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Dr. Paramez

Pulmonologist, Kochi

200 at clinic
Dr. Paramez Pulmonologist, Kochi
200 at clinic  ·  ₹ online
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Paramez
Dr. Paramez is a popular Pulmonologist in Edapally, Kochi. You can visit him at KIMS HOSPITAL in Edapally, Kochi. You can book an instant appointment online with Dr. Paramez on Lybrate.com.

Lybrate.com has a number of highly qualified Pulmonologists in India. You will find Pulmonologists with more than 30 years of experience on Lybrate.com. You can find Pulmonologists online in Kochi 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 have sinus since my childhood, is it curable?

MBBS
General Physician
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its allergic problem,there is no permanent cure, 1tab sinarest before bed, steam inhalation. Wear mask to avoid dust, it will help. Thank you

I have got sore throat accompanied by dry cough. what should I do?

BHMS
Homeopath
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I have got sore throat accompanied  by dry cough. what should I do?
Hello, you can take homoeopathic medicine belladonna 200 (4 drops in little water) 4 times in a day for 2 days and revert.

I am 32 years male suffering from allergic rhinitis. My all sinus passages get blocked including frontal. I am doing pranayam regularly. Please suggest what should I do.

MS , MBBS
Ear-Nose-Throat (ENT) Specialist
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Hi, allergic rhinitis is not curable and therefore you need to be on some treatment on a regular basis. You could consult me for clinical examination and treatment.

What are the symptoms of of cancer? From five days I was suffering from wooophing cough is that a chance of cancer? I have habit of smoking.

Reparenting Technique, BA, BEd
Psychologist
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You may have what is called a 'smokers cough'. But since you are worried I suggest you can go for a test by consulting your doctor. For the symptoms of cancer: Lung Cancer Signs and Symptoms (Sourced from Medicinenet.com) Lung cancer is the most common cancer in men and the fifth most common in women, even causing more cancer-related deaths in women than breast cancer. The incidence of lung cancer is strongly correlated with cigarette smoking, with about 90% of lung cancers arising as a result of tobacco use. Symptoms of lung cancer are varied dependent upon the exact location of the tumor and the extent of its spread. A person with lung cancer may have the following kinds of symptoms: • No symptoms - Up to 25% of people who get lung cancer do not have any symptoms when the cancer is found. In these cases the cancer is first discovered on a routine chest X-ray or computerized tomography(CT) scan performed for another reason. • Symptoms related to the cancer - The growth of the cancer and invasion of the lung and surroundings may lead to symptoms such as cough, shortness of breath, wheezing, chest pain, and coughing up blood (hemoptysis). If the cancer has invaded nerves, it may cause shoulder pain that travels down the outside of the arm (called Pancoast syndrome) or paralysis of the nerves traveling to the vocal cords that leads to hoarseness. Invasion of the esophagus may lead to difficulty swallowing (dysphagia). If a large airway is obstructed, collapse of a portion of the lung may occur and cause infections (abscesses, pneumonia) in the obstructed area. • Symptoms related to metastasis (spread to other organs) - Lung cancer that has spread to the bones may produce excruciating pain at the sites of bone involvement. Cancer that has spread to the brain may cause a number of neurologic symptoms that may include blurred vision, headaches, seizures, confusion or altered thought processes, or symptoms of stroke. • Paraneoplastic symptoms - Lung cancers frequently are accompanied by so-called paraneoplastic syndromes that result from production of hormone-like substances by the tumor cells that are released into the blood. A common paraneoplastic syndrome associated with one type of lung cancer is the production of a hormone called adrenocorticotrophic hormone (ACTH) by the cancer cells, leading to over secretion of another hormone, cortisol, by the adrenal glands (Cushing's syndrome). • Nonspecific symptoms - Nonspecific symptoms seen with many cancers, including lung cancers, include weight loss, weakness, and fatigue. It is important always to consult a doctor if a person develops the symptoms associated with lung cancer, in particular: • A new persistent cough or worsening of an existing chronic cough • Blood in the sputum • Persistent bronchitis or repeated respiratory infections • Chest pain • Unexplained weight loss and/or fatigue • Breathing difficulties such as shortness of breath or wheezing My advise to you is to quit smoking whether you have any of the symptoms or not. Smoking is just very dangerous to your health.

My daughter of age one year is suffering from cough. When she sleeps it increases kindly suggest.

MD PULMONARY, DTCD
Pulmonologist
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Cough which increases on lying is usually due to nasal congestion, postnasal drip and reflux. Try anti allergic syrup and if no relief consult a child specialist.

Cure to swollen tonsils

MD PULMONARY, DTCD
Pulmonologist
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If with fever and tonsils have yellow spot with throat pain,then take antibiotic.Otherwise do saline gargles and avoid cold things.

