Blog Archives - Dr. Sheetu Singh

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27/Sep/2022

The general term for cancer that affects one or more areas of your throat is “throat cancer.” Typically, those who have larynx cancer also have laryngeal or pharyngeal cancer (the middle part of their throat.) Surgery is frequently used by medical professionals to treatcancer.

What is cancer of the throat?

The common term for cancer that affects one or more areas of your throat is “throat cancer.” Typically, those who have larynx cancer also have laryngeal or pharyngeal cancer (the middle part of their throat.) Surgery is frequently used by medical professionals to treat cancer. The kind, location, and extent of thecancer all influence the particular procedure.

So, cancer of the throat can take many different forms. Laryngeal cancer and oropharyngeal cancer are the two most typical kinds of larynx cancer. Your larynx is affected by laryngeal cancer(voice box). The center section of your throat is affect by oropharyngeal carcinoma. Oropharyngeal cancer diagnoses were projected to affect 54,000 individuals in 2022, whereas laryngeal cancer diagnoses were projected to affect 12,000 people. (Breast cancer diagnoses were anticipate to affect roughly 290,560 men and women.) Here is further information about these two prevalent kinds of larynx cancer:

Laryngeal cancer

Laryngeal canceris a form of cancer in the voice box. It’s often called laryngeal cancer because it starts in the larynx, or voice box More males than women are affected by this malignancy. So, those over 55 are affect. Your larynx has several potential sites for the onset of laryngeal cancer. The overall survival rate for those withlaryngeal cancer five years following diagnosis is between 46% and 72%.

2. Oropharyngeal cancer

The area of your throat just behind your mouth is affect by oropharyngeal carcinoma. Males are twice as likely as females to acquire oropharyngeal cancer. Usually, those 63 and older are affect. Five years after diagnosis, around 50% of oropharyngeal cancer patients are still living.

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What signs of throat cancer are there?

Multiple cancer kinds that can impact various aspects of your throat are referred to as throat cancer:

more than two weeks of persistent sore throat
Having pain or having trouble swallowing (dysphagia).
alterations to your voice that continue longer than two weeks, such as hoarseness.
your mouth or throat feeling lumpy.
lumps in your neck, especially at the back.
more than two weeks’ worth of ear discomfort.

What causes throat cancer most often?

When anything causes alterations in the genetic make-up of cells in your throat,cancer results. Healthy throat cells are transform into malignant, proliferating cells by this alteration. What causes this transformation is being research by researchers. However, researchers have connected some behaviors and health issues to cancer that raise your risk of getting the disease:

You currently smoke tobacco or use tobacco products (including snuff and chewing tobacco), or you previously smoked tobacco or used tobacco products. The biggest risk factor for head and neck cancer, including larynx cancer, is tobacco use.

You consume more alcohol than is typical. Laryngeal and pharyngeal cancer are associate with heavy and regular alcohol use, according to research.

You have the human papillomavirus, a particular form of sexually transmitted illness (HPV)

Conclusion

Dr. Sheetu Singh is one of the most well-known pulmonologists in India. She offers the best and most dependable care as a specialist. Every patient she cares for is given excellent care and attention. She has a well-established reputation as one of India’s top pulmonologists. She has successfully performed several lung procedures. If you are looking for the expert help you can get assistance from Dr. Sheetu Singh, a pulmonology expert, if you require it.

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27/Sep/2022

The sinuses are inflamed when they suffer from sinusitis. In the head, there are four pairs of cavities (spaces). There are narrow channels connecting them. Nasal channels drain thin mucus from the sinuses. By draining the nose, bacteria can be kept at bay. When the sinuses become blocked, fluid can fill them instead of air. As a result, bacteria can grow and cause an infection (bacterial sinusitis). If the nasal tissue is inflamed, it is almost always swollen. The illness is also refer to as rhinosinusitis. Many organs are involve in sinus infection, which is a complicate condition. The sinuses in your head can become infected with a sinus infection. ENT specialists can identify sinus-related complications and suggest the best treatment option if you have any sinus-related complications.

