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Dr. Anuradha Shah

Pulmonologist, Mumbai

Dr. Anuradha Shah Pulmonologist, Mumbai
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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. Anuradha Shah is a trusted Pulmonologist in Tardeo, Mumbai. You can meet Dr. Anuradha Shah personally at Bhatia Hospital in Tardeo, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Anuradha Shah on Lybrate.com.

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Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions
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Causes and Symptoms of COPD

Multi Speciality Clinic
Multi Speciality, Pune
Causes and Symptoms of COPD

COPD, short for Chronic Obstructive Pulmonary Disease, is an inflammatory disease of the lungs. The disease obstructs the flow of air in the lungs and subsequently causes difficulty in breathing. Prolonged exposure to cigarette smoke, gases or particulate matter can lead to this condition. The condition transcends all age brackets meaning it can affect anyone from young teenagers to aged adults. People who contract this disease are at an increased likelihood of developing cardiovascular conditions and lung diseases, in addition to a horde of other conditions.

Causes of COPD
1. The chief cause of COPD is smoking tobacco and being subjected to fumes from cooking and heating. A study estimated that in and around 25% of long-standing smokers develop symptoms of this condition. Yet, statistics show that COPD is often misdiagnosed until an elaborate evaluation is diagnosed.
2. Conditions like Emphysema and chronic bronchitis are also known to cause the disease. Your lungs depend on the intrinsic elasticity of the air sacs and bronchial tubes that help facilitate the passage of air through the lungs. Chronic Obstructive Pulmonary Disease causes these passages to lose their elasticity thus rendering them partially ineffective.

Symptoms of COPD 
The symptoms of COPD do not appear until the lungs are significantly damaged and the condition tends to deteriorate if smoking persists. Apart from coughing and production of sputum, other apparent symptoms include:

  1. Difficulty in breathing
  2. Stiffness and tightness of chest
  3. A persistent cough
  4. Fatigue and weakness
  5. Weight loss
  6. Frequent allergic reactions of the respiratory glands

Along with the aforementioned symptoms, patients who are diagnosed with COPD are likely to experience bouts of exacerbation, during which their symptoms heighten and tend to grow worse for several days.
Although anyone can contract the condition, certain people are at an increased risk of condition. Such risk factors include:

  • Chronic smoking
  • A medical history of asthma
  • Exposure to chemicals and dusts
  • Weakening of the immune system with increasing age
  • Heredity

If you experience or entertain symptoms or suspicions of this disease, consulting a pulmonologist is duly advised.

3626 people found this helpful

What medications are best for the treatment of asthma? What are their side effects?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Use asthma preventor medication by inhalation with spacer. Avoid dust. Smoke and pollution. Can cause osteoporosis in adults and growth retardation in childrens.
18 people found this helpful
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Yesterday she got cough and then first it affect left side of neck then right. It was paining a lot. She was not able to eat properly. Which medicine should we prefer.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
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.
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I am 59 years male. I am a smoker for last 35 years. Smoke at least 10 cigarettes a day. Is there any effective medicine which can cure or control the asthama/copd so as to enable me to lead a normal life? if yes then, please advise.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. If you?re ready to stop smoking and willing to get the support you need, you can recover from nicotine addiction and abuse abuse?no matter how bad the addiction or how powerless you feel. The first step in treating nicotine addiction is accepting that you have a problem. Confronting an addiction and accepting responsibility for your actions isn?t easy. But it?s a necessary step on the road to treatment and recovery. You should then consult a psychiatrist / psychologist who fill follow this treatment. 1. Detoxification using medicines. 2. Behavior modification with the help of therapies. 3. Counseling. 4. Medication to sustain and 5. Long term support. These given steps are essential for any addict to get effectively rid of smoking. Therefore, you need to stick to the treatment plan and cooperate with your psychiatrist / psychologist. Take care.
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How to get rid of dry cough? I'm having dry cough during sleep only. Are there any home remedies? Or should I use English medicine? I'm having this for the past three days.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Homoeopathy has good treatment without causing adverse effects. Take homoeopathic medicine Bryonia 200 twice daily in the morning and in the evening and give feedback after 6 days. For further treatment, consult privately Rs 149/-
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Sardi, khansi, or tonsil dard ho raha hai, body weakness bhi lg raha hai, ek din se.what to do?

