The tonsils are soft tissue masses which are located at the back of your throat, usually at the pharynx. The tonsils are masses which are part of the lymphatic system that helps fight infections. However, tonsils can themselves become inflamed and cause a lot of pain. Tonsillectomy is a procedure to remove the tonsils and relieve pain.

Why is tonsillectomy performed?
A few decades back, tonsillectomy was a routine surgery performed to relieve any pain within the tonsils. This method of treatment however has changed over the past few decades as pain medications for inflammation have improved vastly. However, tonsillitis is still performed in many cases wherein it tends to cause acute problems. Some of the cases it is applicable in are:

Chronic bad breath problems caused by recurrent inflammation of the tonsils
Recurrent sore throats caused by tonsillitis
It is also done along with dental surgery for correcting teeth with imperfect positioning
Abscess formation in the mouth
Upper airway being obstructed due to inflammation, thus causing difficulty with sleeping, snoring, or causing sleep apnea (irregular breathing during sleep)
Ear infections being regularly caused by inflammation of the tonsils
Other reasons why it may be recommended
Tonsillectomy may be also be recommended when there are no indications of problems but tonsillitis and other infections keep cropping up too regularly. This affects children and can make them sick or keep them in pain regularly. Some of these other indications are mentioned below:

Tonsil infections and inflammations happening too frequently within a year
Tonsillitis is caused by bacterial infection wherein the antibiotics aren t effective
Formation of pus in the form of an abscess within or around the tonsils which keep forming even after repeated drainage or administering antibiotics
Possible complications and risks
Like any other form of surgery, tonsillectomy has certain risks associated with it as well. However, these are very rare. Some of these risks and complications are mentioned as follows  

Swelling of the mouth: The tongue and the soft palate or the roof of the mouth may swell, resulting in breathing difficulties an few hours after the surgery.
Infection: As is the case with any surgery, infections may occur in rare cases, which may require further treatment.
Adverse reactions to anesthetics: Many patients exhibit an adverse reaction to anesthetics and may develop symptoms such as a headache, nausea, muscle soreness and frequent vomiting.
Bleeding during surgery or healing: Although it is rare, bleeding during and after surgery has been reported after all sorts of procedures and it may occur with tonsillectomy as well.

Tonsillectomy - When Should You Go For It?

The term asthma and bronchial asthma are often used interchangeably. Bronchial asthma refers to the chronic inflamation of the airways either due to some internal or environmental allergen. This leads to the narrowing of airways, which makes breathing difficult and blocks air from entering the lungs. Children are most affected by this condition as the immune system is still in the process of maturity and often grows out of it as they age. However, if not treated, this can lead to many complications like respiratory failure and can prove to be fatal. Asthma cases often spike in winter months and in the flowering season. It can also be triggered by second hand or passive smoke, stress, sudden unaccustomed physical exercise, food additives, dust, house mites, perfumes, certain drugs and many other allergens. A family history of asthma, allergic rhinitis, atopic dermatitis and other allergic conditions can also increase a child s risk of suffering from this condition.

Some of the most noticeable symptoms of bronchial asthma include:

1. Wheezing 
2. Shortness of breath 
3. Excessive coughing that worsens at night 
4. Tightness of the chest 
5. Lowered energy levels 
6. Rapid breathing 
7. Tiredness 
8. Indrawing of chest and lower neck

These symptoms often worsen after exercising. Lung function test and Chest X-ray are often used to confirm a diagnosis of bronchial asthma. Once diagnosis is being confirmed, it should be categorized as per severity. Your doctor may prescribe medication in the form of pills and inhalants as per the category of disease. It is important to note that these cannot cure asthma, but can help manage it. Inhalers deliver low doses of steroids directly to the lungs to reduce inflammation and other inhaled medication like Beta 2 agonist will open the airway by relaxing the muscles of airway. Children suffering from asthma must be taught how to use the inhalers and should always have it with them. In the case of school going children, their teachers should also be informed about the condition. Parents should also know how to keep it, use it and clean the device in a proper and hygienic way.

In very small kids those inhalational medication can be given by face mask and spacer, but as the age grows or in case of elder children above 6 years of age, they can directly take the medication from spacer. Those children who are already on inhalers, but still face asthma attack , for them nebuliser is the better choice to manage the emergency. It will make the liquid medicine into mist and enters into the air passage easily and work promptly.

In addition, certain lifestyle changes can also help reduce the frequency of asthmatic attacks. Avoid going outdoors on windy days or days when air pollutant level is high. Reduce the child s exposure to allergens like pet hair, dander and dust by dusting and vacuuming on a weekly basis. Avoid the use of humidifiers inside your house as moist air can promote the infestation of dust mites. Try to keep the child in a room with adequate air and sunlight. Take plenty of green leafy vegetables and fruits, which contain lots of vitamins and minerals. If possible get your child to wear cover his or her nose and mouth while in outdoors.

