Transforming
Respiratory Care At Home

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Care Plan

  • Respiratory diseases

According to a report by the World Health Organisation (WHO), the deaths due to lung diseases in India were on the rise accounting for 11 per cent of the total deaths. As many as 142.09 in every one lakh, died of one form of lung disease or the other giving India the dubious distinction of ranking first in lung disease deaths in the world. Respiratory diseases like asthma, chronic obstructive pulmonary disease (COPD), Interstitial Lung Disease (ILD), pneumonia, tuberculosis (TB) are emerging as major health problems in the region.

Common respiratory diseases

Obesity hypoventilation syndrome (OHS) is a condition that usually affects obese people, in which patients may experience breathing disorder that leads to lower level of oxygen in the blood (hypoxemia) and a higher level of carbon dioxide (hypoventilation).
 

Many people suffering from OHS may stop breathing altogether for a short period during sleep, which is called obstructive sleep apnea. This may result in multiple awakenings from sleep during the night and the feeling of sleepiness the following day. The disease may also strain the heart leading to its failure or other related symptoms such as swelling of the legs.

What causes OHS?


There are several factors that may cause OHS but the exact reason for the condition may remain unknown. Some doctors believe that OHS could be the result of a brain defect that controls breathing. In obese people, excess muscles and weight around the chest can also make it harder to breathe in and breathe out quickly enough. Therefore, obese people will have to spend more energy to breathe, and their blood may contain too little oxygen and excessive carbon dioxide.

What are the symptoms of OHS?

Loud snoring

Choking or gasping during sleep

Sleepiness in the day time

Shallow or rapid breathing

Morning headaches

Other symptoms of OHS?


Poor sleep quality  |  Depression, mood swings, & irritability  |  Problems with concentration & memory
Abnormal heart sounds when checked with a stethoscope  |  Small opening of throat and swolen neck

How is OHS diagnosed?

A physical exam is conducted on overweight people suspected to be suffering from OHS. Physical signs may include:
OHS Diagnosis - Reddish Colored Skin
OHS Diagnosis - Reddish colored skin
OHS Diagnosis - Swollen legs or feet
OHS Diagnosis - Swollen Legs or Feet
Diagnosis of OHS - Blue hue in fingers, toes and fingers
Diagnosis of OHS - Blue hue in fingers, toes and fingers
Diagnosis of OHS - Feeling Tiredness
Diagnosis of OHS - Feeling of tiredness

Diagnostic tests may include


Arterial blood gas test

It can be conducted to measure the level of oxygen and carbon dioxide gasses in the blood.

Lung tests

Lungs will be subjected to tests to see how much air a person can breathe in and out, and how fast.

Serum bicarbonate test

A test to measure the amount of carbon dioxide in the serum; liquid part of the blood.

Pulse oximetry test

A small sensor is clipped to the fingertip of a person to measure the amount of oxygen in the blood.

Chest X-ray

The imaging of the chest is done to look for abnormalities that may be linked to cystic fibrosis.

Electrocardiogram (EKG)

EKG records the electrical activity of the heart and looks for any irregularities.

Polysomnography
 

Polysomnography, also called a sleep study, is a test used to diagnose sleep disorders. It records your brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study.It is usually is done at a sleep disorders unit within a hospital or at a diagnostic center.

How is OHS diagnosed?

A physical exam is conducted on overweight people suspected to be suffering from OHS. Physical signs may include:
Reddish colored skin
Swollen legs or feet
Blue hue infingers, toesand fingers
Pulmonary function testing

Diagnostic tests may include

Arterial blood gas test

It can be conducted to measure the level of oxygen and carbon dioxide gasses in the blood.
 

Lung tests

Lungs will be subjected to tests to see how much air a person can breathe in and out, and how fast.
 

Serum bicarbonate test

A test to measure the amount of carbon dioxide in the serum; liquid part of the blood.
 

Pulse oximetry test

A small sensor is clipped to the fingertip of a person to measure the amount of oxygen in the blood.
 

Chest X-ray

The imaging of the chest is done to look for abnormalities that may be linked to cystic fibrosis.
 

Electrocardiogram (EKG)

EKG records the electrical activity of the heart and looks for any irregularities.
 

Polysomnography
 

Polysomnography, also called a sleep study, is a test used to diagnose sleep disorders. It records your brain waves, the oxygen level in your blood, heart rate and breathing, as well as eye and leg movements during the study.It is usually is done at a sleep disorders unit within a hospital or at a diagnostic center.

How the OHS is treated?
 

The treatment for OHS may include medicines, breathing support and a weight loss program.

Machines that support breathing may include:

 

  • Oxygen therapy
  • Continuous positive airway pressure (CPAP) is a noninvasive mechanical ventilation
  • Bilevel positive airway pressure (BiPAP) is a mask that OHS patients wear over the nose and mouth
  • Ventilator support: In chronic condition, a patient may be put on ventilator support to get enough oxygen to the lungs, and remove carbon dioxide from the body
  • Weight loss is recommended as part of the treatment
  • A doctor may also prescribe medicines to treat OHS although it is less common

How can Philips Home Care help you?


As the understanding of OHS advances, its effects and how it can be managed, pulmonary rehabilitation for patients with the disease has grown tremendously. A comprehensive intervention can reduce sleep apnea, improve overall physical performance, reduce weight, & increase health-related quality of life.

It aims to reduce symptoms, encourage active participation in physical activities, and improve overall health through education of the disease to the patient and his or her family. The program also prepares patients mentally to manage the disease successfully and mitigate anxiety as a result of the condition. The rehabilitation program is tailored to the problems and needs of individual patients so they can take maximum advantage of the program.

Hear from our patients

Baby Anna
“We started using Philips trilogy machine which helped improve her condition, breathing became more regular and she was more comfortable at night especially with a tracheostomy tube. Ultimately within 8-9 months she got rid of tracheostomy tube also”

Baby Anna