People suffering from pneumonia, postoperative partial or complete collapse of the lungs, chronic respiratory conditions like Chronic Obstructive Pulmonary Disease, Cystic Fibrosis etc as well as people suffering from neuromuscular diseases can get partial relief by respiratory physiotherapy. If a person is suffering from retained secretions, increased effort to breathe or volume loss, he or she may be referred to Respiratory Physiotherapy.

Respiratory Assessment Of The Patient

A Respiratory Physiotherapist will assess the condition of the patient with the help of Respiratory Assessment or Respiratory Examination. It includes:

Auscultation and review chest X-Ray

Interpreting arterial blood gasses test and blood tests

History of present illness

History of past illnesses

Details of cough, breathlessness, sputum, chest pain  

Other symptoms like headache, fever, CO2 retention, heart failure, peripheral oedema, shivering, palpitations, weight loss, Gastrointestinal Reflux Disease, vomiting and nausea etc.

Respiratory Physiotherapy Techniques -

After the Respiratory Assessment the doctor may prescribe the following:

Breathing Exercises

Exercises like Active Cycle Of Breathing Techniques can help in clearing phlegm. Since people in respiratory distress often produce more phlegm than normal, it is essential that this excess phlegm be removed. This can help the person breathe more freely. Removing the phlegm can also help prevent infections in the chest and reduce coughing. It is a set of exercises that together help in establishing breathing control, huffing and deep breathing.

Mobilisation

Early mobilization is one of the most important aspects of chest physiotherapy. It includes positioning, active and passive turning, cycling pedals, standing, stepping etc. 

Manual Techniques

The Physiotherapist may apply pressure on the chest to facilitate airway clearance while keeping the patient in gravity assisted phlegm drainage position. 

IPPB

It employs a device that helps patients take a deep breath, cough and clear lungs. The device offers short-term and intermittent mechanical ventilation of a positive pressure set by a physiotherapist. The device pushes a mixture of oxygen through a facemask.

Suction

Here too the physiotherapist uses a device to suck out excess mucus from the chest and facilitate breathing. Here the cough is stimulated by a catheter and phlegm is sucked out using another catheter.

MHI

It is the acronym for Manual Hyperinflation. This procedure is carried out by a Respiratory Physiotherapist to give volume to partially or completely collapsed lungs.

BiPAP or CPAP

The device delivers pressurized air into the patient's airways through a facemask. The pressure of air prevents collapse of the throat muscles and reduces airway obstructions. In essence, they allow patients to breathe more freely and regularly. 

Conclusion

Right Respiratory Assessment or Respiratory Examination is crucial to applying the right physiotherapy techniques. Right techniques may help patients breathe more freely and avoid respiratory infections. 

Know More About Respiratory Examination!

When blood clot blocks one or more arteries in your lungs the condition is known as pulmonary embolism. It can cause a decrease in the oxygen levels in your blood, damage to your lungs due to sudden restrictions in the flow of blood along with adverse effects on other parts of your body. Life threatening blockage can cause death if left untreated and you should immediately contact your health care provider to get proper diagnosis. Pulmonary embolism requires various lab tests and generally requires short time to resolve.

Symptoms:
The symptoms of pulmonary embolism mainly depend upon many factors pertaining to your previous medical history. Pulmonary embolism varies with the size of your lungs, the size of the clots formed in your blood, and any other underlying history of the heart or lungs. That said, pulmonary embolism has symptoms which are not similar to any two persons and will vary accordingly.

The common symptoms however may include the following and you are advised to opt for a health checkup if these are persistent in your body:
1. Cough along with bloody sputum is a common symptom.
2. Shortness of breath, which will become worse as the days passes by. They will appear suddenly and cause huge discomfort in breathing.
3. Chest pain which may give you the feeling of a heart attack. The pain will intensify when you sit to eat or cough. Deep breath will cause problems too and will not go away easily with exertion.
4. Some other symptoms include fever, excess sweat, irregular heartbeat and dizziness.

