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Dr. Milind M Kulkarni - Pulmonologist, Pune

Dr. Milind M Kulkarni

87 (70 ratings)
DTCD (TDD), C-HIV

Pulmonologist, Pune

11 Years Experience  ·  400 at clinic  ·  ₹300 online
Dr. Milind M Kulkarni 87% (70 ratings) DTCD (TDD), C-HIV Pulmonologist, Pune
11 Years Experience  ·  400 at clinic  ·  ₹300 online
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Milind M Kulkarni
Dr. Milind M Kulkarni is an experienced Pulmonologist in Yerwada, Pune. If you are suffering from any lung disorder such as Asthma, Tuberculosis or Lower/ Upper Respiratory Tract Infection, Consult him for an effective remedy. With a Diploma in Tuberculosis and Chest Diseases (DTCD) and C-HIV from Ruby Hall Clinic, Pune, Dr. Milind M Kulkarni is highly equipped to treat your condition. He is a member of Indian Medical Association and HIV Medicine Association of India. Those who suffer from sleep-related conditions such as Sleep Apnea can seek the advice of Dr. Milind M Kulkarni who will be able to help you out by carrying out sleep study and prescribing medicines or treatment as appropriate. As a Pulmonologist, he is a specialist in treating Asphyxia using Oxygen Therapy Treatment. With his knowledge in HIV/AIDS , the doctor also provides affordable and easily accessible care,treatment and counseling for HIV. Practicing for over ten years, the doctor has many gratified patients to his credit who attribute his treatment for their cure as being a dedicated person, he treats his patient with empathy and care. With an appointment booked online, you can visit the doctor for a nominal consultation fee.

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Specialty
Education
DTCD (TDD) - Ruby Hall Clinic Pune - 2007
C-HIV - Ruby Hall Clinic Pune - 2008
Languages spoken
English
Hindi

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Kulkarni Clinic

Shop No.18, White House Society, Airport Road, Yerwada Village, Opposite Gunjan TheatrePune Get Directions
  4.4  (70 ratings)
400 at clinic
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"Very helpful" 5 reviews "Caring" 2 reviews "knowledgeable" 2 reviews "Well-reasoned" 1 review "Professional" 1 review

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I have cold cough from last one week. Actually I have dust allergy. But this time I faced more issue. Means continuous sinking. Due to this water coming from eyes.

DTCD (TDD), C-HIV
Pulmonologist, Pune
Yes, allergy leading to respiratory infection -- viral, bacterial so patient may get congestion of nose, throat irritations, cough--dry/wet kindly Chest Xray, and blood investigations, and seek doctors advise.
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Everything You Need To Know About Spirometry

DTCD (TDD), C-HIV
Pulmonologist, Pune
Everything You Need To Know About Spirometry

Spirometry is a common medical test that is conducted in order to detect whether your lungs are working properly. This is done by detecting the amount of air you can inhale and exhale along with the time taken to complete both of these procedures. Spirometry is useful to diagnose any underlying medical condition like asthma, Chronic Obtrusive Pulmonary Disease, persistent coughing or problem during breathing. If you are receiving treatment for chronic lung disorder, spirometry is also useful to check whether or not your lungs are responding to the specific kind of treatment.

Procedure: The process of spirometry involves the use a mouthpiece and a tube adjoined with a machine which displays the recorded results. Before the onset of the procedure, which generally takes place in a hospital, you will be prescribed by the doctor to wear comfortable clothing which will not restrict your normal breathing process and will be asked to have a light meal before the procedure. The procedure will be conducted while you are sitting. 

Spirometry takes an estimated amount of 15 minutes to get over with. The nurse will put a clip on your nose in order to close your nostrils. After that, you have to take a deep breath and then breathe out as hard as possible on the tube for a few seconds. You have to make sure that there's no air leakage during this procedure by putting your lips tightly over the tube. In order to arrive at a stable result, you have to conduct the test three times at least. If the results are hugely diverse, then you have to take the test again. The highest result among the three tests is usually denoted as the ultimate test result.

Risks: Spirometry is generally a low-risk inducing procedure. But in some cases, it might cause loss of breath, moments after the procedure. Also, spirometry should not be conducted if the patient has recently had a heart attack or surgery of the eye, abdomen or chest. If you are suffering from vomiting tendencies and you have regular instances of blood in your cough, you should also avoid spirometry.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2225 people found this helpful

What You Need To Know About Cystic Fibrosis?

DTCD (TDD), C-HIV
Pulmonologist, Pune
What You Need To Know About Cystic Fibrosis?

