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Medical Forum / Diseases and Disorders / Asthma / March 2006

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Breathing Problem

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Mary - 24 Mar 2006 09:03 GMT
I am facing breathing problem for quiet some time . All the time I am
having runny nose . It affects me more when  I sleep . Due to this
mucus I don't get  taste in food .My mother told me to do steaming
everyday but its of no use .What to do ?
aroberts - 24 Mar 2006 21:19 GMT
>I am facing breathing problem for quiet some time . All the time I am
>having runny nose . It affects me more when  I sleep . Due to this
>mucus I don't get  taste in food .My mother told me to do steaming
>everyday but its of no use .What to do ?

First, see an ENT (Otorhinolaryngologist).  You may have chronic
sinusitis, and there could be an infection, some structural problems in
your sinuses or polyps (or all of the above).

Don't see just any ENT; choose one who is well-regarded by his
peers--perhaps associated with a teaching hospital.  If you care to
post your location, I may know of one in your area.

There is a sinusitis support group that has some good information as
well:  alt.support.sinusitis.  There are a few ENTs who frequent that
group (Drs. Murray Grossan,  Wellington Tichenor, etc.).  As always,
use caution when trying things that are suggested on newsgroups; first
rely on a good ENT who has given you a thorough examination.  It's
worth a bit of research to find a good one, because treatment can vary
greatly.
Richard Friedel - 25 Mar 2006 08:58 GMT
> >I am facing breathing problem for quiet some time . All the time I am
> >having runny nose . It affects me more when  I sleep . Due to this
[quoted text clipped - 16 lines]
> worth a bit of research to find a good one, because treatment can vary
> greatly.

Yes, but the trouble with these gentlemen is that the function of the
nose as providing airflow resistance for promoting proper breathing (as
opposed to resistance resulting from "humidifying, warming and
filtering" the air) is not accepted.

There is a scandalous blind spot with these experts, which may be
relevant here.   Convince yourself with the following simple test like
in school biology. Open your mouth as far as it will go and stick your
tongue out.  You will now still be able to breathe, but with
difficulty. You can hear the airflow being restricted in the gap
between the soft palate and the tongue.  Now tilt your head back and
breathing will become impossible. The soft palate is moved clear of the
tongue. Now lay your hand loosely against your upper lip and tongue.
This will create resistance to airflow and you can breathe again in an
unnatural sort of way. You can feel that breathing it is dependent on
airflow being restricted, which is sort of contrary to common sense.
The function is like that of the nose in providing a choke or throttle
effect. If you tell a doctor about this, he will probably smile
condescendingly, but what matters are hard facts, not what all docs get
drummed into them  at medical school.

So by all means see the experts as suggested, as the runny nose might
not be cured (as seems possible judging from my own personal
experience) by changing breathing

Generally increasing nose resistance by yoga techniques such as
"Ujjayi" reduce asthma symptoms (see
http://www.yogajournal.com/practice/1801_1.cfm, but don't be worried
by the nadis and other fancy yoga concepts without any real anatomical
basis).  The suction produced during an inhale should give a feeling
that the cheeks are being pulled in. Trouble is that such techniques
may be denounced as voodoo, but this seems to stem from the "blind
spot" as mentioned and attaching excessive importance to
unsophisticated anatomical research.

Medical nose conditions and nose operations often correlate with
asthma, because, it seems fair to conclude, they cause a loss of nose
airflow resistance, such loss being a sort of unseen enemy. Regards,
Richard Friedel
aroberts - 25 Mar 2006 15:39 GMT
>> >I am facing breathing problem for quiet some time . All the time I am
>> >having runny nose . It affects me more when  I sleep . Due to this
[quoted text clipped - 16 lines]
>> worth a bit of research to find a good one, because treatment can vary
>> greatly.

> There is a scandalous blind spot with these experts, which may be
> relevant here.   Convince yourself with the following simple test like
[quoted text clipped - 11 lines]
> condescendingly, but what matters are hard facts, not what all docs get
> drummed into them  at medical school.

As if in fullfillment of a prophecy, someone has shown up to exemplify my
admonition about being wary of usenet misinformation.
Bob - 25 Mar 2006 15:57 GMT
>There is a scandalous blind spot with these experts, which may be
>relevant here.   Convince yourself with the following simple test like
[quoted text clipped - 3 lines]
>between the soft palate and the tongue.  Now tilt your head back and
>breathing will become impossible.

You must be laughing, thinking about people gaping their gobs and
extruding their tongues, then extending their necks back like some
hungry baby bird in hot anticipation of a nice juicy worm for
breakfast.

My breathing eased as I extended my neck (not became impossible)
because...

>The soft palate is moved clear of the tongue.

Actually, it is the other way around; the tongue is moved clear of the
soft palate.

If you keep your tongue extruded during this maneuver, traction on the
soft tissues anterior to the trachea will increase the patency of the
airway, not close it.  However, if you relax your jaw-opening muscles
while extending the neck, the tongue will simply fall back and block
the airway.

