During breathing activity, chest wall moves out & in, lungs expand & relax. For the smooth movement of the lungs inside the chest cavity, they are lined by pleura.

Pleura includes two thin linings, the layer lining lungs is called visceral pleura and the one lining chest wall is called parietal pleura. The cavity formed between these two layers is called Pleural cavity. It contains a small amount of lubricant called Pleural fluid which helps smooth sliding of two pleural surfaces. Any condition which results in inflammation of the pleural surfaces or accumulation of excessive fluid in the pleural cavity gives rise to symptoms attributable to pleural involvement or disease.

Pleural effusion is nothing but the collection of excess fluid in the pleural cavity. Excess fluid in the pleural space is not normal and can occur due to a variety of reasons. Depending on the chemical composition it is broadly divided into two categories, transudate and exudate. 


What Causes Pleural Effusion?

1. Transudate pleural effusions 

Transudate pleural effusion is formed when fluid leaks from blood vessels into the pleural space. Chemically, transudates contain less protein and LDH than exudates. It is generally seen in the following conditions.

Congestive heart failure

Liver failure or cirrhosis

Kidney failure or nephrotic syndrome

Peritoneal dialysis

2. Exudate pleural effusions 

Exudate pleural effusion is caused by inflammation of the pleura itself and are often due to diseases involving the lung. Following are some common illnesses giving rise to exudate pleural effusion.

Tuberculosis
Pneumonia
Lung or breast cancer
Lymphoma
Pulmonary embolism
Post chest wall trauma or surgery
Asbestosis and mesothelioma
Secondary to intra-abdominal pathology 
Pancreatic pseudocyst, etc
Symptoms of Pleural Effusion -

Chest Pain: Chest pain is mainly due to irritation of the pleural lining. The pain is sharp, localized and worsens with a deep breath, yawning, coughing which is usually described as pleuritic. If the effusion causes inflammation of the diaphragm the pain may be referred to the shoulder or the upper abdomen. As the pleural effusion increases in size, the pain may increase or disappear altogether due to the separation of inflamed pleural surfaces.

Shortness of breath: As the effusion grows larger with more fluid, the harder it is for the lung to expand and the more difficult it is for the patient to breathe resulting in shortness of breath.

Other Symptoms: Other symptoms are generally attributable to the underlying disease process.

Diagnosis of Pleural Effusion -

Patient s Detailed History and Clinical Examination are the mainstays of diagnosing pleural effusion and it s the underlying cause. Following investigative modalities are generally opted for working out the final diagnosis before instituting appropriate therapy.

Chest X-ray: X-ray will help indicate the presence of fluid. 
Chest Ultrasound(USG): will help in confirming the presence of the fluid and it s localization which in turn can guide the physician about its quantity and its capability.
CT Scan: CT scan of the chest may at times be required to ascertain the underlying cause or to know about any other co-morbid conditions.
Thoracentesis: Thoracentesis is a procedure used to sample the fluid from the pleural effusion. Using a long thin needle, fluid can be removed and sent for testing to confirm the diagnosis.
This can be just for diagnostic purposes or can even be used as a therapeutic procedure.
Chemical analysis of the fluid will help determine the type of pleural effusion.
Treatment of Pleural Effusion -

Treatment of underlying Disease: The treatment of a pleural effusion usually requires that the underlying illness or disease is treated and controlled to prevent the accumulation of the pleural fluid. Like anti-TB therapy for Tubercular etiology or treatment of Cancer in malignant pleural effusion, etc.

Thoracentesis: As discussed earlier Thoracentesis can be used as a therapeutic procedure to remove excess fluid and help lung expand and function properly.

Tube thoracostomy: Thoracostomy or chest tube insertion may be done to drain and treat fluids which cannot be removed by needle aspirations, e.g. empyemas (pus collections).

Pleurodesis: Some pleural effusions reoccur multiple times; sclerosing agents that induce scarring such as talc or tetracycline was used to prevent a recurrence.

Decortication: If sclerosing agents fail, surgery may be required, called Decortication.

Pleural Effusion - What Is It?

7 anti-beauty habits that kill your looks the most!

You might be spending a lot to add to your beauty. But there are many bad habits which affect your beauty. Here is the list of the most common terrible habits which might be damaging your skin and health.

