Nephrotic syndrome is a type of kidney disorder wherein, the body passes out excess amount of proteins through urine, owing to the damage caused to the tiny clusters of blood vessels in the kidneys. The symptoms include putting on excessive weight as a result of fluid retention, foamy urine and severe swelling around the region of the feet, ankles and eyes.

Common causes behind it

Minimal change disease (also known as nil disease) leads to the abnormal functioning of the kidneys
Excess deposit of amyloid proteins in the organs, thus taking a toll on the filter mechanism of the kidneys.
Diabetes affecting the glomeruli (capillaries present in the nephrons of the kidneys).
Systemic lupus  erythematous causing chronic swelling of your kidney.
Membranous nephropathy wherein the membranes in your glomeruli thicken.
Infections such as malaria, hepatitis C, hepatitis B and HIV.
Medications to combat infections and nonsteroidal anti-inflammatory drugs.
Treatment Available

Kidney Biopsy is an essential part of disease assessment.
Angiotensin-converting enzyme inhibitors bring down blood pressure levels as well as the amount of protein discharged from the urine.
Water pills help control sweating, thus, increasing the fluid flushed from the kidneys.
Statins reduce cholesterol level.
Blood thinners such as anticoagulants lower the risk of blood clots.
Corticosteroids regulate the immune system and ease the inflammation that results from kidney disorders.
Incorporating certain lifestyle changes such as opting for lean proteins, cutting on the intake of fat in the diet and consuming lesser amounts of salt can treat inflammation and swelling.

Nephrotic Syndrome - 9 Surprising Causes Behind it

Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases. Emphysema and chronic bronchitis are the most common lung diseases. Emphysema gradually ruins the air sacs in your lungs, which are interfered with exhalation. The inflammation and swelling of airways in the lungs is called bronchitis, which further allows production of mucus, which leads to increased difficulty in breathing.

COPD is a case which makes it harder to breathe. The symptoms like coughing and shortness of breath are light at first. With passage of time, these symptoms worsen and make it increasingly difficult for the patient to breathe.

The patient may experience wheezing and feel heavy on the chest. Some patients suffering from COPD experience flare-ups of severe symptoms or exacerbations.
The main cause of COPD is cigarette smoking and therefore, people who are used to smoking for a longer time may suffer from this diesease. It is a disease that takes time to build up inside one s body. COPD can further cause heart problems and worsen respiratory diseases.

Severe symptoms of COPD include:

Occasional shortness of breath
Mild and reoccurring cough with mucus
Constant need to clear your throat
Noisy breathing
Frequent cold and cough
Loss of energy or feeling fatigued
Swelling of ankles, legs or feet
Sudden weight loss
Treatment of COPD
The treatment of COPD can ease its symptoms and avoid further complications. To treat COPD, one needs a skillful and experienced pulmonologist and respiratory therapist.

The medications which are preferred by the doctor are bronchodilators, which soothe the muscles of bronchial tubes, making it easier for the patient to breathe. This medicine is basically taken from inhalers. To reduce the inflammation, Glucocortico steroids are added.
Oxygen therapy is undertaken to provide oxygen to the patient through an oxygen mask or nasal prongs to ease the breathing process of the patient. A portable unit is advised, if the patient is cured at home.
Surgery is an option for severe COPD patients, which is undertaken if and only all other medications have already failed to control COPD, which can be the case in emphysema. Bullectomy is a kind of surgery in which the doctors eliminate the large bullae (air sacs) from the lungs. Volume reduction surgery is the last option for the doctor to cure a COPD patient. In this process, the damaged lung tissue is removed. The doctors go for a lung transplant in some rare cases of COPD.
The treatment for many diseases is a healthy and disciplined lifestyle. One should quit smoking and get the nutrition that their body needs. People should consult a dietician and get a healthy diet plan, and ask a doctor about the extent of exercise they should perform daily.

COPD - Can Oxygen Therapy Help Treat It?

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!

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?

Obesity doesn't happen overnight. It develops gradually over time, as a result of poor diet and lifestyle choices.

Obesity occurs when a person has too much fat stored in his/her body. This extra weight can come from body water, fat, bone and muscle. Obesity usually occurs when you consume more calories than you can burn. It is caused due to a variety of factors such as being physically inactive, eating foods containing a high fat content, overeating and genetic makeup. Obesity can have a lot of complications such as cancer, arthritis, stroke, heart diseases and diabetes.

How do people become obese?

Consuming too much calories: Nowadays people are consuming more food than they did in the previous generations. Consuming too much unhealthy calories can make people obese which may lead to a lot of complications in the future.
Leading a sedentary and unhealthy lifestyle: With the growth of technology, people have become more inactive and are leading a more sedentary lifestyle as compared to their past generations. With the advent of shopping malls and grocery outlets people don t have to walk miles for food. This also leads to an inactive lifestyle which later results in obesity.
Not getting enough sleep: According to studies, sleep deprivation may also lead to obesity. This happens due to an increased appetite because of hormonal changes. Sleep deprivation leads your body to produce less amounts of a hormone (leptin) which increases appetite.
Medications: Certain medications can also lead to rapid weight gain. In such cases, alternate therapy should be opted especially for those people who are predisposed to obesity and weight gain.
Obesity gene: According to statistics people who have the FTO gene variant in their bloodstream tend to eat more than usual. They also prefer fatty and high energy foods.
It is very difficult for obese people to reduce their weight. By changing in lifestyle like Diet, Physical activity level, water intake and sleeping pattern, if changed under supervision of specialist with dedication, discipline and faith in their dietitian, can give wonderful results for lifetime.

World Obesity Day - Why People Become Overweight?

Ayurveda is a holistic method of treatment which focuses on treating the cause of the disease rather than the symptoms. There are ayurvedic remedies, which boost the immune system that keeps the body healthy. A well-functioning immune system is essential for your body to be in optimal health.

The various ayurvedic tips that help in boosting your immune system:
1. Use spices in your food: various spices such as cumin not only add flavor, but also have certain properties which help in boosting immune system. They aid in the digestive process and allow the nutrients in the food to be absorbed more readily.
2. Choose wisely: you must eat natural foods as much as possible for a healthy immune system. Eating processed foods creates various problems in the body which reduces your immune strength. Eating natural foods also provide your body with the necessary nutrients and vitamins, which are beneficial for the body.
3. Limit alcohol intake: you should restrict alcohol consumption as it impairs the functioning of white blood cells in the body. It also impairs the oxygen delivery mechanism of the body.
4. Exercise on a regular basis: you should exercise on a regular basis to keep your body healthy. Exercises such as running improves your cardiovascular endurance and increases stamina levels in the body.
5. Sleep: you should get 6 to 8 hours of sleep to help your body recover and regenerate. Lack of sleep can impair the functioning of the immune system and makes you prone to various disorders.
6. Herbs: various herbs such as ginger, garlic and amla help to boost your immune system as they contain various medicinal properties. They increase the white blood cells in the body which enhance the immune system.
7. Meditation: meditation has been linked with lower stress levels; implying that it has a beneficial effect on your body.
8. Pranayama: you should practice pranayama as it helps in strengthening the body and calming the mind. It reduces stress in the body thus enhancing your overall well-being.




Health & Immune Development With Ayurveda

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