BAMS, MD Ayurveda
Sexologist, Lonavala
you can go for following remedy it will help you Natural home remedy using black peppercorns, sugar candy and liquorice powder: 1. Take 1 tsp black peppercorns 2. Take 2 tsp sugar candy 3. Take 3 tsp liquorice powder 4. Crush them all to powder 5. Eat ½ tsp of this mixture 4 times a day Surely you will get results.
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I am 62 years old and for the past 2 to 3 months I get cough during day time as well as night. Even after taking cough syrup it did not go. I want to know what is the real reason for this. Kindly inform me. Thanks.

MBBS
General Physician, Ludhiana
Hi lybrate-user, as the cough is of long duration you have to go for blood tests and X-Ray chest. After that you consult your Physician.
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What precautions can be taken to avoid cough and cold diseases in the winter season.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
What precautions can be taken to avoid cough and cold diseases in the winter season.
Sir you will have to avoid fan, cold breeze, deodorant, smoke and dust. Avoid cold breeze. Eat warm food. Do yoga, breathing exercises. Go for walks. Eat plenty of fruits and vegetables.
2 people found this helpful
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I am suffering from dry cough for the last 2 weeks what medicine does suits me best plzz suggest.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
1.avoid exposure to cold 2. Do not take cold water 3. Do steam inhalation 2/ 3 times 4. Take bath with little warm water for med contact on private chat.
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Lung Cancer - In A Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Lung Cancer - In A Nutshell!

Lung cancer is also known as pulmonary carcinoma or cancer of the lung. It occurs when DNA mutations develop in the cells/ tissues of the lungs leading up to uncontrolled growth in the tissues of the lung. By far, it is known to be the most common cancer in Asia.

1. Type: lung cancers can present as one of the following types: 

  1. Non-Small Cell Lung Cancer (NSCLC): Most common type of lung cancer and constitutes nearly 85% of all lung cancers. The sub-types of NSCLC are as follows:
    • Large cell carcinoma
    • Squamous cell carcinoma (SqCC) (Epidermoid)
    • Adenocarcinoma – accounts for majority of the NSCLC.
  2. Small Cell Lung Cancer (SCLC): It is also known as oat meal cancer and tends to spread (metastasize) quickly. This constitutes about 15% of the lung cancers.
  3. Mesothelioma: It is a rare cancer that develops in the mesothelial cells of the pleural or peritoneal surfaces. It usually arises in the pleural membrane lining the lungs, known as pleural mesothelioma. One that arises from the peritoneum is called the peritoneal mesothelioma and the one that arises from the pericardium is known as pericardial mesothelioma. Lastly, it can also arise from the tunica vaginalis known as testicular mesothelioma. People working with or prior exposure to asbestos are mostly at risk of developing mesothelioma. The latency period between time of exposure and development of mesothelioma can be somewhere between 20 to 40 years. Maximum of the patients who develop mesothelioma are men.

2. Gender: It affects the male populace predominantly. It is more common in men than in women and in those of lower economic status. However, the incidence of lung cancer, in women too, is on the rise of late.

3. Etiology: Cigarette/ Tobacco smoking remains the most important cause of lung cancer accounting for 85 – 90% of the cases. Incidence/ risk is proportionate to the number of cigarettes smoked irrespective of the age. Also, environmental toxins including smoke from burning black tar, exhaust gases from automobiles etc. too contribute actively to various lung diseases including cancer. People working in asbestos manufacturing factories who are exposed to asbestos dust are also likely to get lung cancer. Tuberculosis too is an additive risk factor. Again, people who have received ionizing radiation especially to treat Hodgkin Lymphoma or other malignancies also run the risk of developing lung cancer. Above-mentioned causes apart, genetic factors may also play a role.

4. Features: Lung cancer clinically presents in the following ways mainly.Signs & symptoms of malignant mesothelioma are as enumerated below

1. Difficult/ labored breathing (Dyspnea)

2. Chest pain

3. Palpable chest wall mass

4. Discordant chest wall expansion

5. Weight loss (Cachexia)

6. Loss of appetite (Anorexia)

7. Night sweats

Signs & symptoms of non-small cell lung cancer (NSCLC) are as enumerated below. Majority of patients are symptomatic at diagnosis

