C- Reactive Protein Quantitative Tips

Chronic respiratory diseases like bronchial asthma, bronchiectasis, copd, sarcoidosis and interstitial lung disease are vulnerable to repeated infections and multiple hospital visits or admission.

The main reasons for the increased susceptibility is altered lung defence, use of steroids in various respiratory conditions and multiple comorbidities like diabetes and coronary disease.

Patients should ideally be vaccinated for pneumococcal and influenza disease routinely.

What is inflammatory bowel disease?

Inflammatory bowel disease, also known as ibd, describes a group of conditions that are chronic and cause inflammation in the digestive system.

Types of inflammatory bowel disease?

There are two primary forms of ibd. They are:



Ulcerative colitis: this type of ibd is characterised by inflammation and ulcers in the inner lining of the colon and rectum, which can cause bloody diarrhoea, abdominal pain and cramping.


Crohn s disease: this kind of ibd may affect any area of the digestive system, from the mouth to the anus, causing inflammation, discomfort, diarrhoea, weight loss, and tiredness.



What are the signs and symptoms of inflammatory bowel disease?



Abdominal pain and cramping: people with ibd often experience abdominal pain and cramping, usually in the lower-right part of the abdomen. The pain may come and go or be persistent, depending on the severity of inflammation.


Diarrhoea: diarrhea is a frequent ibd symptom that may vary from mild to severe.


Fatigue: fatigue is a common symptom of ibd and can be caused by anaemia (an iron deficiency) as well as by the inflammation itself.


Unexplained weight loss: weight loss can occur due to malabsorption, which is when the body fails to absorb enough nutrients from food due to inflammation in the intestines, or due to a lack of appetite as a result of illness or medication side effects.


Fever: a fever can be an indication of infection, which can occur in people with ibd due to complications from inflammation in the intestines.


Rectal bleeding: rectal bleeding can occur when there is inflammation in the rectum or large intestine, which is common in people with ibd.



What are possible complications of inflammatory bowel disease?



Perforation: this is a serious complication of ibd that occurs when a hole forms in the intestine, leading to infection of the abdominal cavity. This can be caused by inflammation and weakened areas of the intestines.


Malnutrition: patients with ibd can experience malnutrition due to the inability to absorb nutrients from food properly and due to loss of appetite. Malnutrition can lead to other complications such as anaemia, fatigue, and weight loss.


Bowel obstruction: this is a blockage in the intestines that prevents food from passing through, leading to abdominal pain and cramping. It can be caused by inflammation, scar tissue build-up, or narrowing of the intestines due to crohn's disease or ulcerative colitis.


Fistula: this is an abnormal connection between two organs or parts of the body that occurs due to inflammation in ibd patients and can cause infection or abscesses in rare cases.


Kidney stones: these are small, hard deposits that form in the kidneys due to mineral buildup from dehydration, which can be caused by ibd-related diarrhoea and vomiting.



Nutrition tips for inflammatory bowel disease



Eating a balanced diet with plenty of nutrients is important for people with inflammatory bowel disease (ibd).


Smaller, more frequent meals may aid with symptom management.


Include probiotic-rich foods such as yoghurt, kefir and kombucha in your diet to support gut health and reduce inflammation.


By consuming more fish, especially mackerel and salmon, you may increase your intake of omega-3 fatty acids.


Be hydrated throughout the day by consuming enough fluids to support regular bowel movements.



Here are some ayurvedic remedies to cure ibs:



Kshara sutra therapy: this ayurvedic treatment involves the insertion of medicated threads made up of herbs like haritaki and pippali into the affected areas of the intestine to reduce inflammation and heal ulcers.


Abhyanga: this ayurvedic massage with herbal oils can help improve digestion and provide relief from some of the symptoms associated with ibd, such as cramps, bloating, and abdominal pain.


Panchakarma: this detoxifying therapy helps in clearing toxins from the body through emesis, purgation, enemas and nasal drops. It also helps in reducing inflammation and relieving pain associated with ibd.


Diet modifications: a diet that is low in fat, high in fibre, and full of fresh vegetables, fruits and whole grains can help reduce inflammation in the gut and also provide essential nutrients for healing. Avoiding spicy food, caffeine and alcohol is also advisable for people suffering from ibd.


