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05/Dec/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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05/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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05/Dec/2021

Lung Diseases: Types and Causes: Lung diseases are some of the general medical issues all around the world. Large number of people suffers from the lung illness in the India. Infections, genetics and smoking are some main causes behind this disease.  The fundamental role of the lungs is the action of gas trade called breathing (or respiration). In breathing, we inhale the oxygen and exhale the waste gas i.e. carbon dioxide made from metabolism. If the lung is not properly working it means that the capacity of lungs to trade gases is decreased. On the below section we are going to discuss about some lung diseases.

Lung Diseases: Types and Causes

Lung Diseases Affecting the Airways

The windpipe or trachea branches into tubes known as bronchi, which turn branch to end up continuously littler tubes all through the lungs. Check Lung Diseases: Types and Causes that influence the aviation routes include:

Asthma: The aviation routes are continuously aroused. Difficulty in breathing and wheezing are symptoms of asthma. Asthma can be trigger due to pollution, Allergies and infections. Asthma Specialist in Jaipur

COPD (Chronic Obstructive Pulmonary Disease): Lung conditions characterized by a difficulty to breathe out regularly, which causes trouble breathing.

Chronic bronchitis: A type of COPD described by a long term productive cough.

Emphysema: Damage in lung enables air to be caught in the lungs in this type of COPD. Trouble blowing air out is its trademark.

Acute bronchitis: Due to any virus, sudden infection of the aviation routes.

Lung Diseases Affecting the Alveoli (Air Sacs)

The aviation routes after some time branch into modest tubes (bronchioles) that deadlock into clusters of alveoli known as air sacs. These alveoli make up a large portion of the lung tissue. Lung diseases influencing the air sacs include:

Pneumonia: A disease of the alveoli, normally by bacteria

Tuberculosis (TB): A gradually dynamic pneumonia caused by the microorganisms Mycobacterium tuberculosis.

Emphysema: Emphysema happens because of harm to the fragile link between air sacs. Smoking is the main reason. (Emphysema likewise restricts the flow of air, influencing the aviation routes too.)

Lung Cancer: Lung tumor has numerous structures, and may build in any corner of the lungs. Frequently this is in the fundamental part of the lung, in or close to the alveoli. The location, spread and type of lung disease decides the treatment alternatives. Click Here to know more: Chest Specialist in Jaipur.

Lung Diseases Affecting the Interstitium

The interstitium is the infinitesimally thin, fragile covering between the lungs’ alveoli. Small veins gone through the interstitium and permit gas trade between the alveoli and the blood. Lung Diseases: Types and Causes influence the interstitium:

ILD or Interstitial Lung Diseases:  An expansive accumulation of lung conditions influencing the interstitium. Idiopathic aspiratory fibrosis, immune system and Sarcoidosis dieseases are among the numerous kinds of interstitial lung disease.

Aspiration edemas and pneumonias can likewise influence the interstitium.


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