What Is Anoro Ellipta?

Anoro Ellipta (umeclidinium and vilanterol) is a prescription inhalation powder drug used as a long-term maintenance treatment for chronic obstructive pulmonary disease (COPD). It combines two active medicines into one inhaler: an anticholinergic (umeclidinium) and a long-acting beta-2 adrenergic agonist (LABA) (vilanterol).

Anticholinergics like umeclidinium block the action of a chemical messenger called acetylcholine, which is responsible for communication between the nerves, muscles, and organs in your body. Umeclidinium helps relax and open your airway muscles. As a LABA, vilanterol similarly relaxes the lungs, allowing the airways to open. The effects of LABA medications can last about 12 hours, depending on which inhaler you use. This provides relief from some of the classic symptoms of COPD, such as wheezing, cough, chest tightness, and shortness of breath.

Anoro Ellipta does not treat intense, acute flare-ups of shortness of breath. You should use your rescue inhaler for those instances.

This medication comes in a powder formulation for oral inhalation.

Drug Facts

Generic Name: Umeclidinium and vilanterol

Brand Name(s): Anoro Ellipta

Drug Availability: Prescription

Administration Route: Inhalation

Therapeutic Classification: Respiratory agent

Available Generically: No

Controlled Substance: N/A

Active Ingredient: Umeclidinium and vilanterol

Dosage Form(s): Powder

What Is Anoro Ellipta Used For?

The Food and Drug Administration (FDA) approved Anoro Ellipta for the chronic treatment of chronic obstructive pulmonary disease (COPD).

Anoro Ellipta should not be used to:

  • Relieve acute shortness of breath (bronchospasm)
  • Treat asthma, as the use of LABAs without inhaled corticosteroids for asthma, may increase the risk of asthma-related death

How to Take Anoro Ellipta

You should always follow the directions from your healthcare provider. Do not use this medication unless you understand how to use it correctly. Ask your healthcare provider if you have any questions.

Use Anoro Ellipta as prescribed, usually one inhalation once a day. Do not stop using your medication unless told by your healthcare provider, even if you feel better. If you miss a dose, take it as soon as you remember. Do not take more than one inhalation per day.

If you happen to be using more than one inhaler, ask your healthcare provider which inhaler should you use first. Be careful not to open and close the cover without inhaling the dose, as doing so results in a lost dose.

Some tips for taking care of your inhaler include:

  • Do not take your inhaler apart, wash it, or put it in water.
  • Clean the mouthpiece with a dry tissue or cloth
  • Use independently of a spacer

When using your inhaler, remember the following:

  • Your inhaler contains 30 doses. You will hear a click each time you open the cover of the inhaler.
  • Slide the cover down to expose the mouthpiece, and you should hear a “click.” The counter will count down by one number.
  • Breathe out fully while holding the inhaler away from your mouth. 
  • Put the mouthpiece between your lips, and close your lips firmly around it.
  • Take one steady and deep breath through your mouth. Do not breathe in through your nose.
  • Remove the inhaler from your mouth and hold your breath for about five seconds (or as long as comfortable for you). 
  • Breathe out slowly and gently. Do not exhale into the inhaler.

Get a refill when you have fewer than 10 doses remaining in your inhaler. The left half of the counter shows red as a reminder to get a refill when fewer than 10 doses are remaining. After you have inhaled the last dose, the counter will show "0".

Storage

Store Anoro Ellipta at room temperature in a dry place away from moisture, heat, or sunlight. Keep out of reach of children or pets to prevent accidental consumption. Keep the unopened inhaler in the original foil tray until ready to use. Discard Anoro Ellipta six weeks after opening the foil tray or after you use all of the doses.

How Long Does Anoro Ellipta Take to Work?

Generally, Anoro Ellipta is absorbed in your body quickly. However, it will not work fast enough to treat acute shortness of breath. You will not see the effect unless you continuously use it on a daily basis.

What Are the Side Effects of Anoro Ellipta?

This is not a complete list of side effects and others may occur. A healthcare provider can advise you on side effects. If you experience other effects, contact your healthcare provider. You may report side effects to the FDA at fda.gov/medwatch or 1-800-FDA-1088.

Common Side Effects

The most common side effects of Anoro Ellipta include:

  • Sore throat or other common cold symptoms
  • Constipation or diarrhea
  • Muscle pain/spasm
  • Neck pain
  • Chest tightness
  • Nose or throat irritation (respiratory infection)

Severe Side Effects

Call your healthcare provider right away if you have serious side effects. Call 911 if your symptoms feel life-threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

  • Signs of an allergic reaction like rash, hives, or difficulty breathing
  • Worsening breathing problems
  • Change in vision, eye pain, or irritation
  • Irregular heartbeat (palpitation)
  • Change in urination
  • Chest pain
  • Tremor or anxiety

Long-Term Side Effects

Anoro Ellipta is relatively well-tolerated and the long-term side effects are rare. If left untreated, the side effects listed above can turn into long-term issues.

Report Side Effects

Anoro Ellipta may cause other side effects. Call your healthcare provider if you have any unusual problems while taking this medication.

If you experience a serious side effect, you or your healthcare provider may send a report to the FDA's MedWatch Adverse Event Reporting Program or by phone (800-332-1088).

Dosage: How Much Anoro Ellipta Should I Take?


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The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For inhalation dosage form (powder):

    • For maintenance treatment of COPD:

      • Adults—One inhalation once a day. Do not take more than one inhalation every 24 hours.
      • Children—Use is not recommended.

Modifications

If you have kidney problems, you can still use this medication and no dose adjustment is needed. However, if you have liver problems, you can still use this medication but may need to discuss it with your healthcare provider before starting.

There are limited data concerning Anoro Ellipta's use in children or while pregnant or breastfeeding. However, it is recommended to talk with your prescriber to weigh the benefits vs risks of using this medication in these circumstances.

Missed Dose

If you miss a dose of Anoro Ellipta, take it as soon as you remember. Do not take more than one dose per day. Take your next dose at your usual time. Do not take two doses at one time.

Overdose: What Happens If I Take Too Much Anoro Ellipta?

Some common overdose symptoms may include but are not limited to:

  • Headache
  • Chest pain
  • Fast heart rate
  • Tremor
  • Nervousness
  • Worsening shortness of breath

Do not use other medicines that contain a LABA or an anticholinergic with Anoro Ellipta for any reason. Ask your healthcare provider or pharmacist if any of your other medicines are LABA or anticholinergic medicines. Tell all of your health care providers about your medication history.

What Happens If I Overdose on Anoro Ellipta?

If you think you or someone else may have overdosed on Anoro Ellipta, call a healthcare provider or the Poison Control Center (800-222-1222).

If someone collapses or stops breathing after taking Anoro Ellipta, call 911 immediately.

Precautions


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It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly. Blood and urine tests may be needed to check for any unwanted effects.

Tell your doctor if you are also using any other medicine for your COPD. Your doctor may want you to use it only during a severe COPD attack. Follow your doctor's instructions on how you should take your medicine.

This medicine should not be used if you are having a severe COPD attack, or if symptoms of a COPD attack has already started. Your doctor may prescribe another medicine for you to use in case of an acute COPD attack. If the other medicine does not work as well, tell your doctor right away.

Talk with your doctor or get medical care right away if:

  • Your symptoms do not improve after using this medicine for 1 week or if they become worse.
  • Your short-acting inhaler does not seem to work as well as it used to and you need it more often than normal (eg, you use 1 whole canister of the short-acting inhaler in 8 weeks time, or you need to use 4 or more inhalations of the short-acting inhaler for 2 or more days in a row).
  • You have a big decrease in your peak flow when measured as directed by your doctor.

This medicine should not be used together with similar inhaled medicines, such as arformoterol (Brovana®), budesonide/formoterol (Symbicort®), formoterol (Foradil®, Perforomist®), indacaterol (Onbrez®), or salmeterol (Serevent®).

This medicine may increase the risk of worsening asthma, which may lead to hospitalization, intubation, and death in patients with asthma who take this medicine without an inhaled steroid medicine. Talk to your doctor if you have concerns about this.

This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using this medicine.

This medicine may cause serious allergic reactions, including anaphylaxis and angioedema, which can be life-threatening and require immediate medical attention. Tell your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth after using this medicine.

Check with your doctor right away if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).

This medicine may cause heart or blood vessel problems, including heart rhythm problems. Check with your doctor right away if you have chest pain or tightness, decreased urine output, dilated neck veins, extreme fatigue, irregular heartbeat, swelling of the face, fingers, feet, or lower legs, troubled breathing, or weight gain.

Hypokalemia (low potassium in the blood) may occur while you are using this medicine. Check with your doctor right away if you have more than one of the following symptoms: decreased urine, dry mouth, increased thirst, loss of appetite, mood changes, muscle pain or cramps, nausea or vomiting, numbness or tingling in the hands, feet, or lips, seizures, uneven heartbeat, or unusual tiredness or weakness.

This medicine may affect blood sugar levels. If you are diabetic and notice a change in the results of your blood or urine sugar tests, check with your doctor.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

What Are Reasons I Shouldn’t Take Anoro Ellipta?

Anoro Ellipta should not be used in the treatment of asthma. The use of LABA without inhaled corticosteroids (ICS) for asthma may increase your risk of asthma-related death. However, there is no data showing an increased risk of death in people with COPD.

