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Indraprastha Apollo Hospitals, Delhi

Indraprastha Apollo Hospitals

  4.7  (211 ratings)

Pulmonologist Clinic

Sarita Vihar, Delhi Mathura Road Delhi
1 Doctor · ₹1000 · 8 Reviews
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Indraprastha Apollo Hospitals   4.7  (211 ratings) Pulmonologist Clinic Sarita Vihar, Delhi Mathura Road Delhi
1 Doctor · ₹1000 · 8 Reviews
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Indraprastha Apollo Hospitals
Indraprastha Apollo Hospitals is known for housing experienced Pulmonologists. Dr. Nikhil Modi, a well-reputed Pulmonologist, practices in Delhi. Visit this medical health centre for Pulmonologists recommended by 100 patients.

Timings

MON, THU
11:00 AM - 04:00 PM
TUE, SAT
04:00 PM - 06:00 PM
WED, FRI
09:00 AM - 12:00 PM

Location

Sarita Vihar, Delhi Mathura Road
Sarita Vihar Delhi, Delhi - 110076
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Videos (3)

How to Get Relief from Coughing?

How to Get Relief from Coughing?

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Harmful Effects of Smoking and Air Pollution

Harmful Effects of Smoking and Air Pollution

read more
Hello friends, I am Nikhil Modi. I am a consultant specialist respiratory medicines, working in A...

Hello friends, I am Nikhil Modi. I am a consultant specialist respiratory medicines, working in Apollo Hospital, Delhi. Today I will be sharing some words about Bronchial Asthma.

As we all know that due to the rising pollution, a rise in smoking habits, breathing problems are on a rise. One of the major breathing problem which is coming across all age groups, especially with children running into early bronchial asthma. It is a type of a chronic lung disease which is allergic in nature and can be caused due to exposure to dust, smoke, pollens and air pollution. Due to rise in this pollution, the number of cases of asthma is on rise.

How do we identify this condition?

Common symptoms we see in patients are;

  • A cough, which may be variable during the day, it may be more in the early morning or at night or it can be hacking chronic in nature which may be dry or sometimes thick scutum associated with it.
  • Breathing difficulty. Patients feel breathless even while sitting. And it increases while they do daily activities. The daily routine activities like washing, running, going to the office is hampered due to breathlessness.
  • Also, there is some wheezing or whistling sound which is observed by the patients.

Sometimes these symptoms are more in the night time or in the early morning. And patients are too uncomfortable even while sleeping with it. So, if any of these symptoms are there, especially when you note these symptoms during the change of season. More in the winters or while exposure to dust, pollution, if these symptoms aggravate then you may be suffering from bronchitis asthma.

Treatment of this is simple. Now a lot of effective treatments are coming up which help in treating this. But one thing you need to know is that this disease is controllable and not easily curable. So, the treatment may be a long term. With time, as your symptoms are less, the medicines can be reduced to a minimum, but we do not allow these symptoms to crop up again and again by taking infrequent medicines as this can permanently damage your lungs. This damage may be irreversible and this damage may not be curable again. For these newer drugs like inhalers have come up with anti-allergic medicines. But these should be prescribed after full examination by a specialised physician, especially the chest physician so that the amount and doses of the drug can be individualised. As different patients need different types of drugs for the cure.

Once the treatment is started, there is regime to step up or step down the regime with which we can easily control the symptoms and patient can lead a very healthy life.

Further, sometimes, it is important to identify the allergens and exposure to them are prevented can reduce the symptoms.

With this, I thank you all and if you have any query, you are free to contact me through Lybrate platform.

 

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Doctor in Indraprastha Apollo Hospitals

Dr. Nikhil Modi

MD, MBBS
Pulmonologist
93%  (211 ratings)
12 Years experience
1000 at clinic
₹300 online
Unavailable today
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Tuberculosis

MD, MBBS
Pulmonologist, Delhi
Play video

How to Get Relief from Coughing?

Smoking and Air Pollution

MD, MBBS
Pulmonologist, Delhi
Play video

Harmful Effects of Smoking and Air Pollution

Common Breathing Problems - How To Treat Them?

MD, MBBS
Pulmonologist, Delhi
Common Breathing Problems - How To Treat Them?

We rarely take the time to think about the way we breathe. After all, breathing is an involuntary action that begins when we are born and never stops until the moment we die. However, some people find it harder to breathe than others. There are many different kinds of breathing problems that can affect the old and young and thankfully, most of them can be treated and controlled.

