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Overview

Shortness of Breath: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Shortness of breath or dyspnea is a discomforting condition where people face difficulty with their breathing. Heart and lung disorders can inhibit the air from getting fully into the lungs and cause trouble breathing. The problem of dyspnea varies from person to person and the duration of this condition can last for about a few hours to a few days and sometimes to about a few weeks.

Most of the times shortness of breath occurs as a side effect of another medical emergency. Aside from heart and lung disorders shortness of breath can occur as a result of anemia, as a result of hyperventilation or because of smoking habits or pollutants in the air that cause irritation. Dyspnea can also occur as a result of chronic conditions such as pneumonia, bronchitis and pulmonary fibrosis.

The signs and symptoms of dyspnea include wheezing, chest tightness, fevers, chills, feelings of breathlessness, headaches, muscle and lung pain, fatigue, bloating and swollen limbs (legs).

If you experience these symptoms it is advised that you seek help from your healthcare provider right away, then on consultation with him/her you notify the doctor of your medical history. Avoid smoking and environmental pollutants, do not share eating utensils with anyone and take warms baths.

How is the treatment done?

Shortness of breath or dyspnea can be treated either with medications or without it. If you are opting for a treatment that does not involve drugs then you would have to go for a ‘pulmonary rehabilitation’ treatment method. This method uses an exercise program that is well-structured. The method also uses in combination therapies, such as making the breathing muscles go through a training process where it will learn new breathing techniques. This rehabilitation method is very helpful because it treats the dyspnea condition even in a situation where the actual underlying disease cannot be cured.

Treatments that involve taking drugs include bronchodilators such as atrovent, albuterol, spiriva and serevent. The bronchodilator medications are effective for shortness of breath when a shrinking of the muscles happens and causes narrowing of the lungs. People who suffer from Asthma and COPD (Chronic Obstructive Lung Disease) are often prescribed to take these drugs. Anti-inflammatory medications are given to people suffering from COPD, asthma and interstitial lung problems where there is swelling of the lung airways and as a consequence there is a contraction of the passage. These medications work slowly overtime to reduce the swelling.

People who experience shortness of breath are generally heard to complain that while this condition occurs they feel a lack of oxygen within themselves. In such a situation giving the patient supplementary oxygen support reduces their condition of shortness of breath. Doctors may also prescribe taking corticosteroids, anti-coagulant and diuretics.

Who is eligible for the treatment? (When is the treatment done?)

All those who are experiencing dyspnea or shortness of breath are eligible to go for this treatment. Also, patients who are experiencing dyspnesa as a side effect to a treatment of another disease are also eligible.

Who is not eligible for the treatment?

People who are allergic to any of the ingredients contained within the medications mentioned above are generally not eligible for this treatment and should consult with their doctor regarding alternative methods.

Are there any side effects?

Patients who have been prescribed bronchodilator medications such as beta-2 agonists are likely to experience side effects such as muscle aches, headaches, trembling sensations, sudden palpitations and nervous tension. Anticholinergics can produce side effects such as constipation, dryness of mouth, headaches, trouble swallowing, heartburn and throat irritation. Theophylline, another bronchodilator can produce side effects such as vomiting, nausea, diarrhoea, palpitations and insomnia.

Side effects of corticosteroids if used for long can cause side effects such as high blood pressure, weight gain, diabetes, easy bruising, osteoporosis, mood swings, muscle weakness and eye disorders.

What are the post-treatment guidelines?

In order to prevent any future attack of dyspnea you need to adhere to certain post-treatment guidelines such as quitting the habit of smoking both first-hand and second-hand and losing weight (as that reduces stress on the lungs and heart). Also, it is advised that you try to take precaution against inhaling environmental pollutants.

How long does it take to recover?

Information not available

What is the price of the treatment in India?

Information not available

Are the results of the treatment permanent?

The results of this treatment can be permanent if the patients adhere to the post-treatment guidelines well. Environmental triggers and other lung infections can once again lead to dyspnea.

What are the alternatives to the treatment?

Some alternative treatment methods include yoga and homeopathy. The homeopathic medications for dyspnea includes Arsenic album for people suffering from asthma, Antimonium Tart and Ipecac homeopathic medication for shortness of breath that is experienced during coughing, Ammonium Carb and Stannum Met homeopathic medications for shortness of breath experienced by people during walking, Carbo veg and Silicea homeopathic medication for the aged and Lachesis and Grindelia medication for dyspnea experienced by people during the process of sleep.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range: Information not available

Popular Health Tips

Pleural Effusion - Most Effective Treatment Methods!

