Videos (5)
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.
For further queries or any follow up treatments you can contact me at my hospital.
read more
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.
If you want to ask or want any help you can contact me through Lybrate.
read more
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.
If you want to talk to me you can talk to me via Lybrate.
read more
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.
If you want to consult me regarding asthma, you can consult me via Lybrate.
Personal Statement
Info
Location
Book Clinic Appointment with Dr. Mool Chand Gupta
Consult Online
Services
Sleep Medicine
Treatment of Sleep Disturbance
Sleep Study
Asthma Management Program
Management of Smoking Cessation
Oxygen Therapy Treatment
Obstructive Sleep Apnea Treatment
Polysomnography
Lower/Upper Respiratory Tract Infection Treatment
Submit Feedback
Submit a review for Dr. Mool Chand Gupta
Your feedback matters!Patient Review Highlights
Reviews
Piyush Raj
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..
Dravie
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.
Sambit
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.
Amar
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.
Mithansh
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.
Reena Sinha
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.
Sahat
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.
Anbumadi
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.
Praveen
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
Amruta
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..
Likith
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.
Vedant Dasare
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.
Tamanna
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!
Imran Sayyed
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
Narendra Rajput
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.
Rupinderjit Singh
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
Amit
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.
Yash
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
Manjunath Kanavalli
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
Richa Devgan
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
Annuabhuj
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.
Amit
Dr. Mool Chand Gupta provides answers that are very helpful, knowledgeable, thorough and well-reasoned. We will definitely go ahead with your valuable suggestions
Feed
If you have been diagnosed with asthma, it is important for you to know about the most common triggers of asthma. Asthma is a medical condition, which is characterised by paroxysmal wheezing respiration dyspnoea. It causes breathing difficulties, tightened chest and coughing. By identifying and reducing your exposure to several asthma triggers, you will be able to manage or control your asthma symptoms and the frequency of your asthma attacks. Here are the most common triggers of asthma you should know about:
Allergies that trigger asthma
Allergies, are common problems and over 80% of people are suffering from asthma and are allergic towards substances like weed pollens, animal dander, dust mites, mould and cockroach particles. Children having large amounts of cockroach droppings in their homes are more likely to develop childhood asthma. Dust exposure may lead to dust mite allergy in asthmatic patients.
Food which triggers asthma
Certain food allergies may lead to isolated asthma, where other symptoms are absent. Patients with food allergies can exhibit asthma as a part of anaphylaxis, which are food induced. The common food items which are associated with allergies include eggs, peanuts, cow milk, soy, fish, wheat, shrimps, salads and fresh fruits. Several food preservatives also trigger asthma. They may include sulfite additives such as potassium bisulfite, potassium metabisulfite, sodium sulfite, sodium bisulfate and many others. These are commonly used in food processing and trigger asthma in sensitive people.
Asthma induced by exercise
Strenuous exercise may lead to the narrowing of the airways in maximum people having asthma. Exercise acts as a primary trigger for asthma symptoms in many people. Patients having exercise induced asthma are likely to feel chest tightness accompanied by coughing and breathing difficulties after completing an aerobic workout session. Although the symptoms subside, they may reoccur within some hours. You should warm up properly and slowly before a rigorous workout session to prevent an asthma attack.
Smoking
People who smoke are more likely to have asthma. If you have asthma and still smoke, the symptoms of wheezing and coughing worsen. Pregnant women who smoke increase the chance of wheezing in their to-be-born babies. You should absolutely quit smoking if you have asthma.
Infections which trigger asthma
Several infections such as cold, bronchitis, flu and sinus may cause asthma attacks. The respiratory infections, which are viral or bacterial, are a common cause and trigger asthma, especially in children. Asthma is also associated with severe heartburn. According to studies, more than 85% people with asthma also suffer from heartburn. This is a condition known as gastroesophageal reflux disease or GERD.
The sound of the word cancer can be really traumatic and the fact the one may most of the time be unaware of this condition can be hard to handle. The same is the situation in the case of lung cancer as it does not produce any remarkable signs and symptoms in its early stages. However, there are ways in which you can be aware of this life-threatening ailment. Here are some tell-tale signs of an early stage of lung cancer:
A stubborn cough:
Beware when a cough is lingering on for long with no sign of relief. When a cough is related to cold and respiratory infection, it will subside within a week or so. But in case the cough is persistent, it can be a symptom of lung cancer. You should never dismiss a stubborn cough regardless of whether it is dry or producing mucus. You should talk to a doctor right away as he can check the lungs and may order for other tests to determine whether you have cancer.
Breathing problems:
Becoming easily winded or shortness of breath is considered the most prominent symptoms of lung cancers. This may occur when cancer blocks or inhibit the airway or when the fluid from the tumor starts building up in the chest. If you find that it is becoming difficult for you to breathe in doing tasks that you found easy before, you should not ignore it.
Wheezing:
When the airways become inflamed, blocked or constricted, then the lungs would produce a wheezing and whistling sound while breathing. It can be associated with a host of other causes that are easily treatable but could also be due to lung cancer.
Headache:
Even though headaches are considered one of the most common health problems, if there is a persistent headache, then it could be a sign that lung cancer has spread to the brain. It is important to understand that all headaches are not associated with the brain metastases. There are times when the lung cancer creates pressure on the superior vena cava which is in charge of supplying blood to the upper part of the brain. This pressure can also lead to headaches.
Pain in the bone:
If the lung cancer has spread to the other parts of the body, then it may produce mild pain in the back and other parts of the body. It tends to become worse during the night when you are resting on your back. But it can be difficult for a commoner to differentiate between muscle and bone pain. In case you are suffering from bone pain, you will see that it is becoming worse with movement. Moreover, lung cancer is also associated with pain in the shoulder, neck, and arm even though it is very rare. You should be very attentive to the pain and aches in the body and consult with an expert at the earliest.
You can easily combat lung cancer if diagnosed and treatment is started in its early stages.
In case you have a concern or query you can always consult an expert & get answers to your questions!