8. Chronic cough

9. Difficult/ labored breathing (Dyspnea)

10. Chest pain

11. Blood stained sputum (Hemoptysis)

12. Hoarseness

13. Weight loss (Cachexia)

14. Loss of appetite (Anorexia)

15. Weakness

16. Bone pain

17. Pleural or pericardial effusion

18. Superior vena cava syndrome

19. Brachial plexopathy

20. Neurologic pain

21. Hypercalcemia of malignancy

Signs & symptoms of small cell lung cancer (SCLC) are as enumerated below

Symptoms as per the points 8 – 18 depicted above for NSCLC are applicable for SCLC as well. Additionally, patients suffering from SCLC may have:

22. Fever associated with chest infections like bronchitis/ pneumonia that refuse to go away or keep coming back

23. Horner syndrome

24. Paraneoplastic syndromes including encephalitis/ sub-acute sensory neuropathy, hyponatremia, acromegaly, cancer associated retinopathy, ectopic corticotropic syndrome etc all.

5. Screening: is generally recommended for asymptomatic/ symptomatic populations as surveillance for high risk individuals – who are either current or former smokers (quit smoking within the last 15 years), have at least a 30 pack year smoking history and those who do not have any prior history of lung cancer. The goal of screening, as usual, is to be able to detect & diagnose lung cancer at an early stage which is potentially curable. It is mostly radiologic with a low dose helical computed tomography (CT) scan being more effective in detecting early stage lung cancer than a chest radiograph can.

6. Diagnosis: Abnormal blood test results may be indicative of malignancy, but a follow up imaging/ biopsy is always the gold standard for accurate diagnosis. Following are the diagnostics employed mainly:

  1. Blood: Hb may be low, TLC, ESR and polymorphs increased. Adenocarcinomas are likely to express thyroid transcription factor 1 (TTF-1) or carcinoembyonic antigen (CEA). On the other hand, mesotheliomas are likely to express Wilms Tumor -1 (WT-1) protein and Calretinin.
  2. Imaging: Thoracoscopy, Bronchoscopy, X-Ray, CT Scan etc all. Positron Emission Tomography (PET) / CT scan and Magnetic Resonance Imaging (MRI) scan help detect metastasis, if any.
  3. Biopsy: It clinches the histologic diagnosis, and the nature of the disease.

7. Treatment: Conventional treatment includes surgery, chemotherapy and radiotherapy as contextually appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical outcomes and facilitate recovery as would be feasible contextually.

8. Prognosis: preventive measures, earlier diagnosis and right early treatment is key for an effective therapeutic management & better prognosis. Like most other cancers, the chances of cure for an early stage lung cancer are more. The cure/ recovery chances are influenced by the grade, stage of cancer, recurrence and the patient’s general health & vitality etc all. The primary determinant of prognosis in NSCLC is the stage at which the cancer is diagnosed. For non-metastatic cancers, however, it is the nodal status that determines the stage and hence the prognosis.

9. Prevention: rightly said, prevention is always a better choice. Cigarette smoking is to be avoided by all means as it is the single major cause of lung cancer. Even exposure to cigarette smoke (passive or secondhand) is also an established cause of lung cancer and is known to increase the risk of lung cancer in non-smokers as well. Preventing exposure to secondhand smoke can be helpful in decreasing the incidence and mortality from primary lung cancers. Above-mentioned apart, other important risk factors such as exposure to ionizing radiation, environmental carcinogens like smoke from burning black tar, exhaust gases from automobiles, outdoor air pollution, and occupational exposure to asbestos, arsenic, beryllium, nickel, cadmium, chromium etc all too are known to increase the risk for lung cancer and mortality thereof. In fact, cigarette smoking is known to potentiate the effect and hence the lung cancer risk of many of the above-mentioned carcinogens, multi-fold, in smokers. Thus, either eliminating or reducing the exposure to the above-mentioned carcinogens can lead to a decrease in the risk of lung cancer and incidences thereof. Furthermore, randomized clinical trials indicate that high intensity smokers (only) who take supplementation of beta-carotene have an increased risk/ incidence of lung cancer. Vitamin E supplementation, on the other hand, does not affect the risk of lung cancer as indicated by the trials. If you wish to discuss about any specific problem, you can consult a doctor.

3468 people found this helpful

I am 25 years old, I have abdomen tuberculosis. Currently I am taking course of medicine from last 8 months 15 days. From last 3 days on wards I suffered by some cold and cough. I am staying in delhi. Please help me, this will cause any problem in feature.