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Pleural Effusion - Most Effective Treatment Methods!

Pleural effusion, in medical terms, is a condition characterized by an abnormal accumulation of fluids in the pleural space. The pleural space is essentially the region between the tissues that form the lining of the lungs and the chest cavity. The fluid that builds up in the pleural space may either be protein-rich (Exudative Pleural Effusions) or watery (Transudative Pleural Effusions) in nature, thus helping doctors ascertain the cause of the pleural effusion.

  1. Exudative Pleural Effusions are often found to be triggered by medical conditions such as Cancer, Inflammatory diseases, Kidney disorder, Pneumonia, or Pulmonary embolism.
  2. Transudative Pleural Effusions, on the other hand, may be triggered by Cirrhosis, Heart Attack and Pulmonary embolism. People undergoing an open heart surgery are also susceptible to Transudative Pleural Effusions.

Further, people with Meigs’ syndrome, autoimmune diseases, congestive heart problems, Chylothorax, Ovarian hyperstimulation syndrome, or Tuberculosis also stand a higher risk of suffering from pleural effusions.

Symptoms:
In most of the affected individuals, pleural effusions trigger

  • Shortness of breath or difficulties in breathing, a condition called Dyspnea.
  • Some individuals also experience chest pain, dry cough, and Orthopnea (difficulty in breathing especially while in lying flat or in a sleeping position).

Treatment:
The first step towards effective treatment includes identifying the underlying health problem that triggered pleural effusions. Doctors work towards

  1. Treating the pleural effusions.
  2. Ensuring that the condition (Pleural effusions) does not recur.
  3. Measures are also taken to treat the health problem that resulted in pleural effusions.

In case of severe breathing troubles, doctors may perform Thoracentesis, an invasive procedure whereby the doctor carefully inserts a needle through the chest wall to drain out the excess fluids that have accumulated in the pleural space. While Thoracentesis is known to produce fruitful results, people with chronic lung disorders or a lung surgery should refrain from this procedure.

In the case of pleural effusions resulting from congestive heart failure, the use of diuretics come as a great relief. To prevent the recurrence of the condition or to deal with malignant pleural effusions, doctors may also opt for Pleural sclerosis or Pleurodesis, which involves the removal of excess pleural fluid from the pleural space.

The doctor slightly irritates the tissues of the pleural lining to create a scar. It is this scarring that results in the fusion of the two pleural layers thus filling the space between the layers and preventing the recurrence of pleural effusion. In malignant pleural effusions, patients may also require chemotherapy or radiation therapy. In extreme cases, doctors may perform Video-Assisted Thoracoscopic Surgery (VATS). In VATS, ½ -inch long incisions (1-2) are made to drain out the pleural fluid. To avoid recurrence of the effusion, an antibiotic or a sterile talc is placed inside during the surgery.

In case of pleural effusion resulting in infection at the pleural space, an Open Thoracic Surgery (Thoracotomy) is carried out to treat the condition.

While there are several treatment methods for pleural effusion, proper identification of the underlying cause is imperative to recommend the line of treatment best suited for the patient.

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

3576 people found this helpful

Common Breathing Problems - How To Treat Them?

MD, MBBS
Pulmonologist, Delhi
Common Breathing Problems - How To Treat Them?

We rarely take the time to think about the way we breathe. After all, breathing is an involuntary action that begins when we are born and never stops until the moment we die. However, some people find it harder to breathe than others. There are many different kinds of breathing problems that can affect the old and young and thankfully, most of them can be treated and controlled.

  • Some breathing problems are short-term and dictated by seasons while others are chronic and long-term.
  • Having difficulty breathing when you have a cold and a stuffy nose is considered a breathing problem.
  • At the same time, shortness of breath caused by asthma is also a breathing problem.
  • Other breathing problems include sinusitis, allergies and nasal congestion caused by diseases like chronic bronchitis or f chronic obstructive pulmonary disease.
  • Breathing problems can also be a result of diseases such as HIV, tuberculosis, lung cancer and pneumonia.

Ways it can be treated

To treat a breathing problem, one must first understand and identify the factors triggering it. Avoiding these triggers can effectively reduce the frequency and intensity of breathing problems. For example, not allowing pets into your bedroom can help treat breathing problems caused by an allergy to pet dander. Similarly, wearing a nose mask when outdoors, can reduce breathing problems caused by dust and pollution.

