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20/Aug/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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20/Aug/2022

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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20/Aug/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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20/Aug/2022

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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20/Aug/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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20/Aug/2022

ILD Specialist in Jaipur: Interstitial lung ailment (ILD) is a term that is typically used to portray a wide range of conditions influencing the lungs. There are more than 200 sorts of known ILD infections that influence the ‘interstitial’ – a piece of the lungs which is made of a ribbon like system of tissues. An ILD condition would regularly prompt scarring or thickening of the tissues supporting the air sacs of the lungs, which diminishes the oxygen spill out of lungs into the circulation system of the influenced individual. The infinitesimal trade of gas between air in the lungs and blood gets influenced because of ILD.

ILD Specialist in Jaipur

A delayed thickening or scarring of lung tissues because of ILD can in the long run outcome in irreversible lung firmness, which would at last influence the capacity of a man to relax. A few sorts of ILD are transitory though others can be incessant where full recuperation may not be conceivable. Dr Sheetu Singh is top ILD Specialist in Jaipur.

The correct system that triggers this scarring procedure isn’t unmistakably comprehended by researchers. The respiratory framework is for the most part fruitful in its endeavors to clear remote issue, for example, clean from the body; however asbestos filaments are particularly troublesome for the lungs to remove. At the point when the body reacts to this sort of damage, the repair procedure frequently prompts scarring and damage.

The signs and symptoms of ILD interstitial lung disease and asbestosis are like the side effects of other lung conditions, for example, COPD and asthma. Lamentably, when the indications show up, perpetual lung harm has just happened. In Our Hospital we have a best team of ILD Specialist in Jaipur. For any query or more details visit www.drsheetusingh.com.

The following sign and symptoms are the most common signs of ILD (Interstitial Lung Disease):

  • Shortness of breath
  • Increasing fatigue during exertion
  • Coughing
  • Chest pain

A few patients may encounter clubbed fingers

  • Fever
  • Weight loss

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