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AYURVEDIC TREATMENT for respiratory disease

Breathe a sigh of relief

Many asthma sufferers would like to reduce their dependence on their inhalers.Vicky Frost looks at the 'natural' options from herbs to breathing exercises. There are 5.2 million people in the UK currently receiving treatment for asthma, come in two types: preventers, which are taken daily to control inflammation in the airways long-term and usually contain low-dose steroids; and reliever inhalers, which instantly relax the muscles if something triggers symptoms. Most asthmatics agree it's no big deal having to take them.And yes, it's great that they work. But as with anyone with a long-term reliance on drugs, many asthmatics would like to reduce their reliance on inhalers without increasing the likelihood of a potentially dangerous attack."Lots of people are very keen to know what they can do about their asthma other than take drugs to control it," says Dr Mike Thomas, a GP. There's a large amount of information out there about "natural" treatments, from avoiding cow's milk to eating more shilitake mushrooms. But as Thomas warns: "There's a fairly low amount of evidence for many of these things because lots of the researchis based on drug treatments.It's basically much harder to fund non-drug research-but that has been increasing in the last 10 years, so the evidence is growing."

So what are the alternatives, and how effective are they?

Breathing exercises Buteyko is the best know of these-and proponents claim it can be beneficial to mathmatics (and those with emphysema or bronchitis). You normally attend a workshop, may be over a couple of days, but it isn't available on the NHS. So is it worth it? "Quite a lot of people do breathe abnormally," says Thomas. "We think breathing is instinctive, but it's very complex and need coordination of many muscle groups." Quiet breathing, when you are at rest should come from the diaphragm, with little movement of the chest. But some people will breathe largely from their chests. "If people can be encouraged to use quiet natural diaphragmatic breathing, this may led to improvements in their asthma control," says Thomas. "There are some extravagant claims made about Buteyko, but good-quality studies do show that it can help people, and mean they are less reliant on their reliever-although there's no evidence that it can cure asthma. Breathing normally is probably why it works. "But Buteyko isn't the only breathing exercise regime that might help."It could be the same with yoga- and there are some people who say that singing is very helpful,"says Thomas. A recent study published in the journal Thorax also showed success in controlling asthma with the Papworth technique a series of breathing and relaxation exercises which may reduce symptoms by as much as a third. The technique encourages breathing from the abdomen, using the diaphragm, rather than taking rapid, shallow breaths.

Diet

There is evidence to suggest that asthmatics may benefit from antioxidants such as vitamins E and C, as well as the mineral selenium, which can be found in foods such as Brazil nuts, cereals, dairy products, fish and meat. Antioxidants help combat free radicals, which are thought to damage the airways.

But Dr. Seif Shaheen, a senior lecturer in epidemiology at Imperial College and senior research fellow for Asthma UK who works in the area of asthma and diet, says: "In our selenium trial, a lot of the asthma sufferers had quite good selenium levels so extra selenium wouldn't be expected to have any benefit, but it still might have an impact for people with really low selenium. However, the test relied on people taking supplements rather than changing their diets, which might also have an effect on the results.

"To derive maximum benefit from antioxidants, they may need to be consumed in food rather than as pills, although trying to change people's diets is notoriously difficult." It might be worth eating more apples, which are a rich source of antioxidants. Research by Dr.Shaheen suggests that adults who eat two or more apples a week are almost a third less likely to have asthma than those who eat them less than once a month.

Poor diagnosis, care worrying asthmatics

Pune:Blaming the country's health ministry for not implementing asthma treatment guidelines prescribed by the Global Initiative for Asthma (Gina), Arvind Bhome, city-based chest physician and asthma expert points out that Indians spend a whopping Rs. 7,600 crore on asthma treatment every year, when the out flow should have been under Rs. 2,500 crore. He is not surprised with the CRF findings that as many as 62 percent of the 240 astma patients surveyed in Pune recently do not have their asthma under control. Quoting the 205 report of the 'National commission on macro economics and health -the economic burden of the asthma in India,' Bhome. According to Bhome, India was suffering from a triple tragedy as per as asthma was concerned: poor diagnosis, poor monitoring and poor treatment."Most general practitioners do not use simple, inexpensive asthma diagnostic equipment like peak flow meters to measure lung function in patients. Government hospitals and health programmes too, do not have this diagnostic equipment, as a result of which asthma is not detected early." Bhome was of the opinion that a strong national advocacy campaign for asthma was the need of the hour He said readers could visit the site:http//www.ginaindia.com, an Indo-Gina initiative and has a patient guide in 10 Indian languages with answers given to more than 90 frequently asked questions.

