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Max Hospital, Pitampura

Pulmonologist Clinic

Netaji Subhash Place, Delhi Delhi
1 Doctor · ₹600
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Max Hospital, Pitampura Pulmonologist Clinic Netaji Subhash Place, Delhi Delhi
1 Doctor · ₹600
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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Max Hospital, Pitampura
Max Hospital, Pitampura is known for housing experienced Pulmonologists. Dr. Nikhil Malhotra, a well-reputed Pulmonologist, practices in Delhi. Visit this medical health centre for Pulmonologists recommended by 77 patients.

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11:30 AM - 01:00 PM

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Netaji Subhash Place, Delhi
Delhi, Delhi
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Lung Cancer - Ways You Can Prevent It!

MBBS, MD - Pulmonary Medicine, FNB-Critical Care and Medicine
Pulmonologist, Gurgaon
Lung Cancer - Ways You Can Prevent It!

Lung cancer is caused by disorderly growth of uncommon cells which line the air passage, usually starting off in a single or both lungs. The irregular cells do not mature into healthy lung tissue but instead divide speedily and result in tumor formation.

Causes behind lung cancer:

  1. Smoking: This is considered as the most significant source of lung cancer. As reported by multiple researches and studies, cigarettes contain over 4,000 chemicals, most of which are cancer causing agents. Active smoking is one of the major causes of lung cancer but what may come to you as a surprise is that extended periods of passive smoking is also a major factor.
  2. Pollution and Exposure: There is high risk of lung cancer development when there is occupational exposure to pollution by chemicals released from industrial factories. Chemical exposure of this kind refers to prolonged exposure over quite few months or years. Some examples of these chemicals are asbestos, diesel exhaust among many others.
  3. Radioactive Gas: Radioactive gases naturally occur in small masses present in all soils and rocks. However, if you breathe in radioactive gases your lungs will damage and may cause the development of abnormal tissue which can cause lung cancer.
  4. Family history: A family history of cancer, especially lung cancer will also put you at high risk of developing lung cancer.

Treatment methods of lung cancer:

  1. Chemotherapy: Chemotherapy is a method in which drugs are injected through veins in your arm (intravenously) or orally or in a combination of both. These drugs kill cancer cells and help to stop it from spreading any further as well.
  2. Clinical Trials: These trials are experimental lung cancer treatment studies. You may have to try out this clinical therapy if other treatment methods aren’t working and only if you are accepted into it.
  3. SurgeryA surgeon will help remove affected areas of the lung including cancerous tumors via surgery. The surgeon may need to remove parts of the lung along with the cancerous growth. In certain cases, one side of the lung may also be completely removed to stop the spread of the malignant tissue.
  4. Radiation Therapy: This is a therapy where high energy electromagnetic waves are passed through your body to destroy cancer cells with the help of high-powered energy beams.

Can you prevent lung cancer?

  1. Nutrition -- A  healthy diet with lots of fruits and vegetables may also help reduce your risk of lung cancer. Some evidence suggests that a diet high in fruits and vegetables may help protect against lung cancer in both smokers and non-smokers. But any positive effect of fruits and vegetables on lung cancer risk would be much less than the increased risk from smoking.
  2. Exercise -- Even moderate amounts of exercise can aid in lung cancer prevention. Studies suggest that even something as simple as gardening twice a week is associated with a lower risk of developing lung cancer.
  3. Smoking Habits -- If you stop smoking before a cancer develops, your damaged lung tissue gradually starts to repair itself. No matter what your age or how long you’ve smoked, quitting may lower your risk of lung cancer and help you live longer. 
  4. Avoidance of Air Pollution -- Long-term exposure to ambient air pollution and, in particular, particulate matter with absorbed polycyclic aromatic hydrocarbons and other genotoxic chemicals has been suspected to increase the risk for lung cancer. So, avoid air pollution as much as possible.

I am suffering from tuberculosis from 1 year. After 6 months of treatment of tb I developed koch's lymphadenitis in neck. Then after I taken high dose of first line drug along with streptomycin for 2 month. But lymphadenitis got worsen (increase in size). Then we go for mdr tb test my Gene xpert shows low MTB, not resistance to rifampicin. And afb culture shows normal (no acid fast bacilli seen after 42 days. I am 2nd time tb patient first in 2008 (abdomen tb ). Now what should I do .i still have low grade fever and lymphadenitis. I am currently on r comes and ethambutol from 1 month and I discontinued this medicine for 1 month. Is this okay.

