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Dr N Hariprasad

Pulmonologist Clinic

Raja street Gudur
1 Doctor · ₹0
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Dr N Hariprasad Pulmonologist Clinic Raja street Gudur
1 Doctor · ₹0
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Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well....more
Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about Dr N Hariprasad
Dr N Hariprasad is known for housing experienced Pulmonologists. Dr. Hariprasad Naru, a well-reputed Pulmonologist, practices in Gudur. Visit this medical health centre for Pulmonologists recommended by 94 patients.

Timings

MON-WED, FRI-SUN
08:00 PM - 09:00 PM

Location

Raja street
Gudur, Andhra Pradesh - 524101

Doctor

Dr. Hariprasad Naru

MBBS DTCD
Pulmonologist
17 Years experience
Available today
08:00 PM - 09:00 PM
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Tuberculosis - Watch Out For These Warning Signs!

MD, MBBS
General Physician, Bangalore
Tuberculosis - Watch Out For These Warning Signs!

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?

  1. If you are coughing for over three weeks and sometimes even coughing up blood, it can be a sign of TB.
  2. 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.
  3. 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 caused by 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.

Lung Cancer - In A Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Lung Cancer - In A Nutshell!

Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.

1. Type: lung cancers can present as one of the following types: 

  1. Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
    • Large cell carcinoma
    • Squamous cell carcinoma (SqCC) (Epidermoid)
    • Adenocarcinoma – accounts for majority of the NSCLC.
  2. Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
  3. Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.

2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.

3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85 – 90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.

4. Features: Lung cancer clinically presents in the following ways mainly.Signs & symptoms of malignant mesothelioma are as enumerated below

1. Difficult/ labored breathing (Dyspnea)

2. Chest pain

3. Palpable chest wall mass

4. Discordant chest wall expansion

5. Weight loss (Cachexia)

6. Loss of appetite (Anorexia)

7. Night sweats

Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis

8. Chronic cough

9. Difficult/ labored breathing (Dyspnea)

10. Chest pain

11. Blood stained sputum (Hemoptysis)

12. Hoarseness

13. Weight loss (Cachexia)

14. Loss of appetite (Anorexia)

15. Weakness

16. Bone pain

17. Pleural or pericardial effusion

18. Superior vena cava syndrome

19. Brachial plexopathy

20. Neurologic pain

21. Hypercalcemia of malignancy

Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below

Symptoms as per the points 8 – 18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:

22. Fever associated with chest infections like bronchitis/ pneumonia that refuse to go away or keep coming back

23. Horner syndrome

24. Paraneoplastic syndromes including encephalitis/ sub-acute sensory neuropathy, hyponatremia, acromegaly, cancer associated retinopathy, ectopic corticotropic syndrome etc all.

5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high risk individuals – who are either current or former smokers (quit smoking within the last 15 years), have at least a 30 pack year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early stage lung cancer than a chest radiograph can.

6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis. Following are the diagnostics employed mainly:

  1. Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembyonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
  2. Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis, if any.
  3. Biopsy: It clinches the histologic diagnosis, and the nature of the disease.

7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage lung cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.

9. Prevention: rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality from primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. If you wish to discuss about any specific problem, you can consult a doctor.

1 person found this helpful

I am suffering from dry cough for the last 2 Weeks and I have chest pain whenever I cough hard. Can you suggest what should be done.

MBBS
General Physician, Mumbai
I am suffering from dry cough for the last 2 Weeks and I have chest pain whenever I cough hard. Can you suggest what ...
Dear lybrateuser, - Do warm salt water gargles three times a day - avoid all cold fluids including aerated drinks, have more of warm fluids like tea, coffee, milk, soup -mix 1/4 teaspoon of turmeric powder in a cup of warm milk & have twice a day - take tablet levocetrizine, 10 mg,1 tablet daily in the evening - take syrup Chericof, 2 teaspoonful three times a day - avoid spicy, sour & junk food - have 7-8 glasses of water for proper hydration - do absolute eosinophilic count& x- ray to rule out any other problem.
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What are the symptoms of asthma and give me medicine name so I purchase them and take for better health.

MBBS, MD (PSM), M.F.Hom (London)
Homeopath, Nagpur
What are the symptoms of asthma and give me medicine name so I purchase them and take for better health.
lybrate-user clinical symptoms of asthma are, difficult in breathing, cough.It is due to some allergens. You have to consult physician allopath or homeopath. Medicine cannot be prescribe in absentia.
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I am asthma patient from childhood. I am now 54 years old and now when I get an attack my heart feels as though it is having a spasm. Could this be the onset of a heart problem? What should I do?

