The liver is one of the most hardworking but undervalued organs in the body. While much attention is given to heart health, weight loss, and glowing skin, it is the liver that performs approximately hundreds of essential functions. These include storing nutrients like sugar, minerals, and vitamins to fuel the body; controlling the production and excretion of cholesterol; producing bile, which is stored in the gallbladder and helps break down fats1; and filtering out harmful substances, such as alcohol, medicines, and environmental factors2.
Just like the heart, the liver can also be stressed; however, unlike heart problems that may show early signs, the symptoms of a distressed liver show up very late. The liver is stressed when it is overworked and becomes sluggish.
So, how do you understand if the liver is in distress? Here are 17 symptoms that may indicate your liver is under stress:
Skin discolouration may sometimes be linked to liver problems. If your skin colour changes to jaundice yellow or pale with a blue tinge, your nails or fingertips turn yellow, or you have yellowing of the eyes, it is advisable to visit a doctor. This change in colour occurs because the body is unable to flush out the toxins, which leads to bilirubin accumulating under the skin, causing skin discolouration3.
Feel bloated frequently and have constipation too? Frequent indigestion may be associated with liver issues. With bloating, you may experience stomach pain as well4. This happens because the bile is unable to break down the food during digestion.
Another important sign is Spider naevi. Spider naevi or angiomas are small clusters of blood vessels that form just beneath the skin, often spreading outward like a spider’s legs. Angiomas typically appear red or purple in colour. These are often present in excessive numbers in people with liver disease.
Dr. M.G. Kartheeka, MBBS, MD (Pediatrics)
The liver plays an essential role in filtering blood and supports the synthesis of many nutrients needed for good health. However, when the liver is stressed, it may affect the synthesis and delivery of nutrients to muscles, tissues and tendons. This may lead to symptoms such as muscle cramps, weakness, and fatigue5.
Do you feel tired all the time? Persistent fatigue may occur when the liver isn’t functioning efficiently. When the body is under continuous strain, it may place additional pressure on the liver and other organs, leading to persistent tiredness. It is best to get your liver checked at this point5.
Is your urine darker than usual? It is possible that this may be due to inadequate water intake, which may cause your stools to be darker too. If you start drinking enough water and the colour of your urine and stool lightens, all may be well. However, if your urine and stool colour are still dark, you should seek medical help as this may be caused by liver problems5.
The culture of fast foods these days is slowly damaging the liver due to non-alcoholic fatty liver disease. Avoiding refined sugar and fast foods and eating before dusk helps a lot in prevention of fat accumulation in the liver, which can allay liver stress symptoms (by promoting weight loss).
Dr. Nikhil Yadav, MBBS MD, CCEBDM
When the liver is stressed, some individuals may experience mood changes or emotional disturbances, such as irritability, anxiety, mood swings, and depression, and some may even experience cognitive impairment, meaning their memory, attention span, and decision-making may be affected6.
Another potential liver distress symptom is little-to-no interest in food. A reduced desire to eat is often caused by an underlying health issue and should be taken seriously5.
Although irregular sleep pattern is a common occurrence amongst millennials due to a stressed lifestyle, a study7 found that liver cirrhosis was responsible for unusual sleep patterns in many patients.
When you have liver problems, the liver may not be able to purify your blood adequately. When toxins are not removed from the blood, it may lead to symptoms like memory loss, difficulty thinking, and confusion5.
Abnormal skin itchiness may be a symptom of liver cirrhosis3.
Liver disease tends to develop over time, slowly replacing healthy liver tissue with scarred or damaged tissue. This affects liver function and changes the metabolism, hormonal balance, and many other factors, which may lead to weight gain8.
Experts believe that when you develop nonalcoholic fatty liver disease (liver disease not associated with alcohol), your palms start to turn reddish, an outward indicator of liver dysfunction3.
Another probable symptom of nonalcoholic fatty liver disease is the enlargement of breasts in men. Although the exact cause of this is unclear, it is speculated that this may occur due to excess production of the female hormone, oestrogen, in this condition9.
Liver damage also manifests in the form of easy and sudden skin bruises and even bleeding5.
Swelling in the ankles and feet may also be associated with liver dysfunction. There may also be abdominal swelling due to the accumulation of fluid in the abdomen5.
Liver function tests are commonly recommended blood tests for measuring different enzymes, proteins and other substances made by the liver. Changes noticed in liver function tests should be reviewed by a physician to find the cause and manage the condition.
Dr. Ashish Bajaj, M.B.B.S., M.D., in Clinical Pharmacology and Toxicology
Experiencing chills is often a natural response of the body when the mercury drops or when you are developing a fever. However, if none of this fits the bill, it could indicate cholestasis (blocked or reduced bile flow) associated with liver disease10.
