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04/Dec/2021

EndoBronchial Ultrasound EBUS Bronchoscopy – EBUS bronchoscopy is used to locate mediastinal lymph nodes or masses and take samples from them. Diseases that are not present in the lumen and not approachable by routine bronchoscopy are accessed with EBUS bronchoscopy, and it is done by an EBUS Bronchoscopy specialist in Jaipur.

Assessment is done prior to EndoBronchial Ultrasound (EBUS) Bronchoscopy

EBUS Bronchoscopy specialist in Jaipur a CT scan is preferable to a contrast CT scan is necessary before the procedure. This helps in locating the lymph nodes before the procedure. A blood test which includes complete blood count, serum creatinine level, bleeding profile, and viral markers are also done. COVID-19 PCR should be done before the procedure depending on the prevalence of the infection in the area. Blood thinners need to be stopped 5 days prior to the test.

Things to remember on the day of the procedure

Fasting of 6 hours for solid food and 4 hours for clear liquids is recommended. The routine medications should be continued for blood pressure. Diabetic patients should avoid their Insulin and hypoglycemic medicines on the day of the test.

Procedure

Dr. Sheetu Singh is an EBUS Bronchoscopy specialist, she performed all the EBUS procedures in Jaipur. The procedure is performed through the mouth. In cases where there is limited mouth opening, a trial may be done through the nose. You may get some intravenous (IV) injections prior to the procedure. After a local spray, the scope is inserted through the mouth. Some local anesthesia is instilled at the vocal cords, after this, the vocal cords are crossed. Inside the windpipe, the lymph nodes are localized with the help of ultrasound. Once localized they are sized. The needle is then inserted and the material is sucked out under ultrasound guidance. The procedure usually takes 30-40 minutes.

EBUS

Precautions after the procedure

The patient has to avoid any oral liquids or solids for another 2 hours after the procedure. A light meal is recommended after 2 hours. The common after-effects of the procedure are – pain in the throat, fever, coughing out of slight blood, sleepiness, and vomiting. These can be managed with symptomatic medicines. After observation for 2 hours, the patient can go home after judging the clinical condition. In cases where a patient is requiring oxygen, he/she may need to be admitted to the hospital for the same. After the procedure, if the patient has the following symptoms they should contact the doctor immediately – coughing out large amounts of blood, difficulty in breathing, and drop in oxygen saturation to <88%.

Follow-up

EBUS bronchoscopy does not have any long-term complications. The microbiology and pathology reports come in 3-5 days periods. If mycobacterial cultures are applied they usually take 4 weeks. EBUS bronchoscopy is a safe procedure with a minimal complication rate.

For More Information & Details about EndoBronchial Ultrasound EBUS Bronchoscopy Visit Direct to the Dr. Sheetu Singh Chest Specialist or Visit our website – www.drsheetusingh.com


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04/Dec/2021

Thermoplasty Specialist Doctor: Asthma affects the airways to swell and become infected. The airways become tinier, which makes it more difficult for you to breathe. The walls of big airways have a layer of smooth tissue. This part will be thicker in people with critical asthma. During an asthma attack, this tissue layer can squeeze, narrowing the airways. Bronchial thermoplasty is an asthma method in which a tube called a bronchoscope is put into a person’s mouth or nostrils and joined through the airways to the lungs. Once in place, the tube is spread, which widens the airways, allowing for a more flow of air to the lungs. 

Bronchial Thermoplasty Specialist | Risk, Treatment, Side effects

Bronchial thermoplasty is conducted in three sessions, each surgery one-third of the lungs at one time. Bronchial thermoplasty is a modern yet hopeful treatment for critical 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 a bronchoscopy, endoscopy faculty, and takes about an hour to finish. The minimally invasive method, like many other flexible endoscopy procedures, is completed 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’s presented in three separate sessions, with about 3 weeks in each. Each surgery takes less than an hour, and another part of your lungs gets treated each one time. 

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 the hospital or emergency department.

Bronchial thermoplasty doesn’t get rid of asthma. But it’s going to make you feel 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 properly 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 of 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 symptoms of Asthma and you can’t control them with medication and inhalers, you might immediately come to Dr. Sheetu Singh. She is one of the best Asthma Specialist Doctors in India, She has great experience in respiratory system surgeries and operations. Dr. Sheetu is a Thermoplasty Specialist Doctor in Jaipur and Best Biopsy Specialist in Jaipur.


