Tuberculosis is one of the most serious infectious diseases and can easily spread from one person to another when the virus enters the air through a sneeze or a cough. The disease is partly preventable by vaccines. It was once upon a time quite rare, but today has become quite common in urban areas. The emergence of HIV is one of the main reasons for this. HIV is an immune system disorder that weakens the body s ability to fight back against infections. With time, the virus causing the disease has evolved and become resistant to many drugs used to treat it.

Tuberculosis is also more commonly seen in slum areas of the cities. This is because of a lack of ventilation and living in close proximity that makes it easy for the disease to spread from one person to another. Limited access to safe drinking water and proper sanitation also reduces immunity and increases the risk of tuberculosis.

To control the spread of tuberculosis, it is important to treat it and keep away from other people while being treated. People also need to be made aware of the disease and its symptoms. It is important for the general public to understand that tuberculosis can be treated. They should also be informed that treatment of tuberculosis is free. As with most chronic diseases, the earlier treatment is started, the easier it is. 

Thus, if you notice any of the early symptoms of tuberculosis such as 

Weakness
Low fever 
Unexplained Weight loss
Then, you must consult a doctor immediately.

Tuberculosis can be diagnosed through a simple skin test or blood test. In terms of the skin test, the results can take up to 72 hours. It is important to note that this test is not foolproof as it can give a false positive or false negative result. For this reason, this may be followed by a blood test. Treatment for tuberculosis takes the form of oral antibiotics. The disease is no longer contagious after the medication is taken for a few weeks. 

However, taking the full course of medication is essential to stopping medication early can make the bacteria resistant to the drug. Tuberculosis caused by drug-resistant bacteria is much harder to treat.
Thus, to reduce the number of cases of tuberculosis in urban areas, people must be made aware of the disease and its treatment. Proper sanitation and ventilation in their living areas should also be provided. 

Tuberculosis - How It Is Affecting The Urban Population?

Cancer like most other diseases has the best rates of recovery with early detection and intervention. As there are no regular health screenings for blood cancer, only the awareness about the early warning signs can save your life. November is designated as the Lung Cancer Awareness Month, to ensure every individual is equipped to fight against lung cancer right from the start. Here are 4 vital facts you must know to win your fight against blood cancer.
Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.

1. Type: lung cancers can present as one of the following types: 

Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
Large cell carcinoma
Squamous cell carcinoma (SqCC) (Epidermoid)
Adenocarcinoma   accounts for majority of the NSCLC.
Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.
2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.

3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85   90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.

4. Features: Lung cancer clinically presents in the following ways mainly. Signs & symptoms of malignant mesothelioma are as enumerated below

Difficult/ labored breathing (Dyspnea)
Chest pain
Palpable chest wall mass
Discordant chest wall expansion
Weight loss (Cachexia)
Loss of appetite (Anorexia)
Night sweats
Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis

Chronic cough
Difficult/ labored breathing (Dyspnea)
Chest pain
Blood stained sputum (Hemoptysis)
Hoarseness
Weight loss (Cachexia)
Loss of appetite (Anorexia)
Weakness
Bone pain
Pleural or pericardial effusion
Superior vena cava syndrome
Brachial plexopathy
Neurologic pain
Hypercalcemia of malignancy
Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below

Symptoms as per the points 8   18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:

Fever associated with chest infections like bronchitis/ pneumonia that refuse to go away or keep coming back
Horner syndrome
Paraneoplastic syndromes including encephalitis/ sub-acute sensory neuropathy, hyponatremia, acromegaly, cancer associated retinopathy, ectopic corticotropic syndrome etc all.
5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high-risk individuals   who are either current or former smokers (quit smoking within the last 15 years) have at least a 30 pack-year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early-stage lung cancer than a chest radiograph can.

6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow-up imaging/ biopsy is always the gold standard for an accurate diagnosis. Following are the diagnostics employed mainly:

Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembryonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis if any.
Biopsy: It clinches the histologic diagnosis and the nature of the disease.
7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: Preventive measures, earlier diagnosis and right early treatment are key for effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for early-stage lung cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient s general health & vitality etc all. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.

9. Prevention: Rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality of primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high-intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. 

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

Lung Cancer Awareness Month - Lung Cancer In Nutshell!

