Doctor in cheers
Treatment of Sleep Disturbance
Asthma Management Program
Management of Smoking Cessation
Oxygen Therapy Treatment
Obstructive Sleep Apnea Treatment
Lower/Upper Respiratory Tract Infection Treatment
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Patient Review Highlights
A person snores too loudly during his sleep. What should be done to prevent the snoring? Please advice
Dear sir, I am 25 year old jab main subha me washroom jane ke liye 1 glass water pita hu but jab main brush krne jata hu to mujhe Omitting hota h jab tk pura pani bahar nhi nikal jata piya hua tb tk hota hain.
Immuno Shots or allergy shots, in other words, are known as allergen immunotherapy. As the name suggests, it provides a complete relief from severe allergies for longer durations. Severe allergy symptoms can play havoc with life and can curtail your daily activities. You can opt for immuno shots when none of the other treatment plans are working out. Allergies can be due to many reasons, such as dust mites, pollen, feathers, insect bites, pets and pollution.
How can immuno shots benefit you?
Immuno shots can easily reduce the signs of different allergens
Helps build immunity naturally in your body
Reduces your long-term usage of allergy medication
Cost effective in the long-term
Has reduced side effects as compared to other medications
Immuno shots can easily control allergies triggered by
Who can go for immuno shots?
They also work effectively on allergies caused by dust mites, pollens, pet dander and bee stings, etc.
Immuno shots are not recommended for children less than 5 years of age, pregnant women, people suffering from cardiovascular diseases
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pneumonia se bachne ke liye upaay bataiye please. Kya care lena chahiye? Excercise kya karna chahiye? Diets?
What is exercise-induced asthma? — exercise-induced asthma is when a person with asthma has breathing problems during or after exercise. Doctors often call it" exercise-induced bronchoconstriction" instead. That's because exercise does not actually cause asthma. But it can trigger symptoms in some people who already have asthma.
What are the symptoms of exercise-induced asthma? — symptoms can include:
●a tight feeling in the chest
●shortness of breath
●wheezing (hearing a whistling sound when you breathe)
Symptoms happen when the airways in the lungs become narrow and inflamed (figure 1). In people with exercise-induced asthma, this usually happens about 10 to 15 minutes after starting to exercise. In most cases, the symptoms go away after about 1 hour.
These symptoms are different from shortness of breath that happens during an asthma" attack" or flare-up. A person having an asthma flare-up might have more trouble breathing if he or she tries to exercise. That's because the airways are already narrowed.
Is there a test for exercise-induced asthma? — yes. But if you already know you have asthma, you might not need testing. Your doctor might be able to tell that you have exercise-induced asthma based on your symptoms. Or, your doctor might have you do a breathing test, such as:
●an" exercise challenge test" – this involves using a treadmill or exercise bike for several minutes, then doing a breathing test. The test shows your doctor how your lungs are working. A similar test involves inhaling a special mixture of dry air while breathing fast, like you would if you were exercising.
●a test that involves breathing in a special medicine – for this, you do a breathing test before and after inhaling the medicine. If you have asthma, the medicine will cause your airways to narrow.
Your doctor might also check for other problems that can cause similar symptoms. For example, people with vocal cord narrowing, lung disease, and some heart problems can have trouble breathing after exercising.
How is exercise-induced asthma treated? — if you get exercise-induced asthma, you can treat it with a" quick-relief" medicine. It comes in an inhaler and treats asthma attacks or flare-ups. The medicines used for this are short-acting beta agonists (called" sabas" or" short-acting bronchodilators").
Examples of sabas are albuterol and levalbuterol.
Your doctor or nurse will tell you how and when to use your inhaler. Most people need 2 puffs to relieve symptoms. If you keep having symptoms, you can take 2 puffs again after 20 minutes. If you get exercise-induced asthma, make sure you have your" quick-relief" inhaler with you anytime you plan to exercise.
If you are having symptoms but don't have your inhaler, or if you still have trouble breathing after using it, call for an ambulance.
Some people feel shaky after taking a saba. If this happens, talk to your doctor or nurse. He or she might switch you to a different medicine or lower your dose.
Can exercise-induced asthma be prevented? — yes. First, it's important to take all your asthma medicines the way your doctor or nurse tells you to. Keeping your asthma controlled can lower the chances of having symptoms when you exercise.
You can also:
●take medicine before you exercise – this usually involves using your" quick-relief" inhaler 5 to 15 minutes before exercising, to help prevent symptoms. Sabas are the medicines most often used to prevent exercise-induced asthma. But some people, such as children who are physically active many times a day, get another type of asthma medicine instead.
If you exercise most days of the week and need your" quick-relief" medicine each time, your doctor might suggest an asthma controller medicine if you don't already take one. This is a medicine you take every day, even when you are not having symptoms. This way you won't need the" quick-relief" medicine as often.
●avoid exercising in certain conditions – very cold, dry air can make symptoms worse. If you do exercise outside on a very cold day, it might help to wear a loose scarf or mask over your nose and mouth. It can also help to avoid exercising in polluted air, or around pollen or mold if you are allergic.
