ASTHMA

It is an episodic chronic respiratory disorder in which there is airflow obstruction causing difficulty in breathing. It is a very common disorder affecting children more than adults For some, the condition is mild with infrequent episodes & for others it is a serious medical emergency-An episode may pass away quickly and may be short lasting or at times lasts longer & requires immediate medical help.

CAUSES:

Hereditary & familial tendency or history of allergy, which may be skin allergy also predisposes to asthma in the offsprings. Allergy mostly inhaled is the most common cause of asthma.

Allergens can be:

Environment - smoke, dust & pollution and petrol fumes.

Pollen and molds from grass, flowers and trees.

Strong perfumes

Paints & varnishes

Tobacco smoke

Animal dander

House dust mite

Chemical fumes

Food, which can cause allergy are:

Sour food

Citrus fruits

Cold food & drinks

Artificially colored & flavored foods

Fish

Beer, wine

Vinegar

Grapes

Canned vegetables

Infection of the lung, which can be bacterial, viral predisposes to asthma.

Emotional stress is a known trigger factor for an asthmatic attack.

Over strenuous exercise and inhalation of cold air and climatic changes are also trigger factors as are certain drugs

like NSAids(pain killers) if specific allergy to such drugs.

SYMPTOMS:

Initially there is a feeling of restlessness with a painless

tightness in the chest

There may be cough, sometimes with phlegm and a wheezing or

whistling sound when breathing

Mild to moderate shortness of breath and shortness and rapid

breathing follow with a feeling of

Anxiety, sweating and

Inability to lie down on the back. Usually the sufferer finds comfort in sitting bent forwards and near the windows.

DO'S & DONT'S:

Try to recognize the trigger factors that bring on your attack, so that you can avoid them In families with history of allergy (asthma, eczema), avoid artificial milk, eggs, cocoa, juices & wheat preparations till completion of 6 months. In such circumstances you can only breast feed till 6 months. Vegetarians need not give non veg diet.

Do breastfeed your baby for the first 6 months to strengthen the

immune system and avoid contact with allergens such as in cow's

milk

Avoid foods & drinks that are known to cause a problem such as vinegar, lemon juice, grapes, instant tea, corn syrup, fruit toppings, cold food & drink, canned vegetables, beer and wine Avoid smoke, pollution, dust as far as possible.

There are three steps to be taken when dealing with an allergy. Firstly, identify the cause or allergen Secondly, avoid it.

Thirdly, if avoidance is impossible, treat the symptoms. Keep a diary and try to trace a pattern or relation between your allergic reaction and the allergen. E.g. Sneezing while doing housework could mean you are allergic to house dust.

Take steps to deal with stress, anxiety and tension as these can

influence the frequency and severity of symptoms

Good nutrition, balanced diet, adequate rest and relaxation will be beneficial.

Yoga can help you by breathing exercises

AVOID ALLERGENS BY:

Choosing fresh unprocessed food.

Checking food labels for additives

Taking extra care like wearing gloves while using detergents and

cleaners

Clean your house, or vacuum frequently to get rid of dust mites,

animal hair, etc. Avoid carpets,and tapestry furniture at home

Keep away from pet animals

Avoid going into rooms that are being painted or just painted

Do not use strong perfumes

Vitamin B complex and magnesium supplements may help you

When traveling in polluted environment roll up car windows and

use air conditioning,

See a doctor regularly, to be monitored and seek help in case if

a severe attack

Ask your doctor regarding emergency medication to help you till

you reach him

RESPIRATORY DISORDERS

SNORING

1. Reduce body wt. if obese.

2. Avoid excessive fatigue.

3. In children enlarged tonsils and adenoids can trigger off snoring and must be removed.

4. Relieve nasal obstruction e.g. DNS, polyps.

5. Sleep on your side with as many pillows as possible.

6. Refrain from taking alcohol for at least 3 hrs. before sleep.

7. Avoid tranquilizers , sleeping tablets or eliminates before going to bed.

Uvu Palato-pharyngoplasty usually reduces or eliminates

Snoring but is less successful in obstructive sleep apnea.

Mandibular advancement devices are intraoral devices

That displace the jaw anteriorly,and increase the anteroposterior diameter of the upper airway and thus significantly reduce snoring.

Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.

