Lungs

In order to understand what lung diseases are, let us first understand the importance of lungs as an organ. The lungs are part of the respiratory system, a group of organs and tissues that work together to help one breathe. Each lung is divided into lobes. The bronchial tree running through the lungs is made up of the windpipe, bronchus, bronchi, bronchioles, and alveoli.
The main function of the lungs is the process of gas exchange called respiration. In respiration, oxygen from incoming air enters the blood and carbon dioxide, waste gas from the metabolism, leaves the blood.

Symptoms of Lungs Disease

The following symptoms are early warning signs of developing Lungs disease:

Chronic cough that lasts longer

Shortness of breath after little or no exertion

Wheezing or noisy breathing

Chronic mucus
production

Chronic chest pain that lasts longer

Coughing up blood

What are the Main Causes of Lungs Disease?

The major risk factors for Lungs disease are:

Smoking Tobacco

It is the biggest cause of lung-related complaints.

Second Hand Smoke

It is especially bad for babies and young children.

Radon Gas

It is a recognized cause of lung cancer.

Air Pollution

It may contribute to asthma, COPD, lung cancer, and other lung diseases.

Chemicals

It can cause substantial damage to the lungs.

Allergies

Such as pollen, pet dander, insect waste, food allergens

Types of Common Lung Disease

A respiratory disorder may be temporary or chronic. Common lung conditions include:

Tuberculosis (TB)

Influenza (Flu)

Chronic obstructive pulmonary disease (COPD)

Lung Cancer

Cystic Fibrosis

Pneumonia

Asthma

Acute respiratory
distress syndrome
(ARDS)

Pulmonary Hypertension

Pulmonary Fibrosis

Tuberculosis (TB)

Tuberculosis (TB) is an airborne bacterial infection caused by the organism Mycobacterium tuberculosis that primarily affects the lungs, although other organs and tissues may be involved. It is most commonly seen in people with weakened immune systems.
TB is spread when a person with active, infectious TB disease coughs, sneezes, or spits, releasing droplets containing TB bacteria into the air, which are then inhaled by someone else. There are also forms of TB that are drug-resistant.

Pneumonia

Pneumonia is a common lung infection caused by germs, such as bacteria, viruses, and fungi. The infection causes the lungs air sacs to become inflamed and fill up with fluid or pus making it hard for the oxygen to get into the bloodstream. The symptoms of pneumonia can range from mild to severe and include cough, fever, chills, and trouble breathing. Infants and Young children, adults 65 or older, smokers, and people who are ill are at higher risk.

Influenza (Flu)

The flu is a respiratory infection caused by flu viruses. The viruses pass through the air and enter the body through the nose or mouth. The flu can also be acquired from contaminated surfaces. Symptoms of the flu are similar to those of the common cold, but they last longer and tend to be worse.

The different types of influenza virus families are:
  • Influenza Type A: There are different strains of influenza type A viruses, two of which circulate among humans, H1N1 and H3N2.
  • Influenza Type B: It can cause illness among humans but are associated with less severe infection than influenza A viruses.
  • Influenza Type C: It causes mild illness in humans and cases occur much less frequently than A and B.
  • Avian flu (H5N1): Also known as bird flu, is a subtype of influenza type A viruses. The virus is mainly transmitted to humans by direct contact with infected live, sick or dead poultry.

Asthma

Asthma is the most common chronic lung condition. Asthma attacks happen when the airways tighten and narrow, slowing down airflow. The lungs also become swollen and inflamed.
Asthma can be triggered by an allergic reaction, pollution, exercise, other respiratory illness, and cold air. The symptoms of Asthma often present in periodic attacks or episodes of tightness in the chest, wheezing, breathlessness, and coughing.

Chronic obstructive pulmonary disease (COPD)

COPD is an umbrella term used to describe progressive lung diseases including Chronic bronchitis, Emphysema, Refractory (non-reversible) Asthma. This disease is characterised by increasing breathlessness. The bronchial tubes become inflamed and scarred in Chronic bronchitis whereas the air sacs in the lungs are slowly destroyed in the case of Emphysema. It may be caused by smoking, air pollution, chemicals, or a genetic condition.

Acute respiratory distress syndrome (ARDS)

ARDS is a condition that causes fluid to leak into the lungs, blocking oxygen from getting to the organs. It occurs when there is trauma to the lungs e.g. sepsis, severe pneumonia. It is a serious condition and can be life-threatening.

Lung Cancer

Lung Cancer is the uncontrolled growth of malignant cells that originate in the lungs.