What is Sinus Infection (Sinusitis): Types, Causes, Symptoms

It is called acute sinusitis when sinusitis lasts less than four weeks. Colds are most commonly the cause of these cases. Some people develop a bacterial infection after experiencing symptoms for a week to ten days. Sinusitis Chronic: Chronic sinusitis, also known as chronic rhinosinusitis, is characterized by persistent symptoms despite medical treatment. Sinusitis is more likely to occur in people who suffer from allergic rhinitis or asthma. Asthma and allergic rhinitis cause inflammation of the airways. A nasal polyp, a deviated nasal septum, an infection, fungus, or a deficiency in the immune system can also result in sinusitis.

How does sinusitis develop?

Several causes of sinusitis include viruses, bacteria, or fungi that swell and block the sinuses. There are several specific causes, including:

A common cold.
Allergies to mold, including nasal and seasonal allergies.
A polyp (growth).
Septum deviated from its normal position. Septums are cartilage lines that divide your nose. Deviated septa do not lie straight, so they are closer to the nasal passage on one side, causing blockages.
Illness or medication weakens the immune system.

Using pacifiers or drinking bottles while lying down and spending time in daycares could increase the risk of sinusitis in infants and young children. Sinus infections are more likely to occur in adults who smoke. Stop smoking if you smoke. Your health and those around you are at risk when you smoke.

Sinusitis symptoms and signs: what are they?

The following symptoms characterize sinusitis:

Mucus drips down the throat after nasal drip.
A stuffy nose or nasal discharge (a thick yellow or green discharge from the nose)
There may be facial pressure (especially around the nose, eyes, and forehead), headaches, or tooth or ear pain.
Bad breath (halitosis)
Coughing.
Tiredness.
Fever.

Conclusion

This article discussed the types, causes, and symptoms of sinus infections. Among the most renowned pulmonologists in India is Dr. Sheetu Singh. As an expert in Jaipur and Rajasthan, she provides the best and most reliable treatment. Every patient she treats receives a high level of care and treatment. Her reputation as one of the best pulmonologists in India is well known. Various lung surgeries have been performe successfully by her. Dr. Sheetu Singh is a pulmonology specialist in Jaipur who can help you if you need one.

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27/Sep/2022

How To Manage Respiratory Allergies During Monsoon: Respiratory Allergies are the allergies caused by the atmospheric particles inhaled by the person. It harms the immune system of a person. The primary allergic particles in the air are animal hair, dust, pollen, mold, etc. A Respiratory Allergies creates a negative impact on the respiratory system of a person. The Respiratory Allergies can be of two types – Allergic Asthma and Allergic Rhinitis. Allergic asthma is also known as hay fever, which causes watery eyes, nasal symptoms, etc., and Allergic rhinitis causes airway constriction. Monsoon season has a worsened effect on people having respiratory allergies. It has less sunlight which leads to the deficiency of Vitamin D in the air, which creates a contributing factor to asthma attacks. In this blog, we have discussed a road map of these allergies and their treatment.

How To Manage Respiratory Allergies During Monsoon

According to the World Health Organization (WHO), around 400 people suffer from allergic rhinitis around the globe. Allergies affect all age groups throughout the world. Notably, allergies have been seen in 10 to 30% of the adult age groups. Further, a rapid increase has been seen in children and young adults. Monsoon tends to give rise to the humidity in the air. The moisture, as a result, gives rise to dust mites, mold growth, etc.

The Reasons For The Respiratory Allergies In Monsoon.

