Lybrate.com has a number of highly qualified Pulmonologists in India. You will find Pulmonologists with more than 25 years of experience on Lybrate.com. Find the best Pulmonologists online in Ahmedabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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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
I feel strange that I am suffering from polysomnographyShe is not just friendly, but also is very motivating. So many doctors I consulted, but her treatment was the best. The facilities available in the Shweta's Clinic are very nice. Shweta Saraf Gargiya has so much knowledge that for everything my family takes her reference.
Dr. Shweta Saraf Gargiya provides answers that are prompt, well-reasoned, very helpful, knowledgeable and thorough. Great
I found the answers provided by the Dr. Shweta Saraf to be very helpful. Thanks
Dr. Shweta Saraf Gargiya provides answers that are very helpful. Thank
She is soo good to help you out in a difficult situation
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.
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.
As a pulmonologist, I see patients with breathing problems on a daily basis. Too often do I hear patients express regret about not quitting smoking earlier. The truth of the matter is that it is never too late! quitting smoking is more important than any medicine a doctor can prescribe in preventing long term health problems. So I encourage all my patients who smoke to try every day to cut back and eventually quit smoking.
Patient who smoke need to be ready to quit smoking. If you are not ready to quit smoking, you should think spend a minute every day thinking about the reason why quitting smoking is a good idea. Once you are ready, you should talk to your doctor about ways to help you quit. Even if you don’t ask, your doctor may ask about ways to help you quit smoking. Just talking about how to quit smoking is more important that a prescription pad, and there is no quick fix to quitting. Although there are medicines than can help people quit, making a plan is the critical first step.
Nicotine is a powerful drug, more addictive than any drug that can be bought illegally. The nicotine found in cigarettes takes between 7-10 seconds to reach the brain. The thousands of other chemicals in cigarettes are just along for the ride, and they are more toxic than anything you can imagine putting in your body. Most people remember their first cigarette, which was probably bad experience. But the nicotine keeps people coming back for more, even though the adverse effects are obvious to even a first time smoker.
Once you are ready to quit, remember a few things:
- Set a date. The first of the month, someone’s birthday, or the day after a particularly stressful week. Try your best to stick to that date.
- Get rid of all the matches, lighters, ashtrays, and that last cigarette you have around.
- Tell your family and friends you are going to give it a shot. Get their support!
- If you slip, don’t worry, there is always tomorrow. Give it another chance!
Finally, using a medicine that replaces the nicotine, like the nicoderm patch, nicotine gum, or nicotine lozenges, replaces the only thing in the cigarettes that your brain is addicted to. Once you have gotten over those urges, the chances of giving the cigarettes up for good increases 3-fold! using another medicine, like chantix or buproprion, can increase the chances of quitting even more, just ask your doctor.
Thanks for reading, and good luck!
I feel shortness of breath with gastric trouble. It is not regular. I feel I can not take deep breath mostly after meal or at night. I feel heaviness in below chest.
I am suffering from TB (tuberculosis) Diabetes Bhuk nhi lagati khane keep liyaBechani si hoti hai Kuch bhi khanne Ka maan nhi kartaNiyati hospital Mai bhi ilaj chal Raha.
Meri health bahut kam hai. Meri health badh nahi rahi hai. Muje asthma bhi hai and mere dil ka operation hua tha dil main ched tha. Operation 2008 me hua tha. Muje khana bhi aasani se pachta nahi hai. Kabhi kabhi pait or kidney me dard bhi mahsoos hota hai khas lar jab me ubaasi leta hu. Me jyada dur tak chalta hu to saans chalne lagti hai. Meri health badhane ke liye muje koi powder lena chahiye ya nahi? Or konsa powder lena chahiye?
How do I stop snoring. My age is 22 years so I want some home remedies that I could do to stop my snoring problem.
Sir meri age 19 year h .mjhe kvi kvi aisha feel hota h ki meri sans fool rhi h .ar pure body me fdfdaht v hoti rhti h .sube ke time me chhike v aati h ar hlka fever v idhr 3 dino se feel ho rha .mere gle bchpn se hi 2 gilti h maine Dr. Se consult kiya tha unhone neck ultra sonography .x ray .balgam .ar tuberclosis test kiya tha jisme se tuberclosis postive aaya tha to unhone bola ye digetion n sahi hone pe v aa jata h .do not worry koi dikkat nahi .h .mjhe anxiety ki v problem ho chuki h kuch din phle .to Dr. Sahb problem maine upr likhi ye kisi chij ka symtoms to nahi h .mjhe kya krna chahiye.
Hello sir, I am suffering from sinus for the last 3-4 years and I can not prevent it and I started going gym for controlling but it just short period. When I got cold and get continuous sneezing through out my day and I can not do any other work. So please help me.
My daughter had plural effusion a year back which was treated successfully for same but she is uncomfortable in breathing even after all medical reports are normal can you please suggest for easy breathing Sometimes she feels very difficult in breathing.
What are the symptoms of tuberculosis? And what one should do to cure himself from a disease like tuberculosis if he knew that he is have disease of tuberculosis?
Becoming a smoker was a journey. The journey probably began for you many years ago when you started experimenting with those first cigarettes. They probably were not so good, but as time passed, your body became used to smoking. You probably found yourself smoking regularly and in more situations. You developed certain smoking patterns. Smoking became a part of you. Cigarettes have been a part of your identity for a long time. Becoming a nonsmoker is a journey and a learning process. Think of this as a new beginning, with change occurring over time. As time passes, you will learn more about being a nonsmoker and will develop a new identity. You will become comfortable in life’s different situations without smoking. To be successful, you must maintain your commitment to this change over time. The new tobacco-free you will discover a world of benefits as a result of your journey. There is life after smoking, and it is truly better! Doctors may help you make this important journey. Here you will find information and tips in a format that lets you actively participate in planning and arriving at your destination: a smoke-free life.
1. Reasons-to-quit checklists
2. Why do I smoke?
3. Am I addicted to nicotine?
4. My smoking diary