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Treatment of Bronchiectasis
Treatment of Tuberculosis
Treatment of Bronchitis
Treatment of COPD
Treatment of Sleep Disturbance
Asthma Management Program
Management of Smoking Cessation
Oxygen Therapy Treatment
Obstructive Sleep Apnea Treatment
Lower/Upper Respiratory Tract Infection Treatment
Treatment of Pleural Disease
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I was suffering from respiratory disease for which I was in search of good Pulmonologist. A friend of mine referred to Dr Milind M Kulkarni. He is extremely a kind doctor who helped me deal with an issue. I am thankful to him for treating me with full patience. I feel better than earlier and I am looking for more improvement.
I consulted dr Milind M Kulkarni for my problem. As It was a bad case of acid reflux.The best thing about him is that he prescribes limited no. of medicines.The complete process was so painless and quick, and I am so relieved that I chose to consult with him at his clinic KULKARNI CLINIC in mumbai
I visited KULKARNI CLINIC in Pune for asthma managment help. There I consulted dr Milind M Kulkarni for it. he gave me his best medicines to heal me. His medicines were not very strong. he gave me the best treatment any doctor could give. thanks to him.
I was suffering from Asthma.i consulted dr Milind M Kumar at KULKARNI CLINIC in Pune Thanks to him I am much better now. He has done wonders to my health.
Rakesh Kumar Sharma
I found the answers provided by the Dr. Milind Madhukarrao Kulkarni to be very helpful. Okay Sir..
Pneumonia is a type of lung infection that may affect one or both lungs. In this condition the air sacs, also known as alveoli, fill with pus or fluid, which makes it difficult to breathe. Moreover, pneumonia is known to cause inflammation in the air sacs. This disease may range from mild to life threatening and the severity depends on cause of inflammation, the organism fostering your infection, your age and general health.
Most common symptoms associated with the condition are:
- Chest pain
- Difficulty in breathing
- Shaking chills
- Rapid heartbeat
- Rapid breathing
- Dry cough
- Muscle aches
- Bluish skin tone due to oxygen deficiency
- Blood in sputum that is coughed up mucus
- Labored breathing
- High fever
- Bacteria: One of the most common causes of pneumonia is the bacteria named as Streptococcus pneumoniae. This type of pneumonia may occur after you have had flu or a cold or maybe even on its own. Moreover, it may affect only one part of the lung i.e. the lobe and is also known as lobar pneumonia.
- Viruses: Viruses are one of the main reasons why children below 5 years of age suffer from pneumonia. Viruses that cause pneumonia may also cause cold or flu. Viral pneumonia is usually mild and may be treated at home itself. However, in some cases, it may be very severe and life-threatening.
- Mycoplasmas: Mycoplasma is a type of bacteria that doesn't have a cell wall around the cell membrane which is why they are usually unaffected by most antibiotics which target cell wall synthesis. The symptoms of pneumonia caused by mycoplasmas are mild and the patient does not require bed rest. This type of pneumonia is known as 'Walking Pneumonia'.
- Fungi: People with weakened immune systems or chronic health problems usually develop pneumonia due to fungi. You may also develop fungal pneumonia by inhaling large doses of it mainly found in soil or bird droppings.
Hi I'm suffering from TB from 2 months and I'm starting treatment when I suffer from this all things are normal now but my 'Khasi' was not gone. Ab khasi kam hai par cough are come in yellow color and today in early morning some red and yellow cough are come please give some syrup for 'KHASI' and what can I take meal in this situation. And I'm working in voice process so can I continue voice process it did not harm to TB.
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:
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
- 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.
- 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.
- 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.
- 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.
- 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
- 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. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
I am 62 year old person ,suffering from day time chronic cough due to GERD/COPD due to which I feel that my throat is rapture due to acid re flux. I am also a hypothyroid patient. You are requested to kindly suggest the diet so that I can get rid of constant cough during the day time. With sincere regards
Hello. I am a 2nd stage tb patient. It was detected 2 years back and since then I am having my particular medicines daily. And now my doctor said that I am protected from the disease and I can stop them in some 6 7 months .my query is such that will the effect of these medicines affect me in my future while getting pregnant .or else will it get transferred to my baby in future. The que is just for a query purpose .thanking you in advance.