Medication can also help treat breathing problems

  • Antihistamines and decongestants are common medications used to treat such problems.
  • These may be prescribed as tablets to be taken orally or in the form of nasal sprays. In some cases, steroids may also be prescribed.
  • This is usually in the case of sinusitis and chronic allergies. These drugs are intended to be inhaled so as to clear the airways.
  • For people suffering from long-term breathing problems that are triggered by seasonal changes, taking a flu shot can help.
  • These injections reduce the body’s sensitivity to allergens and provide relief in cases of breathing problems.

However, it is important to note that when it comes to breathing problems, one should never self-medicate. What works well for one person may be ineffective for another. This is because unless the medication addresses the cause of the problem, it will not be of any use. Hence, it is important to consult a doctor for a proper diagnosis and understanding of your problem. It is also advisable to consult a doctor in the early stages of having a breathing problem rather than waiting for it to escalate.

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

2938 people found this helpful

Shortness Of Breath - Should I Be Worried?

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Shortness Of Breath - Should I Be Worried?

When you experience shortness of breath for no reason, you might wonder if there is something to worry. Breathing difficulty (dyspnea) affects around 1 in every 10 adults. The causes are varied, and just like other health problems like dizziness, fatigue, and abdominal pain, shortness of breath too has several causes. While a few are harmless, a few may be the signs of a possible complication. Though a common complaint in adults, it is a tough diagnostic challenge. Being aware of the symptoms will take you a step further in deciding whether or not the breathing difficulty is a cause of concern.

Causes

  • In older people: If you are an older person, then your breathing problems will most likely be associated with a heart or lung disease such as COPD, pneumonia, and heart failure. Other causes include a stroke and cancer. It is advised to consult a doctor if you are experiencing serious breathing problems since the past few days and more so if you see other symptoms. Symptoms to worry about are pain or trouble staying upright.
  • In the young: The common causes of shortness of breath in younger people are usually minor and partially treatable. Shortness of breath may occur due to myofascial pain syndrome. This is a condition in which trigger points or muscle knots occur in the respiratory muscles. Other causes are pneumonia and bad respiratory habits and/or weak breathing muscles.
  • Stress can be the cause: Another common cause of shortness of breath in teenagers and working professionals is anxiety. This is a very significant cause and should be taken seriously because this may not necessarily be a minor problem. Its diagnosis is still reassuring when compared to other medical problems since this can be worked upon with a few techniques.

Should you worry or not?

  • When the breathing difficulty is caused due to an acute condition like pneumonia or a chronic condition like asthma, treating the cause is imperative. Because, when the cause is treated, the episodes of shortness of breath is reduced.
  • Any patient suffering from any one or more of the problems mentioned above can still take a sigh of relief as remedies are available. Various pressure point massages can be performed with proper technique to ease out the trigger points when you are suffering from muscle knots.
  • When it comes to bad breathing habits, old habits die hard. Although changing your bad breathing habits may seem frustrating at first, it is relatively easier to achieve this if taken up with the mentality of achieving a goal. If regular breathing exercises are performed, respiratory strength can be increased. Moreover, breathing correctly has many long-term benefits as well.
  • Anxiety is more of a mind over body kind of thing. Although it may seem tough to overcome, determined and head strong people can find relief if they try.

Ensuring safety first
If you are wondering about whether your condition is serious or not, it is advised to tell your doctor about any persisting symptom. If you have developed any new symptoms such as a chronic wheeze or a cough, fatigue and pale appearance, dry, painful cough and shortness of breath during physical activity, then these are slow and sneaky indicators of an onset of some serious medical problem.

Thus, breathing difficulty occurring often is a reason to worry, and you must seek medical advice at the earliest.

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

3790 people found this helpful

Chronic Bronchitis - 7 Tips To Help You Get Well!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Chronic Bronchitis - 7 Tips To Help You Get Well!

Are you suffering from chronic bronchitis and are looking for ideal treatment measures? Bronchitis occurs when your windpipe or trachea and your large and small bronchitis within your lungs get inflamed because of infections and several other causes. The condition is considered to be chronic when your cough with mucus is persistent for at least three months. Chronic bronchitis is a condition that falls under the group of chronic obstructive pulmonary disease. Smoking, inhaled irritants, secondhand smoke, inhaled fumes, and certain viruses are primary causes of chronic bronchitis.

