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Dr. A C Shah

Pulmonologist, Mumbai

Dr. A C Shah Pulmonologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. A C Shah
Dr. A C Shah is a trusted Pulmonologist in Ghatkopar East, Mumbai. He is currently practising at Dr. A C Shah in Ghatkopar East, Mumbai. Save your time and book an appointment online with Dr. A C Shah on Lybrate.com.

Find numerous Pulmonologists in India from the comfort of your home on Lybrate.com. You will find Pulmonologists with more than 39 years of experience on Lybrate.com. You can find Pulmonologists online in Mumbai 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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#4, Golwala House, Hingwala Lane Corner, Ghatkopar East, MumbaiMumbai Get Directions
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I am a teenager hand have sinus problem I can not enjoy many cold food which I want to eat please reply to my answer.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
First thing you should go for ct scan of nose and sinus than treatment is based on grade of the sinus, if it is grade iv than no treatment is available or effective unless you get this corrected by surgery, surgery will give you nearly 80-90%. Than remaining you can treat with homeopathy than it will help. The bone of he nose gets deviated this leads to nose breathing problem if a person suffering from nasal obstruction along with sinusits and mild to moderate nasal allergies it means most probably he is suffering from dns (deviated nasal septum. Nasal obstruction is because of the deviated portion of the nasal septum (this is the bony partition of the nose cavity. Allergies are because of the hampered muco-ciliary mechanism (normally mucus is produced in the nose to moisten our nose cavity, oral cavity, and help food bolus to move downward, this mucus is basically moves on the cilia of the nasal mucosa) this mechanism gets hampered and mucus start accumulating in the nose and sinus cavity which is why thick mucus comes from nose in patients of nose obstruction and person develops sinusiits. When a surgeon removes the nasal septum deviation has not been removed properly the symptoms persists, and patient thinks that the nose bone has again regrown. It is not because of regrowth but because of half surgery done or due to the non removal of the deviation (reason can be many) nowadays nasal septal deviation can be removed endoscopic ally. But if the sinusitis is grade ii or iii than there are possibility that you may get relief from symptoms.
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Pulmonary Hypertension: How to Treat It?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Pulmonary Hypertension: How to Treat It?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
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What should I do for chronic cough. please tell me what to do for curing this?

MBBS
General Physician,
Hello, kindly tell me 1. Is cough associated with throat pain ? 2. Is sputum is also coming ? 3. Do you have sneezing/ running nose and kindly follow advises given below Take proper rest lot of fluids and proper home made diet. warm Saline gargles twice a day for 2-3 days. Avoid exertion Consult If Symptoms persist or worsen as cough > 3 week need to evaluate
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I always suffer from cough and cold whenever I drink cold drink or eat ice cream.

BHMS
Homeopath, Sindhudurg
Cold & cough bio combination no 6.4 tab 3 times coughcure syrup - 1 tbsf 3 times for 15 days, for complete cure message me your complaints in details.
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Im an 18 year old male whose been smoking for the past 2 years. Sometimes I feel a bit difficult to breath. What could be cause? Should I quit smoking?

BHMS
Homeopath, Thane
Hi, Smoking will definitely affect your lungs and may cause cirrhosis.Quit smoking as soon as possible as it may cause further breathing problem. Do pranayam,Suryanamaskar daily. Revert back
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Sir, I am surfing from fever And cough in my mouth from seven days. Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Sultanpur
Sir, I am surfing from fever
And cough in my mouth from seven days. Please advise.
Dear, take sitipaladi churna 5 gms with honey three times in a day. Gargling with luke warm water and little salt in this twice daily is also helpful. Try to avoid cold food. Tell your progress after seven days to guide further.
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Hi I am 70 years old and am suffering from asthama from the last 25 years, i am not a drinker, smoker and diabitic, inhaillor, tiate, budamate 400 and tab deraphylin 450 after dinner inthe mornig steam inhaillor and thereafter inj betnesol+deraphlin is taken when acute, nebulizer is also taken before lunch, i am feeling very weak and am unable even to walk 100 steps. Please advise what to do,

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Optimise the dose of budamate and technique also. Try telekast t instead of deriphyline 450. Try to reduce betnesol intake frequency. Do chest physiotherapy. Get immunization against flu/pneummococus.
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I am having cough from about 2 weeks. But I can't take cough syrup. Can you recommend me any other medicines instead of syrup.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Take pranacharya kasantak syrup 2-2 tsf in hot water twice a day...Take sitopaladi..praval and tankan bhasm churna with honey 3-4 times a day...take ginger black pepper and basil leaves tea.. ..gargle with hot water(salted) avoid milk...cold drinks....take hot water steam.......
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Hi, I'm 25 years old I want to know daily food which make me healthy and better? I'm suffering with cough daily and also when I intake saliva paining in that.

PDDM, MHA, MBBS
General Physician, Nashik
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated. Take tab sinarest twice a day after food for 3 days and revert.
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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? Are there any vitamins or supplements to help vision? OrI know I overeat at meals, but I can't help it. If I limit my portions, I'm hungry an hour later. How can I avoid overeating and have better control of my appetite? My stomach aches, thought it becomes fine in a day, but still it pains regularly, what to do?