Herbal remedies: herbal remedies such as amalaki, ashwagandha, guduchi, turmeric, ginger etc, can be used to reduce inflammation caused by ibd as well as strengthen the digestive system to fight off infection or parasites that may be contributing to its symptoms.


Yoga: certain yoga poses such as paschimottanasana (forward bend), siddhasana (perfect pose), balasana (child's pose) etc, help stimulate digestion and reduce stress which can aggravate some of the symptoms associated with ibd like diarrhoea or constipation.


Steam therapy: steam therapy helps relax the digestive system leading to better digestion which helps reduce abdominal pain caused by ibd.


Basti treatment: in this treatment an herbal decoction or oil is administered via enema into the rectum which helps reduce inflammation in the bowels caused by ibd as well as relieve abdominal discomfort due to gas or constipation associated with it.


Jatyadi oil massage: massaging with jatyadi oil helps increase blood circulation in the abdomen area which provides relief from cramps & pain resulting from inflammation caused by ibd.


Nasya karma: it involves administering medicated oils into the nose which help clear toxins accumulated in the head & neck region due to poor digestion leading to reduced stress levels & improved immunity which ultimately helps manage inflammatory bowel disease.



If none of the aforementioned approaches work, you could think about having surgery.

What are the surgical treatments for inflammatory bowel disease?



Laparoscopic ileocolic resection: typically, crohn's disease is treated with this procedure. It entails removing a section of the large intestine as well as the ileum, the last part of the small intestine.


Colectomy: both crohn's disease and ulcerative colitis, two forms of inflammatory bowel disease, are treated with this operation. It entails removing the whole or a portion of the large intestine.


Ileostomy: this procedure is used to treat both crohn s disease and ulcerative colitis and involves creating an artificial opening in the abdomen to allow waste material to exit from the body into an external pouch.


Strictureplasty: this procedure is used to treat crohn s disease and involves widening a narrowed or structured area in the intestines so that food can pass through more easily.


Bowel resection: this procedure is used to treat both crohn s disease and ulcerative colitis and involves removing a section of damaged intestine from either the small or large intestine due to inflammation or obstruction caused by scar tissue and adhesions.



Best doctors to consult for inflammatory bowel disease?



Gastroenterologist: a gastroenterologist is an expert in digestive system illnesses including inflammatory bowel disease (ibd). They can assist you in managing your symptoms and developing an individualised treatment plan as they've obtained specialised training in the diagnosis and management of ibd.


Primary care physician: your primary care physician is a great place to start if you think you may have ibd. They can provide general advice on managing your symptoms, refer you to specialists if needed, and coordinate care with other health professionals involved in your care.


Colorectal surgeon: a colorectal surgeon specialises in surgeries related to the digestive system, including those for ibd. If you require surgery to treat your ibd, a colorectal surgeon can provide the best possible care tailored specifically to your condition.


Nutritionist or dietitian: a nutritionist or dietitian can help you create an individualised diet plan that meets your nutritional needs while helping to manage symptoms of ibd. They can also provide guidance on food choices that may help reduce inflammation or other digestive issues related to ib.



;

आज के प्रदूषण, खानपान की कमी, लगातार बढ़ते स्क्रीन टाइम की वजह से बच्चों से लेकर बड़ों तक कमजोर दृष्टि की शिकायत आम बात हो गयी है। दृष्टि कमजोर होने पर चश्मा, सर्जरी या फिर लेसिक लेजर की सहायता ली जाती है। पर कुछ ऐसे प्राकृतिक तरीके हैं जो आंखों की रौशनी को बेहतर कर सकते हैं। इस लेख में हमे ऐसे ही खाद्य पदार्थ और तरीकों पर चर्चा करेंगे-

