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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Patient Review Highlights
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..
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.
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.
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.
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.
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.
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 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. My daughter 12 years she suffering astama since 6 years she taking budamed 200 bd and lcz mont kid so what we do.?but she is fine.so continue or stopped please segested me my no 9839043035
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..
I consulted Dr Chand for my lungs cleaning. The surgery he gave was very effective. It was very difficult to cope up with my respiratory issue but now I am perfectly fine. I than Dr Chand for provising the best suitable treatment.
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.
I found the answers provided by the Dr. Mool Chand Gupta to be very helpful, knowledgeable and well-reasoned. I liked ur answer a lot.. short but required information... on one reading really!!!....thanks alot sir!
Dr. Mool Chand Gupta provides answers that are knowledgeable, very helpful, helped me improve my health, nurturing and professional. Awesome app thanks u so much jisne yeh app create kiya bahot achi app hai yeh
Dr. Mool Chand Gupta provides answers that are very helpful. Ok sir,but laproscopy is risky for me.how can DST possible.ct reports shows cancified lymph node and lymphedenopathy.can biopsy possible in urine sample.
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 professional. I was scared after knowing that I am asthmatic but Dr Gupta advised for pft which will prove this, really a professional advice.
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
Dr. Mool Chand Gupta provides answers that are very helpful. 2 months (akt4) and 4 months (akt3). I was not sure about akt4 time course. Thank you for your reply. It really helped
I found the answers provided by the Dr. Mool Chand Gupta to be prompt. Thanks. I was always thinking the same. It is so easy to get it confirmed from a pulmonary doctor
dr Mool Chand Gupta did my treatment of asthma at his clinic Jeevan Jyoti Hospital in faridabad. His medicines work the best for me and he is very caring and friendly.
Dr. Mool Chand Gupta provides answers that are very helpful, knowledgeable, thorough and well-reasoned. We will definitely go ahead with your valuable suggestions
My mother was diagnosed with chronic bronchitis before 3 months because she has a cough for long period say 7 to 8 months, now she don't have cough but I did her chest x ray report in which it is showing changes of congestion seen in both lungs, after that I did her CBC ESR test in this test her ESR level is 99 so as per doctors suggestions I did plain chest CT scan and CT scan report is normal but I don't know why her ESR level is very high plus doctor has not given any medicine for this ESR level and I don't k ow the reason my mother is not able to eat food and if eat something she has vomiting and loose motion, she is undergoing lot of allopathic medicine for diabetic and BP and also for injury which she meet an accident before some days. Please suggest me what to to do where to go. Even doctors has given two medicines for having demand of food but nothing is going good, I am really very confuse what to do please suggest me.
Pulmonary tuberculosis was a fatal disease in the past in India. On an average, 95% of the deaths occur in third world countries, especially the developing ones, due to tuberculosis. In India, the deaths account to 50% out of the 95%. Such is the scenario that everyone is apprehensive if they have a prolonged cough and cold. As sputum with blood is a clear sign that the person is suffering from tuberculosis, steps must be taken promptly and at a swift pace to streamline things for quick care.
Tuberculosis is an air-borne disease and it can easily travel through the air when the affected person is in contact. In tuberculosis, specific bacteria called mycobacterium tuberculosis affects the lungs. On an average, 10% of such infections progress into acute disease and kill the affected individuals.
The symptoms of tuberculosis are seen more in patients suffering from AIDS as their immunity is often compromised. Early detection can be made possible through a chest X-Ray, microscopic examination, and the nature of the fluids. In case you are suffering from a prolonged cough and cold, you must go for tuberculin skin test or blood test to find out more about the problem.
Why is it important to eat a proper diet during pulmonary tuberculosis?
Malnutrition and pulmonary tuberculosis are interrelated. If you are eating right and inducting all healthy means in your daily lifestyle, it will build your immunity and help fight against grave diseases. When you have pulmonary tuberculosis, the desire or craving for the food will disappear and eventually, your body will wither off. You will lose mass by losing muscles.
So, eating healthily can only help you stay strong to defeat pulmonary tuberculosis. Those who are suffering from tuberculosis face challenges with nutrients in their body. They are deprived of essential micro-nutrients and they have severe deficiencies of zinc, Vitamin A, D, C & E, selenium, iron and copper.
A protein- and vitamin-rich diet can boost the immunity of the body and prevent deadly diseases from wreaking havoc in the body. So, if you are wondering about food, here are a few items that you can eat and few that you can avoid when you have pulmonary tuberculosis.
