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27/Sep/2022

Do asthma drugs affect pregnancy Asthma control may alter during pregnancy, so it’s important to keep an eye on it.

1/3 – same, 1/3 – deteriorate, 1/3 – improve

Risk to a fetus is more in poorly controlled asthma as compared to the risk of medications. Inhaled glucocorticoids, theophylline, beta-2 agonists, and leukotriene inhibitors are not associated with any fetal anomalies.

Do Asthma Drugs Affect Pregnancy | Can Heartburn be Worse Than Asthma?

Yes in many studies it has been shown that heartburn worsens asthma and proton pump inhibitors have been shown to improve asthma control. In severe GERD, surgery may also be need to control asthma symptoms. However, routine use of PPI in asymptomatic GERD in asthmatics is not of any benefit.

What is difficult asthma?

It was in 1998 that Peter Barnes gave the concept of difficult asthma. Most asthmatics are control with ICS. But 5% are not control. Now BTS & GINA have also defined difficult asthma.

Asthma symptoms not controlled by step 4 medications (reliever + 2 or more controllers)

  1. Recheck diagnosis of asthma
  2. Adherence
  3. Smoking history – present or past
  4. Co-morbidities – GERD, sinusitis, obesity, sleep apnea

 

What is steroid-resistant asthma?

Glucocorticoids (GCs) have potent anti-inflammatory actions and are the most effective agents in the treatment of asthma. Asthmatics have 2 spectrums of disease steroid-responsive at one end and steroid-resistant at the other end. Patients with chronic asthma who are unresponsive to high doses of GCs and are without confounding factors have been termed GC-resistant.

There is no known treatment for glucocorticoid-resistant asthma. Treatment strategies include the use of higher doses of systemic glucocorticoids for a longer duration, nonglucocorticoid agents (eg, beta-adrenergic agonists, anticholinergic agents, anti leukotriene agents, omalizumab, cromolyn) and nonpharmacologic therapies (eg, trigger avoidance, bronchial thermoplasty). Small clinical trials of anti-interleukin (IL)-5 and anti-IL-13 have showed some benefit in GC-resistant asthma patients, but many of these innovative medicines require additional evidence of clinically relevant effects.

What are allergy shots?

Allergy shots are another name for immunotherapy. Subcutaneous or sublingual administration is possible. The ideal patient for IT should be more than 5 yr, with mild to moderate disease, few dominant allergens, seasonal exacerbations, patients on daily prophylactic medicines (wants to take less), and improved QOL. Not appropriate <5yr, >60 yr, h/o anaphylaxis, lack of availability of well-tested allergens.

Long-term effects of IT persist even after IT is discontinue.

SLIT: less effective than SCIT,

Safer but not totally

Shown effective as monotherapy

Dosing issues persist

Not shown to be effective in a mixture of antigens

Not yet approved in our country

Is asthma a lifelong problem or can it be cured?

There are 2 types of asthma. Half of the children who develop asthma in childhood outgrow their symptoms when they reach the age of 14-15 y. However, they may develop symptoms in later life when exposed to heavy trigger factors.

Your message for an asthmatic?

Asthma is a controllable disease and you can lead a trouble-free life with 2 Asthma Treatment strategies. 

1. KEEP PRECAUTIONS OF TRIGGER AVOIDANCE 

2. TAKE YOUR MEDICINES REGULARLY

Intrinsic (non-atopic) asthma and extrinsic (atopic) asthma)

There is no clinical or serological evidence of IgE-mediated allergy to common environmental stimuli in intrinsic asthma. When compared to controls, bronchial biopsies from such patients demonstrate increased expression of Th2-type cytokines, CC chemokines, and I/C, similar to extrinsic asthma. These data show that in this key clinically different type of the disease, there may be local IgE production directed against unknown antigens, presumably of viral origin or even autoantigens.