The essential thing to do is to avoid allergic triggers for a person. Most of the time is spent inside by the people during the monsoon. It is at this moment that we have to stay cautious and bring changes to our surroundings. The exposure to dust mites, dust, etc., can be reduce when the carpets, curtains, duvets, etc., are kept clean on the house premises. The carpets, curtains, etc., must be frequently wash with warm water and kept in the sun for sunlight exposure. Proper ventilation must be there in the rooms so that the people will experience fresh air. The walls and surfaces must be kept clean and dry for clean surroundings with fewer dust particles. Pets must be groome accordingly to maintain hygienic levels in the surroundings. Air conditioners, cleaners, fans, etc., must be kept clean so that dust won’t be pile up in a room.

What Can Be Done To Manage The Respiratory Allergies?

Respiratory allergies are heightened in the monsoon season. The prevention of such allergies is an appreciating step for a person. In case these allergies are caused and are worsened by the monsoon, visit a doctor for better results. Dr. Sheetu Singh is one of the most recommended doctors by citizens when it comes to the best treatment. Dr. Sheetu Singh is an expert in Jaipur and Rajasthan and has remarkable experience in the field. In case of any query, kindly contact:

Email – sheetusingh@yahoo.co.in

Phone – 8696666380.

Address – Rajasthan Hospital, Kailash Puri Colony, Milap Nagar, Jaipur.

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27/Sep/2022

Best Pulmonary Rehabilitation Clinic: Medical specialties that focus on the lungs are called pulmonology. Lungs, trachea, bronchioles, associated blood vessels, and all the other components of breathing and respiration constitute the respiratory system, also sometimes called the respiratory system. A pulmonologist provides medical care for patients with lung disorders, including:

Best Pulmonary Rehabilitation Clinic in Jaipur – Dr. Sheetu Singh

This condition affects the tissue and space within the lungs, causing the space to narrow
The practice of interventional pulmonology treats airway disorders, lung cancers, and pleural diseases (diseases of the pleura, which surrounds your lungs) with multidisciplinary care.
Preoperative and postoperative management of lung transplantation
Those disorders resulting in respiratory muscle weakness are known as neuromuscular disorders
Having narrowed or block airways are call obstructive lung disease

As part of the field of Pulmonary Rehabilitation, doctors are specialized in treating a wide range of diseases, such as:

Inflammatory bowel disease (IBD)
Insufficiency of air
Chronic or severe bronchitis
Infections of the chest

Who are pulmonologists?

In pulmonology, conditions affecting the respiratory system are diagnose and treat.

Asthma and tuberculosis are among the illnesses treat by pulmonologists. Among their specialties are:

Virus-like
Structural aspects
Intolerable
The term neoplastic refers to a tumor
Immune system

They sometimes specialize in cardiovascular systems. The respiratory system can be affect by certain conditions, such as pulmonary vascular disease, but other body systems can also be affect. There is a choice of whether pulmonologists practice independently or in interdisciplinary teams. Intensive care units, in particular, can also use these professionals.

Rehabilitation for pulmonary disease: what is it?

Pulmonary rehabilitation (PR) aims to help people with chronic breathing problems better understand their breathing, learn how to cope with the condition, and improve their strength, endurance, and stamina. An exercise program supervised by a professional is includ in PR, along with educational classes. In addition to reducing shortness of breath (breathlessness), PR will help you feel more energetic and make you more able to exercise.

Jaipur’s Best Pulmonary Rehabilitation Clinic?

Patients suffering from respiratory diseases receive the best treatment at the Asthma Bhawan, including physicians and surgeons. A patient with lung disorders can benefit from the treatment offered by Dr. Sheetu Singh. In Rajasthan Asthma Bhawan, she is considered the best pulmonologist. All the propelled machinery needed to treat patients is available in the consultation rooms and wards. During hospitalization, nurses and technicians provide patient care.

Conclusion

The purpose of this blog is to provide information about Pulmonology, Pulmonologists, Pulmonary Rehabilitation, and Best Pulmonary Rehabilitation Clinic in Jaipur. As one of the most renowned pulmonologists in India, Dr. Sheetu Singh provides the best and most reliable lung treatment, is an expert in Jaipur and Rajasthan, and delivers extraordinary treatment and care to all patients. In India, she is regard as one of the best pulmonologists and has performed various surgeries on the lungs successfully. In case you need pulmonology specialists in Jaipur, all you have to do is contact Dr. Sheetu Singh.

