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Dr. Prashant Saxena  - Pulmonologist, Gurgaon

Dr. Prashant Saxena

87 (46 ratings)
Pediatric interventional Pulmonology - Italy, MD - TB & Chest, Fellowship Tra...

Pulmonologist, Gurgaon

15 Years Experience  ·  600 - 1200 at clinic  ·  ₹300 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Prashant Saxena 87% (46 ratings) Pediatric interventional Pulmonology - Italy, MD - TB & C... Pulmonologist, Gurgaon
15 Years Experience  ·  600 - 1200 at clinic  ·  ₹300 online
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Aaj mai aapse tuberculosis ke bare mei bat krunga. Tuberculosis ek bahut khatarnak bimari hai jok...

Aaj mai aapse tuberculosis ke bare mei bat krunga. Tuberculosis ek bahut khatarnak bimari hai joki hindustan mei bahut tez gati se badhti ja rahi hai. Agar hum duniya bhar ke aankade dekhen, takriban 1/3 population vo tuberculosis se effected hain.

Ek insan jo hai jisko tuberculosis hai vo lag bhag 10-15 logon ko 1 saal ke andar tuberculosis ki bimari de skta hai. Agar hindustan ke ankade dekhen to 1000 logon ki mrityu hoti hai tuberculosis se. Iska mtlb hai har 3 minute mei 2 vyaktiyon ki mrityu ho rahi hai. Ye bimari ek bacteria se hoti hai jiska naam mycobacterium tuberculosis hai. Ye ek insaan se dusre insaan mein transmit ho sakta hai. Tuberculosis ka case generally lungs mei hota hai.

Agar koi insaan khasta hai, chinkata hai, tez bolta hai, even agar gaata hai to uske thook se, bulgum se jo kitadun hote hain, vo dusre insan ke andar lungs ke through jakar infection kar sakte hain. Tuberculosis generally lungs ki bimari hoti hai. But ye bimari lungs ke alawa kisi bhi organs mei ho skti hai. Jaise ki hadiyon ki tuberculosis hui, heart ki tuberculosis hui, naak, kaan, galle ki tuberculosis hui ya kidney ki tuberculosis hui. Is tarha se koi bhi organ affect ho skta hai.

Agar hum tuberculosis ke signs aur symptoms dekhen vo hain fever, weight loss hona, bhukh na lagna, kamjori, thakavat, is tarha ke general symptoms hote hain. Baki jo signs or symptoms hote hain, vo TB kis jagha pe hai, uspe depend krta hai. Jaise ki insan ko agar fefde ka TB ho to insan ko khasi or bulgum ata hai. Kbhi kbhi bulgum mei khoon bhi aa skta hai. Insan ko chest mei pain ho skta hai. Joki bhut tez bhi ho skta hai kbhi kbhi. Aur saans fulne ki dikkat ho skti hai. Agar reed ki haddi ki ya koi aur haddi ki TB hai to hadiyon mei dard hoga or kamjoori mehsus hogi.

Tuberculosis ko diagnose karna bahut kathin kaam nahi hai. Tuberculosis agar lungs ki hai to use hum x-ray krte hain or bulgum ki janch krte hain. Agar tuberculosis bones ki suspect kar rhen hain ya pait ki ya aanton ki suspect kar rhen hain to uske liye specialised test hote hain jaise ultrasound, CT scan. Joki visheshagya aapko prescribe krte hain. Ek bhut hi common question pucha jata hai ke mantoux test kya hota hai. Mantoux test ek skin test hai joki hume ye btata hai ki kisi insan ko tuberculosis infection hai ya nhi hai. To agar humne ye test karaya or agar vo positive ata hai , to iska matlab ye hai ki hamare andar tuberculosis infection hai. Iska matlab ye nahi hai ki humein tuberculosis ki bimari hai.

BCG vaccination paida hote waqt ek navjaat shishu ko diya jata hai. Ye jo vaccination hai ye tuberculosis ke infection ko prevent krta hai. Aur bimari ko bahut tez hone se bachata hai. Lekin hume ye dhyan rkhna chaiye ki BCG vaccination hone ke baad bhi hume tuberculosis ki bimari ho skti hai. Ab agar humein tuberculosis ki bimari ka pta lag gya hai ki usme infection hai ya disease hai to hum ek vishagya se consult kren aur apna ilaj shuru kren. Generally TB ka ilaj 6-12 mahine ka hota hai. Aur iske liye prescribed dawaiyan hain joki ek regular routine ke hisab se di jati hai. Tuberculosis ki dawaiyan jo hain, ek chiz dhyan rkhen ki hume regularly khani hai. Tuberculosis ki dawayi hum kbhi skip nhi kar skte.

Tuberculosis ki dawaiyan kayi saari hoti hai,  to isliye starting mein kuch side effects ho skte hain or un side effects ke bare hume pta hona chaiye kyuki hum apne vishagye se jankari le skte hain. Kuch blood test bhi regular basis pe required hote hain. Agar hum ilaj thik se nhi krte hain ya kisi vajha se chuth jata hai, dhyan rkhiye ye bhut TB ka kharatnak rup hota hai MDR bolte hain ya multi-drug registered tuberculosis joki aaj kal bahut preshani ka vishye hai. Iss bimari ka ilaj krna bahut mushkil hai or dawaiyan bahut mehangi hain. Aur koi bhi unko afford nhi kar skta. Isliye dhyan rkhiye jaisa hamara vishashgya ilaaj btaye vaise hume krna hai or dawaiyan kbhi bhi chorni nhi hai. Dhanywad!

