Pulmonary Embolism is a blood clot in the Pulmonary arteries that usually travels from a deep vein in the legs to the lungs. This clot blocks the lungs and creates a life-threatening situation for the patient. With prompt medication and treatment, the risk can be mitigated. 

Symptoms 

The symptoms of Pulmonary Embolism vary with the size and position of the clot. The most common symptoms include pain in the chest and shortness of breath. The patient with Pulmonary Embolism suffers from chest pain occasionally, and it gets worse with physical activity. The pain is deep and feels like a heart attack.

The other common symptoms are: 

  Pain in legs or swelling 

  Fever 

  Irregular heartbeat 

  Fatigue 

  Feeling tired all the time 

  Coughing 

  Dizziness 

  Heartburn 

Causes 

Pulmonary Embolism is caused due to the formation of several clumps or blood clots that enter into the Pulmonary arteries. Typically, these clots are formed from the deep veins of the legs, also known as Deep Vein Thrombosis. The clots block the flow of blood in the lungs, which is fatal to the patients.

These clots gradually build up in the arteries. Some very common causes for the formation of these clots are the release of fats from the broken long bones, the tissue in the bloodstream or air bubble. 

Diagnosis 

The diagnosis of Pulmonary Embolism is difficult in patients who are already suffering from heart or lung conditions. However, doctors look for a D-dimer level in the bloodstream to determine the clots. There are various causes for a high level of D dimer, but it gives a starting point to the doctor to investigate further. 

  Blood Test: The blood test checks the level of D dimer in the blood. If the level is high, the doctor may determine the amount of oxygen level in the blood. Generally, the blood clots lower the level of oxygen in the blood. If the oxygen level is low, doctors doubt the presence of blood clots. 

  Ultrasound: The body imaging method helps doctors to check for clots in the blood without performing any operation. This non-invasive way gives the imagery of the veins. Clumps can easily be seen in the images of the Ultrasound report. 

  CT Scan: The spiral CT scan moves around the body to look for clots in the veins. It is a high-tech method through which doctors determined the number, size, and amount of blood clots in the patients. 

Takeaway 

The treatment for Pulmonary Embolism depends upon the size and number of clots in the body. If a person is already suffering from heart or lungs condition, then he/she shall be given medication accordingly. The most common treatment entails medicines, such as blood thinners, which makes the blood thinner. These medications help in dissolving the clots.

Pulmonary Embolism - How To Detect It?

Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases. Emphysema and chronic bronchitis are the most common lung diseases. Emphysema gradually ruins the air sacs in your lungs, which are interfered with exhalation. The inflammation and swelling of airways in the lungs is called bronchitis, which further allows production of mucus, which leads to increased difficulty in breathing.

COPD is a case which makes it harder to breathe. The symptoms like coughing and shortness of breath are light at first. With passage of time, these symptoms worsen and make it increasingly difficult for the patient to breathe.

The patient may experience wheezing and feel heavy on the chest. Some patients suffering from COPD experience flare-ups of severe symptoms or exacerbations.
The main cause of COPD is cigarette smoking and therefore, people who are used to smoking for a longer time may suffer from this diesease. It is a disease that takes time to build up inside one s body. COPD can further cause heart problems and worsen respiratory diseases.

Severe symptoms of COPD include:

Occasional shortness of breath
Mild and reoccurring cough with mucus
Constant need to clear your throat
Noisy breathing
Frequent cold and cough
Loss of energy or feeling fatigued
Swelling of ankles, legs or feet
Sudden weight loss
Treatment of COPD
The treatment of COPD can ease its symptoms and avoid further complications. To treat COPD, one needs a skillful and experienced pulmonologist and respiratory therapist.