Cystic fibrosis is a genetic condition, which primarily affects the lungs and persistence of this condition might lead to severe breathing problems and loss of lung function. If you have inherited two copies of the defective gene from your parents, you are likely to suffer from this disease. Cystic Fibrosis causes a buildup of thick mucus in your lungs and affects other organs such as the kidneys, pancreas and the intestines in your body.

It isn't very uncommon as one out of fifty people in Asia is a carrier of this disease. The disease gets its name from the cysts formed in the pancreas of the sufferer. However, this disease can be detected by testing the quantity of salt present in your sweat. Prenatal testing for Fibrosis is another method to test if your newborn is likely to contract a lung infection.

Complications faced due to cystic fibrosis include:

  1. Serious sinus infections
  2. Serious damage in lungs due to inflammation and incessant infection
  3. Malnutrition
  4. Complication in breaking down protein
  5. Respiratory tract contamination

If you observe one or more of the following symptoms, you might be suffering from Cystic Fibrosis:

  1. Salty-tasting skin
  2. Bowel obstruction caused due to meconium ileus (obstruction of the bowels)
  3. Mucus amiss in your alveoli
  4. Persistent coughing with phlegm discharge
  5. Shortness of breath while engaging in a physical task
  6. Stunted or measly growth despite healthy lifestyle habits
  7. Infertility in males

If you're suffering from cystic fibrosis, there isn't any particular treatment which is recommended due to the varying degrees of it found in people. However, consultation with a medical practitioner and an individualised treatment plan can help you minimise the risks and lead a better life.

Some therapies you can opt for are:

  • Airway clearance: This therapy helps sift the thick layer of mucus around your organs. Some people have also chosen to use the inflatable vest which vibrates around your chest, thereby, thinning and loosening the layer of mucus.
  • Inhaled medicines: Another breakthrough in the field of respiratory medicine, this method requires the patient to sniff a liquid consisting of mist, which is inhaled with the aid of a nebuliser. This method is known to be beneficial for opening airways.
  • Pancreatic enzyme supplements: Along with multivitamins, these specially designed supplements are known to cater to your pancreas with the much-needed nutrients and they need to be consumed with every meal. Consult an Expert & get answers to your questions!
2002 people found this helpful

Asthma: How To Deal With It?

DTCD (TDD), C-HIV
Pulmonologist, Pune
Asthma: How To Deal With It?

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?

  1. Airborne particles such as dust mites, mold spores, pollen and cockroach waste.
  2. Infections in the respiratory system such as common cold.
  3. Cold air can also trigger asthma.
  4. Physical or outdoor activities which make you pant such as running, skipping, jogging and jumping can cause shortness of breath, thus triggering asthma.
  5. Pollutants and irritants in air such as smoke.
  6. Some medications can also trigger asthma.
  7. Stress and nervous attacks (panic attacks) also trigger asthma.

How to manage asthma better by changing your lifestyle:

  1. 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.
  2. Dust mites also cause allergies which trigger asthma. So wash your carpets, rugs, bed-linen and pillowcases in hot water.
  3. 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.
  4. Sometimes, heavy fragrance also aggravates your respiratory tract and triggers shortness of breath. Avoid using heavy perfumes, deodorants and room fresheners.
  5. 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.

2056 people found this helpful

I have been taking TB medicine for the past 2 and half months and will be continued till six months. Can I take flu vaccine meantime?

DTCD (TDD), C-HIV
Pulmonologist, Pune
Yes you can go ahead with flu vaccination along with tb medicines, provided you r not suffering with any other respiratory illness better you take opinion of your treating doc as well.
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4 Causes Of Pneumonia!

DTCD (TDD), C-HIV
Pulmonologist, Pune
4 Causes Of Pneumonia!

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. 

Symptoms:
Most common symptoms associated with the condition are:

  1. Chest pain
  2. Difficulty in breathing
  3. Shaking chills
  4. Rapid heartbeat
  5. Fever
  6. Rapid breathing
  7. Dry cough
  8. Vomiting
  9. Wheezing
  10. Nausea 
  11. Muscle aches
  12. Bluish skin tone due to oxygen deficiency 
  13. Blood in sputum that is coughed up mucus
  14. Labored breathing
  15. Confusion 
  16. High fever

Causes

  1. 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. 
  2. 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. 
  3. 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'. 
  4. 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. In case you have a concern or query you can always consult an expert & get answers to your questions!
4 people found this helpful

How To Treat Pulmonary Hypertension?

DTCD (TDD), C-HIV
Pulmonologist, Pune
How To Treat Pulmonary Hypertension?

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. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
1871 people found this helpful
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