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Dr. Nagesh D

Pediatrician, Hyderabad

Dr. Nagesh D Pediatrician, Hyderabad
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Nagesh D
Dr. Nagesh D is a popular Pediatrician in Chanda Nagar, Hyderabad. You can visit him at Children Clinic in Chanda Nagar, Hyderabad. Save your time and book an appointment online with Dr. Nagesh D on Lybrate.com.

Lybrate.com has top trusted Pediatricians from across India. You will find Pediatricians with more than 27 years of experience on Lybrate.com. You can find Pediatricians online in Hyderabad and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I need a vaccination schedule for my 2 and 1/2 year old and 11 years old girl child. For the youngest one, I have missed the typhoid 1 dose.

C.S.C, D.C.H, M.B.B.S
General Physician,
I need a vaccination schedule for my 2 and 1/2 year old and 11 years old girl child. For the youngest one, I have mis...
You van give the missed dose Birth HepB: Hepatitis B vaccine; ideally, the first dose is given at birth, but kids not previously immunized can get it at any age. 1–2 months HepB: Second dose should be administered 1 to 2 months after the first dose. 2 months DTaP: Diphtheria, tetanus, and acellular pertussis vaccine Hib: Haemophilus influenzae type b vaccine IPV: Inactivated poliovirus vaccine PCV: Pneumococcal conjugate vaccine RV: Rotavirus vaccine 4 months DTaP Hib IPV PCV RV 6 months DTaP Hib: This third dose may be needed, depending on the brand of vaccine used in previous Hib immunizations. PCV RV: This third dose may be needed, depending on the brand of vaccine used in previous RV immunizations. 6 months and annually Influenza (Flu): The flu vaccine is recommended every year for children 6 months and older: Kids younger than 9 who get the flu vaccine for the first time (or who have only had one dose before July 2016) will get it in two separate doses at least a month apart. Those younger than 9 who have had at least two doses of flu vaccine previously (in the same or different seasons) will only need one dose. Kids older than 9 only need one dose. The vaccine is given by injection with a needle (the flu shot). The nasal spray form that was available in the past is not currently recommended because it was not found to be effective enough in recent years. 6–18 months HepB IPV.
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By which test or way to know if 6 year old child has SNHL audiogram, BERA OR MRI ASSR.

C.S.C, D.C.H, M.B.B.S
General Physician,
Audiogram. And several test are used to assess the cause and plan the treatment Several methods can be used to test hearing, depending on a child's age, development, and health status. Behavioral tests involve careful observation of a child's behavioral response to sounds like calibrated speech and pure tones. Pure tones are the distinct pitches (frequencies) of sounds. Sometimes other calibrated signals are used to obtain frequency information.
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How to Reduce a Fever in Babies

Bachelor of Unani Medicine and Surgery (B.U.M.S), PGDHHM
General Physician, Ganderbal
How to Reduce a Fever in Babies

How to reduce a fever in babies

A fever is a common sign of illness, but it's not always a bad thing. In fact, a fever is usually a normal response of a child's immune system to a virus or bacterial infection.

Most healthy children can tolerate a fever well, and it lasts about 3 to 5 days under normal circumstances.

The most common cause of fevers in babies is a viral infection. In some cases, teething can cause a slight increase in body temperature. In younger babies, a fever could be a sign of a serious infection.

When you see your baby's temperature rise, it can be a great concern for you. You may be in a dilemma whether to call the doctor or get emergency medical care. The guidelines below may be helpful.

Baby fever guidelines as per the American academy of pediatrics (aap):

Newborns up to 3 months of age: anything higher than 100.4 degrees (38 degrees celsius) is a matter of concern.
Infants between 3 and 6 months of age: a fever higher than 101 degrees (38.3 degrees celsius) should be checked by your pediatrician.
Babies age 6 months or older: a temperature over 103 degrees (39.4 degrees celsius) needs an immediate consultation with a doctor.
If your baby shows other signs or symptoms of illness, such as a cold, cough, vomiting or diarrhea, consult your doctor. Moreover, as a parent, always trust your instincts. If you think you should contact the doctor, go ahead.

In any situation, in addition to your doctor's prescribed medication, you can follow a few tips to help manage or reduce your baby's fever.

Here are the top 10 ways to reduce a fever in babies.