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Namaskar! Mera naam Dr. Prashant Saxena hai. Mai Max Smart Hospital, Delhi mei ek pulmonologist h...

Namaskar! Mera naam Dr. Prashant Saxena hai. Mai Max Smart Hospital, Delhi mei ek pulmonologist hun.

Aaj me apse smoking ke bare me baat krunga. Smoking aisa khatarnak addiction hai joki aaj kal duniya mei badhta ja rha hai. Yuvaon ki baat alag hai. Middle age aur old age mei bhi ye shaunk bade ache se kiya ja rha hai. Smoking ke itne dushprabhav hote hain ki agar hum unki jankari len, to ek puri kitab likhi ja sakti hai. Smoking sharir ke kisi bhi organ ko affect kar sakti hai. Smoking se lag bhag 13 tarha ke cancer aaj kal dekhne ko milte hain. Jismei ki lung cancer no.1 cancer hai.

Smoke mei lag bhag 7000 chemical hote hain jisme se 70 chemicals cancer sharir mei paida kar sakte hain. Smoking karne se lung cancer sabse bada cancer hai joki hamare ko ho skta hai. Iske alawa 13 or tarike ke cancer hain joki hume ho sakte hai. Lung cancer or anye cancer ke alwa, smoke se ya smoking krne se hamare ko lungs ki bimariyan ho skti hai. Jisme ki chronic bronchitis, dame ke attacks, pneumonia hona, tuberculosis jaise infections hona. Agar hum aur effects dekhen smoking ke, lungs ke alawa, to hamari eye sight pe farak pad sakta hai, hamari bones kamjoor ho skti hain. Hamare jo blood vessels hote hain uske andar ek substance deposit ho jata hai smoking karne se.

Agar hamare sharir mei anthracosis ho jati hain to us insan ko heart attack padne ke ya stroke hone ke chances bahut jyada ho jate hain. Smoking agar ek mahila karti hai ya pregnant mahila karti hai to uske bahut jyada side effects hote hain. Apka bacha gir bhi skta hai. Bache ka growth retardation ho skta hai. Bache ki delivery jaldi ho skti hai. Bacha paida hone ke baad bhi agar maa smoking krti jai, to aise bachon mei dekha gya hai ki inko bahut jaldi pneumonia hote hain. Aur in logon ko dama hone ke chances bahut jyada badh jate hain. Kayi baar log hamse puchte hain ki passive smoking ya environmental tobacco smoke kya hota hai. Agar hum aam taur pe apna vatavaran ko dekhen to kayi tarha ke dust, particles, smoke, hamare environment mei hai jisme ki tobacco smoke bhi hai.

Agar hum is tarike ke smoke ko inhale krte hain to usi tarha ke dush prabhav hamare sharir mei hote hain jitna ki ek smoking krne vali ciggrette se hote hain. Mtlb agar aap smoking nhi bhi kar rhen hain ya fir aap smoking environment me rahen hain ya fir koi bhi smoking kar rha hai or aap usko inhale kar rhen hai,to apko vhi bimariyan ho sakti hai jo tobacco smoking krne se paida hoti hain. Smoking krne vale ko smoke ki aadat kyu padti hai? Jab bhi hum smoke karte hain to cigarette ke andar ek substance hota hai jiska nam nicotin hota hai. Nicotin jab body ke andar jata hai to vo body ko pleasurable effects deta hai. Mtlb usko anand aata hai, energy aati hai, usko acha lgta hai cigarette peena.

Aur jab cigarette pina vo band krta hai to nicotin ka level body mei kam ho jata hai or uske baad usko thakan mehsus hoti hai or usko acha nhi lgta. Aur ye cycle continue hoti rehti hai. aur agar koi ciggrette chodta hai to usko withdrawl symptoms hote hain. Ye symptoms kya hote hain. Jab aap smoking chorte hain to uske kuch ghante baad as soon as half an hour, hmare andar changes aate hain, jaise ki hume anxiety hona, depression hona, ya mood change ho jana ya irritable ho jana ya pait me dard hona ya maror hona, hath pair kapna, is tarha ke lakshan shuru ho jate hain. Ye lakshan smoking chodne ke 2-3 din mei peak krte hain or 2-3 hafte tak reh sakte hain.

Kuch log jo bahut zyaada smoking karte hain , unke andar withdrawl symptoms 2-3 mahine tak reh sakte hain. Withdrawl symptoms ke bare mei janna islia jruri hai kyuki jab bhi hum smoking chodenge to hume malum hona chaiye ki inko kaise tackle krna hai. 

How to quit smoking? Agar hum dekhen to smoking quit krna bahut asan kam nhi hai. Smoking quit krne k lia self-determination or bahut strong will chaiye. Aur yaad rakhiye kayi log smoking chodne ke baad bhi dubara us lat mein vapas aa jate hain. Sirf chewing gum ya tablet khane se koi smoking nhi chor skta. Agar hum dekhen to smoking chorne ke kayi sare upay hote hain. Sabse pehle humein identify karna hai ki smoking ka trigger kya hai. Kayi logon ko khelne ke baad smoking ki talab hoti hai. Kayi logon ko khana khane ke baad smoking ki talab hoti hai. Kayi logon ko alcohol peene ke sath ciggrette peene ki talab hoti hai. 