  • Some breathing problems are short-term and dictated by seasons while others are chronic and long-term.
  • Having difficulty breathing when you have a cold and a stuffy nose is considered a breathing problem.
  • At the same time, shortness of breath caused by asthma is also a breathing problem.
  • Other breathing problems include sinusitis, allergies and nasal congestion caused by diseases like chronic bronchitis or f chronic obstructive pulmonary disease.
  • Breathing problems can also be a result of diseases such as HIV, tuberculosis, lung cancer and pneumonia.

Ways it can be treated

To treat a breathing problem, one must first understand and identify the factors triggering it. Avoiding these triggers can effectively reduce the frequency and intensity of breathing problems. For example, not allowing pets into your bedroom can help treat breathing problems caused by an allergy to pet dander. Similarly, wearing a nose mask when outdoors, can reduce breathing problems caused by dust and pollution.

Medication can also help treat breathing problems

  • Antihistamines and decongestants are common medications used to treat such problems.
  • These may be prescribed as tablets to be taken orally or in the form of nasal sprays. In some cases, steroids may also be prescribed.
  • This is usually in the case of sinusitis and chronic allergies. These drugs are intended to be inhaled so as to clear the airways.
  • For people suffering from long-term breathing problems that are triggered by seasonal changes, taking a flu shot can help.
  • These injections reduce the body’s sensitivity to allergens and provide relief in cases of breathing problems.

However, it is important to note that when it comes to breathing problems, one should never self-medicate. What works well for one person may be ineffective for another. This is because unless the medication addresses the cause of the problem, it will not be of any use. Hence, it is important to consult a doctor for a proper diagnosis and understanding of your problem. It is also advisable to consult a doctor in the early stages of having a breathing problem rather than waiting for it to escalate.

1 person found this helpful

Emphysema - Know About Its Different Stages!

MD, MBBS
Pulmonologist, Delhi
Emphysema - Know About Its Different Stages!

If you are facing difficulties in breathing, especially in the process of exhaling, you are suffering from emphysema. Emphysema is a condition in which the air sacs of the lungs are damaged and enlarged, causing breathlessness. It occurs as a result of several triggers, smoking being the most common one. Emphysema is a type of chronic obstructive pulmonary disease. People with this condition struggle to exhale, which implies that there is some obstruction in the air flow. This disease has no permanent cure but by quitting smoking, you can stop it from getting worse.

Stages
The progression and severity of emphysema occurs with the staging systems. The staging of the condition can help in developing a prognosis.

The Gold emphysema staging system
Gold is a major emphysema staging system created by a group known as the Global Initiative for Chronic Obstructive Lung disease. The amount of air a patient can exhale forcefully in one second is determined during this stage. It is also referred to as the forced expiratory volume or FEV1.

The staging is as follows:

  • Stage 1: Mild emphysema (FEV1 greater than 80% of normal)
  • Stage 2: Moderate emphysema (FEV less than 80%, but more than 50% normal)
  • Stage 3: Severe emphysema (FEV lesser than 50%, but more than 30% normal)
  • Stage 4: Extremely severe emphysema. (FEV lesser than 30% of normal or lesser than 50% normal, with low levels of oxygen in the blood.

The BODE emphysema staging system
The condition affects several abilities. The BODE index, an acronym for BMI (body mass index), obstruction, dyspnea (breathlessness), exercise capacity (health index) is another staging system for emphysema in which the emphysema’s impact on several areas of life are measured. They include the following:

  1. Body mass index (B)
  2. Airflow limitation or obstruction (O), which is measured by pulmonary function tests
  3. Breathless or dyspnea (D), which is assessed thoroughly via a questionnaire
  4. Exercise capacity (E), which is measured to check how long a person with emphysema can walk in a span of six minutes

Life expectancy
The prognosis of emphysema is impossible to be determined in any person individually. The staging system helps to identify the severity of the condition, but the future cannot be predicted. Not many studies have been undertaken for the determination of the effects of emphysema on life expectancy. The best research that has been carried out included around 100 people, which is very less. The condition varies largely among people, even if they are in the same stage.

The statistics available on emphysema are not reliable enough for individuals who wish to know their life expectancy. It is considered that if a patient falls in a higher stage, his/her long-term life expectancy is less.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2679 people found this helpful

Lung Capacity - 3 Ways To Improve It!

MD, MBBS
Pulmonologist, Delhi
Lung Capacity - 3 Ways To Improve It!

