I am Dr. M.C Gupta. Practicing at Jeevan Jyoti Hospital, Faridabad. I am a pulmonologist and going to talk about asthma.
Asthma is a chronic inflammatory disease of the airways. Leading to hyper responsiveness of the airways, causing breathlessness, chest tightness, cough which is usually in the night or early morning hours. It should be reversible by it self or by drugs. Prevalence of asthma is in India between 1.3 to 2.5% and it is higher in the children and go even up to 10%. Type of asthma are childhood asthma, adult onset asthma, chronic asthma, occupational asthma and difficult to treat asthma. Asthma is usually genetic or environmental factors. The environmental triggers usually are allergens. Most of are, in allergens most important cause is house dust might. It can be due to stress, anxiety, obesity, drugs, infection. Infection are usually viral. It can be due to drugs like aspirin, NSIAD, or ace. The diagnosis of asthma is usually by pulmonary function test which shows the obstruction and the reversibility of the obstruction by inhaled short acting beta to agonist. If the reversibility is good then the patient is labeled as asthma. Treatment of asthma is for emergency patients or a routine patients. If a patient is unable to take proper breath, his heart rate is more than 120, he is having increased respiratory rate of 30 or having sinuses or unable to speak a single sentence then he is having a severe attack of asthma and should be rushed, patient should be rushed to the nearby health faculty for admission and treatment. Treatment for routine asthmatic is divided into certain steps. Steps 1 to 5. In the step 1, the patient is given short acting beta 2 agonist as and when required, with that the patient usually remain all right, the need for inhalation for beta 2 agonist should not be regular. Step 2 consist of inhaled corticosteroids in low doses, and the patient remain usually well controlled with that. In the step 3 of this, there is a either high dose of inhaled corticosteroids or combination of low dosed inhaled corticosteroids plus long acting beta 2 agonist. In step 4 if the patients is not controlled with the drugs in step 3 then, the patient is put on to step 4 and contain high dose inhaled corticosteroids plus long acting beta2 agonist. Most of the patients are controlled up to steep wise treatment 1 to 4. If the patient is not controlled given with that then the patient may need oral corticosteroids or anti iGE treatment.
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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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I found the answers provided by the Dr. Mool Chand Gupta to be very helpful. yes , sir i hve consulted with the best dermatologist of my city. he also said that it is sebaceous cyst ..sir, ssuggest me what should i do now , ham getting treatment from him wid medicune right now ..but not gwtting any improvemnet .. should i go for surgerical coz my dr. said t yesterday dat after days if again the changed medicines doesn't work he will let me follow d advice wid surgeon about its surgerical treatment..
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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 was very shocked when I got to know that I am suffering from tuberculosis. One of my cousin's referred to Dr Chand. I am so happy with the results of my treatment, that I will surely recommend this doctor to anyone gladly. He is a very practical doctor. I am so much benefitted with his tuberculosis treatment, that i am perfectly fine now.
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My child was suffering from skin rash de to which I was very tensed. I took my child to Dr Nishant. Thanks to the expert care and guidance,my child is much better than before. He is not just friendly, but also is very motivating. On the very first day he identified my problem. I owe him a big thank for the treatment he offered.
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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I was suffering from respiratoy issue due to which my daily activities were suffering. I was not able to cope up with this problme. I chose to consult Dr Chand. He gave me certain tips for staying healthy which were beneficial for me. I owe him a big thank for making me fine.
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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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Hello, I feel many times disconcert and shortness in breathing and tingling in hands and legs. I am diabetic and takes medicine dibizide_M. I have got complete check up for heart and shown reports to many doctors and they say everything is ok. Recently I got LFT checked as suggested by one doctor and reports shows 180 sgpt and 101 sgot. I also get check for hbsAg result negative. Doctor prescribed ursolid 300 and liv52, it is been almost 25 days over taking these medicine but no improvement. I got check up again for LFT and result same almost sgpt 179 and sgot 98. Please advise what to do to overcome the problem of disconcert and tingling.
