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Dr.Shinde's Health Services

Pulmonologist Clinic

Shop no.5 u0026 6, Archit Vihar Apt, C wing near Lotus Hospital, Nashik, Nashik Nashik
1 Doctor · ₹250
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Dr.Shinde's Health Services Pulmonologist Clinic Shop no.5 u0026 6, Archit Vihar Apt, C wing near Lotus Hospital, Nashik, Nashik Nashik
1 Doctor · ₹250
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We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to ......more
We like to think that we are an extraordinary practice that is all about you - your potential, your comfort, your health, and your individuality. You are important to us and we strive to help you in every and any way that we can.
More about Dr.Shinde's Health Services
Dr.Shinde's Health Services is known for housing experienced Pulmonologists. Dr. Ravindra Janardan Shinde, a well-reputed Pulmonologist, practices in Nashik. Visit this medical health centre for Pulmonologists recommended by 76 patients.

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MON-SAT
06:00 PM - 09:00 PM

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Shop no.5 u0026 6, Archit Vihar Apt, C wing near Lotus Hospital, Nashik, Nashik
Nashik, Maharashtra
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Doctor

Dr. Ravindra Janardan Shinde

MCh - Cardio Thoracic and Vascular Surgery, DNB - Pulmonary Medicine
Pulmonologist
10 Years experience
250 at clinic
Available today
06:00 PM - 09:00 PM
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Health Tips For Asthma

BSc-Diet & Nutrition, M.Sc-Diet & Nutrition
Dietitian/Nutritionist, Delhi
Health Tips For Asthma

How to cure asthma

10 Ways to Keep Asthma Under Control!

Diploma in Tuberculosis and Chest Diseases (DTCD), Board Certified in Pulmonary Medicine, FCCP - Pulmonary Medicine
Pulmonologist, Nagpur
10 Ways to Keep Asthma Under Control!

If you are experiencing a whizzing sound while you breathe or having difficulty in breathing, you are suffering from asthma. It is a medical condition characterized by paroxysmal wheezing respiration dyspnoea. There is no definite way to prevent asthma, but by following a step-by-step daily plan, you can prevent asthma attacks or keep them in check. Here are some important measures to follow to prevent asthma:

  1. You need to strictly follow your asthma action plan. The plan should be laid down after a detailed discussion with your doctor or healthcare team. All the medicines you require to prevent the asthma attacks will be written down for you.
  2. You should get vaccinated for pneumonia and influenza. This will prevent these conditions from triggering asthma attacks or flare-ups.
  3. You need to identify the asthma triggers and stay away from them. Several outdoors irritants and allergens from pollen to cold air can trigger asthma attacks.
  4. You have to monitor your breathing. By recognising the warning signs of an attack like wheezing, slight coughing or shortness of breath, you can prevent an asthma attack. You need to measure and record your peak airflow regularly using a home peak flow meter.
  5. By acting quickly, you can identify a fatal attack and prevent it from occurring. When the peak flow measurement decreases, you need to take your medicines immediately and abstain from any activity which may have triggered the attack.
  6. You need to keep taking your prescribed medicines, even if your asthma symptoms have improved. You should not change your medication schedule without consulting a doctor. It is recommended that you to bring along the medicines you take at your doctor’s appointment as he will be able to tell whether you are taking them right.
  7. If you use your quick relief inhaler a lot, the asthma is not under control. You need to visit your doctor as soon as possible and he/she will make some modifications to your treatment.
  8. For prevention of asthma, you should use allergy proof pillow covers and mattresses. You must wash your bedding every week in hot water to eliminate dust mites. You may use a dehumidifier for reducing excess moisture to prevent mold.
  9. Do not allow your pets in the bedroom and on the furniture. Pet dander is a common trigger of asthma and it cannot be avoided by people who own pets.
  10. You can also fit an air filtration system in your home. It will help in the elimination of asthma triggers such as pollen, dust mites and other allergens.

Many doctors suggest immunotherapy for asthma prevention in the form of allergy shots. Immunotherapy aims at altering a person’s immune response by making it less sensitive to asthma triggers.