Symptoms
The symptoms and characteristics of chronic bronchitis are as follows:

  1. Phlegm may be produced. The production of excess phlegm indicates that your lung and the lower respiratory tract are infected.
  2. The cough experienced is present on almost all days of the month, for over a period of three months.
  3. The forceful coughing because of chronic bronchitis is painful, and makes your abdominal and chest muscles sore. The coughing is likely to be very severe, and may injure your chest walls or make you faint.
  4. During exacerbations of chronic bronchitis, wheezing may be experienced because of inflammation in the airways and muscular tightness. This, in turn, leads to shortness of breath.

Treatment
The treatment of chronic bronchitis depends on the cause. There is no specific cure for the condition, and its treatment aims at improving your lung function and reducing the symptoms.

  1. Several medicines are used for managing the cough, and for loosening and clearing secretions. In the case of uncontrollable coughing spells, cough suppressants might be prescribed.
  2. Broncho dilator inhalers are used for opening the airways and for the management of wheezing.
  3. Certain nebulizer treatments are also recommended in some cases.
  4. Corticosteroids are used for reducing the inflammation in the airways. These may be used in the form of inhaled corticosteroids, or may be taken orally.
  5. In some cases, antibiotic medications may be required for the treatment of chronic bronchitis. Antibiotics are usually used when there is a bacterial infection, and in people with chronic lung problems, who require antibiotics to be treated.
  6. Home oxygen might be required in extremely serious cases of chronic bronchitis.
  7. In very rare cases, a patient may have to be hospitalized in case of severe breathing difficulty that does not respond to treatment. This is necessary in cases of complications in chronic bronchitis, and in patients who suffer from underlying heart problems.

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

1951 people found this helpful

Shortness Of Breath - 4 Most Common Reasons Of It!

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Shortness Of Breath - 4 Most Common Reasons Of It!

Shortness of breath, medically known as dyspnea, is the sensation of tightening of chest accompanied by a feeling of suffocation. Most of us would have experienced this while doing intensive exercise, while in extreme temperature or high altitude to a certain extent. But when the breathlessness is severe, it is due to a lung or heart ailment. The lungs and the heart play the most important role in transporting oxygen to our tissues and removes carbon dioxide. And so, any kind of problem in either of the organs can affect our breathing.

Causes:
Numerous underlying conditions can lead to a shortness of breath. An insight into the most common causes are enumerated below.

  1. Asthma: One of the common reason for shortness of breath is asthma. It is a serious condition in which the passage of air becomes narrow and swells up and produces extra mucus. This can result in shortness of breath, triggers wheezing, coughing and also makes breathing difficult. It cannot be cured but the symptoms can be controlled, and it is also necessary to consult with the doctor to track the symptoms and adjust the treatment.
  2. Carbon monoxide poisoningAnother leading cause of shortness of breath is carbon monoxide poisoning. It is caused when carbon monoxide builds up in our blood stream. When there is excessive carbon monoxide in the surrounding air, our body replaces the oxygen in our red blood cells or RBCs with the carbon monoxide in the air. Appliances that are improperly ventilated and engines, especially in a sealed or tightly enclosed space might allow carbon monoxide to accumulate in our blood stream to a dangerous level.
  3. A hiatal herniaThis is caused when part of our stomach pushes upward through your diaphragm. Our diaphragm usually has a small opening through which our esophagus or food pipe passes and connects the stomach. The stomach pushes up through this opening in case of a hiatal hernia and results in shortness of breath. In most of the cases it can be cured by medications, but in some situations, surgery is required.
  4. Pulmonary embolism: It is a blockage in one of the pulmonary arteries in the lungs. In 95% of the cases of pulmonary embolism, it is caused due to blood clots that travel to the lungs from the legs or some other parts of the body. As the clot blocks the flow of blood to the lungs, it can also be life threatening besides causing a shortage of breath.

Apart from these conditions, others such as bronchitis, pneumonia, lung cancer, COPD, arrhythmia, hypertension, and many other lung and heart ailments can result in shortness of breath and can lead to dire consequences in certain cases. Thus, it becomes paramount to consult a pulmonologist when you frequently experience such breathing difficulty.

1888 people found this helpful

Popular Questions & Answers

When I am breathing I am feeling that the inhaled air is first entering my mouth thorough roof of mouth and making my mouth and tongue dry. What is the cause?