To humein trigger identify krna hai ki kab hume sabse jyada talab ho rhi hai or fir hume us trigger ko dheere dheere apne se durr krna hai. Agar hum pub mei jate hain, hukka bars mei jaate hain, to hume dekha hai ki hum aise places me na jayen, jahan bhi log smoke kar rhen hain. Kyuki agar hum unhe dekhenge smoke karte hue to hume dubara talab hogi ciggrette peene ki. Kuch logon ne yahan tak ye bhi kiya hai ki unhone apne doston se milna bhi chor dia hai jo ciggrette smoke krte hain kyuki agar aap aisi company mei baithenge ki vahan smoke ho rhi hai to aapka bhi mann krega ki aap smoking karein. Aur baar baar smoke ki taraf aakarshit honge.

Agar hamara dimag baar baar smoking ki taraf aakarshit ho rha hai to hum koi nyi hobby ka istemaal kar skte hain jaise ki hum gym join kar sakte hain, hum kuch aur creative chiz kar sakte hain, drawing, art, anything we can do. Taaki hamara dimaag divert rahe or smoking ki taraf na jaaye. Bich bich mei agar hum vegetables or fruits khaate rahen or paani peete rahen, to smoking ki talab kam ho jati hai. Aur agar hum doctors ki prescribe ki hui dawaiyon ka istemal karen jis se cigarette ki talab kam ho, vo dawaiyon hame istemal krni chaiye. Cigarette chorne ka kya tarika hota hai. Sabse pehle hume decide krna hai ki hume kis din ciggrette chorni hai ya kis mahine cigarette chorni hai.

Uske ba cigarette chorne k 3 sabse important tarike hain. Sabse pehla tarika hota hai aaj humne decide kia ki ab hum cigarette nhi peeyenge, par ye bhi dekha gya hai ki upaye bahut jyada successful nhi hota. Dusra upaaye ye hai ki hum cigarette ki maatra kam karte hain. Jaise hum 20 cigarette peete hain to 1 hafte baad 15 peete hain. Uske 1-2 hafte baad 10 peena shuru kar den. Or jaise jaise cigarette kam ho jaye, hum date decide kar ke cigarette peena chor den. Teesra tarika hai ki cigarette hum aadhi pee ke fekna shuru kar dein. Mtlb humne 2-4 puffs liya uske bad cigarette chor dia. Aise hamara cigarette ka amount kam ho jayega or humein iski latt choot jayegi. 

Is dauran hame side-effects ho sakte hain. Withdrawal effects ho sakte hain. Hum apne physician ko consult kar sakte hain. Jo humein nicotin replacement therapy or kuch dawaiyan hain jo non-nicotin replacement therapy hoti hai, usmei hume enroll kr k, humein dawaiyan de skte hain jis se humein withdrawl symptoms se fight krne mei aasani rhegi. 

Yaad rakhein ki sirf planning se kaam nhi chalega. Behavior therapy, counselling + medicines and your strong will, all are most important things in quitting smoking.

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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Prashant Saxena
Dr. Prashant Saxena is Head – Pulmonology & Sleep Medicine and Associate Director -Critical Care at Max smart Superspeciality Hospital , Saket , Delhi . He has underwent Fellowship training in Westmead & Liverpool Hospitals, Sydney, Australia. He is an expert in the field of Interventional Pulmonology & Critical Care.He also holds the prestigious European Diploma in Intensive care (EDIC, Europe),Fellow college of chest physicians(FCCP, USA), European diploma in adult respiratory medicine( EDARM, Europe) and has undergone training in Interventional Pulmonology from Greece Dr Saxena is committed to provide the highest level of comprehensive critical care possible to his patients.Due to his special interest in infection control, he has developed simple but effective infection prevention bundle protocols which have significantly reduced hospital acquired infections rates. He has also developed and implemented Antibiotics Stewardship program in the hospital in order to prevent emergence of Antibiotics resistance & decrease preventable hospital associated infections and cost of treatment. As a Chairperson of Cardiac Resuscitation Committee, he has introduced the concept of Rapid Response Team for patients in order to decrease the numbers of unexpected events in the hospital. As an academic scholar, he is a member of the Editorial Board of the Indian Journal of Critical Care Medicine. He is a teacher for IDCCM (Indian Diploma in Critical Care). He has many publications credited to his name and has written several book chapters.He is a national faculty for Annual ISCCM Congress, Delhi critical care symposium( DCCS),NAPCON(National Conference on pulmonary diseases) and ICCMID course of ISCCM. He is also an Instructor for ACLS and FCCS and is regularly involved in such courses.He regularly conducts CME’S ,Workshops,Teaching sessions, on Antibiotic stewardship,mechanical Ventilation,Bed side USG,Hemodynamic monitoring, ABGA Basics, NIV & End of life care.

Info

Education
Pediatric interventional Pulmonology - Italy - European Respiratory Society - 2018
MD - TB & Chest - University Of Allahabad - 2003
Fellowship Training Intensive Care - Westmead Hospital & Liverpool Hospital Sydney Australia - 2009
...more
Fellow College of Chest physicians - American College of Chest Physicians, USA - 2013
European Diploma in Respiratory Medicine - European Respiratory Society - 2016
Interventional Pulmonology , Greece - European Respiratory Society - 2016
European Diploma in Intensive Care Medicine - European Society of Intensive care medicine - 2008
Fellow Indian college of critical care - Indian society of critical care medicine -
Thoracoscopy ( France ) - European Respiratory Society - 2016
Pediatric interventional Pulmonology - European Respiratory Society - 2018
Languages spoken
English
Hindi
Awards and Recognitions
Best Pulmonologist of North India
Best Doctor, Fortis Hospital Vasant Kunj, Delhi
Asian Patient Safety Award To Ensure Patient Safety
...more
BMJ South Asia Awards - Finalist - Best Pulmonology Team of The Year
SCH Shining Star For Year
Outstanding pulmonologist of the year 2018, India health care awards
Best pulmonologist of North India
Asian Patient Safety Awards To Improve Quality of Care Provided To Asthma Patients
Professional Memberships
European Respiratory Society(ERS)
European Society of Intensive Care Medicine(ESICM)
American College of Chest Physicians (ACCP)
...more
Indian Society of Critical Care Medicine (ISCCM)
Indian Medical Association (IMA)
Delhi Medical Council