MBBS, MD - Internal Medicine, Fellowship in Infectious Diseases, Fellowship in HIV/AIDS
Internal Medicine Specialist, Mumbai
1. Although not entirely clear from the details provided, it seems that you still have TB lymphadenitis. 2. The resolution of the disease will mainly depend on the drug sensitivity, the type, dose and duration of anti-TB drugs and how compliant you are with the medications. 3. If you still aren't cured, something went wrong in one or more if the above mentioned factors. Please get yourself reviewed as soon as possible.
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If I continue eating medicines upto two months that is resistant to tb bacteria. What will happen.

DNB
Pulmonologist, Mumbai
Nothing will happen to the bacteria. However they will keep multiplying and your disease will become more severe
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Is Bronchitis Contagious?

MBBS, MD - Pulmonary Medicine, FNB-Critical Care and Medicine
Pulmonologist, Gurgaon
Is Bronchitis Contagious?

If you are having a chronic cough and often pant for breath, it is quite possible that you may be suffering from bronchitis. In addition to this, you may also experience wheezing, fatigue, and pain in the chest. It is triggered when the lining of the airways in the lungs become irritated. To determine, whether or not bronchitis is contagious, it is important to understand what caused the ailment.

  1. Chronic bronchitis: This type of bronchitis happens when the airways get continuously irritated. It may last for months or even years and tend to come back. It is caused by irritants that affect the lungs such as dust, chemicals, smoke, fire, and smoking cigarettes. Even though chronic bronchitis is not considered contagious, it is a serious health issue that requires medical attention.
  2. Acute bronchitis: It generally lasts for about 1 to 3 weeks and stems from cold or flu virus. As these infections are contagious, so is acute bronchitis.

Whether a person having bronchitis can spread the disease depends on the virus that is causing the ailment. In most instances, it is seen that the disease is contagious for a first few weeks of infection. Since there are hundreds of viruses causing bronchitis, it is best to assume that a person is bound to spread the disease when he has symptoms of cold and flu.

What causes transmission of bronchitis?
Acute bronchitis owing to infection is generally transmitted via an airborne droplet containing germs. It is transmitted when someone having infection shakes hand or sneezes or coughs or has any other physical contact. Some virus and bacteria have the power to live outside the body for a prolonged span of time, and therefore, you can get infected by touching any object that is harboring the germs.

It is often seen that acute bronchitis begins as flu and therefore, the best way to prevent it is to get an annual shot of flu. When you come in contact with an infected person, the chances of being affected is high if you have chronic infections or weak immune system. Aged people and young children are most vulnerable to this disease.

How can acute bronchitis be prevented?
Even though acute bronchitis is extremely common and can occur at any time, winter is the most vulnerable season for bronchitis. But there are ways in which you can prevent bronchitis effortlessly. You should avoid close contact and sharing of utensils with an infected person who has flu, cold or bronchitis. You should not touch a used tissue since the virus of bronchitis can easily spread through mucus. Make sure that you get the annual flu shot and wash your hands in warm water.

The disease is very common, and it can make you feel very uncomfortable at times. But there are times when the symptoms subside on their own without any sort of medical attention.

An Effective Guide To Bradycardia!

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
An Effective Guide To Bradycardia!

Bradycardia is a condition which in basic terms means slow beating of the heart. In most cases, the typical rate is 60 to 100 beats in a minute when the person is at rest. In case your heart beats less than 60 times in a minute, then it is slower than normal. But a slow heart rate is not always a health concern even though sometimes it could indicate issues with of the heart.

What could bradycardia mean?
Some people with slow heart rate or bradycardia tend to be very fit, and they have no underlying health issues. Athletes and healthy young adults often have a heart rate lower than 60. But in others, bradycardia indicates that the natural pacemaker of the heart is not working well, or the electrical pathways have been disrupted. In severe forms of the problem, the heart may beat so slowly that it fails to pump adequate blood for meeting the needs of the body. This may show some symptoms and could be fatally dangerous.

What are the causes of bradycardia?
There are various causes of bradycardia, and some of them include:

  1. Alterations in the heart which results from aging
  2. Health conditions that slow down the electrical impulse through the heart. This may include electrolyte imbalance, low thyroid levels, and others.
  3. Diseases which may disrupt the electrical system of the heart including heart attack, coronary artery disease, and myocarditis.
  4. Certain medications that are used for treating heart problems like high blood pressure or hypertension, arrhythmia, and beta-blockers, and digoxin.

