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!

Frequent headaches can be uncomfortable at best, and debilitating at worst. While a chronic migraine can come with a throbbing pain on one side of the head, headaches due to tension can cause mild to moderate pain on both sides. Also, daily headaches happen in at least 15 days, Hemicrania Continua is a condition that brings about constant pain, and usually happens on one side of the head. Read on to learn more about dealing with these different kinds of headaches.

1. Medical Treatment: Inflammation, infections like meningitis and brain injuries that have been proven to be traumatic should be treated with due medication after a proper consultation with a doctor. In certain cases, headaches can be caused due to brain tumours and they must be treated at once. Also, headaches that come with fever, stiff neck, confusion and constant vomiting must be treated by a doctor immediately.

2. Take an Over the Counter Drug: Taking an over the counter drug for instant pain relief can stop the pain and give temporary or long term relief, depending on the kind of headache you are experiencing. It is advisable to speak with a doctor before taking any kind of drug.

3. Find your Triggers: Find and limit your triggers like certain food types as well as stress and certain seasonal changes. Stepping out in the summer with an umbrella and avoiding caffeine or too much of chocolate and cheese can also help in alleviating the pain. Stress is also a major factor that contributes to headaches and should be avoided in order to prevent or stop the pain.

4. Drink Plenty of Water: Staying hydrated is a good way to treat headaches instantly. The consumption of water is known to soothe the pain effectively.

5. A Soothing Break: Find a quiet place with dim lighting to take a break that should ideally last at least half an hour to one hour, or even more. This will help in diminishing and removing the pain. You can also use a cold compress and get yourself a massage.

5 Ways To Deal With Headaches

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them and possibly even prevent them. The two types of migraine are- 

Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
Motor: Usually related with the movement problems like the limb weakness
Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:

Pain on both sides or one side of the head
Pain is throbbing in nature
Vomiting and nausea
Sensitivity to smells, sound and light
Vision is blurred
Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

Onset of headaches >50 years 
Thunderclap headache - subarachnoid haemorrhage 
Neurological symptoms or signs 
Meningism 
Immunosuppression or malignancy 
Red eye and haloes around lights - acute angle closure glaucoma 
Worsening symptoms 
Symptoms of temporal arteritis
These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

Migraine - Identifying the Early Signs!

Cystic fibrosis is a genetic condition, which primarily affects the lungs and persistence of this condition might lead to severe breathing problems and loss of lung function. If you have inherited two copies of the defective gene from your parents, you are likely to suffer from this disease. Cystic Fibrosis causes a buildup of thick mucus in your lungs and affects other organs such as the kidneys, pancreas and the intestines in your body.

It isn't very uncommon as one out of fifty people in Asia is a carrier of this disease. The disease gets its name from the cysts formed in the pancreas of the sufferer. However, this disease can be detected by testing the quantity of salt present in your sweat. Prenatal testing for Fibrosis is another method to test if your newborn is likely to contract a lung infection.

Complications faced due to cystic fibrosis include:
1. Serious sinus infections
2. Serious damage in lungs due to inflammation and incessant infection
3. Malnutrition
4. Complication in breaking down protein
5. Respiratory tract contamination

If you observe one or more of the following symptoms, you might be suffering from Cystic Fibrosis:
1. Salty-tasting skin
2. Bowel obstruction caused due to meconium ileus (obstruction of the bowels)
3. Mucus amiss in your alveoli
4. Persistent coughing with phlegm discharge
5. Shortness of breath while engaging in a physical task
6. Stunted or measly growth despite healthy lifestyle habits
7. Infertility in males

If you're suffering from cystic fibrosis, there isn't any particular treatment which is recommended due to the varying degrees of it found in people. However, consultation with a medical practitioner and an individualised treatment plan can help you minimise the risks and lead a better life.

Some therapies you can opt for are:
a) Airway clearance: This therapy helps sift the thick layer of mucus around your organs. Some people have also chosen to use the inflatable vest which vibrates around your chest, thereby, thinning and loosening the layer of mucus.

b) Inhaled medicines: Another breakthrough in the field of respiratory medicine, this method requires the patient to sniff a liquid consisting of mist, which is inhaled with the aid of a nebuliser. This method is known to be beneficial for opening airways.

c) Pancreatic enzyme supplements: Along with multivitamins, these specially designed supplements are known to cater to your pancreas with the much-needed nutrients and they need to be consumed with every meal.

