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23/Mar/2023

Many cells and cellular factors play a part in this chronic inflammatory condition of the airway. Chronic inflammation is associated with airway hyperresponsiveness which is responsible for chest tightness, wheezing, and coughing, particularly at night or in the early morning. What is asthma, These article are associated with widespread but variable airway obstruction within the lung that is often reversible either spontaneously or with treatment.

What is asthma? How is asthma diagnosed?

Symptomatic asthma – PFT, Asymptomatic – provocation challenge test Symptoms: episodic breathlessness, chest tightness, wheezing, cough – incited with allergen exposure, seasonal variation. There is a family history of asthma and allergy. History of variability in symptoms. Physical examination – wheezing may be present, silent chest in severe asthma

Lung functions – FEV1, FVC, PEFR

PEFR – 1. Confirm diagnosis of asthma (>20% or >60l/min improvement post-bronchodilator or diurnal) 2. For monitoring and control

Methacholine challenge test/ histamine challenge test/ mannitol/exercise challenge test (sensitive test – negative test rules out asthma, false-positive – allergic rhinitis, CF, bronchiectasis, COPD)

Sputum eosinophilia, Feno

Total Ig E – not diagnostic of atopy

SPT – low cost and high sensitivity through false positive is high

Rule out DD –

FOREIGN BODY INHALATION

VOCAL CORD DYSFUNCTION

LVF

COPD

CF/BRONCHIECTASIS

How do u assess the severity

Controlled
(ALL MEASURES)
Partly controlled
(1-2)
Uncontrolled
Daytime symptoms<2 /week3 OR MORE
Limitation of activityNone
Nocturnal awakeningNone
Need for reliever<2 /week
FEV1N<80%

Assessment of future risk –

  1. Poor control of symptoms
  2. Frequent exacerbations
  3. ICU admissions
  4. Low FEV1
  5. Cigarette smoke exposure
  6. High dose medications

 

Old classification of patients – intermittent, mild persistent, moderate persistent, severe persistent

It is not only the severity of symptoms but its responsiveness to treatment.

What is an asthma attack?

Many patients have stable disease and they are relatively free of symptoms. But whenever they come across trigger factors they develop an increase in their symptoms.

Asthma attack comprises the episode of progressive increase in breathlessness, cough, chest tightness, and wheezing. Treatment comprises repeated doses of rapid-acting bronchodilators, systemic steroids, and oxygen if required. Milder exacerbations can be treated in community settings

What causes these symptoms?

Asthma is an inflammatory disease with the involvement of airway cells (like mast cells, eosinophils, t lymphocytes, and dendritic cells) and structural cells (airway epithelial, endothelial cells, smooth muscle cells). Chemokines, cysteinyl leukotrienes, cytokines, histamine, and NO are mediators that act on these cells.

Airway narrowing is caused due to – smooth muscle contraction, airway edema, mucus hypersecretion, airway remodeling.

What signs tells a person that asthma is worsening ?

1. Breathlessness

2. Talks in 

3. Alertness

4. Wheeze

5. Respiratory rate

6. Accessory muscles of respiration

7. Pulse

8. Pulsus paradoxus

9. PEFR

10. SpO2

11. PaO2

12. PaCO2


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23/Mar/2023

Industrialization has led to many developmental changes around us, but it has induced major environmental changes in our surroundings too. Such massive change in Earth’s environment has triggered many diseases. Impact of climate change on asthma patients one such class of diseases is a respiratory disease. The rapid increase in pollution in the last century has tremendously escalated lung disorders. Lungs are the site of exchange of gases, wherein fresh oxygen from the environment is delivered into the body and carbon dioxide is collected and exhaled out of the body. Due to an increase in the pollutants in the surroundings, not only oxygen but other poisonous gases and chemicals, when gain entry into the respiratory tract, can cause disease.

Impact of Climate Change on Asthma patients and Respiratory Disease

The relationship between environmental factors and asthma isn’t new. Various anthropogenic factors have contributed to a manifold increase in the cases of Asthma over the last few decades. An increase in air pollutants and allergens in the atmosphere is contemporaneously leading to asthma prevalence lately. Several factors might contribute to asthma exacerbations, that include pollen allergies, global warming, increased vehicle emissions, and air pollution. Climate change can increase many types of breathing problems.