Lung capacity (or total lung capacity) refers to the total volume of air contained in the lungs after one complete inhalation and is a direct summation of your respiratory capacity and residual capacity (the amount you inhale and the amount your lungs can keep). A diminished lung capacity can stem from a number of conditions such as asthma, emphysema, lung cancer, or from bad habits such as excessive smokingThis, however, can be combated by a number of means.

1. Breathing exercises:

  • Deep breathing: Research has shown, that taking long deep breaths, which basically encompasses inhaling for as long as possible and holding your breath for about 15-20 seconds can work wonders in increasing lung capacity if it can be carried out several times a day.
  • Splashing water on your face: Splashing water on your face while holding breath lowers the heart rate, and prepares the body in the same way as if you were about to go swimming. This will automatically increase your lung's capacity to hold air.
  • Try meditation: Closing your eyes and meditating for long periods may also prove to be beneficial. The lesser the amount of energy that you expend, the more air the lungs can hold.

2. Physical exercises:

  • Engage in rigorous cardiovascular activities: Increased cardiovascular exercising, including aerobics, running, cycling is very useful, as it pushes your body to exhaustion, thus forcing your lungs to work harder - in turn, increasing its capacity.
  • Increase water-based exercises: Swimming or exercising in water is very beneficial for the body as it adds an element of resistance to your training regime and overworks your lungs to supply enough oxygen, making them work better.
  • Try exercising at higher elevations: This often works as a foolproof way of increasing lung capacity. Higher altitudes have lower oxygen supply. Thus, overworking your lungs by engaging in intense workouts can be very beneficial for your lungs.

3. Long-term training exercises:

  • Increase your resistance: Breathe in high quantities of air, and take time before releasing it completely and do it very slowly. This forces your lungs to hold air longer, thus stretching them out.
  • Overwork your brain: Try to breathe in extra - more than what you normally do. This forces your brain to work overtime to make sure that the lungs have the capacity to take in that excess air. This will greatly increase lung capacity in the long run. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
3182 people found this helpful

Coughing Blood - How to Treat It?

MD, MBBS
Pulmonologist, Delhi
Coughing Blood - How to Treat It?

A cough is probably one of the most common respiratory diseases that people suffer from. In most cases, it is nothing to worry about and can be cured with cough suppressants and salt water gargles. However, coughing of blood is a serious problem. The coughing up of blood that originates from below the level of the larynx is known as hemoptysis. This can vary in terms of severity depending on the amount of blood being expelled. This disease is a common condition, but on an average, less than 5% of hemoptysis cases are life threatening.

Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm

  1. Fever
  2. Anorexia and weight loss
  3. Dyspnoea
  4. Paroxysmal nocturnal dyspnoea
  5. Fatigue

Chest pain: Medical attention should be sought in cases where this condition recurs often, if it lasts for longer than a fortnight or if the volume of blood expectorated is more than 30ml per day. The various tools that help in the diagnosis of this condition are:
Chest radiography: This imaging modality helps lateralize bleeding and understand the amount of lung involvement. It is quick, inexpensive and can also help detect other underlying abnormalities.
Bronchoscopy: This involves the insertions of a rigid or flexible endoscope into the bronchial passages to check the airways and determine active bleeding sites.
MDCT: A multidetector CT is a non-invasive imaging tool that provides a comprehensive evaluation of airways, lung parenchyma, and thoracic vessels. It can also be used to uncover potential causes of bleeding such as bronchiectasis, pulmonary infections and lung cancer. In some cases, a multidetector CT angiography may also be used.

Oral antibiotics are usually the first stage of treatment for this condition. Smokers will also be urged to quit cigarettes as this can worsen their condition. Treatment for minor hemoptysis may also include:

  1. Oral hemostatics
  2. Cough suppressants
  3. Anticoagulants
  4. Radiation of laser treatment
  5. Therapeutic bronchoscopy

In its later stages, hemoptysis can be treated with a minimally invasive procedure known as endovascular embolization or with surgery. In some cases, endovascular embolization may also be sued to stabilise the patient before surgery. This procedure reduces the pressure in the hypertrophic arterial blood vessels and decreases the risk of perioperative bleeding.

Hemoptysis is also one of the most common complaints of lung cancer patients. Depending on the stage of cancer and the amount of blood expectorated, treatment in some cases may not be possible. In such cases, a parenteral opioid and fast-acting benzodiazepine may be administered. If you wish to discuss about any specific problem, you can consult a Pulmonologist.

3501 people found this helpful

How Do Cigarettes Affect You?

MD, MBBS
Pulmonologist, Delhi
How Do Cigarettes Affect You?