The medications which are preferred by the doctor are bronchodilators, which soothe the muscles of bronchial tubes, making it easier for the patient to breathe. This medicine is basically taken from inhalers. To reduce the inflammation, Glucocortico steroids are added.
Oxygen therapy is undertaken to provide oxygen to the patient through an oxygen mask or nasal prongs to ease the breathing process of the patient. A portable unit is advised, if the patient is cured at home.
Surgery is an option for severe COPD patients, which is undertaken if and only all other medications have already failed to control COPD, which can be the case in emphysema. Bullectomy is a kind of surgery in which the doctors eliminate the large bullae (air sacs) from the lungs. Volume reduction surgery is the last option for the doctor to cure a COPD patient. In this process, the damaged lung tissue is removed. The doctors go for a lung transplant in some rare cases of COPD.
The treatment for many diseases is a healthy and disciplined lifestyle. One should quit smoking and get the nutrition that their body needs. People should consult a dietician and get a healthy diet plan, and ask a doctor about the extent of exercise they should perform daily.

COPD - Can Oxygen Therapy Help Treat It?

Pericardial effusion is the excess fluid between the heart and sac surrounding the heart. The fluid keeps the heart moving in the sac. The excess fluid can cause a problem in the workings of the heart and may lead to death. The space between two layers of sac usually contain 2-3 tablespoons of clear liquid. But pericardial effusion can affect the heart beats and make it weaker.

Causes 

The leading cause of the pericardial effusion is pericarditis. In this condition, the layered sac of the heart is inflamed due to some viral infection. This inflamed sac produces more fluid.

Some of the most common infections that cause pericarditis are: 

  Viral infection 

  Cytomegalovirus 

  Coxsackieviruses 

  Echoviruses 

  HIV 

The other causes of pericarditis and pericardial effusion are: 

  Injury in the heart or the sac 

  Cancer 

  Kidney failure 

  Tuberculosis 

  Lupus 

Symptoms 

Generally, when there is minimal or no inflammation in the sac, there are no symptoms. However, chest pain and short-breathing are the most common symptoms for pericardial effusion. 

The large pericardial effusion in the heart sac can show symptoms like: 

  Shortness of breath 

  Passing out occasionally 

  Fast heart pounding 

  Fatigue 

  Clammy skin 

In some cases, where the condition is not worse, patients may experience: 

  Fever 

  Fatigue 

  Vomiting 

  Muscle aches 

  Viral illness

Diagnosis 

The person experiencing the above-mentioned symptoms should visit a cardiologist for a checkup. The doctor may ask for following tests and checkups for determining the condition: 

  Physical Checkup: In the physical checkup, the doctor listens to the heartbeat of the patient and assess the heart beat rate. He will also ask about the family history and medication records. 

  EKG: With EKG, doctors determine the heart rate with the help of electronic devices. Electrodes are placed on the chest, and heart activity is tested. However, the presence of pericardial effusion is difficult with EKG. 

  Chest X-Ray: X-Ray is an excellent way to detect the presence of pericardial effusion in the patient. The enlarged portion is detected in the image. Once an enlarged sac is detected, doctors order the echocardiogram test. It is an Ultrasound for the heart and gives a clear picture of the patient&#39;s heart condition. Once it is determined that the patient has pericardial effusion, the doctor determines the size of the enlarged sac and quantity of liquid in it. Most of the time, pericardial effusion is small and not severe. But if the size and quantity of the liquid are high, the doctor determines the condition of the heart and the ability to pump the blood. The doctor may also take a sample of the fluid from the sac to determine the exact cause for inflammation. 

Take Away 

Pericardial Effusion is a condition in which fluid is accumulated between the heart and sac surrounding the heart. Though the problem is not severe, it is advisable to consult a doctor.

Pericarditis / Pericardial Effusion - Know More About It!

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?

When you suffer from dry, chronic cough along with shortness of breath, it is normal to get worried and annoyed. You will want to know the cause and the cure. Note that it might be due to a condition called the interstitial lung disease.

Including almost more than 200 different lung conditions, interstitial lung disease refers to the inflammation and scarring caused in the lungs, which leads to less oxygen entering the blood. Mainly affecting the interstitial part of the anatomic structure of the lungs, which is responsible for the oxygen flow into the blood, interstitial lung disease can damage other parts of the lungs too, such as the lung lining, the airways or the blood vessels. The following is a brief account of the types, causes, symptoms, and treatment of ILD.