1. Squeezing pimples: when you pop a pimple, clogged pore is burst open releasing bacteria. These bacteria come in contact with your rest of the skin and increase the acne. Moreover, habit of squeezing pimples may also leave scars and pock marks. The best way to get rid of pimples is to use medicated/ antibacterial soap and let it heal itself.

2. Licking/ chewing your lips: chewing your lips make them even drier and chapped. It makes you to lick and chew your lips more often. Excessive lip biting also results into bleeding and infection. To avoid this, get yourself a good lip balm and apply regularly to moisturize and protect your lips.

3. Nail biting: nail biting result in ugly hands, fingers and nails due to cuticle biting. It can also result in infections of nails, mouth, finger and dental problems affecting your smile too. Work upon triggers to prevent these issues by yoga, manicure etc.

4. Smoking: smoking affects your skin making it dry and rough. It decreases the blood flow to the skin and damages your collagen and elastic which result into saggy and loose skin. Quit smoking.

5. Sleeping with makeup on: make up clog your skin pores and oil glands, making it difficult to breathe and prone to acne. To avoid this, spare sometime before going to sleep to cleanse your makeup and moisturize the skin well.

6. Ignoring the sunscreen: ignoring sunscreen in summer is exposing your skin to uv rays. Uv rays cause wrinkles and dry your skin giving you the older look. To protect your skin from uv rays, use sunscreen before half n hour of going out.

7. Inadequate sleep: inadequate sleep releases the stress hormone in the body. It also ages your skin by decreasing collagen from skin. Hence try getting enough sleep.

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7 Anti-Beauty Habits That Kill Your Looks the Most!

Are you looking for an ideal treatment and management for various kinds of headaches? Do you suffer from migraine headaches? You should opt for Ayurvedic treatment, which is considered to be very effective in dealing with headaches of various types.

Migraine headaches

Migraine is a form of headache that is known as Sooryavata according to Ayurvedic principles. Such headaches worsen during sunrise, peak during the afternoon and tend to reduce during evening. Migraine occurs because of an excessive stimulation of blood vessels in the brain. A person affected with migraine is likely to experience nausea and vomiting, along with a throbbing headache on one side of the head. Migraine headaches can be caused due to hormonal changes, allergy from certain food items or excess stress. Apart from regular exercises and a proper diet, the most effective Ayurvedic remedies for dealing with migraine headaches are as follows:

Shirolepa or the applications of herbal pastes on the head is effective for pacifying pitta dosha. Camphor, jatasmansi, and sandalwood are also effective.
Shiro Dhara, an Ayurvedic therapy, where a thin stream of liquid is poured over your scalp is helpful.
Taila dhara is effective for migraine headaches as well, in which oils such as chandanadi taila and ksheerabala taila are used for treatment.
Cluster headaches
Cluster headaches refer to headaches on one side of the head. It is known as Suryavartham according to Ayurveda. These consist of a series of short, but painful headaches, stretched over weeks or months together. Such headaches occur because of disruptions in the nervous system. Usually, the pain starts early in the morning in the eyes. There are several Ayurvedic remedies for the management of cluster headaches. Some of them are as follows:

Use an ointment or paste made of dried ginger and Kermpferia.
Use a paste of Indian aloe vera, asafoetida and coriander for pain relief.
Grind cumin seeds and mix it with lemon juice. Keep the mixture on the painful area of your head for quick relief.
Have coconut water.
Recurrent headaches
Any form of headache, which tends to reoccur after some time instead of ending is referred to as recurrent headache. There are several Ayurvedic remedies for the effective management of recurrent headaches. They as are as follows:

Boil one teaspoon of haritaki powder in water and drink it.
Massage your neck gently using warm calamus root oil.
Lie down with your nostrils parallel to the ceiling, and apply sesame oil in your nostrils. This is known as nasal therapy.
There are several other Ayurvedic remedies that are effective in dealing with all forms of headaches. You should consult an Ayurvedic practitioner for getting the most ideal remedy for your problem.

Migraine - How Ayurveda Can Help You Treat it!

