Expertise Facilities
-
Diseases and Treatment
-
Asthma
-
Allergies 
Chronic Obstructive pulmonary disease (COPD)-
Lung Diseases -
Sleep Disorder
Facilities
-
Pulmonary funtoin test (PFT)
-
Pleural tapping
-
Bronchoscopy
- Sleep study
Breathing treatment with cardio physiotherapy
Asthma & its Symptoms
- Wheezing (a whistling sound when you breath)
- Shortness of Breath
- Tightness in chest which may feel like a bound is tightening around it
- Coughing
- Symptoms are often worse at night or early in the morning when asthma symptoms gets significantly worse & it is known as asthma attack or “acute asthma exacerbation”
Asthma attack
- Wheezing, coughing and chest tightness becoming severe and constant
- Being too breathless to eat, speak or sleep
- Breathing faster
- Feeling exhausted, drowsy and dizzy
Asthma diagnosis
Pulmonary function test is 10-15 minutes OPD procedure. It helps to measure how much air (volume) you can take in your lung, how fast can you breath and how well are your lung funtions.
Procedure:- You will be asked to stop the use of inhaler before coming to test on that day
- You Breath in a mouth piece that is connected to a machine called as spirometer
- It involves taking a deep breath and exhaling as fast as you can through mouth piece. It takes two measurements. Volume of air exhaled in one second (FEV1) and total amount of air you Breath out (FVC).
- The readings are then compared with average measurement for the people of your age, sex and height.
- You are then given a inhaler to open up your airways to see if you are breathing improves known as reversibility testing.
Peak expiratory flow testA small hand held device known as peak flow meter can be used to measure how fast you can blow air out of your lung in a breath. This peak expiratory flow (PEF) & the test is called as peak flow test. There reading are usually taken by
- Maintaining diary to record measurement of peak flow over a period of week is recommended
Though Asthma is variable and lung function may change throughout the day.
- Mucus sample:
Sample of the mucus can be tested for the signs of inflammation in the airway.
Asthma treatment
1. Inhaler and spacers:
Asthma medications are generally given inhaler or spacer device. Medicine reaches lung and stays less in mouth with spacers. This makes medication more effective.
2. Self care:
It is the integral part of asthma care. Preventing exposure of triggers plays a significant role in asthma control along with healthy diet and physical fitness
3. Smoking cessation:
Smoking cessation significantly reduces the severity and frequency of symptoms. It reduces effectiveness of medication.
4. Vaccination:
Vaccination is advised as it helps to build better immunity. Annual flu and pneumonia vaccination protects against specific serious chest infections and helps in asthma control.
5. Exercise:
Increasing fitness level gradually helps maintaining healthy life. At our pulmonary rehabilitation centre we provide supervised exercise programme.
Some common allergies are:
- Grass & tree pollen
- Dust particles
- Animal fur
- Food Allergy
Symptoms
- Increasing breathlessness when exercising or moving around
- Persistent cough
- Frequent chest infections, particularly in winter
- Wheezing.
Causes
It is the main cause of COPD and responsible for 90% of cases. Smoking damages the lining of the airways permanently and infection problems. It is medically proven that about 25% of smokers develop COPD. Passive smoking means exposure to other people's smoke increases the chances of COPD. Continuous exposure to fumes, dust together with air pollution causes COPD.
Treatment of COPD
Treatment can help slow down the progression of the condition and reduce the symptoms. We recommend the best way to prevent COPD in smokers is to stop smoking. Any damage already done to the airways cannot be reversed, but giving up smoking can slow down the rate at which the condition worsens. Though directly giving up smoking is difficult, few stop-smoking medicines such as tablets, patches or gum also help.
Nebulised medication:Nebuliser is a machine that administers medicine through mask. The medicine is in liquid form and is converted into fine mist giving relief to COPD patients.
Long term Oxygen therapy:If oxygen level in your blood is low, you may be advised to have oxygen therapy at home through nasal tubes or mask. The tubes from the machine are long so you will be able to move around your home while you are connected. Portable oxygen tanks are available if you need to use oxygen away from home.
We teach and prescribe oxygen therapy as per patient's need at "Breath Easy pulmonary Rehabilitation center", Pune.
