Doctor in Chest Medical Centre, High Court Branch
Treatment of Sleep Disturbance
Asthma Management Program
Management of Smoking Cessation
Oxygen Therapy Treatment
Obstructive Sleep Apnea Treatment
Lower/Upper Respiratory Tract Infection Treatment
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Asthma is the most common chronic condition for women in pregnancy. While Asthma control can affect pregnancy, pregnancy too can affect Asthma. Yet while pregnancy does not beget Asthma, neither does it abate.
Nevertheless, Asthma management during pregnancy is very important. Improper Asthma management, especially in difficult Asthma, during pregnancy may imperil both the mother and the child.
Avoiding Asthma Triggers
Asthma triggers may be different for different people. In general, one or a few of the following act as Asthma triggers:
Allergens like pollen, dust mite etc.
Certain occupational exposure
Certain drugs like β‐blockers, aspirin etc.
Additives like tartrazine, monosodium glutamate etc.
Certain medical conditions like gastric reflux, rhinitis etc.
Apart from avoiding these Asthma triggers, she would also need to follow the instructions of her gynecologists. She should always be concerned that if the treatment is not working or if she is experiencing any trouble, she must consult with the gynecologists. She can also do some exercises to stay active and healthy.
However, she should always consult a doctor before doing any exercise, especially for those who have experienced Asthma attacks in the past.
Effects of Asthma on Pregnancy
Poor Asthma management and difficult Asthma before pregnancy are associated with increased risk of hypertension during pregnancy, which can beget Preeclampsia. Studies have also shown that women with Asthma tend to undergo Caesarean sections more than others. It has also been observed that Asthma may restrict the growth of the fetus leading to low birth weight.
However, this is more due to poor Asthma control such as persistent breathing difficulty or poor lung function etc., than Asthma per se.
Effects of Pregnancy on Asthma
Certain physiological factors during pregnancy do affect Asthma. In difficult Asthma, control usually deteriorates between 24 and 36 weeks of pregnancy, mainly due to poor adherence to corticosteroids. This is why pregnant women with Asthma should be monitored closely irrespective of the severity of Asthma.
Breathlessness in Pregnancy
Breathlessness during pregnancy is common. In fact, even pregnant women with no Asthma symptoms may feel breathless at times. It reflects some normal physiological and anatomical changes during pregnancy. Even anxiety may precipitate breathlessness. This indicates that pregnant women with difficult Asthma may feel breathless, not just because of Asthma, but also because of normal changes during this period. However, new incidents of Asthma can also be a cause of breathlessness.
Respiratory Distress in Pregnant Women
Respiratory distress in pregnant women may not always be due to asthma. There may be a whole host of reasons that include Anxiety, Hyperventilation, chest infection, dysfunctional breathing, pneumonia, interstitial lung disease, thromboembolic disease, amniotic fluid embolism, pneumothorax, ischemic heart disease, arrhythmias, cardiomyopathy and a variety of endocrine, hematological and renal disorders.
Preventing Respiratory Distress During Pregnancy
Apart from avoiding Asthma triggers, pregnant women with Asthma or difficult Asthma need to strictly adhere to Asthma control. This indicates that they need to adhere to their corticosteroids religiously. However, before that, they also need to make sure that the corticosteroid is safe to be taken during pregnancy.
Asthma may or may not affect pregnancy. However, it is always a great idea to go for Asthma management. This will help women deal with complications related to Asthma during pregnancy.
Apart from that, always consult a doctor before going for any medication related to Asthma control, or actual treatment of Asthma.
Tuberculosis during pregnancy is the third leading cause of maternal mortality. In fact, it is one of the most feared diseases during pregnancy for mothers as well as children. The problem with Tuberculosis during pregnancy is that it is most often not diagnosed until very late in pregnancy or until child birth. This acts as a double-edged sword since it leads to progression of the disease in the mother and transmission of the disease to the child concurrently.
The best way to prevent Tuberculosis during pregnancy is to stay away from causative factors for tuberculosis.
Tuberculosis during pregnancy can harm both the mother and the child. It can be grouped in two ways: effect on mother and effect on fetus.
Effect on Mother
Diagnosing Tuberculosis during pregnancy becomes difficult due to various changes in the body, including the immune system. Diagnosis is further vitiated due to no apparent weight loss. In fact, weight loss due to Tuberculosis is disguised by weight gain during pregnancy. However, pregnant women with Tuberculosis may experience less than normal weight gain.
Effect on Fetus
Tuberculosis during pregnancy affects the baby in different ways:
The fetus may contract the disease from the mother through the umbilical cord. This is referred to as congenital tuberculosis. The baby can contract the disease during its passage through the birth canal too. However, the symptoms of congenital Tuberculosis are often non-specific in nature. Since the mother also does not show any specific symptoms, it becomes difficult to diagnose the disease right after birth.
The child may suffer from swelling in the liver or spleen.
It may also suffer from respiratory problems, fever, etc.
How to Stay Away from Contracting Tuberculosis
The danger of contracting Tuberculosis bacteria during pregnancy is multiplied if the pregnant mother has a weak immune system. If a pregnant woman is exposed to bacteria during pregnancy, she may contract the disease. This is why pregnant women need to stay away from the disease by doing the following:
Staying away from TB infected persons around you
Stopping smoking since it enhances the risk of contracting the disease
Avoiding poor living conditions
Fighting Tuberculosis During Pregnancy
Management of Tuberculosis during pregnancy is extremely important since that can help you avoid any harm either to the mother or to the child. Though doctors would in all probability prescribe antibiotics, there are certain medicines that you need to avoid during pregnancy. Gynecologists are well aware of these drugs. Along with taking antibiotics, you also need to make sure that you:
Eat a balanced and healthy diet.