Anoro Ellipta is not meant to be used to relieve acute shortness of breath. It is used for the long-term treatment of COPD to prevent worsening symptoms.

What Other Medications Interact With Anoro Ellipta?

Like many other drugs, Anoro Ellipta is broken down by a protein (enzyme) family known as CYP450. Some drugs may interfere with this housekeeping protein, changing how the drug is absorbed in the body. You might experience more side effects when your body absorbs too much of the active drug. On the other hand, you might delay the treatment effect if your body is not receiving enough of the drug.

Some interactions include:

  • CYP3A4 inhibitors, such as Norvir (ritonavir), Biaxin XL (clarithromycin), and indinavir, can increase the side effects of Anoro Ellipta.
  • Monoamine oxidase inhibitors, such as Marplan (isocarboxazid), and tricyclic antidepressants, including amitriptyline and Silenor (doxepin), may increase the risk of heart problems.
  • Beta-blockers, such as Coreg or Coreg CR (carvedilol) and Tenormin or Tenoretic (atenolol), may block the effects of LABAs.
  • Other anticholinergics, such as Transderm Scop (scopolamine) or Cogentin (benztropine), may increase the side effects of Anoro Ellipta.
  • Other bronchodilators, such as Performist or Foradil (formoterol), may lead to overdosage if taken with Anoro Ellipta.

If you take Anoro Ellipta, talk with your healthcare provider to understand the risks vs benefits of taking any of the other medications listed above.

What Medications Are Similar?

Anoro Ellipta is a combination inhaler with a long-acting anticholinergic and a long-acting beta-adrenergic agonist (LABA). Similar combination inhalers include:

  • Bevespi Aerosphere (glycopyrrolate and formoterol)
  • Duaklir Pressair (aclidinium and formoterol)
  • Stiolto Respimat (tiotropium and olodaterol)

These medications slightly differ in the types of devices. Your healthcare provider may prescribe you a regular inhaler or a combination inhaler for your long-term COPD management, depending on your symptoms and history of worsening symptoms that may or may not cause a hospital visit. Ask your pharmacist or a healthcare provider if you have questions.

Frequently Asked Questions

  • Can I travel with Anoro Ellipta?

    There is no current TSA restriction for traveling on a plane with Anoro Ellipta. It is important to get your medication refilled before traveling.

  • Do you have to rinse your mouth after using Anoro Ellipta?

    You do not need to rinse your mouth after using Anoro Ellipta, as it doesn’t have a corticosteroid. In general, you should rinse your mouth after using an inhaled corticosteroid (e.g., fluticasone) to prevent oral fungal infections such as thrush. However, this is not a concern with Anoro Ellipta.

  • Can I use Anoro Ellipta and albuterol together?

    Anoro Ellipta is used long-term to prevent COPD worsening symptoms. If you have acute breathing symptoms caused by COPD, you should use a short-acting beta-2 adrenergic agonist such as albuterol (e.g., ProAir, Proventil, and Ventolin). Ask your healthcare provider how you should use your albuterol inhaler for your COPD.

  • How much does Anoro Ellipta cost if I don't have insurance?

    Anoro Ellipta is available as a brand-name drug only. If you pay cash, the cost of Anoro Ellipta may cost around $450 for one inhaler (with 60 blisters of 62.5 milligrams of umeclidinium/25 micrograms of vilanterol). However, this price can vary based on the pharmacy and location. If you are paying the full cash price, the manufacturer offers online discount coupon options.

    If you have prescription insurance, check with your insurance company for the copay cost. If the commercial insurance copay is too expensive, you may be eligible for the copay coupon card supplied by the manufacturer. However, this coupon is not valid for any government beneficiaries including those eligible for or enrolled in Medicare. Present the coupon to your pharmacist for each refill.

How Can I Stay Healthy While Taking Anoro Ellipta?

Always follow the instructions provided by a healthcare team member when using your Anoro Ellipta inhaler. Take your medication as prescribed; do not stop taking it without consulting your healthcare provider, even if you start feeling better.

Make sure to tell your healthcare provider:

  • Your medication history and if any medication changes occur
  • If you experience worsening symptoms (call 911 if your exacerbations are severe)
  • If you are pregnant, plan to become pregnant, or are breastfeeding

If you have COPD, you can also make lifestyle modifications to help stay healthy and prevent the disease from worsening:

  • Exercise daily as tolerated.
  • Quit smoking.
  • Perform breathing techniques.
  • Stay up-to-date on vaccinations, such as pneumonia, flu, and COVID-19.

Medical Disclaimer

Verywell Health's drug information is meant for educational purposes only and is not intended to replace medical advice, diagnosis, or treatment from a healthcare provider. Consult your healthcare provider before taking any new medication(s). IBM Watson Micromedex provides some of the drug content, as indicated on the page.

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Dr Sandeep Pargi

“Under normal circumstances the suspended dust particles are usually ranges from 50-70 parts per million [ppm]. During a sandstorm, the kind we are witnessing in the last three days, sand particles go up from 300-500 ppm. In very severe conditions, suspended dust particles can rise up to 900 ppm. However, this happens only in extreme cases. The humidity in the air, coupled with high temperatures makes it very heavy and the sand particles make it dense, blanketing the atmosphere and giving a choking feeling. In people with respiratory co-morbidities the present weather conditions can trigger an asthma, allergy or inflammatory attack,” added Dr Pargi.

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Singer-songwriter Terry Bell Shares Song About Long Covid

Nearly 18 months after getting covid-19 and spending weeks in the hospital, Terry Bell struggles with hanging up his shirts and pants after doing the laundry.

Lifting his clothes, raising his arms, arranging items in his closet leave Bell short of breath and often trigger severe fatigue. He walks with a cane, only short distances. He's 50 pounds lighter than when the virus struck.

Bell, 70, is among millions of older adults who have grappled with long covid — a population that has received little attention even though research suggests seniors are more likely to develop the poorly understood condition than younger or middle-aged adults.

Long covid refers to ongoing or new health problems that occur at least four weeks after a covid infection, according to the Centers for Disease Control and Prevention. Much about the condition is baffling: There is no diagnostic test to confirm it, no standard definition of the ailment, and no way to predict who will be affected. Common symptoms, which can last months or years, include fatigue, shortness of breath, an elevated heart rate, muscle and joint pain, sleep disruptions, and problems with attention, concentration, language, and memory — a set of difficulties known as brain fog.

Ongoing inflammation or a dysfunctional immune response may be responsible, along with reservoirs of the virus that remain in the body, small blood clots, or residual damage to the heart, lungs, vascular system, brain, kidneys, or other organs.

Only now is the impact on older adults beginning to be documented. In the largest study of its kind, published recently in the journal BMJ, researchers estimated that 32% of older adults in the U.S. who survived covid infections had symptoms of long covid up to four months after infection — more than double the 14% rate an earlier study found in adults ages 18 to 64. (Other studies suggest symptoms can last much longer, for a year or more.)

The BMJ study examined more than 87,000 adults 65 and older who had covid infections in 2020, drawing on claims data from UnitedHealth Group's Medicare Advantage plans. It included symptoms that lasted 21 days or more after an infection, a shorter period than the CDC uses in its long covid definition. The data encompasses both older adults who were hospitalized because of covid (27%) and those who were not (73%).

The higher rate of post-covid symptoms in older adults is likely due to a higher incidence of chronic disease and physical vulnerability in this population — traits that have led to a greater burden of serious illness, hospitalization, and death among seniors throughout the pandemic.

"On average, older adults are less resilient. They don't have the same ability to bounce back from serious illness," said Dr. Ken Cohen, a co-author of the study and executive director of translational research for Optum Care. Optum Care is a network of physician practices owned by UnitedHealth Group.

Applying the study's findings to the latest data from the CDC suggests that up to 2.5 million older adults may have been affected by long covid. For those individuals, the consequences can be devastating: the onset of disability, the inability to work, reduced ability to carry out activities of daily life, and a lower quality of life.

But in many seniors, long covid is difficult to recognize.

"The challenge is that nonspecific symptoms such as fatigue, weakness, pain, confusion, and increased frailty are things we often see in seriously ill older adults. Or people may think, 'That's just part of aging,'" said Dr. Charles Thomas Alexander Semelka, a postdoctoral fellow in geriatric medicine at Wake Forest University.

Ann Morse, 72, of Nashville, Tennessee, was diagnosed with covid in November 2020 and recovered at home after a trip to the emergency room and follow-up home visits from nurses every few days. She soon began having trouble with her memory, attention, and speech, as well as sleep problems and severe fatigue. Though she's improved somewhat, several cognitive issues and fatigue persist to this day.

"What was frustrating was I would tell people my symptoms and they'd say, 'Oh, we're like that too,' as if this was about getting older," she told me. "And I'm like, but this happened to me suddenly, almost overnight."

Bell, a singer-songwriter in Nashville, had a hard time getting adequate follow-up attention after spending two weeks in intensive care and an additional five weeks in a nursing home receiving rehabilitation therapy.

"I wasn't getting answers from my regular doctors about my breathing and other issues. They said take some over-the-counter medications for your sinus and things like that," he said. Bell said his real recovery began after he was recommended to specialists at Vanderbilt University Medical Center.

James Jackson, director of long-term outcomes at Vanderbilt's Critical Illness, Brain Dysfunction, and Survivorship Center, runs several long covid support groups that Morse and Bell attend and has worked with hundreds of similar patients. He estimates that about a third of those who are older have some degree of cognitive impairment.