विटामिन
यह तो हम सबको पता है कि विटामिन ए, सी, और ई सभी आंखों के स्वास्थ्य के लिए अच्छे हैं। इन विटामिनों में एंटीऑक्सीडेंट और सूजन रोधी गुण होते हैं जो मैकुलर अपघटन के जोखिम को कम कर सकते हैं। फलों और सब्जियों से भरपूर एक विविध,संतुलित आहार यह सुनिश्चित करने का सबसे अच्छा तरीका है कि किसी को भी विटामिनों की पर्याप्त मात्रा मिल रही है। ऐसा खाना या खाद्य पदार्थ जो विटामिन ए, सी और ई के अच्छे स्रोतों में शामिल हैं:

शकरकंद
पपीता
पालक
संतरे
गाजर
ब्रोकोली
लाल मिर्च
कद्दू
बादाम
मूंगफली का मक्खन
सरसों के बीज
ओमेगा -3 फैटी एसिड, जैसे डोकोसाहेक्सैनोइक एसिड और ईकोसापेंटेनोइक एसिड भी आंखों के स्वास्थ्य में भूमिका निभाते हैं और उम्र से संबंधित नेत्र रोग के जोखिम को कम करते हैं। ऐसे में
ओमेगा -3 से भरपूर खाद्य पदार्थों में मछली, नट्स,बीज और बीन्स शामिल हैं। एक व्यक्ति ओमेगा -3 की खुराक ऑनलाइन भी खरीद सकता है।
कैरोटेनॉयड्स
कैरोटीनॉयड रेटिना में मौजूद होते हैं और ऑक्सीडेटिव क्षति को सीमित करने में मदद कर सकते हैं।

कैरोटीनॉयड ल्यूटिन और ज़ेक्सैन्थिन आंखों के स्वास्थ्य के लिए महत्वपूर्ण हैं। हरी पत्तेदार सब्जियां ल्यूटिन और ज़ेक्सैन्थिन से भरपूर होती हैं,लेकिन एक व्यक्ति इन्हें पूरक के रूप में भी ले सकता है। ल्यूटिन और ज़ेक्सैन्थिन युक्त आहार पूरक की एक श्रृंखला ऑनलाइन खरीदने के लिए उपलब्ध है।

धूम्रपान को कहें ना
यह तो हम सब जानते हैं धूम्रपान हर तरह से व्यक्ति के स्वास्थ्य के लिए हानिकारक है और कैंसर का कारण बन सकता है। लेकिन बहुत से लोगों को यह एहसास भी नहीं होता है कि धूम्रपान और कई नेत्र रोगों के बीच एक संबंध भी है। धूम्रपान से उम्र से संबंधित मैक्यूलर डीजेनरेशन, मोतियाबिंद और यूवाइटिस का खतरा बढ़ जाता है।

यह डायबिटिक रेटिनोपैथी के खतरे को भी बढ़ा सकता है। तंबाकू का धुंआ भी आंखों में जलन पैदा करता है, जिससे सूखी आंख खराब हो सकती है। धूम्रपान छोड़ने से इन नेत्र रोगों के जोखिम को कम करने में मदद मिल सकती है।

स्वच्छता
कॉन्टेक्ट लेंस को छूने से पहले किसी को भी अपने हाथ धोने चाहिए। अच्छी स्वच्छता का अभ्यास आंखों के संक्रमण को रोकने में मदद कर सकता है। संपर्कों को कीटाणुरहित करने और बदलने के लिए निर्माता या डॉक्टर के निर्देशों का हमेशा सावधानीपूर्वक पालन करना समझदारी है।

आंखों के पुराने मेकअप से भी आंखों में संक्रमण का खतरा बढ़ सकता है। 3 महीने से अधिक समय से खुले आंखों के मेकअप का इस्तेमाल नहीं करना चाहिए। यदि किसी व्यक्ति को आंखों में संक्रमण हो जाता है, तो सभी खुली आंखों के मेकअप उत्पादों को फेंकने और बदलने की सलाह दी जाती है।

अपने परिवार के इतिहास को जानें
कुछ परिवारों में नेत्र रोग अनुवांशिक होते हैं। लोगों के लिए अपने नेत्र स्वास्थ्य इतिहास और पारिवारिक इतिहास के बारे में जानना जरुरी होता है। परिवार में चलने वाली आंखों की स्थिति के बारे में जानने से व्यक्ति अपनी आंखों के बेहतर देखभाल कर सकता है। इसके साथ ही परिवार के इतिहास के बारे में नेत्र चिकित्सकों को सूचित करना भी आवश्यक है।