Lung Cancer is the uncontrolled growth of malignant cells that originate in the lungs.
  • Small cell lung cancer: It occurs almost exclusively in heavy smokers and is less common than non-small cell lung cancer.
  • Non-small cell lung cancer: It is an umbrella term for several types of lung cancers that behave similarly. Non-small cell lung cancers include squamous cell carcinoma, adenocarcinoma and large cell carcinoma.

Pulmonary Hypertension

Pulmonary hypertension occurs when there is abnormally high pressure in the blood vessels between the lungs and the heart. Pulmonary hypertension can be acquired as a result of other medical conditions such as heart disease, lung disease, or connective tissue disease. If no cause can be identified, the condition is called idiopathic pulmonary arterial hypertension.

Pulmonary Embolism

This condition occurs when a blood clot gets caught in one of the arteries that go from the heart to the lungs and blocks the normal blood flow causing chest pain, acute shortness of breath, and coughing. It can be life-threatening and requires prompt medical attention.

Cystic Fibrosis

Cystic fibrosis is an inherited and life-threatening disease that causes thickened mucus to form in the lungs, pancreas and other organs. In the lungs, this mucus blocks the airways, causing lung damage and making it hard to breathe.

Pulmonary Fibrosis

Pulmonary fibrosis is a lung disease characterised by damage and scarring to the tissues of the lungs, including those between and supporting the air sacs. Causes of Pulmonary Fibrosis can be -

  • Inhaling hazardous chemicals
  • Chemicals and drugs that are toxic to the lungs Previous Radiation Treatment
  • Certain medical conditions e.g. Sarcoidosis, Scleroderma
  • Unknown (Idiopathic Pulmonary Fibrosis)

How is Lung Disease Diagnosed?

There are various tests used to diagnose various lung diseases.

Chest X-Ray

It is used by doctors to check lung structure and chest cavity. An X-ray will show areas of the lung that are clogged up or scarred.

CT Scan

CT Scan provides a more detailed evaluation of lung structure.

Chest Ultrasound

Chest Ultrasound is used to detect any fluid buildup in or around the lungs. It uses high frequency sound waves to provide a detailed image of the lungs

Blood Gas Analysis, Arterial

This test is used to evaluate lung function by measuring blood pH, Oxygen, Carbon Dioxide.

Complete Blood Count (CBC)

CBC is a series of tests that measure red blood cells, white blood cells and platelets.

Immunoglobulin IgE

It is used to establish the diagnosis of an allergy and to define the allergens responsible for eliciting signs and symptoms. It may be ordered to determine asthma triggers.

Mantoux Test; Tuberculin Skin Test

This test is used to screen for tuberculosis (TB) active or latent infection. A positive test result means that the person is likely to have been exposed to TB and the person may have a latent or activeTB infection.

Interferon Gamma Release Assay (IGRA)

This test is used to screen for tuberculosis (TB) active or latent infection. It measures how stronglya person's immune system reacts to specific TB antigens.

Spirometry

This test measures the airflow into the lungs. It is used to evaluate narrowed or obstructed airways.

Oximetry

This test measures the oxygen levels in the blood. The purpose of pulse oximetry is to check how well the heart is pumping oxygen through the body.

Sputum Culture

Sputum Culture is used to detect and diagnose bacterial lower respiratory tract infections such as Pneumonia, Bronchitis.

Tips for Healthy Lungs

Following measures can be taken to prevent Lung disease:

Quit Smoking

Minimise exposure to outdoor air pollution

Get regular aerobic exercise

Maintain good oral hygiene

Avoid secondhand
smoke

Improve Indoor Air

See a doctor regularly to get health checkups

Get vaccinated against the flu and pneumonia

Don't chew tobacco

Avoid exposure to
indoor pollutants

Wash your hands often with soap and water

Improve Indoor Air

The lungs work with the heart to oxygenate blood. They do this by filtering the air a person breathes, then removing excess carbon dioxide in exchange for oxygen.

Several parts of the lungs help the body take in air, filter it, and then oxygenate the blood. These are:

  • The left and right bronchi:The trachea splits into these tubes, which extend into the lungs and have branches. These smaller bronchi split into even smaller tubes called bronchioles.
  • The alveoli: The alveoli are tiny air sacs at the end of the bronchioles. They work like balloons, expanding when a person inhales and contracting when they exhale.
  • The blood vessels: There are numerous blood vessels in the lungs for carrying blood to and from the heart.

With extensive medical care, a person can live without one lung, but they cannot survive with no lungs.

The diaphragm, which is a thick band of muscle directly under the lungs, helps the lungs expand and contract when a person breathes.