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27/Sep/2022

Best strategy to treat asthma

There are 4 components of asthma –

  1. Develop a patient-doctor partnership
  2. Identify risk factors and reduce exposure
  3. Assess, treat and monitor disease
  4. Manage exacerbations

The goal of management – improve control & reduce risk – NAEPP guidelines 2007

Recurrent exacerbations and the requirement for emergency room or hospital care can be avoided.

●Reduced lung growth in children and loss of lung function in adults can be avoided.

●Pharmacotherapy optimization with few or no side effects

What is the best strategy to treat asthma?

Best strategy to treat asthma inhaled corticosteroids such as beclometasone are the drugs of choice for the long-term treatment of patients with persistent asthma. Although there is no discernible difference in efficacy among inhaled corticosteroids, beclometasone is the one with which we have the most expertise. Ciclesonide (Alvesco, Nycomed then Takeda), another inhaled corticosteroid, has been tested in three double-blind trials versus budesonide and six trials versus fluticasone but none versus beclometasone. These tests revealed the “non-inferiority” of ciclesonide, especially in terms of a surrogate endpoint: the difference in compelled expiratory volume in one second (FEV1) after 12 or 24 weeks of treatment (primary endpoint). 

Which inhaled steroid do you prefer, and why?

However, the doses of ciclesonide used in these trials were higher than the standard doses while doses of the comparator corticosteroids were lower than the standard doses, thus favoring ciclesonide. Local negative effects of inhaled corticosteroids include oral candidiasis, sore throat, and hoarseness.  Best strategy to treat asthma a routine review guided by a Cochrane group recommends that ciclesonide does not have a better adverse effect profile than other inhaled corticosteroids used at equivalent doses. Corticosteroid inhalation can also show systemic absorption. The practical benefit of once-daily dosing with ciclesonide appears minor. In practice, ciclesonide is neither more useful than the inhaled corticosteroids with which it has been compared nor does it have fewer negative effects. It is better to continue to use beclometasone, a medicine with which there is more experience.

What is an optimal dose for starting ICS

Treatment naïve patient – step 2

Already on treatment – step 3

Daily v/s intermittent dosing of ICS, which is better?

Daily ICS was only periodic ICS in several indicators of lung function, airway inflammation, asthma control, and reliever use. Both treatments seemed safe, but a fair growth suppression was associated with daily, compared to intermittent, inhaled budesonide and beclomethasone. The clinician should carefully consider the possible benefits and injury of each therapy option, taking into account the unknown long-term (> one year) effect of intermittent treatment on lung growth and lung function decline.

What are the advantages of adding LABA to ICS?

Bronchodilator action of LABA provides immediate relief, and ICS sustained relief improves control, reduces symptoms, Best strategy to treat asthma daytime as well as nocturnal, improves lung functions, reduces the risk of exacerbations, hospitalization we use formoterol + budesonide it acts as a controller as well as reliever medicine, also used in exercise-induced asthma

Can LABA monotherapy be used?

LABA should not be used as monotherapy because they are only bronchodilators with no anti-inflammatory effects. Monotherapy is associated with an increased risk of exacerbation and mortality. When used as add they are superior to LTRA and theo. They reduce symptoms, improve control, and use of SABA, and reduce exacerbations and nocturnal symptoms. Only a fixed-dose combination with ICS is to be used (which improves adherence and reduces the risk of monotherapy).

What is the role of LTRA in asthma as monotherapy, as add on

LTRA has a mild bronchodilator and anti-inflammatory effects. They may be used as monotherapy in mild asthma and aspirin-sensitive asthma. However, they are inferior to ICS and cannot replace ICS as monotherapy.

As added on they may reduce the dose of ICS needed to achieve control and improve control. However, they are inferior to LABA.

What is the role of theophylline as monotherapy, as an add-on?

Data on monotherapy are lacking. An add it improves control when control is lacking with ICS alone. However, it is inferior to LABA. In some patients on ICS + THEO, withdrawal of theo leads to deterioration of control. Usage of lower dosage has a full anti-inflammatory effect, with fewer adverse effects and blood level monitoring is not required.