When the liver is under stress, it can disrupt many bodily functions and may be associated with symptoms such as ringing in the ears, sleep disturbances, dizziness, blurry vision, allergic reactions, gastrointestinal bleeding, reduced sex drive, unexplained weight changes, sensitivity to chemicals, and the appearance of spider veins11,5.
Also Read: Natural Home Remedies for Fatty Liver
A healthy liver is important for overall well-being, as it supports many essential functions like the storage of nutrients, digestion, and filtering blood. If you are experiencing any of these symptoms mentioned in this article, it is advisable to consult your doctor or a liver specialist today to identify the cause of your symptoms and support the timely management of liver issues.
Also Read: What is Hepatitis A? Causes, Symptoms, and How It Spreads
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
336
9
The term ‘heartburn’ is misleading as it has nothing to do with the heart. However, because the burning sensation often occurs in the chest and can mimic the symptoms of a heart attack, the condition earned its name.
When there is a reflux of acids from the stomach into the oesophagus (the tube that joins the throat and the stomach), the resulting sensation is known as heartburn. The pain starts from under the breastbone or in the chest and may often even reach the jaw. It usually gets worse during the evenings, when bending over or lying down. Apart from the pain, other symptoms include a bitter taste in the mouth that may feel acidic and foul1,2.
There could be many reasons why heartburn occurs. Sometimes, heartburn occurs because the lower oesophageal sphincter (LES), a muscular valve between the oesophagus and the stomach, doesn’t function properly.
In normal cases, it opens up to let in food or to let out burps. Sometimes, it may open more frequently than necessary or not close properly, allowing the stomach acids to flow into the oesophagus. These acids cause the burning sensation that we associate with heartburn3. The common causes of heartburn is as follows4,5:
Symptoms of heartburn include:
Heartburn could last from a few minutes to several hours, depending on the person’s body chemistry. It is very common in pregnant women.
When heartburn happens occasionally, it is nothing to worry about. Most individuals who have heartburn can improve the situation with lifestyle changes and through over-the-counter medications. But when it is a recurring problem, it may interfere with your day-to-day functioning and could be a cause of worry. Recurrent heartburn is known as Gastroesophageal Reflux Disease (GERD). This can lead to more problems like5:
Heartburn is sometimes known to worsen asthma in asthmatic patients, if you experience this condition, it is advisable to consult your Pulmonologist or a Physician
Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology
GERD and heartburn are more connected than you may think. If you experience frequent episodes of heartburn, you may have Gastroesophageal Reflux Disease (GERD). In that case, you may benefit by using heartburn home remedies to help with the uneasiness. Sometimes it can happen that heartburn is not a prominent symptom, but the sustained cough is. To test for GERD, the upper endoscopy is used for a complete understanding of the symptoms.
Other tests which can be used to detect the disease include the 24-hour pH test (assesses oesophageal pH), MII-pH test (to detect non-acid reflux), and proton pump inhibitors (PPIs) trial. In the PPIs trial test, the doctor will give you medication that is given to patients who have the disease. If your symptoms start to subside, then it would mean you have GERD4.
Another common test that no longer is recommended by physicians is the Barium swallow5.
Seek an appointment with your doctor if:
The following tips can be considered with the guidance of a doctor to help manage heartburn3:
It is rare that there might be a situation where your stomach pushes up through your diaphragm, causing a condition called hiatal hernia. This condition may present with symptoms mimicking heartburn. Ensure to follow-up with a Gastroenterologist if you have persisting heartburn.
Dr. Ashish Bajaj, M.B.B.S., M.D. in Clinical Pharmacology and Toxicology
Individuals who have heartburn but have no other serious complications with it, may find it beneficial to consider the following lifestyle changes:
Also Read: The Best Home Remedies For Hernia
Heartburn can be caused by many factors. Consult a doctor to find the underlying cause of your heartburn in order to begin treatment. Although lifestyle changes usually bring relief in most cases, it is important to seek a doctor’s advice immediately if you don’t see any benefit3.
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
39
7
Dyspnoea, commonly referred as shortness of breath or the sensation of suffocation, is a distressing clinical symptom that may arise from various underlying causes. While often associated with respiratory conditions, it can also be triggered or worsened by psychological factors such as acute anxiety or panic.
The COVID-19 pandemic has heightened public awareness of dyspnoea due to its potential association with viral respiratory infections. Although not all cases of dyspnoea are indicative of COVID-19 or other infectious diseases, the presence of such symptoms warrants careful evaluation and appropriate medical attention.
