The inflammations of the lining in the bronchial tubes, which are responsible for carrying air from and to your lungs are known as bronchitis. It is a respiratory disease and more than a million cases are reported each year. Bronchitis requires medical diagnosis by your healthcare provider and can be chronic or acute. Cold or other respiratory infections can cause acute bronchitis whereas smoking leads to chronic bronchitis. Acute bronchitis usually lasts for few days but with persistent cough. Whereas, chronic bronchitis can be responsible for chronic obstructive pulmonary disease.

Symptoms of bronchitis:
The symptoms common to both acute and chronic bronchitis are given below:
1. Cough which may form mucus
2. Body aches and breathlessness
3. Headaches, blocked nose and sinuses
4. Fever with chills
5. Wheezing

The diagnosis of bronchitis is done by your doctor who will ask you about your cough. Some other questions may include your medical history, about smoking or whether you have had cases of flu or cold recently.

Treatment for bronchitis:
Your doctor will mainly recommend pain relievers and cough syrup along with warm air to breathe mainly at indoors. However your doctor may prescribe the following medications in cases of severe bronchitis:

1. Cough medicine: These medicines will help to remove mucus and irritants from your lungs. Medicines may not be able to suppress the symptoms completely but will give you relief from pain.
2. Bronchodilators: Which clears out the mucus by opening your bronchial tubes.
3. Mucolytics: These helps loosen mucus in the airways and help to cough up sputum.
4. Oxygen therapy: It will help to improve the oxygen intake when you face difficulty in breathing.
5. Therapy: Pulmonary program will include a therapist who would work to improve your breathing.
6. Medicines: Using anti inflammatory medicines to reduce damage to your lungs tissue and to also avoid chronic inflammation.

Prevention of bronchitis:

Acute and chronic bronchitis can be reduced by the following measures; however, they cannot be completely prevented:
1. Avoiding dust, smoke, and air pollution. You can always wear a mask when you are on the road or in traffic.
2. Washing your hands often to avoid germs and infections.
3. Avoiding smoking as it can cause harmful damage to your lungs.

All About Bronchitis

Tuberculosis is an opportunistic infection caused by the bacteria Mycobacterium tuberculosis. The infections occurring in people with weak immunity as compared to the people with a healthy immune system are called as opportunistic infections. As, HIV enters the human body, it replicates and weakens the immune system which in turn increases the risk of contracting Tuberculosis in people already suffering from HIV infection.

An HIV and Tuberculosis co-infection occurs when an individual has both, the HIV infection and an either latent or active TB disease simultaneously.  Each disease acts in speeding up the progress of the other, when HIV and TB infection is present together in the body. HIV infection speeds up the progression from latent to active Tuberculosis, Mycobacterium tuberculosis also accelerates the progression of replication and spread of the HIV infection.

HIV infection and Tuberculosis are totally different type of infectious diseases. HIV is a viral infection and TB is a bacterial one. An HIV infected person will not contract TB unless a contact happens with a TB infected person. TB spreads via droplet infection and is communicable. If a person lives in a country with a high prevalence rate of TB, an HIV patient is highly susceptible to contracting the infection. In the similar manner, a person suffering from TB gets infected with the HIV infection only through the blood and bodily fluids borne route, with unprotected sexual intercourse with an HIV infected individual being the most important cause.

Amongst all the other opportunistic infections, TB occurs at an earlier stage in the course of an HIV infection than most other opportunistic infections. Mortality rate in the co-infected patients is more than twice that of HIV infected individuals without a TB infection. Even if a patient is undergoing anti-retroviral therapy, the death rates remain high in co-infected individuals.The natural history and course of TB gets altered in people with an infected immune system. The damage to immunity due to HIV infection causes a drastic reduction in the pathogen killing capacity of the body. In such patients if there is no anti-retroviral treatment prescribed, then the latency period between the infection and progression of disease gets eliminated. 

An active phase of TB is observed in such individuals progressing within a short span of time, ranging from weeks to months, rather than years as it normally should be spanning. Risk of progression from a latent stage to an active stage of TB is around 10-15 times greater in an HIV infected individual as compared to the non-infected person. Such individuals also communicate the disease more rapidly to others.Pulmonary tuberculosis in an HIV infected person can present similar symptoms like that of a classic TB disease. However, a co-infection can sometimes show less presenting TB symptoms, where even the chest X-ray scans can be observed to be normal. A  subclinical  phase of Tb in co-infected patients can cause delay in the diagnosis of the symptoms and subsequently affect the prognosis due to lack of timely treatment.

Social stigma and discrimination has caused an obstacle in provision of adequate treatment for people with HIV. Proper counseling  and initiatives taken to provide indiscriminate care can aid in identification of co-infection and earlier stages. Anti-retroviral treatment teamed up with anti-tubercular drug regimen is prescribed and a successful treatment for drug sensitive cases of TB can be provided with medications for 6-8 months.