I have cough on morning from precious 1 week what should I do?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician
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There are several things you can do to prevent a cold—they are all easy and inexpensive and worth the effort. Wash your hands often-with soap and warm water.The germs stick to the soap and get washed down the drain. Always wash your hands after coughing or sneezing into your hands, blowing your nose, after touching someone who is sick, or when using public restrooms or telephones. Cover Your Mouth and Nose When You Sneeze or Cough- Clean your hands every time you cough or sneeze. Avoid Touching Your Eyes, Nose, or Mouth-Germs are often spread when a person touches a contaminated surface and then touches their eyes, nose, or mouth. Stay Home When You’re Sick-Get plenty of sleep, be physically active, don’t smoke, manage stress, drink plenty of fluids, and eat nutritious food so you can fend off viruses. In general you should: -Take healthy balanced diet...like boiled eggs.daily in breakfast .. -Avoid people who have a cold or cold symptoms. -Routinely clean and disinfect common areas of your home. -get plenty of rest so your body can use its energy to fight the cold -staying at home will keep you from spreading germs -drink plenty of liquids like herbal tea or hot broth/vegetable/tomato soups. Avoid foods or drinks with caffeine which can keep you from getting enough sleep -Runny Nose and Sneezing- if you have post nasal drip, gargle to keep from getting a sore throat. Drink extra fluids. (avoid sugary and high calorie drinks) -Use saline nasal sprays or nasal irrigation • Tablet Nasorest-P once/twice daily may reduce the amount of mucous. • Do steam inhalation once or twice daily Treatment:There is a gradual 1-3 day onset of symptoms. It often starts out as a sore throat, then a fever and coughing. As the cold progresses, the nasal mucus may thicken which is the last stage before the cold dries up. A cold usually lasts for a week or two. But, taking good care of yourself at home can relieve symptoms and help prevent complications if you are otherwise healthy. Unless you develop complications, you shouldn’t need medical treatment. Complications include bacterial infections of the ears, throat, sinuses or lungs which must be treated with antibiotics. Cough-Coughing is how your body gets rid of debris and mucus from the airways during a viral infection. Unless your cough is severe or is keeping you from resting at night, it is better not to treat it. A severe cough can be treated with a cough syp, but don’t try to completely stop the cough. There are two types of coughs. Productive and non-productive or dry cough. Non-productive, dry cough. A dry, hacking cough may develop near the end of a cold. Dry coughs that follow viral colds are often worse at night and can last up to several weeks. Take syrup Alex-D for a dry cough. Cough drops can sooth an irritated throat, but most don’t affect the cough. Productive cough. A productive cough is one that brings up mucus from the back of the throat or the lungs. Productive coughs should not be suppressed to the point they no longer bring up mucus. Use syrup Alex. Drink lots of water if you have a productive cough. Head and Body Aches- Take tablet dolo-650 mg for fever once or twice daily

I am having cough from last 5 year also tried many treatment but all failed also tested bulgum but yet no any fix problem found. Suggest me solution.

C.S.C, D.C.H, M.B.B.S
General Physician
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Having tested all these as you say, this is allergic cough and allergy preventer drug form lrta class will help.

I am a long time smoker. Have history of COPD. Experiencing consistent cough for last few months. Trying hard but not able to quit smoking. Please advice.

Reparenting Technique, BA, BEd
Psychologist
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You must try and try again until you succeed. You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i. E. At least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking.

How to Recognise Asthma?

MD PULMONARY, DTCD
Pulmonologist
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Asthma is a respiratory disease that takes place with a variety of symptoms including breathlessness, wheezing and coughing. It usually occurs when the airways get obstructed, which in turn leads to inflammation of the tubes. So how can you recognise the signs and symptoms of asthma? here is a list of ways!

Risk identification: it has been observed by doctors and medical science that there is no specific reason for the onset of this ailment. It can be caused due to genetic as well as environmental factors. So, in order to recognise the symptoms, you will first of all have to take stock of both these factors. Find out if you have any blood relatives who have suffered from this ailment and try to find out how it started and at what age, so that you can watch out for the same warning signs. Also, if you are more prone than others when it comes to allergic conditions like rhinitis and atopic dermatitis, then you are at risk. Other risk factors also include living in a high pollution zone, as well as being overweight, smoking, working within close range of exhaust fumes and other chemicals, and other such factors.

Symptom identification: to be able to identify whether or not you are at risk, you must identify the potential symptoms including persistent shortness of breath, which may strike regularly. Also, another symptom is not being able to sleep comfortably due to excessive coughing and breath shortness as well as shallow breathing and wheezing. You may also experience some amount of chest tightening or constriction. These symptoms will usually get worse if you happen to be suffering from the flu or a cold.

Respiratory health: if you are suspecting the onset of this disease, it would be a good idea to watch your respiratory health by observing the rise and fall of your breath when you are doing energy consuming and strenuous activities like exercising or other such tasks. Sports induced asthma is an actual condition that can get worse when your lungs are faced with cold and dry air. Also, if you are facing exhaust fumes and chemicals as a part of your job, then you are at risk of occupational asthma, in which case you should watch your respiratory health very closely. These symptoms can also get worse when you are around animals and pets due to the allergens that may trigger wheezing and coughing. A lung function test can be conducted by the pulmonologist in case you are suffering from any of these symptoms and conditions on a persistence and prolonged basis.