●warm up before you exercise – some people find that a warm-up period helps prevent exercise-induced asthma. But this isn't true for everyone.
You should not avoid exercise completely in order to prevent exercise-induced asthma. Exercise is important for staying healthy. Plus, regular exercise and better fitness can actually help reduce asthma symptoms. Your doctor and nurse can help you figure out what kind of exercise is best for you, and how to prevent and treat symptoms.●coughing●shortness of breath●wheezing
What Is Obstructive Sleep Apnea?
Obstructive sleep apnea (OSA) is a medical condition in which the patient's breathing is obstructed for brief periods of time. Normally, air flows into the lungs at all times. But for a person suffering from OSA condition, the breathing pattern is hampered and the flow of the air is restricted. The flow of air stops because the airway space may be very narrow. Snoring is the biggest symptom of obstructive sleep apnea.
All the symptoms that you might be experiencing due to lack of sleep will be experienced through OSA. They are periods where there is a decreased oxygen supply to the brain and as a result, you will be experiencing a disturbed sleep throughout the night. Some of the other symptoms can include headaches, forgetfulness, and drowsiness. Depression, hyperactivity and swelling in legs and daytime drowsiness are other common symptoms that can be associated with it.
OSA is common in people who are overweight and people who suffer from obesity. There are 3 major types of sleep apnea.
- Obstructive sleep apnea: This is the most common type where the airway becomes narrowed or blocked.
- Central sleep apnea: There is no blockage involved, but the brain does not give out any signal to breath.
- Mixed sleep apnea: This is a combination of both - obstructive and central sleep apnea.
The other factors that can cause OSA can include children with large tonsils, large tongue, and certain heart diseases.
A diagnosis of sleep apnea begins with a complete history and physical examination. Your snoring patterns are analyzed and how rested your body is being taken into account. The doctor will also examine your head and neck to identify any physical factors that may be associated with sleep apnea. Mostly you might be asked to take a test at one of the sleep centers to identify your sleep patterns. The results would be analyzed for better identification of the treatment.
Positive Airways Pressure Therapy, or PAP therapy, can prevent or reduce the serious health consequences of OSA. PAP therapy helps people with all levels of OSA, from mild to severe. It is most common therapy for OSA.
There are different forms of PAP therapy. All forms of PAP help keeping the airway open during the night. These devices provide a stream of air through a mask you wear while you sleep. The airstream prevents your airway from closing, so you don't stop breathing and wake up during the night.
The mask must fit and make a seal in order to keep throat open. A good mask seal will prevent air leaks and maintain the right level of air pressure. The amount of air pressure needed is different for each person.
PAP is usually the first form of treatment for OSA. There are other treatments for OSA. You can talk to your health care provider about which treatment is right for you.
If you are overweight, weight loss can help improve or eliminate your OSA. Oral appliances will use to treat mild to moderate OSA. They fit over the teeth and are worn during sleep. People with OSA may have surgery to reduce the tissue in their throats or to help them lose weight. Lifetyle of behavioral changes, such as quitting smoking or not drinking alcohol, can also help treat OSA. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
The lungs are made of tubes through, which air passes in and out for exchange of gases, taking in alveoli. It is a disease of alveoli to which finer air conducting tubes are attached. Over a period of time, with age and exposure to various agents, these tubules get obstructed. The amount of air that can pass through these is reduced, leading to reduced oxygen supply to the lungs and thereby the various body organs.
The symptoms of COPD can be easily understood if we realize how COPD is caused. The progressive blockage of the air tubes causes less oxygen to reach the tissues, which is the most essential agent for all tissues and organs to function. Reduced supply produces a generalized limitation in physical activity. There are two main components to COPD - chronic bronchitis and emphysema. The symptoms indicative of COPD are as follows:
- Chronic cough: Also referred to as smoker's cough, the cough is relentless and does not subside with regular cough treatment. This is one of the first indications of COPD.
- Mucus buildup: There is constant buildup of mucus which gets expelled during coughing. The person never feels completely clear of mucus, and the regular cough expectorants do not help relieve the symptoms.
- Fatigue associated with limited activity: As noted earlier, the reduced capacity of the organs limits their activities. Therefore, regular activities like walking short distances or climbing stairs can induce fatigue.
- Shortness of breath: The above fatigue is associated with shortness of breath, even with small physical exertion. A person with COPD will see marked tiredness and reduced ability to perform routine chores and feel a tightness in the chest.
- Wheezing: Passage of air through the obstructed air tubes produces a whistling sound or wheezing. It is more pronounced when there is mucus accumulation in the airways.
While there is no cure for COPD, once it sets, the following are some ways to slow its progression and reduce severity of the symptoms:
- Bronchodilators: Dilate the air tubes and ease flow of air
- Corticosteroids: Help reduce inflammation and thereby improve airflow through the tubes
- Flu vaccination: Helps curb the frequent flu attacks
- Antibiotics: To contain infections
- Pulmonary rehabilitation: A combination of breathing exercise and patient education to improve lung function.
- Oxygen therapy: In very severe cases, oxygen may be required.
