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Dr. Paramez

Pulmonologist, Kochi

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Dr. Paramez Pulmonologist, Kochi
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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.
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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 28 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 am 26 years old and I have been suffering from repeatedly cough and cold problem for a long time please suggest me something what to do for this.

B.H.M.S,
Homeopath, Muzaffarpur
I am 26 years old and I have been suffering from repeatedly cough and cold problem for a long time please suggest me ...
Hello lybrate-user, you are suggested to take following homoeopathic medicine as per direction mentioned. 1. Psoninum 1m one drop in morning for one day. 2. From next day. Bryonia alba. 30 one drop morning evening. 2. Rhus tox 30 one drop afternoon night. Medicine continue for 15 day and report. Thanks for consult.
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I am a 72 year old male who is suffering from COPD and am looking for a Homeopathic solution or course to help me breathe better and reduce the nagging cough that I have. Can you suggest a line of treatment for me.

M.D.(HOMOEOPATHY), C.S.D.(MUMBAI), BHMS
Homeopath, Bareilly
Chronic obstructive pulmonary disease (COPD) is characterized by chronic airflow limitation that is not fully reversible and an abnormal inflammatory response in the lungs. The latter represent the innate and adaptive immune responses to a lifetime of exposure to noxious particles, fumes and gases, particularly cigarette smoke. All cigarette smokers have inflammatory changes within their lungs, but those who develop COPD exhibit an enhanced or abnormal inflammatory response may result in mucous hyper-secretion (chronic bronchitis), tissue destruction (emphysema), disruption of normal repair and defense mechanism causing small airway inflammation (bronchiolitis) and fibrosis. These pathological changes result in increased resistance to airflow in the small conducting airways and increased compliance and reduced elastic recoil of the lungs. This causes progressive airflow limitation and air trapping, which are the hallmark features of COPD. There is increasing understanding of the cell and the molecular mechanism that result in the pathological changes found and how these lead to physiological abnormalities and subsequent development of symptoms. What are the causes of a COPD exacerbation? These are two very common causes of COPD exacerbation: Lung infections, such as bronchitis and pneumonia. Infections are the most common cause of COPD exacerbations and are usually caused by a virus, but they can also be caused by bacteria. Lung irritation from dust, fumes, and other sources of air pollution. When you experience a COPD exacerbation, there is a dramatic increase in mucus production in your lungs as well as narrowing of the airways of the lungs a (bronchial tubes). The increased mucus production and airway narrowing decrease the air flow in the lungs, worsening the symptoms of cough and shortness of breath. Other cases of COPD exacerbations include heart failure, allergic reactions, accidental inhalation of food or stomach contents into the lungs, and exposure to temperature changes or chemicals. In about one third of COPD exacerbations, doctors cannot find a cause. The most common symptoms seen in COPD are breathlessness, cough and fatigue. There is no good correlation between lung function and symptoms of COPD, not even the standardized scoring of breathlessness correlates well with FEV; the important message being that a simple physiological measure can never substitute a symptom history. Breathlessness Breathlessness is the most significant symptom in COPD and it is associated with significant disability, poor quality of life and poor prognosis. Cough and Sputum Production Cough is respiratory defense mechanism protecting the airways and cough is the major method of clearing excess mucus production. In COPD patients, cough as a symptom is almost as common as breathlessness and may actually precede the onset of breathlessness. Cough is usually worse in the morning but seldom disturbs the patient’s sleep; it can, nevertheless, be disabling because of the embarrassment felt by many patients when they have bursts of productive cough on social occasions and may contribute to the isolation often imposed on patients due to breathlessness. Wheezing Wheezing is generally seen as an asthma symptom but frequently occurs in COPD as well. However, nocturnal wheeze is uncommon in COPD and Suggests the presence of asthma and/or heart failure. Fatigue Fatigue is frequently reported by COPD patients. Other symptoms Chest pain is a common complaint in COPD, mostly secondary to muscle pain. However, it should be noted that ischemic heart disease is frequent in any population of heavy smokers and COPD patients may be at particular risk. Acid reflux occurrence is also frequent in COPD. Ankle swelling may result from immobility secondary to breathlessness or as result of right heart failure. Anorexia and weight loss often occurs as the disease advances and should be mirrored by measurements of body mass index (BMI) and body composition. Psychiatric morbidity is high in COPD, reflecting the social isolation, the neurological effects of hypoxemia and possibly the effects of systemic inflammation. Sleep quality is impaired in advanced disease and this may contribute to neuropsychiatric comorbidity. How is COPD diagnosed? The diagnosis is largely made on the clinical grounds in patients who have smoked. It is confirmed by demonstrating airflow obstruction that shows little day to day or diurnal variation and minimal response to bronchodilators. Airflow obstruction can only be accurately showed by spirometry rather than by measuring peak flow rates. Many patients will only present at the time of an exacerbation and will be unaware that they have a chronic illness. Some will have had a cough or been breathless for some time but will not have recognized that these were symptoms of a lung condition. It is often only in retrospect that patients realize that they have been breathless on exertion or have had a productive cough for several years. Many smokers have a morning cough that they regard as normal for them and become breathless on exertion, which they regard as a part of normal ageing. Age is risk factor for COPD and the presence of symptoms suggestive of a diagnosis of COPD in patients under the age of 40 should raise the possibility of an alternative diagnosis or an unusual etiology such as a-1 antitrypsin deficiency. Homeopathic treatment of COPD symptoms Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat COPD symptoms but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several medicines are available for COPD symptoms treatment that can be selected on the basis of cause, sensation, modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are some specific homeopathic remedies which are quite helpful in the treatment of COPD symptoms: side effects of hormonal inhalers you are undergoing treatment Dizziness, Fatigue, Fever; Rash; Abdominal Pain, Dyspepsia, Dental Pain, Gastroenteritis; Increased AST; Weakness; Cough, Nasal Congestion. Aggression, Agitation, Angioedema, Arthralgia, Bleeding Tendency, Bruising, Cholestasis, Diarrhoea, Dream Abnormalities, Drowsiness, Oedema, Eosinophilia, Hallucinations, Hepatic Eosinophilic Infiltration (Rare), Hepatitis, Hypersensitivity, Hypoaesthesia, Insomnia, Irritability, Muscle Cramps, Myalgia, Nausea, Palpitation, Pancreatitis, Paraesthesia, Pruritus, Restlessness, Seizure, Urticaria, Vasculitis, Vomiting. Potentially Fatal: Anaphylaxis, Churg-Strauss Syndrome.
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Hello Doctor, My question to you is I am 38 years old and suffering from Cough and cold from Nov 2015. I have consulted our Apollo Wellness center in our office and each time they prescribe antibiotic and cough syrup. Please let know what I should do? Please guide me. ThanksVenkatesh SeshanChennai8939894932.