2 people found this helpful

Is maxiflo inhaler safe, my doctor has described it, I am using it from past 3 months, it was ok, asthma has reduced, but I became fat, is it due to maxiflo inhaler and asthalin.

General Physician, Pudukkottai
Is maxiflo inhaler safe, my doctor has described it, I am using it from past 3 months, it was ok, asthma has reduced,...
They contain steroids. Steroids are the compounds that reduces the asthma but they cause increase in body weight.
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Hello Doctor My father is suffering from fever and block from last two weeks. Left side ear and nose block please suggest some medicines to cure this diseases.

B.Sc (Bio), DMS (Cal), CMS , FWT, PET, DMLT (Cal), SBHM, Vacc,
Homeopath, Kolkata
Hello Doctor My father is suffering from fever and block from last two weeks. Left side ear and nose block please sug...
Please follow my prescription. 1) Bryonea 200 2) Kali bi chrom 200. In no30 globules. To be taken 4 globules every 2 hourely alternately of 1 and 2 medicine, when relief then 4 hourely and report.
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I have missed period. Now 4 week .my pulse is 86 BPM .is I'm pregnant? But before normal days I have 70 beat. If I am pregnant. .my cough and cold affect fetus.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have missed period. Now 4 week .my pulse is 86 BPM .is I'm pregnant? But before normal days I have 70 beat. If I am...
Heart beat is not a test for pregnancy get urine tested for pregnancy yes cough and cold does affect the fetus because the mother has to exert more to expelled mucous honey is safest remedy during pregnancy or otherwise.
1 person found this helpful
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Lung Cancer - Ways You Can Prevent It!

MBBS, MD - Pulmonary Medicine, FNB-Critical Care and Medicine
Pulmonologist, Gurgaon
Lung Cancer - Ways You Can Prevent It!

Lung cancer is caused by disorderly growth of uncommon cells which line the air passage, usually starting off in a single or both lungs. The irregular cells do not mature into healthy lung tissue but instead divide speedily and result in tumor formation.

Causes behind lung cancer:

  1. Smoking: This is considered as the most significant source of lung cancer. As reported by multiple researches and studies, cigarettes contain over 4,000 chemicals, most of which are cancer causing agents. Active smoking is one of the major causes of lung cancer but what may come to you as a surprise is that extended periods of passive smoking is also a major factor.
  2. Pollution and Exposure: There is high risk of lung cancer development when there is occupational exposure to pollution by chemicals released from industrial factories. Chemical exposure of this kind refers to prolonged exposure over quite few months or years. Some examples of these chemicals are asbestos, diesel exhaust among many others.
  3. Radioactive Gas: Radioactive gases naturally occur in small masses present in all soils and rocks. However, if you breathe in radioactive gases your lungs will damage and may cause the development of abnormal tissue which can cause lung cancer.
  4. Family history: A family history of cancer, especially lung cancer will also put you at high risk of developing lung cancer.

Treatment methods of lung cancer:

  1. Chemotherapy: Chemotherapy is a method in which drugs are injected through veins in your arm (intravenously) or orally or in a combination of both. These drugs kill cancer cells and help to stop it from spreading any further as well.
  2. Clinical Trials: These trials are experimental lung cancer treatment studies. You may have to try out this clinical therapy if other treatment methods aren’t working and only if you are accepted into it.
  3. SurgeryA surgeon will help remove affected areas of the lung including cancerous tumors via surgery. The surgeon may need to remove parts of the lung along with the cancerous growth. In certain cases, one side of the lung may also be completely removed to stop the spread of the malignant tissue.
  4. Radiation Therapy: This is a therapy where high energy electromagnetic waves are passed through your body to destroy cancer cells with the help of high-powered energy beams.

Can you prevent lung cancer?