M.D - Respiratory Medicine
Pulmonologist, Hyderabad
Dryness occurs due to mouth breathing Normal upper airway nose etc keep the temperature and humidity regulation. If you have Sinusitis or Nasal Allergy it might be less effective. Check with s Pulmonologist if all is well.

During nights I am facing breathing problem. I check and doctor said my heart function is good. I am diagnosed with thyroid does thyroid cause breathing problems.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. Please let me know your height and weight, because if a person is overweight or obese, then some times there is breathing difficulty felt at night. Thanks.

I have been facing problem in breathing (shortness of breath) for last 4 months. I have consult with pumonologist and he said that nothing is wrong with my lungs and also I have done the x-ray of my chest and everything seems normal so m confused why am I still facing the problem to breath if everything is fine also I don't smoke anymore since the problem started.

DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Bangalore
The three most common causes of shortness of breath are lung problems, heart problems and low hemoglobin. As you told that lungs are evaluated and normal, I suggest you to get an hemogram, ecg and echo done.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Bad Breath
Hi friends, this is Dr Goyal from Mumbai, I am a dentist. I am here to talk about the most complicated topic which is the least discussed topic in dentistry is bad breath.

Studies have shown that more than 50% of people suffer from bad breath at some or the other time in their life. Bad breath as we in our language call Halitosis, can be because of a barrage of reasons there can be a lot of reasons for bad breath something like bacteria which are there in our mouth, they are there in the mouth always. When we feed them with a lot of food stuff which we don t clean from our mouth they eat up that food causing a lot of bad breath, the second can be dry mouth which may happen because of dehydration certain medicines or some other reasons which are not letting you saliva form. Gum disease can form a lot of bad breath. There is certain food stuff which can cause bad breath, something like garlic onions they can give you bad breath, some unhealthy lifestyle habits like smoking, tobacco chewing can cause a lot of trouble. Then there are systemic diseases which can lead to bad breath, the systemic diseases may be something like diabetes, sinusitis or gastro oesophagal reflux which can lead to bad breath.

Now that we know what causes bad breath let us try and understand how we can control this bad breath. First and foremost comes to the healthy habit of keeping our mouth clean after eating anything after consuming anything we need to clean our mouth, brushing after every meal may not be possible it is recommended but not possible many times, at least rinse your mouth forcefully to remove all your food stuff. In case you notice your gums bleeding or any other problem developing in your mouth please visit your dentist who can rectify the problem at the earliest. Get rid of bad habits like smoking tobacco chewing which will cause many other complicated problems other than bad breath. If your dentist finds that your bad breath is not controlled even after you have a healthy mouth he may suggest you a medical opinion where in your systemic problems can be diagnosed and treated by your physicians. Keep the saliva flowing always keep consuming small sips of water throughout the day to stop your mouth from drying, you can consume healthy foods like carrots, cucumbers of and on throughout the day which will help you produce more and more saliva, which will keep your mouth clean and let you avoid bad breath.

I hope this video helps you in taking care of bad breath.

Thank you very much for more information you can contact us via lybrate.

Thank you.
Play video
Pulmonary Disorder: Obstructive Sleep Apnea
Good afternoon friends,

I am Dr Hemant Kalra, I am a pulmonologist.

Today I will talk about a very-very important topic that is Obstructive Sleep Apnea which is widely prevalent in our country but very-very underdiagnose and awareness is very-very less. So what is obstructive sleep apnea, those patients who snore very-very heavily, who feel tired or feel sleepy during the daytime they may have Obstructive Sleep Apnea. So what is normal breathing, normal breathing is when our upper airways they allow free air to go inside the lungs and out of the lungs, this is normal breathing. So what are the obstructive airways, obstructive airways is then these upper airways collapse and this collapse of upper airways causes snoring and sensation in breathing, this is abnormal breathing or obstructive breathing at night time when we sleep? So what are the symptoms, symptoms can be nighttime symptoms can be there or daytime symptoms can be there. Night time symptoms are frequent visits to bathroom, weakness, sensation in breathing, choking or gasping for air or loud a persistent snoring or restless sleep, these 5 can be there in the night time symptoms and daytime symptoms are early morning headache, lethargy, and poor concentration, poor memory, feeling asleep during and routine activities and daytime somnolence or daytime sleepiness, these are daytime symptoms. So what kinds of patients are prone to have obstructive sleep apnea. Those patients who are obese with a short and thick neck with large tongue or hypothyroidism such patients if they snore heavily or feel tired or sleepy during the daytime or if they have night time or daytime and symptoms they must be investigated for obstructive sleep apnea. So how to diagnose obstructive sleep apnea, there is a very small test called polysomnography that can be done at a house or in hospitals. That is conducted in two parts, one is diagnostic, one is titration in diagnostic. We diagnose, whether a patient is having obstructive episodes in the night or not, or in another part, if an obstruction is there what is the pressure required to eliminate those obstructions in the night time. So obstructive diagnostic and titration component one night sleep steady is more than enough. Once we diagnose obstructive sleep apnea then we have to treat it also. There are so many treatments available but gold standard till now is CPAP therapy Continuous Positive Airway Pressure therapy is the most appropriate therapy to treat obstructive sleep apnea and once you treated you will feel that next day if you get up you will feel very-very energetic and if you do not treat obstructive sleep apnea then you may have heart problems, rythm problems, your BP may not be controlled, your sugar may not be control, you may have strokes in future also. So, if you treat obstructive sleep apnea with CPAP therapy, it is a gold standard therapy in India it is widely available in our country but lack of awareness is there. It is a very important disorder you must be treated as early as possible.