Pulmonary embolism can be diagnosed by the following methods:
1. Electrocardiography (also known popularly as ECG) to measure your heart's electrical activity and functioning.
2. CT plumonary angiography is gold standard for diagnosing pulmonary embolism.
3. Chest x ray, which is a common and non invasive test to check your heart and lungs as well as the problems with any bones surrounding them.
4. ECHO can detect secondary changes in heart due to pulmonary embolism.

Treatment of pulmonary embolism can be done with medicines if it is detected at an early stage or also if the clot is small. However, if the size of your clot is problematic and blocks the blood flow to your lungs or heart then surgery may be necessary. Open surgery and clot removal surgery are common in the treatment of pulmonary embolism and will require good regular follow up check ups. Regular leg exercises will also reduce the chances of any underlying disease and you should hence consult your doctor.

What Is Pulmonary Embolism?

Lung diseases are some of the most common diseases suffered by human beings throughout the world. Smoking and infections are responsible for most lung diseases. The lungs perform one of the most important functions of the body. It is also one of the most active organs in the human body and hence lung problems can arise due to problems in any other part of the body. Some of the most common and infectious lung diseases are discussed below.

1. Asthma
Asthma is a common long term disease which is characterized by reversible airflow obstruction and bronchospasm. The symptoms of asthma include coughing, shortness of breath and tightness of chest. These symptoms may occur frequently during a day and depending on the person, it may become worse during night or during a certain exercise.

2. Pneumonia
Pneumonia is another common lung problem which is suffered due to inflammation in the microscopic air sacs in the lungs known as alveoli. Symptoms of pneumonia include dry cough, chest pain, breathing problem and fever. Pneumonia is caused most commonly by viruses or bacteria. It is also caused by certain medications and conditions which are popularly known as autoimmune diseases. There are a number of vaccines available to prevent certain types of pneumonia. Other methods include hand washing and refraining from smoking.

3. Tuberculosis
Tuberculosis is a very infectious disease which is caused by the bacteria mycobacterium tuberculosis. Although tuberculosis generally affects the lungs, but it has been known to affect other parts of the body as well. Symptoms of tuberculosis include cough containing sputum with blood, night sweats, fever and weight loss. Air is an active medium for spreading tuberculosis. This happens when people who already have tuberculosis sneeze, cough or speak. Infection occurs more in those who have hiv/aids or those who smoke. Prevention of tuberculosis includes staying away and keeping those who are at high risk, early detection and treatment and vaccination.

4. Mesothelioma
Mesothelioma is a type of cancer which affects the lungs. It affects the lining of the lungs and chest wall. Symptoms of mesothelioma include shortness of breath, swollen abdomen, cough, chest pain, weight loss and general lethargy. Mesothelioma is caused mainly due to exposure to asbestos. Those people who mine asbestos, produce products from asbestos, work with asbestos products are at high risk. Mesothelioma also results from genetical problems and due to infection caused by the simian virus 40.

5. Pulmonary embolism
This is a disease caused due to blockage of an artery in the lungs by a substance which has travelled from another part of the body by the bloodstream. Symptoms of this disease include chest pain, breath shortness and coughing up of blood. There may also be signs of blood clot in the legs.

Types of Lung Diseases

Lungs are part of the respiratory system, and their main job is to bring fresh air into the body and remove waste gases from the body.

What do the Lungs do?

Lungs have a basic function of maintaining the process of gaseous exchange. The blood vessels in the lungs carry oxygen (O2) in the air we breathe to the cells and exchange it for the waste gas carbon dioxide (CO2). This exchange is needed for all our body cells to live.
Lungs help to bring air we inhale to the proper body temperature and moisturizes it to the right humidity level.
By coughing, sneezing, filtering or swallowing them, lungs protect our body from infections, pollutants and other harmful substances.
Lungs also support our sense of smell.

Now that we know the major role of our lungs play in keeping us healthy, it is important that we know the ways to keep them in best of health to lead a problem-free life.