Breathe plenty of fresh air.
People might think that taking medicine for Tuberculosis can harm their unborn child. However, the untreated Tuberculosis is even more harmful for the fetus. This is why doctors may recommend some TB drugs that help prevent the child from Tuberculosis. There are many medicines available that won’t affect the child.
Eating healthy food, following proper treatment and medication, and some preventing measures will surely help the women to save the child from these conditions.
I'am 48 yrs. Male suffering from cervical spondylosis since more than 25 yrs. Plus I have been suffering from running nose, eyes & wheezing since childhood. Earlier I was told allergic asthma, 7-8 months back bronchitis was confirmed via MRI. Still at times suffer from above breathing problem. Have low bp - telma & telrose tablet with 2 times foracort inhaler. Kindly help.
I am 28 suffering from spinal tuberculosis. I want to know which food can't eat in bone tuberculosis.
Asthma is a condition that severely affects the lungs. The airways become narrow and the lungs become inflamed. Its characteristic features include bronchospasm, reversible airflow obstruction and variable and recurring symptoms such as coughing, wheezing, shortness of breath and chest tightness. This might be caused up to 2 to 3 times a day.
- Daily use of Paracetamol
- Daily use of antibiotics
- Caesarean sections
- Asthma in family
Asthma is usually triggered by:
- Tobacco Smoke
- Polluted or Poor air
- Cold Air
- Emotional Stress
Homeopathy is a system of medicine which tries to ‘cure’ this disease, instead of trying to provide symptomatic relief. While dealing with a case of asthma, a homeopath not only records the symptoms of the disease but also studies the medical history, family history, physical and psychological characteristics of a person. This helps to find the cause, the precipitating factors, and the hereditary tendency etc. Of special interest to a homeopath is the history of suppression of skin disease. Homeopaths believe that when there is a tendency or predisposition for a disease – it first manifests on the less vital organs, towards the periphery (like skin). If this manifestation is suppressed than the disease shifts inwards, towards the more vital organs (like lungs, heart, brain etc).
The fact that in children asthma is often preceded by eczema is observed by the allopaths also. This fact is written in all their textbooks of medicine. They say that children often ‘move-out’ of eczema and ‘move-into’ asthma. But they are unable to make a correlation. Homeopaths believe that the suppression of eczema with topical preparations, does not cure the disease/sensitivity of the person, it merely drives it inwards.
Now after ascertaining the symptoms and the cause, the homeopath tries to find a medicine which matches the symptoms as well as the general characteristics of the person. The medicine so selected is administered to the patient.
When a right medicine is given, the asthma disappears but the old eczema or skin rash reappears for some time, before finally disappearing itself. This reappearance of old symptoms is seen as a reversal of disease process and is considered a very good prognostic sign by homeopaths.
MEDICINES – There are lots of medicines in homeopathy for asthma symptoms and it is not possible to list them all here. Some of the common medicines are ars- alb, ipecac, lachesis, pulsatilla, spongia, sulphur, ignatia, antim-tart, hepar-sulph, nat-sulph, tuberculinum etc. The selection of medicine varies from patient to patient. Therefore, it is always recommended to consult a specialized homeopath for treating your individual case.
COPD, also known as Chronic Obstructive Pulmonary Disease is a chronic medical condition that triggers extensive damage to the lungs, interfering with its functioning. In COPD, the lungs and the air sacs or the alveoli undergo severe inflammation that gives rise to a host of complications including wheezing, shortness of breath and other related breathing troubles. While an early medical assistance is instrumental in proper management and treatment of COPD, in most cases, the associated symptoms and discomfort appear at a later stage (when the lungs have already undergone damage and inflammation). Thus, a proper awareness about COPD is necessary. In this article, we will discuss some important points related to COPD to help people understand the condition better.
While there can be a plethora of triggers, two of the medical conditions that elevate the incidence of COPD are Chronic Bronchitis and Emphysema. The bronchial tubules functions as a carrier transporting the air (oxygenated and deoxygenated) from the lungs to the different body parts and vice versa.
- In case of Chronic Bronchitis, the lining of these tubules undergo severe inflammation.
- In the case of Emphysema, the inner walls of the alveoli may rupture resulting in deleterious consequences including breathlessness.
For long people were of the opinion that COPD only affects people who smoke. However, various surveys suggest that COPD does affect non-smokers as well. While smoking does make a person more susceptible to the condition (COPD as well as Chronic Bronchitis and Emphysema), other factors such as chronic and severe neonatal lung ailments or prolonged exposure to the harmful gases and lung irritants can also act as triggers.
Though the incidences of COPD are relatively higher in people above 45 years, the young adults or the middle-aged can also be affected. Also, COPD is not limited to males and can affect females as well. Some of the symptoms associated with COPD include chest tightness, wheezing, breathlessness, chronic cough (often with mucus). These symptoms are quite similar to those of Asthma with people often confusing between the conditions. Thus, a proper diagnosis is vital. Spirometry is a lung test used in the diagnosis of COPD. This test evaluates the functioning of the lungs by measuring the amount of air inhaled and exhaled.
When we talk about the treatment or management of COPD, quitting smoking does improve the condition. For people with breathing troubles and chronic cough, the Bronchodilators (can be long-acting or short-acting Bronchodilators depending on the extent of the discomfort) comes as a great relief. The use of corticosteroids (inhaled) can go a long way to alleviate the inflammation of the airways.
In extreme cases with reduced oxygen reaching the blood, a person may need Oxygen Therapy to improve the condition. Of late the Pulmonary rehabilitation program have been benefiting people in dealing with COPD better. The program involves an amalgamation of counselling sessions to educate the people about the diet and nutrition, precautions to be followed along with some healthy lifestyle changes.