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Treatment of Sleep Disturbance
Asthma Management Program
Management of Smoking Cessation
Oxygen Therapy Treatment
Obstructive Sleep Apnea Treatment
Lower/Upper Respiratory Tract Infection Treatment
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Even after my treatmentwith my old doctor, I never felt so much relief, but P.C. Kathuria has treated my completely. I was having this polysomnography, but the symptoms were not very visible. He is very patient with all his patients. Even though there was a long queue, still the staff was very pleasant. P.C. Kathuria has in depth knowledge and ensures that he explains the problem in detail. With the help of his treatment for polysomnography I am feeling so great.
Dr. Menaka Devi Salam
Well experienced allergist and very helpful as regards the treatment of my 6 yr old son whose allergic problem is now under control. Thanks to him for finding out the main cause of the problem and giving proper treatment by using advance techniques of immunology. I strongly recommend him.
Thanks to Dr Kathuria for treating my tuberculosis so well. I was in fear due to this problem but Dr Kathuria helped me overcome with it. I am glad that I chose to consult him. I am no more facing any such issue now.
Emphysema is a breathing disorder that has no cure and worsens with time. The symptoms of emphysema - a feeling of tightness in the chest, persistent cough, wheezing and breathlessness – are caused due to destroyed or impaired functioning of lung tissue.
A thorough physical examination which would include weight and blood pressure checks would be performed. The doctor would also listen to the heartbeat to determine if it sounds strange or different.
In addition to checking for the signs and symptoms of emphysema, a physical examination would also help the doctor in determining the following:
- Whether the fingertips are rounded. This condition is also known as “clubbing”.
- Whether you have a rounded or “barrel chest” which is caused by lungs that are larger than normal.
- If the lips have a blue tinge also known as cyanosis, which is a sign of low levels of oxygen in the blood.
- Signs of malnutrition as in advanced cases of emphysema the muscles slowly waste away.
Tests For Emphysema
A doctor would recommend additional tests to confirm his diagnosis of this lung condition. Some of the tests are:
- Pulmonary Function Tests or PFTs and spirometry tests would be advised to measure the volume and capacity of the lungs.
- A chest X-ray is useful to diagnose advanced emphysema as the lungs appear larger than normal in patients with this condition.
- A CT scan of the chest will show the air sacs or alveoli have been destroyed.
- The blood test report of patients with emphysema would show a high amount of red blood cells. The production of red blood cells in the body increases due to the reduced levels of oxygen.
- A pulse oximetry test also known as an oxygen saturation test could be done to measure the amount of oxygen in the blood. A monitor would be attached to the patient’s forehead, finger or earlobe to carry out this test.
- An arterial blood gas test is usually performed on patients as their condition worsens. It measures the amount of oxygen and carbon dioxide in the blood.
- An electrocardiogram or ECG might be advised to rule out condition such as heart disease as a cause of shortness of breath.
Management and Treatment
There is no known cure for emphysema and the condition can worsen with time. Treatment will slow the speed of decline and will depend on the severity of the condition when diagnosed. Some treatment options are:
- Quit smoking to protect your lungs.
- Bronchodilator medications used to treat asthma are useful in relaxing the muscles around the airways.
- Anti-inflammatory medications reduce inflammation around the airways.
- Oxygen therapy is recommended to patients when they are not able to breathe enough oxygen from the air.
- In some severe cases, lung volume reduction surgery might be advised to relieve pressure on the muscles required for breathing and to improve the elasticity of the lungs.
Keeping your home clean and free of dust and pollutants will help to prevent respiratory infections and disorders such as emphysema. Consult an expert & get answers to your questions!
Skin allergy is one of the most common complaints in the general population. While the skin has an overall protective function, it also comes in contact with multiple chemicals and substances including pollen, animal dander, environmental pollutants, various metals that might irritate the skin.
When the body comes in touch with any of these, it produces what is known as histamines. Excessive histamines can cause the liquid portion of the cells (plasma) to escape, causing swelling, redness, and itching. This can happen due to either of the two reasons:
- Contact dermatitis, wherein the skin comes in touch with an irritant. This could be animal dander, detergents, laundry products, soaps, etc.
- It could also be due to eating some allergy-inducing substances like eggs, chocolates, milk, peanuts, etc.
Most common causes of contact dermatitis are listed below:
- Metals like nickel, which are used extensively in artificial jewelry
- Latex which could be used in kitchen and bathroom gloves
- Toiletries including soaps, creams, lotions, scrubs
- Laundry and toilet cleaning products
- After the first contact, it could take up to a week to 10 days for the symptoms to manifest
Testing for allergy: It is not easy to pin down the exact cause of the allergic reaction. Skin tests are done usually by exclusion, wherein the most likely causative agents are tested to see if they produce an allergic response. Once detected, the patient is advised to avoid contact or use of that particular agent. Patch test is done where the suspected allergy-causing agent is applied on the skin to see if it indeed causes an allergic reaction.