1. Cold compresses

As soon as your baby develops a fever, the first thing to do is put a cool, wet washcloth on your baby's forehead. As the water from the wet washcloth evaporates from the skin, it will draw the fever out and the temperature will come down quickly.

Put some cool tap water in a bowl.
Soak a clean washcloth in the water.
Wring out the excessive water, then place the wet cloth on the baby's forehead.
Once the cloth warms, remove it and repeat again.
Do this until the fever has gone.
You can also use the damp washcloth to sponge areas like your baby's armpits, feet, hands and groin to reduce the temperature.

Note: never use very cold or ice water, as it may cause the internal body temperature to increase.

2. Lukewarm bath

A lukewarm bath will help relax a fussy baby and help regulate the body temperature. It will even help your baby sleep better, which is needed for faster recovery.

For babies younger than 6 months, give a lukewarm sponge bath 2 or 3 times a day.
For babies, 6 months or older, give them a regular bath in lukewarm water a few times a day.
After each bath, dress your baby immediately.

Note: never use very hot or cold water, as it may cause the internal body temperature to rise.

3. Breast milk

For babies younger than 6 months old who have a fever, breast milk is very important. It offers a unique balance of nutrients that strengthens a baby's weak immune system and is tailored to fight a baby's illness.

Breast milk is quickly and easily digested. It will even keep a sick baby properly hydrated, which is essential for faster recovery.

Try to breastfeed your young baby frequently. If your baby refuses to nurse while experiencing a fever, try different nursing positions. You can keep the baby upright while breastfeeding to make your baby more comfortable during feeding sessions.
If your baby regularly refuses to nurse, pump out the breast milk and feed it to your baby using a spoon or bottle.

4. Give more fluids

For sick babies, it is important to increase fluid intake. Fluid will help cool them down and replace the fluid lost through sweating to prevent dehydration.

Dehydration may lead to various other complications and delay recovery.

Due to having a fever, babies may refuse large amounts of fluid at a time. So, try to give them smaller amounts more often.

Give oral rehydration solutions (either homemade or readily available in the market) along with lukewarm water to small babies younger than 6 months old to help replenish fluids and electrolytes.
Along with water and oral rehydration solutions, cold milk, ice pops, fruit juice and chilled yogurt can be given to babies 6 months or older.

5. Keep your baby in a cool place

When taking care of a sick baby, it's important to keep a close eye on the room temperature. It should not be too hot or too cold. Keep your baby's room at a comfortable temperature between 70 and 74 degrees (21.1 to 23.3-degree c).

If using a fan, keep it on a low setting. However, make sure your baby is not sleeping directly under the fan.
If using an air conditioner, keep the temperature at a comfortable level. Make sure your baby doesn't shiver and raise his or her temperature.
Also, avoid using the room heater nonstop, as it can make your baby overheated.
Keep your sick baby indoors in a cool place most of the time. If you are taking your baby outside, try to stay in the shade.

6. Dress your infant comfortably

Many parents make the mistake of bundling up their sick child with layers of clothes or extra blankets. This is something parents should avoiding doing, as it may keep the temperature from going down or even make it go higher.

Infants cannot regulate their temperature well, hence, when bundled in layers, it will be harder for them to cool down once overheated. Too much clothing will even prevent radiating body heat into the surrounding air.

Dress your baby in one layer of lightweight clothing. If needed, use a light blanket when your baby is sleeping.

Also, keep your baby in a comfortable room, where the temperature is not too hot or too cool.

7. Foot massage

Rubbing the soles of your sick baby's feet with some warm oil is one of the best ways to calm your fussy baby. Apart from relaxation, it will promote better sleep, which is necessary for quick recovery.

Foot massage also helps regulate body temperature.

Rub some warm olive oil on the bottoms of your baby's feet.
Apply gentle pressure on the soles with your thumbs.
Finally, give a nice massage to the whole foot.
Do this for just a couple of minutes and repeat as needed.
When it comes to a foot massage, be careful not to do too much.

8. Apple cider vinegar

For babies 1 year and older, you can try an apple cider vinegar remedy. Because apple cider vinegar helps draw heat out of the body, it can reduce a high body temperature.