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I am asthma patient from childhood. I am now 54 years old and now when I get an attack my heart feels as though it is...
This is happening due to hypersensitivity reaction in respiratory tract which is in turn due to insufficient immunity. The good news is that this is easily treatable with ayurvedic tablets. These tablets strengthen cells in immune system so that hypersensitivity is avoided and you become free from breathlessness and asthma. These tablets are free from side effects. You can have mangoes in this season. At the same time, you can take amla, rajani and pimpali to get away from such symptoms. Regards
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My mother has pulmonary embolism and doctors prescribed acitrom 4 mg. She has hepatitis b. Also her haemoglobin level is 7. Can acitrom be given for an anemic patient .pls advise.

C.S.C, D.C.H, M.B.B.S
General Physician,
Acitrom 2mg tablet is used in the treatment of deep vein thrombosis (dvt), pulmonary embolism and heart attack.and can be given and anemai eed to be corrected with iron medication
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Hello sir 3 year back suddenly I got breathing problems. I went 2 Dr. He gives me nebulouser. He gives me some medication .He told me it's asthma witch happens when weather changes. Currently l am taking 1 tablet for BP daily. When ever I gets breathing problems I take Budamate200. Now I want you to suggest me according to reports wants kinds of precautions I should take like food, medicine extra extra Thanking you.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Hello sir
3 year back suddenly I got breathing problems. I went 2 Dr. He gives me nebulouser. He gives me some medica...
If you are confirmed case of asthma continue your budamate with spacer. Avoid dust, smoke, pollution, allergens, stress, reflux, allergic rhinitis. Do yoga, breathing exercise.Avoid nuts if increasing asthma problem. maintaine good home environment
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While speaking with TB patient Does this affected on other person Pls let me know.

MBBS
General Physician, Cuttack
TB infection spreads through droplet infection like sneezing/coughing of an infected person. Chance of getting infection by talking to the patient is less.
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I have sinus problem from 6 months. What medicine I have to take. To which doctor I have to consult either I have to go with homeopathy or general physician.

DHMS (Hons.)
Homeopath, Patna
Hello, Drink, lukewarm water. Gargle with hot saline water. Tk, Steam, twice. Avoid junk food, cold intake, alcoholic intake. Tk, homoeopathic medicine:@ Sang. Nit 200-6 pills, twice. Report, wkly. Tk, care.
1 person found this helpful
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While spitting blood comes. For some time. 4 years back I was suffering from TB So please suggest. Is there any serious concerns.

MD - Internal Medicine
General Physician, Khammam
Hello lybrate user. Blood from mouth can be due to bleeding gums, oral cavity ulcers, nasal problems. Blood during coughing can be due to tb. Blood in vomitus can be due to gastric related problem. So don't delay........ Bleeding from any site should not be neglected. Get evaluated by your doctor. Take care.
1 person found this helpful
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What are the symptoms of spine Tb and can one contract spine Tb after a typhoid fever, how spine Tb is diagnosed what are the treatment options.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Back painover spine, which is tender, can have fever, weight loss, weakness and loss of appetide. No relation of typhoid fever to TB. By MRI spine, mantoux test, haemogram. Treatment as per DOTS. May need surgery if cord compressions symtoms or collection of pus arround spinal cord.
2 people found this helpful
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Whenever I smoke, there is coughing. Why is it so, can you please tell me reason?

Diploma in Otorhinolaryngology (DLO), DNB (ENT)
ENT Specialist, Nagpur
Hi when you smoke you cough. This is due to the irritation of the respiratory mucosa by the soot of the smoke, hence to get rid of this try quitting smoking regards.
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Sir, I am 21 year old and undergoing treatment for lymph node tuberculosis. At first the doctor told me that I have to take akt-4 for two months and akt-3 for four months but after seeing the tb pcr report he told me to take akt-4 for six months. I wanted to know whether this long duration of akt-4 medication can cause any serious side effects.