इस प्रकार की स्थितियां जो पीढ़ी दर पीढ़ी चल सकती हैं उनमें शामिल हैं:

उम्र से संबंधित मैक्युलर डीजेनरेशन
मोतियाबिंद
ग्लोकोमा
ऑप्टिक न्यूरोपैथी
मायोपिया
आईवियर
चश्मा पहने से प्रदूषण से होने वाले नुकसान और आंखों की चोटों को रोकने में मदद मिलेगी।

आंखों की चोटें घर के काम, खेल या कुछ प्रकार के उपकरणों के साथ काम करने से लग सकती हैं। चोट कभी भी किसी रोजमर्रा की गतिविधि या संभावित खतरनाक वातावरण में लग सकती है। आईवियर आंखों को चोट, क्षति और जलन को प्रभाव, मलबे और रसायनों से रोकने में मदद कर सकते हैं। आईवेयर कई तरह के हो सकते हैं:

सेफ्टी ग्लास
चश्मे
फेस मास्क, शील्ड और विज़र्स
हेलमेट
धूप का चश्मा
धूप का चश्मा सिर्फ एक फैशन एक्सेसरी नहीं है, क्योंकि वे आंखों को अल्ट्रा वॉयलेट किरणों से से बचाने में भी मदद करते हैं। अत्यधिक यूवी एक्सपोजर आंखों को नुकसान पहुंचा सकता है। यह भी याद रखना महत्वपूर्ण है कि यूवी किरणें बादलों से गुजर सकती हैं और पूरे वर्ष दौर में हो सकती हैं, यहां तक कि सर्दियों में भी।

धूप का चश्मा खरीदते समय, पर्याप्त यूवी सुरक्षा वाली जोड़ी चुनना आवश्यक है। आंखों को यूवी प्रकाश से बचाने के लिए चौड़ी-चौड़ी टोपी पहनना एक और तरीका है। यूवी किरणों से निम्नलिखित जोखिम हो सकते हैं:

मोतियाबिंद
आँख का कैंसर
आंखों की समस्या जैसे टेरीजियम
यूवी प्रकाश से किसान, मछुआरे,सर्फर,स्कीयर,जो लोग बाहर या दोपहर की धूप में बहुत समय बिताते हैं ऐसे लोगों की आंखों को क्षति होने की ज्यादा आशंका होती है।
नियमित आंखों की जांच
आंखों की जांच ही लोगों के लिए यह सुनिश्चित करने का एकमात्र तरीका है कि उनकी आंखें पूरी तरह से स्वस्थ हैं। इस परीक्षा के दौरान, नेत्र चिकित्सक व्यक्ति की पुतलियों को चौड़ा करने के लिए विशेष बूंदों का उपयोग करता है, जो उन्हें आंखों के पिछले हिस्से में देखने और समस्याओं की तलाश करने में मदद करता है।

एक फैली हुई आंख की जांच से शुरुआती चरणों में आंखों की स्थिति का पता लगाने में मदद मिल सकती है, जैसे कि ग्लूकोमा और मैकुलर डिजनरेशन।

स्क्रीन ब्रेक
कंप्यूटर पर काम करना या किसी एक चीज पर ज्यादा देर तक फोकस करना आंखों में खिंचाव या थकान का कारण बन सकता है। जो लोग कंप्यूटर या मोबाइल उपकरणों के सामने बहुत समय बिताते हैं, वे 20-20-20 नियम को आजमा सकते हैं। हर 20 मिनट में, 20 सेकंड के लिए स्क्रीन से लगभग 20 फीट दूर किसी चीज़ को देखें। यह व्यायाम आंखों के तनाव को कम करने में मदद कर सकता है।

मधुमेह को नियंत्रित करना
ब्लड शुगर में अचानक परिवर्तन अस्थायी धुंधली दृष्टि का कारण बन सकता है। टाइप 1 और टाइप 2 मधुमेह की एक संभावित जटिलता एक आंख की स्थिति है जिसे डॉक्टर डायबिटिक रेटिनोपैथी के तौर पर बताते हैं। ब्लड शुगर का उच्च स्तर धीरे-धीरे रेटिना में ब्लड वेसेल्स को नुकसान पहुंचा सकता है, जिससे वे सूजन, रिसाव या अवरुद्ध हो जाते हैं।

