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.
Thank you.read more
Doctor in MGS Hospital ( Mgs Institute Of Respiratory Sciences)
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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Patient Review Highlights
I was already suffering from severe lung infections and was misguided by several Pvt. and government doctors due to which my health condition was deteriorating day by day. My husband googled for the best pulmonologist in Delhi and he convinced me to visit Dr. Hemant Kalra, when we first met Dr. Kalra we were confident that we have met the correct doctor and since then my health started to improve due to correct diagnosis and psychological support given by Dr. Kalra. I will always be indebted to him for putting me on the correct path of recovery; I am still undergoing treatment but have returned to my normal life. I, my husband and my 5 year old son owe a big Thank You to Dr. Hemant Kalra.
Dr. Hemant kalra is a eminent doctor.wonder to meet such a good doctor in profession or good human .He is very helpful and careful about patient problem,and also discussed the problem of patient in Q&A manner.I Feel very happy to concern Dr. Kalra , about my asthma allergic and throat infection , he explain the disease in good way. He has no attitude of profession , talk as friend. He has well specialized cest doctor .I strongly recommend to Dr. kalra because before Dr. kalra i had consult so many doctors and took lots of medicines . then after I consult Dr. Kalra .And once again thanks to Dr. kalra and Lybrate.
I just cant explain in words, he did magic. My husband is suffering from bronchitis with very bad cough and sleeping problem. He is taking homeopathic medicines but there was no signs of improvement. when we visited doctor Hemant Kalra after reading over internet my husband got quick relief within 2 days. He is taking medicines since 10 days and now he is perfect. He had bad coughing since 6 months and breathing problem since 2 months and after takin his medicines he felt realy good now he is perfectly ok.. lots of thanks to dr. hemant kalra.
Never thought I will suffer from something polysomnography like this. He is so nice that they even at odd hours one can call him in case of emergency. I read about the Hemant Kalra on one of the social media platform. The entire Maharaja Agrasen Hospital (Maharaja Agrasen Super Specialty Chest Centre) was spotlessly, clean. It's been more than a year now, and I have noticed considerable change in myself. Finally with his treatment, I am completely cured from the disease. Hemant Kalra has expert knowledge in the field.
The symptoms of smoking were severe and unmanageable, as I was addicted to smoking, but Dr Hemant was able to handle it. He is a afamous Pulmonologist in Delhi. He is not just friendly, but also is very motivating. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. His guidance has helped me immensely and has helped gain confidence.
It's been so long, I have lost all hope, but then I met Hemant Kalra and I am hopeful again that I will be fine. I was shocked to experience the symptoms of upper respiratory tract infections With great ease Hemant Kalra explained us the problem and how the treatment will be carried out. Thanks to him that the treatment he gave me has given brilliant results.
Our experience was very good . He is very friendly person who always motivates his patients. He is not in a hurry to treat his patients and listen to their problems and then give best advice to them. I would suggest others to consult Dr. kalra for any chest related issues, as now I am felling better after taking diagnosis of Dr. Kalra .
I was having bad thoughts about my snoring. I consulted Dr Hemant, who is one of the best pulmonologist. He is very talented and seasoned doctor. He definitely is aware about the latest and advanced ways to treat serious cases. Thanks to him for the perfect advice. The overall outlook of the Maharaja Agrasen Hospital was very nice.
My Father was TB Patient in month of Oct 2016 and he was so much pain due to my coughing issue. Due to this Dr Hemant Kalra was suggested to me to admit my father in MGS Hospital in ICU and Dr Hemant kalra helped me alot for my father recovery within 7 days & The medication he prescribed was extremely beneficial for my father.
I was in too much pain because of sleep disturbance, but even after consulting a number of doctors, I was not getting any relief. I consulted Dr Hemant, his advice and counselling has helped me immensely. The guidance he gave me has helped me immensely with my situation. The entire Maharaja Hospital was spotlessly, clean.
dr Hemant Kalra helped me in doing Asthma managment as I was very sick because of my asthma problem. he did my treatment at his clinic Maharaja Agrasen Hospital (Maharaja Agrasen Super Specialty Chest Centre) in Delhi. he is a very nice doctor who takes good care of his patients.