What are the symptoms of bradycardia?
When a person has very slow heart rate, he or she may experience lightheadedness or dizziness, feeling short of breath, having difficulties in doing normal activities or exercising, having chest pain, feeling tired and fatigued. In some cases, it is seen that the person may have palpitations, feeling confused, trouble in concentrating and fainting.

What’s worse, some people don’t have any symptoms at all, or their symptoms are so negligible that they think they are caused just because of aging. The best way to understand whether you have this problem is to take the pulse, and in case, it is slow or uneven, you must talk to a doctor.

How is bradycardia diagnosed and treated?
Bradycardia tends to come and go from time to time, and therefore, a standard EKG is not always able to detect it. A standard ambulatory electrocardiogram is used for detecting the condition, and sometimes, blood tests are also necessary.

The treatment of bradycardia is entirely dependent on the cause of the problem and its symptoms. It is worthy of mention here that in case the problem is not causing any symptoms, then they would not be treated under usual circumstances.

4 people found this helpful

Recently for past 5 days, I am suffering from cold, dry cough continuously. I am taking cetrizine and azithromycin. But the condition is not improving. What should I do now?

Master of Surgery, Post Graduate Diploma in ENT, MBBS
ENT Specialist, Thane
"Try taking steam inhalation for 3 times a day. To know how to take steam, please read instructions below to know - how to take steam inhalation for best results. If problem is not solved in 2-3 days, you may need additional medicines. Techniques to steam 1) Boil a pot of water. 2) Pour water into a large flat pan or bowl. If you use a casserole, water will remain warm for longer duration. 3) Place your head over the bowl at a distance of 1 feet. 4) Cover your head and bowl with a large towel (like a tent), take long breath through your nose and breath out through mouth. Take a break every 1-2 minutes until you feel relatively cooler. Do it for 10 minute twice or thrice a day. If you feel that the treatment is getting too much for you, raise the towel so that fresh air is brought into the area and breathe through your mouth a couple of times and then resume Take care - Take all precautions while dealing with hot water. Also, keep children away and wan others that you are dealing with boiling hot water. Other way is - by an Electric steamer available in market and take steam through it. It is more convenient. "
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I suffer from sinusitis with no smelling sensation, crackling sound in ears. Heaviness in forehead while leaning forward down. Mild watery discharge from nose since last one year. Tried homeopathy and Miami treatment but problems still persist.

Bachelor Of Medicine & Bachelor Of Surgery
General Physician, Delhi
Hello, You are suffering from acute sinusitis. First of all, do a X-ray paranasal sinuses. It will reveal the extent of sinusitis. In your case, take Tab augmentin (1gm) twice daily for 5 days. Steam inhalation for 2 days. And tab Montek-Lc once daily at night, nasal spray Duonase.
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I am every morning weakness in my body and cough in chest and my nose is always draining water and eye drain water in every morning please give some advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am every morning weakness in my body and cough in chest and my nose is always draining water and eye drain water in...
Ginger and tulsi concentrated extracts are useful. Godanti in any form (tab/ powder), steam inhalation and morning Nasya of Shadbindu oil is very effective. Pl consult online for any query.
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I have problem of cough I guess and this lasts for 3 or 4 days I haven't taken any medicine yet. Pls suggest some good medicines.

B.Sc (Bio), DMS (Cal), CMS , FWT, PET, DMLT (Cal), SBHM, Vacc,
Homeopath, Kolkata
Please follow the prescription. 1) China:- 30. 2) Teucrium Marrumverrum:- 30. In no 30 globules. To be taken 4 globules thrice daily before food no 1 and after food no 2. And report.
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Hello Doctor, I am suffering from chest infection my doc tell me that is allergic Bronchitis and this is a hereditary. So I need your opinion what to do or what not to do. I have a little son and I don't want that in future he will be affected by this kind of decease. Thank you so much.

MBBS, M.D.(Gen.Medicine)
General Physician, Chennai
Allergic tendency can be hereditary. But the following will help minimize the extent of the Bronchitis: Avoid anything that triggers wheezing/cough like house dust, polluted atmosphere, cold air, foods that trigger etc. Certain preventive inhaled drugs can help prevent the condition becoming chronic. Treat any bronchitis that has already set in at an early stage. The same precautions and preventive measures apply to your son who is yet to have the first episode.
1 person found this helpful
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Sinus comes under which category of disease like it comes under ENT orOPTHALMOLOGY.