इसके परिणामस्वरूप निशान ऊतक और नई, असामान्य रक्त वाहिकाओं का विकास भी हो सकता है। उपचार के बिना, डायबिटिक रेटिनोपैथी से दृष्टि बाधित हो सकती है और अंततः अंधापन हो सकता है। खराब रक्त शर्करा नियंत्रण वाले लोगों में इस स्थिति के विकसित होने का खतरा अधिक होता है। ब्लड शुगर में अचानक परिवर्तन भी धुंधली दृष्टि का कारण बन सकता है जो स्तर स्थिर होने पर खत्म हो जाता है।

ब्लड शुगर का नियंत्रण बनाए रखने और आंखों की हर साल जांच कराने से मधुमेह संबंधी रेटिनोपैथी के विकास के जोखिम को कम करने में मदद मिल सकती है।

पुरानी स्वास्थ्य स्थितियों का प्रबंधन
मधुमेह के अलावा अन्य स्वास्थ्य स्थितियां भी हैं जो दृष्टि समस्याओं में योगदान कर सकती हैं।

65 वर्ष या उससे अधिक आयु के लोग जिन्हें दृष्टि हानि है, उनमें पुरानी स्थिति होने की संभावना अधिक होती है। इनमें शामिल हैं:

उच्च रक्तचाप
दिल की बीमारी
उच्च रक्त कोलेस्ट्रॉल
कैंसर
गुर्दे की बीमारी
आघात
वात रोग
हेपेटाइटिस
दमा
डिप्रेशन
क्रॉनिक ऑब्सट्रक्टिव पल्मोनरी डिजीज (COPD)
सुनने में परेशानी
मल्टीपल स्केलेरोसिस (एमएस) भी दृश्य हानि और रेटिना संरचना में परिवर्तन का कारण बन सकता है। इन पुरानी स्थितियों के लिए उचित उपचार प्राप्त करने से किसी व्यक्ति की आंखों की समस्याओं के जोखिम को कम करने में मदद मिल सकती है। वृद्ध होना और कुछ स्वास्थ्य स्थितियां किसी व्यक्ति की दृष्टि को प्रभावित कर सकती हैं।

हालांकि, एक व्यक्ति अपनी दृष्टि में सुधार और सुरक्षा के लिए कई कदम उठा सकता है। इनमें हाथ धोना, धूम्रपान छोड़ना, पर्याप्त विटामिन प्राप्त करना और सुरक्षात्मक आईवियर पहनना जैसी साधारण चीजें शामिल हो सकती हैं। एक स्वस्थ वजन बनाए रखने और संतुलित, स्वस्थ आहार खाने से मधुमेह और अन्य पुरानी स्थितियों के विकास के जोखिम को कम किया जा सकता है जिससे आंखों की समस्याएं हो सकती हैं।

1. Dr. S. A. Somashekar

Https://www. Lybrate. Com/bangalore/doctor/dr-somashekar-s-a-rheumatologist

Mbbs, dm - rheumatology

20 years experience 600 at clinic

;

Rheumatology is the specialty that he specialises in as a highly qualified physician. His clinical training came from two highly regarded universities: he earned his mbbs from mysore university in 2002 and his dm in rheumatology from ryazan state medical university in 2011. Both of these universities are well known in their respective fields. He is a well-known figure within the indian rheumatology organisation, where he serves as a provisional member.



2. Dr. Santosh saklecha

Https://www. Lybrate. Com/bangalore/doctor/dr-santosh-saklecha-rheumatologist ;

Mbbs, md - general medicine, fellowship in rheumatology

16 years experience 250 - 700 at clinic

;

He has been a recognized physician for the past 16 years, and he is well-respected. He is a critical care specialist as well as an expert in bone imaging and musculoskeletal conditions. He is a highly qualified physician working in the area.