I was shocked to experience the symptoms of asthma. then i consulted dr Hemant Kalra at Maharaja Agrasen Hospital (Maharaja Agrasen Super Specialty Chest Centre) in Delhi.he is not just friendly, but also is very motivating. he did a very good treatment for my problem.
Neeraj R Sharma
Dr Kalra is one of the best doctors in his field. He not only treats his patients but also motivates them. He is available round the clock in case of emergencies. I have peraonally experienced this.Thanks Sir for the coopration you did for us.
I was suffering from breathing issue since long for which I was looking for a pulmonologist. Dr Hemant Kalra helped me alot. I am glad that I visited herclinic for the treatment. He provided me the critical care after which I feel much better.
Being a tuberculosis patient my father was vry much worried about his health....bt jst communicating with Dr.hemant made him realise tht his disease is curable n he'll get healthy as soon as possible...It was really a great experience
Amazing docter. All the good reviews written here about him are very much true. I have happy that I hv met a good docter in case I need to consult in future for any chest related concern. Thanku so much docter for being so positive.
Dr Hemant is the best chest specialist at present in Delhi . Not only is he well learned and up to date in his field but very encouraging too. Dr hemant diagnosed the problem instantly and resolved it with accurate medicines .
I was in so much pain due to my coughing issue. But Dr Hemant kalra helped me alot in the recovery. The medication he prescribed was extremely beneficial for me. I am glad that I visited to him for my coughing treatment
Kamalpreet Singh Chauhan
Dr. Kalra's experience in medical field is evident in his way of conduct. Extremely polite and explains every aspect properly. He is very thorough and precise in his diagnosis.
He is 1 of the best doctors I could ever met.. he is very friendly towards his patients and give so much of time. I feel satisfied after the first meeting with him. I
Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases. Emphysema and chronic bronchitis are the most common lung diseases. Emphysema gradually ruins the air sacs in your lungs, which are interfered with exhalation. The inflammation and swelling of airways in the lungs is called bronchitis, which further allows production of mucus, which leads to increased difficulty in breathing.
COPD is a case which makes it harder to breathe. The symptoms like coughing and shortness of breath are light at first. With passage of time, these symptoms worsen and make it increasingly difficult for the patient to breathe.
The patient may experience wheezing and feel heavy on the chest. Some patients suffering from COPD experience flare-ups of severe symptoms or exacerbations.
The main cause of COPD is ciigarette smoking and therefore, people who are used to smoking for a longer time may suffer from this diesease. It is a disease that takes time to build up inside one’s body. COPD can further cause heart problems and worsen respiratory diseases.
Severe symptoms of COPD include:
- Occasional shortness of breath
- Mild and reoccurring cough with mucus
- Constant need to clear your throat
- Noisy breathing
- Frequent cold and cough
- Loss of energy or feeling fatigued
- Swelling of ankles, legs or feet
- Sudden weight loss
Treatment of COPD
The treatment of COPD can ease its symptoms and avoid further complications. To treat COPD, one needs a skillful and experienced pulmonologist and respiratory therapist.
- The medications which are preferred by the doctor are bronchodilators, which soothe the muscles of bronchial tubes, making it easier for the patient to breathe. This medicine is basically taken from inhalers. To reduce the inflammation, Glucocortico steroids are added.
- Oxygen therapy is undertaken to provide oxygen to the patient through an oxygen mask or nasal prongs to ease the breathing process of the patient. A portable unit is advised, if the patient is cured at home.
- Surgery is an option for severe COPD patients, which is undertaken if and only all other medications have already failed to control COPD, which can be the case in emphysema. Bullectomy is a kind of surgery in which the doctors eliminate the large bullae (air sacs) from the lungs. Volume reduction surgery is the last option for the doctor to cure a COPD patient. In this process, the damaged lung tissue is removed. The doctors go for a lung transplant in some rare cases of COPD.