Do not smoke: Smoking increases the risk of lung cancer. Every time one smokes (cigarette, cigar, beedi) toxins like nicotine, carbon monoxide, and tar cause damage to the lungs. Over time these toxins irritate and inflame tissues leading to narrow airways which make it difficult to breathe. Smoking is also related to COPD (chronic obstructive pulmonary disease), pulmonary fibrosis and asthma. It is also advised to avoid passive smoking as it may damage the lungs as well.
Exercise more: Exercising will make the heart beat faster and lungs work harder, making them more efficient. During aerobic exercise, our breathing increases from 15 times a minute to about 40 - 60 times a minute, thus stepping up the exchange of O2 and CO2
Avoid exposure to pollutants: air pollutants can damage the lungs and accelerate aging. Reduce your exposure by avoiding:
Exercising near heavy traffic, as one tends to inhale the exhaust.
Pollutants at work by taking appropriate precautions.
Keeping indoor spaces well ventilated, clean (free from molds, dust, pet dander) and appropriately humid 30-50% relative humidity also helps.
Deep breething: Breathing deeply helps the lung to reach its full capacity.
Wash your hands regularly: Washing hands properly can help prevent a majority of infectious respiratory diseases like cold and flu.
Importance of diet in maintaining lungs health:
Eat right and keep yourself hydrated is essential for keeping your lungs healthy. Mentioned below are a few foods that are great for the lungs:

Cruciferous vegetables like cauliflower, cabbage, broccoli, kale. A review by Lam TK in 2009 stated that cruciferous vegetable intake may reduce lung cancer incidence.
Bright orange and red vegetables-like carrots, sweet potato, pumpkin, are rich in carotenoids, known to reduce the risk of developing cancer in the lungs.
Foods rich in omega-3 fatty acids have beneficial anti-inflammatory effects on human lung cells.
Spices like turmeric, ginger and garlic contain antioxidants and anti-inflammatory properties which are good for lung health.
Water keeps the blood flowing to and from the lungs. It also keeps mucous flowing and the lungs hydrated.

How You Can Keep Your Lungs Healthy?

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

The lungs are highly prone to chronic problems. Be it asthma, bronchitis or COPD, these problems require chronic treatment and the patient is always on alert. Homeopathy believes that these are just symptoms of an underlying, deep-rooted cause and addressing the root cause can help in complete cure of symptoms. By working on the underlying problem, homeopathy attempts to:

Prevent further damage to the organs; so disease progression is arrested
Reduce dependency on steroids and bronchodilators, which is very common among most people with chronic respiratory disorders
Natural and holistic treatment with minimal side effects
It is to be noted that different clinical presentations are treated with different compounds, and there are more than 25 compounds that can be used in people with chronic respiratory disorders. The doctor would choose the right compound depending on the presenting symptoms. Some of the commonly used compounds are listed below:

Bryonia: In people with dry hacking cough and rusty sputum, this is useful. The symptoms are aggravated by any sort of motion and warm temperatures.
Rumex: In people with dry/stringy cough, which is increased in cold temperatures and by talking, this medicine proves useful.
Kali Bichromicum: Where the patient has yellow, sticky mucous which is worse in the morning, this compound is effective.
Aconite: It is very useful in treating bronchitis, where there is frequent sneezing, restlessness, coryza-like symptoms or excessive perspiration. Its uniqueness is that it prevents development of a full-fledged bronchitis.
Belladonna: This is useful in patients with bronchitis who have violent fever and distressing cough that is worse with lying down and at night. The coughing spells are dry and short with irregular breathing. There is also fullness in the chest with no pain, though children might cry with this fullness. There is increased drowsiness where patients sometimes doze off into a semiconscious state.
Sulphur: It is very useful in people with chronic bronchitis, where the patient has significant rales (sounds due to air movement within the bronchi). This is accompanied by mucous that is thick and can contain pus. The patient could also suffer from bouts of suffocation.
Bacillinum: It is widely used in people who tend to catch cold easily. The mucous membranes are highly irritated and the patient feels very congested.
Other useful compounds include Phosphorus, Mercurius, Antimonium tartaricum, Rumex, Puslatilla, Ipea, Chelidonium and Sulphur. As noted, with homeopathic compounds, the right compound is determined by multiple factors including the stage at which the infection is at the time of presentation, nature of the cough, type of mucus, aggravating or relieving factors, presence of a cold, overall health status, habits, etc. The doctor will identify the right compound for you after checking these, so you are advised not to self medicate.

How To Treat Chronic Respiratory Problems With Homeopathy?

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