How HIV & TB  Are Related?

If you are experiencing difficulty in breathing or rapid breathing, shortness of breath and low blood pressure, you might have been affected with acute respiratory distress syndrome or ARDS. This is a fatal lung condition in which the supply of oxygen to the lungs and into the blood gets prevented. The symptoms of this syndrome develop within two days of the illness. Here are 10 important facts about ARDS you should know about:
Because of the low level of oxygen in the blood, the organs of the body may not function properly. The kidneys and brain require constant oxygen-rich blood supply and there are chances of organ failure due to ARDS.
Commonly, people who get ARDS are already in hospital for some other health problem. People who are not hospitalised may get ARDS because of conditions such as pneumonia.
In ARDS, the tiny blood vessels of the lungs leak more fluid than usual into the air sacs of the lungs. This happens because of infections, injuries or some other condition. The lungs cannot get filled up with air and sufficient oxygen is prevented from getting pumped into the bloodstream.
Several factors also lead to ARDS. These include sepsis, severe bleeding due to any injury on the head or chest, breathing in harmful smoke, or inhaling vomited content of the stomach from the mouth.
People who are prone to ARDS have some condition that may injure their lungs directly or indirectly.
The initial symptoms of ARDS include a feeling of not getting sufficient air in the lungs, low oxygen levels in the blood and rapid breathing. The diagnosis of ARDS depends on your medical history and the results from several tests and physical examinations.
The treatment of ARDS is undertaken by oxygen therapy, medicines and fluids. A patient with ARDS is likely to develop some other health condition while in the hospital, such as lung scarring, blood clots, infections and pneumothorax.
Many people recover from ARDS completely while others keep on facing certain health problems, such as shortness of breath, muscle weakness, depression and fatigue. Problems related to memory and clear thinking are also indicated.
By improving your quality of life, you can recover from ARDS. You need the support and encouragement of your family and friends. You must avoid smoking and keep away from any kind of lung irritant.
The treatment for ARDS has showed progress in the recent years. Hence, more people are recovering from this condition. New treatment procedures are being researched on.


10 Facts About Acute Respiratory Distress Syndrome

Upper respiratory infection (URI) is a condition, which involves illness, mainly caused by critical infection in the upper respiratory tract. This region includes the pharynx, larynx, nose and sinus. This infection causes diseases, such as tonsillitis (tonsils get inflamed), pharyngitis (causes sore throat) sinusitis (nasal passage becomes inflamed), laryngitis (voice box in your throat gets inflamed) and common cold.

Causes of upper respiratory infection (URI):
1. Both virus and bacteria cause upper respiratory infection (URI). The most common form of virus causing this infection is known as 'rhinovirus.'

2. The immune system of young adults and children are often very vulnerable. Hence, they are more likely to develop upper respiratory tract infection.

3. URI is also contagious and airborne in nature. So if a person comes in contact with an infected person suffering from URI, he/she is likely to develop this infection.

4. Not washing hands before meals can also cause upper respiratory infection because the virus can be transferred easily to the mouth and can travel into your system.

5. If you have any lung problem or heart disease, you are more likely to be susceptible to upper respiratory infection.

6. Those who already have inflamed tonsils can trigger tonsillitis by drinking any cold or spicy beverage like ice-creams or cold milkshakes.

7. Exposure to some flu or cold can cause pharyngitis. It can also be caused by second hand smoking.

8. Birth defects or structural defects in the nasal cavity or nasal polyps can cause sinusitis. Sometimes the inside part of the nose may get swollen due to common cold and block your ducts. This is a common cause for sinusitis.

Symptoms of acute upper respiratory infection:
1. Congestion in the lungs or nasal area.
2. Whooping cough
3. Running nose due to common cold.
4. Feelings of fatigue and lethargy throughout the day.
5. Your body will start aching without engaging in any physical exercise.
6. You can also lose consciousness in severe respiratory tract infections.
7. Difficulty in breathing.
8. Oxygen levels in blood drop down drastically.

Sometimes in worse cases, acute upper respiratory tract infection (URI) can also cause respiratory failure, respiratory arrest and congestive heart failure. Therefore, it is necessary to book an appointment with a doctor as soon as you start experiencing the above symptoms.

Acute Upper Respiratory Infection: Causes and Symptoms

Most people know all about Asthma, how dangerous it is and most importantly, with the rising levels of pollution and irritants how people are getting affected by it all over the world. Just like famous events, incidents and festivals have their special date in the calendar, May 1 apart from being the International Labour Day, holds another significant stance worldwide. As it is celebrated as the World Asthma Day. This day marks the initiation of the Asthma awareness campaign worldwide.

Understanding Asthma in brief

Asthma is a long-term respiratory condition, in which the airways of the human system may unexpectedly and suddenly narrow, often in response to an allergen, cold air, exercise or emotional stress. Common symptoms include wheezing, shortness of breath, chest tightness, and coughing.