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Lungs R Life

J-2/22, DLF Phase-II, Landmark : Behind Uma Sanjeevani HospitalGurgaon Get Directions
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1200 at clinic
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Max Super Speciality Hospital

No-1,2, Press Enclave Road, Landmarks : Select City Mall, Near Malviya Nagar Metro StationDelhi Get Directions
  4.4  (46 ratings)
1000 at clinic
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Pulmonary Embolism - 4 Possible Ways It Can Be Diagnosed!

Pediatric interventional Pulmonology - Italy, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care, Thoracoscopy ( France ), Pediatric interventional Pulmonology
Pulmonologist, Gurgaon
Pulmonary Embolism - 4 Possible Ways It Can Be Diagnosed!

When blood clot blocks one or more arteries in your lungs the condition is known as pulmonary embolism. It can cause a decrease in the oxygen levels in your blood, damage to your lungs due to sudden restrictions in the flow of blood along with adverse effects on other parts of your body. Life threatening blockage can cause death if left untreated and you should immediately contact your health care provider to get proper diagnosis. Pulmonary embolism requires various lab tests and generally requires short time to resolve.

Symptoms: The symptoms of pulmonary embolism mainly depend upon many factors pertaining to your previous medical history. Pulmonary embolism varies with the size of your lungs, the size of the clots formed in your blood, and any other underlying history of the heart or lungs. That said, pulmonary embolism has symptoms which are not similar to any two persons and will vary accordingly.

The common symptoms however may include the following and you are advised to opt for a health checkup if these are persistent in your body:

  1. Cough along with bloody sputum is a common symptom.
  2. Shortness of breath, which will become worse as the days passes by. They will appear suddenly and cause huge discomfort in breathing.
  3. Chest pain which may give you the feeling of a heart attack. The pain will intensify when you sit to eat or cough. Deep breath will cause problems too and will not go away easily with exertion.
  4. Some other symptoms include fever, excess sweat, irregular heartbeat and dizziness.

Pulmonary embolism can be diagnosed by the following methods:

  1. Electrocardiography (also known popularly as ECG) to measure your heart's electrical activity and functioning.
  2. CT plumonary angiography is gold standard for diagnosing pulmonary embolism.
  3. Chest x ray, which is a common and non invasive test to check your heart and lungs as well as the problems with any bones surrounding them.
  4. ECHO can detect secondary changes in heart due to pulmonary embolism.

Treatment of pulmonary embolism can be done with medicines if it is detected at an early stage or also if the clot is small. However, if the size of your clot is problematic and blocks the blood flow to your lungs or heart then surgery may be necessary. Open surgery and clot removal surgery are common in the treatment of pulmonary embolism and will require good regular follow up check ups. Regular leg exercises will also reduce the chances of any underlying disease and you should hence consult your doctor.

1 person found this helpful

Tuberculosis

Pediatric interventional Pulmonology - Italy, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care, Thoracoscopy ( France ), Pediatric interventional Pulmonology
Pulmonologist, Gurgaon
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Aaj mai aapse tuberculosis ke bare mei bat krunga. Tuberculosis ek bahut khatarnak bimari hai joki hindustan mei bahut tez gati se badhti ja rahi hai. Agar hum duniya bhar ke aankade dekhen, takriban 1/3 population vo tuberculosis se effected hain.

Ek insan jo hai jisko tuberculosis hai vo lag bhag 10-15 logon ko 1 saal ke andar tuberculosis ki bimari de skta hai. Agar hindustan ke ankade dekhen to 1000 logon ki mrityu hoti hai tuberculosis se. Iska mtlb hai har 3 minute mei 2 vyaktiyon ki mrityu ho rahi hai. Ye bimari ek bacteria se hoti hai jiska naam mycobacterium tuberculosis hai. Ye ek insaan se dusre insaan mein transmit ho sakta hai. Tuberculosis ka case generally lungs mei hota hai.

Agar koi insaan khasta hai, chinkata hai, tez bolta hai, even agar gaata hai to uske thook se, bulgum se jo kitadun hote hain, vo dusre insan ke andar lungs ke through jakar infection kar sakte hain. Tuberculosis generally lungs ki bimari hoti hai. But ye bimari lungs ke alawa kisi bhi organs mei ho skti hai. Jaise ki hadiyon ki tuberculosis hui, heart ki tuberculosis hui, naak, kaan, galle ki tuberculosis hui ya kidney ki tuberculosis hui. Is tarha se koi bhi organ affect ho skta hai.

Agar hum tuberculosis ke signs aur symptoms dekhen vo hain fever, weight loss hona, bhukh na lagna, kamjori, thakavat, is tarha ke general symptoms hote hain. Baki jo signs or symptoms hote hain, vo TB kis jagha pe hai, uspe depend krta hai. Jaise ki insan ko agar fefde ka TB ho to insan ko khasi or bulgum ata hai. Kbhi kbhi bulgum mei khoon bhi aa skta hai. Insan ko chest mei pain ho skta hai. Joki bhut tez bhi ho skta hai kbhi kbhi. Aur saans fulne ki dikkat ho skti hai. Agar reed ki haddi ki ya koi aur haddi ki TB hai to hadiyon mei dard hoga or kamjoori mehsus hogi.