Knowing and reporting your symptoms to the doctor is important for getting timely treatment.
How to Recognise Asthma?

What are symptoms of sinusitis?

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist
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Symptoms include nose block, headache or heaviness, facial pain, fever, nasal discharge, post nasal drip leading to chronic throat irritation.

Dear Doctor, my mother has been suffering from ILD (interstitial lung disease) since 4 years. Now, she is on allopathy. Is there any chance get it subsided this disease by ayurved medicines along with allopathy? Kindly suggest the best ayurved treatment for this disease.

Diploma in Tuberculosis and Chest Diseases (DTCD), MBBS
Pulmonologist
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This is untreatable diaease...we can keep under control only...I dont think Ayurved will work here...

I am suffering from knee pain my weight is less and body is not fit. I feel very lazy in whole day. And I have nose problem sinusitis. And gallery from dust, vegetable ki jhar SE. And.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist
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I am suffering from knee pain my weight is less and body is not fit. I feel very lazy in whole day. And I have nose p...
Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, acl injury, knee bursitis, torn meniscus, gout and infections. Try some home remedies for your pain- - ice is useful for the control of pain and swelling. It can be applied to the knee for 15 to 20 minutes as often as every two to four hours. The swollen knee should be elevated above the level of the heart while icing. -activities that cause pain should be avoided temporarily. -if the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: squatting kneeling twisting and pivoting jogging aerobics, dancing playing sport you need detail assessment with a physiotherapist to find out what causing you this pain and pain management. Best wishes.

Hi doctor. I have cough more than 5 weeks. so, what to do.?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Firstly there's no lifelong cure for the common cold. Antibiotics are only effective against infections of throat and are of no use against cold viruses. Over-the-counter (otc) cold preparations won't cure a common cold or make it go away any sooner, and most have side effects. A saltwater gargle 1 teaspoon salt and 1/2tsp turmeric dissolved in a glass of warm water can temporarily relieve a sore or scratchy throat. To help relieve nasal congestion, try saline (pure salt water) nasal drops. If you have a throat infection, or a viral cold then I will prescribe appropriate meds based on your detailed assessment. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.

I am 85 years old and suffering severe cough from 6years.Due to which night times no sleep. If you look at history bypass operation for heart, appendix operation, hernia. So please help me to stop this cough.

M.D - Respiratory medicine
Pulmonologist
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Sir you need check by cardiologist firstly. You may need gastroenterolost help for reducing gastric reflux which is common with advancing age.

Sometime, she starts feeling severe pain in one of her ear. It seemed that she also had some cough. What is the quickest treatment available to pacify the pain (when it happens late at nights). And what are reasons for this? How can it be prevented?

MBBS, DLO
Ear-Nose-Throat (ENT) Specialist
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Sometime, she starts feeling severe pain in one of her ear. It seemed that she also had some cough. What is the quick...
This seems to be AOM ie Middle ear infection leading to Swelling of ear drum and severe pain. In situations like this you just give any pain killer like Combiflamm and give steam. Contact any ENT specialist ASAP.

How can I away from frequent tonsil problem?

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist
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Tab. Septilin twice a day for 1 month and warm saline gargles twice a day. Avoid spicy and sour food.

I have chest pain from someday and I have a difficulty in breathing what can I do?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I have chest pain from someday and I have a difficulty in breathing what can I do?
Hi take shwas kuthar ras twice a day....pranacharya asthamin capsule 1-1 twice a day...and pranacharya shwas vikarasav 2-2 tsf twice a day...1-1 drop of cow ghee in both nostrils at night time before sleep....take hot water steam....take pranacharya allergin capsule 1-1 cap twice a day with warm water...

What are the symptoms of tuberculosis? What precautions should be taken when a person suffering from it?

MBBS
General Physician
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1.Evening rise of Temperature, Night sweat1. 2.Coughing that lasts for more than 3 weeks 3.Coughing up Blood 4.Chest pain while taking breath or coughing 5.Loss of weight, Fatigue 6.Take treatment From DOTS(direct observation treatment short course)center and follow their advice

Sir i have breathing problem due to cold since 2 years. I consulted many doctors they said that i have allergy in my nose. Please suggest me good medicine ? .

General Physician (AM)
Alternative Medicine Specialist
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There is no such allergy as allergy in nose ! An attack may be brought on by contact with substances to which the person is sensitive and emotional or dietary factors should not be overlooked. A sudden change of temperature can bring on an attack. May be Your respiration system is allergic to certain allergens which causes breathing problem or it can be due to cold and damp weather, you will have to figure out what causes you breathing problems? It can be cured . Try using (Biochemic) Ars Iod 12X 4 pills 3 times and Nat Sulph 6X 4 pills 4 times.
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