How Much Protein You Need and

Pro Bodybuilders eat about one gram (sometimes even 1.5 grams) of protein per pound of body weight or per pound of non-fat tissue. I'm sure you've seen that the recommended dail

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Showing posts with label Asthma. Show all posts
Showing posts with label Asthma. Show all posts

Tuesday, September 13, 2016

Cough Variant Asthma: Lifelong Suffering Relieved with Yoga


by Bonnie J. Golden M.Ed, e-RYT 
Wind Blowing Clouds by Marie Lossky
(@Marie.Lossky on Instagram)
The year is 1984, a time when many yuppies were operating in full career mode. Waiting at the dais, I am poised to lead an important and politically loaded presentation to my employers, a college board. Of course I’m “dressed for success,” as defined in the 1980s. 

Along with my notes, I clutch a plastic bag of cough drops as I approach the podium. I know that the only way I will be able to complete a sentence is if there is a trusty lozenge in my mouth. I sucked these cough drops the entire talk; when one dissolved, I popped in the next. It’s a wonder that the presentation went well—even though I bloopered “excuse me while I DRINK another cough drop.” Tacky, to say the least! 

My presentation cough drop-crutch was one in a long series of frustrating adaptations for a regularly occurring, undiagnosed, dry hacking cough. I needed to create these workarounds in order to function for the first three decades of my life. And my bag-o-menthol was my special partner for this particularly high profile speech. 

I grew up in Chicago. Winters are gray, snowy, and dark. Winter also brings the cold season. Then, spring finally arrives. And along with the change of seasons comes: hay fever. My dreaded cough manifested itself like clockwork. Following those inevitable winter common colds, or a bout of spring hay fever, the hacking would begin. No, my colds didn’t simply subside. Instead, they would “gift” me with a cough that would last 6-8 weeks, long after the cold was gone. 

The symptoms began in junior high school. I tunneled under the covers of my bed so as to not to wake my family. Still, I would be coughing, and sometimes weeping with frustration. A visit to the family physician resulted in the foulest tasting prescription grade “cough syrup” one could imagine. And it did nothing for the cough. 

Fast forward to undergraduate school at the University of Illinois in Champaign. I rode my bicycle everywhere. And of course Champaign in central Illinois was VERY cold in the winter. A particularly awful coughing episode sticks in my mind: I recall sore abdominal muscles as I pedaled to classes on my bike. Nowadays we might deem this a great deep core workout! But it was pain—soreness induced by the unrelenting muscular contractions of the cough, and the effort of attempting to suppress it. On an icy morning, completely bundled up with a knitted muffler on my face, I pedaled several miles to the student health center. This time, my lungs were x-rayed. Nothing was found and another prescription was provided for foul cough syrup. Symptom relief: none. 

Sleep deprivation—along with pain, anxiety, fear and depression—came with this cough. After a particularly horrible night, I consulted the yellow pages (yes, the actual book) and called ear, nose, and throat specialists until someone answered. I had the brainstorm in the middle of the night that I should try another kind of physician. This physician diagnosed a secondary ear infection and a deviated septum. 

Did I have my answer? Well, antibiotics for the ear infection certainly helped me sleep better. But, the cough did not abate. Once morning had broken (to quote one of my favorite singer/songwriters of all time, Cat Stevens) the cough reared its ugly little head again. 

Cough drops, hot tea, urgent care clinics—episode upon pitiful episode of no relief—for decades. Finally, I consulted with an allergist and received a full work-up, patch tests and all. I was      
definitively diagnosed with cough variant asthma, and directed to administer an inhaler at the first sign of a cold. As you can imagine, I would become hyped up from the expensive medication. (Don’t get me started on the American way of health care!) Inhalers did eventually help the cough episodes, however, and I am deeply and utterly grateful for the diagnosis and 
treatment. 

Then about 12 years ago, my yoga practice shifted from sporadic to genuinely committed. I began participating in an online group of like-minded yoginis literally from around the U.S and the world, discussing our practices and our readings, and checking-in with one another about our deepening insights and discoveries. We also often met “real life.” taking immersions with Felicity Green, Erich Schiffmann, Manuso Manos, and others. At the same time, I began attending Iyengar and Iyengar-inspired classes in Tucson. Of course like any good yogini, I built my yoga library. 

