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Dr. S K Rajan

Pulmonologist, Chennai

1200 at clinic
Dr. S K Rajan Pulmonologist, Chennai
1200 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. S K Rajan
Dr. S K Rajan is a renowned Pulmonologist in Anna Nagar East, Chennai. You can meet Dr. S K Rajan personally at Star General Clinic in Anna Nagar East, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. S K Rajan on Lybrate.com.

Lybrate.com has an excellent community of Pulmonologists in India. You will find Pulmonologists with more than 32 years of experience on Lybrate.com. You can find Pulmonologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#7-A, 2nd Street, VOC Nagar, 1st Main Road, Anna Nagar East. Landmark: Opposite KPN Travels, ChennaiChennai Get Directions
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My son is 7 years of age. Doctor told me he is suffering from asthma. Almost it is incurable. He suggested inhaler with 2 capsule (asthalin and budecort 400). How much serious is it and will it be normal at age 12 or 13? What precautions should I take as he suffers much from cold things. He became fat too.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Hi Amith., Asthma symptoms, which include coughing, wheezing, and chest tightness, are common in an asthma attack. Sometimes asthma is called bronchial asthma or reactive airway disease. Asthma can be controlled with proper treatment. Symptoms:- Common asthma symptoms include: 1.Coughing, especially at night 2.Wheezing 3.Shortness of breath 4.Chest tightness, pain, or pressure Medication:- 1.Cof X-5ml with warm water twice a day. 2.Sitopaladi churna-1/4tsp with honey daily 3-4times a day. You have to give dese medication only for 1 week by that your son will be relieve of symptoms. Dont give much of corticosteroids for kids ex Budecort which has its own side effects like weight gain n other skin allergies.
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I have dry coughs continued for full night. If I sit there is less cough but at the time of sleep cough increases also I can not turn up my neck if I look height suddenly cough occurs. Suggest me a good answer.

C.S.C, D.C.H, M.B.B.S
General Physician,
It is the result of secretion inside rolling over and tickling your throat and you may need to take cough syrup like Benadryl and check your blood
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C.S.C, D.C.H, M.B.B.S
General Physician,
TODAY IS
WORLD ASTHMA DAY
******************************
Do not ignore the first attack of asthma after the age of 40, it may be of heart in origin.
All wheeze is not asthma and all asthmatics do not wheeze.
Only cough may be a sign of asthma.
If you are able to speak a sentence during an asthma attack, you do not have severe asthma.
If you get an attack of asthma more than twice in the night in a month or more than twice during day time in a week, you need continuous asthma treatment
All asthmatics should be questioned about symptoms triggered by common inhaled allergens, at home, day care, school, or work
Indoor allergens, such as dust mites, animal danders, molds, mice and cockroaches, are of particular importance.
Food allergy rarely causes isolated asthma symptoms, although wheezing and cough can be symptoms of food-induced anaphylaxis.
Aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) may trigger symptoms of asthma in about 3-5% adult a
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I'm a man of 76 yrs, having copd (2 yrs), causing weight loss 6 kg & muscle wasting within 4 months. Loss of weight & muscle is common in copd-- but such abrupt loss aims at something else. Is it testosterone imbalance. My testosterone level is 38.10 nmol/l, reference range being 4.94 nmol/l to 32.01 nmol/l. What should I do?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Copd is ch inflammatory systemic dis. Your testosterone is less which can not be a sole cause but you can go for injection. Of testosterone after consulting your physician. It can cause cancer. Copd in itself cause muscle wasting/wt loss. Join respiratory rehabilitation prog. For this. Check your oxygenation by pulse oximetry at rest and at exertion.
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I am suffering From chronic cough due to allergies specially cold and dusty. Frequent nasal discharge and sneezing. No permanent relief by anti allergic. So please suggest me some treatment for this.

BAMS
Ayurveda, Bangalore
I am suffering From chronic cough due to allergies specially cold and dusty. Frequent nasal discharge and sneezing. N...
Hi, Take tab. Septillin 2-0-2 after food and Rhinorin Lehya 1 tsf twice daily followed by milk for 3 months continuously. Avoid cold and refrigerated food. Do steam inhalation twice daily. Avoid sweets and oil fried food. Perform Pranayama daily in the morning for 10- 15 mins.
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I have been diagnosed with anisocytosis and cholesterol is elevated earlier to this I have high BP and asthma from childhood how to keep my health fit in this condition please advise.

