Thursday, October 19, 2023

Recovering from a Viral Fever: Coping with Joint Pains and Swelling | Dr Ashwani Kansal

 

 

Joint Pains & Swelling After A Viral Fever

 

With the recent epidemic of viral illnesses in our city, especially dengue, chikungunya, the number of people visiting the OPD with joint pains with or without joint swelling is on an acute rise.

 

What is viral arthritis?

Arthritis is inflammation at the joints. So there is pain, swelling, stiffness at joints. If this occurs during or following a viral infection, it is a viral arthritis. Usually joints of the feet – ankles, toes, hands, wrists, knees are commonly affected.

 

What are the viruses that can cause an arthritis?

A lot of viruses can trigger arthritis either by directly affecting the joints or by triggering our immunity to act against the joints. The most common viruses causing an arthritis include – Chikungunya, dengue, parvovirus B19 (especially in children), Hepatitis A, B and C, rubella and retroviruses. The recent viral epidemic in our city predominantly was due to either dengue or chikungunya, though in many the exact cause of the viral illness could not be identified.

 


How long does viral arthritis last?

Viral arthritis is usually self limiting and usually lasts for less than a week. But some patients can progress to a chronic stage where the joint inflammation or joint pains can continue for weeks, months or sometimes even years. This can impair a person’s activities of daily living.  Especially with Chikungunya, its been found in the past that 25% of patients with Chikungunya fever can have arthritis for 2 years also.

 

Who are at risk of developing long term viral arthritis?

The exact reason as to why only a few individuals develop long term viral arthritis is unknown. But it is known that women and people who smoke n lead unhealthy lifestyle and eat lot of junk food are at the highest risk of developing a long term arthritis following a viral infection.

 

What are the treatment options available for viral arthritis?

During the acute phase of illness, simple analgesics like paracetamol itself may be sufficient. More potent analgesics and sometimes low doses of steroids may be needed. For those who have a chronic arthritis, the possibility of a rheumatoid arthritis or any other cause of a chronic arthritis needs to be ruled out. Treatment of a chronic viral arthritis would include disease modifying agents that we usually give for rheumatoid arthritis.

Plenty of oral fluids, Naariyal paani ,fruits n milk and proper rest is beneficial .

Can Add Calcium , Vitamin D3 and antioxidants and levocarnitine for better improvement.

 

 


 

*DR.ASHWANI'S FAMILY CLINIC, 111 FF,CITY SQUARE, ACE CITY,NOIDA EXTENSION*

 

*DR.ASHWANI KANSAL*

MBBS, DFID (fellowship in Diabetes ,CMC Vellore)

M.Med ( Family Medicine, CMC Vellore)

PGCAT ( Thyroid )

PGDMH( Diploma in Mental Health, CMC Vellore)

Consultant  Physician N Diabetologist N Thyroid Specialist

Consultant Yatharth Superspeciality Hospital Omega 1, Greater Noida

Timings 6 pm to 9.00 pm 8826220044, 7303399370

Winter's Chilling Challenge: Managing Breathing Issues in Cold Weather | Dr Ashwani Kansal

 

 

Winters and Breathing Issues

 

Many people experience breathing and respiratory issues with the onset of the winter with Cold and Nadal blockage off and on.

In winter season, the air in the atmosphere is cold and dry. Chilly winds flow making you breathe in quite cold air. And, this increases your respiratory discomfort largely. You may experience Cold, a dry throat with irritation, wheezing, and laboured berthing. Respiratory discomfort increases even more for asthma and COPD patients.

 Why exactly winter aggravates breathing difficulties, which respiratory conditions can become dominant in the cold months, and what to do to ease it

The dry, cold air in the winter makes your airways narrower and irritates your lungs. So, you experience breathing difficulties in these cold months.

The layer of moisture lining the lower airways in our lungs gets disrupted due to the cold air. And, it happens to evaporate more speedily than normal before it gets replaced.

Additionally, the protective layer of the throat – mucous becomes thicker and stickier than normal in the winter. It happens to block the airways and increases your risk of catching a cold and infections, thereby making you vulnerable to breathing difficulties.

Other factors responsible for breathing issues in the winter include dust particles, smog, pollution, smoke, and seasonal allergies.

 


What Are the Common Respiratory Conditions That One May Suffer in the winter?

Some of the most common respiratory health issues that can trigger or aggravate breathing difficulties are as follows:

 

Asthma:

The cold air in the winter season can trigger asthma attacks easily. Recurrent episodes of asthma in this season can make you suffer from breathing issues. Also, the common cold, flu, and infectious conditions are prevalent in the winter. These infections can also aggravate asthma discomforts in asthmatic individuals. One may also need an inhaler if breathing difficulties aggravate.