I am suffering from TB since last 3 months, while removing phlegm after brushing teeth, I will be finding blood along with saliva and even some times blood will be coming along with saliva without any coughing and sometimes I feel the taste of blood in mouth and even am suffering from tooth infection also. I Don't understand what are the reasons. Please suggest to get rid off it.
Mera beta jo 10 years ka hai use bachpan se asthma ki shikayat hai mausam thanda hote hi khasi seene me cough aur Bhari saase chalne lagti doctors nebulizer aur syrup dete hai AAP koi accha syrup aur nebulizer tube bataiye pls,
Hi, I am 19 years old suffering from bronchitis asthma, taking symbricot turbahalor. I have breathing problems sometimes, almost every week. What can I do more? What should I avoid eating, and what changes can I make in my lifestyle to improve my health? Chest tightens sometimes and I get tired very quickly.
Hi Of late, I am observing that I snore a lot and that too very loud, often disturbing people around me. Also, my wife is telling me that within minutes of sleep, I start snoring. Please advise what to do and whom to meet. Am confused, this problem will come under which depart ment? Thanks in advance.
My mother was diagnosed with Pott's Spine/Spinal Tuberculosis and was under ATT for 3 months and complete bed rest. After MRI done after 3 months and no significant improvement Dr. Started giving Streptomycin injections. She's suffering burning pain due to injections. It has been one month she is taking the injections. Moreover, She has started facing vision and hearing problems. Are these side affects of ATT? I have few questions. Kindly answer them all 1. Will medicine cure her or we should go with a surgical intervention as some Dr. Are suggesting this while other says medication will do. 2. It has been one month streptomycin is given. She faces burning pain due to this. For what minimum period injections are required? And is there any additional medicine to overcome the hearing side effect caused by it. 3. Should we go for surgery if not healed yet? Is it safe considering she's diabetic and hypertension patient and weighs 90 kgs. It has been 4 months she's on complete bed rest. Kindly help.
Dear Doctor, I am 30 year old female, I am having recently eosinophilic asthma, I had Urticaria allergy since 2014 for that I am treated with Allegra 180 mg, now there is no of Urticaria, but my problem is severe wheezing when I exposed to chilled wind weather and Green leaves. It makes my wheezing very worst, and feel heavy shortness of breath, some times kapha, skin rashes while wheezing occurs. I didn't have eosinophilic asthma before. Now I have been treated with Banocide forte, Defcort, and Albutamol and Ambrekoff for my cough since a month as my AEC was 750, and eosinophil was 7% other than this my CBC counts and Chest X-ray were normal including all the findings of USG normal. But my Serum Calcium level is 8.1, due to which I am getting severe, lower back, both the knees, elbows and chest pain towards left. My ECG, Echo, and 24 hr holter are all normal. I am taking shelcal HD 500 once a day and weekly once Vit-D3 tablet, but there is no use, day by day my knee pain, chest pain and lower back pain increasing rapidly, I do not have any liver disease issue, but had, kidney stones 3 years ago and got lithotripsy done, now there is no kidney stones recurrence as per USG scan. But have PCOD problem for that taking Glycomet 500 mg once a day after my meal, as I am now diagnosed with pre-diabetes since 6 months. I was 80 kg before 60 months, now reduced upto 74 kg as I am doing strict diet with brisk walk every day. How shall recently I have got this disease, please give a proper medication to my problem. I suspect that I am developing osteoarthritis due to my calcium deficiency so I am getting eosinophilic asthma and chest pain. My water intake min. 2 ltr everyday, please treat me with a proper medication doctor. Thank you very much.
Hello, Before few years I had genital tuberculosis but after 6 months treatment I was feeling completely well. Nowadays I am feeling pain in my right lower abdomen and a slow fever also. My tb Feron blood test report and mantoux test reports are now positive. Then what does it mean? Is it tuberculosis again?
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.