Effect of altered climate on increased pollen period:

The release of pollen grains into the air is a necessary event for wind-pollinated flowers, and seasonal allergies were considered moderately regulated. But global warming has increased carbon dioxide levels significantly which in turn has also risen Earth’s average temperature. This change has disrupted the occurrence and duration of pollen season. In response to high temperature and high CO2 levels, plants photosynthesize more and produce more pollens. These pollens remain in the air for quite some time. Pollen when gaining entry into the respiratory tract of humans, act as allergens. Some people are more sensitive than others, and thus start producing allergic symptoms. Prolonged pollen allergy and hypersensitivity can also induce diseases like asthma due to airway inflammation.

Dust and asthma: 

Asthma once occurs, has a variety of triggers, dust being one of them. Dust particles can cause inflammation in the airway. This is accompanied by excessive secretion of mucus which then creates difficulty in breathing. Smaller dust particles can irritate the lungs and can worsen breathing difficulties. Also, dust can’t just be an asthma trigger, it can cause asthma in young children too. Prolonged exposure to smaller dust particles can cause this disease in children at a very tender age. This asthma causing and trigger factor can simply be avoided by taking precautions if taken care of.

Air pollution and asthma: 

Particulate matter also goes by the name “particle pollution” is a mixture of extremely small particles with tiny droplets, which include chemicals, dust or soil particles, acids, etc. The particulate matter might vary in size, the smallest particles can reach up to the alveoli, directly affecting the exchange of gases inside the lungs. This environmental factor has the utmost impact on respiratory health. These substances aggravate respiratory issues, such as asthma, by blocking the airways of the respiratory tract due to increased debris and mucus. These substances are increased in the environment due to natural or anthropogenic causes. Urbanization and industrialization affect the concentration of such substances in the surroundings.

How asthmatic people take precautions

As the environmental conditions are constantly deteriorating, it is mandatory to know the triggers of your asthma conditions and impact of climate change on asthma patients. There is no precise test for the diagnosis of asthma. It is symptomatically diagnosed and is treated based on the symptoms stated. A complete cure for asthma is however not available. Prevention is the best help for asthma patients. Also, the above-mentioned causes and trigger points can be checked. Short-term relief can be provided with the help of inhalers and nebulizers. Keeping an Asthma action plan handy is a must too. If your asthma symptoms uncontrolable and trigger often in most of the day then visit top pulmonologist in Jaipur Dr. Sheetu Singh.


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23/Mar/2023

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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23/Mar/2023

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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23/Mar/2023

Asthma Specialist in Rajasthan: There is bronchial tubes normally known as airways, it provides way to air to inhale or exhale of the lungs. Asthma is never ending disease but with the right prescription you can control it. We have the best Asthma Specialist in Rajasthan. Patient who have asthma, there airways are always puffed up. When anything triggers your symptoms, then airways will become more inflamed and the muscles present around airways get tighten. This creates difficulty for patient to breathe in and breathe out. The common symptoms are wheezing, chest tightness, coughing and shortness of breath.

Asthma Specialist in Rajasthan

Asthma Symptoms come in notice when patient perform any physical activity or while doing exercise. When any healthy person faces any symptoms of asthma on doing exercise then it is called as EIB i.e. exercise-induced bronchoconstriction or EIA i.e. exercise-induced asthma. In our daily life, staying fit is a best way to be healthy. Our Asthma Specialist in Rajasthan will create a management plan to keep control your symptoms.

If a person have family history of asthma or an allergies then the chances of asthma is automatically increases. Many patients have allergies with asthma i.e. called as allergic asthma. Occupational asthma is generating by inhaling dust, fumes, gases or any other harmful substances while on the job.

In today’s world, asthma is children are an increase over the years i.e. comes under the category childhood asthma. There is not any permanent solution of Asthma, but after the diagnosis, doctor will develop a proper plan that manages your condition and your daily life activities will improve. For more details and any query visit https://www.drsheetusingh.com/

To treating with asthma we have best immunologist or allergist qualified physician. With the help of physician, you can control your situations and live a normal life by doing any physical activity.


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