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Cough Treatment: 3 Easy Breathing Exercises

Effects of cough and overbreathing on brain O2This most natural cough-treatment method (a simple breathing exercise) was developed and used by over 170 Russian medical doctors. The breathing exercise has been tested on thousands of patients with asthma, cystic fibrosis, and COPD with a striking success. Over 90% of people can dramatically reduce their bouts of coughing.

Tens of medical studies proved that people with asthma, COPD, bronchitis, and many other "coughers" breathe about 2-3 times more than the medical norm. Overbreathing makes any cough treatment ineffective unless it is eliminated.

Minute ventilation rates (chronic diseases)

Condition Minute
ventilation
Number of
people
All references or
click below for abstracts
Normal breathing 6 l/min - Medical textbooks
Healthy Subjects 6-7 l/min >400 Results of 14 studies
COPD 14 (±2) l/min 12 Palange et al, 2001
COPD 12 (±2) l/min 10 Sinderby et al, 2001
COPD 14 l/min 3 Stulbarg et al, 2001
Asthma 13 (±2) l/min 16 Chalupa et al, 2004
Asthma 15 l/min 8 Johnson et al, 1995
Asthma 14 (±6) l/min 39 Bowler et al, 1998
Asthma 13 (±4) l/min 17 Kassabian et al, 1982
Asthma 12 l/min 101 McFadden & Lyons, 1968
Cystic fibrosis 15 L/min 15 Fauroux et al, 2006
Cystic fibrosis 10 L/min 11 Browning et al, 1990
Cystic fibrosis* 10 L/min 10 Ward et al, 1999
CF and diabetes* 10 L/min 7 Ward et al, 1999
Cystic fibrosis 16 L/min 7 Dodd et al, 2006
Cystic fibrosis 18 L/min 9 McKone et al, 2005
Cystic fibrosis* 13 (±2) l/min 10 Bell et al, 1996
Cystic fibrosis 11-14 l/min 6 Tepper et al, 1983

Medical people and patients with coughWhat are the effects of chronic heavy breathing in relation to a possible treatment of cough? Among the known effects of chronic hyperventilation and hypocapnia (see CO2 links in resources), in relation to cough, are:
- overstimulation or irritation of cough receptors in the tracheobronchial tree and larynx due to hypocapnia (low CO2)
- constriction of airways due to hypocapnia
- mechanical irritation of the constricted airways due to large movements of air during coughing
- chronic respiratory infections and inflammation due to suppression of the immune system caused by cell hypoxia and other effects caused by hyperventilation
- low oxygen content in mitochondria of cilia cells that prevent normal removal of mucus and other debris out of the lungs and airways (not only humans, cilia cells also experience chronic fatigue due to low O2 content, causing their inability to beat in unison and remove mucus and pathogens).

Complete and best treatment of coughing

Here are details for this best and successful cough treatment. This YouTube video (below) is currently ranked as Number 1 for "cough treatment" in YouTube search.

Get flash player to play to this file

Woman cough treatmentIf you retrain your breathing pattern so that you have 30 or more seconds for the body-oxygen test 24/7, your chronic problems with coughing will disappear completely.

Related web pages:
- Get Rid of Cough - The main breathing exercise that is used during bouts of coughing to stop them and reduce the damage caused by coughing to airways, lungs, and all body cells
- Stop Coughing At Night - A breathing technique and exercise to reduce duration and severity of night coughing. A similar exercise is used for insomnia problems
- Cause of Cough - A general overview of the physiological mechanism that makes coughing chronic or persistent.