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.

Treating the Problem:

One of the best ways to combat health issues such as problems of bronchitis may be to lead a lifestyle as healthy as possible and to make sure that bad habits such as cigarette smoking are kept at bay. Apart from lifestyle habits, if a person falls prey to acute bronchitis, it may be important to undergo treatment so that long term effects to the lungs may be avoided.

Choosing the right treatment is of essence when you need to get the best results. One of the most effective treatments in maintaining a healthy bronchial tube is to opt for homeopathic treatment. The most viable trait of the treatment is that it does not lead to affecting the other body systems in a negative manner and the results are achieved by ensuring that it remains easy on the body. The natural ingredients and components of the medicines in homeopathy do not leave the patient weak and fighting for strength. This is one of the main reasons why people today prefer homeopathy over other conventional medicines.  

Acute Bronchitis - Causes and Treatment

As much as you want to avoid, there are things you have no control over. Lung cancer (Bronchogenic Carcinomas) is one such nemesis that can throw life in shambles. The malignant tumor that originates in the lungs slowly spreads onto the other distinct and vital organs as well. Thought to be mostly affecting men who are chain smokers and into severe tobacco consumption, incidences of lung cancer in women are rising at an alarming rate over the past few years. Non-smokers may also be susceptible (to a lesser extent though) to lung cancer.

Lung cancer can be either

Non-small cell lung cancers: The NSCLC, accounting for ~85% of the lung cancer is one of the most common types of lung cancer affecting people, NSCLC may further be divided into
Adenocarcinoma: This type of NSCLC originates mostly in the peripheral regions of the lungs and may affect (spread) the lymph nodes. Non-smokers and women are mostly at the receiving end (other than the chain smokers).
Squamous Cell Carcinoma: Also known as Epidermoid Carcinoma, often affects men, epidermoid carcinoma may originate in the tissues that line the bronchial tubes. The lymph nodes are often affected by Epidermoid Carcinoma.
Large-cell Undifferentiated Carcinoma: The point of origin of large-cell undifferentiated carcinoma is the surface of the lungs. They have a higher probability of spreading to the lymph nodes.
Bronchioalveolar Carcinoma: Though rare, bronchioalveolar carcinoma originates close to the air sacs.
Small Cell Lung Cancer (SCLC, accounting for ~25% of the lung cancer): As the name suggests, SCLC is marked by the rapid proliferation of small cells into large malignant tumors. SCLC can move throughout the body (affecting vital organs).
Radiotherapy to treat Lung cancer:
Radiotherapy plays a pivotal role in the treatment of lung cancer. The radiation therapy is mainly of two types

External beam radiation therapy (EBRT)
Internal radiation therapy (Brachytherapy)
In external beam radiation therapy, high-energy rays are focused on the cancer cells (thereby resulting in the apoptosis of the cancer cells) externally, from outside the body. EBRT is particularly helpful in case of Non-small cell lung cancers.

The EBRT may be of the following types

3D-CRT (Three-dimensional conformal radiation therapy): An advanced radiation therapy, 3D-CRT accurately marks the position of the cancer cells (using advanced computers). The treatment ensures minimum damage to the other healthy cells and tissues (energy rays are directed at the affected cells from different positions).
SBRT (Stereotactic body radiation therapy): This is a radiation therapy used in the treatment of NSCLC, when it is at a nascent stage.
IMRT (Intensity modulated radiation therapy): As the name suggests, in IMRT, the intensity of the radiation reaching the normal tissues and cells can be modulated. Like 3D-CRT, the radiation in IMRT is directed from different angles (for maximum results).
Internal radiation therapy (Brachytherapy): This type of radiation therapy is generally used to deal with lung cancers that tend to block the airways. In this therapy, the radiation process is carried out through a narrow tube, thereby, shrinking and collapsing the tumor.
The effect, dosage, and duration of radiation therapy depend on the stage and severity of the condition. In some cases, radiation therapy may be given together with chemotherapy.

Radiotherapy - Is It Beneficial For Lung Cancer?

International Childhood Cancer Day is celebrated annually on 15 February to raise awareness and to express support for children and adolescents with cancer, survivors and their families.