MBBS
General Physician, Mumbai
I have been diagnosed with anisocytosis and cholesterol is elevated earlier to this I have high BP and asthma from ch...
For raised cholestrol- take care in diet with low fat content and take regular bp medication and few tips for asthma - avoid any triggering factor, take folic acid regularly, eat a healthy diet, always be stress free, exercise regularly.
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I am a 23 year old boy and I am having wet cough since last three years and the problem is no doctor is able to find the reason why I am having whooping cough. All tests are negative like tb and pneumonia and pft all is negative and I am living completely normal life with no other symptoms only this cough is there alll day. What should I do? Is there any remedy for the same.

LCPS, BAM&S
General Physician, Pune
Whooping cough is a serious disease though it's rarely found. Most of indian population is vaccinated through triple vaccine. So you probably are suffering from persistent cough. Check eosinofil count. Allergy is another cause that needs separate treatment. Find a good physician.
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I have been suffering from tonsils problem since my childhood. I am 24 now and the problem still persists. Please guide for recovery.

BAMS
Ayurveda, Bangalore
Hi, take cap. Tonsari 1-1-1 with hot water after food and tab. Lakshmivilasa ras 1-1-1 after food. These medicines should be taken for 6-8 weeks continuously. Take tab. Tribhuvanakirti ras 1-1-1 till the fever subsides. Avoid cold and refrigerated food, sweets and oil fried food. Do salt water gorgling 2-3 times a day.
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How to get rid of dry cough? I'm having dry cough during sleep only. Are there any home remedies? Or should I use English medicine? I'm having this for the past three days.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Homoeopathy has good treatment without causing adverse effects. Take homoeopathic medicine Bryonia 200 twice daily in the morning and in the evening and give feedback after 6 days. For further treatment, consult privately Rs 149/-
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I don't know what's happening with me actually suddenly high fever is going and breathe is going to stop. Please help tell me what's happening with me and what medicines I should to take.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
I don't know what's happening with me actually suddenly high fever is going and breathe is going to stop. Please help...
High fever and breath going to stop, needs urgent attention. Xray chest, cbc esr. Widal test to r/o typhoid.
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I have cough from some few weeks and getting a medicine for that but that medicine is not sufficient so can you suggest me what medicine should I take?

DHMS (Hons.)
Homeopath, Patna
Hello, first of all, avoid, dust, cold intake, exposure to cold, smoke, alcohol. * take, plenty of water to eliminate toxins. * your diet b easily digestible, preferable liquid. * take, absolute rest. Homoeo-medicine* @ tuberculin 200- 6 pills, wkly=4doses, only. @ bryonia alb 30-6 pills, thrice a day. Report wkly.
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What are the tests to confirm TB? Can a x-ray detect TB? If sputum is not available how can I test TB? Please be quick to answer.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
By xray chest we can suspect TB but can not confirm without AFB demonstration in sputum by smear, genexpert mtb/rif or culture for TB mycobacteria. By mantoux test or TB gold blood test we can detect latent TB which mean one is infected with TB bacilli but can not confirm active diaese.
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My mother in law has asthma problem, has lots of cough prob, have done endoscopy, all clear, chest xray done, shows-bilateral ephyseema with old calcified lesion seen in both lungs. So what should be done? She's 72 yrs.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Any spirometry report. Old calcifacation can be due to old tb. As xray shows emphysema, try tiomate 2 puff/once/day with spacer.
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I have continue cogh n breathing problems since 2 years. When I visit to doctors they tells that I havs bronchial aller n bronchial asthma. I want to know that any vaccination is available for this.

MBBS
General Physician, Cuttack
If it is due to allergy, I suggest you to do an allergy test after consulting allergy specialist. Follow his advice and treatment. No vaccine is available for allergy
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Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

It is difficult to distinguish between allergy symptoms allergic rhinitis and sinusitis. This is no small problem. Of all the chronic diseases from which we suffer, allergic rhinitis is the most common. Approximately 30 million Indian or 15% of the Indian, population suffer from allergic rhinitis. Sinusitis, on the other hand, is one of the most common complications of allergic rhinitis. The problem with differentiating these two conditions occurs, because allergic rhinitis and sinusitis may both present with the same symptoms, such as fatigue, runny nose, chronic cough, congestion, post nasal drainage, headaches, facial or teeth pain, loss of taste or smell, and difficulty sleeping. Asthma, the other major complication of allergic rhinitis, is a lower airway lung disease that may present with cough, shortness of breath, and chest tightness, and in some studies, up to 40% of patients with allergies, have asthma.

