coughing symptoms with over the counter preparations containing guaifenesin and mucolytics. NSAIDs are often added to reduce inflammation and help relieve discomfort. However, the American Academy of Pediatrics does not recommend giving OTC cough and cold medications to children under two years of age; these medicines may cause harmful side-effects that can be life-threatening to young children.

What natural or home remedies treat and cure acute bronchitis?

Stay well hydrated by drinking fluids
Breath humidified air
Avoid dairy products because they thicken mucous secretions
Avoid alcohol and caffeine because of potential drug interactions
Avoid exposure to environmental smoke and other air pollutants

Know The Causes and Treatment Of Acute Bronchitis

The respiratory system, through which air enters the body, is prone to disorders, and most of them are infections. Micro-organisms thrive in the air around us, and can gain easy access to the system through the air that we inhale. Therefore, respiratory issues are very common, but also not always a cause for concern. Most respiratory disorders would have common symptoms including coughing, chest pain, sputum production with varying features, shortness of breath, wheezing, etc. 

Read on to know the symptoms of common respiratory disorders, so you are equipped to handle them.

Asthma: Asthma is one of the most common respiratory issues. The trigger could be extreme cold, excessive pollen in the air, stress, etc.
Common cold: This is a common disorder of the upper respiratory tract. This could be due to allergy or infection. There is difficulty breathing, labored breathing, runny nose, and extreme lethargy. The throat is also sore and there is a scratchy, itchy feeling at the back of the throat.
Bronchitis: The bronchi are the further branches through which air flows, and these when inflamed cause bronchitis. Often caused as an infection, this produces a cough that can throw up a lot of sputum.
Chronic obstructive pulmonary disease: This often occurs with ageing and also due to smoking. This produces chronic coughing, difficulty to throw out air easily without effort. There could also be phlegm, which can be colorless (unlike an infection)
Tuberculosis: This is a bacterial infection of the lung tissue, and there is shortness of breath, a cough which persists for more than 5 weeks, and greenish-yellowish sputum. The person also would have very low energy levels, and sometimes blood in the sputum too.
Pneumonia: Pneumonia again is an infection of the lung and can be caused by bacteria or virus. This again causes chest pain, difficulty breathing, shortness of breath, and a greenish sputum.
Lung cancer: With smoking and environmental pollution on the rise, the instances of lung cancer have also been on the rise. This is usually diagnosed in the later stages as the symptoms are confused with any common respiratory disorders and ignored. Chest pain, chronic cough, difficulty breathing, and voice changes are some common symptoms of cancer.
Emphysema: Caused predominantly by smoking, this causes breathing difficulties and reduces the amount of air available for exchange in the lungs. There is no cure, but quitting smoking can reduce the severity of the condition.
Know that prolonged problems with respiratory tract require further investigation and should not be ignored as just another attack of cold and cough.

Signs Of Most Common Respiratory Disorders!

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