 

Pneumonia:

Even though pneumonia results due to infectious bacterial or viral microbes, the cold weather of the winter has a role to play. The chilly winds can worsen the existing respiratory infection of pneumonia. You may experience aggravation in discomforts, such as cough, chest pain, and fever, and may lead to shortness of breath or shallow, rapid breathing.

Bronchitis:

In the winter, the inflammation, irritation, and swelling of the respiratory passage, which allows the air to enter the lungs, may occur; thereby making you suffer from bronchitis. Although acute and chronic bronchitis symptoms are similar to that of the common cold, they are a lot more intense. Persistent cough, the most common symptom of bronchitis, can deteriorate your quality of life. When down with bronchitis in the winter, you may experience chest congestion, wheezing, coughing up mucous, and shortness of breath.

Influenza:

Although this viral infection presents symptoms similar to that of the common cold, it’s more severe than it. Influenza is commonly known as flu. Its incidences increase in the winter making the affected person suffer from body aches, chest pain, fatigue, and congestion. It can also lead to rapid breathing and shortness of breath, which calls for immediate medical attention.

 

Chronic Obstructive Pulmonary Disease (COPD).

COPD patients are more vulnerable to infections and diseases in the winter. Low temperature and chilly winds in the cold months affect their lungs negatively. Dramatic changes in their respiratory health may occur due to the narrowing of the airways in the lungs and recurrent episodes. As a result, COPD sufferers may experience increased mucous production, coughing, and breathing difficulties, which can even be life-threatening.

 

Whooping Cough:

Pertussis, commonly known as whooping cough, is a highly contagious respiratory infection that can affect you in the winter. Most often, it is observed to affect young children. The affected child or person may experience uncontrollable violent coughing, which may make one suffer from breathing difficulties.

Sinusitis:

This is an upper respiratory tract infection which can affect your health and cause aggravation in respiratory symptoms in the winter. People spending time in closed spaces and poorly ventilated environments are more vulnerable to it. Headache, congestion, and cough are common symptoms. Chronic sinusitis can trigger breathing difficulties in the winter.

Respiratory Syncytial Virus (RSV):

This respiratory condition is mostly observed in kids and infants. RSV can lead to chronic bronchitis and pneumonia in the cold months. Also, RSV sufferers may experience severe chest pain and breathing difficulties in peak winters.

 

How to Care for Your Lungs and Protect themin the winter?

 

Poor air quality and dry, chilly weather are bound to increase your chances of respiratory flare-ups. However, you can always care for your lungs, keep them healthy, and avoid breathing difficulties by making some lifestyle modifications and dietary changes. Here’s a quick rundown of it.

Prefer Warm Clothing:

Dress yourself up in warm outfits before you step out in the cold weather. Layering your body with warm clothes, such as sweaters, help you maintain body temperature. Use a scarf to cover your mouth and nose, as it helps prevent cold air from entering the lungs.

Maintain Cleanliness and Good Hygiene:

Dust, pet dander, pollen, and moulds happen to circulate in the atmosphere more in the winter. Keeping your surroundings clean can help keep these allergens away and prevent the risk of respiratory flare-ups. Also, wash your hands well before touching your mouth and nose. This helps avoid the risk of respiratory infections.

Don’t Go for Strenuous Outdoor Activities: Jogging and running are some of the outdoor activities that may cause a lot of exertion and make you gasp for air in the winter, thereby trigging breathing issues. So, switch to breathing exercises Pranayama and moderate exercises at home this season. Make sure you include breathing exercises in your routine to improve your lung capacity.

Eat Nutritious Diet Warm Foods:

TAKE LUKE WARM WATER, SOUP AND TULSI ADRAK TEA, AVOID COLD DRINKS AND ICE-CREAM

 Consume a diet rich in vitamin C and antioxidants. Include oranges, lemon, guava, and Indian gooseberry in your regular diet to keep respiratory ailments at bay. Adding multivitamins to your diet can help strengthen your immune system to fight infections and keep your lungs healthy in the winter. Also, enrich your diet with carrots and red bell pepper, particularly if you have asthma, as these foods soothe asthma discomforts and improve your lung health naturally.

Stay Hydrated: Although you may feel less thirsty in the winter, make it a habit to drink plenty of water daily for the good health of your lungs. Also, prefer hot beverages, such as soups, tea, and coffee, to maintain a healthy body temperature.

Have Your Medications on Time: People having respiratory conditions should take their medicines on time as per the doctor’s prescription. Avoid skipping your medications. Asthma patients should keep their inhalers handy in the cold season.

By following all these preventive measures and care tips, you can avoid respiratory conditions in the winter. So, make sure that you inculcate all these healthy practices in your routine in the cold season to enjoy good respiratory health and avoid breathing difficulties. Despite this, if you happen to suffer from coughing, chest congestion and breathing Problems,

Get in Touch with

 

Dr. Ashwani Kansal Consultant Physician and Diabetologist

Call +91 8826220044 for Appointment