Thank you.
Play video
Coronary Artery Disease
Hi, my name is Dr Sameer Gupta and I m a cardiologist at M.P Heart Clinic in Greater Kailash in New Delhi. Now, I m a cardiologist and I treat heart disease. And as you know, heart disease is ubiquitous in India, it is actually an epidemic and it is affecting every one of us. When I say every one of us, all of us know at least one person in our lives who has a heart disease whether it s your neighbour, your family, friend, and maybe a teacher, a colleague from work. But, unfortunately, a majority of us know at least one person who has a heart disease in some form.

Now the scariest part of heart disease and the scariest form of heart disease is Coronary artery disease that means you have blockages in the arteries of your heart. Now, if you have blockages in the arteries of your heart, there is less amount of blood flow that goes to the heart and you can have chest pain, coronary artery disease, and in severe cases even a heart attack. Now, there are various reasons why people have heart disease. You can have risk factors which increase the risk diabetes, blood pressure, cholesterol, smoking, a family history, increased stress, poor lifestyle, poor dietary choices. These are just some of the risk factors that increase your risk of having heart disease and when I say heart disease, right now I am referring to blockages in the artery of your heart.

Now, how do you know you have a heart disease?

Well, most people have some sort of discomfort, some sort of symptom that makes them think they have heart disease like they have shortness of breath, they can have just generalised fatigue, feeling of tiredness, they can have chest discomfort, they can have trouble breathing, decreased exercise capacity. For example, they may say that they used to walk two kilometres before but now every time I walk only four hundred meters, I get short of breath, I get this discomfort in my chest, it goes down my arm, I get this increased sensation of gas. That means you may have blockages in the arteries of your heart and it is time you don t ignore it and actually consult a cardiologist and get this evaluated because proper treatment of heart disease is essential. Early recognition is part of the treatment.

I hope you enjoyed this and feel free to contact your cardiologist. You can contact me via Lybrate or the M.P Heart Clinic website and I will be there to help you.

Thank you so much!
Play video
Know More About Asthma
I am Dr. M.C Gupta. Practicing at Jeevan Jyoti Hospital, Faridabad. I am a pulmonologist and going to talk about asthma.

Asthma is a chronic inflammatory disease of the airways. Leading to hyper responsiveness of the airways, causing breathlessness, chest tightness, cough which is usually in the night or early morning hours. It should be reversible by it self or by drugs. Prevalence of asthma is in India between 1.3 to 2.5% and it is higher in the children and go even up to 10%. Type of asthma are childhood asthma, adult onset asthma, chronic asthma, occupational asthma and difficult to treat asthma. Asthma is usually genetic or environmental factors. The environmental triggers usually are allergens. Most of are, in allergens most important cause is house dust might. It can be due to stress, anxiety, obesity, drugs, infection. Infection are usually viral. It can be due to drugs like aspirin, NSIAD, or ace. The diagnosis of asthma is usually by pulmonary function test which shows the obstruction and the reversibility of the obstruction by inhaled short acting beta to agonist. If the reversibility is good then the patient is labeled as asthma. Treatment of asthma is for emergency patients or a routine patients. If a patient is unable to take proper breath, his heart rate is more than 120, he is having increased respiratory rate of 30 or having sinuses or unable to speak a single sentence then he is having a severe attack of asthma and should be rushed, patient should be rushed to the nearby health faculty for admission and treatment. Treatment for routine asthmatic is divided into certain steps. Steps 1 to 5. In the step 1, the patient is given short acting beta 2 agonist as and when required, with that the patient usually remain all right, the need for inhalation for beta 2 agonist should not be regular. Step 2 consist of inhaled corticosteroids in low doses, and the patient remain usually well controlled with that. In the step 3 of this, there is a either high dose of inhaled corticosteroids or combination of low dosed inhaled corticosteroids plus long acting beta 2 agonist. In step 4 if the patients is not controlled with the drugs in step 3 then, the patient is put on to step 4 and contain high dose inhaled corticosteroids plus long acting beta2 agonist. Most of the patients are controlled up to steep wise treatment 1 to 4. If the patient is not controlled given with that then the patient may need oral corticosteroids or anti iGE treatment.