Add a quarter cup of raw, unfiltered apple cider vinegar to a large bowl of lukewarm water.
Soak a washcloth in it, then wring out the excess liquid.
Use this damp cloth to give your baby a sponge bath.
Repeat 2 or 3 times a day until the fever has dropped.

9. Basil

For bringing down a fever, basil is suitable for babies older than 1 year. The herb can help reduce the heat in the body. It works as a natural antibiotic and immune booster.

Boil a handful of basil leaves in 2 cups of water, until the solution is reduced to half. Add a little sugar and give it to your little one, a few times a day.
If your baby is big enough to chew basil leaves, give him or her some thoroughly washed basil leaves to chew at regular intervals.

10. Monitor body temperature

Another important thing when your baby is having a fever is to regularly monitor his or her body temperature. Do not rely on your hand as a means of assessing the child's temperature.

Instead, you can try several ways to take your baby's temperature:

Rectal method (by the rectum)
Oral method (by the mouth)
Axillary method (under the armpit)
Tympanic method (in the ear)
Regularly take your baby's temperature and write it down on a notepad. This will help a doctor assess the changes that have occurred during the days when your baby is not well.

Additional tips

Check on your sick baby from time to time during the night, also.
Monitor your baby and if you notice signs of dehydration and rashes, consult a doctor immediately.
Your baby should urinate at least every 4 hours and the urine should be light colored.
If your child is inconsolable and doesn't stop crying, consult your doctor.
Do not send your baby to daycare until he or she recovers fully.
If your baby is fussy, try to rock your baby while walking to ease his or her distress.
Do not leave a small child with a fever alone for any length of time.
You can give solid food to your baby during a fever, but do not force it.
It is better to feed them foods that are soft and low in fiber, such as bread, crackers and refined hot cereals like oatmeal or cream of wheat.
If your doctor has prescribed medicine, never give more than the recommended dosage to your child.
Always use a measuring device to give medication.
Don't treat a fever in children under 18 years of age with aspirin, as it can lead to serious health problems.
Make sure to keep your baby up to date with all of his or her immunizations.

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My child is 17 months old, he has got a vomiting problem. Even if he' s got a normal fever, he vomits several times a day. Even in coughing, he vomits several times a day. In a simple problem like crying, irritation, normal fever, teething problem, runny nose, he vomits several times a day. We diagnose him and medicine works but after few days, again same problem. What may be the reason? how to diagnose him better? is there any problem with his intestines? please advice.

Pediatrician, Pune
If there is frequent vomiting since birth / early infancy, as you have described he may be having gastroesophageal reflux, if his weight gain is not appropriate for his age ~8-10 kg, he may need evaluation for his recurrent vomiting, a milk scan which detects gastroesophageal reflux, usg abdomen may be the initial investigations to be done to find his cause of recurrent vomiting
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Hello sir I am 26 year old a married person having a 2 year old daughter. What is the best method to avoid pregnancy.

BHMS,NDDY
Homeopath, Jaipur
Hello sir 
I am 26 year old a married person having a 2 year old daughter. What is the best method to avoid pregnancy.
Barrier method is good for family planning u should use condom during sex and vasectomy and tubectomy is also good method for family planning
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Diet for DM HTN

Homeopath,
Diet for DM HTN

Diet plan for DM and HTN


 Food should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. 

As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from cho's 15-20% from protein and the remaining 15-20% from fats. 

General instructions to be followed:

Different cereals contain almost the same amount of cho and so the quantity of cereal consumed should be noted rather than the type consumed. 

Whole grain cereals are better, preferred for their fibre content and satiety value.

Rice gruel if consumed, should be done so by discarding the rice water, and adding hot water. 

When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. 

Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. 

Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. 

Poultry (without skin) can be used occasionally. Beef, pork, mutton, liver etc should be avoided by cardiac patients. Trim off excess fat (if any) before cooking. 

Egg yolk has to be avoided by individuals with hyperlipidemia. 

Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. 

Root vegetable like tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals.

Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. 

Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. 

Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. 

Use of coconut and its products must be minimized. 

Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. 

It is better to avoid nuts like badam, peanuts, cashew nuts etc. But occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. 

Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. 

Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with vit- e and b carotene reduces the risk of cardiac diseases. 

Alcohol intake injurious to health, 1 ml of alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. 

Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. 

Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. 

Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. 