"We know there are significant differences between younger and older brains. Younger brains are more plastic and effective at reconstituting, and our younger patients seem able to regain their cognitive functioning more quickly," he said.

In extreme cases, covid infections can lead to dementia. That may be because older adults who are severely ill with covid are at high risk of developing delirium — an acute and sudden change in mental status — which is associated with the subsequent development of dementia, said Dr. Liron Sinvani, a geriatrician and an assistant professor at Northwell Health's Feinstein Institutes for Medical Research in Manhasset, New York.

Older patients' brains also may have been injured from oxygen deprivation or inflammation. Or disease processes that underlie dementia may already have been underway, and a covid infection may serve as a tipping point, hastening the emergence of symptoms.

Research conducted by Sinvani and colleagues, published in March, found that 13% of covid patients who were 65 and older and hospitalized at Northwell Health in March 2020 or April 2020 had evidence of dementia a year later.

Dr. Thomas Gut, associate chair of medicine at Staten Island University Hospital, which opened one of the first long covid clinics in the U.S., observed that becoming ill with covid can push older adults with preexisting conditions such as heart failure or lung disease "over the edge" to a more severe impairment.

In older adults especially, he said, "it's hard to attribute what's directly related to covid and what's a progression of conditions they already have."

That wasn't true for Richard Gard, 67, who lives just outside New Haven, Connecticut, a self-described "very healthy and fit" sailor, scuba diver, and music teacher at Yale University who contracted covid in March 2020. He was the first covid patient treated at Yale New Haven Hospital, where he was critically ill for 2½ weeks, including five days in intensive care and three days on a ventilator.

In the two years since, Gard has spent more than two months in the hospital, usually for symptoms that resemble a heart attack. "If I tried to walk up the stairs or 10 feet, I would almost pass out with exhaustion, and the symptoms would start — extreme chest pain radiating up my arm into my neck, trouble breathing, sweating," he said.

Dr. Erica Spatz, director of the preventive cardiovascular health program at Yale, is one of Gard's physicians. "The more severe the covid infection and the older you are, the more likely it is you'll have a cardiovascular complication after," she said. Complications include weakening of the heart muscle, blood clots, abnormal heart rhythms, vascular system damage, and high blood pressure.

Gard's life has changed in ways he never imagined. Unable to work, he takes 22 medications and can still walk only 10 minutes on level ground. Post-traumatic stress disorder is a frequent, unwanted companion.

"A lot of times it's been difficult to go on, but I tell myself I just have to get up and try one more time," he told me. "Every day that I get a little bit better, I tell myself I'm adding another day or week to my life."

We're eager to hear from readers about questions you'd like answered, problems you've been having with your care and advice you need in dealing with the health care system. Visit khn.org/columnists to submit your requests or tips.




Kaiser Health NewsThis article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

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(Hannah Norman/KHN)

Nearly 18 months after getting covid-19 and spending weeks in the hospital, Terry Bell struggles with hanging up his shirts and pants after doing the laundry.

Lifting his clothes, raising his arms, arranging items in his closet leave Bell short of breath and often trigger severe fatigue. He walks with a cane, only short distances. He’s 50 pounds lighter than when the virus struck.

Bell, 70, is among millions of older adults who have grappled with long covid — a population that has received little attention even though research suggests seniors are more likely to develop the poorly understood condition than younger or middle-aged adults.

Long covid refers to ongoing or new health problems that occur at least four weeks after a covid infection, according to the Centers for Disease Control and Prevention. Much about the condition is baffling: There is no diagnostic test to confirm it, no standard definition of the ailment, and no way to predict who will be affected. Common symptoms, which can last months or years, include fatigue, shortness of breath, an elevated heart rate, muscle and joint pain, sleep disruptions, and problems with attention, concentration, language, and memory — a set of difficulties known as brain fog.

Ongoing inflammation or a dysfunctional immune response may be responsible, along with reservoirs of the virus that remain in the body, small blood clots, or residual damage to the heart, lungs, vascular system, brain, kidneys, or other organs.

Only now is the impact on older adults beginning to be documented. In the largest study of its kind, published recently in the journal BMJ, researchers estimated that 32% of older adults in the U.S. who survived covid infections had symptoms of long covid up to four months after infection — more than double the 14% rate an earlier study found in adults ages 18 to 64. (Other studies suggest symptoms can last much longer, for a year or more.)

The BMJ study examined more than 87,000 adults 65 and older who had covid infections in 2020, drawing on claims data from UnitedHealth Group’s Medicare Advantage plans. It included symptoms that lasted 21 days or more after an infection, a shorter period than the CDC uses in its long covid definition. The data encompasses both older adults who were hospitalized because of covid (27%) and those who were not (73%).

The higher rate of post-covid symptoms in older adults is likely due to a higher incidence of chronic disease and physical vulnerability in this population — traits that have led to a greater burden of serious illness, hospitalization, and death among seniors throughout the pandemic.

“On average, older adults are less resilient. They don’t have the same ability to bounce back from serious illness,” said Dr. Ken Cohen, a co-author of the study and executive director of translational research for Optum Care. Optum Care is a network of physician practices owned by UnitedHealth Group.

Applying the study’s findings to the latest data from the CDC suggests that up to 2.5 million older adults may have been affected by long covid. For those individuals, the consequences can be devastating: the onset of disability, the inability to work, reduced ability to carry out activities of daily life, and a lower quality of life.

But in many seniors, long covid is difficult to recognize.

“The challenge is that nonspecific symptoms such as fatigue, weakness, pain, confusion, and increased frailty are things we often see in seriously ill older adults. Or people may think, ‘That’s just part of aging,’” said Dr. Charles Thomas Alexander Semelka, a postdoctoral fellow in geriatric medicine at Wake Forest University.

Ann Morse, 72, of Nashville, Tennessee, was diagnosed with covid in November 2020 and recovered at home after a trip to the emergency room and follow-up home visits from nurses every few days. She soon began having trouble with her memory, attention, and speech, as well as sleep problems and severe fatigue. Though she’s improved somewhat, several cognitive issues and fatigue persist to this day.

“What was frustrating was I would tell people my symptoms and they’d say, ‘Oh, we’re like that too,’ as if this was about getting older,” she told me. “And I’m like, but this happened to me suddenly, almost overnight.”

Terry Bell is seen smiling for a photo and wearing sunglasses.
Terry Bell, who spent two weeks in intensive care and has been diagnosed with long covid, says he now walks with a cane for only short distances and is 50 pounds lighter than before getting sick.(Bob McReynolds)

Bell, a singer-songwriter in Nashville, had a hard time getting adequate follow-up attention after spending two weeks in intensive care and an additional five weeks in a nursing home receiving rehabilitation therapy.

“I wasn’t getting answers from my regular doctors about my breathing and other issues. They said take some over-the-counter medications for your sinus and things like that,” he said. Bell said his real recovery began after he was recommended to specialists at Vanderbilt University Medical Center.

James Jackson, director of long-term outcomes at Vanderbilt’s Critical Illness, Brain Dysfunction, and Survivorship Center, runs several long covid support groups that Morse and Bell attend and has worked with hundreds of similar patients. He estimates that about a third of those who are older have some degree of cognitive impairment.

“We know there are significant differences between younger and older brains. Younger brains are more plastic and effective at reconstituting, and our younger patients seem able to regain their cognitive functioning more quickly,” he said.

In extreme cases, covid infections can lead to dementia. That may be because older adults who are severely ill with covid are at high risk of developing delirium — an acute and sudden change in mental status — which is associated with the subsequent development of dementia, said Dr. Liron Sinvani, a geriatrician and an assistant professor at Northwell Health’s Feinstein Institutes for Medical Research in Manhasset, New York.

Older patients’ brains also may have been injured from oxygen deprivation or inflammation. Or disease processes that underlie dementia may already have been underway, and a covid infection may serve as a tipping point, hastening the emergence of symptoms.

Research conducted by Sinvani and colleagues, published in March, found that 13% of covid patients who were 65 and older and hospitalized at Northwell Health in March 2020 or April 2020 had evidence of dementia a year later.

Dr. Thomas Gut, associate chair of medicine at Staten Island University Hospital, which opened one of the first long covid clinics in the U.S., observed that becoming ill with covid can push older adults with preexisting conditions such as heart failure or lung disease “over the edge” to a more severe impairment.

In older adults especially, he said, “it’s hard to attribute what’s directly related to covid and what’s a progression of conditions they already have.”

That wasn’t true for Richard Gard, 67, who lives just outside New Haven, Connecticut, a self-described “very healthy and fit” sailor, scuba diver, and music teacher at Yale University who contracted covid in March 2020. He was the first covid patient treated at Yale New Haven Hospital, where he was critically ill for 2½ weeks, including five days in intensive care and three days on a ventilator.

Richard Gard is seen smiling for a photo, sitting in front of a harpsichord.
Richard Gard described himself as a “very healthy and fit” sailor, scuba diver, and music teacher at Yale University before he was hospitalized in intensive care after contracting covid in March 2020. He has since spent more than two months in the hospital, often for symptoms that resemble a heart attack.(Richard Gard)

In the two years since, Gard has spent more than two months in the hospital, usually for symptoms that resemble a heart attack. “If I tried to walk up the stairs or 10 feet, I would almost pass out with exhaustion, and the symptoms would start — extreme chest pain radiating up my arm into my neck, trouble breathing, sweating,” he said.