- The treatment for many diseases is a healthy and disciplined lifestyle. One should quit smoking and get the nutrition that their body needs. People should consult a dietician and get a healthy diet plan, and ask a doctor about the extent of exercise they should perform daily. In case you have a concern or query you can always consult an expert & get answers to your questions!
Sarcoidosis is an inflammatory condition that has been affecting many people of late. In sarcoidosis, tiny granulomas or inflammatory nodules appear in the various organs of the body. The lungs, eyes, skin, and lymph nodes are commonly affected by the condition. Sarcoidosis can also occur in the brain, heart, liver, spleen. The exact trigger for sarcoidosis is not very clearly understood. However, some studies suggest that sarcoidosis may be an outcome of the body reaction (immunological) towards certain allergens, chemicals, viruses or bacteria (foreign bodies).
It should be noted that
- Incidences of sarcoidosis are common among people in the age group of 20 – 40 years.
- People with a family history are more likely to be affected by sarcoidosis.
- Women are more susceptible to sarcoidosis than their male counterparts. The condition is common among the African-Americans.
Signs and symptoms:
The severity and appearance of symptoms depend on the organs affected by the condition. Symptoms of sarcoidosis may appear suddenly or develop gradually (there may also be a relapse). In few exceptions, the affected person may not exhibit any visible symptoms. The symptoms may vary from person to person.
In general, the symptoms include
- There is weight loss
- Extreme tiredness and exhaustion
- There may be swelling of the lymph nodes
Further, the symptoms may include
- Rashes, sores, and lesions that may appear on the nose, ears or cheeks, certain areas in the skin undergoes discoloration (Sarcoidosis affecting the skin).
- Breathlessness and chest pain, dry cough that continues for long and wheezing (In the case of the heart being affected).
- Palpitations and dyspnea, chest pain, edema, syncope or fainting and arrhythmias or irregular beating of the heart (Sarcoidosis affecting the heart).
- The eyes may appear red. The vision appears blurred. There is a pain in the eyes and light sensitivity (Sarcoidosis affecting the eyes).
Diagnosis and treatment:
- Physical examination and blood tests
- Eye tests can aid in the better diagnosis
- Kidney and liver function tests
- Imaging tests like CT scan, PET, X-rays, MRI
There are instances where sarcoidosis disappears on its own. However, if the condition persists, it is better to seek medical assistance.
Treatment for sarcoidosis include
- Immunosuppressant drugs: As the name suggests, the immunosuppressant drugs work by suppressing the immune response. Azathioprine and Methotrexate provide great relief from inflammation.
- Anti-inflammatory drugs such as Corticosteroids are very effective against sarcoidosis.
- Plaquenil (Hydroxychloroquine) is often used to treat skin sarcoidosis.
- For patients with Rheumatoid Arthritis related inflammation, doctors recommend Tumor necrosis factor-alpha (TNF-alpha) inhibitors.
- In the case of organ failure or damage, surgery may be the only option available.
In severe cases, or if left unattended for long, sarcoidosis can result in
- Cardiac problems, which may prove to be fatal.
- It can interfere with the normal functioning of the kidney.
- The lungs may be severely affected and scarred.
- There may eye inflammation leading to blindness.
- In some cases, sarcoidosis may affect the nervous system leading to paralysis (though rare).
In case you have a concern or query you can always consult an expert & get answers to your questions!
Asthma is a chronic lung disease that is caused due to swelling and narrowing of airways, which carry air to the lungs. These swollen airways are very delicate and react to triggers, which are micro things inhaled by the patient. These inflamed airways also create extra mucus, making it very problematic for the patient to breathe. The muscles of airways get tight, thereby adding to the problem of asthma.
Causes of asthma
The exact cause of asthma is unknown. But it is mainly caused due to genetic factors enhanced by environmental conditions. The environmental conditions include pollution and allergens, apart from certain viral infections since infancy.
The triggers of asthma include but are not restricted to dust mites, tobacco smoke, pollen, air pollution, mold, physical activity, respiratory Infections, cold and allergy to some foods.
Asthma attack is caused when the airways in the lungs can't get enough air due to their reaction to asthma triggers, followed by inflammation of airways.