FRCSCTh, FRCS, MS - General Surgery, MBBS
Cardiologist, Bangalore
Hello Doctor, My question to you is I am 38 years old and suffering from Cough and cold from Nov 2015. I have consult...
It is not unusual in winter months to have long standing cough even after the infection, mostly viral has gone away. However to be on the safer side I would suggest a blood test including cbc and esr, sputum test microscopy and zn stain if you are bringing up phlegm and a chest xray. If these are normal, only symptomatic treatment with a cough syrup will suffice. If tests are abnormal then appropriate treatment has to be given.
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Hi i' m 18 year old, I want to know about sinus because when ever I eat banana, I have to suffer from sinus.

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Sinus are air sacs made by God in our face and skull bone to reduce their weight, present in all human beings and when there is infection in it called sinusitis. Symptoms are heaviness of head and face, fever, nose block, recurrent throat infection. Treatment is done to maintain their aeration by steam inhalation twice a day and use of steroid nasal spray 2 puffs twice a day.
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One of my near relative use to suffer from energetic cough and cold during winter season. What should have been done for preventive measures?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
One of my near relative use to suffer from energetic cough and cold during winter season. What should have been done ...
there is no term like energetic cough. can be allergic rhinitis. Allergy screening blood test to confirm
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If I have suffering for cough syrups then which one medicine is batter in this conditions and I want good treatment.

BAMS, MD Ayurveda
Sexologist, Lonavala
The best remedy i can recommend you is as follows One of the simplest home remedies for a cough is to cut onions. Breathing in the strong vapors can help stop coughing. You can also make a cough syrup from baked onion juice, comfrey tea and honey. Drink it daily to get relief from a dry cough. Another option is to combine one-half teaspoon of onion juice with one teaspoon of pure honey. Swallow this solution at least twice a day to alleviate a cough and soothe your throat
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I have asthma. When climbing staircase fees suffocated restless. Takes medicines like Maxi flo 250 Rotocap.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
I have asthma. When climbing staircase fees suffocated restless. Takes medicines like Maxi flo 250 Rotocap.
along with adequate medicines it is important to increase once endurance also.that can be done by regular exercises and a proper respiratory rehabilitation program under expert guidance
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My 5-year-old daughter has asthma. What is the effect of using an asthma preventer long-term? I heard that using it for years might cause bone shrinkage. Is it true?