  1. Nutrition -- A  healthy diet with lots of fruits and vegetables may also help reduce your risk of lung cancer. Some evidence suggests that a diet high in fruits and vegetables may help protect against lung cancer in both smokers and non-smokers. But any positive effect of fruits and vegetables on lung cancer risk would be much less than the increased risk from smoking.
  2. Exercise -- Even moderate amounts of exercise can aid in lung cancer prevention. Studies suggest that even something as simple as gardening twice a week is associated with a lower risk of developing lung cancer.
  3. Smoking Habits -- If you stop smoking before a cancer develops, your damaged lung tissue gradually starts to repair itself. No matter what your age or how long you’ve smoked, quitting may lower your risk of lung cancer and help you live longer. 
  4. Avoidance of Air Pollution -- Long-term exposure to ambient air pollution and, in particular, particulate matter with absorbed polycyclic aromatic hydrocarbons and other genotoxic chemicals has been suspected to increase the risk for lung cancer. So, avoid air pollution as much as possible.

I am suffering from tuberculosis from 1 year. After 6 months of treatment of tb I developed koch's lymphadenitis in neck. Then after I taken high dose of first line drug along with streptomycin for 2 month. But lymphadenitis got worsen (increase in size). Then we go for mdr tb test my Gene xpert shows low MTB, not resistance to rifampicin. And afb culture shows normal (no acid fast bacilli seen after 42 days. I am 2nd time tb patient first in 2008 (abdomen tb ). Now what should I do .i still have low grade fever and lymphadenitis. I am currently on r comes and ethambutol from 1 month and I discontinued this medicine for 1 month. Is this okay.

MBBS, MD - Internal Medicine, Fellowship in Infectious Diseases, Fellowship in HIV/AIDS
Internal Medicine Specialist, Mumbai
1. Although not entirely clear from the details provided, it seems that you still have TB lymphadenitis. 2. The resolution of the disease will mainly depend on the drug sensitivity, the type, dose and duration of anti-TB drugs and how compliant you are with the medications. 3. If you still aren't cured, something went wrong in one or more if the above mentioned factors. Please get yourself reviewed as soon as possible.
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If I continue eating medicines upto two months that is resistant to tb bacteria. What will happen.

DNB
Pulmonologist, Mumbai
Nothing will happen to the bacteria. However they will keep multiplying and your disease will become more severe
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Is Bronchitis Contagious?

MBBS, MD - Pulmonary Medicine, FNB-Critical Care and Medicine
Pulmonologist, Gurgaon
Is Bronchitis Contagious?

If you are having a chronic cough and often pant for breath, it is quite possible that you may be suffering from bronchitis. In addition to this, you may also experience wheezing, fatigue, and pain in the chest. It is triggered when the lining of the airways in the lungs become irritated. To determine, whether or not bronchitis is contagious, it is important to understand what caused the ailment.

  1. Chronic bronchitis: This type of bronchitis happens when the airways get continuously irritated. It may last for months or even years and tend to come back. It is caused by irritants that affect the lungs such as dust, chemicals, smoke, fire, and smoking cigarettes. Even though chronic bronchitis is not considered contagious, it is a serious health issue that requires medical attention.
  2. Acute bronchitis: It generally lasts for about 1 to 3 weeks and stems from cold or flu virus. As these infections are contagious, so is acute bronchitis.

Whether a person having bronchitis can spread the disease depends on the virus that is causing the ailment. In most instances, it is seen that the disease is contagious for a first few weeks of infection. Since there are hundreds of viruses causing bronchitis, it is best to assume that a person is bound to spread the disease when he has symptoms of cold and flu.

What causes transmission of bronchitis?
Acute bronchitis owing to infection is generally transmitted via an airborne droplet containing germs. It is transmitted when someone having infection shakes hand or sneezes or coughs or has any other physical contact. Some virus and bacteria have the power to live outside the body for a prolonged span of time, and therefore, you can get infected by touching any object that is harboring the germs.

It is often seen that acute bronchitis begins as flu and therefore, the best way to prevent it is to get an annual shot of flu. When you come in contact with an infected person, the chances of being affected is high if you have chronic infections or weak immune system. Aged people and young children are most vulnerable to this disease.

