I am Dr. MC Gupta, a respective physician practising in Faridabad for the last 40 years. My talk is on Asthma.
Asthma is a very common disease involves 3-10 % of the population and the prevalence is gradually increasing due to increased pollution in the industrialization and environmental and occupational problems. It is characterized by chronic inflammation of the air tubes that carry oxygen and air from and into the lung. Due to chronic inflammation of the air tubes, there is a hyper responsiveness of the air tube that means if there is any trigger they react, constrict, there is an increase inflammation and that lead to the attack of asthma.
Asthma by symptom is characterized by shortness of breath, chest tightness, cough. These are the main three symptoms. Asthma is usually variable. One we have an asthma attack and the patient may go into dimensions when there are no symptoms at all.
There are many risk factors and if we control the risk factor we can avoid or control the asthma attack. The risk factors are a family if any one of the parents is having asthma then there are twenty-five percent chances of children getting asthma or if both the parents are having asthma then fifty percent of children can develop asthma. Other risk factors are repeated viral infections, stress obesity, rhinitis, reflex, some medicines which can aggravate the symptoms of asthma, even in some exercise can induce asthma which is called exercise induced asthma. Tablet aspirin commonly taken as disprin and in some persons can induce the attack of asthma.
The diagnosis very simple usually on the basis of symptoms the patient is suffering supported by pulmonary function tests, x-ray test, haemogram and total IGE and rust test for lse.
Treatment of asthma depends upon the character of asthma, rather it just mild intermittent or it is persistent. In persistent is mild moderate and severe. If the asthma is just mild and intermittent one needs only rescue medicine that shorts acting beta 2 taken during the time of the attack and after that, the patient usually goes into remission and does not require the treatment. In persistent asthma, in mild asthma long acting beta 2 with an inhaled corticosteroid in minimum doses that control asthma and keep under control. Moderate asthma and severe asthma the bowls of inhaled corticosteroid can be increased from 800mg to 2000 microgram and it should be given in a combination of long acting beta 2. In the fourth stage of asthma, these inhaled corticosteroid plus long acting beta 2 agonists may be added with LAMA that is long acting muscarinic acids agents or taken orally or steroids. The oral steroids should not be taken continuously for the treatment of asthma because they can cause osteoporosis diabetes, hypertension and obesity.
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Understanding what causes COPD and what are the signs that a person might be suffering from it.
Clinical diagnosis of COPD is usually made by presence of symptoms that is cough, sputum production, breathlessness and spirometry. Assessment of COPD is also made by spirometry and rate of excess exacerbation. With each exacerbation there is increased breathlessness, increase in the sputum production, increase in cough, there is sputum may be dark in color which shows infection. For each excess exacerbation there is permanent damage of a lung and severity of the COPD may increase.
Treatment of COPD is by pharmacotherapy which aims to control the symptoms of the patient and prevent exacerbation. If you prevent the exacerbation then the patient health improves and prevent further damage to the lungs. If a patient is Breathless on walking at ground level, then the patient may be helped by rehabilitation and by increasing the day to day activities. Exacerbation can be prevented by adult vaccination that is vaccination for non invasive pneumococcal infection and flu vaccination. This disease is gradually progressive. Symptoms can be controlled with pharmacotherapy. But the disease cannot be cured. The main aim of the diseases to prevent and to prevent is hundred percent. If one avoid smoking, exposure to occupational gases and inter Biomass exposure. Patient of COPD should consult a chest physician or respiratory physician.
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Management of Bronchial Asthma
I’m Dr. M. C. Gupta, practicing at Jeevan Jyoti Hospital, Faridabad for the last forty years in pulmonary medicine. Today, I will talk regarding bronchial Asthma. Asthma is prevalent in about 5-10 percent population. Symptoms of asthma are cough, breathlessness, chest, tightness and wheeze. It can occur at any age from an infant to old person. On examination, one may find bronchitis on chest.
The treatment of asthma is, if it is mild and infrequent then, only SABAs that is Short-Acting Beta-Agonists can be taken off and on as and when required. If someone is having persistent asthma then along with inhaled corticosteroids one need LABAs that is Long-Acting Beta-Agonist which is to be continued till the symptoms are controlled. After the symptoms are controlled, one can be put on controller medicine that is inhaled corticosteroids and which should be taken in the minimum possible dose to prevent any side effects of the inhaled steroids. The side effects of inhaled steroids are very less as compared to oral steroids. The treatment may continue lifelong or the patient may go into reminiscence.