Is doxycycline better than dyphylline?

It is a debatable issue. Various clinical trials have been done some supporting and others not supporting. However, meta-analysis has so far not found the superiority of doxo over deri in terms of safety and efficacy profile.

What are the benefits of using LAMA in the management of asthma?

Newer ATS/ERS guidelines published in April 2014 suggest the addition of LAMA to ICS and LABA 1. Improve FEV1 2. Reduce the use of SABA 3. Reduce the risk of exacerbation. No studies on children, so not to be used on children


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27/Sep/2022

Vaccines remain highly effective in preventing serious illness and hospitalization or death due to COVID-19. The recently launched booster dose is an additional dose of vaccine to offer further protection. Lungs specialist Dr. Sheetu Singh is telling, can Booster Dose help to protect against XE Variant? But before that, let’s find out when we can get a Booster dose.

When can we get Booster Dose?

  • You can have a booster dose for at least nine months after the second dose. (However, it also depends on what type of vaccine you got initially)
  • If someone caught covid-19, then it will be a minimum of 90 days after the patient’s recovery.

Can Booster Dose Help To Protect Against XE Variant- Dr. Sheetu Singh

After the XE variant, there is confusion among the public, and most probably the people; who are already suffering from a serious disease. Hence, the Booster dose, which is referred to as a precautionary dose, is beneficial for people who have a weak immune system. And also for the people who have severe diseases like Asthma, Diabetes, HIV, or cancer.

Benefits of Booster Dose for Asthma Patients

Even though there is no proof of which vaccine is beneficial for Asthma patients against the XE Variant. But a booster dose will surely decrease the chance of getting a severe coronavirus or its variant. The chances of getting severe complications from vaccines are very infrequent. However, it also depends on factors like age and how you controlled your Asthma? Or whether you have any other illness.

A booster dose is required because people are complaining that after taking two doses, the effect of the vaccine is decreasing. And apart from that, after COVID XE Variant, people fear that this will cause severe illness.

How to book a booster shot?

Booster shots are for those who have already taken two doses of the COVID vaccine. Eligible people will get the message from Covin’s website. Afterward, you have to type your registered mobile number, and you’ll get the OTP, and it will show if you completed your nine months or not.

COVID 19 VACCINE BENEFITS

COVID-19 vaccines are safe, effective, and life-saving. However, they do not ensure total protection for all vaccinated people. And we are not yet aware of how effective they are in preventing the transmission of the virus between people. For this reason, in addition to the choice to get vaccinated, you must continue to take other measures to combat the pandemic.

WHO also approves all anti-COVID-19 vaccines. And included in the list for emergency use have undergone clinical studies to test their quality, safety, and efficiency.

Also Visit: Are minors more at risk of Covid-19 than adults?

COVID 19 VACCINES BENEFITS FOR KIDS

  • As children are going to school, vaccines will help to decrease the chances of spreading the virus.
  • It helps in preventing getting COVID-19 easily.
  • They can continue their education without getting interrupted.

If you are facing any COVID-19 symptoms, and are facing any respiratory issues, you can contact Dr. Sheetu Singh, a Lung specialist in Jaipur.


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27/Sep/2022

It’s normal to be out of breath after intense physical activity. But, when you face this problem even after simple exercise, then you might need a doctor’s consultation. But you can also do a self-check of your breathing. In this article, we will tell you about the different types of breathing problems and what are the causes and symptoms of breathing problems. Types of Breathing Problems | Causes & Symptoms- Dr. Sheetu Singh

Types of Breathing Problems | Causes & Symptoms- Dr. Sheetu Singh

Hyperpnoea

In Hyperpnoea, you take your breathing deeper, And sometimes faster (i.e. during exercise). This cause does not need medical attention until and unless it’s caused without any physical activity. Hyperpnoea is the response from your body to the brain to adjust your breathing.