I have cough since last 3 weeks. sneezing and water fall from nose. I took antibiotics and cough syrup. It does not work .please help.
Tuberculosis is a lung related disease that is caused by bacteria known as Mycobacterium Tuberculosis. Tuberculosis spreads through the air and is a highly contagious disease that can be transmitted through coughing, sneezing and spitting. The symptoms of this condition include coughing, blood discharge while coughing, fever, extreme weight loss, and chills. Against general myths, this disease can be treated and is curable too. Effective, timely diagnosis and treatment with the correct methods and medication are required. Let us find out the various means for effective treatment of tuberculosis.
Diagnosis: Let us first look at the diagnosis method that will help in detecting the presence of the bacteria in the body. The doctor will take a blood sample and conduct a series of lab tests in order to diagnose the condition. Also, the doctor will check the medical history of the patient so as to understand what kind of complications the person may be prone to. For this, the doctor will also find out if the patient is suffering from diseases like diabetes, malnutrition and other conditions arising out of tobacco abuse. Diagnosis of Pulmonary TB is by sputum for AFB examination and some blood test may also be required.
Medication: Usually, the best way to treat this condition is with the help of a six month long course of antibiotics that may also last 12 months, depending on the prognosis. The patient will be put in quarantine as well, so that he or she does not end up spreading this disease to anyone else. A voluntary medical practitioner or trained health worker will help in care giving and medicine administration under the instructions of the doctor. The medication will usually consist of four antimicrobial drugs or antibiotics, which will stop the release of nutrition and oxygen to the bacteria so that it cannot develop and grow. This will also ensure that the bacteria gets killed eventually.
Control of Infection: The spread of the infection is such that a single sneeze or cough can infect up to ten to fifteen people who are near the patient without proper masks and other gear to prevent the transmission. Therefore, it is the job of the hospital to ensure that proper infection control takes place by using ultraviolet light to sterilise the air around the area where the TB patients have been admitted.
One thing that the patient must remember about the treatment is that immediate and timely treatment with medication must be taken so that the patient is able to get cured. If the patient skips medicines or does not get treated on time, then the infection will come back again and again. And after a point, the patient's body and the bacteria will not be able to react to the medicines. If you wish to discuss about any specific problem, you can consult a pulmonologist.
Asthma is an inflammatory disease, which affects the airways of your lungs (respiratory tract that pumps oxygen into the lungs). It is long term in nature. It is characterized by shortness of breath, coughing and wheezing. It occurs few times a day or few times a week depending on the person it affects. Sometimes it worsens during the night.
What triggers Asthma?
- Airborne particles such as dust mites, mold spores, pollen and cockroach waste.
- Infections in the respiratory system such as common cold.
- Cold air can also trigger asthma.
- Physical or outdoor activities which make you pant such as running, skipping, jogging and jumping can cause shortness of breath, thus triggering asthma.
- Pollutants and irritants in air such as smoke.
- Some medications can also trigger asthma.
- Stress and nervous attacks (panic attacks) also trigger asthma.
How to manage asthma better by changing your lifestyle:
- Try to avoid keeping animals in your house such as dogs, cats and rabbits. Many times animal fur, waste, urine and saliva contains particles which can cause allergic reactions and make you cough uncontrollably. This in turn triggers asthma attacks. If you have pets try keeping them away from your bedroom.
- Dust mites also cause allergies which trigger asthma. So wash your carpets, rugs, bed-linen and pillowcases in hot water.
- Bugs and insects such as cockroaches are not only unhygienic, but can also trigger asthma. Cockroach droppings near your bed, kitchen and food are dangerous and you should call an exterminator to get rid of these bugs.
- Sometimes, heavy fragrance also aggravates your respiratory tract and triggers shortness of breath. Avoid using heavy perfumes, deodorants and room fresheners.
- Pollution also triggers asthma. Dust particles come out from the vehicles and mix with the air. If this air is inhaled, it might trigger uncontrollable asthma. So try to cover your mouth with a cloth when you step out of your house.
Asthma can be very severe and can bring many hurdles in your day to day activities. Changing your lifestyle and certain habits can reduce asthma to a great extent. If you wish to discuss about any specific problem, you can consult a pulmonologist.