Non-Invasive ventilation (NIV):We have the most modern facility of NIV-(BiPAP) which helps a person Breath easily using a portable machine connected to a mask covering the nose or face.
Tuberculosis
Tuberculosis commonly known as TB, is a bacterial infection mainly affecting lung. At the advance stages it largely affects other parts of body including brain & glands. A person suffering from TB generally has symptoms such as Weight loss, high fever, fatigue, loss of appetite and most importantly persistent cough.
Pulmonary tuberculosis is treated at our center with a group called anti-kochs drugs. After continuous medication for 2 weeks, most patients feel better and are no longer infectious. Our specialists strongly recommend continuing medication and completing the whole course of antibiotics for total healing.
At instance, if the course is left incomplete TB infections may become resistant to these antibiotics and TB will require a longer course of treatment.
Idiopathic pulmonary Fibrosis
Idiopathic pulmonary Fibrosis or Lung fibrosis is a disease where tissues in lung become thick and stiff or scarred over time. Normal lung tissue is replaced by more scarred tissue, which makes it difficult to Breath and deliver needed oxygen to the body. Dry cough, shortness of breath, enlarged fingertips (clubbing) are the common symptoms of lung fibrosis. Along with medicines, oxygen therapy and pulmonary rehabilitation both plays major role in treatment of lung fibrosis.
Interstitial lung disease (ILD)
Interstitial lung disease (ILD) describes a large group of disorders characterized by progressive scarring of the lung tissue between and supporting the air sacs.
In this disease, body's normal repair process goes away and abnormal healing response leads to scarring to an injury. Long term exposure to coal dust, grain dust, silica, asbestos, chemicals and chemotherapy drugs can cause ILD. Oxygen therapy, medication, smoking cessation, vaccinations, healthy diet and exercise helps to cope up with ILD.
Diagnosis & treatment for other lung diseases
It is a procedure to remove to excess fluid in space between the lung and the chest wall (pleural space). Normally the pleural space is lined by a thin layer of fluid. In certain conditions like TB/ Cancer/ Viral infections/ Low protein states, large amount of fluid gets accumulated in the pleural space compressing the lung and making it difficult to Breath.
Procedure:- Your doctor will insert a thin needle in your chest wall and draws out fluid that got collected in the pleural space. This fluid can be used for diagnosing disease.
- It will be done at the hospital on an OPD basis
- Fasting is not required, light breakfast/ snacks can be taken
- Mandatory for relative to accompany
- Prior appointment is mandatory
Bronchoscopy:It is a technique of visualizing the inside of your airways and take samples for further examination to know what disease are you suffering from
Procedure:- A flexible tube is inserted through your nose into your airways.
- This allows your chest physician to examine your airway for abnormalities like tumors, inflammation, foreign bodies.
- Sample of tumors or secretions may be taken for further evaluation that can greatly contribute to reach a definite diagnosis
- This procedure will be done at the hospital. Overnight fasting is required. Relatives are must with the patients.
ICD insertion:ICD is a plastic tube inserted through your chest wall to remove air or blood or pus that has accumulated in your pleural space.
What is obstructive sleep apnoea syndrome (OSAS)?
A person suffering from OSAS, may stop breathing for short period of time during sleep often without being aware of the disruption. A person may not be getting enough oxygen when he/she sleep and may not sleep soundly.
What causes OSAS?
As you sleep all of your muscles relax. In people suffering OSAS, this relaxation allows airway in the back of the throat to become narrow, interfering with breathing. Several factors can contribute to OSAS like very small jaw, enlarged tonsils, alcohol, medications with sedative effects and overweight can make throat likely to collapse during sleep.
Symptoms of OSAS
- Loud snoring or pattern of snoring with pauses
- Excessive daytime sleepiness
- Falling asleep at inappropriate time
- Difficulty concentrating, irritability
- Headache particularly in morning
- Frequent night time urination
Untreated OSAS can also results in high blood pressure, heart attack or depression.
Diagnosis of OSAS
Obstructive sleep apnoea syndrome (OSAS) can usually be diagnosed after you have been observed sleeping at sleep clinic or by using a testing device worn overnight at home.
Treatment of OSAS
In most of the cases of OSAS, you will be advised to make healthy lifestyle changes.