;

He acquired his clinical training from prestigious schools such as sri devaraj urs medical college in 2006 for his mbbs, m. S. Ramaiah medical college for his md in general medicine in 2010, and eular geneva for his fellowship in rheumatology in 2014. He is currently practising medicine. Both the indian rheumatology association and the indian society of critical care medicine (isccm) hold him in high esteem as a member of their organisations.

3. Dr. Sharath kumar

Https://www. Lybrate. Com/bangalore/doctor/dr-sharath-kumar-rheumatologist-1

Mbbs, md - paediatrics, dnb - rheumatology ;

Rheumatologist, delhi

20 years experience 550 - 750 at clinic



His clinical experience comes from well-respected institutions such as the mbbs programme at bangalore medical college and research institute, which he completed in 2002, md dnb in paediatrics from pgimer in chandigarh in the year 2007, rheumatology diplomate of the national board of examinations, new delhi, 2013. ;



He has been honoured with a number of accolades from illustrious organisations, such as the eular bursary for young rheumatologists. Young rheumatologists are encouraged to apply for the eular bursary so that they can attend the eular conference in london, united kingdom. He is a well-respected member of the indian rheumatology association as well as the paediatric rheumatology chapter of the indian academy of paediatrics (iap).

4. Dr. Sathish r. Kalanje

Https://www. Lybrate. Com/bangalore/doctor/dr-sathish-r-kalanje-rheumatologist ;

Mbbs, fellowship in rheumatology, md, dabim

32 years experience 500 at clinic

 

Rheumatologist is the specialty that he specialises in as a highly qualified physician. His clinical knowledge comes from well-respected institutions such as the mbbs programme at bangalore medical college and research institute, which he completed in 1990 in bangalore. Fellowship in rheumatology from the university of missouri in columbia (1999); medical doctorate from the university of missouri in 1997, the diplomate of the american board of internal medicine in 1997. He has been a member for a significant amount of time and is held in high regard by the american board of internal medicine in the united states.

5. Dr. Harshini a s

Https://www. Lybrate. Com/bangalore/doctor/dr-harshini-a-s-rheumatologist-immunologist 

Mbbs, md - internal medicine, fellowship in rheumatology

Rheumatologist & immunologist, bangalore

11 years experience 600 at clinic

 

She is a highly qualified medical professional who practises in the area as a rheumatologist. Her clinical training came from illustrious schools such as mbbs from m. S. Ramaiah medical college in bangalore in 2011; md internal medicine from the bangalore medical college and research institute in bangalore in 2015; and completed her fellowship in rheumatology from the christian medical college in vellore, tamil nadu, in 2018. She has been practising medicine since 2011.

 

6. Dr. Sagar bhattad

Https://www. Lybrate. Com/bangalore/doctor/dr-sagar-bhattad-rheumatologist 

Mbbs bachelor of medicine and bachelor of surgery, md- paediatrics & neonatology

12 years experience 700 at clinic

 

He is a highly qualified medical professional who practises in the area as a rheumatologist, paediatric rheumatologist, immunologist. The following are some of the prestigious institutions from which he obtained his clinical expertise: mbbs, bachelor of medicine and bachelor of surgery from jnmc, belgaum in 2010, md-paediatrics & neonatology from pgimer, chandigarh in 2013, graduate certificate of paediatric rheumatology from pgimer, chandigarh 2016.

7. Dr. Chethana dharmapalaiah

Https://www. Lybrate. Com/bangalore/doctor/dr-chethana-dharmapalaiah-rheumatologist 

Mbbs, mrcp (uk), mrcp, cct - rheumatology

21 years experience 700 at clinic

 

Doctor chethana has been working in the field of rheumatology for 20 years. Having a well known name and a good reputation when it comes to treating joint disorders. She is a specialist in treating rheumatic disorders and also has functioned as a good physician when it comes to patient care. 

 

She has done her mbbs from kempegowda institute of medical sciences (kims), bangalore in 2001 and also gained her clinical expertise in the form of mrcp in 2006 and also her mrcp, cct in 2010, both from royal college of physicians, london, uk. She is an important part of association of otolaryngologists of india (aoi) and a renowned speaker of indian medical association (ima) and also a member of british medical association, uk.