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Doctors in Jeevan Jyoti Hospital
Patient Review Highlights
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Dr. Mool Chand Gupta provides answers that are inspiring, prompt, nurturing and caring. PSYCHOLOGY CAN ONLY HELP ME TAKE CONTROL OF MY MIND TO GRADUALLY TAPER OR REDUCE THE DOSAGE....BUT I AM AFRAID AT THIS STAGE THE WITHDRAWL SYMPTOMS HAVE TO BE CONTROLLED BY MEDICINES TO COUNTER SIDE EFFECTS..MY BRAIN HAS DEVELOPED ENOUGH RECEPTORS TO FEED IT OR ELSE IT IS MISFIRING ADRENALINE INTO MY SYSTEM.
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I found the answers provided by the Dr. Mool Chand Gupta to be very helpful. infact a good suggestion - but would like to say that at present she is unable to walk more because of weakness and thus immediate reduction of weight is not becoming possible. how can I send you the reports to help understand better.
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My Experience with doctorNishant Mahajan is really great. I consulted him for the issue of my child’s anxiety problems at his clinic Jeevan Jyoti Hospital in Delhi. I appreciate and recommend to all seeking for help as he is really nice and very helpful.
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Dr. Mool Chand Gupta provides answers that are very helpful. Tanx a lot Doctor,but now they have one nano based blood test for TB ? Vaccine mentioned availability where n costs details if so would be more helpful.Anyway tanx once again..
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When Normal TB test is negative in months, sputum And in sputum gene expert show MTB then what I shall do for surety and which treatment is better Govt. & Pvt.
myself sourav and a suffering from asthma. Upto 10 years. My current age is 18 years 4 month. So my question is what is best to do for me? And every morning it will kill me./ so please doctor help me and what medicine I should try? And time also? Thanks.
I am 38 year old. Caught allergic bronchitis 6 weeks back, consulted MD (Chest) and all reports are normal (except a congenital mitral/tricuspic valve regurgitation which cardiologist say is nothing to worry about). The condition is better now, but breathlessness or chest tightness issue keeps coming every 3-4 days. Not able to find allergy trigger. Tried Ayurvedic medicine (shitopaladi with honey) and now homeopathy (since last 5 days). I take fruits and green leafy veggies as well. Not sure why breathlessness keeps coming. This is first time happening for me. Any advise based on your similar experience would help.
Pneumonia is an inflammation and infection of the lungs. This is a condition where the alveoli or the air sacs located in the lungs fill up with fluid and pus. It is because of this that oxygen cannot reach the infected individual’s bloodstream. People with pneumonia generally have cough, fever, and breathing problems. At times, it can also result in chest pain.
This is a condition that can affect one or both the lungs. There are different forms of this disease. Pulmonary infection is considered one of the most common causes of this disease. It is a kind of infection related to gram-negative or gram-positive bacteria and viruses. Certain infectious agents sharing the similarities of bacteria and viruses might also result in pneumonia.
Symptoms of pneumonia in adults
The symptoms of pneumonia in adults include:
- Coughing up slightly bloody, brown or green mucus
- Loss of appetite
- Rapid breathing
- Shortness of breath
- Chest pain
The milder forms of this disease do not disturb the regular functions of the affected individual and are called “walking” pneumonia.
Signs of pneumonia in children
Unlike adults, kids suffering from pneumonia might not experience a fever or a nagging cough. They might have more subtle signs of this infection. However, children have relatively higher chances of being infected because they do not have fully-developed immune systems. Overall, the signs of pneumonia vary according to the age of an individual.
Pneumonia caused by bacteria like Chlamydophila pneumoniae and Mycoplasma pneumoniae generally result in milder signs of the disease in kids. This kind of pneumonia is called walking or atypical pneumonia and is generally found among school-going children. Children suffering from mild pneumonia might not feel very sick, but they can have one or more of the following symptoms:
- Low-grade fever
- Dry cough
In case you have a concern or query you can always consult an expert & get answers to your questions!