Dr. Erica Spatz, director of the preventive cardiovascular health program at Yale, is one of Gard’s physicians. “The more severe the covid infection and the older you are, the more likely it is you’ll have a cardiovascular complication after,” she said. Complications include weakening of the heart muscle, blood clots, abnormal heart rhythms, vascular system damage, and high blood pressure.

Gard’s life has changed in ways he never imagined. Unable to work, he takes 22 medications and can still walk only 10 minutes on level ground. Post-traumatic stress disorder is a frequent, unwanted companion.

“A lot of times it’s been difficult to go on, but I tell myself I just have to get up and try one more time,” he told me. “Every day that I get a little bit better, I tell myself I’m adding another day or week to my life.”

We’re eager to hear from readers about questions you’d like answered, problems you’ve been having with your care and advice you need in dealing with the health care system. Visit khn.org/columnists to submit your requests or tips.



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Asthma Awareness Month: What to do in case of an asthma attack; steps to follow

Here are some home remedies that one can follow in case of asthma attack, suggested by Dr Harish Chafle.

Sit up straight: Sitting up straight will help to open the airways, making it easier for air to move through the lungs. Remaining calm is essential. The body’s natural stress response, sometimes called “fight or flight” mode, can make symptoms worse.

Breathing exercises: The purpose of these exercises is to reduce the number of breaths, keeping the airways open longer and making it easier to breathe.

Pursed lip breathing

– Breathe in through the nose.

– Breathe out through pursed lips. The exhale should be at least twice as long as the inhale.

Belly breathing

– Breathe in through the nose with hands placed on the belly.

– With relaxed neck and shoulders, breathe out. The exhale should last two or three times longer than the inhale.

Don’t fall for internet tricks

Many emergency home remedies are suggested on the internet. However, these are usually not supported by scientific evidence.

Source: featuredtimes.com/asthma-awareness-month-what-to-do-in-case-of-an-asthma-attack-steps-to-follow/

#pursedlipbreathing #breathingexercise

Pursed lip breathing

- Breathe in through the nose.

- Breathe out through pursed lips. The exhale should be at least twice as long as the inhale.

Belly breathing

- Breathe in through the nose with hands placed on the belly.

- With relaxed neck and shoulders, breathe out. The exhale should last two or three times longer than the inhale.

Source: www.hindustantimes.com/lifestyle/health/asthma-awareness-month-what-to-do-in-case-of-an-asthma-attack-steps-to-follow-101651750037743-amp.html

#pursedlipbreathing #breathingexercise

If you detect these symptoms, it is suggested to seek treatment right away as "ignoring these signs and symptoms can lead to major problems later in life", Dr Shuchin Bajaj said

Ignoring blood pressure concerns can be fatal (Source: Getty Images/Thinkstock)

World Hypertension Day is observed on May 17 every year to increase awareness about hypertension or high blood pressure. This year’s theme is ‘Measure Your Blood Pressure Accurately, Control It, Live Longer’.

“Hypertension is known as the ‘silent killer’ for a reason. The majority of the time, there are no visible indicators of hypertension, and even if you do detect certain symptoms, you may dismiss them as normal exhaustion, work pressure, or tiredness due to exercising,” Dr Shuchin Bajaj, Founder-Director, Ujala Cygnus Group of Hospitals said.

Ignoring blood pressure concerns, however, can be fatal, the expert warned. It can result in “heart attack, heart failure, aneurysm, stroke, memory loss, or dementia. Regular blood pressure monitoring is essential for avoiding major illnesses”.

Here are six warning symptoms of high blood pressure you should never ignore, according to Dr Bajaj.

Nose bleeds

Nose bleeds can occur due to sinusitis, constant blowing of the nose, or even high blood pressure, he explained. “If you are one of those who have had nasal bleeding, go to the doctor right away.”

Headache is a warning sign of high blood pressure (Source: Getty Images/Thinkstock)

Headaches

If you have a constant throbbing headache, chances are that your blood pressure is too high. Elucidating the same, the expert said, “A headache is common in patients with high blood pressure. Your peace of mind will be stolen by these annoying headaches. So stay alert and get treatment as soon as possible.”

Fatigue

A headache is common in patients with high blood pressure, he shared. Your peace of mind will be stolen by these annoying headaches. So stay alert and get treatment as soon as possible.

Shortness of breath

Dr Bajaj said, “People with high blood pressure may have difficulty breathing. This is one of the most prevalent symptoms of hypertension.”

Hypertension can also distort your vision. (Source: Getty Images/Thinkstock)

Blurred vision

Uncontrolled hypertension can cause vision problems. “As a result, visual issues will arise. His vision will be distorted,” he said.

Chest pain

Chest pain is yet another symptom of high blood pressure. If you detect these symptoms, it is suggested to seek treatment right away as “ignoring these signs and symptoms can lead to major problems later in life”.

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📣 The above article is for information purposes only and is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional for any questions you may have regarding your health or a medical condition.

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As a parent whose child has asthma, you know how stressful it can be to hear your child wheezing or trying to catch their breath. It can also be nerve wracking having to monitor your surroundings and environment to ensure that something doesn’t trigger another attack in your child.

While modern medicine includes treatments to help those with asthma, kids with the condition can still miss out on sports, and even have difficulty sleeping. Because of this, it’s no wonder many parents are eager to ask their pediatricians if it is possible for their children to grow out of their asthma.

So, let’s take a look at what’s fact and what’s fiction when it comes to childhood asthma and whether this condition fades as a child grows.

Childhood asthma: What you need to know

Asthma is a long-term disease that causes inflammation and swelling of the airways. While childhood and adult asthma are the same disease, children face unique challenges that adults may not, including falling behind in school because of missed days.

To keep their kids healthy, many parents find they must constantly monitor their children to keep them away from things that could trigger their attacks such as:

  • Pet dander or other allergens like pollen
  • Second-hand smoke
  • Pollution
  • Changes in the weather or cold air    

According to the Centers for Disease Control and Prevention (CDC), about 1 in 12, or roughly 6 million, children in the U.S. have asthma.

Some children are more likely to develop asthma because of certain risk factors including:

  • Exposure to tobacco smoke at an early age, including before birth
  • Family history of asthma
  • Obesity
  • Other respiratory conditions including sinusitis
  • Certain ethnicities, like African-American and Puerto Rican children, are more prone to develop the disease

How do I know if my child has asthma?

Many children start to show signs of asthma before they are 5 years old. Asthma in young children, like infants and toddlers, can be hard to identify because the symptoms resemble a head cold or other respiratory illnesses.

Talk to your pediatrician if your child has any of the following symptoms:

  • Coughing, especially at night
  • Wheezing when they breathe
  • Difficulty catching their breath
  • Fast breathing that causes skin to pull around the neck and/or ribs
  • Frequent chest colds

Asthma treatments and medications

There are many medications that can help your child manage their asthma symptoms. Some of these medications include:

  • Long-term control medications that need to be taken regularly to manage the condition, even if your child is not having symptoms.
  • Quick-relief medications called “rescue medications” that are used to prevent asthma attacks or stop an attack from worsening.
  • Allergy medications that can help prevent allergy-induced asthma.

Many of these medications must be taken long-term. Depending on the symptoms of your child’s asthma and what triggers their attacks, your doctor will recommend a treatment plan to manage your child’s condition.

Can my child grow out of his/her asthma?

While there are many new medications that can help your child manage their symptoms, no one outgrows the disease.

The good news is that some children’s asthma symptoms will lessen as they grow older. With a good diet, the right medications and limited exposure to factors that can trigger attacks, your child can continue to thrive. Learn about pediatric asthma care at University Children's Health.

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  • Hypertension is called a 'silent killer' because it has few if any symptoms. 
  • Uncontrolled blood pressure can increase one's risk of stroke, heart attack and other diseases.
  • Practising yoga has been shown to help reduce high blood pressure.

Hypertension, also known as high blood pressure, is a condition a person can have for many years without any symptoms.

READ | Hypertension, the ‘silent killer’: Top tips to help you get an accurate blood pressure reading

The World Health Organization refers to hypertension as a serious medical condition. If uncontrolled, high blood pressure can increase one's risk of stroke, heart attack and other diseases.

There are more than 1.13 billion people worldwide living with hypertension. In South Africa, there is a 45% prevalence among men and 48% among women.

READ | Hypertension: A disease that affects people of all ages

Role of yoga

Professor Brian Rayner, Emeritus Professor in the Division of Nephrology and Hypertension at the University of Cape Town, previously told Health24 that people should implement lifestyle changes to normalise their blood pressure levels.

Consuming a healthy diet with regular exercise can help control blood pressure. Researchers have also been studying how the ancient practice of yoga can reduce blood pressure levels.

Numerous yoga asanas (poses) allow practitioners to be conscious of their breathing, which can help control blood pressure. After a yoga class, one is left feeling relaxed and stress-free, something researchers have confirmed.

