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Dr. Hemant Kalra  - Pulmonologist, Delhi

Dr. Hemant Kalra

90 (402 ratings)
MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Dip...

Pulmonologist, Delhi

24 Years Experience  ·  800 - 1250 at clinic  ·  ₹300 online
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Dr. Hemant Kalra 90% (402 ratings) MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Di... Pulmonologist, Delhi
24 Years Experience  ·  800 - 1250 at clinic  ·  ₹300 online
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Hi everyone!<br/><br/>I am Dr. Hemant Kalra, I am a pulmonologist. Today I will talk about a very...

Hi everyone!

I am Dr. Hemant Kalra, I am a pulmonologist. Today I will talk about a very important topic, Interstitial Lung Disease. Before I tell you what this disorder, I must tell you something about interstitium. What is interstitium? Instertitium is a tissue in the lungs through which air from the lungs, small air sacks called alveoli passes to enter into the lungs small blood vessels called capillaries. So in Interstitial Lung disease, this instertitium is affected. So what happens in Interstitial Lung disease, in this disorder, there is reduction of the ability of the lungs to deliver oxygen to the blood vessels. Secondly, this disorder distorts the normal lungs structure. Lungs become smaller and stiffer. Interstitial Lung disease affects both men and women. It is very rarely communicable but it is not at all contagious. In some ILDs there are no clatters, but most of them are idiopathic in nature, idiopathic means there are no root causes. So what are the symptoms?

Symptoms are mostly exertion recklessness may or may not be associated with cough or cough is predominantly dry in ILDs. Sometimes, joints, skins and eyes are also affected. Only then it is associated with connective tissue disorders. So how do we classify Interstitial Lung Disease. We can classify ILD in many ways. But in a simple manner, we can classify into three types. First when ILD is only limited to the lungs. It is called idiopathic pulmonary fibrosis. Secondly when it is primarily associated with other parts of the body like in scleroderma, rheumatoid arthritis and sarcoptosis. Thirdly when ILD is associated with known triggers. First is hypersensitivity pneumonitis, second is medications which is associated with ILDS, third is Sarcoidosis, Asbestosis.

So these are the three predominant types of ILDs. So how do we diagnose Interstitial Lung Disease. First of all we have to suspect Interstitial Lung Disease in all patients with exertion, with breathlessness. Further, we can ask for chest x-ray, pulmonary function test, certain blood tests are also advised sometimes, but predominantly high-resolution ct scanning with diagnostic modality. Further, we can go for bronchoscopic biopsy, lung biopsy can also be advised but most of the time chemical suspension, illegal symptoms and high-resolution ct scan can give you the diagnosis of Interstitial Lung Disease. So what is the treatment of Interstitial Lung Disease? Treatment is first of all lifestyle changes like smoking cessation, weight reduction, exercising regularly as in all chronic respiratory disorders. Second is we must avoid drinkers like in Hypersensitivity pneumonitis, Asbestosis, and Sarcoidosis.

So treatment depends on the type of ILD and severity of ILD. Treatment of ILDshould be given by pulmonologist who is specialized in intestinal lung diseases management. There are many drugs in the market for treatment of Interstitial Lung Disease. Most of the times steroids are integrated like in connective tissue disorders, in Sarcoidosis and certain ILDs like NSIP (Nonspecific interstitial pneumonitis). Steroid works very well in such condition but in certain idiopathic conditions, there are two drugs in the market. Both the drugs are available in India. Normally we give those drugs to a patient of idiopathic pulmonary fibrosis. So the treatment is very very limited. The basic thing is we have to diagnose Interstitial Lung Disease as early as possible. Start treatment as early as possible and should be initiated by a pulmonologist only. So in the natural Interstitial Lung Disease the chronic respiratory disorder should be diagnosed as early as possible so that respective treatment can be initiated very early in the disease process. So kindly refer all your patients to specialized centers or pulmonologist who are specialized in dealing such cases so that further lung injury can be prevented.

Thank you very much!

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Good afternoon!<br/><br/>I am Dr. Hemant Kalra. I am a pulmonologist. Today our talk will be abou...

Good afternoon!

I am Dr. Hemant Kalra. I am a pulmonologist. Today our talk will be about inhalation therapy in respiratory disorders. So what is inhalation? Inhalation is when we give drugs or solution of drugs by nasal or oral respiratory route. Inhalation is also called inspiration. What is the inspiration? Inspiration is movement of air from external environment by our breathing pipes into our lungs. This is inhalation and inspiration also. In which conditions we use inhalation therapy? Inhalation therapy is used in Obstructive Airway Disorders. What are these disorders? These are Asthma, COPD, Bronchitis and some cases of Sarcoidosis. You may ask me why tablets and syrups are not used in such disorders?

Why inhalation therapy is preferred over tablets and syrup in such disorders because- tablets and syrup are in high doses, they are very toxic, very costly, they reach systemic blood circulation, they have got adverse side effects. When you give a drug, tablet or syrup it first enters your stomach, then via your blood stream it enters your airways where inflammation is there and where these types of drugs are required. So why to give a drug in oral or syrup form when inhalation therapies are available. Inhalation therapies takes drugs directly where it is required. Inhalation therapy can be given in various forms. First is metered dose inhaler. You might have seen inhaler people using in movies.