References

J Assoc Physicians India. 2000 Mar; vol 48(no. 3): p. 343-345.
The role of cough and hyperventilation in perpetuating airway inflammation in asthma.
Singh V, Chowdhary R, Chowdhary N.
Department of Pulmonary Medicine, SMS Medical College, Jaipur-302 016, India.
Air flowing through a pipe exerts frictional stress on the walls of the pipe. Frictional stress of more than 40 N/m2 (velocity equivalent of air 113 m/s) is known to cause acute endothelial damage in blood vessels. The frictional stress in airways during coughing may be much greater, however, since the velocity of air may be as high as speed of sound in air. We suggest that high levels of frictional stress perpetuate airway inflammation in airways which are already inflamed and vulnerable to frictional stress-induced trauma in patients with asthma. Activities associated with rapid ventilation and higher frictional stress (e.g. exercise, hyperventilation, coughing, sneezing and laughing) cause asthma to worsen whilst activities that reduce frictional stress (Yoga 'Pranayama', breathing a helium-oxygen mixture and nasal continuous positive airway pressure) are beneficial. Therefore control of cough may have anti-inflammatory benefits in patients with asthma.


Respir Physiol Neurobiol. 2007 Jun 15; 156(3): p. 331-339.
Cough and ventilatory adjustments evoked by aerosolised capsaicin and distilled water (fog) in man.
Lavorini F, Pantaleo T, Geri P, Mutolo D, Pistolesi M, Fontana GA.
Dipartimento di Area Critica Medico Chirurgica, Unità Funzionale di Medicina Respiratoria, Università di Firenze, Viale G.B. Morgagni 85, 50134 Firenze, Italy.
Airway receptors mediate cough and ventilatory adjustments. Simultaneous assessment of cough sensory-motor components and changes in breathing pattern may provide insights into the receptors prevailingly stimulated by inhaled irritants. Nineteen subjects inhaled capsaicin and fog up to threshold concentrations for cough. Cough intensity, respiratory sensations and changes in breathing pattern induced by the two irritants were compared. Capsaicin and fog cough threshold values did not correlate. Coughing induced by both agents was preceded by qualitatively similar sensations and by significant increases in minute ventilation and respiratory drive due to selective increases in tidal volume (P<0.01). Cough intensity was similar with both agents. Cough frequency and the intensity of the urge to cough were higher with capsaicin (P<0.01). The lack of correlation between fog and capsaicin cough threshold values suggests differences in the neural mechanisms activated. The selective increase in tidal volume suggests prevailing involvement of rapidly adapting receptors. The stronger sensations evoked by capsaicin may contribute to the higher cough frequency observed with this agent.


Monaldi Arch Chest Dis. 1999 Jun;54(3):275-9.
Advances in understanding and treatment of cough.
Widdicombe JG.
Sherrington School of Physiology, St. Thomas' Hospital Campus (UMDS), London, UK.
Many different conditions and diseases cause cough. The commonest acute causes are pollution, including cigarette smoke, and upper respiratory tract infection. The commonest chronic causes are postnasal drip, asthma, chronic bronchitis and gastro-oesophageal reflux. Epidemiological studies give widely different patterns of incidence. The different conditions that cause cough have in common the fact that the cough is mediated via the vagus nerves, with sensory receptors in and under the epithelium from the larynx down to the smaller bronchi. These receptors are polymodal, responding to a large variety of stimuli, including mechanical and chemical irritants, inflammatory mediators, intraluminal material and large volume changes of the lungs. With irritation and inflammation, C fibre receptors release neurokinins such as substance P, which in turn stimulate cough receptors. The central nervous pathways for the cough reflex are poorly understood. They can be activated or inhibited voluntarily. Studies on the pharmacology of the central nervous pathways of coughing are opening up new therapeutic possibilities. Other new therapies include drugs acting on the sensory receptors for cough, thereby avoiding adverse central nervous effects.


