Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 39 years of experience on Lybrate.com. Find the best General Physicians online in Ghaziabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. N.P. Singh
Treatment of Migraine Treatment
Weight Management Treatment
Removal Of Stitches Procedure
Thyroid Problems Treatment
Dressings Of Wounds Procedure
Hiv Prophylaxis Post Exposure
Viral Fever Treatment
Thyroid Disorder Treatment
Stitching Of Wounds Procedure
Management of Surrogacy
Submit a review for Dr. N.P. SinghYour feedback matters!
A cough is probably one of the most common respiratory diseases that people suffer from. In most cases, it is nothing to worry about and can be cured with cough suppressants and salt water gargles. However, coughing of blood is a serious problem. The coughing up of blood that originates from below the level of the larynx is known as hemoptysis. This can vary in terms of severity depending on the amount of blood being expelled. This disease is a common condition, but on an average, less than 5% of hemoptysis cases are life threatening.
Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm
Chest pain: Medical attention should be sought in cases where this condition recurs often, if it lasts for longer than a fortnight or if the volume of blood expectorated is more than 30ml per day. The various tools that help in the diagnosis of this condition are:
- Chest radiography: This imaging modality helps lateralize bleeding and understand the amount of lung involvement. It is quick, inexpensive and can also help detect other underlying abnormalities.
- Bronchoscopy: This involves the insertions of a rigid or flexible endoscope into the bronchial passages to check the airways and determine active bleeding sites.
- MDCT: A multidetector CT is a non-invasive imaging tool that provides a comprehensive evaluation of airways, lung parenchyma, and thoracic vessels. It can also be used to uncover potential causes of bleeding such as bronchiectasis, pulmonary infections and lung cancer. In some cases, a multidetector CT angiography may also be used.
Oral antibiotics are usually the first stage of treatment for this condition. Smokers will also be urged to quit cigarettes as this can worsen their condition. Treatment for minor hemoptysis may also include:
- Oral hemostatics
- Cough suppressants
- Radiation of laser treatment
- Therapeutic bronchoscopy
In its later stages, hemoptysis can be treated with a minimally invasive procedure known as endovascular embolization or with surgery. In some cases, endovascular embolization may also be sued to stabilise the patient before surgery. This procedure reduces the pressure in the hypertrophic arterial blood vessels and decreases the risk of perioperative bleeding.
Hemoptysis is also one of the most common complaints of lung cancer patients. Depending on the stage of cancer and the amount of blood expectorated, treatment in some cases may not be possible. In such cases, a parenteral opioid and fast-acting benzodiazepine may be administered.
In case you have a concern or query you can always consult an expert & get answers to your questions!
What causes childhood asthma?
Researchers continue to learn what causes asthma. It is not entirely understood. The following things play a part:
Genetics. Asthma runs in families.
Allergies. Some allergies are more common in people with asthma. And, allergies also tend to run in families.
Respiratory infections. Infants and young children who have some respiratory infections are more likely to have long-term lung problems.
Environmental factors. Irritants, like pollution and allergens, are known to cause asthma.
What causes asthma symptoms to worsen (flare-ups)?
Those things that cause asthma symptoms to get worse or asthma flare-ups. Each child has different triggers. A very important part of asthma management is identifying and then trying to avoid triggers. Asthma triggers include:
Allergens, such as pollen, dust, and pets
Inhaled irritants, such as secondhand smoke.
Certain weather conditions, such as cold air.
Exercise or physical activity.
Physical expressions of emotion, such as crying, laughing, or yelling.
Do children outgrow asthma?
How asthma will affect a child throughout his or her lifetime varies.
Many infants and toddlers may wheeze when sick with a viral illness, such as cold or flu. However, most of these children don't get asthma later in life.
Some children with persistent wheezing and asthma get better during the teenage years.
About half of the children who have asthma at a young age appear to "outgrow" it, although asthma symptoms may reappear later in life.
If my child has asthma, can he or she participate in sports and activities?
Exercise, such as long-distance running, may trigger a flare-up in many children with asthma. However, with proper management, a child with asthma can fully participate in most sports. Aerobic exercise actually improves airway function by strengthening breathing muscles. Some tips for exercising with asthma include the following:
Teach your child to breathe through the nose and not the mouth to warm and humidify the air before it enters the airways.
During cold weather, have your child wear a scarf over his or her mouth and nose to warm inhaled air.
Give your child asthma medication before exercising, as recommended by your child's health care provider. If your child is not already on controller medication and he or she exercises daily, the provider may recommend daily controller medication.
Have your child carry his or her quick-relief inhaler medication.
Asthma and school
Some children with asthma may need to take their medications during school hours. It's important that you and your child work with his or her health care provider and school staff to meet the child's asthma treatment goals. For the best asthma care for your child at school, the American Academy of Allergy, Asthma, & Immunology recommends the following:
Meet with teachers and other relevant school staff to inform them about your child's condition, special needs, and asthma management plan.
Educate school personnel on your child's asthma medications and how to assist during an asthma flare-up.
Ask school staff to treat your child as normal as possible when the asthma is under control.
Before starting a physical education class or a team sport, make sure the teacher or coach understands that exercise can trigger asthma symptoms.
Talk with teachers and school administrators about indoor air quality, allergens, and irritants in the school.
Ensure your child's emotional well-being by reassuring that asthma doesn't have to slow him or her down or make him or her different from other children.
Control of asthma through the years
Be honest with your child about asthma. Remember, as your child grows, that independence is an important goal. Children with asthma don't want to be different, yet they need guidance and supervision.
Toddlers. This age group relies completely on the parents. These children understand little about asthma. The most important factor with this age group is to try to make medication time a fun one, while stressing the importance of taking the medications. Let the children assist in any way possible.