What is asthma?

Asthma:is a chronic disease that affects your airways. The airways there the tubes that carry air in and ut of your lungs. If you have asthma, the inside walls of your airways are inflamed(swollen). The inflammation makes the airways very sensitive, and they airways very sensitive, and they end to react strongly to things that you are allergic to or find irritating. When the airways react, they get narrower, and less air flows through to your lung tissue. This causes Asthma symptoms like wheezing(a whistling sound when you breathe), coughing, chest tightness, and trouble breathing, especially at night and in the early morning. It cannot be cured, but most people can control it so that they have few and infrequent symptoms.

Antibiotics linked to asthma

Pune:If you are suffering from a common clold, headache or other seasonal ailments, consuming antibiotics might make you susceptible to asthma. This, and many such surprising facts were revealed at a press conference orgainised by Cipla on the ev of World asthma day, which fails on May 6.Revealing the shocking reality, leading chest physician Nitin Abhyankar said, one out of twenty persons in Pune are affected by asthma. Besides the number of child asthmatics is twice that of adults. Conservative estimates pegchild asthmatics at 10 per cent; but the actual numbers might be many times higher, Abhyankar said.The alarming prevalence of asthma is largely attributed to rapid urbanisation and adoption of western lifestly. "As we move towards sterilised no-bacteria zones, the exposure to natural enviornment reduces to nill. The body then reacts violently to even

natural phenomena

like dust, causing asthma. 'Are we too clean for our own good?' is now a question being asked by experts globally. Over-dependence on medication is another issue that warrants serious attention, feels Abhyankar. Rushing to the doctor for every sniffle and sneeze weakens the natural immune-system of our body, making it more susceptible to diseases like asthma, he feels.Abyankar said that while asthma is reversible, it causes life-threatening, irreversible damage to the lungs, if left untreated for upto five years. Up to 10 percent of the patients from Pune are now in the irreversible zone, and the fingures are only moving upwards.Inadequate knowledge among patients as well as doctors is the major reason for this rise. Echoing this need for awareness, the theme for this year's World asthama day is"You can control your own Asthma."

Asthma suffocating Pune

Pune:Even as the world observes the 'World Asthma Day'on May 6, an astounding 62 per cent of the 240 asthma patients surveyed in Pune recently do not have their asthma under control. This was revealed to TOI by citybased Chest Research Foundation (CRF)that carried out the survey in five clinics and two leading hospitals in the city. The study, which was carried out on a cross-section of 240 asthma patients, has been submitted to the Eurpoean Respiratory Society Congress to be held in Berlin in October 2008. If that is not all, city-based asthma expert Nitin Abhyankar's recent study on 316 patients in Pune and Ahmednagar shows that poorly controlled chronic asthma led to chronic obstructive pulmonary disease(COPD) in 76 per cent of the cases. Abhyankar's report, too has been submitted for the Berlin Congress.Acording to Abhyankar, in a COPD situation, the patient severely compromises his/her life expectancy because of increasingly weak lungs. "I sincerely hope my report wakes up people and keeps them away from emergency situtations." Says Bill Brashier, leader of the CRF research team,"While the failure to take the right medicine at the right time in the right manner was the major reason for this lack of control, our study revealed that the lack of control also depended on factors beyond medicines

Myths about asthma

  • Inhalers are harmful
  • Inhaled steroids are dangerous
  • Asthma cannot be cured by allopathy
  • Inhalers are costly
  • A stethoscope can do the job of a peak flow meter

Ayurvedic cure for Asthma?

The incidence of Asthma has increased considerably because fo today's stressful living and Ayurveda holds the key to its cure,saysDr.S.S.Hiremath.Asthma is a chronic disease of the lungs, which inflames your airways(bronchi). It is characterised by

  • Shortness of Breath or difficulty in breathing.
  • A feeling of tightness or pressure in the chest.
  • Frequent upper Respiratory infection and wheezing.

In today's stressful living, the incidence of asthma has increased considerably.

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