Pulmonology focuses on diagnosing and treating lung and airway conditions such as asthma, COPD, and pneumonia, as well as overall respiratory health.
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Smoking cessation is the single most effective, disease-modifying intervention for chronic bronchitis. It is the only measure proven to alter the natural history of the disease and slow the accelerated rate of lung function decline. At Liv Hospital, we treat tobacco dependence as a chronic, relapsing medical condition, not a lifestyle choice.
Bronchodilators relax the smooth muscle tone of the airways, reducing hyperinflation and improving emptying.
ICS use in chronic bronchitis is specific and targeted. Unlike in asthma, they are not for everyone. They are indicated for patients with a history of frequent exacerbations (≥2 per year or one leading to hospitalization) despite optimal bronchodilator therapy, or those with high blood eosinophil counts (>300 cells/µL).
Roflumilast is a specialized oral anti-inflammatory drug targeting the PDE4 enzyme. It is specifically indicated for patients with severe COPD associated with chronic bronchitis (productive cough) and a history of frequent exacerbations. It works by reducing neutrophilic inflammation and has been shown to improve lung function and reduce flare-ups. However, side effects like nausea, diarrhea, and weight loss can limit its use.
Managing the “mucus load” is critical for symptom relief and infection prevention.
Active Cycle of Breathing: Specialized breathing techniques taught by physiotherapists help mobilize secretions from the deep lung to the central airways.
Pulmonary Rehabilitation is a comprehensive, multidisciplinary intervention that is as effective as medication. It breaks the “spiral of deconditioning,” in which dyspnea leads to inactivity, which leads to muscle weakness, which, in turn, worsens dyspnea.
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Steroid residue left in the mouth can suppress the local immune system, allowing a fungal infection called thrush (candida) to grow; rinsing and spitting prevents this.
No, taking daily antibiotics (other than specific protocols like Azithromycin) breeds dangerous, drug-resistant bacteria that are much harder to treat when you do get sick.
It’s a vicious cycle where breathlessness makes you avoid activity, which makes your muscles weak, which makes you more breathless with even less activity. Pulmonary rehab breaks this cycle.
When you blow into it, it vibrates; these vibrations travel down into your lungs, shaking the mucus loose from the airway walls so you can cough it up more easily.
No, your body is already physiologically dependent on oxygen; the therapy provides what your damaged lungs can’t, protecting your heart and brain from further damage.
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