Why is Asthma Day important?

World Asthma Day is celebrated every year on the first Tuesday of May. This year it falls on 1st May. The day is celebrated to spread awareness about Asthma and how people all over the world can spread it amongst their families. Therefore to commemorate the event and educate the students in school and parents at home, World Asthma day was commenced. The aim of this campaign is to make people understand the types of Asthma that can affect them and immediate safety tips so as to ensure that the severity of the disease can be curtailed. 

Things to keep in mind about Asthma

All over the world, there are several people who do not opt for Asthma treatment and that proves to be a fatal mistake later on in life. Chronic Asthma disease can be easily prevented by a simple treatment in the initial stages. People who suffer from Asthma often face chronic attacks if they forget to carry their inhaler and different kinds of allergies are also very fatal for asthma people.

Things that can trigger Asthma in people

Dust 
Pollens
Gastroesophageal Reflux
Pet Dander
Certain foods 
Exposure to chemicals 
Excessive physical activity 
Stress 
39-50% Of Sinusitis patients have Asthma also 
Extremely cold conditions
Signs someone is suffering from Asthma 

Persistent coughing
Difficulty in breathing
Wheezing 
Tightness in chest
Diagnosis and severity are established by a simple air blowing test known as Spirometry.

Chest X-ray and Sinus X-ray Help 
Serum IgE a blood test tells about type and severity
Severe cases may require special blood test known as Arterial Blood Gases to look at blood oxygen and carbon dioxide.

Sheet anchor of therapy is the inhaled medication to dilate airway and to reduce inflammation. The dose being in microgram dose is harmless and delivered to the site of the problem.  New drugs known as Omalizumab and Benralizumab are approved for specific nonresponding patients with severe asthma.

Prevent asthma from being harmful

Asthma is a chronic disease can stay for the rest of someone's life. So on this World Asthma Day make sure that you know how it can be treated and prevent the disease from harming someone you love. Here are some treatment tips.

First get to know more about asthma and become a partner with the doctor to carry out treatment for a long time period.

Be aware of the allergens that may trigger asthma and prevent them from coming in contact with the person.

Make sure to keep the doctor updated regarding the status of a patient's condition and for any sign of potential risk.

If a loved one is suffering then ensure that they lead their life as per the guidelines shared by the doctor, in order to prevent any risky situation. 

So here are the important things that you should be knowing about asthma. And, in case you notice any of the symptoms mentioned above, one should immediately contact their doctor. On this World Asthma Day be aware of the disease and keep the people safe who are suffering from it. Stay Healthy!

World Asthma Day - Spreading Awareness Is Important!

You must not let the cold and dry air worsen your asthma symptoms. The air that blows during winter time greatly affects people with sinus and respiratory troubles, and all these factors contribute to worsening asthma attacks. But thankfully, there are a few tips that can be followed to curb down asthma and enjoy a lovely winter.

Washing your hands: Doing this frequently with soap and water is one of the easiest and most effective ways of avoiding the spread of cold and other diseases. You must also inculcate this habit among your children, and when you are outside, you should practice using a hand sanitiser and sanitising wipes.
Getting a flu shot: The Centre for Disease Control and Prevention (CDC) advises that all people over the age of 6 months should get their dose of the annual flu shot for protecting themselves against the flu virus. This will help keep your asthma in check.
Avoid sitting by the fireplace: Though it sounds cosy, you should refrain from sitting by the fireside if you have asthma. Burning wood is quite similar to burning tobacco and it can irritate your lungs to a great extent.
Keeping your mouth closed: Though most people are taught this since they were children, they tend to forget it or ignore it. Keeping the mouth opened is more than a social disgrace, and it even affects your lungs adversely. You can wear a scarf for covering up the nose and mouth as it would help in making the air you breathe warm.
Replacing filters: The heating system of your home may be blowing out dust and debris throughout the house, particularly when you operate it after a long time in winter. Therefore, it is imperative to clean and check the condition of the filters and replace them if necessary.
Exercising indoors: The days when it is bitterly cold outside, it is recommended to exercise indoors in a fitness club or a gym instead of doing it in the open air.
Warming up before exercising: People who are affected with asthma are able to recover faster and have a greater lung function after working out when they are warmed up. Therefore, you should try to warm up for at least 15 minutes before exercising.
Preventing asthma flares: Before you head outside, take a dose of your asthma medication and your inhaler as these will help in opening the airways and give you the necessary protection.
Having an asthma action plan: Regardless of whether it is summer or winter, you should be aware of what you should be doing in times when the symptoms flare-up.
Taking your medications: Finally, you should work with your doctor towards understanding the cause and symptoms of your asthma conditions and follow his recommendations closely to avoid recurrence of such problems.
With all these tips, you can expect to spend a happy winter. But if anything goes wrong, seek medical assistance immediately.

Asthma - 10 Ways You Can Control It!

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