Think then of a triangle: with allergic rhinitis on the left, causing sinusitis on the right, and both conditions causing asthma on the bottom. All three conditions can occur separately, but are closely interconnected. Remember that sinuses are simply empty cavities that surround the eyes. Air must be present in the sinuses to allow the linings of the sinuses to breathe and this is accomplished via small openings from the sinuses into the nasal passages. These openings also allow mucous from the sinuses to naturally drain into the nasal passages. If anything causes a blockage of the openings, the lack of air causes linings to use up the surrounding air supply, and like a vacuum, the resulting negative pressure will draw fluid out of the sinus linings. Fluid may then collect and fill the sinuses, which allows for bacteria to grow and cause infections. This can lead to facial pain, infected post nasal drainage and headaches. With increasing inflammation and thickening of the sinus linings, swollen tissue may round up and form nasal polyps that may cause and lead to loss of taste and smell.

Allergic rhinitis and common viral colds are the leading causes of sinusitis, and the history and physical examination will help your provider distinguish the two conditions. Allergic rhinitis may be seasonal, lasting weeks, months or even year round, and is caused by pollen, dust mites. Fever and discolored nasal drainage are uncommon, unless sinusitis is also present. Conversely, typical viral colds last 3-7 days, so any fever, discolored drainage, sore throat, headache or fatigue lasting longer that 7 days is very unlikely to be a simple viral cold, and is most probably sinusitis. On physical examination, patients with allergic rhinitis and sinusitis may both have dark circles under the eyes (shiners), swollen, pale nasal tissue, congestion and discharge. Patients with sinusitis, however, may also have discolored discharge. Studies have shown that greater than 50-75% of allergic adults and children with asthma have abnormal sinus, and asthmatic symptoms did not improve until the sinusitis is treated completely.
ALLERGIC RHINITIS
Most patients 10-20% of the population with sneezing, congestion, runny and itchy nose rhinitis, postnasal drip and itchy, red eyes during spring and fall have allergies to seasonal pollens. A high percentage of allergic individuals will be children. Whether someone will develop

Allergies depends on two factors: (1) Hereditary - Is there a family history of allergy?
(2) Environmental- Is the individual old enough and been exposed to enough pollen? Symptoms due to allergies may be severe enough to cause a loss of time from work and school.

Interestingly, a percentage of patients with classic symptoms will be absolutely and unequivocally negative on skin testing. Allergy injections are not indicated and not possible, because these patients are not allergic. And yet patients are just as symptomatic, and just as miserable as the rest of us. How is this possible and what treatment is available?
Definition and Pathophysiology
The diagnosis of rhinitis without positive skin tests is divided into two subgroups. One subgroup, non-allergic rhinitis with eosinophilia, presents with allergy symptoms in addition to conditions such as nasal polyps and nasal eosinophilia, asthma and frequently sinusitis. The other subgroup, vasomotor rhinitis, presents with symptoms, especially congestion, but lacks other associated conditions.

The nasal mucosal lining has a rich blood supply that is under the control of the nervous system called the autonomic nervous system. Nonspecific stimuli such as rapid changes in weather, temperature and humidity, drafts, exposure to chemicals, odors, perfumes, smoke and dust, emotions or stress may increase blood flow to tissue, resulting in swelling, congestion and rhinitis. A significantly deviated septum may induce changes in the mucosa, worsen the non-allergic or vasomotor rhinitis and cause more nasal congestion and drainage. Hormonal changes that occur with pregnancy, menstruation, menopause, hypothyroidism and oral contraceptives may cause symptoms of chronic non-allergic rhinitis.
Clinical Features
Patients complain of chronic nasal congestion, rhinitis, postnasal drip and sneezing. Congestion and blockage may alternate from side to side and are usually constant, though seasonal weather changes may trigger symptoms that mimic dust allergies. Symptoms may be worse upon awakening in the morning. Examination reveals marked pink or pale nasal swelling obstruction and thick nasal secretions. In all cases, skin tests are negative. Patients with non-allergic but not vasomotor rhinitis will have eosinophils present in nasal secretions and frequently nasal polyps complicating the obstruction.
SINUSITIS
Sinusitis
Sinusitis is an infection or inflammation of sinuses. Sinuses are the air-filled pockets or spaces found in the bones of face, around eyes and nose. They produce mucus, which, under normal circumstances, drains into the nose. Normally the sinuses produce about 1.5 litres of mucus a day and the quantity increases during allergy, inflammation and infection and this also changes the character of the mucus. Infection of sinuses is one of the common health care complaints.

Pathology
Sinusitis occurs when the mucus-producing lining of sinuses become inflamed and block the opening of the sinuses. Due to this, foreign material cannot get out, oxygen levels drop within the sinus and bacteria in the nasal cavity slither into the sinuses causing the sinus walls to swell and fill with pus. If the infection does not subside, the body sends in disease-fighting cells to kill the bacteria, which in turn can do considerable damage to the sinus walls. These defender cells can damage the cilia, the hair-like structure in the sinuses that help expel foreign matter. In addition, scarring can be caused which can result in the formation of sores.