During this period I acquired Yoga: The Path to Holistic Health by BKS Iyengar. During one of my asthma episodes, I referenced this volume and decided to try the sequence provided in this beautiful book. The series, which began with an introduction that stated, “asthma is usually caused by allergies or stress” (yes that’s me!) gave me a path to a new approach. So I gave it a go! 

With the book open in front of me in my living room, I began with the seated poses such as Staff pose, Cobbler’s pose, Wide Angle Seated pose, and Hero pose, pose, and then progressed to reclined propped versions of those same asanas, as well as Supported Bridge pose. From there I moved to Downward-Facing Dog pose, Mountain pose with arm variations , and Half Moon pose. I substituted heavily propped (I just did not have all of the supports depicted in the book) Staff and Camel poses, with Supported Bridge and a chest opening Savasana. 

After this first practice, I IMMEDIATELY felt better! My stress was relieved and my coughing abated noticeably. This instant relief was motivation to continue with Mr. Iyengar’s specific sequence (and my own adaptations) during this and subsequent acute episodes. Furthermore, my committed well-rounded practice always included focus on my posture, particularly side-body and chest openers, such as Bridge pose on a block Sphinx pose, Warrior 2, and shoulder openers with a strap. I noticed that when I would suffer from the cough variant asthma symptoms, the episodes eventually became much shorter. 

I firmly attest that my asana practice helped to slowly and incrementally open the tissues around the lungs and chest so I could breathe better. Also, the apprehensive anxiety that would come from the anticipation of another asthma episode became managed with my practice. I learned to calm myself with basic pranayama and relaxation, along with asana. Additionally, about 5 years ago when symptoms would arise, I started using a neti pot, which I know that helps immensely.

Now, even though the coughing is an issue, it is minor. I discern exactly what to do for myself, and the duration of the cough and the concomitant stress is completely manageable and short. In essence, my quality of life has improved in a myriad of ways. In my case, yoga has reduced the frequency and severity of cough variant asthma, a condition that caused me a great deal of suffering throughout my life. Yoga has been a magnificent gift to relieve this suffering. I feel deep gratitude for the practice of yoga and to all of my teachers! 

Bonnie Golden, M.Ed e-RYT  is a long-time yoga and stress management teacher and the owner of Yoga with Bonnie/Yoga in Balance LLC in Tucson, AZ  (see www.yogawithbonnie.com).  She specializes in gentle and strong, “boomer,” and prenatal/postpartum yoga. Bonnie received her yoga teacher certification through international yoga master Tias Little's Prajna Yoga. She has completed more than 1,000 hours of yoga instruction, earning her a Yoga Alliance 200-e (expert) designation. Her additional yoga studies include specialized training in prenatal yoga with Linda Spackman of Prajna yoga, doula training, and female pelvic-floor health with Leslie Howard. She is certified in Relax and Renew with Judith Lasater and Roger Cole, and is trained in several Yoga Tune Up specialties with Jill Miller. She recently completed the Yoga for Healthy Aging immersion with Baxter and Nina, and will be offering workshops and specialized sessions based on the terrific learning from that experience. Bonnie also served on the counseling faculty of Pima Community College for over twenty years, is the author of two books, and a recipient of the Outstanding Faculty Award from the Pima Community College Foundation. 

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Tuesday, October 22, 2013

Yoga and Mild Asthma

by Baxter
Ball and Wire, by Melina Meza
I got this inquiry recently, and again was surprised to find that I have not written about asthma in any detail, as it is a very common condition and one that many of my students present to class with. Here’s what one of our readers asked:

“What advice do you have for those with mild asthma that does not interfere with daily activities? Do you have any suggestions on what to do to strengthen the lungs/ bronchial/breath? Any warnings?”