Dyspnea

Dyspnea is also known as Shortness of Breath. In this situation, when you can’t get enough air to breathe or you experience tightness in your chest. Tough exercise, high temperature, and obesity are the primary cause of Dyspnea.

And sometimes, Dyspnea starts because of low blood pressure, heart attack, carbon monoxide poisoning, or asthma attack.

Bradypnea

In this condition, when you breathe at a slow rate compared to your normal breathing speed. Bradypnea can cause:-

  • Dizziness
  • Tiredness
  • Lightheadedness

Kussmaul Breathing

The situation is when the body produces too much acid. Some of the Kussmaul Breathing are:

  • Organ Failure
  • Overuse of Alcohol
  • Sepsis

Cause & Symptoms of Breathing Problems

There is several cause of breathing problems

Health-Related

  • Anemia
  • Asthma
  • Lung cancer
  • Pneumonia
  • Croup
  • COPD (Chronic obstructive pulmonary disease),
  • COVID-19
  • And any other heart and lung diseases.
  • Bronchitis

Medical emergencies

  • Drowning
  • Heart attack
  • Injury to neck, lungs
  • Any allergy reaction
  • Blood clotting in lungs

Symptoms

Now talk about the symptoms of the Breathing problems

  • Suddenly trouble with breathing
  • Not able to breathe
  • Pain/discomfort in the chest
  • Not able to do even day to day activities
  • Breath rapidly
  • Dizziness or anxious
  • Difficulty in speaking
  • Cough Blood
  • Sweating
  • Whistling sound while breathing

The most important thing you should do while someone is facing any breath-related issue is to immediately dial the medical emergency number. And while waiting for the ambulance:-

  • Check the pulse of the patient
  • Loosen their clothes
  • Help the person in using an inhaler or home oxygen (if prescribed by the doctor)

And if you are facing breathing problems, then try to calm down while waiting for the ambulance. Sit straight and take someone’s help if possible.


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27/Sep/2022

Inhalers are the most useful way for people with asthma and other lung diseases to access life-saving drugs. If you suffer from asthma or you care for someone who has asthma, here’s all you need to know about inhalers, including how to use them correctly and Advantages and Disadvantages of inhaler.

Advantages and Disadvantages of inhaler

Inhalers for asthma are small, mobile devices that administer medication to the lungs. To assist control asthma symptoms, a range of asthma inhalers are available. You can receive the medication you need to prevent or treat asthma attacks if you find the right one and use it correctly.

Inhaler technique | How to Use Inhaler

Inhalers are devices to deliver medications for the treatment of obstructive airway disease including asthma and chronic obstructive airway disease (COPD). There are different types of inhalation devices primarily including dry powder inhalers (DPI) and metered-dose inhalers (MDI). It is essential to take the inhaler properly, if not taken properly the medication would not reach the proper site.

Advantages of inhaler

The dose of medication in the inhaler is almost one-tenth of the dose taken in oral form. The response to medication is quick. Since oral absorption is minimal, side effects are not significant for the inhaler. Side effects are thus minimal, the response is quick and better.

Disadvantages of inhaler 

There is some oral deposition that leads to oral ulcers, candidiasis, and dysphonia. However, all these side effects can be avoided if the mouth is rinsed thoroughly after inhalation.

Advantages of a spacer

The spacer is a device to be placed between the mouth and the MDI. The extra medicine deposits in the spacer, thereby oral deposition is very less. Thus, the above-mentioned side-effects are also very few.

How to take a DPI?

  1. First, put the capsule in the device
  2. Rotate the device till the capsule breaks
  3. Blow out completely
  4. Take the mouthpiece in the mouth and seal it with lips
  5. Fast and deep breath in
  6. Hold for 10 seconds
  7. Blow out completely
  8. Rinse mouth

How to take MDI with a spacer?