Cystic Fibrosis: All You Need to Know

3 Foods to Avoid If You Have Hyperthyroidism

Hyperthyroidism causes the thyroid gland to produce excess hormones, which accelerates the metabolism, in turn affecting the heart, bone health, and mood. The symptoms of hyperthyroidism include increased heartbeat, insomnia, anxiety, heightened hunger, and weight loss, all of which can be controlled via medicines and a healthy diet plan.

However, there are certain foods that can worsen the condition and lead to the severity of the symptoms. These should be avoided at all costs by anyone suffering from hyperthyroidism.

- Caffeinated drinks

Caffeinated drinks can worsen hyperthyroidism symptoms by aggravating palpitations, anxiety and insomnia. These include energy drinks, coffee, black tea, alcohol, soda. It is advisable to replace these drinks with healthy herbal tea or lemon water, which are apt refreshments with multiple health benefits.

- Foods with high glycemic content

Processed refined grains lose their nutrients like vitamin B and become not only useless but harmful to the body. The high glycemic content in refined grains can cause fluctuations in your blood sugar level, which can trigger terrible mood swings. It is advised to swap these with whole grains, quinoa, oatmeal and wild rice.

- Trans fat and hydrogenated oil

Trans- fat and partially hydrogenated oil are the culprits of heart diseases. To ensure the health of your heart and reduce the chances of hyperthyroidism, it is important to minimize the consumption of all the foods that list hydrogenated oil in their ingredient list. These are cookies, margarine, cakes, donuts, French fries, crackers and many others.



3 Foods to Avoid If You Have Hyperthyroidism

The thyroid gland is an important hormone-producing gland and releases thyroxine, important for metabolism regulation. Increased or decreased amounts of it can cause symptoms starting from mood swings to altered reproduction.

One of the first symptoms of thyroid abnormalities is the presence of a thyroid nodule. These nodules can be cystic, firm, or solid depending on the underlying reason for the nodule. Hypothyroidism is more common than hyperthyroidism, and in an effort to produce more thyroxine, the gland swells producing the famous thyroid nodule. The nodule here is firm. In cases of infections, the nodules are more likely to be cystic. Cancerous thyroid nodules are hard.

In homeopathy, there is no general treatment and no specific remedies for any disease.

Rather, treatment is individualized. This means that the presentation of a disease in each patient is considered unique, and the homeopath prescribes remedies after an intimate consultation with each patient.

During the homeopathy consultation the homeopath considers more than just the symptoms of the disease. He also considers the disposition and constitution of the patient. This means that the homeopath approaches treatment by weighing the physical, mental and emotional states of the patient as well as the symptoms of the disease.

This approach leads to the prescription of a unique set of remedies for each patient. Therefore, two patients suffering from the same disease may receive two different sets of remedies from the same homeopath. Some of the proven homeopathic remedies for thyroid nodule are listed below-

Iodum: Hypothyroidism accounts for 80% of all nodules, and this is caused by iodine deficiency. Including iodine rich foods such as shellfish, iodized salt, and seafood will help compensate the reduced iodine levels in the body and improve production of thyroid.

Bromium: This gives the body the required amounts of bromium which is another nonmetal, similar to iodine. It is used to treat patients who present with symptoms of hyperthyroidism, including increased metabolic rate, heat intolerance and weight loss.

Calcarea carb: Obtained from oyster shells is useful in patients who present with symptoms of hypothyroidism. These people are depressed, nervous, fatigued with a poor body and mental response.

Lapis alba: Useful in tumours or nodules in a number of organs, it is also used when a patient presents with a thyroid nodule. It contains silico-fluoride salt of calcium and is useful in a number of cases where tumours are developing and also to resolve goitre.

Spongia: This marine creature soaks up the nutrients from under the sea and given its spongy nature, retains them for long periods. As it is rich in iodine and other nutrients, it is dried and used in powder form to treat thyroid nodules.

Lycopus: The flowering plant called bugleweed or Lycopus virginicus can be used in dried form or fresh form. Used as a tincture or a lotion, it is helpful in people who are irritable and present with respiratory problems. The nodules gradually reduce in size and the pulse and breathing improves.

Natrum muriaticum: In people with palpitations and exophthalmos, (bulging of eyes present along with swelling of the thyroid gland), who may also be very weak in appearance, Natrum can be used. If people have begun treatment with some other compound and discontinued, Natrum is indicated in these people too.

It is important to note, while these compounds are used, self-medication is not advised. Consult a specialized homeopath who will identify what will work for you, as each person requires customised treatment.

Treating Thyroid Nodules With Homeopathy

Don't wait any longer, manage your Yoga Therapist online with a Lybrate doctor today

Consult for Yoga Therapist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES