duration of viral bronchitis - Feline Asthma - Investigation and Treatment
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Feline Asthma - Investigation and Treatment

It is quite common for cats to present to veterinary clinics with a chronic cough or wheeze. The problem may be constant or just recur from time to time, and can range from mild to severe. Clinically the disease may resemble human asthma, but the term feline asthma can be misleading as there are a number of different possible causes. Here we look at what those underlying causes can be, and the different forms of treatment available to affected cats.


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Cats usually present with one or all the following signs: CoughingWheezingDifficulty breathing A minority of cases will have the classic human status asthmaticus, rapid onset breathing difficulty due to severe narrowing of the bronchi. Cats tend to be middle aged or older, and Siamese cats may be more prone than other breeds.

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5. Bronchoalveolar lavage This is similar to the technique described above, but the catheter is inserted all the way into a lower airway before the saline is injected and withdrawn. This is therefore a good test for lower airway disease.

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To return to the comparison with human asthma, when trying to understand the underlying causes it is important to differentiate between asthma (constriction of the bronchi), chronic bronchitis (oversecretion of mucus with a chronic cough) and COPD (chronic obstructive pulmonary disease). Asthma is reversible bronchial constriction caused by eosinophil cells, whereas COPD is irreversible bronchial constriction involving neutrophil cells.

During the winter period, bronchitis and sinusitis are the most common conditions especially in areas with cold climates. Patients which accuse symptoms like headaches, fever, nasal discharge, difficult breathing and cough are usually diagnosed with sinusitis or bronchitis.

To quiet a cough, try echinacea tincture. Take 15 to 30 drops 2 to 5 times daily. To loosen phlegm and open clogged bronchial tubes, drink coltsfoot tea daily. To make the tea, steep 1 to 2 teaspoons of the herb in 1 cup of boiling water for 10 minutes; strain.

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If the patient's complaints are connected to high pressure inside the sinuses, yellow to green coloration of the mucus and localization of the pains in point areas, the sinusitis can be treated successfully by homeopathic remedies. The most common herbal medication for sinusitis is Kali bichromicum.

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Actual symptoms, the order of appearance and the way they affect the patient's life are important to establish a certain homeopathic medication. In sinusitis determinant are the localization of the pains and the aspect and smell of the discharge. Homeopathic remedies base more on the symptoms than on the cause of infection because there is no real efficient treatment for sinusitis.

The homeopath physician must know if the condition is acute or chronic to be able to prescribe the most efficient treatments. Major importance has the way the disease has occurred and under the influence of which environmental factors. Such factors can be stress, allergens, diets or even contact to possible contagious cases.

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6. Lung biopsy This is an invasive procedure that carries a significant risk to the patient. It is only indicated where diffuse cancer or extensive fibrosis is suspected, or in severe disease that responds poorly to treatment.

Sinusitis is mainly characterized by fluid or mucous nasal discharge, obstruction of the nasal passages and feeling of pressure inside the sinus cavities. Disturbing headaches and facial pains around the frontal or maxillary area are important signs in differential diagnosis with common colds or flu.

Bronchodilator drugs used in inhalers include Salbutamol and Salmeterol. Salbutamol is very fast acting and therefore useful in a crisis caused by spasm of the bronchi. However, it only lasts for about 30 minutes and is therefore unsuitable for chronic therapy as frequent dosing is required. Salmeterol on the other hand is longer acting, and lasts for about 12 hours so twice daily dosing is possible. Salmeterol is better for long term control of mild to moderate asthma while Salbutamol is better for relief of acute bronchospasm.

Diagnosis 1. Clinical examination The first step in the diagnostic protocol is a thorough clinical examination by a veterinarian. This should localize the origin of the disease to the upper airways, lower airways or pleural space. If the cat is found to have pleural disease, a needle may be inserted straight away to remove either air or a sample of the effusion for both diagnosis and short term treatment of the respiratory distress.

Pulmonary edema. Often due to severe heart disease.Infectious bronchitis. This can be due to bacteria, viruses or parasites.Pleural disease. Filling of the space between the lung and the chest wall with air or an effusion.Cancer. This can be a primary lung tumor or metastatic spread.Potassium bromide induced respiratory disease. A side effect from an anti-epileptic drug.Idiopathic pulmonary fibrosis. Responds poorly to treatment.Pulmonary thromboembolus. Lodging of a clot in a respiratory blood vessel causing sudden onset breathing difficulty.Pulmonary hypertension. Usually secondary to other heart or respiratory disease.

To make the tea, steep 1 teaspoon each of dried mullein, coltsfoot, and anise seed in 1 cup boiling water for 10 minutes; strain. For bronchial spasms, drink thyme 3 three times daily. To prepare the tea, steep 1 teaspoon of thyme leaves in 1 cup of boiling water for 5 to 10 minutes; strain through cheesecloth.

Traditional Chinese Medicine Acupuncture Acupuncture is useful in opening up congested bronchial tubes and lessening inflammation, which can ease breathing. and relieve the chronic cough that plagues many bronchitis sufferers.

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Hydrotherapy Use steam inhalation to help clear congestion. See "Aromatherapy" in "Introduction to Complementary Therapies" section for directions. Adding aromatic oils is optional. A mustard plaster can be applied to the chest to loosen deep congestion.

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Glucocorticoid drugs (steroids) used in inhalers include Beclometasone, Fluticasone and Budesonide. Beclometasone is cheap, but is rapidly absorbed into the bloodstream when you want it to hang around in the area where it applied. Fluticasone is more expensive, but tends to stay where you want it to. Budesonide is relatively inexpensive and though it is easily absorbed into the bloodstream, it tends to be removed the first time it goes through the liver.

Sinusitis with more fluid nasal discharge slipping down the posterior side of the throat causes cough and requires clearing of the throat. Sometimes patients accuse bad breathe, sweating and a metallic taste in the mouth, they might present a thick coat on the tongue and quick sessions of cold or hot feelings. If also fever is absent the best homeopathic remedy seems to be Mercurius solubilis. Patients suffering from irritability usually use Hepar sulphuricum or Nux vomica to treat sinusitis and develop some side-effects. Milder sinusitis improves with Pulsatilla Nigricans.

 
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Treatment The aims of treatment are as follows. 1. Eliminate any suspected infectious agents. This may be a sufficiently long course of antibiotics if bacterial infection is suspected, or a wormer such as fenbendazole if lungworm is suspected.

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Causes of sinusitis and bronchitis might be bacteria, viruses or fungal organisms or even different types of allergens operating in acute or chronic timing.

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3. Bronchoscopy Bronchoscopy allows visualization of the larger airways, and assessment for increased mucus and inflammation. 4. Tracheal wash This involves injecting a small amount of saline into the trachea and immediately withdrawing it, and then examining the cells and debris harvested under a microscope.

The Seretide Evohaler is useful for cats requiring both steroid and bronchodilator therapy. It contains salbutamol and fluticasone, a combination allowing minimal dosing frequency.

2. Radiography The next test performed is usually thoracic radiography. This is best performed under general anesthetic so there is lee chance for motion blur, though in acute situations this is not possible. This is where the most meaningful information can be gained.

Aerosol therapy has the advantage that the maximum concentration of drug is delivered to the target site. This means that lower overall doses can be used, and the cat is less likely to suffer the negative side effects of steroids. Various inhalers can be used in both cats and dogs, but they tend to be designed for humans. As a result, higher doses are given compared with human medicine, as humans can be instructed to breathe deeply whereas cats will breathe normally at best.

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To soothe inflamed bronchial tubes, sip plain mullein tea. To make the tea, steep 1 to 2 teaspoons of the herb in 1 cup of boiling water for 10 minutes; strain.

Divya Triphala Guggulu for Joint Pain, Piles and Weight Loss This classic Ayurvedic preparation combines the detoxifying and rejuvenating actions of triphala with the deeply penetrating and cleansing actions of guggulu. Triphala Guggulu effectively decongests the channels of the body and scrapes away toxins held within the tissues. It is particularly useful for weight management as it enkindles the digestive fire, promotes healthy metabolism and releases excess kapha from the system. Used preventatively, Triphala Guggulu minimizes the accumulation of toxins in the body, blood and joints by supporting proper digestion and elimination.

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The Differentials There are a large number of possible diagnoses when a cat first presents with coughing or breathing difficulty. Here are some of the more important ones:

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Acute sinusitis can develop high fever and chills; left untreated it can lead to the apparition of bronchitis or pneumonia as the bacterial infection spreads to the other respiratory areas.

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* Intake of this medicine makes the cells of the lungs more active, and removes the inflammation of bronchioles & bronchi. So lungs become capable to take more oxygen & patient gets rid of chronic diseases like bronchitis;

Spacer devices A spacer device consists of a chamber into which the aerosol drug is released at one end, with a mask at the other end which fits snugly over the cats mouth and nose. Human baby spacer devices (e.g. Babyhaler) can be easily adapted for cats. Alternatively, veterinary spacers specifically designed for cats are now on the market (e.g. Aerokat). The spacer should be held over the cats nose and mouth for about 30 seconds to ensure complete delivery of the drugs. It should be remembered that aerosol steroid therapy can take up to 2 weeks to reach full effect, and if the cat has been on oral steroids previously, these should be phased out slowly during these initial 2 weeks.

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Is treatment lifelong? Generally yes. Doses can often be reduced gradually once clinical remission has been achieved. As with many chronic conditions, complete control might not always be possible and an acceptable quality of life is the main aim of the treatment.

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Divya Peya Herbal Tea # Divya Peya is An Ayurvedic drink, free from alcohol, having sweet taste & the best substitute for tea. # It Promotes immunity in the body, so protects the attack of kaphaja diseases

Numerous herbs have anti-inflammatory and expectorant capabilities and are helpful in fighting bronchitis. A handful of common remedies follow. To soothe a dry bronchial cough, drink a hot mullein-coltsfoot tea several times a day

Yograj Guggulu is a traditional formula designed to reduce excess vata in the system. It is particularly useful for accumulated vata in the joints and muscles, which may be indicated by cracking or popping of the joints, tics, spasms or tremors. Chronic accumulation may lead to such serious conditions as rheumatism and arthritis. In vata-type arthritis, the joints may feel cold to the touch and although not necessarily swollen, they may be dry and painful, especially upon movement. Yogaraj Guggulu contains a synergistic blend of detoxifying herbs, including Triphala, Chitrak and Vidanga that work in conjunction with guggulu to remove excess vata from the joints as well as the nerves and muscles.

For an expectorant, try aniseed and garlic. Other therapeutic herbs include horehound, goldeneal, and ginseng. Herbal products are available in health food stores and in some pharmacies and supermarkets. Follow package for specific directions.


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