MBBS
General Physician, Mumbai
If steroids are given orally for long periods of time than only it will cause bone shrinkage but if given through nebulisation than it won't have any side effects And For stomach pain take tablet Meftalspas-Ds and Avoid spicy food in your diet and Also avoid peanuts and potatoes in your diet
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Sir I smokes 5-6 sticks daily. What is the easiest way to clean the nicotine from my lungs after stop smoking? Will this smoking effect my sexual activities? I'm married.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
smoking effect every organ of the body. What so ever damage done to lungs can not be reversed . But if do not smoke in future it will not progress.
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I am suffering from cough. And due to change in the season it gets very serious and it pain alot also.

DAA, DNB
Pulmonologist, Bangalore
Hi. I understand your concerns. You might be having asthma. Asthma is chronic and a common problem causing symptoms. You will need to undergo a detailed examination and investigations like pulmonary function test which is needed for diagnosis and also to assess severity of asthma based on which treatemnt can be started. Consult a pulmonologist for the same. Hope your questions were answered. Thanks.
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Sir mujhe asthma hai medicine bataiye.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Try the tips below:: 1.Take 11 guava leaves, 11 black pepper, 1 cup milk and one cup water. Put all of them in pot and boil it well, when it reduced to one cup, drink in empty stomach. Take this daily for at least six months or a year. 2.Boil cumin seeds in water and inhale the steam. It helps dilate the bronchial passage. 3.Take 5 gm of ginger, black pepper, cardamom, clove, cinnamon, turmeric and 30 gm of sugar. Grind the mix to a powder. Take half to one teaspoonful and mix it nicely with honey. Take it twice a day 4.Pulses like old rice (rice which is stored for at least one year is called old), wheat, barley, kulattha, mung beans, arhar beans, etc . should be consumed. 5.Honey, warm drinks like herbal teas, spice teas are also okay. 6.Sprouts, nuts and seeds can be taken in moderate amount. 7.The heavy foods and those which make ama should be avoided. This mainly includes milk products like cheese, curd, butter milk, creams, and banana, etc. 8.Oily, greasy and fried foods which are difficult to digest should be avoided. 9.White flour and white sugar products should be avoided. 10.In addition, try to avoid the cold foods, cold drinks and other refrigerated things. 11.Avoid excessive or physically demanding exercise. Yoga and Pranayama can be helpful. 12. There are herbal medicines which can cure asthma without any side effects. 13. follow up after 10 days.
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I am 28 years old and I am suffering from asthma. Is there any treatment for its permanently curing.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Asthma is an Allergic problem and it is 100% treatable inHomoeopathy.I want to know about the comp[lete case history of your problem along with Family History,Present complaints and how and when the complaints are more or less.Every little bit that you can decribe about your problem will lead us toa most appropriate medicine.
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What medications are best for the treatment of asthma? What are their side effects? And which are preventions to take off this disease?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
What medications are best for the treatment of asthma? What are their side effects? And which are preventions to take...
Use asthma controller medication by inhalation with spacer. Can rarely cause osteoporosis in adults and growth retardation in childrens. Avoid dust, smoke, pollutions, allergens, stress.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Honey excellent for Cough

A spoonful of honey can quieten children?s? night time cough and help them and their parents sleep better.

When compared to the cough syrup ingredient dextromethorphan or no treatment, honey came out on top. According to a study from Archives of Paediatrics and Adolescent Medicine, the results are so strong that it can be said that honey is better than no treatment and dextromethorphan was not in children with upper respiratory infections (URIs). There is currently no proven effective treatment for cough due to an URI like the common cold. While dextromethorphan is widely used, there is no evidence that it works, and it carries risks.

Honey is used around the world as a home remedy for cough, and might provide a safe, effective alternative to cough medicine.

To investigate its role, the researchers compared buckwheat honey, a honey?flavoured dextromethorphan preparation, and no treatment in 105 children who had sought treatment for night time coughs due to colds. Among the three groups, children given honey had the greatest reduction in cough frequency and severity, and the most improved sleep, as did their parents. Its sweet, syrupy quality may be soothing to the throat, while its high antioxidant content could also be a factor. Honey also has antimicrobial effects.

Honey is not recommended for infants younger below one year of age because of the risk of botulism spores.
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I am 19 years and I have basic asthama. Is using the pump on a regular basis good for health? Please advise.

Diploma in Clinical Nutrition and Dietitics, N.D.D.Y, B.Ed Yoga, Post Graduation Diploma in Yoga Therphy
Dietitian/Nutritionist, Panchkula
Add amla and honey and chawanprash in morning and evening. Avoid milk after evening. Avoid fry spicy junk food and aerated drinks and do deep breathing 5times inhale exhale from left nostril than same from right.
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I have a problem of tonsil always so please give me some suggestion.

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist,
Tab. Septilin 2 tab. Twice a day for 2 weeks and then 1 tab. Twice a day for another 2 weeks. Do betadine mouth gargles twice a day.
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Dear Dr. I have anxiety problem fell sometime shortness of breath. Going through stairs very slow otherwise big breathing problem. All heart test done normal. Not diagnosed. Pls.suggest me what to do. librium.or Montair-lc. Help me but not fully satisfied.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Dear Dr. I have anxiety problem fell sometime shortness of breath. Going through stairs very slow otherwise big breat...
Librium and montair lc are for different conditions. Pft to r/o asthma. Exercise, good food, sleep for 6 -8 hours.
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