How can acute bronchitis be prevented?
Even though acute bronchitis is extremely common and can occur at any time, winter is the most vulnerable season for bronchitis. But there are ways in which you can prevent bronchitis effortlessly. You should avoid close contact and sharing of utensils with an infected person who has flu, cold or bronchitis. You should not touch a used tissue since the virus of bronchitis can easily spread through mucus. Make sure that you get the annual flu shot and wash your hands in warm water.

The disease is very common, and it can make you feel very uncomfortable at times. But there are times when the symptoms subside on their own without any sort of medical attention.

An Effective Guide To Bradycardia!

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
An Effective Guide To Bradycardia!

Bradycardia is a condition which in basic terms means slow beating of the heart. In most cases, the typical rate is 60 to 100 beats in a minute when the person is at rest. In case your heart beats less than 60 times in a minute, then it is slower than normal. But a slow heart rate is not always a health concern even though sometimes it could indicate issues with of the heart.

What could bradycardia mean?
Some people with slow heart rate or bradycardia tend to be very fit, and they have no underlying health issues. Athletes and healthy young adults often have a heart rate lower than 60. But in others, bradycardia indicates that the natural pacemaker of the heart is not working well, or the electrical pathways have been disrupted. In severe forms of the problem, the heart may beat so slowly that it fails to pump adequate blood for meeting the needs of the body. This may show some symptoms and could be fatally dangerous.

What are the causes of bradycardia?
There are various causes of bradycardia, and some of them include:

  1. Alterations in the heart which results from aging
  2. Health conditions that slow down the electrical impulse through the heart. This may include electrolyte imbalance, low thyroid levels, and others.
  3. Diseases which may disrupt the electrical system of the heart including heart attack, coronary artery disease, and myocarditis.
  4. Certain medications that are used for treating heart problems like high blood pressure or hypertension, arrhythmia, and beta-blockers, and digoxin.

What are the symptoms of bradycardia?
When a person has very slow heart rate, he or she may experience lightheadedness or dizziness, feeling short of breath, having difficulties in doing normal activities or exercising, having chest pain, feeling tired and fatigued. In some cases, it is seen that the person may have palpitations, feeling confused, trouble in concentrating and fainting.

What’s worse, some people don’t have any symptoms at all, or their symptoms are so negligible that they think they are caused just because of aging. The best way to understand whether you have this problem is to take the pulse, and in case, it is slow or uneven, you must talk to a doctor.

How is bradycardia diagnosed and treated?
Bradycardia tends to come and go from time to time, and therefore, a standard EKG is not always able to detect it. A standard ambulatory electrocardiogram is used for detecting the condition, and sometimes, blood tests are also necessary.

The treatment of bradycardia is entirely dependent on the cause of the problem and its symptoms. It is worthy of mention here that in case the problem is not causing any symptoms, then they would not be treated under usual circumstances.

4 people found this helpful

Recently for past 5 days, I am suffering from cold, dry cough continuously. I am taking cetrizine and azithromycin. But the condition is not improving. What should I do now?

Master of Surgery, Post Graduate Diploma in ENT, MBBS
ENT Specialist, Thane
"Try taking steam inhalation for 3 times a day. To know how to take steam, please read instructions below to know - how to take steam inhalation for best results. If problem is not solved in 2-3 days, you may need additional medicines. Techniques to steam 1) Boil a pot of water. 2) Pour water into a large flat pan or bowl. If you use a casserole, water will remain warm for longer duration. 3) Place your head over the bowl at a distance of 1 feet. 4) Cover your head and bowl with a large towel (like a tent), take long breath through your nose and breath out through mouth. Take a break every 1-2 minutes until you feel relatively cooler. Do it for 10 minute twice or thrice a day. If you feel that the treatment is getting too much for you, raise the towel so that fresh air is brought into the area and breathe through your mouth a couple of times and then resume Take care - Take all precautions while dealing with hot water. Also, keep children away and wan others that you are dealing with boiling hot water. Other way is - by an Electric steamer available in market and take steam through it. It is more convenient. "
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I suffer from sinusitis with no smelling sensation, crackling sound in ears. Heaviness in forehead while leaning forward down. Mild watery discharge from nose since last one year. Tried homeopathy and Miami treatment but problems still persist.