MBBS, Diploma in Otorhinolaryngology (DLO)
ENT Specialist, Bangalore
The Eyeballs and the eyelids are the domain of the Ophthalmologist. Rest of the Orbit and Paranasal Sinuses as well, as the Lachrymal sac are best treated by an ENT, Head & Neck Surgeon as access to this region are always through the nose which is our field of expertise. Our expertise with the slender glass rod or flexible endoscopes is much admired by even Neurosurgeons to give them access to the inferior aspects of the brain through the nasal passages without needing to damage any vital structures had they approached the same area using the conventional burr-hole into the cranial vault! A couple of my ENT Surgeon batchmates have also gone on to train in Neurosurgery having been preferred over the General Surgeon candidates by the interviewers for this very reason!
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I am Having severe cold, cough and sneezes with green flum. Also a bit of throat pain too from past 2 days. Please suggest some medications to subside it.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on 6. No smoking 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids 9. Cough into your upper sleeve/ elbow for medicine contact on private chat Good luck.
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I am suffering from dry cough for the last 3 weeks and I have chest pain. Can you suggest what should be done?

BAMS
Ayurveda, Navi Mumbai
I am suffering from dry cough for the last 3 weeks and I have chest pain. Can you suggest what should be done?
Take liq Bresol of Himalaya 2tsf thrice. 4 pieces of garlic and honey. Lukewarm water ti drink. Milk and turmeric at night. If it doesn't subside consult personally for medicine.
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I am suffering from dry throat and tonsils. I doubt that I have tonsil stones. How much money it takes to remove tonsil stones. please tell me.

MBBS
General Physician, Jaipur
There is no stone in tonsils however may enlarge and hard cost depend on hospital to hospital may srat from 10000+ to higher depend how big hospital and facilities.
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I have got a painful cyst on my left buttock. Please advice medication Thank you.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have got a painful cyst on my left buttock. Please advice medication Thank you.
Hi Qadir.. Ideally you should consult as homoeopathic medicine can definitely help in the condition but needs more details.. while allopathic doctor will only suggest surgery.... So better consult... Still if you want to try you may take Silicea 6C tds...
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Bronchial Asthma

MBBS, MD - Pulmonary Medicine, DNB - Pulmonary Medicine, MD - Internal Medicine, Diploma in Tuberculosis and Chest Diseases (DTCD)
Pulmonologist, Delhi
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Good mroning, I am Dr Ashok Rajput, a Pulmonologist, practising in Delhi. Today I will talk to you about very common disease, that is, Bronchial Asthma.

Asthma starts in early childhood and may persist in adult life. It is an episodic disease which is intermitted initially. Later, if left untreated, it become continuous and perennial. Whne one is exposed to dust, fumes, pollen and smoke then the inner lining of the airways swells and becomes inflammed and the lumen narrows. So it becomes difficult to breathe. So these patients get cough, wheezing, snoring and running nose.

The diagnosis of this condition is very easy. What you have to do?

You do Spirometry or a lung function study in which you blow into a computer and you get a graph. You repeat the test after giving bronchodilators, say 15-20 minutes. If you find an improvement in FEV1, one of the parameters, more than 12% you clinch a diagnosis of Asthma. 

The treatment of Asthma is very simple these days. The main stay of treatment is inhaled corticosteroids which is given through the inhalers. There are many types of inhalers available with good drugs which act for 12 hours which you need to take only in morning or evening and your Asthma gets controlled. When I say controlled, that means you will no longer have cough, wheeze or sneeze. You can sleep undisturbed in the night and can perform all the activities. You can lead a normal life.What you require is small dose of this inhaler.

Thank you for listening to me.

If you want to contact us, you can come to our clinic or contact through Lybrate.

2 people found this helpful

My friend suffering with asthma, every year winter. He is using rotahalor. Rotahalor good or bad?

MBBS, cc USG
General Physician, Gurgaon
My friend suffering with asthma, every year winter. He is using rotahalor. Rotahalor good or bad?
Rota inhaler is very commonly precribed for acute attack of asthma, it has side effects but these side effect can be minimise by rinsing mouth by water after use and doing meditation, Breathing exercises.
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Homeopathic Medicines for Sinus Infections and Sinusitis

MD - Homeopathy, BHMS
Homeopath, Lucknow
Homeopathic Medicines for Sinus Infections and Sinusitis

Sinusitis or sinus infections can be quite a debilitating ailment when it becomes recurrent. Sinuses are cavities within our head just behind the nose which extends up to our forehead and to certain areas of the cheeks. These cavities are filled with a mucosal lining which helps you breathe and also filters the air which goes to the lungs. When the mucosal lining gets inflamed, it blocks the normal drainage of the mucus into the nose. This results in headaches, nasal polyps and general discomfort. Homeopathy offers some great remedies for this condition, without side effects. Some of these are discussed below.