Childhood Asthma - 8 Signs To Look For!

Whooping Cough (another name for Pertussis) can be termed as an infection to the respiratory system caused by the bacterium Bordetella Pertussis (B. pertussis). It generally affects infants (below one year of age) and who have not yet been immunized; also kids between 11 to 18 years of age whose immunity graphs are on a downward spiral.

What are the Signs and Symptoms?
Initially, whooping cough produces signs and symptoms that may just seem to overlap with those exhibited during the average cough and cold; mild coughing, sneezing, runny nose, low fever, etc. These persist for about a week or two and then slowly, there is the onset of the dry, irritating cough which again turns to prolonged coughing spells. The child s face may seem flushed with a purple hue. The child may also vomit or make the distinctive whooping sound at the end of one such spell. Breathing difficulty can be another issue.

What is the Diagnosis?
The doctor performs an initial check-up followed by tests of mucus sample from the nose or throat. The mucus is checked for the presence of the Bordetella pertussis bacteria. To make a more thorough diagnosis, a blood test is also advisable.

What is the Treatment?
Hospitalisation might be required in case of acute distress. Respiratory support may also be provided if required. If there is intense dehydration, intravenous (IV) fluids may also be administered. As this disease is on account of a bacterial infection, antibiotics will be needed. But these will just treat the immediate effects and the cough cannot be completely done away with.
What can be the Possible Complications?

The possible immediate complications include:

Brain Damage
Pneumonia
Convulsion
Haemorrhaging in the brain
What can be the Prevention?
Vaccination is needed in order to prevent whooping cough. The vaccines are advised to be administered at the age of two months, four months and six months respectively. The 1st booster dose is to be given at 16 to 18 months age and 2nd booster dose is given on 5 year completion of age. An optional booster may be given at 10 year age.

Whooping Cough in Kids - How It Can Be Treated?

You are out in public, and a person next to you is incessantly coughing. It is natural to be worried if it is bronchitis and the possibility of you getting infected. Read on to know about the condition and if it is really contagious. Bronchial tubes are the airways in the lungs, and when they are inflamed due to an infection or an underlying medical condition, it results in bronchitis. Bronchitis can be acute or chronic and depending on the cause, may or may not be contagious.

Types of bronchitis
Chronic bronchitis occurs when the airways in the lungs get irritated again and again. Though it s a severe health condition that requires medical attention, it is not as contagious as it occurs due to the exposure to certain chemicals, dust, cigarette smoke or smoke from a fire, air pollutants that irritate the lungs.

On the other hand, acute bronchitis that usually lasts for one to three weeks is considered to be contagious because this particular type of bronchitis happens due to the flu or cold viruses. It is the infectious properties of the viruses causing it that makes it contagious.

Transmission
In the case of acute bronchitis, since it is caused mainly due to viral infections when an infected person coughs, sneezes or talks, the viruses get transmitted to others in the surrounding. Hence it can spread quickly.

Symptoms
Some of the common symptoms of acute bronchitis are a hacking cough, production of excessive mucus, shortness of breath, and feelings of discomfort in the chest. Note that as long as the infection is present, acute bronchitis remains contagious. Once the infection is gone, it is no longer contagious, though, the symptoms, like a persisting cough, may stay for several weeks afterward.

Prevention
Maintaining a healthy hygiene, such as washing hands regularly or keeping the surfaces clean, or using a handkerchief when coughing or sneezing can help in preventing the spread of the infection as well as getting affected with it. Also, taking flu vaccinations and quitting to smoke can also assist in preventing lung infections.

Treatment
For the majority cases of acute bronchitis, the condition is resolved by itself within a few weeks and antibiotics may not be an ideal treatment option if the acute bronchitis is caused by a virus. The most recommended treatment options that can quicken the recovery process are taking rest, opting for prescribed over-the-counter medications, drinking lots of fluids, inhaling the steam of hot water, whether from the shower or a bowl of hot water.

People who have asthma or chronic bronchitis sometimes may develop acute bronchitis as a result of further complications of their present lung conditions and not as a result of virus invasion. Therefore, the chances of such acute bronchitis being contagious are less than those caused by influenza viruses or bacteria.

Thus, acute bronchitis due to a viral infection is more contagious than chronic bronchitis that is due to an underlying medical condition like asthma and other lung diseases. With a few simple and effective measures, such contagious infections can be prevented.

Bronchitis - Can It Be Contagious?

The bronchial tubes (also termed as bronchi) present in the lungs play an important role in carrying the air inside and out of the lungs. In Bronchitis, the lining of this bronchial tubes gets inflamed. Chronic Bronchitis, as the name suggests is a more severe condition whereby the bronchi lining suffers a constant inflammation and irritation. In most cases, the condition is found to affect people who are into heavy smoking.