Tuberculosis ko diagnose karna bahut kathin kaam nahi hai. Tuberculosis agar lungs ki hai to use hum x-ray krte hain or bulgum ki janch krte hain. Agar tuberculosis bones ki suspect kar rhen hain ya pait ki ya aanton ki suspect kar rhen hain to uske liye specialised test hote hain jaise ultrasound, CT scan. Joki visheshagya aapko prescribe krte hain. Ek bhut hi common question pucha jata hai ke mantoux test kya hota hai. Mantoux test ek skin test hai joki hume ye btata hai ki kisi insan ko tuberculosis infection hai ya nhi hai. To agar humne ye test karaya or agar vo positive ata hai , to iska matlab ye hai ki hamare andar tuberculosis infection hai. Iska matlab ye nahi hai ki humein tuberculosis ki bimari hai.

BCG vaccination paida hote waqt ek navjaat shishu ko diya jata hai. Ye jo vaccination hai ye tuberculosis ke infection ko prevent krta hai. Aur bimari ko bahut tez hone se bachata hai. Lekin hume ye dhyan rkhna chaiye ki BCG vaccination hone ke baad bhi hume tuberculosis ki bimari ho skti hai. Ab agar humein tuberculosis ki bimari ka pta lag gya hai ki usme infection hai ya disease hai to hum ek vishagya se consult kren aur apna ilaj shuru kren. Generally TB ka ilaj 6-12 mahine ka hota hai. Aur iske liye prescribed dawaiyan hain joki ek regular routine ke hisab se di jati hai. Tuberculosis ki dawaiyan jo hain, ek chiz dhyan rkhen ki hume regularly khani hai. Tuberculosis ki dawayi hum kbhi skip nhi kar skte.

Tuberculosis ki dawaiyan kayi saari hoti hai,  to isliye starting mein kuch side effects ho skte hain or un side effects ke bare hume pta hona chaiye kyuki hum apne vishagye se jankari le skte hain. Kuch blood test bhi regular basis pe required hote hain. Agar hum ilaj thik se nhi krte hain ya kisi vajha se chuth jata hai, dhyan rkhiye ye bhut TB ka kharatnak rup hota hai MDR bolte hain ya multi-drug registered tuberculosis joki aaj kal bahut preshani ka vishye hai. Iss bimari ka ilaj krna bahut mushkil hai or dawaiyan bahut mehangi hain. Aur koi bhi unko afford nhi kar skta. Isliye dhyan rkhiye jaisa hamara vishashgya ilaaj btaye vaise hume krna hai or dawaiyan kbhi bhi chorni nhi hai. Dhanywad!

1839 people found this helpful

Things To Know About Smoking

Pediatric interventional Pulmonology - Italy, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care, Thoracoscopy ( France ), Pediatric interventional Pulmonology
Pulmonologist, Gurgaon
Play video

Namaskar! Mera naam Dr. Prashant Saxena hai. Mai Max Smart Hospital, Delhi mei ek pulmonologist hun.

Aaj me apse smoking ke bare me baat krunga. Smoking aisa khatarnak addiction hai joki aaj kal duniya mei badhta ja rha hai. Yuvaon ki baat alag hai. Middle age aur old age mei bhi ye shaunk bade ache se kiya ja rha hai. Smoking ke itne dushprabhav hote hain ki agar hum unki jankari len, to ek puri kitab likhi ja sakti hai. Smoking sharir ke kisi bhi organ ko affect kar sakti hai. Smoking se lag bhag 13 tarha ke cancer aaj kal dekhne ko milte hain. Jismei ki lung cancer no.1 cancer hai.

Smoke mei lag bhag 7000 chemical hote hain jisme se 70 chemicals cancer sharir mei paida kar sakte hain. Smoking karne se lung cancer sabse bada cancer hai joki hamare ko ho skta hai. Iske alawa 13 or tarike ke cancer hain joki hume ho sakte hai. Lung cancer or anye cancer ke alwa, smoke se ya smoking krne se hamare ko lungs ki bimariyan ho skti hai. Jisme ki chronic bronchitis, dame ke attacks, pneumonia hona, tuberculosis jaise infections hona. Agar hum aur effects dekhen smoking ke, lungs ke alawa, to hamari eye sight pe farak pad sakta hai, hamari bones kamjoor ho skti hain. Hamare jo blood vessels hote hain uske andar ek substance deposit ho jata hai smoking karne se.

Agar hamare sharir mei anthracosis ho jati hain to us insan ko heart attack padne ke ya stroke hone ke chances bahut jyada ho jate hain. Smoking agar ek mahila karti hai ya pregnant mahila karti hai to uske bahut jyada side effects hote hain. Apka bacha gir bhi skta hai. Bache ka growth retardation ho skta hai. Bache ki delivery jaldi ho skti hai. Bacha paida hone ke baad bhi agar maa smoking krti jai, to aise bachon mei dekha gya hai ki inko bahut jaldi pneumonia hote hain. Aur in logon ko dama hone ke chances bahut jyada badh jate hain. Kayi baar log hamse puchte hain ki passive smoking ya environmental tobacco smoke kya hota hai. Agar hum aam taur pe apna vatavaran ko dekhen to kayi tarha ke dust, particles, smoke, hamare environment mei hai jisme ki tobacco smoke bhi hai.