- Losing weight if you are overweight
- Limiting alcohol consumption
- Sleeping on your side rather than on your back may also help relieve the symptoms of OSAS
- Avoid sedative medications at night
As well as the lifestyle changes mentioned above, people with moderate to severe OSAS will usually need to use a CPAP device. This is a small pump that delivers a continuous supply of compressed air to you through a mask that covers your nose and mouth. It prevent throat closing CPAP reduces symptoms such as snoring & tiredness.
Sleep study
Sleep study allows the doctor to measure how much and how well do you sleep. It helps in diagnosis of obstructive sleep apnoea.. It can be done at your home or at sleep centre.
- The technician visits your home with equipments and sensors equipments records oxygen levels, breathing movements, heart rate and snoring through the night.
- The machine will be attached to your body just before you sleep and removed in the morning
- The records will be interpreted by your chest physician and advices accordingly.
During the night several different parts of your body will be carefully monitored while you sleep. ECG, EMG movements of chest and abdomen, airflow through your mouth and nose, pulse oxymentry, ECG will be monitored as per need.
Procedure :
- You will be asked to stop the use of inhaler before coming to test on that day
- You Breath in a mouth piece that is connected to a machine called as spirometer
- It involves taking a deep breath and exhaling as fast as you can through mouth piece. It takes two measurements. Volume of air exhaled in one second (FEV1) and total amount of air you Breath out (FVC).
- The readings are then compared with average measurement for the people of your age, sex and height.
- You are then given a inhaler to open up your airways to see if you are breathing improves known as reversibility testing.
Procedure :
Your doctor will insert a thin needle in your chest wall and draws out fluid that got collected in the pleural space. This fluid can be used for diagnosing disease.
- It will be done at the hospital on an OPD basis
- Fasting is not required, light breakfast/ snacks can be taken
- Mandatory for relative to accompany
- Prior appointment is mandatory
Procedure :
- A flexible tube is inserted through your nose into your airways.
- This allows your chest physician to examine your airway for abnormalities like tumours, inflammation, foreign bodies.
- Sample of tumours or secretions may be taken for further evaluation that can greatly contribute to reach a definite diagnosis
- This procedure will be done at the hospital. Overnight fasting is required. Relatives are must with the patients.
Testing at home
- The technician visits your home with equipments and sensors equipments records oxygen levels, breathing movements, heart rate and snoring through the night.
- The machine will be attached to your body just before you sleep and removed in the morning
- The records will be interpreted by your chest physician and advices accordingly.
Testing at Sleep centre
During the night several different parts of your body will be carefully monitored while you sleep. ECG, EMG movements of chest and abdomen, airflow through your mouth and nose, pulse oxymentry, ECG will be monitored as per need.
Oxygen Therapy:
Yoga is the most energizing form of healing for a person suffering from pulmonary disease. It helps to improve both physical and mental health. Our yoga sessions are specially designed with primary focus on breathing technique and physical postures. Our yoga expert Dr. Rashmi Joshi, guides to control your breathing with range of sessions for raising energy levels & clear your mind from worry.
Yoga Therapy:
During the night several different parts of your body will be carefully monitored while you sleep. ECG, EMG movements of chest and abdomen, airflow through your mouth and nose, pulse oxymentry, ECG will be monitored as per need.
Our yoga sessions are designed according to the needs of people suffering from Pulmonary Diseases with focus on effective breathing techniques, easy way to exercise and minimize anxiety through relaxation techniques.
Diseases and Treatment
Asthmaa
Asthma & its Symptoms
- Wheezing (a whistling sound when you breath)
- Shortness of Breath
- Tightness in chest which may feel like a bound is tightening around it
- Coughing
- Symptoms are often worse at night early in the morning when asthma symptoms gets significantly worse & it is known as asthma attack or “acute asthma exacerbation”
Asthma attack
- Wheezing, coughing and chest tightness becoming sever and constant
- Being too breathless to eat speak or sleep
- Breathing faster
- Feeling exhausted, drowsy and dizzy
Asthma diagnosis
Pulmonary function test is 10-15 minutes OPD procedure. It helps to measure how much (volume) air you can take in your lung, how fast can you breath and how well are your lung functioning.