  1. Shake inhaler
  2. Fix it in the spacer
  3. Blow out completely
  4. Take the mouthpiece in the mouth and seal it with lips
  5. Slow and deep breath in
  6. Hold for 10 seconds
  7. Blow out completely
  8. Rinse mouth

Myths and facts about inhaler

  1. It is habit-forming – FALSE

Truth – It is a requirement not addicting

  1. It has many side effects – FALSE

Truth – It causes lesser side effects than oral medicines


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27/Sep/2022

There has been an increase in asthma patients in recent times. Asthma is a disease of the respiratory tract of the lungs, in which it is difficult to breathe. There are many causes for shortness of breath. Breathlessness can also occur due to lack of blood in the body, heart disease, kidney failure, or excess body fat (obesity). However, it’s not asthma. Inflammation of the airways inside the lungs reduces their diameter. Increased secretion causes the vessels to constrict. Now we discuss How Asthma is Treated, it is difficult to breathe at such times. Overall this is a lung disease.

How Asthma is Treated, Asthma symptoms, causes, and diagnosis

Inflammation of the respiratory tract and internal secretions interfere with the functioning of the lungs. It makes you breathless. In times like these it is more difficult to do what we used to do. In the past, climbing a floor in a house was not easy; But then, even if he climbs one floor, he gets breathless. It can be an asthma attack. In addition, dust from flying while doing housework makes breathing difficult. This dust contains many allergenic ingredients. Chief among them is ‘House Dust Mite. Many people suffer from allergies and asthma due to dust. 

Frequent colds and coughs.

Flatulence is also a symptom. Often no such signs are found; There is only coughing. At such times there is only a cough, so ignore it. However, this cough may be due to asthma. Symptoms such as regular coughing, hoarseness, and chest tightness are more common in asthma.

Causes of asthma

There are many causes of asthma. Heredity is a major cause of asthma. If someone in the house has asthma, other members are more likely to have asthma. Allergies are a major cause of asthma. If one becomes allergic to something and comes into contact with that thing repeatedly or consumes things that are allergic, then certain, components in the blood increase. It contains an element called eosinophils, which causes swelling in the airways. Asthma and asthma are closely related. Winter or cold weather, dusty and polluted environments are also conducive to asthma.

How is asthma diagnosed?

Environmental pollution also causes asthma. In addition, bronchitis, prolonged coughing can cause shortness of breath. Smoking causes asthma. In addition, regular viral infections (swine flu and now covid-19) are causing asthma. Asthma is more likely to be caused by a person who is constantly working in the smoke, painting business or spray paint, mining, construction. However, its long-term effects are reflected in how long it lasts, how much it affects the lungs, and how strong the immune system is.

Some tests are needed to diagnose asthma. If you experience frequent colds, sneezing, hoarseness, or cold-cough when the weather changes, you need to see a doctor immediately. Doctors diagnose asthma through a medical examination. At this time, he asks if anyone in the family has asthma. Your breathing capacity is checked by a device called a ‘peak-flow’ meter. Therefore, a preliminary diagnosis of asthma can be made.

Lung function test (spirometry): A lung function test is a lung function test to diagnose asthma. This is called ‘spirometry’. Other tests include blood tests, X-rays, oxygen levels, and other ailments to check for shortness of breath. Asthma can be diagnosed by removing the echo if it causes a heart attack.

Best Doctor in Jaipur for Asthma Treatment

Asthma is treated based on patient history. Different patients have different types of allergies. Doctors for Asthma treatment are easily available in Rajasthan. But When we talk about Best Doctor for Asthma Treatment in Jaipur then only Dr.Sheetu Singh’s name will come into our mind. She is an expert in her field. She treats Asthma very well.


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27/Sep/2022

Asthma Specialist Doctor in India: Asthma is a disease in which your lung airways narrow and swell. It creates excess mucus, that’s will be causing breathing difficulty and trigger coughing, a whistling sound when you exhale, and shortness of breath. For a few people, asthma is a minor issue. For others, it can be a critical issue that conflicts with everyday activities and should build a life-threatening asthma attack. During an asthma strike, the airways will swell, the tissues around them will stiffen, and it becomes dense for air to shift in and out of the lungs. Asthma is not an infection, but it is caused, by an overreaction of the human immune system. Only some people have sensitive immune systems which trigger asthma.

