Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common treatments for pulmonary hypertension:

Medications

1. Blood vessel dilators (vasodilators): vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (flolan, veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (iv) catheter via a small pump that you wear in a pack on your belt or shoulder.

2. Ventavis: another form of the drug, iloprost (ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.

3. Treprostinil (tyvaso, remodulin, orenitram): it is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.

4. Endothelin receptor antagonists: these medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.

6. Sildenafil and tadalafil: sildenafil (revatio, viagra) and tadalafil (cialis, adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.

6. High-dose calcium channel blockers: these drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (norvasc), diltiazem (cardizem, tiazac, others) and nifedipine (procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.

7. Soluble guanylate cyclase (sgc) stimulator: soluble guanylate cyclase (sgc) stimulators (adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.

8. Anticoagulants: your doctor is likely to prescribe the anticoagulant warfarin (coumadin, jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.

9. Digoxin: digoxin (lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.

10. Diuretics: commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.

11. Oxygen: your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries

1. Atrial septostomy: if medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.

2. Lung transplantation: in some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing complications

1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail

2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.

Pulmonary Hypertension: How to Treat It?

A heart attack does not always have obvious symptoms, such as pain in your chest, shortness of breath and cold sweats. In fact, a heart attack can actually happen without a person knowing it. This condition is known as a  silent heart attack , medically known as  silent ischemia , occurring due to the shortage of oxygen supply to the heart muscle. The causes of a silent heart attack are similar to that of a heart attack. 

They include- 

Conditions like: 
Obesity or excess weight 
Diabetes 
High Blood pressure 
High cholesterol 
Heart Diseases 
Lack of exercise 
Age, usually above 65 
Consumption of tobacco or smoking 
High consumption of alcohol 
A silent cardiac arrest makes one more vulnerable to another heart attack that could be fatal. Diagnosis: The only method to diagnose if you had a silent heart attack is through imaging tests, such as echocardiogram, electrocardiogram, Holter Monitoring or others. These tests can show certain changes which might be indicative of a heart attack. An analysis of one s overall health and the symptoms can aid in deciding whether few more tests are required. 

How would you prevent a silent heart attack? 
1.   Get your cholesterol and blood pressure count tested regularly. 
2.   Refrain from smoking. 
3.   Get your VO2 max checked regularly. 
4.   Live a healthy lifestyle: Refrain from smoking and excessive alcohol consumption; exercise daily, eat healthy. 
5.   Control high blood pressure, cholesterol, and diabetes 
6.   Be aware of your body and call on a doctor if you feel there s anything which is bothering you. 

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Know Everything About Silent Heart Attacks

A respiratory disorder, the inflammation of the lining in the bronchial tubes, which are responsible for carrying air to and from your lungs is known as bronchitis. Allergic bronchitis is a disorder that develops, if you have severe allergies which result in a bronchial immune system reaction.

Allergic Bronchitis requires medical diagnosis by your healthcare provider who can differentiate the allergic form of bronchitis from the normal form of bronchitis by searching for other symptoms related to the allergy. Allergic bronchitis often occurs due to seasonal allergies, making it an acute condition. If you are suffering from lingering bronchitis issues caused due to allergies, an allergy test is recommended so that the doctor can accurately assess the condition.

The symptoms of allergic bronchitis are similar to the regular form bronchitis. Only difference is that the symptoms are triggered by allergies. Some of the symptoms are given below:

Cough which may form mucus

Body aches and breathlessness

Headaches, blocked nose and sinuses

Fever with chills

Wheezing

Over the years, Ayurvedic practitioners have prepared and prescribed a number of remedies that can address the issue of allergic bronchitis.

Some of the Ayurvedic remedies are listed below:

Below listed remedies should be taken 3 times in a day for quick relief.

2 grams of Shringyadi Churna should be taken along with 100 mg of Kaphachintamani and Kaphaketu.

Talisadi churna should be mixed with honey and ginger juice.

2 grams of Sitopaladi Churna should be mixed with 200 mg of Praval Pisthi as well as 100 mg of Rasa Sindur.

Haridra khand (one spoon) should be taken along with a cup of warm milk.