Procedure:- You will be asked to stop the use of inhaler before coming to test on that day
- You Breath in a mouth piece that is connected to a machine called as spirometer
- It involves taking a deep breath and exhaling as fast as you can through mouth piece. It takes two measurements. Volume of air exhaled in one second (FEV1) and total amount of air you Breath out (FVC).
- The readings are then compared with average measurement for the people of your age, sex and height.
- You are then given a inhaler to open up your airways to see if you are breathing improves known as reversibility testing.
Peak expiratory flow testA small hand held device known as peak flow meter can be used to measure how fast you can blow air out of your lung in a breath. This peak expiratory flow (PEF) & the test is called as peak flow test. There reading are usually taken by
- Maintaining diary to record measurement of peak flow over a period of week is recommended
Though Asthma is variable and lung function may change throughout the day.
- Mucus sample:
Sample of the mucus can be tested for the signs of inflammation in the airway.
Asthma treatment
1. Inhaler and spacers:
Asthma medications are generally given inhaler or spacer device. Medicine reaches lung and less stays in mouth with spacers. This makes medication more effective.
2. Self care:
It is the integral part of asthma care. Preventing exposure of triggers plays a significant role in asthma control along with healthy diet and physical fitness
3. Smoking cessation:
Smoking cessation significantly reduces the severity and frequency of symptoms. It reduces effectiveness of medication.
4. Vaccination:
Vaccination is advised as it helps to build better immunity. Yearly flu and pneumonia vaccination protects against specific serious chest infections and helps in asthma control.
5. Exercise:
Increasing fitness level gradually helps maintaining healthy life. At our pulmonary rehabilitation centre we provide supervised exercise programme.
Allergies
Allergies
Some common allergies are
- Grass & tree pollen
- Dust particles
- Animal fur
- Food Allergy
Chronic Obstructive pulmonary disease (COPD)
Chronic Obstructive pulmonary disease
COPD is the name for a collection lung disease including chronic bronchitis, emphysema and chronic obstructive airway disease. People with COPD have difficulties breathing, due to narrowing of their airways called as airflow obstruction.
Symptoms
- Increasing breathlessness when exercising or moving around
- Persistent cough
- Frequent chest infections, particularly in winter
- Wheezing.
Causes
It is the main cause of COPD and responsible for 90% of cases. Smoking damages the lining of the airways permanently and infection problems. It is medically proven that about 25% of smokers develop COPD. Passive smoking means exposure to other people's smoke increases the chances of COPD. Continuous exposure to fumes, dust together with air pollution causes COPD.
Treatment of COPD
Treatment can help slow down the progression of the condition and reduce the symptoms. We recommend the best way to prevent COPD in smokers is to stop smoking. Any damage already done to the airways cannot be reversed, but giving up smoking can slow down the rate at which the condition worsens. Though directly giving up smoking is difficult, few stop-smoking medicines such as tablets, patches or gum also help.
Nebulised medication:Nebuliser is a machine that administers medicine through mask. The medicine is in liquid form and is converted into fine mist giving relief to COPD patients.
Long term Oxygen therapy:If oxygen level in your blood is low, you may be advised to have oxygen therapy at home through nasal tubes or mask. The tubes from the machine are long so you will be able to move around your home while you are connected. Portable oxygen tanks are available if you need to use oxygen away from home.
We teach and prescribe oxygen therapy as per patient's need at "Breath Easy pulmonary Rehabilitation center", Pune.
Non-Invasive ventilation (NIV):We have the most modern facility of NIV-(BiPAP) which helps a person Breath easily using a portable machine connected to a mask covering the nose or face.
Lung Diseases
Read about different kinds of Lung Diseases: Tuberculosis
Tuberculosis commonly known as TB, is a bacterial infection mainly affecting lung. At the advance stages it largely affects other parts of body including brain & glands. A person suffering from TB generally has symptoms such as Weight loss, high fever, fatigue, loss of appetite and most importantly persistent cough.
Pulmonary tuberculosis is treated at our center with a group called anti-kochs drugs. After continuous medication for 2 weeks, most patients feel better and are no longer infectious. Our specialists strongly recommend continuing medication and completing the whole course of antibiotics for total healing.
At instance, if the course is left incomplete TB infections may become resistant to these antibiotics and TB will require a longer course of treatment.