Asthma Specialist Doctor in India – Dr. Sheetu Singh

Asthma is a long-term condition affecting the Lungs. It involves infection and reduction inside the lungs, which reduces air supply. There are many reasons to cause asthma, like Animal hair or dander, Dust, Changes in the weather, Mold, Pollen, Respiratory infections, Tobacco smoking. Asthma can never be completely fixed, but its signs can be managed and controlled. Because asthma continually expands over time, you must handle it with your doctor to track your signs and symptoms and take your treatment as required.

Symptoms of Asthma

Asthma symptoms fluctuate from person to person. You will have infrequent asthma attacks and have symptoms only several times like when you did, exercising, running, polluted areas, dust.

Asthma symptoms include:

  • Shortness of breath
  • Chest tightness or pain
  • Wheezing when exhaling
  • Trouble sleeping caused by shortness of breath
  • Excessive Coughing or Wheezing

Asthma in Childhood

Asthma is the most common disease in children. It can occur at any age but, it is slightly more common in children than adults. Children aged 5–14 years were presumably to suffer from asthma.

Some Common Symptoms in Childhood Asthma Include – Respiratory infections and colds, cigarette smoke, including secondhand cigarette smoke, allergens, air pollutants, exposure to cold air, sudden changes in temperature, excitement, stress, exercise.

How to Diagnosis Asthma

If you think that you have asthma, visit your doctor. They will refer you to a lung disease expert, and they are called pulmonologists or a chest specialist. 

  • Breathing tests (Spirometry)
  • Health history
  • Physical exam
  • Chest X-ray
  • CT
  • Allergy tests

Asthma Treatment

Many asthma treatments can ease your symptoms and, treatments for asthma come into three main categories,

  1. breathing exercises
  2. quick-acting treatments
  3. long-term asthma control medications

Asthma can be managed by following some daily habits and daily routines. You can take steps every day to help yourself and reduce your risk for asthma attacks.

  • Maintaining a healthy weight
  • Quitting smoking
  • Managing stress
  • Eating a healthier diet
  • Exercising regularly

When to see an Asthma Specialist Doctor

If you can feel symptoms of asthma such as weakness and can not perform daily activities, have wheezing, or a cough that does not go away, then visit your doctor immediately. If you can’t find a doctor for asthma, then you can come to Dr. Sheetu Singh. She is one of the best lungs specialists and pulmonologists in India. for Thermoplasty visit, www.drsheetusingh.com


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27/Sep/2022

Thermoplasty Specialist Doctor:

Asthma affects the airways to swell and become infected. The airways become tinier that making it more difficult for you to breathe. The walls of large airways have a layer of smooth tissue. This part will be thicker in people with severe asthma. During an asthma attack, the layer of tissue can constrict and narrow the airways. Bronchial thermoplasty is an infiltration asthma method in which a tube called a bronchoscope is inserted into a person’s mouth or nose and connected through the airways to the lungs. Once the pipe dilates, that widens the airway, allowing more air to flow into the lungs. Bronchial thermoplasty in the treatment of, asthma and gives relief to the patient to a great extent. Asthma is never completely cured, but this treatment controls asthma. 

Bronchial Thermoplasty Specialist | Risk, Treatment, Side effects

Bronchial thermoplasty is performed in three sessions, each surgery covering one-third of the lungs at a time. Bronchial thermoplasty is a modern yet hopeful treatment for severe asthma whose benefit for long-term asthma control exceeds the short-term danger of degradation and hospitalization in the days following the BT procedure. 

