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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I am suffering from asthma. Regularly faced breathing problem at night. I used levolin inhaler. Still not recovering. What should I do.
What is the difference between COPD and Asthma. I get cough intermittently if I am exposed to dust or smoke and then I have breathing issues and have to take foracort 200 mg and then the cough or congestion settles down. What is it Asthma or COPD?
Dear Doctor I have allergy related asthma. It started during my adolescent period. From tonsillitis and sinusitis and now asthma. I am taking cetrizine twice daily with deriphyllin 300 mg retard once or twice some times daily. You are requested to kindly write some immunomodulatory medicine as add on. Also please dose and precaution if any, and the time for which it can be taken without side effects. We will be highly obliged and thankful to you.
I am terribly coughing from 5 days. Nd sometimes with fever nd it s going away without any paracetamol or crocin but still I am coughing.
When your doctor suspects of the presence of extra fluid in your lungs, you might be advised for a thoracic ultrasound. What is a thoracic ultrasound and why do you need it? With a thoracic ultrasound, your doctor will be able to look at everything in the thoracic cavity and can know if your lungs, heart, and other structures in the chest are working fine. The pulmonologists can efficiently determine the lung condition even in critically ill patients using a non-invasive ultrasound technique.
And, since the method is based on sound, there is no risk of exposure to potentially harmful ionizing radiation or nephron-toxic contrast dye in this case. Hence, a thoracic ultrasound has become the most preferred technique for conducting a preliminary examination or to further check and confirm a finding noted using other imaging techniques for thoracic diseases.
Reasons to have a chest ultrasound
- The doctor usually refer an ultrasound when he or she can feel that there is some extra amount of fluid in your chest. The ultrasound can tell the physician the reason behind the deposition of excess liquid.
- The ultrasound would help detect the type of fluid that is present in the chest, whether it is exudate that is caused due to inflammation, an infection, or lung cancer, or whether it is transudate that is a leakage from the lymph nodes or the blood vessel. It determines the movement of the diaphragm.
- Chest ultrasound can be done in conjunction with other examinations like CT scan, MRI to evaluate the condition of the chest.
- It has to be noted that, in certain circumstances such as severe obesity and barium in your esophagus, the procedure can give an inaccurate result. Hence, it is always advisable to talk with the health care provider and share your complete medical history before undergoing this procedure to prevent such occurrences.
After a Thoracic Ultrasound
- After the results of the ultrasound are received, the doctor can detect what the condition of your chest is at the moment. Your doctor will also confirm if the lungs have collapsed or if there is water in the lungs, or excess fluid has deposited into the lungs.
- Ultrasound can also reveal if you have pneumonia. A diagnosis like this does not take a long duration, and thus the ultrasound plays a significant role in expediting the treatment process.
- There are no hard and fast regulations to follow after the ultrasound. The physician may recommend few instructions depending on your situation. In typical cases, there is no special preparation like fasting is required and you need not be sedated during the ultrasound as well.
- A safe and painless method to detect the condition of the chest and the respiratory organs and the blood flow through the organs in your chest, a thoracic ultrasound is a preferred procedure that can help your doctor to diagnose your condition and decide upon the treatment method.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Gud morning madam, maam mera asthma ka problem hey from childhood mera age hey 25 or mey breathing lene mey bohot taklif hota hey maam I am taking medicine (spiroment fa) or mera out of range allergy hey or mey allrgy tablet ye leta hu banocid forte maam pls give me a suggest mey bht pareshan hu breathing absorb karne mey.
I am suffering from dry cough. I feel congestion in my respiratory tract every morning when I wake up. This is usually in winters. Accumulated cough is not coming out and creating irritation. Initially it was wet.
I have been prescribed Syrup Bromaxin 10 ml BD. But the Dr. forgot to mention the number of days for which it is to be taken. I am told cough syrups are never taken for more than a week at one time. Please clarify and also mention the ill effects if any if this dose is exceeded.
Acute respiratory distress syndrome also known as ARDS is the condition when the lungs fail to pump sufficient oxygen to vital organs such as the brain and kidneys. This happens due to fluid collecting in the lungs which reduces its capacity to function. If ADRS is not diagnosed and treated in time, it can lead to death.
Causes and Symptoms
While it has been proved that the leakage of fluids from some of the minor blood vessels can enter the lungs causing ARDS, there is still no clarity on what triggers this leakage or how such fluid enters the lungs. It has been observed that patients already admitted and undergoing treatments in a hospital have been diagnosed with the ARDS condition. This indicates that the condition could be brought about by an injury caused during an accident or due to a health condition. The predominant symptom of ARDS is the loss of breath which could be severe in some cases. The other symptoms include a blue tinge to the lips and nails caused be the reduced supply of oxygen.
There is no single test to diagnose acute respiratory distress syndrome. Doctors will use a combination of results from chest rays and the analysis of blood samples to confirm the diagnosis of this condition. In some cases, a CT scan may also be ordered. A physical examination and checking the medical history of the patient is mandatory and is included in the diagnostic process for ARDS.
Once diagnosed, the patient will be immediately put on external oxygen support. If a simple air mask is not enough then a breathing tube may be used to ensure sufficient oxygen reaches all parts of the body. The patient might also be put on a ventilator. Oral medications to help stop the bleeding and prevent clotting of blood will be prescribed. Medications could also be administered through the use of IV fluids. It is necessary for patients with this condition to remain calm. In an agitated or excitable state the demand for oxygen is greater. Doctors might therefore, prescribe medications to ensure patients remain calm.
Recovery and After
As mentioned earlier, there is a crucial need to diagnose acute respiratory distress syndrome in time to ensure a quick start to the treatment available. This condition can be brought under control and the person can lead a normal life. Doctors will advise patients to quit smoking and to reduce or limit the intake of alcohol. Taking a flu shot, periodically, to protect against diseases such as pneumonia will also be beneficial to patients with ARDS+.
In case you have a concern or query you can always consult an expert & get answers to your questions!