Some people may experience shortness of breath as an acute episode, that is, for a short period. While, others may feel it over the long term as a chronic issue which lasts for several weeks or more. Dyspnoea may occur even after climbing a few sets of stairs or along with common illnesses like a cold1.
Dyspnoea can be caused by a wide spectrum of medical conditions, environmental exposures, and physiological factors, which include2:
In cases where dyspnoea is mild and not indicative of an acute or life-threatening condition, certain supportive measures may be done at home to alleviate symptoms.
Leaning forward while sitting may help reduce the effort for breathing and relax the body. This position releases pressure over the lungs and heart3.
When experiencing breathlessness, try sitting on a chair with your feet flat on the floor and lean your chest slightly forward. Ensure to keep your shoulder and neck muscles relaxed, as this can help reduce respiratory strain and promote more effective breathing.
Breathing deeply by using your abdominal muscles may help to manage breathlessness. Lie on your back on a flat surface and place your hands on your abdomen. Inhale deeply through your nose, letting your abdomen rise as your lungs expand with air. Hold the breath briefly, then exhale slowly. You may also find diaphragmatic (belly) breathing helpful as part of this exercise4.
This is one of the simplest breathing exercises, and it can help to slow your breathing rate effectively. It may be particularly beneficial when shortness of breath is related to anxiety5.
Begin by relaxing the muscles in your neck and shoulders. Next, inhale slowly through your nose for a count of two, keeping your mouth closed. Purse your lips as if preparing to whistle, then exhale gently and slowly through your pursed lips for a count of four.
Many individuals may experience shortness of breath while lying flat during sleep. In such cases, you need to sleep in a propped position as it helps relax the body and airways6.
Sometimes breathlessness may be caused due to the accumulation of thick mucus in the airways which obstructs breathing. Steam inhalation may liquefy the thick mucus and help ease the breathlessness7.
Shortness of breath is a potentially serious clinical symptom and a person should always visit their physician at the earliest, as shortness of breath can be life-threatening; a timely intervention by a physician can avert severe morbidity or mortality.
Dr. Nikhil Yadav , MBBS MD CCEBDM
Drinking black coffee may reduce breathlessness due to the presence of caffeine in it. Caffeine works as a relaxant to the airway muscles. A study8 result suggests that caffeine may slightly improve breathlessness in individuals with asthma.
Ginger has anti-inflammatory properties that help reduce lung inflammation. Drinking warm ginger tea or ginger-infused water may provide a soothing effect and support breathing9.
Turmeric has anti-inflammatory and antibacterial properties that may help with infections. Turmeric milk has traditionally been consumed during episodes of respiratory discomfort since childhood in many households. Turmeric contains curcumin, its active component, which has properties that may help reduce allergic responses and inhibit the release of histamine. These effects may contribute to easing symptoms such as breathlessness.
According to a study10, curcumin may reduce the intensity of an asthmatic attack and its episodes in an asthmatic patient.
Onions are a natural source of quercetin, a plant-derived compound known for its antihistamine and anti-inflammatory properties. Quercetin may help reduce the release of substances involved in allergic responses, potentially supporting respiratory comfort. Onions also contain sulphur compounds, which have been traditionally associated with general respiratory health11.
As part of traditional home practices, some individuals choose to consume a mixture of grated onion and honey, while others place a cut onion by the bedside, believing it may help create a more comfortable breathing environment. These practices should be regarded as supportive and not as a substitute for medical treatment.
Omega-3 fatty acid foods such as fish (salmon and tuna) may help with breathlessness as they help prevent inflammatory conditions that could cause shortness of breath12.
Shortness of breath can result from conditions affecting the lungs or heart and it is critical not to ignore this symptom. Seeking a physician’s advice for clinical examination is necessary to determine the underlying cause of the problem, as treatment options will depend entirely on the diagnosis.
Dr. Arpit Verma , MBBS MD (Pharmacology)
Also Read: H1N1 (Swine Flu): Causes, Symptoms, Treatment, and Prevention
To reduce the risk of experiencing shortness of breath, it is advisable to adopt certain lifestyle changes proactively. These steps may help maintain overall respiratory health and prevent future difficulties1,6:
Also Read: Simple Tips You Can Follow for Heartburn Relief!
There are several reasons that may cause shortness of breath and it is advised to visit a doctor whenever you experience the following symptoms1,6:
Also Read: Pneumococcal Vaccine: Types, Side Effects, and Who Needs It
Shortness of breath can be caused by various factors, including, respiratory infections, asthma, chronic obstructive pulmonary disease (COPD), heart conditions, anaemia, obesity, and anxiety. It’s essential to identify the underlying cause through medical evaluation to determine the appropriate treatment.
