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 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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I was suffering from shortness of breath for which I chose to consult Dr Chnad. In the very first sitting, he clearly told us the problem and the what the treatment procedure will be in future. I'am almost on the path to recovery, Thanks to him for the perfect advice.
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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I found the answers provided by the Dr. Mool Chand Gupta to be sensible, prompt, professional and practical. Thank you very much for the response sir. I am going to visit Hyderabad and get it the complete evaluation done.
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I found the answers provided by the Dr. Mool Chand Gupta to be knowledgeable. Any symptoms which shows that you have intestinal problems because you can't do every test. So symptoms must be told with disease
Dr. Mool Chand Gupta provides answers that are inspiring. Thanks dr. But can u tell me about my que can this cause infection to my wife and a course of antibiotics can help me or not
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I am suffering from lack of vitamins D and traces of asma or asthma have started to show up. What should I do?
Hello, I am suffering from tuberculosis from more than 1 year. After taking ATT for 6 months I developed tuberculosis lymphadenitis. Then I took on intensive tuberculosis treatment for 2 months with streptomycin in first line drugs. After this my tuberculosis lymphadenitis increase in size so I discontinue the treatment and go for better diagnosis. I go for AFB culture and Gene Xpert of lymphadenitis .My Gene Xpert shows "LOW MTB NOT RESISTANCE TO rifampicin" and my AFB shows" NO ACID FAST BACCI SEEN AFTER 6 WEEKS" After 1 month of discontinued treatment my medicine started again (R CINEX 600 AND COMBUTOL 600. I am taking ATT for lymphadenitis but my gland is still the same. I am 2nd time tb patient first in 2008. My chest xray is okay, ESR decreased to 20 from 40, I gained my weight from 56 to 63 kgs but I still have low grade fever 99-99.5.And what should I do for lymphadenitis? The size of largest lymph node is 37 mm×20 mm.
If a person got tuberculosis and take complete treatment and feeling completely well then tb skin test and tb feron blood test both will always positive. Then it means that tuberculosis never goes. It will always remain and can be active any time and any part of the body. Am I right? Please tell me.
I had tuberculosis in my past and I was feeling only fever. Not other symptoms was seen. I had taken the treatment of the tb for six months from expert advice. After that I was feeling completely well. Now I have again found my tb blood test report positive. May I have tuberculosis again? I am feeling a dull pain in my right lower abdomen. Please tell me.
Hi im ashok age 30 years im suffering asthma problem since 4 years please suggest best medicine for problem cure. Problem: serum ige levels low in blood so how to improve levels please suggest me. Thanking you ashok 9885665324.
Lung specialists are able to provide a thorough evaluation, diagnosis, and treatment of a number of breathing disorders in children. In addition to asthma, they can help in the management and treatment of conditions such as cystic fibrosis, upper airway obstruction recurrent pneumonia, chronic or a recurrent cough, wheezing and sleep disorders. These specialists even known as paediatric pulmonologists can also be consulted in cases breathing and lung diseases in children from birth till the age of 21 years.
When to see a specialist?
You should consider visiting a lung specialist if you observe any of the following signs in your child:
- If your child had to be hospitalised for an asthma attack more than once
- If the condition cannot be properly controlled or managed even after following the advice of the doctor.
- If your child has had more than two courses of oral steroids for asthma in the past year.
- If your child has been diagnosed with asthma and you want a second opinion.
- If your child has a chronic cough, which lasts for more than four weeks, or a congestion that does not seem to respond to any form of medication.
- If your child coughs for more than two nights a month or more than two days a week.
- If your child starts coughing when exercising or running or performing any other strenuous activity.
- If you observe any changes in breathing or if your child seems to stop or pause while breathing when asleep or awake.
- If you notice frequent bouts of fast or laboured breathing.
- If your child is susceptible to viral or bacterial respiratory infections.
- If your child snores or has a disturbed sleep at night.
- If your child has raspy or rattling breathing.
- If your child has been diagnosed with pneumonia more than once.
- Children or young adults with breathing problems or asthma combined with conditions such as deformity of the chest wall or pectus excavatum and Sickle cell disease will require a consultation with a paediatric lung specialist.
A paediatric lung specialist has the qualifications, training, and experience required to best treat your child. They would require the parent or guardian of the child to fill in a comprehensive questionnaire so as to correctly diagnose, treat and manage the condition. These questions would also form the basis of the medical history of the child.
In order to disease, the specialists may perform tests such as pulmonary function testing and flexible fiberoptic bronchoscopy or FFB in a way that is best suited for your child. They will be able to interact and effectively answer any questions that the child would have.
In case you have a concern or query you can always consult an expert & get answers to your questions!