Keen to try yoga but don't know where to start? Here are some effective yoga practices that can help to keep your blood pressure under control: 

Vinyasa

Bikram Yoga

Yin Yoga

Kundalini Yoga

Hot Yoga

Ashtanga Yoga

Hatha Yoga

Iyengar Yoga

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Secretary Law and Parliamentary Affairs, Dr. Rubaba Khan Buledi on Tuesday said that more than 20 million people in Pakistan were suffering from high blood pressure while the prevalence of the disease was increasing rapidly

QUETTA, (UrduPoint / Pakistan Point News - 17th May, 2022 ) :Secretary Law and Parliamentary Affairs, Dr. Rubaba Khan Buledi on Tuesday said that more than 20 million people in Pakistan were suffering from high blood pressure while the prevalence of the disease was increasing rapidly.

Illness can lead to loss of life, blood pressure can lead to heart disease, cerebral vein rupture and kidney disease, which can be fatal, she expressed these views while in a message on the occasion of the World Hypertension Day.

Dr. Rubaba Khan Buledi said that the purpose of celebrating this day was to raise public awareness about the causes, symptoms, treatment and diet of blood pressure in order to prevent such diseases.

"Blood pressure is closely linked to heart disease and most patients with heart disease suffer from overweight and hypertension, so it is important to control obesity and blood pressure to minimize heart disease', she pointed.

She said that the pressure on the blood vessels during heart contraction and dilation is called "blood pressure" saying that hypertension occurs after the age of 40, but is more common in adolescents today.

Common symptoms include headache, dizziness, visual impairment, feeling tired, vomiting, nervousness and difficulty breathing, if left untreated, it can leads to heart attack, stroke and kidney failure, she noted.

She said generally, people with high blood pressure do not realize that he has this condition unless he has a medical examination due to deterioration in his health or some other disease.

Dr. Rubaba Khan Buledi said that the disease of high blood pressure adopt a simple lifestyle to avoid chicken poultry foods and make exercise a part of your daily routine.

She urged the doctors to play their due role to guide people regarding blood pressure with the aim to control it in the area.



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Clement Manyathela speaks to National Asthma Education Programme pulmonologist Dr Omolemo Kitchin about asthma care and treatment.

Asthma is a respiratory condition that is increasing worldwide. In developing countries, including South Africa, many patients do not have optimal treatment for this life-long condition.

Clement Manyathela spoke to National Asthma Education Programme pulmonologist Dr Omolemo Kitchin about asthma care and treatment for children and adults in South Africa.

Asthma is a chronic condition that affects the lungs and airways and causes difficulties with breathing in patients.

This condition affects children and adults and presents in a similar way in all age groups although children are more likely to seek medical treatment than adults who may have already learned to manage their condition.

Asthma is a complex disease that can be triggered by a number of environmental factors such as pollen, animals or cigarette smoke and is primarily controlled with the use of asthma pumps and controller medications to keep the airways clean.

Some parents may have concerns about their children participating in sport if they have asthma as it could trigger an asthma attack, but Dr Kitchin insists that it is important for children to participate and if they manage their condition properly and use their asthma pumps, they can perform athletically as well as those without the conditions.

While this is a chronic and lifelong condition it can be managed with treatment and those with asthma can live a perfectly healthy life if they are treated properly.

To find out more, listen to the full audio below.



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Around 1.13 billion people worldwide suffer from hypertension, which is more common among men than women. In reality, only 1 in 5 people have it under control, while others still face the risk of complications.

Therefore educating the public and increasing awareness of hypertension, the main objectives of World Hypertension Day, acquires more relevance. The day is celebrated annually on May 17 and India is also proud of the fact that Yoga, a great weapon to curb this killer, is getting accepted worldwide.

The theme for World Hypertension Day 2022 is “Measure Your Blood Pressure Accurately, Control It, Live Longer”.

Controlling Blood Pressure

Hypertension also known as high blood pressure is a silent killer because there are huge chances of it getting sidelined as work pressure or as an effect of exertion, and usually there are no noticeable symptoms also.

In worst cases high blood pressure can lead to heart attack, heart failure, aneurysm, stroke, memory problems or dementia. Monitoring blood pressure regularly is the key to evade risk of serious illnesses. Contrary to old times, recently young people are increasingly diagnosed with hypertension.

If proper treatment is taken, immediately after noticing symptoms such as severe headache, blurring vision, breathing difficulty especially after exertion, chest discomfort, and easy fatigability, blood pressure can be controlled.

Hypertension in India

A research on the National Center for Biotechnology Information website said, “About 33% urban and 25% rural Indians are hypertensive. Of these, 25% rural and 42% urban Indians are aware of their hypertensive status.”

“ Only 25% rural and 38% of urban Indians are being treated for hypertension. One-tenth of rural and one-fifth of urban Indian hypertensive population have their BP under control,” it said.

The data from the GBD (Global Burden of Disease) study of 2016 said that hypertension led to 1.63 million deaths in India in the year 2016 alone. Based on results from the National Family Health Survey (NFHS) – 4, there was a prevalence of 8.8% for females and 13.6% for males in the age group 15-49 years in 2015.

The India Hypertension Control Initiative (IHCI) is being implemented with its prime focus on controlling high blood pressure. The project has been initiated in 83 districts of 18 states and has registered 1.4 million patients across the country.

As part of the National Action Plan and Monitoring Framework for Non-Communicable Diseases (NCDs), there is a target to reduce the prevalence of high blood pressure by 10% by 2020.

Yoga and lifestyle changes can control Blood pressure

Blood pressure should be less than 140/90 mmHg for the general population and for those with hypertension without any other complications. For those with diabetes or chronic kidney disease, it should be less than 130/80 mmHg.

Yoga and relaxation exercises have been successful in checking high blood pressure and coronary artery disease. The power of Yoga to control hypertension has been evident in experiment-trials by government and private health institutes. Yogic therapy not only reduces high blood pressure, but also reduces serum cholesterol, triglycerides, free fatty acids, blood glucose, and body weight.

Numerous asanas, to name a few, Tadasana, Ardha Matsyendrasana, Bhujangasan and Shavasan are beneficial in this respect. Pranayama is another important tool of Yoga that can do wonders in controlling hypertension, but serious practice of Pranayama is advisable only under guidance of an expert and after study of all the associated restrictions that comes along with practice.

The International Yoga Day is to be celebrated on 21 June and to mark the countdown to the day, the Ministry of Ayush has been conducting Yoga demonstrations as part of Yoga Utsav.

Besides Yoga, using medications as prescribed and making lifestyle changes can control blood pressure. Adhering to a well-balanced diet that’s low in salt, limited use of alcohol and quitting smoking can help in reducing blood pressure and associated heart disease. Regular physical activity is a must to get any desired results.

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With considerable increase in hypertension or high blood pressure among a number of people across the globe, May 17 is observed as the ‘World Hypertension Day’ to spread awareness. Around 46 per cent people in the world are suffering from hypertension which is really alarming.

What is hypertension?

Hypertension occurs when the blood pressure abnormally surges to undesirable levels. It is an increased force exerted by blood against the artery walls. While normal blood pressure is 120/80 mm Hg, high blood pressure is defined as a level greater than 130/80 mm Hg or 140/90 mm Hg as per the guidelines. 

Silent killer

Hypertension is also called ‘the silent killer’ as there are no noticeable signs of it most of the time.  There is a significant risk of brain damage, heart, kidneys, and blood vessels ailments due to hypertension. Ignoring it for a long period of time could be fatal as it leads to stroke, heart attack and kidney failure. High blood pressure should be diagnosed early and treated appropriately.

Accurate measurement

As per a survey, one in every three Indian adults above the age of 60 is being affected by high blood pressure. It is pretty vital to regularly monitor blood pressure and undergo treatment to evade the risk of serious ailments. Monitoring blood pressure is important, but measuring it in an accurate way is also crucial. Accurate measurement of high blood pressure in people gives a clear picture of the cardiovascular risk. This is also very helpful for the people with borderline blood pressure who need proper diagnosis and treatment with right kind of medication. A small error in the measurement of blood pressure has the danger to mislabel someone as having high blood pressure and hence resulting in unnecessary medication.  

Warning symptoms 

Headaches: If someone is suffering from severe headache too often, it could be a symptom of high blood pressure.

Nose bleeding: If someone’s nose is bleeding, it could be a sign of high blood pressure.

Shortness of breath: Difficulty in breathing and shortness of breath is also an indication of high blood pressure.

Irregular heartbeat: Hypertension patients are often found with irregular heartbeats due to uncontrolled pressure in which blood exerts force against walls of the artery.

Chest pain: Hypertension patients often suffer from chest pain due to shortness of breath.

Accurate measurement

When you are measuring your blood pressure, the correct sized blood pressure cuff needs to be put on the bare arm. An empty bladder is advisable as a full bladder can increase readings. One should avoid talking while measuring blood pressure and the arm should be supported at the level of the heart. Consuming food, caffeine and alcohol should be avoided for 30 minutes before measuring. While monitoring blood pressure at home, minimum of three readings should be recorded and the average of the last two readings should be considered for the reading.

Lifestyle changes

There is probably no cure of hypertension. However, lifestyle changes matter a lot to keep it in check. Quality of life should be enhanced by eating a well-balanced diet and limit salt. Alcohol consumption and smoking should be totally avoided. One should do regular exercise to maintain a healthy weight and manage stress. Hypertension patients should take their medications properly and work together with their doctors to minimize the health risks.
 

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Stress is something that everyone deals with from time to time. Whether you’re stressed out at work or dealing with family issues, learning how to relax can be helpful. It has been proven that breathing exercises can relieve stress and anxiety levels and improve overall health. The key is to practice them regularly. Breathing exercises help us to cope with stressful situations and boost our self-confidence. They also improve concentration, memory retention, and even mood.