Pulm Pharmacol Ther. 2007;20(4):416-22.
The problem of cough and development of novel antitussives.
Barnes PJ.
Department of Thoracic Medicine, National Heart and Lung Institute, Dovehouse Street, London SW3 6LY, UK. p.j.barnes@imperial.ac.uk
Cough is a very common clinical symptom and current therapies are largely ineffective, indicating a major unmet medial need. There is a pressing need to develop novel and safe antitussive therapies. This is likely to arise from better understanding of the sensory nerves involved in cough and the signalling pathways that are activated. A major therapeutic target should be sensitization of the cough reflex which is a feature of patients with both acute (virally induced) cough and chronic cough, including chronic idiopathic cough. Studies on human cough mechanisms are limited. There are several novel therapeutic approaches that are currently being explored. Perhaps the most promising drugs are transient receptor potential vanilloid-1 (TRPV(1)) antagonists, selective cannabinoid agonists (CB2 agonists), maxi-K channel openers and P2X3 antagonists. New cough therapies may target airway nerve sensitization and may best be delivered as inhalers to minimize any systemic effects. Understanding the intercellular signalling pathways involved in nociception may lead to novel drugs, such as p38 mitogen-activated protein (MAP) kinase inhibitors, being used in the treatment of cough in the future. It is also likely that several novel treatments that are developed as analgesics will also prove to be beneficial in the treatment of cough.

Reference pages: Breathing norms and medical facts:
- Breathing norms: Parameters, graph, and description of the normal breathing pattern
- 6 breathing myths: Myths and superstitions about breathing and body oxygenation (prevalence: over 90%)
- Hyperventilation: Definitions of hyperventilation: their advantages and weak points
- Hyperventilation syndrome: Western scientific evidence about prevalence of chronic hyperventilation in patients with chronic conditions (37 medical studies)
- Normal minute ventilation: Small and slow breathing at rest is enjoyed by healthy subjects (14 studies)
- Hyperventilation prevalence: Present in over 90% of normal people (24 medical studies)
- HV and hypoxia: How and why deep breathing reduces oxygenation of cells and tissues of all vital organs
- Body-oxygen test (CP test) : How to measure your own breathing and body oxygenation (two in one) using a simple DIY test
- Body oxygen in healthy: Results for the body-oxygen test for healthy people (27 medical studies)
- Body oxygen in sick : Results for the body-oxygen test for sick people (14 medical studies)
- Buteyko Table of Health Zones: Clinical description and ranges for breathing zones: from the critically ill (severely sick) up to super healthy people with maximum possible body oxygenation
- Morning hyperventilation: Why people feel worse and critically ill people are most likely to die during early morning hours

References: pages about CO2 effect:
- Vasodilation: CO2 expands arteries and arterioles facilitating perfusion (or blood supply) to all vital organs
- The Bohr effect: How and why oxygen is released by red blood cells in tissues
- Cell oxygen levels: How alveolar CO2 influences oxygen transport
- Oxygen transport: O2 transport is controlled by vasoconstriction-vasodilation and the Bohr effects, both of which rely on CO2
- Free radical generation: Reactive oxygen species are produced within cells due to anaerobic cell respiration caused by cell hypoxia
- Inflammatory response: Chronic inflammation in fueled by the hypoxia-inducible factor 1, while normal breathing reduces and eliminates inflammation
- Nerve stabilization: People remain calm due to calmative or sedative effects of carbon dioxide in neurons or nerve cells
- Muscle relaxation: Relaxation of muscle cells is normal at high CO2, while hypocapnia causes muscular tension, poor posture and, sometimes, aggression and violence
- Bronchodilation: Dilation of airways (bronchi and bronchioles) is caused by carbon dioxide, and their constriction by hypocapnia (low CO2)
- Blood pH: Regulation of blood pH due to breathing and regulation of other bodily fluids
- CO2: lung damage: Elevated carbon dioxide prevents lung injury and promotes healing of lung tissues
- CO2: Topical carbon dioxide can heal skin and tissues
- Synthesis of glutamine in the brain, CO2 fixation, and other chemical reactions
- Deep breathing myth: Ignorant and naive people promote the idea that deep breathing and breathing more air at rest is beneficial for health
- Breathing control: How is our breathing regulated? Why hypocapnia makes breathing uneven, irregular and erratic.



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