Is your child getting exhausted after a bout of cough? Does he or she suffer from constant wheezing and tightness of the chest? Does your child feel drained out after climbing a flight of stairs? Do you know a child who always seems to run out of breath and cannot participate in school sports tournaments or play outside for a long time? The child could be suffering from asthma, which is a serious breathing problem. Most children are affected by asthma. Staying in a polluted city just makes the condition worse.

Asthma - Know the disease

Asthma is a condition that causes inflammation of the airways, known as trachea and bronchioles.
The muscles around the airways constrict and prevent the smooth flow of air.
The lining of the bronchioles swell and block the airways.
Asthma is mostly triggered by an allergic reaction.
There is a difficulty in breathing out. Exhalation of air is often accompanied by a wheezing, that is, a whistling sound.
There is a constant shortness of breath, feeling out of breath and gasping for air.
There is an uncomfortable tightness in the chest, the feeling of not breathing in enough air.
Coughing bouts in the middle of the night, that leave the child feeling exhausted and completely out of breath.
Causes of Asthma 

Asthma is mostly triggered by asthma allergens. These allergens are mostly pollens and animal fur.

Exposure to pollution, such as dust and smoke
Heredity
Obesity
History of heartburn, GERD and acid reflux
Inflammation of sinus and airways
History of bronchial disorders and pneumonia
Viral infections
Chronic rhinitis
Low immunity causing constant cold and blockage of nose
Treatments of asthma

A nebulizer that turns asthma medicine into a mist can then be inhaled easily
An inhaler can be used to take in inhaled steroids into the lungs or a bronchodilutor
Try and avoid asthma triggers and allergens as much as possible
Avoid physical stress and heat
Get sufficient rest of about 7-8 hours every day

Troubled Breathing - Can It Be a Sign of Asthma?

Ayurveda literally translates into  the science of longevity.  It not just looks at treating the symptoms of the patient, but at getting to the root of the issue for a holistic treatment. In addition to various products, yoga is an integral part of maintaining overall health in Ayurveda.

Patrons of yoga would agree that yoga has multiple benefits, not just in treating diseases, but in maintaining the overall health. The following are some of the most obvious benefits of yoga.

Weight management: Yoga normalizes body weight by multiple ways including restoring hormonal balance, reducing cortisol levels, improving depression (which can lead to binge eating), etc. Do not worry about calories not being burned during yoga. Yoga is a very good stress reliever and people who are not stressed are rarely obese.
Pain control: Whether you have a headache or back pain, knee pain or muscle pain, try specific yogasanas. There are people who would vouch for the fact that they could completely stop their pain killers with effective yoga.
Strength: Yoga makes a person strong in addition to improving flexibility. In most forms of exercises, some may give strength, others may give flexibility. But yoga is one of the few approaches, which combines the two. Range of motion of the joints is improved, healing is quicker, and ligaments and muscles are more elastic with yoga.
Brain functioning: Yoga improves memory and cognitive functioning. Because meditation and focusing on oneself is such an integral part of yoga, it promotes brain function. It improves memory, clarity of thought, attention span, and helps in decision making.
Reduces stress: By improving overall well-being, yoga is one of the best methods for stress management. This in turn leads to reduction of a host of other diseases including hypertension, diabetes, stroke, sleep disorders, etc. There is also a heightened feeling of well-being, reduced depression, better self-esteem, improved motivation, and other effects which improve overall health and happiness quotient.
Anti-degenerative effects: The body is in a constant state of degeneration and with age, this is accelerated. What yoga does is to arrest degeneration   be it the muscle mass, the skin tone, or the joint flexibility. It has a whole lot of metabolic benefits including reducing glucose, sodium, total cholesterol, triglycerides, LDL, VLDL, and catecholamines. Simultaneously, it helps by increasing HDL cholesterol, hematocrit, hemoglobin, lymphocyte count, white blood cell count, thyroxin, total serum protein, oxytocin, prolactin, and cholinesterase among others.
Restores function: For impaired body systems, whether it is nervous or digestive, musculoskeletal or neurologic, yoga does wonders.
There is no restriction on where to do yoga. Unlike gymming, swimming, or cycling, there is no definite set-up required. So, go embrace yoga and see the benefits for yourself.

Yoga - 7 Ways It Improves Your Health!

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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