Other natural remedies, according to Ayurveda include:

Haldi (turmeric powder) mixed with a glass of milk

Juice of Vasa

Tulsi (Basil leaves ground to make a juice)

Equal quantity of black pepper, dried ginger and long pepper (piper longum) mixed with honey

Ayurvedic Treatment for Allergic Bronchitis - Ayurvedic Remedies

Stroke is a medical condition in which the flow of blood towards the brain is poor and causes the death of certain cells. There are two common types of stroke: 

1. Ischemic- due to lack of blood flow
2. Hemorrhagic- due to bleeding

Signs and symptoms of stroke 

Problems with movement
Inability to feel  on one side of the body
Problems understanding or in speech
Vertigo
Loss of vision
Difficulty in carrying out everyday activities
Role of Physiotherapy for Patients with Stroke

The main focus of physiotherapy is to help you use your arms and legs to regain as much strength and movement as possible. 
If you have one-sided paralysis, correct positioning is important to prevent spasm or injury.
It helps you to sit up as this will help you avoid blood clots in your legs, improve your breathing and help you recover quickly.
If you are unable to move, you may be given chest physiotherapy to keep your lungs free of infection.
What does a Physiotherapist do?

A physiotherapist advises you on how you should be positioned when lying or sitting, and how often you need to be moved.
Motivates you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
Decides when you should begin to start walking and what equipment is needed to move or support you
Provides therapy to strengthen your limbs and teach you how to move again as independently as possible
Takes care of the fact that no complications should arise and you have a smooth recovery.
Treatment Techniques:

Strength Training: It is evident that strength training can improve upper-limb strength and function without increasing tone or pain in individuals with stroke.
Gaming: Goal orientated computer gaming has proven to significantly reduce upper limb impairment in stroke survivors.
Virtual Reality: Virtual reality training has been shown to be effective in restoring upper limb motor impairments and motor-related functional abilities.
Mirror Therapy: Mirror therapy has been shown to have a beneficial effect on motor control and function compared to conventional therapy.
Robot-Assisted Therapy: It has been shown to have a beneficial effect on motor recovery and function.
In the upper extremity with severe impairment and/or poor prognosis for recovery, Chedoke McMaster Stroke Assessment (CMSA) of Arm and Hand < Stage 4) treatment should focus on maintaining a comfortable, pain-free, mobile arm and hand. Engage in repetitive and intense use of novel tasks that challenge the stroke survivor to acquire necessary motor skills to use the involved upper limb during functional tasks and activities. Engage in motor-learning training including the use of imagery.

Stroke - How Physiotherapy Can Help With It?

Bloating and gas are most commonly caused due to indigestion as well as excessive accumulation of gas in the abdomen region. This can lead to a feeling of tightness and swelling, along with debilitating pain and discomfort, in some extreme cases. The other causes for bloating and gas may include wheat or gluten allergy, irritable bowel syndrome, food that gives rise to flatulence, lactose intolerance as well as severe conditions like acid reflux.

Homeopathy is an age old medical science that seeks to treat these and many other kinds of ailments with the help of its natural medication. However, in order to get the right treatment, it's important to visit the doctor and allow him to examine you properly and prescribe the right combination of medicines. The better the doctor understands your condition and symptoms, the better treatment he can offer.

Bloated abdomen refers to a feeling of fullness, tightness and distension of abdomen. There is also an excessive accumulation of gas in abdomen. Bloated abdomen can be painful, with cramping as well. 

The main causes behind bloated abdomen are constipation, Irritable Bowel Syndrome, wheat allergy, taking flatulent (gas-forming) food, overeating, food intolerance like lactose intolerance, and acid reflux (Dyspepsia). 

Over-the-counter instant gas-relieving pills and tonics can only provide very temporary relief, the causative agents remain firmly in place. Homeopathic medicines can completely cure bloatedness or bloated abdomen. Made from natural substances and free from any side effects, Homeopathic remedies for bloated abdomen can provide complete recovery by striking at the root of the problem, while ensuring there is no recurrence.