Types
Interstitial lung disease can be of various kinds, though all of them leads to the thickening of the lung s interstitial part. Some of the types of ILD are 

Nonspecific interstitial pneumonitis
Idiopathic pulmonary fibrosis
Acute interstitial pneumonitis
 Hypersensitivity pneumonitis
Asbestosis
Sarcoidosis
Cryptogenic organizing pneumonia or COP, etc. 
While some of the ILD types are short lived, some are irreversible and chronic.

The primary causes of interstitial lung disease are viruses, fungi, and bacteria. Regular exposure to inhalable irritants such as talc, silica dust, asbestos, coal dust or any other kind of metal dust, bird proteins of pigeons, chickens or any exotic birds, grain dust, etc. can also cause interstitial lung disease. Though rare, sometimes it is the intake of particular drugs that may cause ILD. For the majority of interstitial lung diseases, the exact cause is not always known.

Both men and women of any age can develop this disease, and it is more common in people with rheumatoid arthritis, lupus, scleroderma, and autoimmune disease. Some of the primary symptoms and signs of interstitial lung disease are nonproductive dry cough, shortness of breath, and considerable weight loss. While for some types of ILDs the symptoms develop slowly and gradually over months, for others, such as the acute interstitial pneumonitis or interstitial pneumonia, the symptoms develop more rapidly, within days or a few hours.

For identifying the presence of ILD, doctors usually rely upon chest X-ray, CT scan or computed tomography, pulmonary function testing, high-resolution CT scan, and lung biopsy. In case no apparent cause behind the disease is found from the tests, a patient's history of being exposed to certain chemical environments is then taken into consideration.

Depending on the type and severity of the disease the treatment options vary from one to another. While for some taking prescribed drugs can offer a solution to prevent the lungs from deteriorating further, for some a complete lung transplant may become the only solution. Treatments like pulmonary rehabilitation and oxygen therapy can also be ideal, based on the condition of the lungs.

Thus, if one is constantly exposed to lung irritants and experiences the symptoms of interstitial lung disease for more than eight weeks, he/she must seek the advice of a pulmonologist without delay as the condition may lead to severe complications when left untreated.

Interstitial Lung Disease - Understanding Its Types!

The festival of Diwali is greeted with great pomp and splendour and along with the regular festivities, the pollution levels in the air also rise due to the ritual of bursting fire crackers. In an analysis, the rise of harmful pollutants such as sulphur dioxide and nitrogen dioxide seemed to reveal a disturbing outcome.

The rise in pollution during Diwali affects you in the following ways:

The PM (particulate matter which is smaller than 2.5mm) enters your lungs and bloodstream and has several health impacts including chronic respiratory symptoms such as painful breathing and shortness of breath which might cause premature death.
High sulphur dioxide levels in the air during Diwali also lead to inflammation of air passages and causes complications in respiration.
A compound called  strontium  found in the atmosphere multiplies by 120 times during the festival and causes bone damage and blood clotting ailments.
Firecrackers contain heavy metals which are toxic to the human body and the amount of magnesium in the air goes up by 22x, which poses a significant threat to all forms of life.
The noise pollution also rises during the festival and in extreme cases, can permanently damage one s hearing.
However, there are a few measures you can undertake to steer clear of the excessive pollutants present in the air:

Limit the amount of time you spend outdoors even while exercising. This is because the air remains contaminated, days after all the festivities get over and the pollutants take a very long time to dissipate.
Even on the road, drive with the windows of your car rolled up to avoid intake of adulterated air and use a face mask if you are a two-wheeler rider.
Plant a lot of green plants inside your house as they purify the air you are breathing and ensure a supply of fresh oxygen.
Install an air purifier in the room to make sure you breathe in fresh, uncontaminated oxygen when you sleep. The air purifier will also help in lessening your respiratory complications.
Also, in case you notice any respiratory or breathing problem, it is advisable that you consult a pulmonologist, to rule out serious health issues. 

Diwali - How the Rise in Pollution Level Affects Your Health?

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