Bachelor Of Medicine & Bachelor Of Surgery
General Physician, Delhi
Hello, You are suffering from acute sinusitis. First of all, do a X-ray paranasal sinuses. It will reveal the extent of sinusitis. In your case, take Tab augmentin (1gm) twice daily for 5 days. Steam inhalation for 2 days. And tab Montek-Lc once daily at night, nasal spray Duonase.
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I am every morning weakness in my body and cough in chest and my nose is always draining water and eye drain water in every morning please give some advice.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I am every morning weakness in my body and cough in chest and my nose is always draining water and eye drain water in...
Ginger and tulsi concentrated extracts are useful. Godanti in any form (tab/ powder), steam inhalation and morning Nasya of Shadbindu oil is very effective. Pl consult online for any query.
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I have problem of cough I guess and this lasts for 3 or 4 days I haven't taken any medicine yet. Pls suggest some good medicines.

B.Sc (Bio), DMS (Cal), CMS , FWT, PET, DMLT (Cal), SBHM, Vacc,
Homeopath, Kolkata
Please follow the prescription. 1) China:- 30. 2) Teucrium Marrumverrum:- 30. In no 30 globules. To be taken 4 globules thrice daily before food no 1 and after food no 2. And report.
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Hello Doctor, I am suffering from chest infection my doc tell me that is allergic Bronchitis and this is a hereditary. So I need your opinion what to do or what not to do. I have a little son and I don't want that in future he will be affected by this kind of decease. Thank you so much.

MBBS, M.D.(Gen.Medicine)
General Physician, Chennai
Allergic tendency can be hereditary. But the following will help minimize the extent of the Bronchitis: Avoid anything that triggers wheezing/cough like house dust, polluted atmosphere, cold air, foods that trigger etc. Certain preventive inhaled drugs can help prevent the condition becoming chronic. Treat any bronchitis that has already set in at an early stage. The same precautions and preventive measures apply to your son who is yet to have the first episode.
1 person found this helpful
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Sinus comes under which category of disease like it comes under ENT orOPTHALMOLOGY.

MBBS, Diploma in Otorhinolaryngology (DLO)
ENT Specialist, Bangalore
The Eyeballs and the eyelids are the domain of the Ophthalmologist. Rest of the Orbit and Paranasal Sinuses as well, as the Lachrymal sac are best treated by an ENT, Head & Neck Surgeon as access to this region are always through the nose which is our field of expertise. Our expertise with the slender glass rod or flexible endoscopes is much admired by even Neurosurgeons to give them access to the inferior aspects of the brain through the nasal passages without needing to damage any vital structures had they approached the same area using the conventional burr-hole into the cranial vault! A couple of my ENT Surgeon batchmates have also gone on to train in Neurosurgery having been preferred over the General Surgeon candidates by the interviewers for this very reason!
2 people found this helpful
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I am Having severe cold, cough and sneezes with green flum. Also a bit of throat pain too from past 2 days. Please suggest some medications to subside it.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on 6. No smoking 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids 9. Cough into your upper sleeve/ elbow for medicine contact on private chat Good luck.
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I am suffering from dry cough for the last 3 weeks and I have chest pain. Can you suggest what should be done?

BAMS
Ayurveda, Navi Mumbai
I am suffering from dry cough for the last 3 weeks and I have chest pain. Can you suggest what should be done?
Take liq Bresol of Himalaya 2tsf thrice. 4 pieces of garlic and honey. Lukewarm water ti drink. Milk and turmeric at night. If it doesn't subside consult personally for medicine.
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I am suffering from dry throat and tonsils. I doubt that I have tonsil stones. How much money it takes to remove tonsil stones. please tell me.

MBBS
General Physician, Jaipur
There is no stone in tonsils however may enlarge and hard cost depend on hospital to hospital may srat from 10000+ to higher depend how big hospital and facilities.
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