Food to eat
- Kale and spinach are instant sources of high iron and Vitamin B, which will help you power-up your immune system.
- Whole grains like wheat, bread and cereals are a must-have during this time-tested period.
- Carrots, peppers, tomatoes, blueberries, and cherries are rich anti-oxidants and they can boost your immune system by flushing out the oxidants from the body, which are tantamount to poison.
- Vegetable oil (not butter) could be a “green go” during pulmonary tuberculosis.
Food to avoid
- Greasy food like beef, chicken, and mutton must be avoided. They can increase the cholesterol level in the body and compromise on the power of immunity.
- Avoid margarine and butter. One should not eat cake, pastries, and other food with hydrogenated oil.
- Keep an eye on your regular diet, work to build a strong immunity, and always stay healthy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My mother always suffer from asthma on the month of April. So nowadays she is talking asthalin inhaler and hot honey water as home remedy. Tell a suitable medicine and remedy for her apart from this.
I have problems shortness of breathing, skin allergy phlegm On throat n nose, my ige is 1268/100 n TARC is 163/100 how can I control it. Pls help me out. I'm 26 years old.
I was suffering from tuberculosis in lungs and started medicine on 20 June 2017. After 8 months of treatment with rifampicin, Isoniazid etambutal, pyrazinamide, it didn't got cured. Then forecox started with streptomycin from 9th March but then I got lymph note tb, doctor with these medicines only this will go, but the lump is increasing. My cbnaat of cough showing MTB detected low, but Genexpert of lymph is showing MTB detected medium. Both test has rifampicin resistance Not detected. What should be I do. Still forecox with streptomycin is continued. What is the maximum days streptomycin can be continued?
I have Tuberculosis in my lymph down the jaw. It was written in my report that it is tb in origin. What does that mean? I have heard that TB medicines make you skinnier. Does it happen? How long will it take to settle down? Can I meet people? Will it spread by air because it is in my lymp. It is not in my chest. Will it spread by air?
When Normal TB test is negative in months, sputum And in sputum gene expert show MTB then what I shall do for surety and which treatment is better Govt. & Pvt.
myself sourav and a suffering from asthma. Upto 10 years. My current age is 18 years 4 month. So my question is what is best to do for me? And every morning it will kill me./ so please doctor help me and what medicine I should try? And time also? Thanks.
I am 38 year old. Caught allergic bronchitis 6 weeks back, consulted MD (Chest) and all reports are normal (except a congenital mitral/tricuspic valve regurgitation which cardiologist say is nothing to worry about). The condition is better now, but breathlessness or chest tightness issue keeps coming every 3-4 days. Not able to find allergy trigger. Tried Ayurvedic medicine (shitopaladi with honey) and now homeopathy (since last 5 days). I take fruits and green leafy veggies as well. Not sure why breathlessness keeps coming. This is first time happening for me. Any advise based on your similar experience would help.
Pneumonia is an inflammation and infection of the lungs. This is a condition where the alveoli or the air sacs located in the lungs fill up with fluid and pus. It is because of this that oxygen cannot reach the infected individual’s bloodstream. People with pneumonia generally have cough, fever, and breathing problems. At times, it can also result in chest pain.
This is a condition that can affect one or both the lungs. There are different forms of this disease. Pulmonary infection is considered one of the most common causes of this disease. It is a kind of infection related to gram-negative or gram-positive bacteria and viruses. Certain infectious agents sharing the similarities of bacteria and viruses might also result in pneumonia.
Symptoms of pneumonia in adults
The symptoms of pneumonia in adults include:
- Coughing up slightly bloody, brown or green mucus
- Loss of appetite
- Rapid breathing
- Shortness of breath
- Chest pain
The milder forms of this disease do not disturb the regular functions of the affected individual and are called “walking” pneumonia.
Signs of pneumonia in children
Unlike adults, kids suffering from pneumonia might not experience a fever or a nagging cough. They might have more subtle signs of this infection. However, children have relatively higher chances of being infected because they do not have fully-developed immune systems. Overall, the signs of pneumonia vary according to the age of an individual.
Pneumonia caused by bacteria like Chlamydophila pneumoniae and Mycoplasma pneumoniae generally result in milder signs of the disease in kids. This kind of pneumonia is called walking or atypical pneumonia and is generally found among school-going children. Children suffering from mild pneumonia might not feel very sick, but they can have one or more of the following symptoms:
- Low-grade fever
- Dry cough
In case you have a concern or query you can always consult an expert & get answers to your questions!