Agar hum is tarike ke smoke ko inhale krte hain to usi tarha ke dush prabhav hamare sharir mei hote hain jitna ki ek smoking krne vali ciggrette se hote hain. Mtlb agar aap smoking nhi bhi kar rhen hain ya fir aap smoking environment me rahen hain ya fir koi bhi smoking kar rha hai or aap usko inhale kar rhen hai,to apko vhi bimariyan ho sakti hai jo tobacco smoking krne se paida hoti hain. Smoking krne vale ko smoke ki aadat kyu padti hai? Jab bhi hum smoke karte hain to cigarette ke andar ek substance hota hai jiska nam nicotin hota hai. Nicotin jab body ke andar jata hai to vo body ko pleasurable effects deta hai. Mtlb usko anand aata hai, energy aati hai, usko acha lgta hai cigarette peena.

Aur jab cigarette pina vo band krta hai to nicotin ka level body mei kam ho jata hai or uske baad usko thakan mehsus hoti hai or usko acha nhi lgta. Aur ye cycle continue hoti rehti hai. aur agar koi ciggrette chodta hai to usko withdrawl symptoms hote hain. Ye symptoms kya hote hain. Jab aap smoking chorte hain to uske kuch ghante baad as soon as half an hour, hmare andar changes aate hain, jaise ki hume anxiety hona, depression hona, ya mood change ho jana ya irritable ho jana ya pait me dard hona ya maror hona, hath pair kapna, is tarha ke lakshan shuru ho jate hain. Ye lakshan smoking chodne ke 2-3 din mei peak krte hain or 2-3 hafte tak reh sakte hain.

Kuch log jo bahut zyaada smoking karte hain , unke andar withdrawl symptoms 2-3 mahine tak reh sakte hain. Withdrawl symptoms ke bare mei janna islia jruri hai kyuki jab bhi hum smoking chodenge to hume malum hona chaiye ki inko kaise tackle krna hai. 

How to quit smoking? Agar hum dekhen to smoking quit krna bahut asan kam nhi hai. Smoking quit krne k lia self-determination or bahut strong will chaiye. Aur yaad rakhiye kayi log smoking chodne ke baad bhi dubara us lat mein vapas aa jate hain. Sirf chewing gum ya tablet khane se koi smoking nhi chor skta. Agar hum dekhen to smoking chorne ke kayi sare upay hote hain. Sabse pehle humein identify karna hai ki smoking ka trigger kya hai. Kayi logon ko khelne ke baad smoking ki talab hoti hai. Kayi logon ko khana khane ke baad smoking ki talab hoti hai. Kayi logon ko alcohol peene ke sath ciggrette peene ki talab hoti hai. 

To humein trigger identify krna hai ki kab hume sabse jyada talab ho rhi hai or fir hume us trigger ko dheere dheere apne se durr krna hai. Agar hum pub mei jate hain, hukka bars mei jaate hain, to hume dekha hai ki hum aise places me na jayen, jahan bhi log smoke kar rhen hain. Kyuki agar hum unhe dekhenge smoke karte hue to hume dubara talab hogi ciggrette peene ki. Kuch logon ne yahan tak ye bhi kiya hai ki unhone apne doston se milna bhi chor dia hai jo ciggrette smoke krte hain kyuki agar aap aisi company mei baithenge ki vahan smoke ho rhi hai to aapka bhi mann krega ki aap smoking karein. Aur baar baar smoke ki taraf aakarshit honge.

Agar hamara dimag baar baar smoking ki taraf aakarshit ho rha hai to hum koi nyi hobby ka istemaal kar skte hain jaise ki hum gym join kar sakte hain, hum kuch aur creative chiz kar sakte hain, drawing, art, anything we can do. Taaki hamara dimaag divert rahe or smoking ki taraf na jaaye. Bich bich mei agar hum vegetables or fruits khaate rahen or paani peete rahen, to smoking ki talab kam ho jati hai. Aur agar hum doctors ki prescribe ki hui dawaiyon ka istemal karen jis se cigarette ki talab kam ho, vo dawaiyon hame istemal krni chaiye. Cigarette chorne ka kya tarika hota hai. Sabse pehle hume decide krna hai ki hume kis din ciggrette chorni hai ya kis mahine cigarette chorni hai.

Uske ba cigarette chorne k 3 sabse important tarike hain. Sabse pehla tarika hota hai aaj humne decide kia ki ab hum cigarette nhi peeyenge, par ye bhi dekha gya hai ki upaye bahut jyada successful nhi hota. Dusra upaaye ye hai ki hum cigarette ki maatra kam karte hain. Jaise hum 20 cigarette peete hain to 1 hafte baad 15 peete hain. Uske 1-2 hafte baad 10 peena shuru kar den. Or jaise jaise cigarette kam ho jaye, hum date decide kar ke cigarette peena chor den. Teesra tarika hai ki cigarette hum aadhi pee ke fekna shuru kar dein. Mtlb humne 2-4 puffs liya uske bad cigarette chor dia. Aise hamara cigarette ka amount kam ho jayega or humein iski latt choot jayegi. 

Is dauran hame side-effects ho sakte hain. Withdrawal effects ho sakte hain. Hum apne physician ko consult kar sakte hain. Jo humein nicotin replacement therapy or kuch dawaiyan hain jo non-nicotin replacement therapy hoti hai, usmei hume enroll kr k, humein dawaiyan de skte hain jis se humein withdrawl symptoms se fight krne mei aasani rhegi. 

Yaad rakhein ki sirf planning se kaam nhi chalega. Behavior therapy, counselling + medicines and your strong will, all are most important things in quitting smoking.

3415 people found this helpful

Sir I am suffering from the TB last 3 months everything is fine but uric acid level is 9.1 in my body .And I have pain on my joint ,foot, fingers,I am taking febutax40 mg last 3 days but no effect. And I am also taking our TB medicines .then please suggest me. I am continue febutax or not.