Management: Skin allergies are treated by a combination of topical and systemic therapy, both immediate and long-term.
When an allergy has actually happened, then the following needs to be done?
- Keep the area moisturized
- Avoid itching
- Apply a topical antihistamine agent
- Keep it free of metal or any other objects
- Avoid tight clothing, so that air circulation can help in healing
- Oatmeal powder helps in getting rid of the itching
- Use cool compresses to control the inflammation
- Use calamine and hydrocortisone creams
- Keep yourself hydrated
- Take systemic antihistamine if required to bring down the allergy response
- Once the causative agent is identified, it should be avoided.
- It is not easy to identify the allergen, but keeping a dairy whenever there is an allergic reaction helps. Look back to see what products or chemicals you came in touch with or used recently and by excluding some, the cause can be identified.
- If you are prone to skin allergies, always carry an antihistamine and also topical anti-allergy cream to manage the allergy. If you wish to discuss about any specific problem, you can ask a free question.
One of the most important functions of the skin is protection. During this process, it comes in contact with various substances including chemicals, pollen, dust, and other pollutants. While it does protect the overall body from all these, there is some damage that is inevitably done to the skin through these exposures. Different skin and different bodies react differently to these, and while some may have no reaction, others develop allergies. This is also defined by how strong the person’s immunity is.
Hives is one of the most common skin allergy responses. While it is not easy to pinpoint what causes the allergy or the hives, the causative agent can be nailed by observing patterns and excluding out some of the causative agents. There are a set of regular household and surrounding items that could lead to urticaria, and working around these can help pin down the source.
Origin: When the body encounters a foreign body, it produces what are known as histamines. When they are produced, the plasma in the cell leaks out, producing a red and swollen appearance. Hives are red, itchy, raised patches on the skin. They are seen in about 20% of the population. Hives are usually allergic in nature, implying that they occur when there is a foreign substance that induces an allergic reaction. Hives can appear either due to coming in touch with some substance or due to eating some allergy-inducing substance.
Hives can be acute or chronic. Acute is when the hives appear in response to an allergic reaction. These usually disappear in a matter of days to a week at the maximum. In some people, they could be chronic and can last for months together.
Treatment: Given that they are allergic in nature, managing hives includes a combination of immediate treatment as well as preventive measures. While most are topically managed, others might require systemic intervention also.
Once the hives have developed, the following can help in the relief of symptoms and prevent from spreading further. The redness and swelling will take some time to disappear.
- Avoid tight-fitting clothes
- Use cool compresses on the hives
- Avoid warm or hot shower
- Stay in a cooler room
- Avoid itching the hives
- Use topical moisturizer to prevent dryness
- Use topical steroid cream to manage the inflammation
- Take a systemic antihistamine or an injection of epinephrine if required.
While these help in managing the hives which have occurred, preventing is via the following.
- Avoid the source once identified
- If the source is not yet known, record when the hives are occurring
- Manage stress and see hives appear much less
- Increase moisturizer use
- Keep an antihistamine handy so you can take it immediately in case of suspected hives. If you wish to discuss about any specific problem, you can ask a free question.
Asthma, the long term inflammatory disease, affects the airways of lungs. A number of symptoms, including obstruction of air flow into the lungs, which can cause breathlessness, coughing, wheezing, allergic reactions and swelling of the tubes, points to it. The causes include genes as well as pollution in the environment which is resulting in an increasing number of cases. The diagnosis is usually done with a spirometry and the treatment is a long term process.
Women who suffer from asthma have to be especially vigilant during pregnancy as it can lead to a number of complications including less air passage to the foetus. This can result in a slow rate of development and certain anomalies in extreme cases. So how can a pregnant lady manage asthma? Here are a few tips:
- Involve Pulmologist: To begin with, the obstetrician and the pulmonologist must both be well aware of the situation. The pulmonologist must be given detailed information with regards to allergies as well as past treatment and medical history so that the is done systematically to prevent an attack and any complications to the foetus.
- Lung Function: During pregnancy, the doctor must monitor lung function carefully with monthly check ups to ensure that the right amount of oxygen is reaching the foetus. This is done because the severity of asthma changes in most women during pregnancy. A spriometry or peak flow metre can be used to measure the lung function. Also, the foetal movements must be monitored on a monthly basis, or rather, once every 28 days, to be more specific.
- Influenza: Flu is a common outcome of asthma, especially when it becomes severe during pregnancy. The onset of flu or influenza must be prevented at all costs with the help of a flu vaccine that will be effective at least for a season at a time. It is a pregnancy safe injection.
- Triggers: There are many things that may trigger an asthmatic attack or an allergic reaction that can lead to the same. Ensure that you do not suffer from these triggers by avoiding dust, pollen, tobacco smoke and varied other substances that can lead to choking and wheezing.
- Medication: One must ask the doctor about pregnancy safe inhaled corticosteroids that one can take during pregnancy if and when the need arises. If you wish to discuss about any specific problem, you can consult a Pulmonologist.