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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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.
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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 father Is COPD patient and had BP since 15 years he used telmisartan 40 mgOD and the BP is In control usually 140/90 Recently He checkup in KIMS Cardiologist advice 2D echo but the report is normal but last year he took Angiogram of Heart The report is saying 20% block in minor vessel that's not to cause any harmful he took 3 months medication of Atorvastatin and Ecosprin. My doubt is this time the doctor put 3 types of antihypertensive like clonidine 5 mg diltiazem 120 mg and Telmisartan 80 mg + chlorthalidone 12.5 mg This many types of drugs Needed to My Father? Finally Doctor advised Repeat Angiogram of Heart.
Lung diseases have become very common for people living in the urban areas all over the world. Diseases in the lungs are the most common medical conditions which affect millions of people globally; however, the numbers of women who have been affected by numerous lung diseases are more in comparison to men. There are a number of lung diseases which differ from each other in terms of severity and their treatment. Some of the most common lung diseases which affect women mostly are given below.
Asthma is the condition in which the lungs and bronchial tubes get inflamed and become extremely sensitive as well. In this condition, the airways become easily irritated mostly because of smoking cigarettes or being in a polluted area. Your lungs and bronchial tubes may also get sensitive to allergens like dust mites and pollen. Difficulties in breathing, regularly coughing and wheezing are some of the problems which are caused by Asthma. This condition affects women more than men because of the presence of high level of testosterone protect them from the disease, if the research is to be believed.
2. Lung Cancer
Lung cancer is that deadly disease which affects women more than men. The leading cause of cancer deaths in women, this disease is largely linked to smoking cigarettes. However, it is often observed that women who have quit the habit are more likely to get affected by the disease. It is believed that estrogen plays a major role in the development of lung cancer in women as treatment with progesterone and estrogen after hitting menopause can increase your chances of getting affected by lung cancer.
3. Pulmonary Emboli
Blood clots which start forming in one part of the body, which is usually the legs, and slowly travel to various other parts of the body which end up getting stuck in the lungs are called pulmonary emboli. These small blood clots which get stuck in the lungs cause problems in breathing and affect more women than men, in general. The pulmonary embolus is also responsible for reducing the oxygen flow in the blood-streams. Women who take contraceptive pills or go through hormone treatments are often at the risk of developing this problem.
4. Pulmonary Hypertension
Another lung disease which affects women more than men is pulmonary hypertension. The blood pressure in this lung disease becomes dangerously high. The right side of the heart starts to work harder due to the increased pressure built. This results in the oxygen-rich blood to be pumped back to the lungs. Childhood infections and other lung problems are often observed as the reason for women to develop this issue.
How long a TB patient can transmit disease after medicine starts? Some says 15 days ,some 2 months. I mean how long one should avoid TB patient after medication.
I have been detected TB and I am on Before Breakfast: Rcinex 600, Rcin 300, Veloz D After Breakfast: combutol 1200, Ondem 8 mg At Noon: Macrozide 2000, Ondem 8 mg At Night: Omnacortil 30 mg for 5 days and 20 mg for 5 days and then 10 mg for days, Ondem 8 mg I have started taking meds from last 2 days and it's my third day. I have realized I am getting better but I seem to require 4-5 times more nutrition than normal otherwise I feel weakness. Please advice about my routine as I am working person, who can not take a break. My weight was 94 kg at time of medication start. Also if anything let me know, which I can take as precaution. Thank you.
Hi, My father had blood esr of 75. What are the causes of it and how to treat it. He also had lungs infection in recent past which was treated.
I am 30 years of female tuberculosis patient. Right now I am taking forecox tab. The thing is that I don't take any liver reliable tab. Is this effects my health? Is forecox safe for liver?
Hello, I am 18 year old and I am suffering from cough and also I am suffering from asthma can you pls suggest me suitable medicine.
My mother diagnosed with breast influenza A and turned into bilateral pneumonia and then diagnosed with mycobacterium other than tuberculosis via her bronchoscopy report. And she is under going treatment and getting better she now again catches cold and now I am worried. Did she again got influenza A or something she is having running nose and no fever nausea or anything else do I need to go to the doctor again. Earlier she got hospitalized for 21 days. Her saturation is also maintained. What to do.
Hi, My son 10 years. Weight 24 kg. Is having wheezing trouble only in the months of nov, dec, jan. It wil start severely. Doctor suggested to give omnacortil tab and levolin puff. What shud be the first aid to do if he had severely. V also use nebulizer. How do I stop wheezing for him.
Although your body is already in possession of the bacteria leading to tuberculosis, your immune system is able to prevent you from becoming sick. Doctors have made a distinction between latent and active tuberculosis (TB). In case of latent TB, the bacteria in the body in a passive state and it causes no symptoms, and therefore it is not contagious. But, in the case of active TB, you would become sick and may even spread the disease to others. It can take place in the first few weeks or even after several months of being infected with TB bacteria.
What are the symptoms of active TB?
If you are coughing for over three weeks and sometimes even coughing up blood, it can be a sign of TB. Chest pain and pain while coughing and breathing along with fatigue, fever, chills and night sweat are the common symptoms of TB along with loss of appetite and unintentional weight loss. TB may even affect other organs of your body, including your brain, spine and kidneys. When TB takes place outside the lungs, then the signs of TB can vary as per the organs that are involved. For instance, TB in the spine can cause back pain and that in kidneys may cause blood in the urine.
What are the causes of TB?
TB is stemmed from a bacteria which spreads from individual to individual via the microscopic droplets that are released into the air. This may happen when an affected person is left untreated and he speaks or sneezes or coughs or laughs. Though the disease is contagious, it is not easy to be affected by it. As a result, you are much more likely to get affected with active tuberculosis from a person you live with or come in regular contact with, rather than a stranger. It is important to note here that people who are affected with TB and going through proper medications for over two weeks are no more contagious.
Right from the 1980s, the number of individuals affected with TB has increased dramatically, owing to the spread of HIV, which is the virus known for causing AIDS. A person infected with HIV has a weak immunity system as a result of which it becomes difficult for the body to deal with TB bacteria. So those who have AIDS are more likely to be affected with active TB and sometimes the latent form also progresses to an active one very quickly. Therefore, it is important to seek medical assistance and detect if you have any such health complications concerning TB.