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Book Clinic Appointment with Dr. Shivram Bhonagiri
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Patient Review Highlights
I was really worried, when I visited the doctor as I had high fever and extreme bodyache for 2 days. Dr. Bhonagiri listened to my problems and prescribed medications, and now it's been 18 hours I feel so much better. It feels great.
Dr. Bhonagiri is very polite , calm and understands the problem very careful . Infact he personally called on receiving my message . Best diagnosis . One of the best doctor in Pune .
S K Tripathi
Dr. Shivram is very friendly and advised bare minimum medicines based on precise diagnosis. Appointment process should be simple and prompt.
It was nice experience with doctor, he listened everything and advised accordingly
It was good experience. He suggested well.
Good patient and friendly
Really good consultation
You must not let the cold and dry air worsen your asthma symptoms. The air that blows during winter time greatly affects people with sinus and respiratory troubles, and all these factors contribute towards worsening asthma attacks. But thankfully, there are a few tips that can be followed to curb down asthma and enjoy a lovely winter.
- Washing your hands: Doing this frequently with soap and water is one of the easiest and most effective ways of avoiding the spread of cold and other diseases. You must also inculcate this habit among your children, and when you are outside, you should practice using a hand sanitiser and sanitising wipes.
- Getting a flu shot: The Centre for Disease Control and Prevention (CDC) advises that all people over the age of 6 months should get their dose of the annual flu shot for protecting themselves against the flu virus. This will help keep your asthma in check.
- Avoid sitting by the fireplace: Though it sounds cozy, you should refrain from sitting by the fireside if you have asthma. Burning wood is quite similar to burning tobacco and it can irritate your lungs to a great extent.
- Keeping your mouth closed: Though most people are taught this since they were children, they tend to forget it or ignore it. Keeping the mouth opened is more than a social disgrace, and it even affects your lungs adversely. You can wear a scarf for covering up the nose and mouth as it would help in making the air you breathe warm.
- Replacing filters: The heating system of your home may be blowing out dust and debris throughout the house, particularly when you operate it after a long time in winter. Therefore, it is imperative to clean and check the condition of the filters and replace it if necessary.
- Exercising indoors: The days when it is bitterly cold outside, it is recommended to exercise indoors in a fitness club or a gym instead of a doing it in the open air.
- Warming up before exercising: People who are affected with asthma are able to recover faster and have a greater lung function after working out when they are warmed up. Therefore, you should try to warm up for at least 15 minutes before exercising.
- Preventing asthma flares: Before you head outside, take a dose of your asthma medication and your inhaler as these will help in opening the airways and give you the necessary protection.
- Having an asthma action plan: Regardless of whether it is summer or winter, you should be aware of what you should be doing in times when the symptoms flare-up.
- Taking your medications: Finally, you should work with your doctor towards understanding the cause and symptoms of your asthma conditions and follow his recommendations closely to avoid recurrence of such problems.
With all these tips, you can expect to spend a happy winter. But if anything goes wrong, seek medical assistance immediately.
Having a fever makes you feel weak such that you don’t feel like doing anything. Medical treatment for flu includes usage of antiviral drugs as prescribed for decreasing the severity and duration of the infection. You may also consult your doctor to know about the antibiotics that can treat bacterial infections which may arise as an effect of flu. However, antibiotics are not always required for treating viral infections like flu. On the contrary, you can also follow a few home remedies to get rid of your suffering.
Home remedies for treating flu
You can treat flu by following a few home remedies like resting in bed and avoiding physical exertion. Hydration is very important and minor pains and aches can be relieved with over-the-counter medications as prescribed by the physician. You should avoid spreading the flu virus and germs and wash your hands often.
- Stay hydrated: You should drink ample amount of water, clear soup and fruit juices. Though flu causes appetite loss, you should not depend on water entirely, as it doesn’t contain enough amount of electrolytes that are required for your body to function optimally. Energy drinks can also help you in this respect. In case these products are not available, you can also prepare a homemade solution by mixing plain or rice water with sugar and a pinch of salt. You can also enhance the taste by adding orange juice and freshly cut bananas, and you can drink it right away irrespective of your age.
- Getting rid of cough: Though expectorants and cough suppressants would help the cough to subside, steam inhalations can also prove to be useful for opening a blocked nose. To create steam, pour water in a pot and heat it. After removing the pot from the stove, cover your head with the towel and inhale the steam. The water should be hot, but not boiling, and you can also add eucalyptus oil and few slices of ginger to the hot water. Another way is to steam up your bathroom by allowing the shower to run with hot water and inhale the moisture from the steamy room. You should refrain from touching hard surfaces where the viruses would remain alive. Sneeze and cough into a soft tissue or a handkerchief and carefully dispose of the tissues once they are used. If possible, stay away from people who have flu.
With these simple homemade tips, you would be able to control the symptoms of flu. But in case it does not subside, you shall have to seek medical assistance.
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 the 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.
Prevention against Pneumonia
It is important for all of us to prevent ourselves from pneumonia and for that we can follow the below mentioned steps:
- Know about the symptoms of pneumonia first: It is difficult to detect or diagnose pneumonia, especially in people over the age of 65. In older patients, the common symptoms such as fever, chills, cough may not be experienced. You should watch out for non-respiratory symptoms like weakness, dizziness, delirium and confusion. It is even more difficult to diagnose pneumonia in people who are suffering from preexisting conditions.
- Practice good hygiene: Common respiratory Infections, influenza and cold may cause pneumonia. You should follow hygienic habits. Wash your hands regularly before meals and use hand sanitizers in order to prevent the illness from spreading. You should also maintain proper oral hygiene as several oral infections may also lead to pneumonia. You should also keep away from people who are affected by pneumonia or any other illness like flu, cold and serious diseases such as measles or chicken pox. All these factors may cause pneumonia.