MBBS
General Physician, Cuttack
I am 25 years old, I have abdomen tuberculosis. Currently I am taking course of medicine from last 8 months 15 days. ...
1.Do Warm saline gurgling and steam inhalation with karvol plus inhalant capsule 2-3 times daily 2. put otrivin nasal drop one drop thrice daily. 3.Take Honitus syrup 2 tsf 2-3 times daily. 4.If no relief, you have to take antibiotic. 5.Consult for advice
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What is d best way to avoid cough? I am smoker and m consistently having cough. If any precaution can be taken to reduce it.

BAMS
General Physician, Gurgaon
Hello dear stop smoking first salt water gargles daily 2 to 3 times steam inhalation. Avoid dust and polluted area avoid oily foods avoid chilled things.
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I am 70 years. I am diagnosed as COPD, RLL Bronchiectasis and Emphysema. Now ECHO suggests Grade 1 LVDD. Bronchodilator and cortisone nebulisation prescribed along with theophylline oral. My normal pulse rate at rest was 85 to 90. Now it will go upto 130 for some time in a day and later settles at 90. What steps I should take live with minimum comfort as long as I live, say one or two years.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
I am 70 years. I am diagnosed as COPD, RLL Bronchiectasis and Emphysema. Now ECHO suggests Grade 1 LVDD. Bronchodilat...
Tachycardia may be due to levolin nebulization. Get adult vaccination for pneumoccocal pneumonia invassive and flu, join a pulmonary rehabilitation programme, consering bronchictasis avoid contisone nebulization as it will increase chances of infection and use ultra short laba and lama combination in place of foracort.
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I always suffer from a problem that is tonsil. It is very painful and I can not handle it. What I do to get rid of this.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
Tonsillitis: For tonsillitis, Antibiotics added to it anti allegic and Analgesics and Antiseptic gargle helps, If you are having tonsillitis off and on you may require to go for tonsillectomy operation.
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I have cough about six months. Which type medicine should be take? Will you help me please. And cough is more in morning time.

MBBS
General Physician, Hyderabad
Hi! Tab.azee( azyyhromycin) 500 mg for 3 days after lunch. Wait for 3 more days after the treatment Then if your cough is not coming down please visit a physician Thank you.
1 person found this helpful
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I have a cough and I had taken the medicine of cough syrup but its not getting well, please suggest me which medicine I have to take.

MBBS
General Physician, Cuttack
1. Do warm saline gurgling 3-4 times daily 2. Take honitus syrup 2tsf thrice daily 3. You may have to take antibiotic along with it if no relief 4. consult for further advice
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I am a 34 year old female. I have never had sinusitis before. Since the last 2 months I have been suffering from severe sinus, due to which I experience severe pain to the left side of my head, jam and the back of my head. Is there a natural therapy for it. How can it be treated?

DNB (ENT)
Ear-Nose-Throat (ENT) Specialist, Kota
Get nasowash (cipla). Learn how to use it daily. If no improvement, consult ENT doctor. U may need ct scan of sinuses.
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Dear Sir, I'm a 44 year old lady working as a government employee. These days the region between my left shoulder and left hand is paining like hell. Same is the case with the left side of my forehead. And sometimes I'm unable to breathe properly. Kindly help me to cure these problems.

DHMS (Hons.)
Homeopath, Patna
Dear Sir, I'm a 44 year old lady working as a government employee. These days the region between my left shoulder and...
Hi, breathing trouble, with pain shoulder, arm, headache left sided. May cause due to gastric disorder, caused due to irregular life style. Tk, plenty of water to fasten your metabolism to complete your digestion. Your diet b regular & easily digestible on time. Tk, homoeo medicine, gentle in use, rapid in action with no side effect, thereof. @ spigelia200-6-6 pills, thrice. @ nux vom 30-6 pills, thrice. Ensure sound sleep tk care.
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I am suffering from dry cough for the last 2 weeks and I have chest pain whenever I cough hard can you suggest what should be done?

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Get a chest xray and blood test done - cbc, esr. Meanwhile - 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. Please update with your valuable feedback.
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Khansi ke liye koi gharelu ilaaz hai khansi bhut jada hai jukham hai or chhote bachho ki khansi or jukham ke liye koi gharelu nuksha jo achhe se kaam kre.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Tulsi, Adrakh, Kali mirch aur moti elaichi ka kadha banakar pure honey me mila kar garam garam piyen. Daily 2-3 bar.
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