Bronchial Thermoplasty is performed through the Faculty of Bronchoscopy Endoscopy and takes about an hour to finish. The minimally invasive method like many other flexible endoscopy procedures is performed under mild sedation. Post-procedure, patients typically are observed and monitored for about 2-4 hours. You will go to a hospital to get the treatment of bronchial thermoplasty. It is presented in three separate sessions, each about three weeks. Each surgery takes less than an hour, and another part of your lungs gets treated each one time. Only professionals can do this treatment. When these surgeries are performed there is a risk of lung damage, so only experienced doctors can do it. Some side effects can also come from this surgery, let’s know the side effects of Thermoplasty.

Side Effects of Thermoplasty

The most common side effects of bronchial thermoplasty include:

  1. Coughing
  2. Wheezing
  3. Shortness of breath
  4. Pulmonary artery complications
  5. Respiratory infections

Benefits of Bronchial thermoplasty

  1. Decrease regular symptoms of asthma
  2. Decrease the number of sick days 
  3. Decrease the need for steroid medications
  4. Help keep you out of hospital or emergency department.

Bronchial thermoplasty does not relieve asthma. But it’s going to make you feel better and breathe better.

Eligibility of Bronchial Thermoplasty

You will be a good candidate for the BT if:

  1. 18 years of age or older,
  2. Severe Asthma
  3. Symptoms are not well controlled

If you’re considering bronchial thermoplasty, you’ll undergo a radical medical evaluation that has tests like pulmonary function tests (PFTs), as well as an assessment of what proportion asthma controller and rescue medication you’re using. Because inflammatory asthma might not improve with BT, you might even have blood tests to look at your level of inflammation.

Where To Go For Bronchial Thermoplasty

If you have severe asthma symptoms that you cannot control with medicine and an inhaler, you can immediately come to Dr. Seetu Singh.

She is one of the best Asthma Specialist Doctors in India. She has good experience in respiratory system surgery and operation Dr. Sheetu is a thermoplasty specialist doctor in Jaipur.


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27/Sep/2022

Interstitial Lung Disease Expert in India – There are many important organs in the human body, but one of them is the lungs, without water and food, we can survive for a few days or a few hours, but without breathing we can live only a few minutes. Due to any disease of the lungs, there is a lack of oxygen in the bloodstream, which also harms other organs, so we need to take care of our lungs. There is one disease that can harm your lungs too much. Interstitial lung disease (ILD) is an umbrella term used for a huge group of diseases that cause progressive scarring (fibrosis) in the lungs. The scarring causes inflexibility in the lungs which makes it tough to breathe and obtain oxygen to the bloodstream. Lung damage from ILDs is usually irreversible and gets severer over time.

Interstitial Lung Disease Expert in India | Dr. Sheetu Singh

Interstitial lung diseases are often caused by long-term exposure to hazardous elements, such as asbestos, hypersensitivity pneumonitis. Some sorts of autoimmune diseases, like rheumatoid arthritis, can also cause interstitial lung disease. In some cases, however, the causes remain unknown. Smoking can not only cause ILDs but can make the situation much more critical. ILDs from various causes and conditions have different treatments and possibilities. ILD is more common in adults, but can rarely happen in children. 

Symptoms of Interstitial lung disease (ILD)

  1. Shortness of breath
  2. Coughing, typically nonproductive
  3. Decreased exercise tolerance
  4. Fatigue
  5. Weight loss

Causes of ILD

Interstitial lung disease seems to occur when an injury to your lungs triggers an abnormal healing response. Ordinarily, your body generates just the proper amount of tissue to repair the damage. But in interstitial lung disease, the repair process goes awry and the tissue around the air sacs (alveoli) becomes scarred and thickened. This makes it harder for oxygen to pass into your bloodstream. 

Diagnosis of ILD

Identifying and defining the explanation for interstitial lung disease is often challenging. a large number of disorders fall under this broad category. additionally, the signs and symptoms of a good range of medical conditions can mimic interstitial lung disease, and doctors must rule these out before making a definitive diagnosis. 