Dry powder inhalers are also available in market and other forms like nebulation is also available. What drugs can be given in inhalation therapies? We can give bronchodilators, which can open up the airways. We can give Cortico-steroids. Mucolytics and some antibiotics can also be given via inhalation route. Nowadays insulin is also given in inhalation route. Inhalation therapy is very very effective in certain disorders. I started this topic because I felt that we in India do not use inhalation therapy because of various myths in our society. So what are the myths? Firstly, inhalers are very costly- absolutely wrong. Secondly, inhalers are addictive- absolutely wrong. Thirdly, inhalers have got side effects- also absolutely wrong. Inhalers do not have any side effects. I can assure you this that inhalers can be given in pregnancy from day 1 to 9th month when very few drugs are recommended in pregnancy.

It can be given in any age group from 1 year to 90 years. Fifthly, inhalers are always given when disease is very severe- it is also wrong. On the contrary inhalers are recommended or should be given as early as possible in the disease. So inhalation therapy is the best option for any kind of obstructive airway disorders. I can proudly say that we have got the best inhalation technique or inhalers available in India. You must use them as advised by the doctor. Do not say no when the doctor writes an inhaler for you. It is the best option for obstructive airway disorders because it is most effective with no side effects, very cheap and can be given for many years. Thank you very much! In the nutshell please use inhalers as adviced by a doctors. Do not hesitate to take inhalers. Inhalers are best option for obstructive airway disorders, very safe, very effective, no side effect and very cheap.

Thank you very much!

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Good afternoon friends,<br/><br/>I am Dr Hemant Kalra, I am a pulmonologist.<br/><br/>Today I wil...

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.

Thank you.

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Hello friends, I am Dr Hemant Kadra. I am a pulmonologist. A pulmonologist is a doctor who deals ...

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.

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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Hemant Kalra
Dr Hemant Kalra is a well known specialist of the Pulmonology field and he practices at the Kalra Hospital in Delhi. He has over 21 years of experience in his field and has handled many challenging cases even on an emergency basis. With stellar knowledge of the inner workings of the respiratory system and the allied elements that help it in functioning appropriately, this doctor is able to channel his know how and techniques for the betterment of his patients. The best part is that he does so in a dedicated and committed manner, which has helped him in gathering a large base of patients. Apart from an MBBS and MD in his chosen field, he also holds a Diploma in Tuberculosis and Chest Diseases, which helps him in correlating symptoms and making a quick diagnosis, as such cases usually arrive at the emergency unit of the hospital with little time to spare. he also holds a European Diploma in Respiratory Medicine, which helps in handling his patients with a more global outlook. Also, as a member of many esteemed internal medical societies and associations, he is able to gather an ever evolving body of knowledge in his field as he interacts routinely with other members from Pulmonology and the medical fraternity in general. He has also been invited to speak at various events globally for the benefit of the global medical world. Apart from respiratory ailments, chest ailments and other infections, he also helps patients in gaining freedom from substance abuse and smoking. He is fluent in Hindi and English.

Info

Education
MBBS - Maulana Azad Medical College, New Delhi - 1995
MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine - Vallabhbhai Patel Chest Institute (VPCI) - 2004
Diploma in Tuberculosis and Chest Diseases (DTCD) - Vallabhbhai Patel Chest Institute - 2006
...more
European Diploma in Respiratory Medicine - European Respiratory Society - 2010
Languages spoken
English
Hindi
Awards and Recognitions
Workshop : Bronchocon at Agra, Hands on Training
Workshop : Trends in Interventional Pulmonology , Coimbatore
International Conference on Mechanical Ventilation and Workshop by ISCCM Pune
...more
Workshop : National Sleep Medicine Course, Delhi
Professional Memberships
European Respiratory Society (ERS)
Asia Pacific Society of Respirology
National College of Chest Physicians
...more
Indian College of Allergy
Asthma and Applied Immunology
Indian Society of Critical Care Medicine
Association of Physicians of India (API)
American Thoracic Society
American College of Chest Physicians
Indian Chest Society
Indian Medical Association (IMA)
European Association for Bronchology And Interventional Pulmonology
American Association for Respiratory Care
Research Society for Study of Diabetes (RSDDI)
Indian Sleep Disorders Association (ISDA)

Location

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MAX HOSPITAL

HPD Twin Tower, Pitampura,Delhi Get Directions
  4.5  (402 ratings)
1250 at clinic
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MGS Hospital ( Mgs Institute Of Respiratory Sciences)

Rohtak Road, Punjabi Bagh West, Near Agrasen HospitalDelhi Get Directions
  4.5  (402 ratings)
800 at clinic
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Maharaja Agrasain Hospital (Maharaja Agrasain Super Specialty Chest Centre)

Block-D, Ashok Vihar, Phase 1, Near Ram Krishna MandirDelhi Get Directions
  4.5  (402 ratings)
800 at clinic
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Hypersensitivity Pneumonitis!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Hypersensitivity Pneumonitis!

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!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Idiopathic Pulmonary Fibrosis!

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.

 

2 people found this helpful

Inhalers And Its Advantage Over Medicines!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi

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. 

1 person found this helpful

Pneumonia And Pneumonitis - Differences!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Pneumonia And Pneumonitis - Differences!

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.

2 people found this helpful

All About Allergic Rhinitis!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi

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.

 

1 person found this helpful

Thoracoscopy Its Purpose And Uses!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi

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

1 person found this helpful

Sarcoidosis!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Sarcoidosis!

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.

 

2 people found this helpful

Bronchoscopy Uses!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Bronchoscopy Uses!

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
Tumour
Tuberculosis
Infection

If you are feeling any obstruction or abnormality of the airways then seeking the right treatment at the right time is important.

1 person found this helpful

Obstructive Sleep Apnea And Sleeping position!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Obstructive Sleep Apnea And Sleeping position!

- 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.

 

8 people found this helpful

COPD and Comorbid conditions!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
COPD and Comorbid 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. 

1 person found this helpful
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