Some patients have mild symptoms when they exercise or do any other breathtaking activity. On the other hand, some people have severe symptoms, which can be treated with medications.
Asthma is caused among people of various ages. First, it starts with severe coughing and shortness of breath, which don't go away. When these affected people are taken to the doctors, asthma is the first disease they suspect. Many people miss asthma because it has initial symptoms of coughing, which are considered to be a normal case. A person suffering from frequent chest colds may be diagnosed with asthma.
Sometimes, people are wrongly diagnosed with the case of asthma, when they don’t have the condition, especially obese people. People who have frequent acid reflux or nasal allergies can have mimic asthma. For diagnosing asthma, the doctor prescribes a lung test called spirometry to check the function of the lungs.
There is no proper cure for asthma, but it can be controlled with medicines. People who have asthma should consult their doctor and go for regular check-ups. The doctor provides guidelines for managing the condition of asthma as there are some activities that the patient will be restricted to do. The patients should avoid coming in contact with asthma triggers and take medical help to treat the symptoms. Daily treatment of asthma helps in prevention of symptoms. Often, doctors prescribe asthma inhalers, which must be taken by the patients. In case you have a concern or query you can always consult an expert & get answers to your questions!
Are you suffering from chronic bronchitis and are looking for ideal treatment measures? Bronchitis occurs when your windpipe or trachea and your large and small bronchitis within your lungs get inflamed because of infections and several other causes. The condition is considered to be chronic when your cough with mucus is persistent for at least three months. Chronic bronchitis is a condition that falls under the group of chronic obstructive pulmonary disease. Smoking, inhaled irritants, secondhand smoke, inhaled fumes, and certain viruses are primary causes of chronic bronchitis.
The symptoms and characteristics of chronic bronchitis are as follows:
- Phlegm may be produced. The production of excess phlegm indicates that your lung and the lower respiratory tract are infected.
- The cough experienced is present on almost all days of the month, for over a period of three months.
- The forceful coughing because of chronic bronchitis is painful, and makes your abdominal and chest muscles sore. The coughing is likely to be very severe, and may injure your chest walls or make you faint.
- During exacerbations of chronic bronchitis, wheezing may be experienced because of inflammation in the airways and muscular tightness. This, in turn, leads to shortness of breath.
The treatment of chronic bronchitis depends on the cause. There is no specific cure for the condition, and its treatment aims at improving your lung function and reducing the symptoms.
- Several medicines are used for managing the cough, and for loosening and clearing secretions. In the case of uncontrollable coughing spells, cough suppressants might be prescribed.
- Broncho dilator inhalers are used for opening the airways and for the management of wheezing.
- Certain nebulizer treatments are also recommended in some cases.
- Corticosteroids are used for reducing the inflammation in the airways. These may be used in the form of inhaled corticosteroids, or may be taken orally.
- In some cases, antibiotic medications may be required for the treatment of chronic bronchitis. Antibiotics are usually used when there is a bacterial infection, and in people with chronic lung problems, who require antibiotics to be treated.
- Home oxygen might be required in extremely serious cases of chronic bronchitis.
- In very rare cases, a patient may have to be hospitalized in case of severe breathing difficulty that does not respond to treatment. This is necessary in cases of complications in chronic bronchitis, and in patients who suffer from underlying heart problems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Coughing of blood is a serious problem in comparison to normal coghing. 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.
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:
- Oral hemostatics
- Cough suppressants
- Radiation of laser treatment
- 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.
Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm
What should you follow in following situations?
- 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 determines 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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Shortness of breath, medically known as dyspnea, is the sensation of tightening of chest accompanied by a feeling of suffocation. Most of us would have experienced this while doing intensive exercise, while in extreme temperature or high altitude to a certain extent. But when the breathlessness is severe, it is due to a lung or heart ailment. The lungs and the heart play the most important role in transporting oxygen to our tissues and removes carbon dioxide. And so, any kind of problem in either of the organs can affect our breathing.
Numerous underlying conditions can lead to a shortness of breath. An insight into the most common causes are enumerated below.