Homeopathic remedies for sinus problems

  1. Belladonna: This medication is very effective when the sinusitis has resulted in a suppressed discharge from the nose which occurs intermittently. If you have a splitting headache which feels unbearable, Belladonna can help relieve the symptoms quickly. If the infection of the sinus has spread to the throat and results in cough, Belladonna can be equally effective in those circumstances as well.
  2. Pulsatilla: If you are experiencing a greenish mucosal discharge from your nose without a painful burning sensation within it, Pulsatilla can be a very effective cure. Another indication where this medication is very effective is when you have headaches centered just above your eyes rather than over the forehead or other parts of your face.
  3. Kali Bichrome: This is another commonly prescribed medication to deal with the symptoms of sinusitis as well as to reduce inflammation and cure sinusitis altogether. If you have a lot of mucosal discharge that drops into your throat along with discharges through the nose, Kali Bichrome is the drug to go to. Other indications where it is effective are pain and heaviness in the nose and the inability to breathe with headaches in and around the eyes.
  4. Silicea: If you are feeling cold and constantly chilly along with nasal stuffiness, Silicea is the medication to go to. Along with discharges, your nose may form hard mucous crusts within it. Trying to manually remove these crusts may also cause bleeding. Silicea will reduce these symptoms and is also effective in reducing a headache which occurs mostly on the left side of your face.
  5. Merc Sol: If you are experiencing a yellowish green discharge from the nose along with a burning sensation and increased saliva secretion in your mouth, Merc Sol is the remedy to turn to. It is also effective wherein the headache has spread all around the head.

Bradycardia - What You Need To Know About It?

Non-invasive Cardiology
Cardiologist, Thane
Bradycardia - What You Need To Know About It?

Having bradycardia implies that your heart beats very slowly. For the vast majority, a heart beats from sixty to hundred pulses a minute while very few are viewed as ordinary. In case your heart beats under sixty times each minute, it is slower than usual. A moderate heart rate can be ordinary and solid. On the other hand it could be an indication of an issue with the heart's electrical framework.

For a few people, moderate heart rate does not create any issues. It can be an indication of being exceptionally fit. Sound youthful grown-ups and sports persons frequently have heart rates of fewer than sixty beats a minute. In other individuals, bradycardia is an indication of an issue with the heart's electrical framework. It implies that the heart's regular pacemaker isn't working right or that the electrical pathways of the heart are disturbed.

A moderate heart rate may make you:

  1. Feel blurry eyed or woozy.
  2. Feel short of breath and feel that it’s harder to work out.
  3. Feel tired.
  4. Have neck pain or an inclination that your heart is beating or rippling (palpitations).
  5. Feel bewildered or experience difficulty concentrating.
  6. Black out, if a moderate heart rate causes a drop in pulse.

A few people do not have side effects, or their indications are mild to the point that they think they are quite recently part of getting more seasoned. You can discover how quick your heart is beating by checking your heart rate. In case your pulse is moderate or uneven, talk to a specialist.

How bradycardia is dealt with depends on what is causing it. Treatment likewise relies on symptoms. Given below are some of the symptoms:

  1. In case harm to the heart's electrical framework causes your heart to pulsate too quickly, you will presumably need a pacemaker. A pacemaker is a gadget put under your skin that revises the moderate heart rate. Some people might have a kind of bradycardia that requires a pacemaker.
  2. In case another medical issue, for example, hypothyroidism or an electrolyte irregularity, is bringing about a moderate heart rate, treating that issue may cure the bradycardia.
  3. In case a medicine is making your heart to pulsate too gradually, your specialist may change the dosage or recommend an alternate drug. In case you can't quit taking that medicine, you may require a pacemaker.

Bradycardia is frequently the aftereffect of another heart condition, so finding a way to carry on with a heart-solid way of life will enhance your general health. This may include:

  1. Showing at least a bit of restraint and dedication to a good diet routine that includes a considerable amount of organic products, vegetables, whole grains, fish, and low-fat or nonfat dairy foods.
  2. Being gradually on most, if not all, days of the week. Your specialist can let you know what type of exercise is okay for you.
  3. Getting more fit in case you have to, and maintaining a solid weight.
  4. Not smoking.
  5. Overseeing other medical issues, for example, hypertension or elevated cholesterol.
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