MBBS, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care
Pulmonologist, Gurgaon
Sir I am suffering from the TB last 3 months everything is fine but uric acid level is 9.1 in my body .And I have pai...
Uric acid level will come to normal gradually, drink plenty of fluids uric acid elevation may also be unrelated to ATT .need evaluation if persistent hyperuricemia.
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Acute Respiratory Distress Syndrome - Are You Aware Of These Facts?

MBBS, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care
Pulmonologist, Gurgaon
Acute Respiratory Distress Syndrome - Are You Aware Of These Facts?

If you are experiencing difficulty in breathing or rapid breathing, shortness of breath and low blood pressure, you might have been affected with acute respiratory distress syndrome or ARDS. This is a fatal lung condition in which the supply of oxygen to the lungs and into the blood gets prevented. The symptoms of this syndrome develop within two days of the illness.

Here are 10 important facts about ARDS you should know about:

  1. Because of the low level of oxygen in the blood, the organs of the body may not function properly. The kidneys and brain require constant oxygen-rich blood supply and there are chances of organ failure due to ARDS.

  2. Commonly, people who get ARDS are already in hospital for some other health problem. People who are not hospitalised may get ARDS because of conditions such as pneumonia.

  3. In ARDS, the tiny blood vessels of the lungs leak more fluid than usual into the air sacs of the lungs. This happens because of infections, injuries or some other condition. The lungs cannot get filled up with air and sufficient oxygen is prevented from getting pumped into the bloodstream.

  4. Several factors also lead to ARDS. These include sepsis, severe bleeding due to any injury on the head or chest, breathing in harmful smoke, or inhaling vomited content of the stomach from the mouth.

  5. People who are prone to ARDS have some condition that may injure their lungs directly or indirectly.

  6. The initial symptoms of ARDS include a feeling of not getting sufficient air in the lungs, low oxygen levels in the blood and rapid breathing. The diagnosis of ARDS depends on your medical history and the results from several tests and physical examinations.

  7. The treatment of ARDS is undertaken by oxygen therapy, medicines and fluids. A patient with ARDS is likely to develop some other health condition while in the hospital, such as lung scarring, blood clots, infections and pneumothorax.

  8. Many people recover from ARDS completely while others keep on facing certain health problems, such as shortness of breath, muscle weakness, depression and fatigue. Problems related to memory and clear thinking are also indicated.

  9. By improving your quality of life, you can recover from ARDS. You need the support and encouragement of your family and friends. You must avoid smoking and keep away from any kind of lung irritant.

  10. The treatment for ARDS has showed progress in the recent years. Hence, more people are recovering from this condition. New treatment procedures are being researched on.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1783 people found this helpful

6 Precautionary Measures That Asthmatic Patients Must Take!

Pediatric interventional Pulmonology - Italy, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care, Thoracoscopy ( France ), Pediatric interventional Pulmonology
Pulmonologist, Gurgaon
6 Precautionary Measures That Asthmatic Patients Must Take!

While winter may feel like a welcome respite after a hot summer, the cold dry air can aggravate asthma symptoms. The cold also increases sinus and upper respiratory tract infections that in turn worsen asthma. However, there are still ways you can still enjoy the winter without worsening your asthma. Here are a few tips

  1. Get a flu shot: Asthma does not increase your flu risk but you may experience a worse flu as compared to a person who does not have asthma. Hence, it is advisable for everyone over the age of 6 months to get an annual flu shot before the winter sets in. Asthma patients should pick the injectable vaccine over the nasal spray as it contains inactivated flu viruses.
  2. Sit away from the fireplace: It is tempting to cozy up to the warm fire, but this can be detrimental to your asthma. This is because the smoke produced by burning wood can irritate your lungs and cause breathing trouble. For this reason, you should also stay away from second-hand cigarette smoke. It goes unsaid that cigarette smoking should be completely avoided by an asthma patient.
  3. Keep your mouth closed: Make an effort to breathe only through your nose. This is because the nostrils are lined with tiny hairs that filter the air and warm inhaled air. You could also wear a scarf or muffler around your nose and throat.
  4. Replace your filters: It is essential to replace filters on your air condition and heating systems before the winter. If left as it is, they can make the air polluted and also make the dust flow through your house. This can trigger an asthmatic attack. Also, keep an eye on the humidity levels within your home.
  5. Exercise indoors: Avoid stepping outdoors in early morning and late evenings, as this is when the fog and dust concentration is worst in the air. Instead, exercise indoors, if you have a gym close by, this is the time to become a member. Else, experiment with other forms of exercise such as yoga, aerobics etc. If you must exercise outdoors, step out during the middle of the day when the sun is out. It is also very important to warm up properly before exercising in the winters.
  6. Take your medications: Always keep your inhaler handy. Do not let your work or social calendar affect your medicines and take them regularly as prescribed. Get yourself checked up as per the schedule and do not change your dosage on medication without your doctor’ advice. In case you have a concern or query you can always consult an expert & get answers to your questions!
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Hi I have a problem while sleeping my throat get dry. Sometimes my wife saying that I'm snoring too much. Any suggestions.

MBBS, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care
Pulmonologist, Gurgaon
Hi I have a problem while sleeping my throat get dry. Sometimes my wife saying that I'm snoring too much. Any suggest...
Snorers may have blocked nose or upper airway if you are a mouth breather you can have dry mouth. You must get an ent check up and sleep study done.
1 person found this helpful
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Pulmonary Hypertension - Signs You Must Be Aware Of!