- Lifestyle changes: Eating healthy foods, preventing exposure to dust and smoke, quitting smoking, breathing exercises, bi-annual medical check-ups to monitor lung functions are essential. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
I am 25 years old suffering from tb lymphadenitis. Completed 1 years course. Following are my scan reports. My doc has told I can stop my course but I want to take second opinion whether I have to continue with course or I .can stop. Two lymph nodes with loss of fatty helium found in bilateral supraclavicular region on left 11*4 mm and right 7*5 mm Lymph nodes with loss of fatty helium and heterogeneous echo structure located on lower jugular vein largest measuring 8*5 and 8*4 mm respectively.
Sleep hygiene tips:
- Getting good sleep is important in maintaining health. There are several things that you can do to promote good sleep.
- Sleep hygiene help promote good sleep using behavioral interventions.
Sleep hygiene tips:
- Maintain a regular sleep routine
- Go to bed at the same time. Wake up at the same time. Ideally, your schedule will remain the same (+/- 20 minutes) every night of the week.
- Avoid naps if possible.
- Naps decrease the ‘sleep debt’ that is so necessary for easy sleep onset. Each of us needs a certain amount of sleep per 24-hour period. We need that amount, and we don’t need more than that. When we take naps, it decreases the amount of sleep that we need the next night – which may cause sleep fragmentation and difficulty initiating sleep, and may lead to insomnia.
- Don’t stay in bed awake for more than 5-10 minutes.
If you find your mind racing, or worrying about not being able to sleep during the middle of the night, get out of bed, and sit in a chair in the dark. Do your mind racing in the chair until you are sleepy, then return to bed. No tv or internet during these periods! that will just stimulate you more than desired. If this happens several times during the night, that is ok. Just maintain your regular wake time, and try to avoid naps.
- Don’t watch tv or read in bed.
- When you watch tv or read in bed, you associate the bed with wakefulness.
- Drink caffeinated drinks with caution
- The effects of caffeine may last for several hours after ingestion. Caffeine can fragment sleep, and cause difficulty initiating sleep. If you drink caffeine, use it only before noon. Remember that soda and tea contain caffeine as well.
- Avoid inappropriate substances that interfere with sleep
- Cigarettes, alcohol, and over-the-counter medications may cause fragmented sleep.
- Exercise regularly
- Exercise before 2 pm every day. Exercise promotes continuous sleep. Avoid rigorous exercise before bedtime. Rigorous exercise circulates endorphins into the body which may cause difficulty initiating sleep.
- Have a quiet, comfortable bedroom
Set your bedroom thermostat at a comfortable temperature. Generally, a little cooler is better than a little warmer. Turn off the tv and other extraneous noise that may disrupt sleep. Background ‘white noise’ like a fan is ok. If your pets awaken you, keep them outside the bedroom. Your bedroom should be dark. Turn off bright lights. Have a comfortable mattress.
- If you are a ‘clock watcher’ at night, hide the clock.
- Have a comfortable pre-bedtime routine
- A warm bath, shower, meditation.
Some who are struggling with sleep regularly find it helpful to print out these recommendations and read them reularly. If you accidentally miss some of recommendations, or have a bad night, do not fret. By following these sleep hygiene recommendations, you will help yourself to get into a routine that promotes good sleep opportunities.
Swine flu is the commonly used word for H1N1 influenza virus infection. It is a relatively newer strain of the influenza virus, and is so called because it was originally discovered in people who were in direct contact with pigs. This is not necessarily the case now. Also, one should note that despite the name, it does not spread by eating pork or bacon or ham.
It is very contagious and spreads from person to person very rapidly. Swine flu was big news in 2009 when it was declared a pandemic an is in news again as a number of people have succumb to death in 2017 because of it.
Mechanism of spread: When a person with flu sneezes or coughs, the virus is released into the air, and when another person breathes the virus, they get the disease. It could also be through surfaces like doors or restroom handles which were handled by the infected person. The symptoms take about 7 days to develop, and could be quicker and severe in people with weak immune system
Symptoms: Swine flu resembles the regular flu with generic symptoms including:
Testing: A swab test can be done but is not required in all people, except the below
- Extremely young or old people
- People with known weakened immunity
- People with debilitating medical conditions (chronic lung or liver disease, severe diabetes, nervous disorders, etc.)
- People in nursing or assisted living
- When swine flu is detected, one of the following medications is usually given – osteltavimir, peramivir, or zanamivir. The results are best when given in the first 48 hours.
- Antibiotics are not effective as it is a viral disease.
- Cold and fever medications are given for symptomatic relief
- Aspirin should be avoided
Prevention: When there is a high incidence of swine flu in your surroundings, do the following:
- If you are affected, stay indoors to avoid spreading the disease
- Wash your hands regularly with soap and water.
- Contain coughs and sneezes with a kerchief or a tissue so that virus spread is limited
- Avoid touching the eyes, nose, and mouth with likely infected hands
- Keep elderly, pregnant, asthmatics, and young people away from the infected person. They have lower immunity and can contract the infection much faster
- If you are infected, limit your movement in the household and try to stay put in one place
- Caretaking preferably should be done by one person to limit exposure among all the members in the family. If you wish to discuss about any specific problem, you can consult a Pulmonologist.