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25/Oct/2021

Medical Thoracoscopy is used to observe the pleura and take biopsies from abnormal areas. Sometimes it is used to break adhesions and treat septated pleural effusions. Medical Thoracoscopy performed by Best Thoracoscopy Expert Doctor in India. 

Assessment is done prior to Medical Thoracoscopy

A diagnostic pleural tap is always done prior to the procedure. An exudative fluid indicates the need for thoracoscopy. A CT scan preferable to a contrast CT scan is necessary prior to the procedure. This helps in assessing the pleura and the lung parenchyma beneath the fluid. 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 prior to 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

The procedure is performed through a nick in the chest wall. You may get some intravenous (IV) injections prior to and during the procedure for sedation. After local anesthesia at the site of nick, the scope is inserted. The pleura is observed and biopsies are taken. In the case of adhesions, they are broken with adhesiolysis forceps and the scope. After the scope is removed, a chest tube is left in place to drain the fluid. The procedure usually takes 30-40 minutes.

Medical Thoracoscopy | Best Thoracoscopy Expert Doctor in India

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 chest tube would remain in the chest till the fluid stops coming, usually a couple of days (in case of malignant effusions, the duration may be longer). The common after-effects of the procedure are – pain at the site, soakage of dressing with fluid, sleepiness, and vomiting. These can be managed with symptomatic medicines. Usually, a patient is kept admitted for a day or two post-procedure. In special cases, the patient may be sent home after the procedure. 

Follow-up

Medical thoracoscopy is a safe procedure and does not have any long-term complications. Once the chest tube is out and the diagnosis is clinched, the optimal treatment would be started. The microbiology and pathology reports come in 3-5 days’ periods. If mycobacterial cultures are applied they usually take 4 weeks. Medical thoracoscopy is a safe procedure with a minimal complication rate.

More More Information & Details Visit Immediately to the Dr. Sheetu Singh Top Pulmonologist in India or Visit our website – www.drsheetusingh.com


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25/Oct/2021

Asthma Specialist Doctor in India: Asthma is a disease in which your airways narrow and swell and should produce extra mucus. This will make breathing difficult and trigger coughing, a whistling sound when you exhale, and shortness of breath. For some people, asthma is an insignificant problem. For others, it can be a severe problem that conflicts with everyday activities and should produce a life-threatening asthma attack. During an asthma strike, the airways will swell, the tissues around them will harden, and it becomes dense for air to shift in and out of the lungs.

Asthma Specialist Doctor in India – Dr. Sheetu Singh

Asthma is a long-term condition affecting the Lungs. It involves infection and reduction inside the lungs, which reduces air supply. There are many causes of asthma such as animal hair or dander, Dust, Changes in the weather, Mold, Pollen, Respiratory infections, Tobacco smoking. Asthma can’t be cured, but its signs can be managed and controlled. Because asthma often grows over time, you must manage together with your doctor to track your signs and symptoms and adjust your treatment as required.

Symptoms of Asthma

Asthma symptoms fluctuate from person to person. you will have infrequent asthma attacks, have symptoms only at several times like when exercising, running, polluted area, dust.

Asthma symptoms include:

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

Asthma in Childhood

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

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

How to Diagnosis Asthma

If you think that you have asthma, see your doctor. they’ll refer you to a lung doctor, called a pulmonologist, or a chest specialist.

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

Asthma Treatment

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

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

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

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

When to see an Asthma Specialist Doctor

If you haven’t been diagnosed with asthma but are feeling symptoms such as wheezing, coughing, or shortness of breath, you should let your doctor know. If you haven’t been diagnosed with asthma but are observing symptoms such as wheezing, coughing, or shortness of breath, you should let your doctor. If you feel some severe symptoms such as feeling weak, can’t perform daily activities, have a wheeze or cough that won’t go away, call your doctor immediately. If you find a doctor for asthma then you can come to Dr. Sheetu Singh. She is one of the Asthma Specialist Doctor in India and pulmonologists in India. for Thermoplasty visit www.drsheetusingh.com


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25/Oct/2021

A biopsy is a procedure conducted to remove tissue or cells from the body for examining under a microscope. A lung biopsy is a test in which samples of lung tissue are removed to decide if lung disease or cancer is present. Best Biopsy Specialist in Jaipur may also get a lung biopsy to help find out why there’s liquid in your lungs or to diagnose cancer. whatever the reason, you’ll have many questions on how it’s done and how to get ready.  a lot depends on which sort of lung biopsy your doctor recommends.

What is the Biopsy and the Procedure | Biopsy Specialist in Jaipur | Dr. Sheetu Singh

A lung biopsy is performed using both a closed or an open method. Closed methods are performed in the skin or in the trachea. An open biopsy is performed in the operation room under general anesthesia. People can feel some anxiety before a biopsy. However, understanding the nature of the procedure, and the risks and benefits, can help someone feel more comfortable before.

Types and procedure of Biopsy

Transbronchial Biopsy – Transbronchial Biopsy is also called a Bronchoscopy. This type of biopsy is performed through a fiberoptic bronchoscope, a long thin pipe that has a close-focusing telescope on the end for seeing through the main airways of the lungs bronchoscopy. Bronchoscopy is a method of visualizing air routes for therapeutic and diagnostic purposes.

Needle Biopsy – After the anesthetic is given, the doctor uses a needle that’s guided through the chest wall into a suspect area with a CT scan or fluoroscopy (X-ray) to get a tissue sample. this type of biopsy can also be mentioned as a closed, (through the skin) biopsy.

Open Biopsy – After a general anesthetic is given, the doctor makes a cut in the skin on the chest and surgically removes a bit of lung tissue. counting on the results of the biopsy, more extensive surgery, such as the removal of a lung portion may be performed during the procedure. An open biopsy is a surgical method and requires a hospital stay.

What Happens After Lung Biopsy

The lung biopsy sample will be sent to a lab, and you will get results within a week. For the next several days, your chest may feel sore. If you have a wound from the procedure, follow your doctor’s directions to wash it. you’ll usually return to your normal activities but may have to avoid excessive physical activity for certain days.

Risks and Complications – Pneumonia may be a risk for all kinds of lung biopsies. Pneumothorax, where air leaks out between the lung and chest cavity, can make it difficult to breathe or cause your lung to collapse with these procedures, but your doctor will watch for this and suck out air as required. Other unusual but severe complexities of surgical lung biopsies may include critical bleeding, wound infection, and blood clots. Fever over 100.4 F, Severe chest pain, Shortness of breath, redness, and swelling from the wound.

Dr. Sheetu Singh is one of the Best Biopsy Specialist in Jaipur. She is a pulmonologist and Interstitial Lung Disease Expert in India. If someone required Biopsy and Thoracoscopy then meet immediately Dr. Sheetu Singh.


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25/Oct/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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25/Oct/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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