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27/Sep/2022

Nose Allergy or Hay fever (allergic rhinitis) Sneezing, congestion, an itchy nose, and a sore throat are common symptoms of allergic rhinitis, also called hay fever. Hay fever symptoms can be cause by pollen, pet dander, mold, and insects. A lifestyle change, allergy medication, or immunotherapy (allergy shots) can reduce hay fever symptoms.

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Nose Allergy (Hay Fever) Symptoms, Treatment, and Home Remedies

As a result of allergens in the air, allergic rhinitis (hay fever) occurs. Histamine is a natural chemical release by the body as a reaction to breathing in allergens through the nose or mouth. Allergens both indoors and outdoors can cause hay fever. Mold, dander from pets, dust mites, and plant pollen are common causes.

Hay fever (allergic rhinitis): what is it?

In addition to sneezing and nasal congestion, hay fever can cause irritation of the nose, throat, mouth, and eyes. A common cold is not allergic rhinitis, which is also known as infectious rhinitis. There is no contagious nature to hay fever.

What is the usual onset of hay fever?

There is no season when you cannot get hay fever. As trees and weeds bloom and pollen counts rise in spring, summer, and early fall, seasonal allergies are more likely to occur. Allergies can occur throughout the year due to perennial causes. Cockroaches, dust mites, pet dander, and pet hair are the irritants that cause them.

What is the prevalence of allergic rhinitis (hay fever)?

There is a high incidence of hay fever. A large percentage of the U.S. population suffers from allergic rhinitis. Millions of people suffer hay fever yearly, both children and adults.

Allergy rhinitis can affect who?

Families pass down allergies (inherited). An allergic parent or a family member increases your chances of getting hay fever. Hay fever is more common among people with asthma or eczema.

CAUSES AND SYMPTOMS

Hay fever (allergic rhinitis) is caused by what?

It is cause by your body’s immune system reacting to airborne irritants. You can inhale the irritants (allergens) through your nose or mouth because they are so small. Most people are not allergic to allergens. However, your immune system believes the allergen is invading if you have hay fever. By releasing natural chemicals into the bloodstream, your immune system protects your body. Histamine is the main chemical. As these mucous membranes attempt to eject the allergen, they become inflamed and itchy.

Allergic reactions may result from several allergens, including:

Furniture, carpets, drapes, and bedding harbor dust mites.
Tree pollen, grass pollen, and weed pollen.
Dander from pets (dead skin flakes).
The spores of mold.
Waste and saliva of cockroaches.

Inflammation of the nose and throat can also be cause by food allergies. In case of an allergic reaction, seek medical attention immediately. It is possible to die from food allergies.

How does allergic rhinitis (hay fever) feel?

Nose allergy symptoms of hay fever can appear at any time of the year. Spring, summer, and early fall are the worst times for outdoor allergies. Flowers and weeds bloom in warm weather, causing a higher pollen count. People spend more time indoors in the winter, which can aggravate allergies caused by pet dander and dust mites.

Hay fever symptoms include:

The nose feels stuffy (congested), sneezes, and runs.
The eyes, nose, and throat are itchy.
Under-eye circles, headaches, and sinus pain.
Throat and nose mucus are increase.
An overall feeling of fatigue and malaise.
Postnasal drip causes a sore throat.
Breathing difficulties, wheezing and coughing.

DIAGNOSTICS AND TESTS

What is the diagnosis of hay fever?

During your doctor’s visit for nose alllergy, he or she will examine you, ask about your symptoms, and assess whether you have asthma or a cold. A blood sample may be taken and sent to a lab to test your antibodies to specific allergens. Immunoglobulin E (IgE) blood tests are use for this purpose. Allergies, including food allergies, can be detect with this device.

A skin prick test may be recommende by your provider to determine what allergens are causing your symptoms.