Some of the following tests may be required:-

  1. Laboratory tests – Blood tests 
  2. Imaging tests – Computerized tomography (CT) scan, Echocardiogram
  3. Pulmonary function tests – Spirometry and diffusion capacity, Oximetry 
  4. Lung tissue analysis – Bronchoscopy, Bronchoalveolar lavage, Surgical biopsy

How is ILD treated

Treatment for ILD is meant to preserve the lung’s ability to function and keep the disease from getting worse. Treatment depends on many factors, including the sort of ILD and how severe it is.

Medications – Medications can help improve lung function by reducing inflammation and/or fibrosis. Medications to reduce inflammation include steroids and other rheumatologic drugs.

Oxygen therapy – Extra oxygen delivered by a tube in the nose can make breathing more easier. This therapy increases the blood’s oxygen levels, in order that every breath is more productive.

Pulmonary and exercise therapy: Breathing exercises, practices, and increased physical activity can improve lung fitness.

Lung transplant – Some people with severe cases of ILD have lung transplants to help increase their lives.

If someone has this disease, then it is necessary to stop it quickly because it is irreversible. But its damage can be minimized. If you searching Interstitial Lung Disease Expert in India then visit once Dr. Sheetu Singh, Asthma and Chest Specialist. More details at – www.drsheetusingh.com


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27/Sep/2022

Asthma Symptoms, Causes and Treatments: In asthma, the “invaders” are some causes given in the below section. Triggers differ among people. Since asthma is a sort of allergic response, it is in some cases known as reactive airway disease. Every patient with asthma has his or her own one of a distinctive set of causes. Most triggers cause assaults in a few people with asthma and not in others. Common causes of asthma attack involve:

Asthma Symptoms, Causes and Treatments

  • Exposure to wood or tobacco smoke.
  • Inhaling polluted air.
  • Breathing other respiratory irritants like cleaning products or scents (perfumes).
  • Come in Contact to airway aggravations at the workplace.
  • Inhaling in allergy-causing elements (allergens) such as dust, pollen, animal dander or molds.
  • An upper respiratory disease, such as bronchitis, flu, cool, sinusitis.
  • Come in contact to cold, dry weather
  • Emotional stress or excitement
  • Physical workout or exertion
  • Reflux of stomach acid called as GERD or gastroesophageal reflux ailment.
  • Sulfites, an added substance to a few wine and foods
  • Monthly cycle (In a few, not all, ladies, asthma side effects are firmly fixing to the menstrual cycle.)

Risk factors for developing asthma include

  • Allergic Rhinitis (Hay Fever) and other allergies (This is the most common risk factor.),
  • Eczema (Allergy that affecting on screen), and
  • Genetic predisposition (any family History of Asthma).

What Are Asthma Symptoms and Signs?

At the point when the airways become panic and inflammation, the attack is encounter. Check out the Asthma Symptoms, Causes and Treatments. The asthma attack may come on instantly or grow gradually more than a few days or hours. The fundamental side effects that signal an attack are as per the following:

  • Difficulty in Speaking.
  • Shortness of Breathing,
  • Chest tightness,
  • Wheezing, and
  • Coughing

Side effects may happen amid the day or around night time. If they occur around night time, they may bother your sleep. Check Best Asthma Specialist in jaipur

Are There Home Remedies for Asthma?

Current treatment procedure is intended to reduce inflammation, discomfort, and the area to which you need to confine your exercises. If you honestly follow your treatment procedure, you ought to have the capacity to maintain a strategic distance from or lessen your visits to your doctor or asthma specialist.

  • First you need to know about your causes and what you can do to reduce them.
  • If you are smoking, quit it.
  • Try not to take cough medicine. These medications don’t help asthma and may cause undesirable symptoms.
  • Nonsteroidal mitigating or Aspirin drugs, for example, ibuprofen, can make asthma worsen in specific people. These drugs ought not to be taken without the counsel of your doctor.
  • Try not to utilize nonprescription inhalers. These contain short-acting medications that may not keep going sufficiently long to relieve an asthma attack and may cause undesirable symptoms.
  • Take just the drugs your doctor has recommended for your asthma. Take them as prescribed.

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