Include foods from all the different food groups and thus consume a balanced diet. 

Regular exercise is most useful but physical strain after a meal should be avoided. 

Free foods (can be included liberally)


 Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. 

Foods to be used in moderation.

Cereals, pulses, dhals, egg white, fish, chicken (skinned) milk and milk products, fruits, coconut, oil etc. 

Foods to be avoided by diabetics. 

Sugar, honey, jaggery, glucose and sweets of all varieties like cake, pastries, jams, jelly, sweetened drinks etc. 

Roots and tubers like potato, tapioca, yam etc

Butter, ghee, dalda and fried preparations. 

Horlicks, bournvita, boost etc

Fruits like jackfruit, banana, mango, sapota etc. 

Dry fruits and nuts

Barley water, rice water etc. 

Cholesterol rich foods (to be avoided by cardiac patients)

Whole milk and milk products

Egg yolk

Shellfishes like prawn, crab, lobster etc. 

Organ meats like kidney, liver, brain etc. 

Chicken, duck with skin. 

Sweet like pastries, ice creams etc. 

Butter, ghee, dalda, coconut oil, palmoil

Fried foods like vada, chips, pappads, samosa etc. 

Alcoholic drinks, creams soups etc. 

Fiber rich foods

Whole wheat, parboiled, sago, oats etc. 

Pulses

Fenugreek and sesame foods

Vegetables and fruits (with skin)

Fresh coconut etc. 

Sodium rich foods (to be avoided by hypertensive patients)

Salt (avoid extra salt in food and table)

Baking powder, baking soda, ajinomoto etc

Bakery products like biscuits, cakes, pastries, chocolates, bread, bun etc. 

Salted chips, nuts, popcorn etc

Pappads, pickles, dried fish etc

Canned and salt preserved foods

Sauces, soup cubes

Sausages, lobsters, meat and yeast extracts

Carbonated beverages

Readymade foods like cornflakes, noodles, fast foods etc.

Proprietary drinks eg. Horlicks, complan, bournvita etc

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My daughter is 3 years old. I have given all the vaccines as per schedule till date. Are vaccines for flu and pneumonia absolutely required to give her?

Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
My daughter is 3 years old. I have given all the vaccines as per schedule till date. Are vaccines for flu and pneumon...
Pneumococcal vaccine is now recommended for routine use as per iap and hence should be given. Flu vaccine is recommended for high risk individuals like those with asthma, allergy, frequent episodes of cough and cold and so on.
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My daughter is 2 nd half month. She feed properly. Bt she can not slip properly. Some time she slip .bt some time not slip properly. What the reason? Wht some time not slip properly. What the reason? What care? Any sedative medication she can not slip properly. Some time she slip .bt some time not slip properly. What the reason? Wht care? Any sedative medition give her?

C.S.C, D.C.H, M.B.B.S
General Physician,
My daughter is 2 nd half month. She feed properly. Bt she can not slip properly. Some time she slip .bt some time not...
New born babies differ in sleep pattern and is normal. Do not think of giving sleeping medicine to a newborn. SHe wil get a regular patter as she grows up.
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I have 23 days old daughter. She poops after every feed almost 12-15 times a day. Is it fine or shall we consult a doctor.

MBBS, MD - Paediatrics, DCH
Pediatrician, Bangalore
Dear, Don't worry. Your daughter is on only breast milk and frequent stool passage is normal at her age. Do burp her after every feed.Check her weight gain and if adequate just wait. Dr Srinathks
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I àm 35 male and my baby in 13 weeks old. I want to ask can I give water to my baby or after how many months I can give him cerelac.

MBBS, MD - Paediatrics
Pediatrician, Mumbai
I àm 35 male and my baby in 13 weeks old. I want to ask can I give water to my baby or after how many months I can gi...
Baby is still too young to give anything other than milk. Exclusive breast feeding is the key, if mother is having output issues, contact local Pediatrician if he/she suggests than can start top milk but not water and cerelac. Those food or water will will recommended only after 6 mths.
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Actually my son is 6 year old some times he rub is ear from today he is getting pain he does not have any fever please suggest me what I should do now ?

