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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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.
I found out Dr. Kalra online. I am very much satisfied by treatment. He is the kindest nicest doctor I have ever met.would recommend Dr. Kalra to people who r suffering from any kind of respiratory disease... very friendly,first meeting with the doctor but I was feeling that he knows me a long time. Gives always his best to all
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
He is god he is the best doctor listens to the patient very patiently and counsels excellently moreover he is very gentle superb doctor
Tuberculosis (TB), is a highly infectious disease that primarily affects the lungs. The bacteria usually attack the lungs, but they can also damage other parts of the body. TB spreads through the air when a person with TB of the lungs or throat coughs, sneezes, or talks. One in every 3 people worldwide is affected by tuberculosis.
The connection between sleep apnea and heart disease is evolving very rapidly. People with cardiovascular problems such as high blood pressure, heart failure, and stroke have a high prevalence of sleep apnea. Whether sleep apnea actually causes heart disease is still unclear, but we do know that if you have sleep apnea today, the chance that you will develop hypertension in the future increases significantly.
So wake up and consult with a pulmonologist to treat sleep apnea.
Nasal allergies, or allergic rhinitis, occur when allergens in the air cause uncomfortable symptoms that affect the nasal passages. They can also cause a variety of other symptoms.
Common symptoms of allergic rhinitis include:
Chronic obstructive pulmonary disease, or COPD, is a group of progressive lung diseases. The most common are emphysema and chronic bronchitis.
COPD makes it harder to breathe. Smoking is the main cause of COPD. Smoking is linked to about 80% of all COPD deaths.
Snoring may be a sign of a more serious condition known as obstructive sleep apnea (OSA). It also causes disruption of the natural sleep that makes people feel poorly rested despite adequate time in bed. Apnea patients may experience 30 to 300 such events per night. Regular snorers are 5 times more likely to develop stroke, heart disease and hypertension.
Numerous treatment options are used in obstructive sleep apnea. Avoiding alcohol and smoking is recommended, as is avoiding medications that relax the central nervous system. Weight loss is recommended in those who are overweight. Continuous positive airway pressure (CPAP) and mandibular advancement devices are often used and found to be equally effective. Physical training, even without weight loss, improves sleep apnea. There is insufficient evidence to support widespread use of medications or surgery.