How does a skin prick test work?

There is no pain involve in this test, though it may sometimes be a little uncomfortable. Your provider scratches or pricks your skin with different allergen samples (usually on your forearm or back) with a needle. When the skin is scratch, allergens can penetrate beneath the surface. If you are allergic to the allergen in 15 to 30 minutes, the area becomes red, itchy, and irritated. Allergic reactions can cause raised, hive-like blisters called wheals. An allergy skin prick test can identify the allergens causing your symptoms in a safe, effective manner.

TREATMENT AND MANAGEMENT

Nose allergy (Hay fever) can be control with several allergy medications. Injections, eye drops, nasal sprays, and eye drops are some of the many forms of these treatments. Pregnant women and those with other health concerns should consult their provider before taking any medication. Providers may suggest:

An antihistamine can be purchased over the counter or with a prescription. In an allergic reaction, your body releases histamine, which they block. Inhalers, eye drops, nasal sprays, and pills are all forms of antihistamines. The following are among them:

Loratadine (Claritin®).
Cetirizine (Zyrtec®).
Fexofenadine (Allegra®).
Levocetirizine (Xyzal®).

Drowsiness can be caused by antihistamines. If you plan to drive while taking antihistamines, avoid alcohol.

What are the treatment options for allergic rhinitis (hay fever)?

A decongestant relieves nasal and sinus congestion. Decongestants can be taken orally (as pills or liquids) or inhaled (as nasal sprays). Among them are:

Afrin® nasal spray.
Phenylephrine nasal spray (Neo-Synephrine®).
Pseudoephedrine (Sudafed®).
It is possible for decongestants to cause high blood pressure, headaches, difficulty sleeping, and irritability. When used for more than five days, nasal decongestants can become addictive. Before taking them, speak with your provider.
Symptoms of hay fever are relieved by these sprays and inhalers that contain corticosteroids. Flonase®, Nasacort®, and Rhinocort® are the most commonly used nasal sprays. There are a variety of side effects, such as headaches, nasal irritation, nosebleeds, and coughing.
Inhibitors of leukotrienes: When the body reacts to an allergen, it releases leukotrienes, histamines, and other chemicals that trigger inflammation and hay fever symptoms. The pills block leukotriene and are available only with a prescription. One leukotriene inhibitor is used most commonly: montelukast (Singulair®). Some side effects of this medication are involuntary muscle movements, skin rashes, and mood swings.
The goal of immunotherapy is to teach your body to tolerate allergens. A small amount of the allergen is injected into your body through injections (allergy shots). As your provider administers shots, the number of allergens increases. Your immune system becomes immune to allergens and ceases to react to them over time.

It is possible that your provider will recommend that you take immunotherapy pills under the tongue.

ACTIONS TO PREVENT

Hay fever: is it preventable?

Hay fever cannot be prevented, but lifestyle changes can help you cope with it. Avoiding irritants as much as possible can relieve Nose Allergy or hay fever symptoms. Symptoms can be reduced by:

Do not rub your eyes or nose or touch your face.
Close your windows when pollen counts are high in spring, summer, and early fall.
Dust mite covers should be used on pillows, mattresses, and box springs.
Close doors to rooms you don’t want pets to enter, and keep pets off couches and beds.
Air purifiers and air conditioners can be used to reduce allergens.
After playing with pets, wash your hands frequently.
Protect your eyes from pollen with a hat and sunglasses when you’re outside. When you get indoors, change your clothes.

PROGNOSIS / OUTLOOK

How does hay fever affect people’s lives?

Although hay fever can be uncomfortable, it poses no serious health risks. Over-the-counter medications and lifestyle changes are usually enough to manage hay fever symptoms. The risk of ear infections and sinus infections is higher for people with airborne allergies.

Hay fever: when should I consult my healthcare provider?

Asthma and other conditions such as nose allergy can cause hay fever, so your doctor should rule them out. Get medical care if you have difficulty sleeping or living an everyday life due to hay fever symptoms. To help you feel better, your provider will be able to identify the allergens causing your reaction and recommend treatments.

