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05/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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05/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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05/Dec/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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05/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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