- Get vaccinated: It is recommended for people of all ages who may be at a risk of getting pneumonia to get vaccinated and immunized against pneumonia causing virus called pneumococcal pneumonia. This is a one-time vaccine, which prevents and reduces the severity of pneumonia. A booster vaccine after every five years may also be prescribed. Elderly people should be vaccinated against all diseases which cause pneumonia.
- Quit smoking: Smoking accounts for being a major cause or risk factor for pneumonia. It increases a person’s chance of getting pneumonia as the lungs’ ability to defend themselves from the infection is reduced. By quitting smoking, you will be able to prevent pneumonia.
- Maintain a good general health: Maintaining an overall good health and following healthy habits will help you in preventing pneumonia. This is because your immune system stays strong and is able to fight efficiently against pneumonia-causing infections. A proper diet with all essential nutrients is also recommended along with regular physical exercise and proper rest.
Severe cases of pneumonia are capable of making you suffer and you may be admitted to a hospital. According to studies, it has been estimated that more than 60% of people over the age of 65 need to be hospitalised because of pneumonia.
If you have breathing problems, read on about possible causes and treatments for them:
- There can be a number of causes of breathing problems. They can happen due to colds, acute sinusitis or inflammation of sinuses. This usually subsides in a week or two with the inflammation going down and the sinuses draining out.
- But if you are still experiencing breathing problems, you could be in more dangerous territory.
- Breathing difficulties can happen in a case of asthma, allergies, and infections of the lungs, bronchitis and even heart problems especially if you feel a shortness of breath during exertion. These can all be long-term problems that need proper management.
Chronic issues that cause breathing problems, especially asthma and allergies have a number of symptoms like-
- Nasal and chest congestion
- Runny nose
- Itchy or watery eyes
- Laboured and/or shallow breathing.
A number of virus and allergens like pollen reach the lungs via the nasal passage. Any inflammation in the nasal passage due to an allergy is a major cause for concern because the number one trigger for asthma is allergies. If left undiagnosed and untreated, these can make life hell for you.
Chronic obstructive pulmonary disease or COPD, which includes emphysema and chronic bronchitis, also causes breathing problems. Breathing issues can also stem from other serious diseases like lung cancer, tuberculosis, and pneumonia. Most of these can be diagnosed by a specialist.
How are breathing problems treated?
- Breathing problems caused due to asthma and allergies are usually treated by avoiding allergy triggers like air pollutants, pollen, dog hair, dust, mites or dander.
- Wearing masks, avoiding peak traffic, staying indoors during low air quality days, all make a significant difference to allergy and asthma sufferers.
- Medications are another way to treat breathing problems due to asthma and allergies. Allergy drugs such as antihistamines and decongestants can make it easy to breathe for some.
- Inhaled steroids are also given to people with chronic allergies and sinusitis for reducing inflammation in the airways. Allergy shots to reduce sensitivity to allergens are another option.
- Asthma is treated with inhaled or oral drugs that help open nasal airways and reduce inflammation. These cut down on breathing difficulties because the airways are cleared of excess mucus and inflammation.
- If you have more serious issues like cancers, heart disease and lung diseases, the medication will vary according to your diagnosis. Your specialist will diagnose the problem first and set you on a proper course of medication.
The last piece of advice before we go, don’t ignore breathing difficulties especially if they persist beyond 2-3 weeks, get yourself a doctor’s appointment.
The key to a moderately healthy life is often vested in the kind of lifestyle you lead. Certain alterations in your daily routine can bring marked changes in your overall health. The amount of sleep a person gets on a daily basis decides his or her temperament, productivity, and most importantly, the person’s health. If you thought sleep was only a means to relax, you were very wrong.
Getting in sync with your body’s natural sleep-wake cycle, or circadian rhythm, is one of the most important strategies for sleeping better. If you keep a regular sleep-wake schedule you’ll feel much more refreshed and energized than if you sleep the same number of hours at different times, even if you only alter your sleep schedule by an hour or two. A few effective ways can be followed to help the case of sleep deprivation.
- Exercising regularly can have far reaching effects on your sleep patterns-Lack of physical exertion could be the reason behind light or irregular sleep patterns. To remedy the situation, you need to exercise regularly. Heavy cardiovascular exercises are not always necessary; you could do a set of free- hand exercises each day for a stretch of twenty minutes to keep healthy. This helps you to get good sleep at night.
- Eat healthy to sleep well- The kind of diet you follow can also affect your sleep. If your intake of caffeine, nicotine or alcohol is too high, you are sure to face problems in sleeping. It is necessary for you to eat a light dinner; being overly full or being on an empty stomach can ruin your sleep too. Avoid greasy foods, especially at night, as acidity spoils your intentions of getting a peaceful sleep.
- Make sure your night’s sleep is associated with one particular ritual- It is best to accustom your body with a ritual that you particularly carry out before going to bed. For instance, you could take a shower in warm water or massage your head with hot oil before retiring for the day. Such a ritual signals your brain cells that they are required to get some sleep now.
- Keep away from electronic gadgets before going to bed- The bright light of television sets, laptop screens or even cell phones can interfere with your sleep routine. Spending a lot of time on electronic gadgets at night excites your brain neurons, preventing them from any kind of relaxation.
- Cut down on sleep during the day- While twenty to thirty minute long power naps during daytime can help restore drained out energy, longer naps are actually harmful. If you sleep for long stretches in the day, you will invariably fail to get sufficient sleep at night. Hence, remind yourself to not fall prey to the temptations of a comfortable bed during daytime.