For further queries or any follow up treatments you can contact me at my hospital.
Play video
Anxiety Disorders
Here are Types, Causes, Symptoms, Treatment of Anxiety Disorders

Hello, everyone, I am Dr. Sudeshna Biswas senior consultant neuron-psychiatrist attached with Fortis C-DOC Hospital Nehru place and have my own clinic at CR Park. Today we are going to discuss a very common issue Anxiety. Now the moment we hear the word anxiety many questions come to our mind. What is anxiety? How do we know that we are suffering any kind of anxiety disorder? And how do we know that we have to seek any professional help? Does any age group or any sex acceptable to this disorder? So, so many questions come to our mind? So let s try to find out the answers of these questions?

So now let s begin with what is anxiety? Anxiety is nothing but Anxiousness in a stressful situation. Now when anxiety becomes overwhelming or starts interfering day to day life that is what anxiety disorder is. So let s just try to find out what are the symptoms of anxiety disorders so you can detect the symptoms of anxiety disorder of it is there with you at the earliest.

Now there are two groups of anxiety disorders. The first group, we call it emotional symptoms, the second group is a physical symptom. Now emotional symptom could be in the form of apprehension, restlessness, reduction in the concentration, difficulty in retaining things in your mind that are memory loss. Physical symptoms could be in the form of increased heart rate or a feeling of palpitation, shortness of breath or a stomach upset, numbness in hands and legs, pains in hand and legs, headache, shivering, tremor and some more.
After knowing the symptoms of anxiety disorder let s talk about what are the types of anxiety disorders?

Now there are many types of anxiety disorders. I would try to brief few of them. One could be a generalized anxiety disorder. In this generalized anxiety disorder, people have various reasons to feel anxious throughout the day, many thought keeps on coming into their minds of a different variety. Usually, when these symptoms are lasting for at least six months of duration people are considered to be suffering from generalized anxiety disorder.
There is one more disorder we call obsessive compulsive disorder. In this disorder, people might have frequent washing or checking habits. Once single thoughts which is not acceptable to them coming to their mind again and again. Now again if these thoughts are there for two weeks duration they might be suffering from an obsessive compulsive disorder.
Some other disorders are there like we call it phobia is nothing but a fear of a particular substance. It could be in the form of fear of heights, fear of crowded spaces, examination phobia which is very common among the children.
Similar kind of other disorders includes social anxiety disorder. In this people have an anxiety of social situations. People become scared that other people are looking at them, probably criticizing them. They have a problem of public speaking etc. So this is one we call it social anxiety disorder.
Now few others are post-traumatic stress disorder. In this disorder people might have the anxiety symptoms after a big stress in their life, could be Tsunami for example.
Another type is called panic disorder. In this all the symptoms which are mentioned in physical symptoms, they usually happen for a short duration and people have the feeling that they are going to die the next moment.
So these are all, in short, the different types of anxiety disorder. We would just come straight away towards the treatment.

Treatment could be medicinal or therapeutic. There is various type of medicines available for such kind of disorder. Therapies are there like relaxation therapies, cognitive behavioral therapies and behavioral therapy and many others. So my request to all the viewers would be that please detect your problem at the earliest and seek the help of your near professional because this is a problem that definitely has a solution.

So now to end up if you need my help you can directly come to me by taking the appointment or you can use the app which is Lybrate which is a very good app in your mobile or you can just contact me through lybrate and seek up the appointment. Thank you very much. Stay well.


Having issues? Consult a doctor for medical advice