Rapid breathing can cause a quicker heart rate, dizziness, muscular tension, and other symptoms during a panic attack. These sensations may then add to increased anxiety. This thoracic (chest) breathing varies from diaphragmatic breathing, an abdominal rhythm that occurs when people are calm or asleep. Stress, especially among Americans is rising rapidly too.

This article explains how changing your breathing pattern consciously may help you regulate your stress and anxiety. 

Symptoms of a Panic Attack

The symptoms of panic attacks vary from individual to individual.  Among the most prevalent symptoms are:

  • Tension, nervousness, or dread
  • Oxygen deprivation, often known as quick breathing
  • Insomnia, or the inability to sleep
  • agitation or restlessness
  • trembling and/or sweating
  • Concerned about the past or the future

Top 10 ways to relieve stress with exercise

Inhale deeply. Now let it all out. You may have already noticed a difference in how you feel. Your breath is a wonderful tool for relieving tension and making you feel the least nervous. If you include these easy breathing exercises in your daily practice, they can make a significant impact and relieve stress and anxiety.

Before you begin, keep the following suggestions in mind:

  • Select a location for your breathing workout. It might be in your bed, on the floor of your living room, or in a comfy chair.
  • Don’t push it. This might exacerbate your tension.
  • Try to perform it once or twice a day at the same time.
  • Put on something comfy.

Diaphragmatic Breathing

The diaphragm is the dome-shaped muscle utilized in breathing that is placed directly beneath the lungs. This is one of the best ways to relieve stress and anxiety. Diaphragmatic breathing, also known as belly breathing or abdominal breathing, develops this muscle, and this deep breathing method fills the entire lungs with air.

Here is how it’s done:

  • Place one hand on the stomach and the other on the chest.
  • Inhale for 3-5 seconds via your nose, feeling your abdomen rise as you breathe in. The hand on the chest should not move.
  • Exhale through the nose for 3-5 seconds, feeling the belly return to its natural position.
  • Continue this breathing practice for 5 minutes every day.

Coherent Breathing

The purpose of coherent breathing is to limit the breathing cycle to only five breaths per minute. This breathing pattern lowers heart rate and blood pressure, soothing the nervous system.

  • Inhale via the nose, extending the belly to a count of five.
  • Exhale to a count of 6 without halting at the peak of the inhalation.
  • Repeat at least five times to complete a full minute cycle.
  • If you find it difficult to inhale or exhale for this long, begin with a 3-count and gradually work your way up.

Victory Breath 

In Sanskrit, victory breath is called Ujjayi Breath. It’s also known as ocean breath because the sound generated by closing the throat sounds like waves smashing on the coast.

  • Sit up straight, with your spine straight and your hands in your lap.
  • Inhalation through the nose to a count of four, somewhat limiting airflow to the back of the throat on the inhale. If you execute this correctly, you will hear a sound that sounds like waves or light snoring.
  • Pause for a second at the peak of the inhale before beginning the exhale.
  • Strive to keep your throat contracted and exhale gently to a count of six. Pause for a moment before inhaling again.

Straw Breath

This technique includes breathing through a straw to relieve anxiety and fear. If you don’t have a straw, you can pursue your lips on the exhale instead.

  • Make sure you have a straw on hand for the workout.
  • Inhale softly via the nose, filling the abdomen to a count of four.
  • Take a short pause at the peak of the inhalation to insert the straw into your mouth. Alternatively, you can pucker your lips as if you have a straw in your mouth.
  • Exhale slowly and softly through the straw until you reach a count of six.
  • Pause at the bottom of your exhalation and remove the straw.
  • Do this workout for 5 minutes every day.

Box Breathing

Box breathing, sometimes known as square breathing, is a basic breathing exercise that comprises inhaling, exhaling and holding one’s breath. This approach is used by the Navy Seals to relieve tension and anxiety during warfare.

  • Inhale deeply through your nose, extending your belly to a count of four.
  • Hold the breath for a count of four at the peak of the inhale.
  • Exhale via the nostrils for a count of four before releasing the breath.
  • Hold the breath until a count of four at the bottom of the exhale.
  • Repeat 5-10 times.

The Yogic Breath

The three-part breath, also known as yogic breath, is a great grounding method that occupies the full lungs. The belly, ribs, and upper chest are referred to as the three sections of the breath.

  • Sit up straight with your spine straight.
  • Begin by laying your palm on your tummy. Slowly inhale and exhale through your nose into your abdomen, feeling it rise and fall with the breath.
  • Place your palm on your ribcage and slowly inhale and exhale through your nose into the ribcage, noting how the ribs expand with air.
  • Finally, lay your palm on your upper chest and inhale and exhale gently through your nose into the chest cavity, feeling it rise and fall with the breath.
  • Breathe into each location independently until you feel comfortable with each approach.
  • Fill up the belly first, then the ribs, and lastly the chest on the following inhalation. At the apex of the inhale, pause for a second.
  • Reverse the flow on the exhale, releasing the air first from the upper chest, then the ribcage, and finally the belly.
  • Repeat this breathing exercise 5-10 times.

Conclusion:

These are just some of the many ways you can use yoga techniques to help you relax and relieve stress and anxiety. You may find other methods more effective than others, but these should be enough to get started. Check out how Katrina Kaif battled her anxiety during the lockdown.

If you want more such insightful health & lifestyle tips delivered straight to your inbox, subscribe to the monthly Clout Newsletter and never miss an update.

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World Hypertension Day 2022: Be Aware Of Warning Symptoms And Know How To Accurately Measure Blood Pressure

World Hypertension Day: Throbbing headaches could be a sign of high blood pressure

Hypertension or high blood pressure occurs when the blood pressure abnormally rises to undesirable levels. It is the increased force exerted by blood against the walls of the artery. Normal blood pressure is 120/80 mm Hg. High blood pressure is defined as a level greater than 130/80 mm Hg or 140/90 mm Hg according to various guidelines. As most of the time, there are no noticeable signs of hypertension, it is also called ‘the silent killer'. Thereby, raising a significant risk to damage the brain, heart, kidneys, and blood vessels. Ignoring blood pressure symptoms can prove to be fatal and lead to a stroke, heart attack including heart failure and kidney failure, if not diagnosed early and treated appropriately.

It is being estimated that one in every three Indian adults above the age of 60 is being affected by hypertension. This shows how vital it is to regularly monitor blood pressure to treat and evade the risk of serious illnesses. Although, monitoring blood pressure is important, but measuring it in a correct way is also crucial as accurate measurement in hypertensive people gives a clear picture of the cardiovascular risk. This is also very helpful to those who have borderline BP and are in need of a proper diagnosis and treatment with the right medication. A small error in BP measurements has the potential to mislabel someone as having high BP, resulting in unnecessary medication.   

This World Hypertension Day, take note of these warning symptoms that one should never ignore and  a few key tips to ensure accurate BP measurement.

Symptoms:

  • Headaches: Sometimes these could be triggered by lack of sleep. However, if you are suffering from a throbbing headache way too often, it could be a sign of high blood pressure.
  • Nosebleeds: If your nose bleeds not due to sinusitis, then it could be a sign that you your blood pressure is high and needs to get levels checked.
  • Shortness of breath: Difficulty in breathing and shortness of breath is also an indication for hypertension.
  • Irregular heartbeat: Arrhythmia or irregular heartbeats can also occur in hypertension patients. This happens due to uncontrolled pressure at which blood exerts force against artery walls.
  • Chest pain: Due to shortness of breath in hypertension patients, in extreme cases, it could also lead to chest pain.

Tips for accurate BP measurement:

  • The correct sized BP cuff needs to be put on the bare arm
  • Having an empty bladder is advisable, a full bladder can increase BP readings
  • Patients should sit still with back support and feet on the floor 
  • Avoid talking while measuring BP readings
  • The arm should be supported at the level of the heart 
  • Avoid consuming food, caffeine, alcohol 30 minutes before measuring 
  • If monitoring blood pressure at home, minimum of three readings to be recorded and the average of the last two readings can be considered for the reading

While there is no cure, make lifestyle changes that matter. Enhance quality of life by eating a well-balanced diet, limit salt and alcohol consumption, regular exercise to maintain a healthy weight, manage stress, quit smoking, take your medications properly, and work together with your doctor. These protocols can go a long way and reduce health risks.

(Dr. Sunil Wani, Consultant, Cardiology at Kokilaben Dhirubhai Ambani Hospital, Mumbai)

Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.

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The Centers for Disease Control and Prevention (CDC) states that as recently as 2019, over 375 residents of California died from asthma that year alone. Millions of people in the state have the chronic lung disease that makes breathing difficult and many more suffer from allergies.

The month of May is recognized as Asthma and Allergy Awareness Month. It is a time to spread awareness and educate the public about ways to prevent or mitigate exposure risks that could trigger an asthma attack or allergies. Asthma attacks can often be prevented if people with the disease avoid exposure to asthma triggers.

According to the California Air Resources Board (CARB): There are many asthma triggers in addition to air pollution. These include pollens, dust mites, animal dander, and fragrances, among others. Typically, an individual asthmatic responds to a unique subset of asthma triggers. Air pollution is a well-documented asthma trigger for some asthmatics; however, the role air pollution plays in initiating asthma is still under investigation and likely involves a complex set of interactions between indoor and outdoor environmental exposures and individual genetic susceptibility.

