- signs and symptoms of infection
- pathology of lung disease, proper nutrition
- energy conservation
- relaxation training
- breathing retraining and secretions management
- oxygen delivery systems
- travel and environmental issues
Lung Disease and Respiratory System
1 AnswerLyall Gorenstein, Cardiothoracic Surgery, answered on behalf of Columbia University Department of SurgeryRehabilitation programs for lung diseases help you achieve optimal physical functioning and improved quality of life, with an emphasis on collaborative self management of your disease. Education programs provide you with information on:
2 AnswersBrian Gelbman, MD, Pulmonary & Respiratory Medicine, answered
Asthma is a long-term, chronic condition, whereas bronchitis is an isolated incident occurring in response to acute infection and will most likely resolve on it's own. Watch pulmonologist Brian Gelbman, MD, explain the difference in these conditions.
1 AnswerMichael Roizen, MD, Internal Medicine, answeredEpiglottitis is a whopping bacterial infection that comes out firing all guns. You'll have a very sick-looking kid with a high fever sitting forward in what we call tripod position -- leaning forward with his body, both hands leaning on a table or bed in front of him -- looking anxious because somehow, intuitively, he knows his airway might close at any second. This happens when the epiglottis, the part of the throat that closes when you swallow so food doesn't get into your lungs, becomes infected. If he looks like this, get him to a pediatric emergency room immediately. Epiglottitis is life threatening, which is why we strongly recommend the Hib (Haemophilus influenzae type b) vaccine, which protects against its most severe varieties.
Find out more about this book:YOU: Raising Your Child: The Owner's Manual from First Breath to First Grade
1 AnswerLyall Gorenstein, Cardiothoracic Surgery, answered on behalf of Columbia University Department of SurgeryThe diagnosis of interstitial lung, can often be made with a high resolution CT scan. In some instances a biopsy is required. The diagnosis of ILD has become significantly more accurate as a result of thoracoscopy, a minimal access procedure utilizing small incisions and video-endoscopic instruments rather than traditional invasive methods to view the chest. Multiple areas of the lung can be biopsed and scanned to determine the presence of this disorder without the need for a large incision.
1 AnswerLyall Gorenstein, Cardiothoracic Surgery, answered on behalf of Columbia University Department of SurgeryA lung resection is a surgical procedure to remove a damaged or diseased portion of a lung, or a whole lung. Common reasons for undergoing a lung resection include cancer of the lung, metastatic cancer from other areas, emphysema, and some forms of tuberculosis. Lung resection surgery offers the best opportunity for curing lung cancer when the disease is caught in its early stages.
See your doctor to evaluate coughs that won't go away or get worse after a respiratory illness. Don't expect antibiotics, but know there are other treatment options. After many upper respiratory viruses, coughs will linger, sometimes for up to six weeks. A cough that is not managed with over-the-counter medicines should be addressed by your physician. Coughing all day long at school or work (or keeping up your spouse with coughing all night) is not a good plan.
What can your doctor do? First of all, he or she needs to rule out any secondary infection such as a pneumonia. More commonly, you may have developed some over reactive airways and may benefit from some inhalers or other asthma-style of medicines. A prescription cough syrup used at night may help with the nighttime exacerbations, and your doctor can remind you of some traditional home remedies such as cool mist humidifiers that may help.
Finally, sometimes a cough comes from other sources, such as acid reflux or sinus drainage, which require different treatments.
2 AnswersUltimately, going to a lower elevation will relieve symptoms of altitude sickness. Rest and hydration will alleviate most mild symptoms. For persistent or worsening symptoms of altitude sickness, head to a clinic for possible oxygen and medications.
You can prevent altitude sickness by staying hydrated and avoiding diuretics like caffeine and alcohol, especially the first few days at high elevation. If possible, ascend slowly to the higher elevation. Driving up to the mountains is lower risk than flying.
If you have had altitude sickness previously, see your doctor and consider prophylactic medications, such as acetazolamide or steroids.
In a child who is ill, a barky cough is usually caused by one of 5 common cold viruses. If the illness is severe enough to cause noisy breathing or any respiratory distress, it is often referred to as “croup”, even though croup is more of a “symptom” than an illness. If your child has a barky cough and extra effort breathing or noisy breathing, we’d recommend seeing your doctor today.
1 AnswerJacob Teitelbaum, Integrative Medicine, answered
Panic attacks and hyperventilation are two common medical problems. Although you may have an idea of what a panic attack feels like, hyperventilation can include many other feelings. These include lightheadedness, a spacey and disembodied feeling, chest pain, the feeling that you are unable to take a deep-enough breath despite taking a full breath (this is the hallmark of hyperventilation), numbness and tingling in the fingers and especially around the mouth, and, when the attack is more severe, the feeling of impending death.
I remember the first time I saw a full-blown hyperventilation attack. I was carrying the code-blue beeper in the hospital (code blue is the term that hospital’s use when someone’s heart is about to stop or has stopped) and I was called to the emergency room. The patient’s pulse was over 200 beats per minute and she looked like she was about to die. We prepared to do CPR, but the arterial blood gas results came back and showed that the person was only hyperventilating. Even though these attacks are not dangerous, they can be very uncomfortable.