MD - Pulmonary Medicine, DAA (Allergy)
Pulmonologist, Mangalore
Hi Lybrate-user There is no serious aide effect of taking AKT4 longer. AKT4 when compared to AKT4 has 1 extra MEDICINE. It is called pyrazinamide. This medicine can cause hepatitis in some cases and not all (liver injury but it is temporary and can be treated). Another minor problem is gout related joint pain. None of them are serious and can easily be treated.
2 people found this helpful
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What is the precautions in T.B. Fist my mom had affected and some months later also my father.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Proper and early detection by approaching a doctor for suspected complaints like mild persistent fever, loss of appetite, reducing weight, cough for more than 4 weeks. Prper and regular medications under supervision of doctor, long duration of medications as advised. Precautions to spread to persons around and good nutrition.
1 person found this helpful
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What are the symptoms of tuberculosis? I have cough in my chest from last 3-4 days.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Symptoms depend on age and which organ . Normally lung is primary causing mild fever for long duration, loss of appetite, reducing weight and a cough not cured for more than 4 weeks .One should see a doctor for proper clinical examination, related investigations and diagnosis
1 person found this helpful
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I am 24 year boy and have keratosis tonsil from 2 yrs. Please give suggestion how to control it or remove it mam. Can be he is danger for health.

MS - ENT
ENT Specialist, Mohali
Keratosis develops in crypts of tonsils as they are blind pouches and retain food particles. Avoid sticky foods like noodles ,kurkure, cheesy material like burgers and pizza. Do regular oral rinse with water after every meal. If it doesn't subside .surgery may be done.
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I am suffering from dry cough for the last 2 weeks and I have chest pain whenever I cough hard can you suggest what should be done?

MBBS
General Physician, Mumbai
I am suffering from dry cough for the last 2 weeks and I have chest pain whenever I cough hard can you suggest what s...
Dear lybrateuser, - Avoid all cold fluids including aerated drinks, have more of warm tea, coffee, soup - mix 1/4 teaspoon of turmeric powder in a cup of milk & have twice a day - also avoid spicy, fried, sour, junk food - do warm salt water gargles three times a day - take tablet levocetrizine, 10 mg, 1 tablet daily in the evening - take syrup Chericof, 2 teaspoonful three times a day - have 7-8 glasses of water for proper hydration - get absolute eosinophilic count & x- ray chest done to rule out any other problem.
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I want to get rid of cough. My nose has started paining because of sneezing Suggest any home remedy for the same.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
ENT Specialist, Solapur
Hello, You may have allergy. Put 2 drops of pure cow ghee in each nostril two times a day. It will help you with allergy. Avoid cold drinks.
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Can a Sinus Infection (Rhinosinusitis) Cause Spinal Meningitis?

MBBS, MS - ENT
ENT Specialist, Delhi

The answer is unfortunately. Yes!
Meningitis, sometimes referred as spinal meningitis, is an inflammation of the membranes surrounding the brain and spinal cord. Usually caused by a viral infection, but it can also be caused by a bacterial or fungal infection.
 
Among pediatric patients admitted for treatment of sinusitis, 3.2% were found to have an intracranial complication. Infection of the sphenoid sinuses, however, merits concern. These thin-walled sinuses develop late in childhood, and their deep location places them adjacent to the dura mater and other critical structures.
 
Sphenoid sinusitis is identified in approximately 3% of cases of acute sinusitis, typically in the context of pansinusitis. Significant development of the sphenoid sinuses does not begin until age 4 to 6 years, thus, sphenoid sinusitis is restricted.
 
Viral infection causes most cases of spinal meningitis. Viral meningitis is usually mild and heals without treatment. Bacterial meningitis is more severe and requires treatment with antibiotics. Streptococcus pneumoniae and neisseria meningitidis are strains of bacteria that cause pneumococcus and meningococcus meningitis respectively.
It can be life threatening condition owing to its proximity to brain and spinal cord and infective media is the fluid surrounding them.
 
Diagnostic tools:
• Lumbur puncture – csf examination (cell count, glucose, proteins) and culture
• Blood culture
• Chest x ray
• CT scan of head and nose – pns
• MRI brain
 
Symptom checker in meningitis secondary to sinusitis:
• Fever (92%)
• Headache (85%)
• Nausea, vomiting (62%)
• Altered consciousness (31%)
• Seizure (31%)
• Hemiparesis (23%)
• Visual disturbance (23%)
• Meningismus (23%)
 
Conclusion and quick pearls:
• Complications that are less common with antibiotics
• Orbital (cellulitis, abscess)
• Intracranial (subdural empyema, thrombosis of cavernous sinus)
• Bony osteomyelitis.
• Can result in drastic sequelae
• Drain abscess and open involved sinuses
• Ent surgical involvement – functional endoscopic sinus surgery
- Usually amenable with medical treatment
- Drain sinuses if no improvement after 48 hours
• Ophthalmology check up
• Neurosurgery intervention
 
A low index of suspicion is necessary for early diagnosis and treatment of sphenoid sinusitis, orbital complications and prevention of intracranial complications including meningitis.

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