School-age. These children have an increased ability to understand asthma. They should be taught about their medications and how to avoid their triggers. They should begin to monitor their own symptoms.
Adolescents. Often, adolescents resist taking chronic medications, don't like restrictions, and don't want to be different. Involve adolescents in every aspect of asthma management. They should help with goal setting and help decide which medications work best. An asthma care "contract" can be used. It should allow for self-care while allowing overall parental supervision.
Having asthma doesn't mean having less fun than other adolescents. It is important for your adolescent to tell his or her friends about his or her triggers.
Always consult your child's provider if you or your child has questions or concerns.
Itchy Penis: Was It the Lubricant or the Latex?
Sometimes a man suddenly finds himself with an itchy penis without any idea of what is causing it. Other times, he has a fairly good idea. For example, if he develops a really itchy penis after using a condom, and this happens consistently, it's reasonable to assume that this particular penis care issue is related to the protection he is using. But before he goes shopping for a new kind of condom to use, it's worth asking, "What is really causing this itchy penis? Is it the latex? Or is it the lubricant?"
A good question
It's a question well worth asking. Many condoms come pre-lubricated now, and many guys who use unlubricated latex barriers will add some lubricant to make things proceed more smoothly. Heck, some guys even add lubricant to a condom that already is pre-lubed. So if a guy has an allergic reaction after using the condom, it may be due to a latex allergy, or it may be due to the lubricant involved.
Some people seem incredulous that a guy could be allergic to latex or to lubricants. But the fact is that it's possible to develop an allergy to just about anything - and quite a few people do have reactions to latex and/or lubricant.
In terms of the penis, sometimes it manifests as itchiness, but it can also have visible symptoms as well - most often a reddening of the penis or the appearance of rashes or bumps. Sometimes it can cause swelling (not the kind associated with a normal erection) and tenderness. The exact allergic reaction will depend upon the individual.
So how does a person find out if the reaction is to the latex or the lubricant - especially if the condom is pre-lubricated and the specific lubricant used is not known?
One way is to take a condom (unused) and cut it in two. Take one half and soak it in soapy water for an hour or so, then rinse it thoroughly. Use paper towels to soak up excess water, then let it hang to dry. Then take the two halves - one of which has been washed and one of which has not - and place one on one arm and one on the other for 10 minutes. Remove, and wait to see if there are any signs of a reaction. If a reaction shows up on the one which is lubricated, it is most likely the lubricant. If both arms show a reaction, it is more likely to be the latex. (This method is not 100% accurate, but it gives a generally good idea of the cause.)
Alternatively, if the lubricant is self-applied, a test can simply be done applying the lubricant to the body and seeing if there is a reaction or not.
When the source is determined, a guy can then proceed to either (a) purchase non-latex condoms, (b) buy unlubricated condoms, or (c) change the lubricant he is currently using to one which is hopefully more suited to his skin.
A lubricant or latex allergy is only one potential cause of an itchy penis, of course. When dry skin is a cause, regular application of a first rate penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) is urged. Penis skin can dry out for many reasons, resulting in flaky skin which is prone to itching. Keeping the penis skin moisturized with agents like vitamin E and shea butter can stave off many an itchy situation. It also helps to use a crème that contains L-carnitine; serious itching can damage penis sensitivity, and the neuroprotective properties of L-carnitine can help maintain penis sensation at an appropriate level.
- Frontal sinus - in the forehead
- Maxillary sinus - behind the cheekbones
- Ethmoid sinus - between the eyes behind the bridge of the nose
- Sphenoid sinus - behind the eyes
What is sinusitis?
Sinusitis is the inflammation or infection of one or more of the sinuses. It can be caused by a virus, bacteria, fungus, allergies or excessive nose blowing and results in the blockage of the sinus opening. Sinusitis can be acute (lasting 4 or lesser weeks), subacute (lasting 4 to 8 weeks), chronic (lasting beyond 8 weeks) and recurring (several attacks in a year).
Acute sinusitis generally causes pain in the sinuses, headaches, loss of smell, stuffiness, and coughs as well as may also cause bad breath, toothaches, and fever.
What does the homeopathic treatment for sinusitis entail?
Homeopathy is an alternative medicine system which uses plants and minerals to develop remedies that augment the body's natural defenses by stimulating symptoms of the disease the patient is suffering from.
Acute sinusitis finds a permanent cure in homeopathy. Though treatment takes time, it rebuilds the body's immunity to sinusitis. It drains the sinuses, kills the germs and wipes the infection off at the root, thus preventing it from recurring. When antibiotics are used to treat sinusitis, there may be side effects such as fungal infections. Fungal infection is a leading cause of chronic sinusitis.
Homeopathy can boost the body's immunity which can treat fungal infections from the root, hence eliminating chances of recurrence. It can treat the symptoms of sinusitis and provide relief from associated respiratory diseases and allergies. There are different remedies available to treat the different symptoms of sinusitis, which work together to completely cure it by boosting the body's immune system without having any side effects.
Homeopathy for Nasal Polyps:
With Chronic sinus, soft growths arising from the mucous membrane of the nose or paranasal sinus are referred as nasal polyps. The most common treatment option suggested by a conventional system in nasal polyps is surgical removal. In most cases, nasal polyps reappear after surgery. However, surgery is a temporary fix since it does not address the body's tendency to form polyps. Homeopathy, on the other hand, offers a permanent solution by treating the root cause. Following six homeopathic medicines are usually recommended for nasal polyps - Lemna Minor, Sanguinaria Can, Calcarea Carb, Kali Bichrome, Teucrium, and Phosphorus. If you wish to discuss about any specific problem, you can consult a Homeopath.