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?

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!

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 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?

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?

If you are experiencing difficulty in breathing or rapid breathing, shortness of breath and low blood pressure, you might have been affected with acute respiratory distress syndrome or ARDS. This is a fatal lung condition in which the supply of oxygen to the lungs and into the blood gets prevented. The symptoms of this syndrome develop within two days of the illness. Here are 10 important facts about ARDS you should know about:
Because of the low level of oxygen in the blood, the organs of the body may not function properly. The kidneys and brain require constant oxygen-rich blood supply and there are chances of organ failure due to ARDS.
Commonly, people who get ARDS are already in hospital for some other health problem. People who are not hospitalised may get ARDS because of conditions such as pneumonia.
In ARDS, the tiny blood vessels of the lungs leak more fluid than usual into the air sacs of the lungs. This happens because of infections, injuries or some other condition. The lungs cannot get filled up with air and sufficient oxygen is prevented from getting pumped into the bloodstream.
Several factors also lead to ARDS. These include sepsis, severe bleeding due to any injury on the head or chest, breathing in harmful smoke, or inhaling vomited content of the stomach from the mouth.
People who are prone to ARDS have some condition that may injure their lungs directly or indirectly.
The initial symptoms of ARDS include a feeling of not getting sufficient air in the lungs, low oxygen levels in the blood and rapid breathing. The diagnosis of ARDS depends on your medical history and the results from several tests and physical examinations.
The treatment of ARDS is undertaken by oxygen therapy, medicines and fluids. A patient with ARDS is likely to develop some other health condition while in the hospital, such as lung scarring, blood clots, infections and pneumothorax.
Many people recover from ARDS completely while others keep on facing certain health problems, such as shortness of breath, muscle weakness, depression and fatigue. Problems related to memory and clear thinking are also indicated.
By improving your quality of life, you can recover from ARDS. You need the support and encouragement of your family and friends. You must avoid smoking and keep away from any kind of lung irritant.
The treatment for ARDS has showed progress in the recent years. Hence, more people are recovering from this condition. New treatment procedures are being researched on.


10 Facts About Acute Respiratory Distress Syndrome

Don't wait any longer, manage your Lung Infection online with a Lybrate doctor today

Consult for Lung Infection - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES