Best Lungs Hospital in Jaipur

Asthma

Asthma is a lung disease that causes temporary narrowing of breathing tubes due to exposure to certain allergens or irritants in the environment. People dealing with asthma face difficulty breathing air in and out of their lungs. We cannot cure asthma but we can control it fully with proper medication & lifestyle changes. Untreated asthma can become severe and life-threatening. People can control and prevent asthma with self-care and medical treatment.

Symptoms of Asthma:-

Trouble breathing
Wheezing
Coughing
Chest pain
Chest tightness

At Manipal Hospitals, Jaipur we provide the best respiratory care to all our patients.

COPD (Chronic Obstructive Pulmonary Disease)

Chronic Obstructive Pulmonary Disease (COPD) makes it hard for you to breathe. Coughing up mucus is usually the first symptom of COPD. Your airways and air sacs lose their shape and become floppy, like a stretched-out rubber band. Cigarette smoking is the most common cause of COPD but it may also be caused by biomass fuel smoke exposure and environmental pollution. COPD is a preventable and treatable disease. You can avoid developing COPD by quitting smoking. Treatment can make you more comfortable. Some people have a rare form of COPD called alpha-1 (AAT) related emphysema which is caused by an inherited lack of a protective protein in the blood.

Signs and symptoms of COPD include constant coughing also called "smoker's cough", shortness of breath while doing day-to-day activities and producing a lot of sputum (also called phlegm or mucus). Taking proper medication, oxygen therapy, pulmonary rehabilitation & surgery are some of the ways to treat COPD.

Pneumonia

Pneumonia causes inflammation and solidification of lung tissues. It is usually due to infection caused by aspiration of GI contents and inhalation of noxious gases. Pneumonia is a life-threatening disease but can be treated with proper antibiotics and other supportive therapies. Sometimes a patient may require ICU admission and ventilator support.

Signs & symptoms of pneumonia may include:

Difficulty while breathing (breaths are rapid and shallow)
A cough that brings up phlegm
Rapid/ fast heartbeat (tachycardia)
High temperature/ fever (38C/ 100.4F or above)
Chest pain

Interstitial Lung diseases(ILD)

This is a group of lung diseases that affect the interstitial of the lungs. The volume and capacities of the lungs start to decrease with time and patients feel difficulties in breathing and dry coughs, usually associated with autoimmune disease( connective tissue diseases) and sometimes exposure to allergens( hypersensitivity pneumonia).

ILD is a wide spectrum of diseases with multiple causative factors. Usually treated with immunosuppressive medication.

Allergy Asthma and Immunology

It is an allergic disorder caused by exposure to certain allergens and noxious particles. Most commonly occurs during a change of seasons.

Symptoms:-

Repeated cold
Sneezing
Watering of nose
Redness and irritation in the eyes
Headache
Loss of smell
Throat irritation and cough

If not treated properly asthma may develop with time.

Obstructive Sleep Apnea (OSA)

Sleep apnea is a common disorder that people usually don’t notice. Sleep apnea should not be overlooked as it can interrupt your hard day at work and can lead to serious complications. The most common cause of OSA is obesity, other causes are craniofacial abnormalities and neuromuscular disorders.

Symptoms of Obstructive Sleep Apnea may include:

Waking up with a dry or sore throat
Loud snoring
Occasionally waking up with a gasping sensation
Feeling lethargic during the day
Sleepiness while driving
Morning headaches
Restless sleep
Forgetfulness and mood changes

Obstructive Sleep Apnea (OSA) can hurt your health and can also cause:

Heart attack and Blood Pressure
Diabetes
Lead to Weight Gain
Depression
Ageing of Skin

Diagnosis of OSA can be made by a sleep study (Polysomnography)

Polysomnogram (PSG) Study: This is the core sleep study test that will help the sleep medicine specialist to diagnose the main cause of a sleep disorder. During the study, a patient is monitored in the sleep lab with special equipment that records brain activity, breathing, cardiac patterns and LEG movements.

Treatment of OSA: Positive Airway Pressure (PAP) is the mainstay of treatment of OSA. The Department of Pulmonology has the best sleep medicine doctor in Jaipur who is an expert at solving the most serious and complex medical challenges faced by people with conditions that affect the lungs and breathing.

Bronchoscopy

Bronchoscopy is a medical procedure during which a narrow tube (endoscope) is inserted through your mouth or nose to look inside your large airways. A bronchoscopy is performed to diagnose a condition like lung cancer, tuberculosis, pneumonia, or ILD, or treat a medical problem such as a foreign object that is lodged in the airways and tumour debulking.

We perform the following bronchoscopic procedures: Bronchoalveolar Lavage (BAL) Bronchial Washing TBLB (TransBronchial Needle Aspiration)TBLB (Trans-Bronchial Lung Biopsy)Conventional Endobronchial Biopsy and airway stenting.

Medical Thoracoscopy (PLEUROSCOPY)

Medical Thoracoscopy is an endoscopic procedure in which thoracoscopic is inserted between the ribs. To examine the pleural space. This procedure is useful to diagnose the cause and treat conditions like pleural effusions( fluid in the lung), pneumothorax ( air in the lung), Empyema( Puss in the lung) and lung cancer.

Allergic testing and Immunotherapy

Allergy testing is useful to diagnose the causative allergens( Pollens, food, drugs), and are responsible for respiratory allergy and asthma. There are two types of allergy tests:

Skin prick test- A very small and diluted amount of antigen injected into the skin by multiple tiny needles to diagnose the culprit antigen responsible for allergy and asthma in a person.
Serology-based test:- Invitro test takes a small amount of blood taken from the patient and puts it in an antigen detection machine. This machine identifies the responsible antigen.

Immunotherapy

Immunotherapy is an effective method of modifying or avoiding disease by influencing the immune system. It is like boosting the body's defence mechanisms. In Allergy Immunotherapy or desensitization therapy, the mechanism is regarded as a correction of the immune system towards how a no-allergic person would deal with the allergen. Allergy Immunotherapy attacks the primary cause of the problem and provides a patient benefit which is usually long-lasting. Immunotherapy is generally applied in multiple doses, most frequently as injections under the skin. Oral vaccines are also produced.

Pulmonary Function Testing

Pulmonary Function testing measures the lung capacity, lung and chest wall mechanics to determine whether or not the patent has a lung problem. Pulmonary Function Tests are used for the following indications:

Screening for the presence of obstructive and restrictive diseases.
Evaluating the patient before surgery.
To know the response to treatment

There are multiple components of PFT.

Spirometry Test
6 min walk Test
FENO

CT Guided Lung Biopsy

A CT Guided Lung Biopsy is a test where a tiny sample of tissue (biopsy) is taken from the lungs & sent for analysis. Percutaneous CT-guided needle biopsy of mediastinal and pulmonary lesions is a minimally invasive approach for obtaining the tissue for histopathological examination. CT-Guided Tru-Cut Biopsy results are far better than FNAC.

Indications of lung Biopsy:-

To diagnose lung cancer, pulmonary Tuberculosis and ILDs.

Thoracic Surgery Unit

This department is running under the supervision of senior thoracic surgeons along with a team of respiratory physicians and a critical care team. It has fully equipped modern Operation theatres and equipment to perform thoracic surgeries.
Thoracic diseases like Tuberculosis, Lung Abscess, Cancer, Empyema, and Pneumothorax have been treated successfully in the units.
The Department of Pulmonology at Manipal Hospital, Jaipur, lungs hospital in Jaipur has performed various successful surgeries like Thoracotomy, Lobectomy, Pneumonectomy, Thoracoplasty, Decortication, VATS and many others to treat thoracic diseases like haemoptysis, Lung Abscess, Cancer, Empyema, Pneumothorax etc. with good surgical results.

Facts and Figures

Pulmonology Respiratory Sleep Medicine

Facilities & Services

Intervention Pulmonary unit(Broncos copy, Thorscopy, Lung Biopsy, airway stenting, intercostals tube thoracostomy, Thoracocentesis)

Well equipped interventional pulmonary department with facilities of all type of bronchoscopies, thoracoscopy, lung biopsies, foreign body removal, Argon Plasma Coagulator ( APC ), Airway Stenting, tube thoracostomy, thoracocentesis.

Advance Sleep Laboratory

Pulmonary Function Testing & Spirometry, FENO, 6 Minute Walk test

Allergy testing and IMMUNOTHERAPY

CT Guided Lung Pleural Biopsy

Thoracic surgery

Pulmonary rehabilitation

Respiratory Intensive care unit.

All type of allergy testing ( Food allergy, Common Aero allergy, Drug Allergy )

State of Art Thoracic Surgery Department

Well Equipped respiratory ICU & HDU

FAQ's

What are the warning signs of asthma?

Wheezing or whistling sounds during respiration
Chest tightness
Cough with choking
Breathlessness initially on exertion but maybe during rest in severe condition.
Difficulty in sleeping
You are producing any discoloured mucus

How will you monitor my disease progression?

It is important to understand how the doctor will determine if your disease is stable. The doctor should continue to monitor the condition throughout the years. You can monitor the progression of your disease by measuring your lung function through pulmonary function tests. Your doctor may also recommend exercise testing, such as a six-minute walk and imaging scans including a high-resolution CT scan may also be performed.

How COPD is different from Asthma?

Symptoms of both Asthma and COPD are quite similar but there is a basic difference in both conditions like:

Asthma is a genetically driven condition and triggered by certain allergen exposure while COPD is mainly caused by smoking and biomass fuel smoke exposure.
Asthma usually occurs at an early age while COPD in late age usually after 40 years of age
A person with Asthma usually remains asymptomatic between attacks while in COPD baseline dyspnea always presents.

Is COPD a treatable condition?

COPD is a preventable and treatable disease. To treat COPD:-

One should quit smoking.
Should take medications advised by pulmonologist on regular basis like - Bronchodilators through inhalation routes like puffs (inhalers), rotacaps or nebulizers and other medications
Avoid irritants exposure like chemical fumes, dust, heavy air pollution, second-hand smoking
Vaccination - Flu (Influenza) vaccine and Pneumococcal (Pneumonia) vaccine.

What is Pleural fluid Aspiration/Thoracentesis?

It is a minor daycare or OPD procedure. A percutaneous needle is inserted into the pleural space and pleural fluid is removed either through the needle or a wide bore catheter. A diagnostic thoracentesis is the removal of a small volume of pleural fluid, while Therapeutic thoracentesis is the removal of a large volume of fluid to give symptomatic relief to the patient.

Our specialists recommend that patients who have a pleural effusion should undergo diagnostic thoracentesis to determine the nature of effusion and identify potential causes. The procedure is performed using ultrasound (USG).

How will the tube thoracostomy/intercostal tube drainage (ICD) be helpful to me?

It is a procedure in which a tube is placed through the chest wall into the pleural cavity and connected to a water seal bag to drain large amounts of air, fluid or pus from the pleural space. Its indications are:

Pneumothorax (air in the lungs)
Hemothorax (Blood in the lungs)
Pleural effusion (Fluid/ water in the lungs)
Empayema (Pus in the lung)
Pleurodesis

What does a pulmonary function test do?

Pulmonary function tests (PFTs) are noninvasive tests that show how well the lungs are working. The tests measure lung volume, capacity, rates of flow, and gas exchange. This information can help your healthcare provider diagnose and decide the treatment of certain lung disorders.

What is interventional pulmonology?

Interventional pulmonology is a branch of modern pulmonology in which multiple lung diseases are diagnosed and managed more efficiently by higher-end minimal invasive procedures by modern equipment like Bronchoscopy, Thoracoscopy, E-BUS, Bronchial biopsy, Pleurodesis etc. Interventional pulmonology is a boon to diagnose and manage multiple lung conditions like ILDs, lung cancers, foreign body removal from lungs, repeated and large pleural effusions, recurrent pneumothorax etc.

Who is a Pulmonologist and What are the conditions treated by a Pulmonologist?

A medical specialist who is specialized to treat all diseases and ailments related to the lungs and respiratory system of a human known as a Pulmonologist/ lung specialist/Respiratory physician or Chest physician

COPD, Asthma, Tuberculosis, ILD (Interstitial Lung Disease), All type of Respiratory Failure, Lung Cancer, Sleep Apnea syndrome (OSAHS), Snoring, Pleural Effusions, Pneumothorax, Pulmonary infections, Pneumonia, Sarcoidosis, Hemoptysis (coughing out blood), Lymph nodes (glands)tuberculosis/ Masses in the chest and chest trauma.

What things one should keep in mind when asking questions to the doctor?

There are a few things you should keep in your mind while asking questions to your doctor:

The very first question that comes to your mind is your prognosis which is a difficult question to answer. There are several factors that affect prognoses such as age, lifestyle choices and overall health.
Write your questions on any paper or on your phone, so you do not forget anything.
When you ask questions to your doctor, take notes if needed. You might be getting a lot of information, and it is easy to forget what was said. Write in short all the answers to your questions, so you have something to refer back to at a later date.
Ask for clarification if you don’t understand something, but if there is something you don’t understand, ask for clarification.

Pulmonology (Respiratory and Sleep Medicine)

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