Dr. Sheeru Singh’s conclusions

Nose Allergy or Hay fever sharing can impact your quality of life and keep you from doing the things you love. Medications and lifestyle changes have proven to be effective ways to manage hay fever for millions of adults and children. If you are experiencing symptoms, breathing is complex, or you feel unwell, talk to your healthcare provider about how you can alleviate them.

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27/Sep/2022

A lung abscess is localized contamination inside the lung. It occurs as a complication of inadequately handled pneumonia when the microorganisms are in a position to replicate in massive numbers and cause harm to the lung tissue. The immune machine walls off the broken tissue. Therefore it is the type of pus-filled cavity located in the lungs’ surroundings. Through this, it creates breathing bacteria which results in the infection.

Lung Abscess: Causes, Symptoms, Diagnosis, Treatment

The rapid growth and development of the Lung abscess require outstanding hospitalization. However, it also requires diagnostic testing too. Therefore, the viable want for radiology, ultrasound offerings, or physique posture for drainage might also require some time in the hospital. Most sufferers will wholly recover.

What could be the symptoms or, say, indications of Lung Abscess?

Some other symptoms of a lung abscess generally come slowly over weeks. Dr. Sheetu said that this disease might additionally include:

Upper body pain, particularly when you inhaling
Coughing
Feeling of overtiredness
Illness
Loss of taste
Extensively sweating at night
Sputum (a combination of saliva and secretion) with pus that’s regularly sour-tasting, foul-smelling, or splashed with blood
Losing weight

What would be the reason of Cause of Lung Abscess?

Several matters can reason a lung abscess, including:

Not being capable of coughing: This frequently occurs as a result of:

Symptoms of Anesthesia diseases
Liquor or use of drugs in an excessive
Nervous system illnesses
A symptom of Sedation

Deprived oral healthiness: Persons with gum disease are more likely to get abscesses.
If the immune system isn’t working as well: This will let in germs that are not generally discovered in your mouth or throat, the microorganism that causes tuberculosis, a kind of strep throat, and MRSA.
Blocked air route: Mucus can structure at the back of a tumor or foreign object in your trachea and will result in an abscess. If microorganisms get into the mucus, the blockage stops coughing it out.

How will this disease be Diagnosed?

A lung abscess can also be based primarily on signs and symptoms, danger factors, and physical findings. On a physical exam, an illness is common. However, the healthcare expert may additionally hear bronchial breath noises, and the region overlying an abscess may sound stupid when the upper body is tapped. This is describe as dryness to percussion.

A lung abscess is usually recognized in these ways:

X-ray of the upper body: This indicates to your health practitioner where the abscess is.
Chest CT Scan: Mainly, the medical doctor is searching for an air- and fluid-filled hollow in the center of your lung.

The physician would possibly also use a gadget known as a bronchoscope, a skinny tube with a mild and a digicam on end, to get tasters of sputum or lung tissue for more excellent assessments if:

Some of the Antibiotics medicines are not helping.
They suppose your air route is block now.
Or maybe the immune gadget is damage.

How will this disease be able to be treat by doctors? So what would be the Treatment?

There are numerous approaches to dealing with lung abscess diseases, as suggested by Dr. Sheetu.

Antibiotics: Most human beings get a different type of antibiotics directly to the vein for up to 6 to 8 weeks. They have taken this treatment till a chest X-ray indicates the abscess is gone. People may change to oral antibiotics after that.
Drainage: You can also want this if the lung abscess is about 6 centimeters or extra in diameter. The medical doctor will use a CT scan report to inform them as they insert the drain via the chest layer into the abscess.
Surgery is use when the condition is too critical, i.e., in rare situations. However, some humans want a surgical operation to eliminate the phase of the lung.

Sometimes the entire lung must come out to get rid of the poison. Surgery can additionally assist in taking away a foreign object. Therefore Dr. Sheetu suggests this when the condition is too critical only.

CONCLUSION

So, As per Dr. Sheetu Singh, the most favorable treatment would be Antibiotics. As it will assist most human beings in making a full recovery. And the sooner you get treatment, the better.

It may be tougher to leap back if you’re weak, ill, have a weakened immune structure, or have a tumor that blocks your air route.

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27/Sep/2022

We all know how the immune system plays a role in colds and flu. Our bodies use it to fight viruses and bacteria. But how does it affect allergies? Here is a look at the link between allergies and immune health, along with some tips how to boost immune system. As a body’s army, the immune system’s primary job is to keep us healthy and free from disease. So, immune systems are very complex. This includes the hairs on your nose, the stomach acid that kills bacteria, and the digestive system in which immune cells gather. If Once pathogens pass through the body’s many frontline defenses (e.g. skin, hair, stomach acid), a response occurs, in which immune cells attack the pathogens and kill them. This usually results in cold or flu symptoms.

How to Boost Immune System to Fight Allergies

In what sense does the immune system function?

Symptoms of the common cold and flu	symptoms of allergies	It is both.
Neck lymph nodes swelled	An itchy skin condition	A blocked or runny nose
Having a fever	Eye irritation	Cough
Aches and pains in muscles and joints		Weakness
		A sneeze
		Sore throat

During an allergic reaction, how does the immune system react?

If Whenever you experience allergy symptoms like coughing or sneezing, it is likely that your immune system is at the root of the problem. Symptoms such as these can be caused by hypersensitive immune systems that react to harmless substances. The immune system, made up of mast cells, has an important role to play in fighting infection. However, the best way to fight allergies is to boost the immune system. A mast cell detects an allergen by releasing histamine and other chemicals into the bloodstream. A runny nose, watery eyes, sneezing, coughing, swelling, rashes, irritated skin, and redness are all allergy symptoms caused by histamine. Patients are usually treated with antihistamines to prevent mast cells from being overactivated and producing too much histamine.

Is allergic reaction a sign that the immune system is weakened?

Allergy symptoms suggest a system that is reacting out of proportion to the threat it faces; however, this does not necessarily imply a weak immune system. The immune system’s reaction would be more appropriately described as abnormal. Having healthy and strong immunity is crucial when fighting allergy symptoms. You might experience allergy symptoms for longer than usual if your immune system is weak.

Is there a way for me to strengthen my immune system against allergies?

The immune system and allergies are closely related, so it makes sense to take care of your immune system if you want to manage allergies well. But, let’s go over my best tips for managing allergies.

Vitamin C!

This nutrient is an ally of the immune system, supporting the production of white blood cells that fight infection. So, you can also try a blueberry banana smoothie or carrot ginger soup for added vitamins!

Stay hydrated.

Most of us know that water is good for health in various ways, but are you aware that it is also good for the immune system? Supporting the immune system’s communication and biochemical pathways may be made easier by proper hydration.

Stress-relief.

In addition to suppressing our bodies’ immune response, prolonged stress has been shown to have even more damaging effects. Even 70% of the immune system can be suppressed by chronic stress!

Examine your diet.

A variety of foods plays a crucial role in boosting immunity, and this has long been established. When meal planning, think about color and variety. Beige will not do anything for you!

Maintain a healthy digestive system.

Because most immune cells live in the gut, it makes sense to keep it healthy. Gut bacteria aid digestion. You may consider taking a probiotic.

Consider taking a supplement.

Many products are available on the market, but Immune Support stands out because it contains zinc, vitamin D, and nasturtium.

More to come! Introducing our A-Z guide to supporting your immune system by Dr. Sheetu Singh

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27/Sep/2022

People who use tobacco are likely to experience strong tobacco addiction or smoking urges. It is possible to resist these urges. If you feel an urge to use tobacco, keep in mind that, regardless of whether or not you smoke a cigarette or chew tobacco, it will likely pass within 5 to 10 minutes. You take a step towards stopping tobacco use every time you resist a craving. The following are ten ways to help you avoid smoking or using tobacco when you have a craving.