Got any more tricks?
NorthShoreCEO - 25 Mar 2006 16:35 GMT
>>There is a scandalous blind spot with these experts, which may
>>be
[quoted text clipped - 37 lines]
>
> Got any more tricks?

You don't fully understand, Richard.  To fully understand him,
you should try this.  Take your index finger and point it toward
the temple of your head.  Now slowly rotate your hand, from the
wrist on out to your fingertips, in a circular, counter-clockwise
motion.   Does that help?
Bob - 25 Mar 2006 16:43 GMT
>>>There is a scandalous blind spot with these experts, which may
>>>be
[quoted text clipped - 43 lines]
>wrist on out to your fingertips, in a circular, counter-clockwise
>motion.   Does that help?

Indeed.  I was imagining that he had his index finger buried in his
nostril somewhere near the distal interphalangeal joint.  Good,
because this saved me from explaining airway patency using the old way
of performing CPR as an example (pulling the tongue away from the
trachea with the neck in extension).
00doc - 25 Mar 2006 16:51 GMT
> You don't fully understand, Richard.  To fully understand him, you should
> try this.  Take your index finger and point it toward the temple of your
> head.  Now slowly rotate your hand, from the wrist on out to your
> fingertips, in a circular, counter-clockwise motion.   Does that help?

I tried it and found that it was a lot harder to breath due to the laughter.

Maybe he is more clever than we think.

Signature

00doc

aroberts - 25 Mar 2006 18:42 GMT
>>>There is a scandalous blind spot with these experts, which may be
>>>relevant here.   Convince yourself with the following simple test like
[quoted text clipped - 29 lines]
> head.  Now slowly rotate your hand, from the wrist on out to your
> fingertips, in a circular, counter-clockwise motion.   Does that help?

Ah yes, he is now focused with zen clarity..
00doc - 25 Mar 2006 16:50 GMT
>>There is a scandalous blind spot with these experts, which may be
>>relevant here.   Convince yourself with the following simple test like
[quoted text clipped - 8 lines]
> hungry baby bird in hot anticipation of a nice juicy worm for
> breakfast.

You give him too much credit for cleverness. I would gain new respect for
him if this were so.

> My breathing eased as I extended my neck (not became impossible)
> because...

Well, of course it did.

>>The soft palate is moved clear of the tongue.
>
> Actually, it is the other way around; the tongue is moved clear of the
> soft palate.

You just didn't say "ahhhh".

Signature

00doc

Richard Friedel - 27 Mar 2006 07:40 GMT
[Bob] You must be laughing, thinking about people gaping their gobs and
extruding their tongues, then extending their necks back like some
hungry baby bird in hot anticipation of a nice juicy worm for
breakfast.

My breathing eased as I extended my neck (not became impossible)
because...

[RF]] The soft palate is moved clear of the tongue.

[Bob] Actually, it is the other way around; the tongue is moved clear
of the
soft palate.

If you keep your tongue extruded during this maneuver, traction on the
soft tissues anterior to the trachea will increase the patency of the
airway, not close it.  However, if you relax your jaw-opening muscles
while extending the neck, the tongue will simply fall back and block
the airway.
..............................
[Reply] Well, just get your mouth wide open like you're about to
vomit (no interpretation of your feelings intended) with the glossal
organ (=tongue) in the maximally exserted configuration, then tilt your
head backward and the soft palate will swing clear of the tongue.
Breathing becomes impossible, because the resistance to flow is
switched off.  Tilt your head back to normal and breathing resumes.

Now in the tilted back position place your hand against the tongue and
upper lip to leave a small gap.  Breathing can resume because of the
resistance. Move your hand away and breathing is arrested again. Seems
as fool-proof as the knee reflex.

Who said anything about relaxing jaw-opening muscles?  Seems to me that
the medical doctrine about the nose only "warming, humidifying and
filtering" the air makes nonsense of the idea of an invigorating deep
breath.

See http://www.bcm.edu/oto/grand/72194.html on the dilemma of nose
surgeons causing so much damage. "By far the most common cause of
external valve malfunction is iatrogenic or surgically induced
trauma."  And "over 60 billion dollars a year is spent on the
surgical treatment". They think that the nose is badly designed (form
disagrees with function).

If the deliberate "suction producing effect" of the nose during an
inhale could be considered a lot of trouble might be avoided, or must
docs be permanently resistant to this type of feedback?

As for further tricks: try doing qigong to slow down breathing to
around 20 secs. per breathing cycle.  Strenuous but works wonders for
clearing mucus from the chest, at least with me and most probably with
most folks, I think  Regards, Richard Friedel
Bob - 27 Mar 2006 21:38 GMT
>[Bob] You must be laughing, thinking about people gaping their gobs and
>extruding their tongues, then extending their necks back like some
[quoted text clipped - 27 lines]
>resistance. Move your hand away and breathing is arrested again. Seems
>as fool-proof as the knee reflex.

You may be surprised to learn that the knee reflex (or any other
reflex, for that matter) is highly variable among people.  Perhaps
this is the case here; not exactly fool-proof.


 
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