Diploma in Allergy and clinical Immunology, MBBS, MD - Paediatrics
Allergist/Immunologist, Kochi
No. Inhalers have no longer term side effects. Bcos only micrograms of doses go to the lung with no systemic side effects.
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I am suffering from cough for seven days. I am collage student because of that I can't take leave. So what should I do for immediate relief. Can you suggest some relief method.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Dear, home remedy for dry cough: 5 basil leaves, 4 black pepper, 4 munakka, 5 gms liquorice (mulethi), 3 gms banafsha - boil these in 200 ml of water till it becomes 100 ml. Filter it. Add 2-3 patasha in it and drink lukewarm for 3-4 nights. Sleep well covered. Dry cough will be relieved. Also continue to chew mulethi. You can also have steam with vicks although some herbal medicines might also help you but after proper history taking.
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My son is 4 year old. He is having cough continuously if I fail to give monticope. We have tested that he is having allergy. I am giving monticope for the past 3 months. Please give suggestions. I am very much worried about my son. Whether I have to continue or change the medicine.

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
These medicines are some side effects as well and your kid is too small. According to me you should follow ayurvedic treatment along with. And after some recovery you can totally shift to ayurvedic treatment.
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What is most precious way to protect our body from uneven weather & cough viral. So what precautions should be taken.

MBBS, cc USG
General Physician, Gurgaon
i advise you 1. Proper diet and, recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonderful result Daily is a multivitamin and multimineral tablet completely natural, provides 13 essential vitamins & 11 minerals Also contains organically grown exclusive NUTRILITE plant concentrate which provide additional advantage of phytonutrients 2. Meditation 3. regular physical activity Consult me for further management
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I have a sinus problem. Everyday morning, while sweeping in the house, I suffer with sneezing. I cannot enter a place with dust. I get cold once in a month and it does not leave for over 10 days. Plzz suggest me what measures I have to take in my daily life. THANK U.

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
Hi...U have allergy problem so u need to take antihistaminics and steroid nasal spray.Avoid exposure to dust. If ur problem is of long duration get a CT scan done to know about the underlying pathology so that proper treatment can be advocated.
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I am 30 years old and I am suffering from bronchitis I want to know about this disease. What it is, how it happens, it' s actual causes etc

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Most of the time asthmatics are lebeled as bronchitis. If reccurent brearhlessness with cough and wheeze, you are most likly ashamatic. Get an spirometry done to confirm it. Asthma is hyperresponsive airways to external factors like pollens. Dust etc.
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I am suffering from dry cough since 4 months, i've had my urine, saliva, running and blood test done. I've taken all the prescriptions my doc had given but still I have no relif. He said I have li'll cough in my lungs. I do smoke tough but trying to quit. What should I do? Any home remedies would help? And i'm also having a itch under my testicles and beside them on the thigh and when I itch it there will be a small pimples there and it dosent feel good. Thank you.

MBBS
General Physician, Mumbai
I am suffering from dry cough since 4 months, i've had my urine, saliva, running and blood test done. I've taken all ...
For cough take syp ascoril-D 2.5 ml twice a day and take tablet Histafree M 1-1 for five days and if the itching is due to fungal infection than apply micogel ointment at night after washing it with soap and water at bedtime for a month
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I have cold and problem during breathing from over about more than 2 months. I not able to breath properly. Please suggest something for me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
There are several things you can do to prevent a cold. they are all easy. -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. -Get plenty of rest/sleep.staying at home will keep you from spreading germs.Avoid people who have a cold or cold symptoms. -Drink plenty of fluids(veg/tomato soups,dal water/coconut water/herbal tea etc), and eat nutritious food(like sprouts/boiled eggs without yolk with milk). Avoid foods or drinks with caffeine which can impair your sleep -Treatment:A cold usually lasts for a week or two. Unless you develop complications, you shouldn't need medical treatment. -Complications like infections of the ears, throat, sinuses or lungs must be treated with antibiotics. -Gargle to keep from getting a sore throat. -Use saline nasal sprays or nasal irrigation. -Tablet nasorest-p once/twice daily may ease breathing. -Do steam inhalation once or twice daily -Cough- For dry cough.Take syrup Alex-D for a dry cough.(1 tsp thrice daily) -Productive cough:it brings up mucus from behind the throat or the lungs.These coughs should not be suppressed to the point that they no longer bring up mucus. Use syrup Alex. -Get chest xray done if cough lasts for more than a week and consult doctor immediately.
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What medication are best for the treatment of asthma? What are their side effects?