Smoking can cause irreparable damage to your mind and body. Chemicals in the tobacco travel to all parts of the body, leaving no area unaffected. According to available data, smoking causes 30% of all cancer deaths and about 80% deaths from emphysema and bronchitis. In addition to adversely affecting yourself, smoking also has a severe impact on your near and dear ones. According to WHO, about 600,000 people die every year from passive smoking. Out of the deaths that occur due to this, 1/3rd is that of children.

The Indian situation
While 85% of tobacco users worldwide consume it in the form of cigarettes, in India only 13% use it in that form. Additionally, 54% use it in the form of beedis. A study conducted on Indian smokers has revealed that an average of 8.2 cigarettes is smoked by an individual daily.

The study also revealed that the number of cigarettes smoked every year had grown to over 6 trillion. While 1 out of 10 adults dies from tobacco use worldwide, 5% of deaths in women and 20% of deaths in men in India are caused by cigarette and beedi smoking.

What happens when you smoke?
Cigarette smoke is made up of 4000 chemicals that are present either as tiny particles or gases and about 50 are known to lead to cancer, the toxin nicotine being one of them. In addition to nicotine, the chemicals that make up cigarette smoke also include tar and carbon monoxide. Prolonged exposure to these toxins can hamper your body's ability to filter air and clean the lungs. The smoke not only irritates the lungs but also causes excess production of mucus.

It also causes a paralysis of the tiny hair-like structures like cilia that line the airways and are responsible for removing dust and dirt from the organ. Paralysis of these hair-like structures also causes a buildup of mucus and toxic substances, leading to lung congestion. The extra mucus that is produced causes smokers to suffer from the very ubiquitous smoker's cough and chronic bronchitis.

It's also one of the many triggers of asthma, which brings about the narrowing and inflammation of the airways. Long-term exposure to tobacco smoke causes the destruction of the structure of the lung, walls of the airways as well as lung tissue. The result is a condition known as emphysema. Additionally, smoking also leads to cancer of the lung and over 80% lung cancer cases occur due to this habit. If you wish to discuss about any specific problem, you can consult a Pulmonologist.

3386 people found this helpful

Emphysema - Know The Life Expectancy and Stages!

MD, MBBS
Pulmonologist, Delhi
Emphysema - Know The Life Expectancy and Stages!

If you are facing difficulties in breathing, especially in the process of exhaling, you are suffering from emphysema. Emphysema is a condition in which the air sacs of the lungs are damaged and enlarged, causing breathlessness. It occurs as a result of several triggers, smoking being the most common one. Emphysema is a type of chronic obstructive pulmonary disease. People with this condition struggle to exhale, which implies that there is some obstruction in the air flow. This disease has no permanent cure but by quitting smoking, you can stop it from getting worse.

Stages
The progression and severity of emphysema occurs with the staging systems. The staging of the condition can help in developing a prognosis.

The Gold emphysema staging system
Gold is a major emphysema staging system created by a group known as the Global Initiative for Chronic Obstructive Lung Disease. The amount of air a patient can exhale forcefully in one second is determined during this stage. It is also referred to as the forced expiratory volume or FEV1.

The staging is as follows:

  • Stage 1: Mild emphysema (FEV1 greater than 80% of normal)
  • Stage 2: Moderate emphysema (FEV less than 80%, but more than 50% normal)
  • Stage 3: Severe emphysema (FEV lesser than 50%, but more than 30% normal)
  • Stage 4: Extremely severe emphysema. (FEV lesser than 30% of normal or lesser than 50% normal, with low levels of oxygen in the blood.

The BODE emphysema staging system
The condition affects several abilities. The BODE index, an acronym for BMI (body mass index), obstruction, dyspnea (breathlessness), exercise capacity (health index) is another staging system for emphysema in which the emphysema’s impact on several areas of life are measured. They include the following:

  1. Body mass index (B)
  2. Airflow limitation or obstruction (O), which is measured by pulmonary function tests
  3. Breathless or dyspnea (D), which is assessed thoroughly via a questionnaire
  4. Exercise capacity (E), which is measured to check how long a person with emphysema can walk in a span of six minutes

Life expectancy
The prognosis of emphysema is impossible to be determined in any person individually. The staging system helps to identify the severity of the condition, but the future cannot be predicted. Not many studies have been undertaken for the determination of the effects of emphysema on life expectancy. The best research that has been carried out included around 100 people, which is very less. The condition varies largely among people, even if they are in the same stage.

