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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Hypersensitivity pneumonitis is a rare disorder caused by an immune system response in the lungs after breathing in certain triggers.
How Hypersensitivity Pneumonitis Is Treated?
The single most important thing that you can do is avoid the dust that causes the disease. If you do so, your lungs can return to normal function, as the disease is completely reversible in the early stages. Completely avoiding the dust is sometimes not possible, unless you remove yourself from the dust-causing environment. Your doctor may recommend completely avoiding the dust by relocating to a new home or job. If you have bird fancier's lung, then it is possible you may have to give up your pet bird.
In patients who have severe cases, treatment may include prescription steroids, such as prednisone. You may be required to take this medication for up 3 months and sometimes longer. Steroids may help with your symptoms; however, it will not cure the disease. Steroids can also cause certain side effects such as weight gain, thinning of the bones, cataracts, abnormal blood sugar levels and increased pressure in your eyes.
Idiopathic pulmonary fibrosis (IPF) is a type of chronic lung disease characterized by a progressive and irreversible decline in lung function. Symptoms typically include gradual onset of shortness of breath and a dry cough. Other changes may include feeling tired and nail clubbing. Complications may include pulmonary hypertension, heart failure, pneumonia, or pulmonary embolism.
Inhalers have been proved to be the safest and most effective way to treat and control asthma and COPD, as the inhaled medication reaches the lungs directly and do not need to go through your blood stream first.
Pneumonitis is often confused with pneumonia, but these are similar ailments but not the same. While pneumonia is a type of infection which causes lung inflammation, pneumonitis is a general term to describe inflammation in pulmonary, or lung, tissue. So technically pneumonia would fall into the category of being a type of pneumonitis.
Allergic rhinitis can be one of the reasons for your constant sneezing. It can either be there throughout the year or during specific seasons.
Allergic rhinitis, also known as hay fever, is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air.
Possible triggers include grass, pollen, dust mites, cockroaches, cigarette smoke, and perfume. Tree and flower pollens are more common in the spring.
Purpose of the Thoracoscopy:
- To visually inspect the lungs
- To obtain tissue biopsies or fluid samples from the lungs
- To remove excess fluid in the pleural cavity or pleural cysts
- To evaluate patients with pulmonary disease or abnormalities
- To obtain a tissue sample (biopsy) for further evaluation and to diagnose inflammation, infection, fibrosis and cancer
Sarcoidosis is an inflammatory disease that affects multiple organs in the body, but mostly the lungs and lymph glands. In people with sarcoidosis, abnormal masses or nodules (called granulomas) consisting of inflamed tissues form in certain organs of the body.
A bronchoscopy is an ideal tool for diagnosing any obstruction or disease pertaining to your airways, using an instrument called Bronchoscope. It can be used to detect lung diseases such as
A chronic cough
If you are feeling any obstruction or abnormality of the airways then seeking the right treatment at the right time is important.
- If you have obstructive sleep apnea (OSA) and you are using CPAP therapy, you may be wondering whether sleeping position matters when it comes to having or treating sleep apnea.
Believe it or not, sleeping positions have a big influence on how well we sleep, not only with regard to OSA, but in relation to other health conditions.
COPD or chronic obstructive pulmonary disease is one of those lung diseases that does not exist in a vacuum. It is associated with at least one or two comorbid conditions like pulmonary hypertension, osteoporosis, dementia, anaemia , hypertension, coronary artery disease (CAD) and depression. It is necessary to seek treatment on time to prevent the aggravation of the condition and development of these comorbid conditions.