Why is Cancer the biggest Threat to the YOUNG in India?

There are fewer Indians who have successfully battled Cancer and have emerged successful. Yuvraj Singh, the legendary cricketer, who was diagnosed with a rare cancer at 29, survived due to an early detection. Cancer cases in India are not as many as they are in the developed world. However, due to late detection the survival rate in the country is far worse. Particularly, we are losing our youth to Cancer. Most tobacco (pan masala) related cancers and child cancers go undetected until very late.

Few cancers like cervical cancer and breast cancer which affect women of any age, are curable, however, due to lack of awareness and timely screening, many Indian women succumb to these cancers. The most common sites for cancer among men are lung, prostate, colon, rectum, stomach and liver while that among women are breast, colon, rectum, lung, cervix and stomach.

In proportion to our population, we lack the right infrastructure nationwide. esp in the northern and north eastern region, there is a dearth of good cancer facilities, where radiation, care or treatment can be given. Not even one third of cancer patients are alive beyond 5 years after their diagnosis in India, and about 71% of cancer deaths occur in patients in their prime productive years   between the ages of 30 to 69 years.

 Most Indians believe that cancer is generally incurable and that it should be kept secret from neighbors and family.  -  Dr Paul Goss, MD, Harvard University.

All these factors have contributed to a very high mortality rate. No wonder Cancer is dreaded in the country. Investment, infrastructure, lifestyles as well as mindsets need to change if we were to contain the Cancer mortality rate. While you need to watch out for early signs of cancer, here are the lifestyle changes every individual esp. all youth must adopt to avoid cancer.

Avoid Tobacco - both smoking and chewing.

Reduce alcohol intake - Save your organs from deteriorating.

Limit UV ray exposure from the sun - Keeps your skin safe.

Maintain a healthy diet - Include foods rich in Vitamins, minerals and fiber which nourish your body and build immunity.

Increase your level of fitness - Maintain a good bodyweight. Additional flab invites a host of troubles, that includes variety of cancers.

Seeking regular medical checkup or screening - This is the only way to prevent and get detected early on.

International Childhood Cancer Day - Why Cancer Is A Threat For Young?

No matter how well you take care of yourself, everyone catches a cold or flu at some time or the other. That s probably the reason why it is popularly known as a  common  cold. A cold on its own does not harm the body much but it leaves you feeling weakened and suppresses the immune system. Cold is a viral infection and hence is usually unresponsive to antibiotics and other medication. However, Ayurveda can help manage a cold better and speed up the recovery process.

Cough and cold can be triggered by a number of factors including a sudden drop in temperature, exposure to dust or pollen or staying in rooms with poor ventilation. Additionally, aggravating the structure, stability, and cohesiveness of the body can also cause a cold or cough. When the food we eat is not digested properly, it turns into partly digested that triggers cold or cough when it reaches the respiratory system. Some common ayurvedic remedies for coughs and colds are:

Enhance your body heat: Keeping the body warm, especially the head, throat, chest and feet, is the first step to recovering from a cold. Drinking a cup of hot spiced tea or a glass of warm water mixed with 1 teaspoon of honey and 1 teaspoon of lemon juice, a few times a day, can also help. Spices like cumin, coriander and black pepper are considered heat generating spices and hence should be used liberally when preparing food.
Vapour therapy: To recover from a cough that is accompanied by congestion, try inhaling the hot vapours of water mixed with a little eucalyptus oil. This helps dilate the bronchial tubes and unblocks the nostrils. Inhaling the vapours of water mixed with rock salt can help relieve heaviness in the head and a mild cold. Simple hot water vapours itself can even be inhaled to relieve sinusitis pain. To benefit from vapour therapy, it is essential to sit in a room without the fan on and to cover your head and the vapour source while inhaling the steam.
Turmeric Smoke: Inhaling turmeric smoke is said to have an antiseptic effect on the lungs and respiratory tract. To benefit from this therapy burn a dried root of turmeric and inhale the smoke a few times. If you do not have access to the dried root of turmeric, place a red hot piece of charcoal with a few dried leaves in a clay pot, add a heaped spoon of turmeric powder to this and blow gently till it catches fire before inhaling the smoke.

Common Cold & Cough - Home Remedies For It!

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