The statistics available on emphysema are not reliable enough for individuals who wish to know their life expectancy. It is considered that if a patient falls in a higher stage, his/her long-term life expectancy is less. If you wish to discuss about any specific problem, you can consult a Pulmonologist.

3303 people found this helpful

Tuberculosis (TB) - Know The Reasons Behind It!

MD, MBBS
Pulmonologist, Delhi
Tuberculosis (TB) - Know The Reasons Behind It!

Although your body is already in possession of the bacteria leading to tuberculosis, your immune system is able to prevent you from becoming sick. Doctors have made a distinction between latent and active tuberculosis (TB). In case of latent TB, the bacteria in the body in a passive state and it causes no symptoms, and therefore it is not contagious. But, in the case of active TB, you would become sick and may even spread the disease to others. It can take place in the first few weeks or even after several months of being infected with TB bacteria.

What are the symptoms of active TB?
If you are coughing for over three weeks and sometimes even coughing up blood, it can be a sign of TB. Chest pain and pain while coughing and breathing along with fatigue, fever, chills and night sweat are the common symptoms of TB along with loss of appetite and unintentional weight loss. TB may even affect other organs of your body, including your brain, spine and kidneys. When TB takes place outside the lungs, then the signs of TB can vary as per the organs that are involved. For instance, TB in the spine can cause back pain and that in kidneys may cause blood in the urine.

What are the causes of TB?
TB is stemmed from a bacteria which spreads from individual to individual via the microscopic droplets that are released into the air. This may happen when an affected person is left untreated and he speaks or sneezes or coughs or laughs. Though the disease is contagious, it is not easy to be affected by it. As a result, you are much more likely to get affected with active tuberculosis from a person you live with or come in regular contact with, rather than a stranger. It is important to note here that people who are affected with TB and going through proper medications for over two weeks are no more contagious.

Right from the 1980s, the number of individuals affected with TB has increased dramatically, owing to the spread of HIV, which is the virus known for causing AIDS. A person infected with HIV has a weak immunity system as a result of which it becomes difficult for the body to deal with TB bacteria. So those who have AIDS are more likely to be affected with active TB and sometimes the latent form also progresses to an active one very quickly. Therefore, it is important to seek medical assistance and detect if you have any such health complications concerning TB.

2951 people found this helpful

Know More About Bronchial Asthma

MD, MBBS
Pulmonologist, Delhi
Play video

Hello friends, I am Nikhil Modi. I am a consultant specialist respiratory medicines, working in Apollo Hospital, Delhi. Today I will be sharing some words about Bronchial Asthma.

As we all know that due to the rising pollution, a rise in smoking habits, breathing problems are on a rise. One of the major breathing problem which is coming across all age groups, especially with children running into early bronchial asthma. It is a type of a chronic lung disease which is allergic in nature and can be caused due to exposure to dust, smoke, pollens and air pollution. Due to rise in this pollution, the number of cases of asthma is on rise.

How do we identify this condition?

Common symptoms we see in patients are;

  • A cough, which may be variable during the day, it may be more in the early morning or at night or it can be hacking chronic in nature which may be dry or sometimes thick scutum associated with it.
  • Breathing difficulty. Patients feel breathless even while sitting. And it increases while they do daily activities. The daily routine activities like washing, running, going to the office is hampered due to breathlessness.
  • Also, there is some wheezing or whistling sound which is observed by the patients.

Sometimes these symptoms are more in the night time or in the early morning. And patients are too uncomfortable even while sleeping with it. So, if any of these symptoms are there, especially when you note these symptoms during the change of season. More in the winters or while exposure to dust, pollution, if these symptoms aggravate then you may be suffering from bronchitis asthma.

Treatment of this is simple. Now a lot of effective treatments are coming up which help in treating this. But one thing you need to know is that this disease is controllable and not easily curable. So, the treatment may be a long term. With time, as your symptoms are less, the medicines can be reduced to a minimum, but we do not allow these symptoms to crop up again and again by taking infrequent medicines as this can permanently damage your lungs. This damage may be irreversible and this damage may not be curable again. For these newer drugs like inhalers have come up with anti-allergic medicines. But these should be prescribed after full examination by a specialised physician, especially the chest physician so that the amount and doses of the drug can be individualised. As different patients need different types of drugs for the cure.

Once the treatment is started, there is regime to step up or step down the regime with which we can easily control the symptoms and patient can lead a very healthy life.

Further, sometimes, it is important to identify the allergens and exposure to them are prevented can reduce the symptoms.

With this, I thank you all and if you have any query, you are free to contact me through Lybrate platform.

 

3880 people found this helpful
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