Pediatric interventional Pulmonology - Italy, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care, Thoracoscopy ( France ), Pediatric interventional Pulmonology
Pulmonologist, Gurgaon
Pulmonary Hypertension - Signs You Must Be Aware Of!

Having heard about getting any sort of pulmonary disease might give you a nightmare. Well, yes there are pulmonary problems, which are dangerous and become life threatening. Pulmonary hypertension is one such rare disease. It is a type of high blood pressure, which usually occurs in the pulmonary arteries that stream from human heart through lungs. The arteries become narrowed, constricted, which makes the flow of blood difficult through the vessels. As the situation occurs, the heart will have to work more to fix the situation. This causes high blood pressure in the pulmonary arteries. If the condition deteriorates the pressure increases along with risk factors. 

Symptoms of pulmonary hypertension: 

There are certain symptoms, which people experience under the pulmonary hypertension disease. The symptoms might get unnoticed for years and you might get delayed in treating such problems. This article can help you know about the disease, symptoms and its treatment. 

There is a list of symptoms, which can help you understand if you have pulmonary hypertension:

  • One of the major symptoms that you may notice is shortness of breath. The arteries and blood vessels which help in flowing blood through lungs help in breathing too. So a narrowed and constricted artery makes the inhalation and exhalation procedure laborious.
  • The next symptom that you might notice is fatigue and dizziness. If your lungs are not getting enough blood that means your brain and body are not getting enough oxygen to work. This hinders your body to perform any kind of activities smoothly. This can make you gain weight and increase several risk factors. 
  • Next, you might feel irregular heartbeat and chest pain. Increased pressure makes the heart work faster than its normal rate. This further makes the heart muscles weaker, and it is not able to control the heartbeat as it used to. 

Treatment of pulmonary hypertension: 

  • Pulmonary hypertension is generally treated with medication and surgery. Depending on its severity, your doctor will prescribe the medicines. Generally, doctors prescribe such medicines, which help in relaxing the blood vessels. The relaxed blood vessels can regulate blood flow easily. All the medicines are generally taken orally or injected or inhaled. 
  • If you adopt a severe case of pulmonary hypertension, then your doctor might suggest you a lung transplant or a heart-lung transplant. 
  • Depending upon the type of pulmonary hypertension, your doctor may prescribe you blood-thinning medicines also, if you have blood clots in your arteries. 
  • In a certain cases, doctors prescribe oxygen therapy, which helps in increasing the oxygen level in blood.
  • With the above mentioned methods, doctors ask for a change in lifestyle, which is important in treating the specific disease. In case you have a concern or query you can always consult an expert & get answers to your questions!
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Tuberculosis - What Are The Reasons Behind It?

MBBS, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care
Pulmonologist, Gurgaon
Tuberculosis - What Are The Reasons Behind It?

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?
If you are coughing for over three weeks and sometimes even coughing up blood, it can be a sign of TB. 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. 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 stemmed from 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Signs Of Most Common Respiratory Disorders!

Pediatric interventional Pulmonology - Italy, MD - TB & Chest, Fellowship Training Intensive Care, Fellow College of Chest physicians, European Diploma in Respiratory Medicine, Interventional Pulmonology , Greece, European Diploma in Intensive Care Medicine, Fellow Indian college of critical care, Thoracoscopy ( France ), Pediatric interventional Pulmonology
Pulmonologist, Gurgaon
Signs Of Most Common Respiratory Disorders!

The respiratory system, through which air enters the body, is prone to disorders, and most of them are infections. Micro-organisms thrive in the air around us, and can gain easy access to the system through the air that we inhale. Therefore, respiratory issues are very common, but also not always a cause for concern. Most respiratory disorders would have common symptoms including coughing, chest pain, sputum production with varying features, shortness of breath, wheezing, etc.

Read on to know the symptoms of common respiratory disorders, so you are equipped to handle them.

  1. Asthma: Asthma is one of the most common respiratory issues. The trigger could be extreme cold, excessive pollen in the air, stress, etc.
  2. Common cold: This is a common disorder of the upper respiratory tract. This could be due to allergy or infection. There is difficulty breathing, labored breathing, runny nose, and extreme lethargy. The throat is also sore and there is a scratchy, itchy feeling at the back of the throat.
  3. Bronchitis: The bronchi are the further branches through which air flows, and these when inflamed cause bronchitis. Often caused as an infection, this produces a cough that can throw up a lot of sputum.
  4. Chronic obstructive pulmonary disease: This often occurs with ageing and also due to smoking. This produces chronic coughing, difficulty to throw out air easily without effort. There could also be phlegm, which can be colorless (unlike an infection)
  5. Tuberculosis: This is a bacterial infection of the lung tissue, and there is shortness of breath, a cough which persists for more than 5 weeks, and greenish-yellowish sputum. The person also would have very low energy levels, and sometimes blood in the sputum too.
  6. Pneumonia: Pneumonia again is an infection of the lung and can be caused by bacteria or virus. This again causes chest pain, difficulty breathing, shortness of breath, and a greenish sputum.
  7. Lung cancer: With smoking and environmental pollution on the rise, the instances of lung cancer have also been on the rise. This is usually diagnosed in the later stages as the symptoms are confused with any common respiratory disorders and ignored. Chest pain, chronic cough, difficulty breathing, and voice changes are some common symptoms of cancer.
  8. Emphysema: Caused predominantly by smoking, this causes breathing difficulties and reduces the amount of air available for exchange in the lungs. There is no cure, but quitting smoking can reduce the severity of the condition.

Know that prolonged problems with respiratory tract require further investigation and should not be ignored as just another attack of cold and cough. In case you have a concern or query you can always consult an expert & get answers to your questions!

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