“Mitigating exposure risks to asthma triggers, allergens, and respiratory irritants is an important part of managing asthma and many other respiratory conditions,” said Michael Chapman, Laboratory Manager of LA Testing's Huntington Beach facility. “At LA Testing, we support the efforts of Asthma and Allergy Awareness Month by offering indoor environmental quality (IEQ) laboratory testing services to identify the most common asthma triggers and airborne pollutants that could be lurking in people's homes, schools or businesses. With that information, corrective actions can be taken to eliminate or mitigate exposures, so people can better manage their condition.”

LA Testing has multiple laboratories throughout California providing air, dust, and other IEQ testing services, sampling supplies, easy-to-use test kits, and air monitoring instruments. To learn more about this, please visit www.LATesting.com, email  [email protected]  or call (800) 755-1794. For access to IEQ test kits, visit www.EMSLTestKits.com.
 

About LA Testing

LA Testing is California's leading laboratory for indoor air quality testing of asbestos, mold, lead, VOCs, formaldehyde, soot, char, ash, and smoke damage, particulates, and other chemicals.  In addition, LA Testing offers a full range of air sampling and investigative equipment to professionals and the public. LA Testing maintains an extensive list of accreditations including: AIHA-LAP, LLC (AIHA-LAP, LLC EMLAP, AIHA-LAP, LLC IHLAP, AIHA-LAP, LLC ELLAP), CDC ELITE, NVLAP, State of California, State of Hawaii Department of Health, and other states.  LA Testing, along with the EMSL Analytical, Inc. network, has multiple laboratories throughout California including South Pasadena, Huntington Beach, San Leandro, San Diego, and Ontario.

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High blood pressure or hypertension is a 'silent killer' that is preventable yet a leading cause of death worldwide. High blood pressure can cause cardiovascular diseases like a heart attack, panic attack or a stroke, if left untreated. World Hypertension Day is observed on May 17 to raise public awareness about hypertension and ways to prevent it.

Most often, there are no noticeable signs of hypertension, and even if you have some symptoms, you may not immediately act upon it. However, ignoring high BP can be deadly and lead to a heart attack, heart failure, aneurysm, stroke, memory problems or dementia. Therefore, monitoring blood pressure regularly and seeking medical help upon encountering symptoms is the key to evade risk of serious illnesses.

Here are the seven signs of high blood pressure/hypertension that you should not ignore:

Chest pain of any kind should be taken seriously and never be dismissed as heartburn or indigestion. Pain in the chest can be an indication of many different serious medical conditions, including high blood pressure. If you experience chest pain, seek medical help and get yourself evaluated by a doctor.

Nosebleeds may occur due to sinusitis or blowing the nose constantly. However, they can also occur when one’s blood pressure is high. If you encounter nosebleeds frequently, then you should report it to the doctor.

High blood pressure can affect the blood vessels in the eyes. Therefore, it can cause a sudden change in vision, blurriness, blindness, loss of vision in one eye and changes in part of your field of vision. If this happens to you, immediately seek medical attention. If high blood pressure is the cause, then doctors will treat you with medicine to reduce your blood pressure and protect your vision.

Acute feeling of exhaustion and fatigue might be related to high blood pressure. If you are encountering such a feeling, then consult your regular doctor for further evaluation.

Shortness of breath and dizziness

High blood pressure can also cause difficulty in breathing and dizziness. This is one of the common symptoms of hypertension and one should immediately seek medical attention.

Throbbing headaches, especially in the back side of the head, is an indication that your blood pressure may be high. If you frequently experience severe headaches at the back of your head, then immediately get your BP checked.

High blood pressure can cause nausea and even sudden vomiting. If you experience this without an obvious cause for vomiting, then seek medical attention. Sudden vomiting in any case would require medical attention even if you don’t suspect high blood pressure to be a cause.

A key part of healthy living is communicating your health concerns to your doctor or healthcare provider. Therefore, you should not self-evaluate, instead seek immediate attention for the test and treatment if required.

(Edited by : Shoma Bhattacharjee)

First Published:  IST

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Lifelong runner and licensed psychologist Holly Serrao-Fitzsimmons, Ph.D., knew something was wrong after the birth of two premature sons, in 2012 and 2015. She was experiencing something she was trained to diagnose: post-traumatic stress disorder or PTSD.

When her first son was born at just three and a half pounds, she described being in a state of shock, feeling frozen in her body, and on high alert. For several months, her son’s life hung in a delicate balance.

When her firstborn came home, it wasn’t joy she felt, but rather anxiousness and fear about what could happen or go wrong. “I would relive the birth and events leading up to it. I would relive images of them and moments experienced in the NICU. I would then avoid certain streets or areas of town—like the area around the hospital,” Serrao-Fitzsimmons says. “Certain smells of the hospital and certain types of antibacterial gels and soaps they used there would really bother me. Increased arousal was probably the biggest symptom I had. I was on high alert, hyper-vigilant for a long time afterwards.”

At that time, she confirmed her PTSD diagnosis with her therapist.

What is PTSD?

PTSD was formally added to the list of neurological and mental conditions by the American Psychiatric Association in 1980, after many Vietnam veterans were treated for it. Today, the diagnosis is broadly accepted and understood to be a result of experiencing any type of traumatic event outside of the body and mind’s ability to process or control it.

PTSD is an intense physical and emotional response to a traumatic event that persists long after the trauma occurred. The CDC defines the symptoms as falling into three broad types: re-living, avoidance, and increased arousal.

Many humans will experience a traumatic event in their lifetime. Many will aptly process it within a few months. But for those unable to effectively process a significant trauma and move through it could be suffering from PTSD. Clinical neuroscientist Scott Hayes, Ph.D. associate professor in the department of psychology at The Ohio State University tells Runner’s World that PTSD is associated with symptoms such as involuntary and intrusive memories of the event, decreased attention and concentration, and avoidance of things that could trigger the unwanted memory, and further negatively impact mood and brain function.

The Research on Running and Exercise Helping Those With PTSD

One review, from Hayes and his team published in Frontiers in Psychiatry in 2019, looked at ten published studies that examined the impact of exercise interventions on PTSD. As noted in the review, one of the key features of PTSD symptoms is hyper-arousal—when the body is in a state of high alert and feels threatened, just as Serrao-Fitzsimmons felt after giving birth. Being in this state negatively affects the individual as it causes rapid heartbeat, heavy breathing, sweating, and a strong sense of agitation or fear of one’s safety.

The researchers set out to determine if repeated exposure to those unwanted reactions—the increased heart rate, sweating, and heavy respiration—through activities like running, could eventually help patients with PTSD associate these feelings in the body with something positive.

Hayes’ team noted in their review that those who did engage in vigorous-intensity exercise had fewer hyperarousal symptoms of PTSD. “Both observational and intervention studies provide support for the notion that anaerobic exercise, either alone or in combination with standard treatments, exerts positive mental health benefits among individuals with PTSD,” the report reads. “The results are encouraging as positive effects were observed in both civilian and military populations, as well as in both predominantly female and male study samples.”

We know that running elicits the same physiological responses in the body as PTSD (that increased heart rate, perspiration, and respiration), so if a patient with PTSD has repeated exposure to exercise, and these physiological symptoms, over time they learn that these arousal cues are not catastrophic and are not linked to the traumatic event, Hayes says. (He still advises that exercise should be used in conjunction with other forms of cognitive therapy and/or medication depending on the patient’s symptoms.)

Aerobic exercise like running can also improve cognitive function, as well as enhance brain structure and function,” Hayes explains. “In studies of aging, we know that aerobic exercise enhances cognitive functions, including reducing distractibility. We also know that anaerobic exercise can positively impact brain structure and function in some of the same brain regions that are associated with PTSD.”

First-Person Accounts of Exercise Supporting PTSD Recovery

Long after the birth of her son and per the recommendation of her son’s therapists to offer outdoor stimulation, Serrao-Fitzsimmons started running again, this time pushing a stroller. She quickly noticed it was beneficial for her own mental health. Over time, her constant fear and panic of her son’s survival and possible complications started diminishing.

Running through the woods I don’t have to think. It’s grounding and an opportunity to associate the experience of sweating and breathing heavily with something positive happening in my body. It’s about associating that feeling with something that’s not scary or bad and dissociating that feeling with trauma.”

After the birth of her second premature baby, Serrao-Fitzsimmons says the same symptoms returned, but this time she knew social support, therapy, medication, and running were important to her recovery.

“PTSD is often treated with cognitive approaches, which leads us to oftentimes forget that trauma itself is also an embodied experience, meaning that one can physically hold the effects of trauma in their bodies,” says Viann Nguyen-Feng, Ph.D., M.P.H., assistant professor of psychology at the University of Minnesota Duluth, and director of the Mind-Body Trauma Care Lab. “During a traumatic event, our bodies may react and respond in ways that were necessary for our survival and that might have seemed outside of our control.”

James Whitworth, Ph.D., health science specialist at VA Boston Medical Center, and assistant professor in the department of psychiatry at Boston University School of Medicine, experienced this first-hand. When he returned home after serving in the United States Army as an E5 Sergeant and fire team leader in an infantry rifle platoon (in Iraq) from 2003 to 2007, as well as the National Guard, he felt like the trauma of war caught up to him. His roommate at the time said he would shout and thrash in his sleep.