Homeopathic Treatment for Bloating and Gas-

Homeopathic medicines are very efficient in treating bloated abdomen. Sourced from natural substances, Homeopathic remedies are very beneficial in treating cases of bloatedness. Homeopathy provides complete recovery from bloatedness. The Homeopathic treatment for bloated abdomen is also of great help in releasing the wind from abdomen, thereby providing relief to the patient. The pain in the abdomen, burning and other associated symptoms also disappear with the use of natural Homeopathic medicines. Here is a list of some medicines that your homeopath might use to treat gas and bloating-

Graphites: This is one of the most commonly used and most efficient elements in Homeopathy. Graphites can help in treat abdomen bloating, which is accompanied by constipation on a prolonged basis. When this gas gets obstructed, instead of being allowed to see itself out of the body, the gas gets accumulated and causes a lot of discomfort and pain within the abdomen. Also, when there is an offensive odour in the gas that manages to pass through, one can use this medication.
Carbo Veg: This is one of the best homeopathic ways of resolving bloating and gas. This medicine is most commonly prescribed when there is belching along with the gas accumulation and bloating. The wind that accumulates in the abdomen may also give rise to breathing difficulties for many patients, in which case such a medicine is known to work wonders.
Abies Can: This is a natural Homeopathic cure for painful bloating which also comes with heart palpitations. In such cases, the doctor may prescribe this medicine to fight the gas that is busy burning in the abdomen. Other symptoms treated by this medicine include a sudden spike in the appetite as well.
Magnesium Phos: This medicine can help in treating gas and bloating that becomes colicky and gives rise to a lot of unbearable pain eventually. Also, it can be used for treating a feeling of fullness in the stomach due to the accumulation of gas. Further, the other symptoms treated by this medication include belching and hiccups.
Raphanus: When the gas obstructs the normal digestive process of the abdomen. This medicine can also be prescribed for successful treatment. It can also be used when the abdomen becomes hard due to the gas, which does not escape as flatulence or even as burps.
China: This is a Homeopathic medicine that can help in relieving symptoms like fullness, tightness, pain and even heaviness in the abdomen. It helps the patient in passing better motions so that the symptoms may be eliminated.
Homeopathy is an age old medical science that seeks to treat these and many other kinds of ailments with the help of its natural medication. However, in order to get the right treatment, it's important to visit the doctor and allow him to examine you properly and prescribe the right combination of medicines. The better the doctor understands your condition and symptoms, the better treatment he can offer.

Homeopathic Remedies for Bloating and Gas

Our digestive system is made up of a complex set up of organs, enzymes, secretions and much more. In order to ensure that they all function in tandem with each other so that our digestion works properly, we need to take many measures. Solid food and liquids both go hand in hand when it comes to digesting your food properly. Water is one of the main elements that one must ingest regularly during the day so that the body remains hydrated and the stool also softens. It is also a digestive aid. Yet, there are two varied schools of thought when it comes to drinking water during one s meals. While some people say that it is good, there are others who say that it should not be practiced. So let us find out whether having water during your meals is a good thing or not.

Stomach Acids: If we are to look at water during a meal from the perspective of our stomach acids, then most doctors will tell you that there is no problem in having water with your food. The main doubt here is whether or not the acidic fluid flowing through our stomach may become too diluted with the consumption of water. However, this does not happen. Various medical studies conducted by reliable hospitals and sources under a controlled environment have shown that the stomach s oH balance is not affected by the consumption of water during a meal.
Digestive Process: While the stomach acids may not suffer due to consumption of water during a meal, there are other schools of thought where people refrain from drinking water with food so that better digestion may be achieved. But this is also not entirely true. Digestion is well-known for being a complicated process where many elements need to work together for its proper functioning. This function includes a comfortable and healthy body and state of mind after one has a meal. Therefore, it is more important to have the right kind of food at the right time in a proper environment instead of rushing through one s meals and eating junk all the time.
Constipation and Overeating: Drinking water during the meal can help in curbing constipation as it helps in softening the stool. It also helps in clearing the food from the digestive track in a better and timely manner so that the toxins and stool do not remain there. This is due to the fact that drinking water during meals keeps the digestive track well-lubricated. Also, when you drink water with your meals, you tend to avoid overeating as water fills up substantial portion your stomach. Further, water has important nutrients that can suffice for your nutritional requirements along with food.

Drinking Water During Meals: Good or Bad?

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