The Interstitium is a network of tissues in the lungs. It supports the functioning of microscopic air sacs in the lungs, known as Alveoli. Tiny blood vessels travelling through the interstitium help in exchange of gases between blood and air. In ILD or Interstitial lung disease, this important function of the lungs is disturbed. This can lead to ILD, including Sarcoidosis.

In general, the symptoms of ILD include shortness of breath, dry and non-productive cough and unexplained weight loss.

Causes Of Interstitial Lung Disease

It is estimated that regular exposure to irritants through inhalation, at work or otherwise, can precipitate ILD. Bacteria, Viruses, and Fungi are known to cause Interstitial Pneumonias. The following irritants can cause ILD:

  Silica dust
  Asbestos
  Coal dust and other dusts, such as those inhaled during working in mines
  Talc
  Bird proteins (such as Chicken or Pigeon food)
  Grain dust inhaled from farming

Drugs such as Amiodarone, Nitrofurantoin, Bleomycin etc. may also cause Interstitial Lung Disease. However, a fair chunk of the causes of Interstitial Lung Disease are unknown.



About Sarcoidosis

In Sarcoidosis, there is growth of tiny inflammatory cells in different organs of the body, such as the Lymph nodes, Skin, Eyes and the Lungs. Lungs are the most common organs which Sarcoidosis affects.

Symptoms of ILD and Sarcoidosis

  Symptoms may include Fever, Fatigue, Shortness of breath, Weight loss, Persistent cough, Swollen lymph nodes, Chest pain, Wheezing etc.
  There may be reddish-purple bumps on shins or ankles, sores on nose, ears and cheeks, growth of nodules under the skin, etc.
  The patient may have Blurred vision, Eye pain, Severe redness and Sensitivity to light.
  A patient may also suffer from Chest pain, Shortness of breath, Fainting, fatigue, Irregular heartbeats, Palpitations, Swelling due to Accumulation of Fluid, etc.

Treatment of ILD and Sarcoidosis

  Antibiotics for Interstitial Pneumonia condition
  Corticosteroids or Immunosuppressants for skewed immune response
  Oxygen inhalation for low oxygen level in body due to ILD
  Antioxidants to reduce the rate of decline in lung function.

Sarcoidosis

  Though there is no cure for this disease, a patient may be treated through medicine if the disease starts affecting the functioning of other organs.
  The patient may be given Corticosteroids to Suppress Inflammation.
  If the condition is worse, the patient may also be given Immunosuppressants and other medicines to overcome specific organic problems.

ILD and Sarcoidosis are common diseases nowadays due to increasing pollution all around. In case of any of the symptoms of ILD and Sarcoidosis show up in a patient, it is highly recommended to get advice from an experienced Pulmonologist. The treatment is mostly antibiotic-based, and curbs the infection out of the body. The sooner the treatment can start, the better it is.

ILD And Sarcoidosis - Causes, Symptom And Treatment Of Them!

Upper respiratory infection (URI) is a condition, which involves illness, mainly caused by critical infection in the upper respiratory tract. This region includes the pharynx, larynx, nose and sinus. This infection causes diseases, such as tonsillitis (tonsils get inflamed), pharyngitis (causes sore throat) sinusitis (nasal passage becomes inflamed), laryngitis (voice box in your throat gets inflamed) and common cold.

Causes of upper respiratory infection (URI):
1. Both virus and bacteria cause upper respiratory infection (URI). The most common form of virus causing this infection is known as 'rhinovirus.'

2. The immune system of young adults and children are often very vulnerable. Hence, they are more likely to develop upper respiratory tract infection.

3. URI is also contagious and airborne in nature. So if a person comes in contact with an infected person suffering from URI, he/she is likely to develop this infection.

4. Not washing hands before meals can also cause upper respiratory infection because the virus can be transferred easily to the mouth and can travel into your system.

5. If you have any lung problem or heart disease, you are more likely to be susceptible to upper respiratory infection.

6. Those who already have inflamed tonsils can trigger tonsillitis by drinking any cold or spicy beverage like ice-creams or cold milkshakes.

7. Exposure to some flu or cold can cause pharyngitis. It can also be caused by second hand smoking.

8. Birth defects or structural defects in the nasal cavity or nasal polyps can cause sinusitis. Sometimes the inside part of the nose may get swollen due to common cold and block your ducts. This is a common cause for sinusitis.

Symptoms of acute upper respiratory infection:
1. Congestion in the lungs or nasal area.
2. Whooping cough
3. Running nose due to common cold.
4. Feelings of fatigue and lethargy throughout the day.
5. Your body will start aching without engaging in any physical exercise.
6. You can also lose consciousness in severe respiratory tract infections.
7. Difficulty in breathing.
8. Oxygen levels in blood drop down drastically.

Sometimes in worse cases, acute upper respiratory tract infection (URI) can also cause respiratory failure, respiratory arrest and congestive heart failure. Therefore, it is necessary to book an appointment with a doctor as soon as you start experiencing the above symptoms.

Acute Upper Respiratory Infection: Causes and Symptoms

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?

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 responsible for taking in and filtering out oxygen which is then supplied to the body via circulation. They are also responsible for removing the carbon dioxide from the body. This happens through breathing, and though no effort is required, when the function is impaired, the entire body system takes a toll.

Lung function can be impaired by a multitude of issues including infections like pneumonia, chronic diseases like COPD and pulmonary hypertension, heart conditions like a congestive failure, etc. While the acute cases would go off once the infection is treated, the long-term conditions are helped by physiotherapy in addition to medications.

The lungs are made up of elastic tubules and have the ability to hold secretions. Therefore training the lungs to improve their function via exercise can help improve overall lung function. Some of the routine exercises are simple ones as below.

Active breathing: The patient is taught to breathe in a more aware manner so that the lungs take in air to their maximum ability.
Postural drainage: The lungs are like containers for mucus, and over a period of time, they need to be drained. Depending on where the fluid accumulation is, the patient is taught to lie in various positions so that it can be drained, allowing for instant relief.
Nasal saline rinse: This helps in clearing the secretions and also the saline provides an antibacterial effect to clear off residual infection. Clearing sputum is highly critical for reducing chances of repeat infections and hospitalizations.
Peripheral and respiratory muscle training: Though it goes unnoticed, breathing also involves neck and shoulder muscles and strengthening these is also essential for effective breathing.
Multiple studies have shown that physiotherapy plays a vital role in lung rehabilitation. As noted above, while the benefit may be not very evident in short-term lung impairment, it makes a significant difference in long-term and chronic conditions like COPD, pulmonary hypertension, and even congestive heart failure. Lung rehab has shown to produce the following changes:

Reduce episodes of breathlessness and fatigue. A person can gradually resume his normal chores without too much assistance.
Help in clearing secretions, which can worsen congestion and breathlessness.
Increase overall quality of life. There could be even people who cannot do routine activities like walking to the bathroom. They could be benefitted with pulmonary rehabilitation.
Reduce the number of hospitalizations due to mucus accumulation and breathlessness.
Improve exercise tolerance. It is well known and proven that those who exercise on a regular basis can improve lung function over a period of time.

Lung Rehabilitation - How Physiotherapy Can Help?

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?

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