NAMAH
Management of mucus-related respiratory problems through sinus and airway cleaning exercises

Management of mucus-related respiratory problems through sinus and airway cleaning exercises

By Manikonda Prakash Rao

Contributor

Volume 18, Issue 3Oct 15, 20105 min

The article is the result of a search by the author to cure himself of a crippling asthma, sinusitis and resultant conjunctivitis. He left his legal practice to pursue health. He succeeded. Now at the age of 72 he is fitter than a 40 year old. He hopes to spread the message that it is possible to live without repeated courses of antibiotics, bronchodilaters or nebulisers if you are willing to do exercises.

Management of mucus-related respiratory problems through sinus and airway cleaning exercises

Magnitude of asthma

According to various sources, mucus-related respiratory health problems, such as the common cold, sinusitis, rhinitis, conjunct-ivitis; COPD, asthma, etc. are on the increase. Hundreds of millions of people suffer every day from chronic respiratory diseases. According to the latest WHO estimates (2007), currently 300 million people have asthma, 210 million people have chronic obstructive pulmonary disease (COPD), while millions have allergic rhinitis and other often-underdiagnosed chronic respiratory diseases (1). It is more prevalent in metropolitan areas due to the increase of industrialisation, emission of gases from traffic and expansion of residential areas, etc. Added to this, higher humidity levels in the atmosphere are also playing a major role. It is claimed that asthma varies from place to place depending upon the presence or absence of allergens and humidity levels. In addition to the above, those people working in industrial units become chronic patients of allergic rhinitis, asthma and other respiratory tract problems due to the continuous atmospheric pollution. Since the conditions under which they work continue to be polluted, there is further scope for aggravation and the spread of infections from the upper respiratory parts, sinuses to the whole of the tracheo-bronchial tree including the air sacs (about 300 million). As a result, the airways become thick and the air sacs weak. The walls between them may get damaged causing other serious problems. With inflammation, excess mucus and narrowed airways, gas exchange between the air sacs may become difficult. The oxygen supply through capillaries may get disturbed.

These days, swine flu pertaining to the H1N1 virus is also causing concern amongst the population. Swine flu is a respiratory tract infection. As and when a person is attacked with this flu virus, the upper airways become inflamed and, as a prominent feature of this inflammation, excess mucus forms. If immed-iate steps are not taken to drain out the excess mucus and bring the inflammation under control, the problem may aggravate and lead to morbidity and mortality.

According to newspaper reports, American scientists have recently discovered a new upper respiratory tract infection caused by Fusobacterium with symptoms of unilateral neck swelling, rigours, night sweats or high fevers. It is claimed that the Fusobacterium is associated with a rare but life-threatening complication called the Lemierre syndrome. It may also lead to greater morbidity and mortality. It is an inflammatory disorder and is controlled by strong medicines.

In spite of the manufacture of improved medicines, the problems of sufferers are not being properly addressed. Hospitalisation is on the increase. Control of asthma and other respiratory diseases have become difficult for low and middle-income people and have become a burden on their resources. So there is an urgent need to investigate and find alternative and complementary methods to confront this situation.

My own efforts have been first directed at learning about the breathing system in the human body. From reading medical books from the American Lung Association and journals and publications by US and British health organisations aimed at family health and other such health magazines, I have come to better understand the physiological phenomena in the respiratory parts, the defence mechanisms provided by nature, the relationship between upper and lower respiratory tracts and their reaction to allergen and humidity levels, etc. With this background, I have evolved some exercises to combat these afflictions. They are based upon deep breathing, gravity-assisted lobar positions and techniques of breathing out. Through these exercises, the sinuses and bronchial airways can be cleaned of excess mucus, (the ground for infections) and any inflammation can be brought under control within minutes. The exercises have helped me at controlling allergic rhinitis, asthma and other mucus-related respiratory health problems. I myself have found much relief from them and have completely stopped using steroids by pursuing a regular regime of exercise. I am able to sleep well without any symptoms of asthma. There is no scope for any infections to develop in my airways.

Our defence mechanism

Nature has provided a defence mechanism in the body to protect us from invading allergens and other organisms:

1. When we breathe in air through the nasal passages, the air is filtered by cilia and sent to tracheo bronchial tree.

2. When the air breathed in is extremely warm, it gets cooled and if it is extremely cool, it gets warmed.

3. If the air is dry, it is moisturised.

4. When air reaches the air sacs through the airways, the oxygen is separated from it and carried to the heart and from there through capillaries to various parts of the body. The oxygen nourishes and replenishes every part of the body and carbon dioxide is exhaled.

5. Goblet cells and small glands within the lining of the nasal passages secrete the necessary mucus. This lubricates the walls of the nose and throat. The humidified mucus traps bacteria, dust and other particles entering it.

References

6. The cilia mechanically remove inhaled debris and micro-organisms entrapped in the mucus, etc.

This system functions well without our awareness. Many organisms are either dissolved by the chemical elements in the mucus or transported to the entrance of the throat by the tiny hair-like structures called cilia, as already stated. The defence mech-anism attempts to expectorate the excess mucus from the airways through coughing and sneezing reflexes.

However this mechanism gets disturbed in people with hyper-reactive airways as in asthma. Three things happen:

(1) Inflammation,

(2) Hyper-secretion of mucus and

(3) Broncospasm.

According to medical reports, variability is the chief characteristic of asthma. It is a peculiar disease and one cannot positively predict when it attacks. Sudden eruption is possible. An asthmatic attack may occur at any time while sitting at home, day or night, while travelling in a train, plane or on a scooter, etc. Its intensity varies from place to place and season to season. It is often compared to an unruly mad dog. Unless kept under control and properly managed, it may get aggravated and become deadly. During an attack, a simple wheeze may appear progressing to a shortness of breath and soon afterwards, it may turn into fully-fledged asthma. The symptoms may not necessarily be continuous but can come and go in a day or over some weeks or may disappear within minutes. During a continuance of symptoms particularly while sleeping, changes in the airways may take place and that could lead to severe attack.

(1) Inflammation: it is caused as a reaction to allergens such as dust, pollen, smoke, perfumes, odours, foods, drugs, pathogenic organisms and high humidity levels in the atmosphere, etc. The clinical hallmarks are redness, heat, swelling and pain. It has a role in defence against infection, injury and allergy marked by increase in regional blood flow, immigration of white blood cells and release of chemical toxins. Inflammation is one mechanism the body uses to protect itself from invasion by foreign organisms and to repair tissue trauma.

(2) Hyper-secretion of mucus is the result of goblet cell proliferation in the epithelial walls of the airways. These cells produce excess mucus in upper and lower respiratory airways. Excess mucus production is a prominent feature of inflammation. Inflamm-ation and hyper-secretion of mucus go together.

(3) Broncospasm is also a feature of asthma. It means the smooth muscles around the airways go into spasm and the airways get narrowed. The degree of constriction differs from patient to patient. Depending on the severity of constriction, asthma can be intermittent, mild, moderate or severe. Asth-matic patients with a genetic pre-disposition suffer more.

Inflammation, excess mucus and narrowed airways cause breathlessness in patients. With recurrent attacks, the lung capacity gets reduced as the airways get debilitated and weakened. In addition, obesity and ageing further weaken th