Shortness of breath may be considered a medical emergency if it occurs suddenly, is severe, and is accompanied by other symptoms such as chest pain, confusion, bluish discoloration of the lips or nails, or difficulty speaking. These signs may indicate a serious condition, such as a heart attack or pulmonary embolism, requiring immediate medical attention.
Diagnosing the cause of shortness of breath requires a thorough medical evaluation, which may include a physical examination, review of medical history, chest X-rays, pulmonary function tests, electrocardiogram (ECG or EKG), blood tests, and additional specialised tests depending on the suspected underlying cause.
Yes, anxiety or panic attacks may cause shortness of breath. During an anxiety episode, individuals may hyperventilate, resulting in a feeling of breathlessness. Learning stress-reducing techniques and seeking professional help can manage anxiety-related breathing difficulties.
Home remedies for shortness of breath include deep breathing exercises, maintaining good posture, avoiding triggers like allergens and irritants, using a humidifier, staying well-hydrated, and avoiding smoking or exposure to second-hand smoke. However, it is advised to seek medical attention if shortness of breath persists or worsens.
Yes, medications may cause shortness of breath as a side effect. For instance, beta-blockers, ACE inhibitors, and some pain medications may cause breathing difficulties in some individuals. If experiencing any new symptoms after starting a medication, consult a healthcare professional promptly.
Yes, anaemia, a condition characterized by low red blood cell count or low haemoglobin levels, can lead to reduced oxygen carrying capacity in the blood, causing shortness of breath and fatigue. Anaemia should be evaluated and treated by a healthcare professional.
Yes, obesity can contribute to shortness of breath. Excess weight puts pressure on the lungs and diaphragm, making breathing more challenging. Losing weight through a combination of a balanced diet and regular exercise can help improve breathing in obese individuals.
If you experience unexplained or persistent shortness of breath, especially if it affects daily activities, seek medical attention promptly. Additionally, if shortness of breath is accompanied by chest pain, coughing up blood, or any other concerning symptoms, seek immediate medical help as it could indicate a serious medical condition.
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
73
5
A cough is our body’s response in defence against irritating or obstructing substances. It helps to keep the airways clear, so we can breathe easily. It is called a dry or unproductive cough when the cough doesn’t produce any mucus or phlegm. Although coughing is a useful reflex, a persistent dry cough is one of the most annoying symptoms one can have. It not only irritates your throat but can also hamper your daily activity.
Although, coughing is usually due to non-threatening causes, a dry cough can also occur in infections like COVID-19. This makes it important for us to take extra care of our throat and respiratory system. In this blog, we will talk about some simple and effective home remedies that can help soothe a dry cough. We will also discuss about the causes of a dry cough and how it is different from wet cough. So, let’s dive in further!
A dry cough can be the result of various factors, and understanding dry cough causes is essential for effective management. The causes of dry cough are as follows1:
It is important to know the underlying cause for a persistent cough for appropriate treatment, yet people may use over-the-counter drugs to get instant relief. While you must stick to your doctor’s advice and not self-medicate, there are some simple remedies you may try at home to manage a dry cough.
If you’re wondering how to get rid of a dry cough, then these are quick and effective home remedies that you can try:
It is important for people with a cough or cold to stay warm and hydrated. A quick and effective dry cough remedy can be drinking hot beverages as these may help relieve your symptoms fast. Warm water, clear broths, herbal teas may soothe a dry cough by moistening the throat, easing irritation, and promoting relaxation. However, immediate relief varies from person to person.
Gargling with salt water is one of the most effective home remedies for managing a sore throat and cough. It reduces the inflammation of the throat and controls the bouts of cough2.
Mix half a teaspoon of salt into a cup of warm water until it dissolves completely. Now, let the mixture cool down a bit and then use it to gargle.
Ginger can easily be found in many teas and even some food items. It is the first home remedy that comes to our minds whenever we think about cough. Ginger contains compounds like gingerol, which have anti-inflammatory, antioxidant, and antimicrobial properties, which may help reduce inflammation in the airways and support the immune system. Its anti-inflammatory properties might help alleviate congestion and irritation in the respiratory tract. There is evidence that ginger may suppress the cough reflex by relaxing the smooth muscles of the airways3.
For those trying to get rid of a dry cough, ginger tea is an excellent option. Adding honey to this tea can make it even more effective for a dry cough.