BHMS
Homeopath, Delhi
What medication are best for the treatment of asthma? What are their side effects?
Mr. I suggest you to take homoeopathic medicine matrum sulph 200 tds for 15 days solve your problem k.
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Iam 50 years old iam suffering from sinus it will effect mostly in winter seasons what is your advice to do?

BUMS ( Mumbai ),H.E.S(pune),
General Physician, Mumbai
sinusitis it mostly seasonal. u require anti allergic medications. consult with me for further help.
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Homeopathy - A Perfect Remedy For Allergic Bronchitis!

BHMS
Homeopath, Pune
Homeopathy - A Perfect Remedy For Allergic Bronchitis!

Bronchitis is the inflammation of the lining of the bronchial tubes present in the lungs. The inflammation may occur due to a bacterial or a viral infection or even due to some allergy. As the mucous membranes get irritated due to the inflammation, there is swelling. This swelling can cause narrowing of the airways. This narrowing causes difficulty in breathing. At the same time, due to the inflammation, a lot of mucous is produced. The narrow airways are unable to wash off the mucous causing mucous to collect within the lungs.

Bronchitis can be of two different forms - mild and chronic. Those with chronic bronchitis would have to be extra careful during change of season and when they catch a cold so that their bronchial tubes do not flare up. At times, bronchitis is caused due to allergic reactions in the body. Such allergies mostly constitute allergies from pollen, dust, paints and the likes.

Bronchitis Symptoms

  1. Cough and production of mucous or sputum are the two most common symptoms of bronchitis.

  2. Due to excess production of mucous within the bronchial tubes, the cough reflex is induced in a bid to get rid of the mucous. The mucous is usually whitish in colour.

  3. Often patients feel shortness of breath.

  4. There may be wheezing in the chest while breathing. A sensation of tightness or heaviness in the chest may be felt.

  5. Exercising or running or climbing stairs is often difficult as the compromised lungs are unable to meet the increased requirements of oxygen.

In such cases, many lines of treatments can be undergone to provide relief from the discomfort. However, homeopathy is one of the best treatments which would involve fast relief and quick comfort from bronchitis.

Homeopathic Treatment For Bronchitis

When it comes to treating bronchitis, Homeopathy is very effective. In fact, it is the most promising system of medicine for the treatment of bronchitis. Homeopathic medicines serve as a very reliable and safe treatment to get rid of Bronchitis. They are free from any side effects and there is absolutely no chance of suppression in the Homeopathic treatment of Bronchitis. They prove a great helping hand in easy coughing out of the mucus from the bronchi. As the mucus is effortlessly thrown out with aid of properly selected Homeopathic medicines, the cough, chest pain and difficulty in breathing also begin to subside and almost end. Here are five of the most used homeopathic medicines for treating bronchitis.

  1. Arsenic Album: Bronchitis, mild or severe, manifests certain symptoms. In case, bronchitis experienced by you is accompanied by wheezing, increase in cough during the night, and extreme weakness and restlessness; then arsenic album is the best medicine for your treatment. There is also an ardent increase in your want to drink water, although very little liquid intake actually happens at one go. These symptoms are enough for the medical practitioner to prescribe the above medicine to you.

  2. Bryonia: Bryonia is administered when the patient has a dry mucous and dry cough due to bronchitis. This dryness causes him/her to increase the liquid intake in the body. It has also been noticed that cough is aggravated on entering any warm space.

  3. Pulsatilla: This is prescribed when cough worsens during the evening and night while it is relatively stable during the day. The patient suffers from greenish to whitish mucous discharges and goes relatively thirstless during the suffering period. It becomes difficult for the patient to lie down while having this kind of bronchitis as it only aggravates cough, thus forcing him to sit up all the time.

  4. Antim Tart: Mostly administered to children and elders, this medicine works best when there is rattling of cough inside the chest. However, it actually becomes difficult to discharge it. Moreover, the patient finds it difficult to lie down peacefully on their right side, forcing them to shift often while sleeping.

  5. Hepar Sulphur: When cough is excited by advent of cold air, it becomes increasingly needful to administer Hepar Sulphur. Here, cough increases in the morning followed by wheezing and rattling.

Bronchitis is a common chest infection and can be treated with much ease with these tested homeopathic medicines. However, before you take on any medication, it is always recommended to consult a specialized homeopath for individualized treatment.

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I cough hair. I was having cough n cold for sometime, so I thought those hair might be of nasal cavity. But it has happened 4 times in 6 months. Is there anything to worry about?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Cough hair are coming from nostril. Avoid stress. Use nasal spray otrivin twice a day. Syp. Brozedex 10 ml twice a day after meal.
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