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BRONCHITIS

Inflammation of the large air passages which carry air from the windpipe to lungs is known as bronchitis.

Causes:

• Smoking is the main cause.

• Allergy like – such as air pollutant.

• Infection – viral or bacterial.

• Occupation – coal miners, grain handlers, metal molders and people working with dust.

• Pre existing disease as pneumonia, emphysema etc.

Sign and symptoms:

• Cold with nasal discharge.

• Cough with yellow greenish sputum.

• Breathlessness.

• Chest pains.

• Fever with headaches and loss of appetite.

• These entire symptoms can increase in severe condition.

Dietary management:

• Avoid dairy products like milk, butter, cheese because these will increase mucus secretion in the respiratory system.

• Avoid hot spicy and highly seasoned food.

• Avoid cold food, cold drinks, ice, ice-creams and aerated drinks.

• Drink luke warm water.

• Boil a mixture of Bishops weed (Ajwain), tea leaves and water and inhale the steam, helps to decongest. Do this at least 2-3 times a day.

• Gargle with warm water, a pinch of salt and turmeric to sooth your throat.

• Have only fruits for 4-5 days later can have raw salads, vegetables and sweet fruits for next 5-6 days.

• Have hot vegetable soups.

• Have bland and boiled food.

• Include turmeric, garlic, ginger and onions in your diet but avoid if you are on homeopathic medication.

• Consume lots of vitamin C: foods of animal origin are poor in vitamin C.

– Fresh citrus fruits, green vegetables.

• Increase consumption of vitamin B:

– Milk and milk products, eggs, shrimps, crabs and lobsters.

– Lean meat especially pork, fish, dairy products, poultry, egg yolk, Liver, kidney, pancreas, yeast (Brewer's yeast).

– Carrots, bananas, avocado, raspberries, artichoke, cauliflower, soy flour, barley, cereals pasta, whole grains, barn like unpolished rice and wheat germ, dried beans, peas and soybeans.

– Green leafy vegetables, legumes, nuts, whole grain.

• Consume lots of vitamin A; it maintains the integrity of the respiratory mucosa: Liver oils of fish like cod, shark, and halibut are richest source of vitamin A.

– Animal sources: egg, milk and milk products, meat, fish, kidney and liver.

– Yellow orange colored fruits and vegetables, dark green leafy vegetables.

• Have ginger powder or fresh ginger juice in honey before retiring to bed.

• Every morning, drink boiled mixture of – ½ cup water, little ginger, 2-3 leaves of sweet basil (tulsi) and mint leaves, or you can eat the raw leaves, this will boost up you immunity.

Note:

• Avoid smoking.

• Take rest at home and keep your self warm.

• Change occupation if possible in case of miners, etc. or take precautions to prevent the particles being inhaled.

• Practice yoga, will help by breathing exercise.

• Treat the cause.

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ASTHMA

It is an episodic chronic respiratory disorder in which there is airflow obstruction causing difficulty in breathing.

Causes:

• Hereditary.

• History of allergy – skin allergy, asthmatic etc.

• Mostly inhaled allergens cause asthma.

• Allergens can be:

– Environment - smoke, dust & pollution and petrol fumes.

– Pollen and molds from grass, flowers and trees.

– Strong perfumes

– Paints & varnishes

– Tobacco smoke

– Animal dander

– House dust mite

– Chemical fumes

• Food, which can cause allergy are:

– Sour food

– Citrus fruits

– Cold food & drinks

– Artificially colored & flavored foods

– Fish

– Beer, wine

– Vinegar

– Grapes

– Canned vegetables

• Infection of lungs, bacterial or viral.

• Emotional stress

• Over strenuous exercise

• Inhalation of old air

• Climatic changes

• Allergy to certain drugs.

• Chain smoking.

Sign and symptoms:

• Initially feeling of distress and restlessness with painless tightness in the chest.

• There may be cough, sometimes with phlegm.

• A wheezing / whistling sound when breathing.

• Mild to moderate shortness of breath.

• Shortness and rapid breathing followed with a feeling of Anxiety, sweating and inability to lie down on the back.

• Usually the sufferer finds comfort in sitting bent forwards and near the windows.

Dietary management:

• Try to recognize and avoid the factors that trigger the asthmatic attacks.