In 2012, Whitworth tragically lost a close friend to suicide, and then in 2013 the Boston Marathon bombing (not far from where Whitworth lives) brought forth intrusive memories of roadside bombs in the war to the surface.

He describes his PTSD, which he wasn’t diagnosed with until 2013 (seven years after returning from Iraq), as taking the shape of hyperarousal and aggression. “It was a very messy time. I made the decision to get help on my own, but had the constant support of my partner,” he says.

Whitworth started hiking and climbing mountains during this time and it proved to be a literal and figurative tool to his survival and motivation to get out of bed. He also says the loss of his friend was a deciding factor in his field of research. “My friend ended his life the same year I entered graduate school,” he says.

Today, Whitworth focuses his research on how exercise can be applied to the treatment, rehabilitation, and prevention of PTSD among veterans and other trauma survivors.

The Case for Movement and Therapy in Treating PTSD

“Running and other forms of somatic movement (like yoga, dance, or Tai Chi) help us reconnect with our bodies, to acknowledge all that our bodies had to do to ensure our survival, and importantly, to remind our bodies that we have survived; there is no longer a survival need to hold ourselves in fight, flight, freeze, or fawn mode,” Nguyen-Feng explains. In other words, movement is a chance for patients suffering with PTSD to release stress they might be holding onto.

Nguyen-Feng goes on to say, “Running and other forms of somatic movement allow us to tap into the inner wisdom of our bodies and provide a method of grounding us in the here and now, rather than being stuck in our minds.”

Today, Serrao-Fittzsimmons realizes the grounding practice of running. While she still gets triggered when her children are sick, having a consistent running routine helps her manage these triggers. “Running helps me be more present and calmer; it’s kind of like staring out at the ocean—it gives me perspective and helps me see solutions to problems,” she says.

Whitworth also says the tools he’s gained in therapy and from exercise have helped him to be more prepared for stressful life events.

How Therapists Incorporate Movement

Because of the promising pay-offs of exercise when it comes to mental health, some mental health therapists will even incorporate exercise into their sessions in order to further help their patients. For example, Los Angeles-based therapist Sepideh Saremi, LCSW, founder of Run Walk Talk, has built a practice around getting her clients moving and talking. She holds sessions outside along the Pacific Ocean, walking or running with clients.

“In addition to the neurochemical benefits of running (including release of the mood-boosting brain chemicals serotonin and dopamine), it also helps support people’s feeling of self-efficacy and ability to concentrate,” she explains. “Exercise can often help people feel a sense of control, which can counteract the feeling of helplessness that’s part of PTSD.” Saremi works with clients who’ve experienced a wide array of trauma from childhood abuse to sexual abuse.

“In a Run Walk Talk session, I run and walk with patients and clients at the beach while we talk about the things they want to change in their life. We usually spend about forty minutes running and walking, and about ten minutes in my office afterward to cool down and talk about what they’re taking from the session and what they’ll do before the next time we meet,” says Saremi.

I started running right around the time I started graduate school to become a therapist, and was curious about how running was being used to treat mental health. When I looked into it, I realized there was a ton of evidence to support running and walking as a mental health intervention, but I didn’t know any therapists who were doing it,” Saremi adds. “That’s where the idea for it was born, though since starting Run Walk Talk, I’ve discovered a number of therapists who incorporate running into their work, and I’ve trained many therapists myself, as well.”

What to Know Before Trying Exercise for PTSD Recovery

While Hayes’ acknowledges that many of the current studies provide some evidence for the positive influence exercise may have on PTSD symptoms, most of the current studies either test a very small number of participants or lack a control group. So more research is needed to truly confirm the results.

Nguyen-Feng also reminds us that it takes a support team—whether that’s in the form of community or individual therapy sessions—to help address mental health conditions. “I think bodily movement is necessary and complementary to any ‘work’ we do with our minds, and professional and/or social support is necessary for healing,” Nguyen-Feng says. “So I encourage runners and interested runners to consider that support integral to their training regime or running schedule.”

Saremi also reminds patients who’ve experienced trauma and haven’t exercised before to walk or begin running with people you feel safe around, so you’re more comfortable.

How to Find a Therapist

It can be overwhelming for patients to find a good therapist. “There are a lot of factors to consider: cost, your goals, the therapist’s training, and interest areas are often the most relevant,” Saremi says. Know that the process can take some time, but the advantages are worth the effort.

Saremi suggests TherapyDen, a free online directory of inclusive and affirming therapists. You can also check out Psychology Today and Psychologist Locator to search for therapists in your area, or try Teledoc for virtual appointments.

If you or someone you know if suffering from PTSD and needs immediate help, contact the National Suicide Hotline.

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Around 5.4 million Brits are affected by asthma and experts have now highlighted some of the more “unusual” symptoms that may not initially appear to be a sign of the condition

Older woman having asthma attack due to her allergies
Experts have highlighted some of the more unusual symptoms of asthma

Asthma is a common lung condition that affects the airways causing occasional breathing problems, and impacts around 5.4 million Britons in the UK. While many are aware of the main symptoms of asthma, which typically include wheezing and shortness of breath, some go under the radar.

The WebMB experts revealed: “Not everyone with asthma has the usual symptoms of cough, wheezing, and shortness of breath. Sometimes individuals have unusual asthma symptoms that may not appear to be related to asthma.”

Anxiety and sleeping difficulties are listed as some of the most unusual asthma symptoms to look out for.

Unusual symptoms of asthma to look out for

Experts have highlighted some of the most “unusual” symptoms of the condition to look out for, these include:

  • Rapid breathing
  • Sighing
  • Fatigue
  • Inability to exercise property (called exercise-induced asthma)
  • Difficulty sleeping or nighttime asthma
  • Anxiety
  • Chronic coughing without wheezing

It is important to note that these symptoms are not always the result of asthma.

WebMD explained: "Asthma symptoms can be mimicked by other conditions such as bronchitis, vocal cord dysfunction, and even heart failure."

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Fatigue has been recognised as an “unusual” symptoms of asthma
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Common symptoms of asthma

If you are concerned you may have a lesser-known symptom of asthma, you should also check whether you are experiencing any common symptoms of the condition.

According to the NHS : "The most common symptoms of asthma are wheezing (a whistling sound when breathing), breathlessness, a tight chest – it may feel like a band is tightening around it and coughing."

These symptoms are more likely to be asthma if they worsen at night or early in the morning, or happen frequently and recurrently.

Asthma can also be triggered by exercise and allergies.

An asthma attack occurs when the condition gets worse for a short period of time, this can include wheezing and coughing, being too breathless to eat, speak or sleep, or breathing faster.

In severe cases, a person may experience a rapid heartbeat, drowsiness, confusion, exhaustion or dizziness and blue lips or fingers.

What to do if you think you have asthma

The best thing to do if you are concerned that you or your child has asthma is to visit your GP.

Your GP will likely ask a series of questions, including notes on any family history or allergies.

They may suggest doing some tests to confirm whether or not you have asthma.

According to the NHS: "A GP will probably be able to diagnose it, but they may refer you to a specialist if they're not sure."

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If you are suffering from early morning headaches way too often it could be a sign of high blood pressure

If you are suffering from early morning headaches way too often, it could be a sign of high blood pressure.

Photo : iStock

KEY HIGHLIGHTS

  1. High blood pressure or hypertension refers to a state wherein blood crashes against the artery walls at an abnormally high pace that could cause too much damage in the long run if left untreated.
  2. Unfortunately, hypertension is a state that gets worse silently thereby raising the risk of heart attack, stroke, arterial damage, and other chronic conditions.
  3. There could be some subtle symptoms that may appear from top to toe hinting at high blood pressure levels.
New Delhi: High blood pressure or hypertension refers to a state wherein blood crashes against the artery walls at an abnormally high pace that could cause too much damage in the long run if left untreated. Unfortunately, hypertension is a state that gets worse silently thereby raising risk of heart attack, stroke, arterial damage and other chronic conditions.
Across its stages, hypertension does not have any prominent symptoms that one could watch out for and get diagnosed in time. Yet, there could be some subtle symptoms that may appear from top to toe hinting at high blood pressure levels. This World Hypertension Day, take note of the warnings.
  1. Early morning headaches: Sometimes these could be triggered by lack of sleep. However, if you are suffering from early morning headaches way too often, it could be a sign of high blood pressure.
  2. Nosebleeds: Hypertension, known as a silent killer for the absence of symptoms, could also result in nosebleeds. If you are facing these way too often for no reason, it could be a sign that you need to check blood pressure levels checked.
  3. Shortness of breath: Difficulty in breathing and shortness of breath could also silently hint at hypertension. In extreme cases, it could also contribute to chest pain.
  4. Irregular heartbeat: Arrhythmia or irregular heartbeats can also occur in hypertension patients. This happens due to uncontrolled pressure at which blood crashes against artery walls.
  5. Blood in the urine: One of the most extreme symptoms of hypertension is seeing traces of blood in the urine. This could also be a symptom of cancer. Therefore, if you notice dark-red coloured or pink-hued blood, get it checked by a doctor as soon as possible.

Disclaimer: Tips and suggestions mentioned in the article are for general information purposes only and should not be construed as professional medical advice. Always consult your doctor or a dietician before starting any fitness programme or making any changes to your diet.

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