- Asthma: One of the common reason for shortness of breath is asthma. It is a serious condition in which the passage of air becomes narrow and swells up and produces extra mucus. This can result in shortness of breath, triggers wheezing, coughing and also makes breathing difficult. It cannot be cured but the symptoms can be controlled, and it is also necessary to consult with the doctor to track the symptoms and adjust the treatment.
- Carbon monoxide poisoning: Another leading cause of shortness of breath is carbon monoxide poisoning. It is caused when carbon monoxide builds up in our blood stream. When there is excessive carbon monoxide in the surrounding air, our body replaces the oxygen in our red blood cells or RBCs with the carbon monoxide in the air. Appliances that are improperly ventilated and engines, especially in a sealed or tightly enclosed space might allow carbon monoxide to accumulate in our blood stream to a dangerous level.
- A hiatal hernia: This is caused when part of our stomach pushes upward through your diaphragm. Our diaphragm usually has a small opening through which our esophagus or food pipe passes and connects the stomach. The stomach pushes up through this opening in case of a hiatal hernia and results in shortness of breath. In most of the cases it can be cured by medications, but in some situations, surgery is required.
- Pulmonary embolism: It is a blockage in one of the pulmonary arteries in the lungs. In 95% of the cases of pulmonary embolism, it is caused due to blood clots that travel to the lungs from the legs or some other parts of the body. As the clot blocks the flow of blood to the lungs, it can also be life threatening besides causing a shortage of breath.
Apart from these conditions, others such as bronchitis, pneumonia, lung cancer, COPD, arrhythmia, hypertension, and many other lung and heart ailments can result in shortness of breath and can lead to dire consequences in certain cases. Thus, it becomes paramount to consult a pulmonologist when you frequently experience such breathing difficulty.
I am 39 years male and having allergic bronchitis and I am coughing from 1 week I have no fever though any suggestions to get rid of coughing.
I want to know the symptoms and treatment for emphysema and chances of being a diabetic when there is a history in family thank you.
COPD, which is short for Chronic Obstructive Pulmonary Disease, is a severe form of lung disease that is characterized by increased breathlessness and obstruction of airflow from the lungs. People who are suffering from COPD are at an increased risk of developing lung cancer, heart diseases and many other conditions. It includes progressive lung diseases such as chronic bronchitis, emphysema, few forms of bronchiectasis and refractory (non-reversible) asthma. The former two are the most common conditions contributing to COPD.
Chronic bronchitis induces inflammation in the airway that carries air to the lungs and fills it with mucus. This either completely blocks the airway or narrows it, causing difficulty in breathing. However in emphysema, the air sacs inside the lungs which inflate and deflate as you breathe in and out, lose their elasticity due to which less air comes in and goes out leaving you breathless.
The best way to treat COPD is to quit smoking. Your doctor may also prescribe you medications or ask you to enroll in a lung rehab program.
- Smoking: Smoking is one of the most common causes of COPD. This is because smoking is known to destroy the stretchy fibers in people's lungs and irritate the airways. Even passive smoking is unhealthy. About 90% of the people having COPD are current or former smokers.
- Genetics: Some individuals suffer from COPD even after refraining from smoking. Genes might be at the helm of COPD in such a case. AATD i.e. Alpha -1 Antitrypsin Deficiency, is a protein in the lungs, the lack of which is one of the most common genetic factor causing emphysema.
- Environmental factors: Breathing in harmful pollutants present in your environment is also one of the causes of COPD. Fumes, dust or certain chemicals are a few examples of harmful lung irritants. Organic cooking fuel may also cause COPD. Exposing yourself to the aforementioned environmental factors for a prolonged period of time increases your risk of developing COPD substantially.
- Shortness of breath especially after exercising
- Tightness in your chest
- Unintended weight loss
- Lack of energy
- Frequent respiratory infections
- Cough accompanied by mucus
- Physical Exam where your doctor monitors the functioning of your lungs.
- Questioning about your past health (Smoking or other harmful lung irritants).
- Spirometry and other breathing tests.
- Chest x-rays and other tests to eliminate other problems which could be causing your symptoms. If you wish to discuss about any specific problem, you can consult a pulmonologist.