Chronic Bronchitis triggers a myriad of complications including shortness of breath, cough (often associated with the production of a large amount of mucus), tiredness and mild fever. Affect people who are smokers. Heavily and regularly exposed to pollutants like dust, asbestos, fodder, vehicle pollutants(traffic police). Early diagnosis and treatment can help in preventing many serious complications including Pneumonia. In this article, we will highlight the effective treatments and medications along with the precautions in the case of chronic bronchitis.

Treatment and Medications in the case of Chronic Bronchitis
The severity of the condition often decides the course of the treatment.

Since most people with chronic bronchitis complain of breathing problems (shortness of breath) indicative of inadequate oxygen supply, the doctor may suggest an oxygen therapy. In this therapy, oxygen gas is made available to the body to deal with the breathing problem and also to enrich the lungs with sufficient amounts of oxygen to ensure proper functioning of the body. For this oxygen therapy, tubes are fitted either in the nose or placed right in the trachea. In some cases, a face mask may also be used to deliver the oxygen inside the body.
In the case of chronic bronchitis resulting in Chronic Obstructive Pulmonary Disease or COPD (obstructive lung problem that makes breathing difficult), the mucus tends to block and obstruct the airways. Thus, the use of bronchodilators may be helpful. The bronchodilators play an instrumental role in clearing the airway of this obstruction thereby improving the breathing.
Medications such as cough suppressant may also be prescribed to provide relief from a cough.
Precautions and Self-management:
For a speedy recovery, a person should take the necessary precautions. There are certain Do's and Dont's that one should take care of in the case of chronic bronchitis.

For people with chronic bronchitis, smoking is more like a poison. Refrain from smoking during the entire course of the treatment.
Keep away from things (such as paints, pollutants, or any cleaning products with a strong odor and fumes) that can irritate your lungs. The use of a mask (whether at home or outside) is advisable.
Many people with chronic bronchitis have had significant improvement by practicing yoga.
It is also important that you keep the body well hydrated. Make sure to drink water at regular intervals.
Ensure you have a proper rest and sound sleep.
Take care of your diet. Avoid refined sugar, salty and spicy foods, foods that contain high dairy fats (ice-creams, cheese cakes, whole milk, and any foods that contain high-fat cheese).

Chronic Bronchitis - Precautions To Be Taken And Treatment!

Pulmonary hypertension is a medical condition that arises when the blood pressure remains consistently high in the vessels of the lungs. This condition can develop from a completely unrelated medical condition and is more prevalent among women. 

Pulmonary Hypertension can be a hard disease to diagnose. While it has no permanent cure, the medication depends on how far the disease has advanced. From group 1 PAH to group 5 PAH, pulmonary hypertension has 5 stages of advancement. 

Here is a list of 10 ways by which this disease can be kept under control along with the prescribed medication:

Quit smoking: Smoking aggravates pulmonary hypertension. It has adverse effects on both the heart and the lung. It is therefore of utmost importance to quit smoking. If you fail to control your urge of smoking, contact your doctor who can suggest a quitting plan.
Avoid high altitude: Patients suffering from pulmonary hypertension should avoid flying and living at high altitude. An altitude of 8000 feet and above can worsen the symptoms. It is therefore suggested that you do not take flights for travelling or come down below the altitude of 2428 meters if you are living in hilly areas.
A healthy diet: A healthy diet consisting of fresh fruit and vegetables, lean meat and whole grains should be consumed on a daily basis. A nutritious diet goes a long way in keeping pulmonary hypertension in check.
Adequate rest: A minimum of 8 hours of sleep is recommended for patients suffering from pulmonary hypertension. A good night s sleep and frequent naps keeps fatigue at bay. 
Pregnancy and birth control pills: Avoiding pregnancy is a must for patients suffering from this disease. Pregnancy can be life threatening for the both the baby and the mother. Birth control pills should be avoided as well. It greatly increases the chance of blood clots. 
Maintain a steady blood pressure: Any activities that lower the blood pressure should be avoided by all means. Spending too much time in a bathtub or prolonged stress increases the chances fainting.
Become more active: Patients of pulmonary hypertension often run out of breath with little to no activity. While activities such as weight lifting should be strictly avoided, some exercise or daily jogging can fetch good result in keeping a patient healthy.
Get vaccine on time: Doctors often suggest vaccines if the patient suffers from pneumonia or influenza. It should be ensured that such vaccines are taken on time. For patients suffering from pulmonary hypertension, prolonged exposure to diseases such as pneumonia can wreak havoc.
Regular checkup: Regular follow up with the doctor is of prime importance. Any possible side effects or deterioration can be arrested with constant supervision.
On time medication: Patients of pulmonary hypertension should ensure that all the medicines suggested by the doctor are taken at regular intervals as per prescribed dosage.

Pulmonary Hypertension - 10 Ways to Treat it 

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