Raw honey is one of the oldest home remedies to manage cough. It helps to soothe your throat and reduce irritation. It has anti-inflammatory and anti-microbial properties that may potentially fight minor bacterial or viral infections4.
You can add 2 teaspoons of honey to a glass full of warm water and drink it once daily. Also, you can use honey as a substitute for the sugar in your tea.
Turmeric is widely known for its antiseptic, antiviral, and anti-inflammatory benefits. It can help your body recover from infections faster. Curcumin, the active compound in turmeric, has anti-inflammatory properties that may help reduce inflammation in the airways, potentially easing symptoms of cough and asthma. Turmeric is beneficial to treat upper respiratory conditions, bronchitis, and tonsillitis too5. However, it is not a primary treatment for these and should not replace prescribed medications.
You can make your regular tea and add half a teaspoon of turmeric into it, or else add it to warm milk with honey and have before sleeping.
Licorice root, commonly known as Mulethi, has been used since ages in the ayurvedic medicine system. It is known to reduce pain, clear phlegm, and ease cough. Licorice root tea may help to reduce throat irritation and congestion.6
It is commonly available in any grocery shop and can be chewed raw or added to a hot cup of tea.
Marshmallow root is another ancient herb that can be beneficial for treating a dry cough. Although more research is needed, some studies7 have suggested its effectiveness in soothing the throat and reducing the irritation caused by a dry cough.
Mint leaves although have a cooling effect can be beneficial for easing throat irritation. They contain a compound called menthol, which may help numb the throat nerves and consequently reduce dry cough. It also helps in clearing the congestion of the throat.
While most studies8 on menthol discuss about inhaling its vapour, you may also consume mint leaves. Just add 3-5 leaves to your tea and boil it for a few minutes before drinking. This can be a quick and effective home remedy for relieving dry cough.
Chilli peppers contain a compound called Capsaicin. This compound binds to pain receptors and causes the burning sensation we feel when we eat spicy food. Initial studies9 have shown that consuming a controlled amount of chili powder (which contains capsaicin) can help desensitize some of cough receptors and thereby control dry cough to some extent. Further research is needed to confirm this finding.
Aromatherapy or using essential oils for healing has several applications. It can be used to ease a dry cough as well. For this, you can add a few drops of eucalyptus oil to hot water and inhale its vapours, although other oils like tea tree and peppermint oil may also be used. Since existing research10 literature has proven the benefits of eucalyptus oil in the treatment of respiratory illnesses, this can be a great home remedy for dry cough.
Using humidifiers can also help ease coughing. Humidifiers keep the air moist, which helps soothe the throat and temporarily suppress the symptoms of dry cough. A study11 has relieved that humidifier can help soothe throat irritation and reduce coughing in people recovering from thyroid surgeries, where the throat may be more sensitive.
Thyme is a herb that has multiple health benefits. It may serve as a natural dry cough treatment as it contains an antispasmodic compound that helps to relax muscles. As a result, regular consumption of controlled amounts of thyme tea can greatly help to soothe the throat muscles and provide long-term relief from constant coughing.
A lot of these home remedies have been scientifically researched and have shown potential benefits for managing a dry cough; however, further large-scale human trials can help corroborate these findings.
While these may be effective for managing a persistent dry cough, it’s important to use them in moderation as they may have some side effects when used excessively. Also, if you have any medical conditions or are on any medications, it’s best to discuss with your healthcare provider before incorporating any home remedy including these in your routine diet.
Also Read: Simple Home Remedies For Dry Throat
Sometimes, the dry cough may be persistent and stubborn and home remedies may not be effective against it. A persistent cough may also be a symptom of serious underlying conditions, such as idiopathic pulmonary fibrosis (IPF), lung cancer, or heart disease, which can worsen if left untreated.
Usually, a persistent cough combined with two or more of the below-mentioned symptoms indicates a more serious issue:
For instance, persistent coughing is a common indicator of IPF, but it is generally accompanied by some other symptoms like shortness of breath as well. Hence, it’s essential to consult a doctor particularly in such cases to understand the cause of a dry cough for proper management.
Also Read: What is Influenza (Flu) & Its Types
A persistent dry cough is one of the most dreadful symptoms one can have. It is usually because of viral infections, allergies or postnasal dripping, but in certain cases, it can be due to some underlying serious medical conditions. Hence, it is always advised to visit your doctor and get a proper check-up done in case of a persistent cough, especially that associated with other symptoms, to rule out any major issues. Alongside, you can try out some effective home remedies mentioned in this blog. While further evidence would be useful, most of these are research-backed for easing an itchy throat and soothing a dry cough. So, these remedies are definitely worth giving a try!
Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.
164
13
