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!

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!

Interstitial lung disease includes a large group of disorders like idiopathic pulmonary fibrosis, hypersensitivity pneumonitis, sarcoidosis and asbestosis. These cause progressive fibrosis or scarring of the tissues surrounding the air sacs in your lungs. The scarring causes your lungs to stiffen which makes it difficult for you to breath.

What are the symptoms to look out for?

  Dry cough
  Shortness of breath at rest or due to exertion
  Loss of weight
  Loss of appetite
  Weakness
  Chest discomfort

What are the causes?

Normally, your lungs will regenerate tissue to repair any damage. But in interstitial lung disease, the normal repair process does not occur due to injury to the lungs. The tissue around the air sacs gets scarred and thickened, causing difficulty in breathing.

Your lungs may get injured due to long-term exposure to airborne toxins and pollutants like  

  Asbestos
  Silica dust
  Coal dust
  Grain dust from framing
  Radiation
  Indoor hot tubs
  Bird and animal droppings
  Bird proteins from chicken or pigeon

Sometimes, certain drugs can cause chronic damage to your lungs, like-

  Chemotherapy drugs
  Heart medications
  Antibiotics
  Anti-inflammatory drugs

Lung disease can also be caused by autoimmune disorders like-

  Rheumatoid arthritis
  Sjogren s syndrome
  Scleroderma
  Dermatomyositis
  Polymyositis
  Mixed connective tissue disease

Why homeopathy?

Homeopathic remedies are customized according to the effects that the disease has on your body. It will relieve symptoms like sharp pain in the lungs, hemorrhaging in the capillaries and coughing with mucus. It will also slow down the progression of the disease. Homeopathy induces your immunity system to restore the damaged tissues and heal itself. There are no associated side effects of homeopathic remedies to your body. 

Homeopathic medication and therapy also help you to treat the damage from the side effects caused by conventional treatment.

If you visit a pulmonary specialist, he/she will prescribe medications like corticosteroids, medications that will slow down fibrosis and that reduce stomach acid or you might be given artificial oxygen to make breathing easier. The last option is surgery. All of these treatment options will not reverse the scarring in the lungs. In most cases, they do not stop the progression of the disease.

The life expectancy for someone with any of the types of interstitial lung diseases is 3 to 5 years. Homeopathy has proven to be a safe and effective treatment option with no side effects that can slow down the progression of your disease. It is important that you treat it early if you want to prevent severe health complications.

Interstitial Lung Disease - Why Should You Choose Homeopathy For Treating It?

Interstitial Lung Disease (ILD) is a term which is used for a large collection of disorders that can cause scarring of the lungs. The scarring gives rise to stiffness in the lungs that make it troublesome for breathing. Some of the examples of ILDs include Asbestosis, Hypersensitivity Pneumonitis, Sarcoidosis, and Idiopathic Pulmonary Fibrosis.


Causes -
ILDs could be caused by being exposed to dangerous chemicals, medical treatments, and certain medications. In nearly all cases, the result is unspecified. In several cases, it can be reduced by certain medications. Many drugs can harm the lungs, especially heart medications which are used to treat irregular heartbeats and hence might damage the lung tissue. Chemotherapy drugs that kill cancer cells, can also harm lung tissue.
Anti-inflammatory drugs and some antibiotics can also cause lung damage. The desecrate of the lung from many ILDs is progressive and irreversible which means it gets adverse over time. So, doctors often recommend lung transplant for the people having interstitial lung disease.

Symptoms -
The earliest symptoms and signs of interstitial lung disease are dry cough and shortness of breath at rest.

Risk Factors -
  Chemotherapy and Radiation: Using therapy drugs or having radiation treatments to chest makes it more likely to develop lung disease.
  Age: Interstitial lung disease affect adults more, although children and infants sometimes develop this disorder.
  Smoking: It occurs mostly in people who have a history of smoking. Active smoking might make the condition worse.
  Gastroesophageal Reflux Disease: If a person is having indigestion or uncontrolled acid reflux, he or she may be at risk of Interstitial Lung Disease (ILD).

Treatment -
The lung scarring or the lung fibrosis that occurs in interstitial lung disease cannot be changed and therapy will not every time be effective in stopping or finishing the ultimate development of the disease. Some treatments might slow the progression of this disease or improve symptoms temporarily. Others may help to improve quality of life. Many different scarring disorders have no proven therapies.

  Oxygen Therapy: Lung damage cannot be stopped by the oxygen therapy, but it can improve the sense of well-being and sleep because when sleeping, one receives more oxygen. It can also relax blood pressure in the right part of the heart. It can make breathing easier. Oxygen therapy can also lessen or prevent difficulty from low blood oxygen levels.
  Pulmonary Rehabilitation: Pulmonary rehabilitation not only improves daily functioning but also helps in live life fully to the people who are suffering from Interstitial Lung Disease. Pulmonary rehabilitation programs focus on breathing techniques which enhance lung efficiency, physical exercise to enhance endurance, nutritional counseling, and emotional support.

Take Away -
Interstitial Lung Disease (ILD) is a group of disorders that can be the cause of scarring of the lungs, which ultimately lead to lung damage. This condition affects more adults than children. The progression of this condition can be curtailed by adopting certain therapies.

What Is Interstitial Lung Disease?

When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

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?

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