As always, it’s good to start off with defining what asthma is, so we are all on the same page. According to the folks at the Mayo Clinic website, asthma is “a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.” There are different degrees to which people will experience bouts of asthma flares or “attacks”, from very mild asthma, which our reader is interested in, to those with frequent bouts of asthma-induced shortness of breath. And there are those more rare instances where the condition can be so severe as to run the risk of death. This is a condition that requires some support from your lung specialist doctor, either an allergist or a pulmonologist, even if you don’t require much in the way of medication to help with flares. Even my students with mild asthma usually keep an inhaled medication handy that can be used in the event of unexpected asthma attack.

As far as someone with mild asthma that does not interfere with daily activities participating in yoga, for the most part there should be no problem. In fact, certain benefits gained from a regular yoga practice could positively influence the student’s asthma course. In general, both the physical asana practices and pranayama breathing practices can lead to an overall improvement in strength of the muscles of the body that assist in moving the air in and out of the lungs, including the main muscle of breathing, the respiratory diaphragm. And the stretching of the muscles of the chest region, along with breath practices that lengthen the inhale and exhale can improve your “vital capacity” or the volume of air breathed out after the deepest inhalation. You may only need to use this amount of air movement during truly demanding physical activity.

In addition, two of the triggers of asthma attacks are strong emotions and stress.  As we have highlighted in numerous posts in the past, yoga can be an excellent tool to combat stress and to temper strong emotional swings. Applying those tools that support improved control over stress and emotional lability, especially relaxation techniques and guided meditations, should have positive benefits for those with even mild asthma. 

There are a lot of the other triggers for asthma attacks, according to the Mayo Clinic:
  • Airborne allergens, such as pollen, animal dander, mold, cockroaches and dust mites
  • Allergic reactions to some foods, such as peanuts or shellfish
  • Respiratory infections, such as the common cold
  • Physical activity (exercise-induced asthma)
  • Cold air
  • Air pollutants and irritants, such as smoke
  • Certain medications, including beta blockers, aspirin, ibuprofen (Advil, Motrin, etc) and naproxen (Aleve)
  • Strong emotions and stress
  • Sulfites and preservatives added to some types of foods and beverages
  • Gastroesophageal reflux disease (GERD), a condition in which stomach acids back up into your throat
  • Menstrual cycle in some women
If any of these triggers are something you’ve experienced, you‘d want to take this into account as it relates to your yoga practice. I’d highlight a few of the above as examples. Exercise-induced asthma is fairly common form of asthma, and I have students who only complain of shortness of breath with physical practices - this might lead to increased work for the heart or lungs. That could include more physically demanding forms of yoga and may mean that you would want to work with an experienced teacher to design a practice that would benefit your overall health without triggering your asthma symptoms.

Another common trigger for my students is the wool blankets that some of the studios where I teach have available as props.  You may have to bring your own cotton blanket or request the studio have a few available for you to use. If reflux or GERD is one of your triggers, you’d need to avoid any kind of inversion and maybe even lying flat on the ground if it causes GERD symptoms, which can lead to asthma attacks. I have students in this camp do things like half Dog at the Wall instead of regular down dog. And if we are doing supine warm ups, you can create a ramp-like lift for the chest and head with blankets. If any of the triggers above are bothering your breathing, default to a quieter, gentler practice for a few days until your breathing returns to normal and then gradually re-introduce all of your normal activities, not just yoga. 

And not all breathing practices are great for asthma suffers. My colleague and friend Barbara Benagh developed a more serious form of asthma as an adult and found that pranayama practices that emphasized lengthening the inhalation or holding the breath after inhaling actually triggered or worsened her asthma.  She went on a personal search to look for better ways to breathe and her findings are quite interesting. I highly recommend you check out her web site to learn more about her recommendations.

I suspect we will return to this topic again down the road, but hopefully the information here will allow you to breathe easy as you work with yoga for asthma!

Studies on Yoga and Asthma: Most have been done in India or other countries, but do point out the benefits of yoga for asthma. On my quick search for recent studies, this study was the first listing, cataloged on the NIH website. Check out the references at the end of the study for more places to look for scientific studies on the subject.

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