Causes of Sinusitis

Infection due to bacteria, virus, fungi
Allergy: Most commonest causes are dust, animal dander, smoke, food and pollutants
Upper respiratory tract infection such as common cold or flu
Nasal polyps
Nasal Septum deviation
Chronic tonsillitis and adenoiditis
Climatic factors like sudden temperature changes
Swimming in infected water
Low immunity
Dental causes like an abscessed or badly decayed tooth, following dental treatment
Diseases like diabetes and HIV can create a predisposition to sinusitis

Symptoms of sinusitis

Nasal congestion leading to nasal obstruction, difficulty breathing through the nose
Thick nasal discharge (may be yellowish or greenish in colour in case of infection)
Sensation of fullness in the face
Sensation of pressure behind the eyes
Postnasal drip
Cheeks feel tender and pain may be similar to toothache in upper jaw
Mild fever and headache over one or both eyes (if frontal sinuses are affected)
Headache is usually worse in the mornings and made sharper by bending forwards
Sore throat
Foul smell in nose
Nasal sounding speech
Possibly, pus-like nasal discharge
Dry tickling cough
Tiredness

Asthmatic Attack
In the initial stage there is an asthmatic aura sometimes sneezing, flatulence, Drowsiness or restlessness irritability will be present. There can be a dry cough along with wheezing breathlessness these are some of the symptoms before the actual asthmatic attack.

Sense of oppression in the chest suddenly in the middle of the night is experienced.
There is a sense of suffocation and the patient leans forward fighting for his breath; or he may go to the open window to relieve the suffocation.
Anxiety, perspiration, cold extremities and cyanosis might be present.
Wheezing is present and can be heard from a distant.
In severe airways obstruction airflow maybe so reduced that the chest is almost silent on auscultation.
Inspiration is short and high pitched while the expiration is prolonged. On auscultation there are plenty of rhonchi and rales heard.
Termination is spontaneous or due to medication. As the bronchial spasm is less the patient is able to breathe and he can also cough which brings out viscid sputum which relieves him.
The duration of the attack varies from a few minutes to hours. The attacks can last for many hours in paroxysms this state is known as Status asthmaticus. In this state the patient has to be admitted to the hospital so that he can be supplied with oxygen and other auxiliary methods of treatment

For many patients with asthma, the concern that this “reversible” though serious, potentially life-threatening persistent lung disease may progress into emphysema, is real and worrisome. After all, asthma along with emphysema and chronic bronchitis, the latter two conditions known as Chronic Obstructive Pulmonary Diseases (COPD), all have inflammation with airway narrowing, mucus production and airway obstruction. Homeopathy Management

Suppression of colds by high doses of conventional medicine leads to recurrent attacks. When you use a groom to clean your room, do you push all the dust in a corner of the room or collect it and throw away? It is a common sense that if you push to the corner of the room, in due course the dust will spread in the entire room again and make it dirtier. Same is the case with the disease affecting your body. If you suppress the disease, where will it go? It will remain in dormant state inside the body and express itself again when the body meets any of the allergic triggers. The homeopathic medicines however through the principle of “like cures like” stimulate the vital force and immunity in order to enhance the body’s capacity to repel further allergies and infections. The constitutional medicines that are found by considering the physical, mental, and emotional aspects of an individual can only lead him on the road of permanent recovery from those allergic spells. Not only these medicines cater the problem of allergy but also impart great health on all planes, as it treats the patient as a whole and not just his disease.
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I am 60 years, been smoking since college. I have chest congestion and a bit of breathing problem. No stamina and run out of breath even when taking excitedly. Chest x ray is clean. I understand there is a way of cleaning lungs of nicotine. Please help.

MD - Consultant Physician
Cardiologist, Kolkata
I am 60 years, been smoking since college. I have chest congestion and a bit of breathing problem. No stamina and run...
You are in hot bed. Smoking causes 1. Chronic bronchitis resulting in asthma, copd, may turn into lung cancer, 2. Heart disease. 3. Cancer in mouth, gastric cancer. 4. Different types of bone disease, cerebro vascular disease what not. Stop it. If you love you family please stop it immediately.
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I always want to clear my throat what could be reason is any serious issue? Some cough is there but is not get clear always and fills sticky in throat.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I always want to clear my throat what could be reason is any serious issue? Some cough is there but is not get clear ...
This can be treated by homoeopathy without adverse effects. To start with, take Belladonna 200 –once in the morning and once in the evening for 4 days.
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I am 38 years age i m having asthma what should I do?

MD PULMONARY, DTCD
Pulmonologist,
For how long and what treatment. Can try budamate 200 2 puff/twice/day with spacer. Consult a pulmonologist.
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