Good afternoon friends,
I am Dr Hemant Kalra, I am a pulmonologist.
Today I will talk about a very-very important topic that is Obstructive Sleep Apnea which is widely prevalent in our country but very-very underdiagnose and awareness is very-very less. So what is obstructive sleep apnea, those patients who snore very-very heavily, who feel tired or feel sleepy during the daytime they may have Obstructive Sleep Apnea. So what is normal breathing, normal breathing is when our upper airways they allow free air to go inside the lungs and out of the lungs, this is normal breathing. So what are the obstructive airways, obstructive airways is then these upper airways collapse and this collapse of upper airways causes snoring and sensation in breathing, this is abnormal breathing or obstructive breathing at night time when we sleep? So what are the symptoms, symptoms can be nighttime symptoms can be there or daytime symptoms can be there. Night time symptoms are frequent visits to bathroom, weakness, sensation in breathing, choking or gasping for air or loud a persistent snoring or restless sleep, these 5 can be there in the night time symptoms and daytime symptoms are early morning headache, lethargy, and poor concentration, poor memory, feeling asleep during and routine activities and daytime somnolence or daytime sleepiness, these are daytime symptoms. So what kinds of patients are prone to have obstructive sleep apnea. Those patients who are obese with a short and thick neck with large tongue or hypothyroidism such patients if they snore heavily or feel tired or sleepy during the daytime or if they have night time or daytime and symptoms they must be investigated for obstructive sleep apnea. So how to diagnose obstructive sleep apnea, there is a very small test called polysomnography that can be done at a house or in hospitals. That is conducted in two parts, one is diagnostic, one is titration in diagnostic. We diagnose, whether a patient is having obstructive episodes in the night or not, or in another part, if an obstruction is there what is the pressure required to eliminate those obstructions in the night time. So obstructive diagnostic and titration component one night sleep steady is more than enough. Once we diagnose obstructive sleep apnea then we have to treat it also. There are so many treatments available but gold standard till now is CPAP therapy Continuous Positive Airway Pressure therapy is the most appropriate therapy to treat obstructive sleep apnea and once you treated you will feel that next day if you get up you will feel very-very energetic and if you do not treat obstructive sleep apnea then you may have heart problems, rythm problems, your BP may not be controlled, your sugar may not be control, you may have strokes in future also. So, if you treat obstructive sleep apnea with CPAP therapy, it is a gold standard therapy in India it is widely available in our country but lack of awareness is there. It is a very important disorder you must be treated as early as possible.
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Hello friends, I am Dr Hemant Kadra. I am a pulmonologist. A pulmonologist is a doctor who deals with respiratory problems. Today I will be explaining Asthma in a very simple manner because it is a simple disease.
So, when to suspect asthma?
All patients who are present with a cough with or without breathlessness on exposure to dust, fumes, cold atmosphere, on eating chilled vegetables and fruits can have asthma. They also give family histories of allergic disorders like allergic dermatitis, allergic rhinitis so we can suspect asthma in our patients who are present with a cough with or without breathlessness and on exposure to such triggers like cold, dust, fumes, change of weather- this is the clinical history.
There are 2 components-
One is prevention. You must avoid all your triggers. And treatment part is slightly different. Treatment is we have to control swelling in the area, narrowing of the airways.
There are 2 kinds of medication- one is a reliever and the other is preventer medication. Reliever medication gives you immediate relief and preventer medication is given for a longer amount of time just to maintain the anti-inflammatory component in the airways. So, we combine both the type of medications in an inhaler or one rhotahaler to give maximum benefits to the patients. So, these are the basic things about asthma.
I will tell you about basic myths about asthma. What people think about asthma but is not true. People think that asthma is a contagious disease. It is communicable. No, it is not true.
- It is an allergic disorder first of all. Asthma or allergy runs in families because it is a genetic disorder.
- Secondly, an inhaler is a drug delivery system. It is not a drug. It delivers lowest possible drugs to the airways to a very minimum side-effect. So, this myth is not true that inhalers are very hard, they are addicting, habit forming, it is not true. It is a drug delivery system.
- Third myth is that inhalers are to given to severely ill patients or very chronic asthmatic patients this is also not true. We believe that inhalers should be given early whenever they are detected with asthma early in the disease. So, to prevent later chronic changes in the airbase, we should start inhalers in the beginning only.
So, if you want to consult me, you can cotact me through Lybrate. You can contact me through sms, sudio clips, video clips, whatsapp, email only through lybrate. Com. I am available 24 hours a day and ready to help you.
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Doctor in MAX HOSPITAL
Treatment of Chest Pain
Treatment of Asthma
Treatment of Tuberculosis
Treatment of Lung Cancer
Treatment of Fluid in the chest
Treatment of Sleep Disturbance
Treatment of Left Chest Pain
Treatment of Lung DIseases
Treatment of Interstitial Lung Disease
Asthma Management Program
Treatment of Pulmonary Hypertension
Management of Smoking Cessation
Oxygen Therapy Treatment
Treatment of Sarcoidosis
Bronchial Asthma Treatment
Obstructive Sleep Apnea Treatment
Asthma Treatment & Management
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One of the most common ways to help diagnose COPD is through spirometry. This non-invasive breathing test measures how well your lungs function, records the results and displays them on a graph.
Early detection of chronic obstructive pulmonary disease (COPD) is key to successful treatment. If you have any of the symptoms or exposures to risk factors mentioned above, talk to your doctor.
The symptoms of a severe asthma attack may include: severe shortness of breath where you experience difficulty speaking, rapid breathing with the chest or ribs visibly having retractions, straining your chest muscles and working hard to breathe, nostrils that flare out & moving rapidly as you breathe.
In these situations you should seek for asthma treatment.
Some of the main causes of Chronic cough in the people who don’t smoke includes nasal sensitivities, asthma, post-nasal release and gastroesophageal reflux disease (GERD.) It is important to identify the reason for a chronic cough, to throw the serious sickness out and furthermore to adopt the required treatment.
Interstitial lung disease is a condition that causes inflammation and scar tissues in the lungs, making it harder for them to work. The airways, air sacs and outer aspect of the lungs, and the blood vessels may be affected as well.
There are several misleading myths about Asthma that may cause you a problem. You should know these myths and current facts about asthma.
To learn more call us: 098101 33139
Inhalation therapy has gained importance in recent decades. Inhaled drugs are the mainstay of treatment in the care of pulmonary diseases such as asthma and COPD.