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04/Dec/2021

Medicinal thoracoscopy is done increasingly by chest surgeons and has become, after bronchoscopy, the second most significant endoscopic system in respiratory medication. it’s supposed to be one of the main areas of interventional pulmonology and a crucial part of a specialist pleural disease service. Thoracoscopy is often performed for diagnostic also for therapeutic purposes. the most common indication for diagnostic thoracoscopy is pleural effusion. Best Thoracoscopy Expert Doctor in Jaipur and Chest surgeon is Dr. Sheetu Singh. Thoracoscopy in spontaneous pneumothorax may recognize the cause of the pneumothorax. the most usual sign for therapeutic thoracoscopy is pleurodesis to stop recurrence of pleural flow. 

Best Thoracoscopy Expert Doctor in Jaipur, Risks, and Procedures

Thoracoscopy is a lung’s internal examination, biopsy, and/or resection/drainage of disease or sections in the cavity, usually with video assistance. Thoracoscopy can be done to get rid of excess liquid that’s around the lung and causing difficulty breathing. This liquid also can be sent to the lab and examined for cancer or infection. If fluid around the lungs is removed but grows up again, medicine is often put into the thoracic cavity with a thoracoscope to keep the fluid from returning. 

Thoracoscopy Treated Small Lung Cancers

Thoracoscopy can sometimes be used to treat small lung cancers by removing just the part of the lung that includes the tumor or the lobe of a lung if the tumor is larger. 

How the Thoracoscopy works

Whether thoracoscopy is executed as a diagnostic or therapeutic method, it is led by routine blood and urine examinations as well as a chest x-ray scan. Once it is confirmed that the method is safe for the patient, the surgery starts with the surgeon making tiny holes in between the ribs. An endoscope, which is a thin tube with a camera attached to it, is inserted through the small holes; the camera sends the images of the inside of the body to a computer screen. The endoscope is precisely guided towards the pleural area so the doctor can conduct an examination, a biopsy, or operation, whichever is necessary. Since only small holes are made, a laparoscopic procedure is more flexible, allowing doctors to reach and obtain biopsies from several different locations rather than just one part of the pleural cavity.

Thoracoscopy Risks and complexities

All surgical procedures, come with some risks, although with thoracoscopy the risks are insignificant. Also, when an endoscopic procedure is performed, the dangers are further decreased. but still, thoracoscopy has some risks such as Allergic reaction to the anesthetic, Organ damage or injury, air leaks out of the lungs, Pain, Excessive bleeding, Respiratory distress, Sore throat, or discomfort, Pneumonia, Collapse of part of a lung. 

Thoracoscopy is a crucial procedure and it has some risks, but in Jaipur, Rajasthan Dr. Sheetu is one of the Best Thoracoscopy Expert Doctors in Jaipur. She is also a top pulmonologist, Interstitial Lung Disease Expert, Bronchoscopy specialist in Jaipur.


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04/Dec/2021

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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04/Dec/2021

Chest Specialist in Jaipur: Dr Sheetu Singh is one of the best Chest Specialist in Jaipur. Chest Pain is normally ascribe to heart disease, some people who are suffering from heart disease have experience of dubious irritation, in which chest pain does not seem to be an enough explanation. Generally, Chest pain or irritation describes any heart problem or heart attack that may be associated or characterize with any one of the following points:

  • Tightness, Pressure or fullness in your chest area.
  • Cold Sweats
  • Breathing issue or shortness of breath
  • Vomiting or nausea
  • Weakness or Dizziness
  • Extreme Chest pain that spread out into your arms, back, jaw, shoulders, neck.
  • Feeling pain that is getting worse with your routine activity and then it goes away, again come back.

Diagnosis and Test

If randomly pain occurs into your chest then it doesn’t mean that it is giving the signal of heart attack. You need to immediate concern with the Chest Specialist in Jaipur. But in emergency room, specialist will check for heart attack first only to confirm that your life is not in danger. Then they check other symptoms such as any clot in your lung or collapsed lung. Some Immediate or life saving test is perform by our doctors such as:

ECG (Electrocardiogram): In this test electrodes in attached on your skin and by this machine doctor monitor the electrical activity of your heart. When the heat muscle is injured, then an electrical impulses generated by the electrodes is not seems to be normally, the ECG is the best way to recognize that a heart attack is in progress or has occurred. For any query or detailed information click here: https://www.drsheetusingh.com

Blood Test: In our heart muscle, some enzymes are found so by performing the blood test, doctor check the increment level of enzymes. When heart cells in injured, then these enzymes will leak into your blood due to heart attack over a period of hours.

X-Ray Test: X-Ray will tell doctor about the condition of your lungs, major blood vessels ors shape and size of heart. If your lung has certain issue such as a collapsed lung or pneumonia, on X-Ray report doctor can check out these issues.


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