Tobacco Addiction Learn How Can You Avoid Tobacco Addiction

You can try nicotine replacement therapy

If you are interested in nicotine replacement therapy, speak with your health care provider. You can choose from:

Nicotine inhalers or nasal sprays on prescription
Without a prescription, you can purchase nicotine patches, gum, and lozenges
Stop-smoking medicines that do not contain nicotine, such as bupropion (Wellbutrin SR, Wellbutrin XL, others) and varenicline

Nicotine gum, lozenges, nasal sprays, and inhalers – as well as short-acting nicotine replacement therapies, can help you overcome intense cravings. When combined with long-acting nicotine patches or non-nicotine stop-smoking drugs, short-acting therapies are usually safe.

There has been a lot of interest in electronic cigarettes (e-cigarettes) as an alternative to smoking traditional cigarettes recently. Despite this, e-cigarettes aren’t as safe or effective as nicotine-replacement medication when it comes to helping people quit smoking.

Try to avoid triggers

The strongest tobacco addiction is probably found in places where you smoked or chewed tobacco. Such as at parties and bars, or when you are stressed or drinking coffee. Prepare a plan to avoid your triggers or cope with them without using tobacco.

Don’t put yourself at risk of relapsing. Rather than smoking while you talk on the phone, keep a pen and paper nearby to keep you occupied with doodling.

The delay

Whenever you feel like you’re about to succumb to your tobacco craving, tell yourself to wait 10 minutes first. If it helps, do something distracting in the meantime. For instance, go to a public smoking area. If you do these things, you may be able to overcome your tobacco addiction.

Chew on it

You can resist a tobacco craving by giving your mouth something to do. Pop some sugarless gum in your mouth or eat some hard candy. If you’d like to snack on something crunchy and tasty, try raw carrots, nuts, or sunflower seeds.

Don’t have ‘just one

To satisfy a tobacco craving, you might just smoke one cigarette. However, do not think that’s the end. It is common for one to lead to another. Eventually, you may find yourself smoking again.

Get in shape

You can avoid the addiction to tobacco by engaging in physical activity. Running a few times up and down the stairs can reduce a tobacco craving, even if it is short-live. Try walking or jogging.

Try squats, deep knee bends, pushups, running in place, or climbing steps if you’re at home or at work. You can also try prayer, sewing, woodworking, or writing in a journal if you aren’t into physical activity. You can also clean or file documents to distract yourself.

Practice relaxation techniques

Stress may have been relieved by smoking. It can be stressful to fight back against a tobacco craving. Use calming methods to reduce stress such as deep breathing, muscle relaxation, yoga, meditation, or listening to calming music.

Request reinforcements

For help resisting a tobacco craving, talk to a family member, friend, or member of a support group. You can talk on the phone, take a walk, share a few laughs, or meet in person. You can also seek counseling. Support and counseling can be obtained by calling –Dr.Sheetu Singh

Online support is available

Become a member of an online smoking cessation program. You can also leave encouraging comments on an experienced quitter’s blog for others who may be suffering from tobacco cravings. You can find out what other people have done when they experience tobacco cravings. However, if you are looking for a consult of a doctor then connect with Dr. Sheeta Singh

Keep in mind the benefits

Why you want to quit smoking and resist tobacco cravings should be written down or spoken aloud. Among these reasons are How can you quit smoking:

Getting better
Healthy living
Preventing secondhand smoke from harming your loved ones
Money-saving

You are better off doing something than nothing if you want to fight the urge to use tobacco. Your goal of being tobacco-free will be closed every time you resist a tobacco addiction.

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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)

Recheck diagnosis of asthma
Adherence
Smoking history – present or past
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 –

Develop a patient-doctor partnership
Identify risk factors and reduce exposure
Assess, treat and monitor disease
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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