M.B.B.S., D.M.C.H.
General Physician, Alwar
Please get his ear examined by ent specialist. Meanwhile you can drop in his ear mycobiotic ear drops 2-3 drops thrice daily locally.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Handling a Newborn
---------------------------
If you haven't spent a lot of time around newborns, their fragility may be intimidating. Here are a few basics to remember:

Wash your hands (or use a hand sanitizer) before handling your baby. Newborns don't have a strong immune system yet, so they are susceptible to infection. Make sure that everyone who handles your baby has clean hands.
Be careful to support your baby's head and neck. Cradle the head when carrying your baby and support the head when carrying the baby upright or when you lay your baby down.
Be careful not to shake your newborn, whether in play or in frustration. Shaking that is vigorous can cause bleeding in the brain and even death. If you need to wake your infant, don't do it by shaking — instead, tickle your baby's feet or blow gently on a cheek.
Make sure your baby is securely fastened into the carrier, stroller, or car seat. Limit any activity that could be too rough or bouncy.
Remember that your newborn is not ready for rough play, such as being jiggled on the knee or thrown in the air.
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My son 2 years old, suffering for birth expecia, now without support he was no siting & standing.

Pediatrician, Pune
Birth asphyxia might have caused damage to his brain, leading to developmental delay, requires physiotherapy + occupational therapy for rehabilitation.
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Hello, my son is about to reach 2.5 old and still does not speak much. Though he listens and understands all our instructions & talks but does not feel compelled much to repeat us. He says only bare minimum required words to get his work done. He is quite active in playing with toys and ball games, but much behind than his age group children when it comes to articulate his expressions. Many a times he want to say a full statement but end up saying so many jibberish words, looks like he want to say so much things but not able to do so due to some speech problem. Could you please guide me on should we show him to a speech therapist or a psychiatrist? Are these signs of speech problems? Thanks in advance.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Hello, my son is about to reach 2.5 old and still does not speak much. Though he listens and understands all our inst...
As you have narrated that your son understand instruction. Talk, get his work done in minimum (relevant) words, active and play games. Only your problem is that he does not articulate or communicate in flow and is not able to express in one go. These are all normal activity at this age. He listen more and speak less but retain every conversation in his mind. I do not consider him as abnormal. It is better 1st to consult psychiatrist than speech therapist.
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Hello Doctors , My son new born with 2 months now and we are using for bottle feeding with similar 1 advance because my wife is not having enough breast milk so my question here is that which is the best feeding bottle we can buy and what is the process for cleaning the bottle and nipple. Kindly suggest your valuable responses. Thanks

MBBS, MD
Pediatrician, Gurgaon
Hello Doctors , My son new born with 2 months now and we are using for bottle feeding with similar 1 advance because ...
Personally I would say don't give bottle with breast. Most of mothers think that milk is insufficient. But it's not true. Weigh the child to find out adequacy of milk. And child should be fed every two hrly at two months. Breast should be given to child in consonance of his age in months. Three month old child is fed three hrly and. Six month old is given breast feed six hrly. Breast feed should be for 10-15 min. On each breast.
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I have little son equal to 3 years old but sometime he is suffering from cough so he cant sleep easily because he cant take breath easily please give me best suggestion.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
I have little son equal to 3 years old but sometime he is  suffering from cough so he cant sleep easily because he ca...
Can be asthma/ allergic rhinitis. Consult a chld spe, as physical examination is must. Avoid cold, pets, furs, egg, dust.
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Hi this is for my baby he is eighteen months he not eat anything please answer me how can give good food please.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi this is for my baby  he is eighteen months he not eat anything please answer me how can give good food please.
If you bottle feed him you have to stop bottle and feed with a spoon form cup and check his thyroid to see if there is any disease. Usually children are fussy about eating
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My grand daughter is 5 years old and have problem and don't respond sometimes to questions. Could it be due to complications during delivery. Kindly clarify.

C.S.C, D.C.H, M.B.B.S
General Physician,
She may be engaged in other thought or she may have attention deficit disorder. If any doubts you consult me.
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I'm suffering from bronchial asthma since two years But it occurs only in winter. Cough submit in the cold weather. In summer I don't have problems What is the affect of lung and bronculle It becomes respiratory problems. Prescribe me good medicines for permanent relief.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
May be you suffering from seasonal allergic asthma. You should try to identify the allergens causing symptoms in winters and avoid them and also take asthma inhalers during problem months.
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