Idiopathic pulmonary Fibrosis
Idiopathic pulmonary Fibrosis or Lung fibrosis is a disease where tissues in lung become thick and stiff or scarred over time. Normal lung tissue is replaced by more scarred tissue, which makes it difficult to Breath and deliver needed oxygen to the body. Dry cough, shortness of breath, enlarged fingertips (clubbing) are the common symptoms of lung fibrosis. Along with medicines, oxygen therapy and pulmonary rehabilitation both plays major role in treatment of lung fibrosis.
Interstitial lung disease (ILD)
Interstitial lung disease (ILD) describes a large group of disorders characterized by progressive scarring of the lung tissue between and supporting the air sacs.
In this disease, body's normal repair process goes away and abnormal healing response leads to scarring to an injury. Long term exposure to coal dust, grain dust, silica, asbestos, chemicals and chemotherapy drugs can cause ILD. Oxygen therapy, medication, smoking cessation, vaccinations, healthy diet and exercise helps to cope up with ILD.
Diagnosis & treatment for other lung diseases
It is a procedure to remove to excess fluid in space between the lung and the chest wall (pleural space). Normally the pleural space is lined by a thin layer of fluid. In certain conditions like TB/ Cancer/ Viral infections/ Low protein states, large amount of fluid gets accumulated in the pleural space compressing the lung and making it difficult to Breath.
Procedure:- Your doctor will insert a thin needle in your chest wall and draws out fluid that got collected in the pleural space. This fluid can be used for diagnosing disease.
- It will be done at the hospital on an OPD basis
- Fasting is not required, light breakfast/ snacks can be taken
- Mandatory for relative to accompany
- Prior appointment is mandatory
Bronchoscopy:It is a technique of visualizing the inside of your airways and take samples for further examination to know what disease are you suffering from
Procedure:- A flexible tube is inserted through your nose into your airways.
- This allows your chest physician to examine your airway for abnormalities like tumors, inflammation, foreign bodies.
- Sample of tumors or secretions may be taken for further evaluation that can greatly contribute to reach a definite diagnosis
- This procedure will be done at the hospital. Overnight fasting is required. Relatives are must with the patients.
ICD insertion:ICD is a plastic tube inserted through your chest wall to remove air or blood or pus that has accumulated in your pleural space.
Sleep Disorder
Read about the symptoms of sleep disorders and latest treatment options available. What is obstructive sleep apnoea syndrome (OSAS)?
A person suffering from OSAS, may stop breathing for short period of time during sleep often without being aware of the disruption. A person may not be getting enough oxygen when he/she sleep and may not sleep soundly.
What causes OSAS?
As you sleep all of your muscles relax. In people suffering OSAS, this relaxation allows airway in the back of the throat to become narrow, interfering with breathing. Several factors can contribute to OSAS like very small jaw, enlarged tonsils, alcohol, medications with sedative effects and overweight can make throat likely to collapse during sleep.
Symptoms of OSAS:
- Loud snoring or pattern of snoring with pauses
- Excessive daytime sleepiness
- Falling asleep at inappropriate time
- Difficulty concentrating , irritability
- Headache particularly in morning
- Frequent night time urination
Untreated OSAS can also results in high blood pressure, heart attack or depression.
Diagnosis of OSAS:
Obstructive sleep apnoea syndrome (OSAS) can usually be diagnosed after you have been observed sleeping at sleep clinic or by using a testing device worn overnight at home.
Treatment of OSAS
In most of the cases of OSAS, you will be advised to make healthy lifestyle changes.
- Losing weight if you are overweight
- Limiting alcohol consumption
- Sleeping on your side rather than on your back may also help relieve the symptoms of OSAS
- Avoid sedative medications at night
As well as the lifestyle changes mentioned above, people with moderate to severe OSAS will usually need to use a CPAP device. This is a small pump that delivers a continuous supply of compressed air to you through a mask that covers your nose and mouth. It prevent throat closing CPAP reduces symptoms such as snoring & tiredness.
Sleep study allows the doctor to measure how much and how well do you sleep. It helps in diagnosis of obstructive sleep apnoea.. It can be done at your home or at sleep centre.
- The technician visits your home with equipments and sensors equipments records oxygen levels, breathing movements, heart rate and snoring through the night.
- The machine will be attached to your body just before you sleep and removed in the morning
- The records will be interpreted by your chest physician and advices accordingly.
During the night several different parts of your body will be carefully monitored while you sleep. ECG, EMG movements of chest and abdomen, airflow through your mouth and nose, pulse oxymentry, ECG will be monitored as per need.
Sleep study
Sleep study allows the doctor to measure how much and how well do you sleep. It helps in diagnosis of obstructive sleep apnoea.. It can be done at your home or at sleep centre.
- The technician visits your home with equipments and sensors equipments records oxygen levels, breathing movements, heart rate and snoring through the night.
- The machine will be attached to your body just before you sleep and removed in the morning
- The records will be interpreted by your chest physician and advices accordingly.
During the night several different parts of your body will be carefully monitored while you sleep. ECG, EMG movements of chest and abdomen, airflow through your mouth and nose, pulse oxymentry, ECG will be monitored as per need.
Facilities
Spirometry or pulmonary funtoin test (PFT)
PFT is 10-15 minutes OPD procedure. It helps to measure how much (volume) air you can take in your lung, how fast can you breath and how well are your lung functioning.
Procedure
- You will be asked to stop the use of inhaler before coming to test on that day
- You Breath in a mouth piece that is connected to a machine called as spirometer
- It involves taking a deep breath and exhaling as fast as you can through mouth piece. It takes two measurements. Volume of air exhaled in one second (FEV1) and total amount of air you Breath out (FVC).
- The readings are then compared with average measurement for the people of your age, sex and height.
- You are then given a inhaler to open up your airways to see if you are breathing improves known as reversibility testing.
Pleural tapping
It is a procedure to remove to excess fluid in space between the lung and the chest wall (pleural space). Normally the pleural space is lined by a thin layer of fluid. In certain conditions like TB/ Cancer/ Viral infections/ Low protein states, large amount of fluid gets accumulated in the pleural space compressing the lung and making it difficult to Breath.
Procedure
Your doctor will insert a thin needle in your chest wall and draws out fluid that got collected in the pleural space. This fluid can be used for diagnosing disease.
- It will be done at the hospital on an OPD basis
- Fasting is not required, light breakfast/ snacks can be taken
- Mandatory for relative to accompany
- Prior appointment is mandatory
Bronchoscopy
It is a technique of visualising the inside of your airways and take samples for further examination to know what disease are you suffering from
Procedure
A flexible tube is inserted through your nose into your airways.
This allows your chest physician to examine your airway for abnormalities like tumours, inflammation, foreign bodies.
- Sample of tumours or secretions may be taken for further evaluation that can greatly contribute to reach a definite diagnosis
- This procedure will be done at the hospital. Overnight fasting is required. Relatives are must with the patients.
Sleep study
Sleep study allows the doctor to measure how much and how well do you sleep. It helps in diagnosis of obstructive sleep apnoea. It can be done at your home or at sleep centre.
Testing at home
- The technician visits your home with equipments and sensors equipments records oxygen levels, breathing movements, heart rate and snoring through the night.
- The machine will be attached to your body just before you sleep and removed in the morning
- The records will be interpreted by your chest physician and advices accordingly.
Testing at Sleep centre
During the night several different parts of your body will be carefully monitored while you sleep. ECG, EMG movements of chest and abdomen, airflow through your mouth and nose, pulse oxymentry, ECG will be monitored as per need.
Breathing treatment with cardio physiotherapy
Oxygen Therapy:
Yoga is the most energizing form of healing for a person suffering from pulmonary disease. It helps to improve both physical and mental health. Our yoga sessions are specially designed with primary focus on breathing technique and physical postures. Our yoga expert Dr. Rashmi Joshi, guides to control your breathing with range of sessions for raising energy levels & clear your mind from worry.
Yoga Therapy:
During the night several different parts of your body will be carefully monitored while you sleep. ECG, EMG movements of chest and abdomen, airflow through your mouth and nose, pulse oxymentry, ECG will be monitored as per need.
Our yoga sessions are designed according to the needs of people suffering from Pulmonary Diseases with focus on effective breathing techniques, easy way to exercise and minimize anxiety through relaxation techniques.