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.
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.
Prevention of asthma is by avoiding pollution, dust, smoke, stress and sudden change of temperature.
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 thought that post treatment the coughig issue won't happen again, but then after sometime, the symptoms re appeared. I was shocked to experience the symptoms of coughing. Dr Mool Chand Gupta is very courteous and behaves very aptly with elder patients. Even though there was a long queue, still the staff was very pleasant. Whatever tests Dr Mool Chand Gupta prescribed, were very correct and the gave they gave us an exact idea about my condition. I owe him a big thanks for making me fine again.
My boss referred me this Dr Renu Jain. With great ease she explained me and my husband the problem and how the treatment will be carried out. I was quite concerned, as my health was degrading day by day, but due to her and the irregular periods treatment I didn't lose hope. She is very courteous and behaves very aptly with elder patients. I was shocked to experience the symptoms of irregular periods. It was an amazing experience as everyone in the Jeevan Jyoti Hospital is so nice.
I was shocked to experience the symptoms of coughing. But Dr. Even in case of long queues, the staff was managing people in a very positive manner. I was quite concerned, as my health was degrading day by day, but due to my Mool Chand Gupta and the coughing treatment I didn't lose hope. Finally with hertreatment, I am completely cured from the disease. Mool Chand Gupta has so much knowledge that for everything my family takes herreference.
I remember, I read an article of Dr Renu Jain in the paper and made contact. She ensures that she listens to her patients. My case was extremely serious, but she really handled it very nicely. I felt strange that I was suffering from polycystic ovary synDrome. The staff was very attentive to my needs. The Jeevan Jyoti Hospital is designed in such a way that every patient feels at ease. During the treatment, sshe supported me a lot.
I was quite concerned, as my problem was increasing day by day, but due to Dr Renu Jain and the no periods treatment I didn't lose hope. A friend of mine referred to her. The atmosphere in the Jeevan Jyoti Hospital is always so positive and full of life. Renu Jain has so much knowledge that for everything my family takes her reference. Jeevan Jyoti Hospital has all the latest technology in place to handle severe cases.
My son was going through adolscent disordersit was severe and unmanageable, but dr Nishant Mahajan was able to handle it.Whatever tests the Doctor prescribed, were very correct and the gave the exact idea about my sons’s condition. The waiting area in the Jeevan Jyoti Hospital in DelhiNCR iis very comfortable.I am so happy with the results of my treatment, that I will surely recommend him to anyone gladly.
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.
Dr.Renu Jain handled my case of delivery. Jeevan Jyoti Hospital in Faridabad can handle all types of emergency cases. The nurses at the Jeevan Jyoti Hospital were really helpful. I read about the Dr.Renu Jain on one of the social media platform. Renu Jain has a very positive attitude towards all the patients. Renu Jain certainly knows the in and out of herspeciality.
We have been consulting Dr Nishant for over an year for my toddler for her routine vaccination and other health checkups. The over experience has been wonderful as the Doctor is quite friends and makes babies& parents very comfortable. The prescribed medicines do wonders within no time. I higly recommend Dr Nishant Mahajan to everyone. God bless you doctor!!
I was trying to conceive but was not able to. I chose to consult Dr Renu. Her treatment has give me a ray of hope. With great ease Renu Jain explained us the problem and how the treatment will be carried out. She is not just friendly, but also is very motivating. It was an amazing experience as everyone in the Jeevan Jyoti Hospital is so nice.
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.
my child needed pediatric treatments and I didn't know what to do. He ensures that he listens to his patients. So many doctors I consulted, but his treatment was the best. I searched this Dr Nishant Mahajan online and saw his reviews. It was an amazing experience as everyone in the Jeevan Jyoti Hospital is so nice. my child is good now
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.
After my first pregnancy, I had started facing problems. So due to my ill health I had to undergo an abortion which was very painful mentally. But thanks to Dr Renu Jain she gave us the best advice and treatment at her at Jeevan Jyoti Hospital located in Faridabad, which has now given me hope that I can conceive again.
I found the answers provided by the Dr. Mool Chand Gupta to be knowledgeable. That's to the point. Thank you.i don't understand how come a sexologist is answering this question and that to with irrelevant answer. They need to understand the zest of emotion. And with knowledge direct us towards the right direction.
I was shocked to experience Delay in periods. drrenu Jain is not just friendly, but also is very motivating.Many people gave very positive feedback for her. Everything was just spick and span in the Jeevan Jyoti Hospital in faridabad. I am so happy that I chose therdr for my treatment as now I am perfectly fine
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.
Dr. Mahajan is a very efficient doctor and always try to give only required medicine and if there is an emergency and we can't reach to hospital, then he is always available over phone and try to help as much as he can.His practices are very ethical. One of the best doctors I have met till date.
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.
I am 20. I am suffering from asthma. My regular doctor who have prescribed me budamate 200 and telekast L, has gone to aboard. But on emergency, I have consulted different asthmatic specialist doctor, now this doctor prescribed me formoflo 250, telekast f.now I am totally confused what to do?
I am suffering from Tuberculosis, From past 1 month I am taking medicine. This happen me second time, now after taking medicine I found everything normal with me. But my pulse rate is around 140 BPM. I am taking streptomycin 0.75 mg on daily basis also and other tablets are R-cinex 450 mg capsule. My question is my pulse rate is not normal so should I worry about this or is this normal.
I have ige level of 800. And have frequent bout of breathlessness and asthma symptoms from 3 months with cough and phelghm. Am on duonase. Rhinocort aqua. allegra tabs and Symbicort inhaler. But I have no relief.
I am suffering from chest congestion and cough since a month and I have pain while breathing (in chest and in shoulder region) I have taken an expectorant and I am asthmatic too.
Diwali is over but air pollution is still here. Now monitor air quality in your area & shield your lungs with N95 mask.No Title
Diwali is over but air pollution is still here. Now monitor air quality in your area & shield your lungs with N95 mask.