• Keep a diary and try to trace a pattern or relation between your allergic reaction and the allergen.

• Families with history of allergy should avoid artificial food, eggs, cocoa, juices and wheat preparation to infants till the age of six months. Only breast feed infants for the first six months to strengthen the immune system.

• For infants born in vegetarian family, vegetarian food is preferred.

• Avoid food and drinks known to cause allergy - cow milk, vinegar, lemon juice, grapes, instant tea, corn syrup, fruit toppings, cold food and drinks, canned food, food additives, beer and wine.

• Eat balanced nutritious diet.

• Eat fresh unprocessed food.

• Consume Bitter gourd (Karela) cooked or juice, it strengthens the immunity.

• Every morning, drink boiled mixture of – ½ cup water, little ginger, 2-3 leaves of sweet basil (tulsi) and mint leaves, or you can eat the raw leaves, this will boost up you immunity.

• Boil a mixture of Bishops weed (Ajwain), tea leaves and water and inhale the steam, helps to decongest.

• Consume garlic and onions, will be beneficial, but avoid them if you are on homeopathic medicine.

• Consume lots of Vitamin B complex:

– Liver, kidney, pancreas, yeast (Brewer's yeast), lean meat especially pork, fish, dairy products, poultry, egg, shrimps, crabs and lobsters,.

– Milk and milk products, green leafy vegetables, legumes, nuts, whole grain cereals.

– Carrots, bananas, avocado, raspberries, artichoke, cauliflower, soy flour, barley, cereals, pasta, whole grains, wheat barn like rice and wheat germ, dried beans, peas and soybeans.

• Increase intake of magnesium in your diet:

– Sea food, nuts, green leafy vegetables.

– Peas, lotus stem, pulses, whole grains, fruits.

Note:

• Avoid smoke, pollution, and dust as far as possible.

• Try to reduce stress, anxiety and tension, practice yoga will help to relax and relive stress.

• Yoga will also help by breathing exercise. Breathing exercise will help better utilization of available lung space.

COMMON COLD / CORYZA

This is the most common and most frequent viral infection affecting all age groups and is highly contagious.

Causes:

• Viral infection.

• Person to person

• Inhalation of droplets from infected people through cough and sneeze.

• Cold weather and changing weather favors.

• Low resistance due to fatigue, exhaustion, loss of sleep, stress, depression.

• Unhygienic family practices.

Sign and symptoms:

• Sense of uneasiness.

• Burning sensation in nose with sneezing, nose block and clear nasal discharge.

• Headache.

• Burning and watering of eyes may be present.

• With or without fever.

• In later stage will develop hoarseness, sore throat, dry cough and yellow cloudy discharge.

• Loss of appetite.

• Lack of energy.

• Muscle pain and fever may accompany.

Dietary management:

• In case of profuse water nasal discharge fluid intake should be increased.

• Drink plenty of water, can add a pinch of turmeric and ginger powder to it.

• You can consume juices especially of citrus fruits as they have high vitamin C content – lemon, orange, sweet lime, pineapple etc.

• Consume hot soups, especially chicken soup.

• Take raw fruits and vegetables. Apple is good for cold, should consume at least one apple a day.

• Include garlic, ginger and onions in your food.

• Increase intake of vitamin A in your diet – all yellow fruits and vegetables contain Vitamin A. Meat, fish, kidney and liver, liver oils of fish like cod, shark, and halibut are richest source of vitamin A. If you are a vegetarian you can have fish liver oil supplements but because over dose can be toxic.

• Boil a mixture of Bishops weed (Ajwain), tea leaves and water and inhale the steam, helps to decongest the nose block due to cold. Should do at least three times a day.

• Drink boiled mixture of – ½ cup water, little ginger, 2-3 leaves of sweet basil (tulsi) and mint leaves, or you can eat the raw leaves, this will boost up you immunity and control your cough and cold.

• Gargle with warm water, a pinch of salt and turmeric to sooth your throat.

• Avoid milk and milk products – cottage cheese.

• Avoid spicy food, eggs, sweets and cold refrigerated drinks.

• Avoid cold drinks, cold water, ice creams and aerated drinks.

• Avoid all food with preservatives and additives.

Note:

• Avoid contact with infected people.

• Go out for a walk in fresh air.

• Do not self medicate.