8. Dr. Swetha jayram

Https://www. Lybrate. Com/bangalore/doctor/dr-swetha-jayram-rheumatologist 

Md, fellowship in rheumatology and immunology

10 years experience 400 at clinic 200 online

 

She is an expert rheumatologist with ten years of experience in the field. Her clinical training came from prestigious institutes such as md from bangalore medical college and research institute, bangalore in 2012; fellowship in rheumatology and immunology from the chanre rheumatology and immunology centre and research in bangalore, in 2015.

9. Dr. Srinivasa. C

Https://www. Lybrate. Com/bangalore/doctor/dr-srinivasa-c-rheumatologist 

Md - general medicine, mbbs, dm - rheumatology

20 years experience 700 at clinic

 

He is a highly qualified medical professional who practises in the area as a rheumatologist. His clinical competence was gained from such renowned institutes as the md general medicine from sri devaraj urs medical college in 2008; mbbs from vijayanagara institute of medical sciences (vims), bellary in 2002, and a doctor of medicine in rheumatology from the nizam institute of medical sciences, hyderabad in 2014. He has served the indian rheumatology association for a long time and is well regarded for his contributions.

10. Dr. Shweta singhai

Https://www. Lybrate. Com/bangalore/doctor/dr-shweta-singhai-rheumatologist 

Mbbs, dnb - internal medicine

23 years experience 700 at clinic

 

She is regarded as one of the best rheumatologists in vellore which is due to her 23 years of experience in the field. Her clinical training came from prestigious institutes such as gandhi medical college, bhopal in 1999; dnb internal medicine from choithram hospital and research centre in 2004. She is board certified in internal medicine.

 

Dr. K. K. Reddy
Https://www. Lybrate. Com/hyderabad/doctor/dr-k-k-reddy-pulmonologist
Mbbs diploma in tuberculosis and chest diseases dtcd
27 years experience - 350 at clinic

He has significant medical knowledge in pulmonology and is well recognised as a leading medical expert. A name like his would be hard to forget. Professionalism was refined during his 1995 graduation from the mbbs at osmania medical college in hyderabad, from which he received high honours.
A large number of patients with the utmost care and precision at several prestigious facilities, including as a consultant at st. Theresa hospital in erragadda, and also at anupama hospital and prasad hospital. He is well-known within the medical community in kukatpally, where he often gives talks at cme events for doctors.

Dr. K prasanna kumar reddy
Https://www. Lybrate. Com/hyderabad/doctor/dr-k-prasanna-kumar-reddy-pulmonologist

Fccp usa dnb diploma in tuberculosis and chest diseases dtcd
14 years experience - 400 at clinic


Doctor reddy is eagerly trained as a chest physician, pulmonologist, and somnologist to acquire clinical experience in the field of pulmonology. His efforts resulted in distinguished degrees from the fccp. He knows everything there is to know about this subject matter. ;
The national board of new delhi awarded him a diploma in tuberculosis and chest diseases (dtcd) in 2008 from guntur medical college in guntur, india. He is a well-respected member of the european respiratory society, the american college of chest physicians, and the indian chest society and has spoken at several postgraduate medical workshops and seminars.
Dr. Chandra mohan
Https://www. Lybrate. Com/hyderabad/doctor/dr-chandra-mohan-pulmonologist-1

Mbbs dtcd
16 years experience - 300 online

He is a renowned physician who possesses clinical expertise in the field of pulmonary medicine, having precise and absolute knowledge of working in the field as a pulmonologist and an asthma specialist, also working as a chest physician and an allergist, treating needy patients.
He is also an hiv specialist, treating patients as a sleep specialist. He earned his expertise in prestigious degrees such as mbbs and dtcd of osmania medical college in 2006. As a registrar at mahavir hospital, he provides treatment to a number of patients at a variety of well-known institutions using the highest level of caution and accuracy. He has worked as a consultant at the yashoda hospital in secunderabad, at the oxygen hospital, at the kamala hospital, and also at the ikon hospital in dilsukhnagar.
Dr. Rikin hasnani
Https://www. Lybrate. Com/hyderabad/doctor/dr-rikin-hasnani-pulmonologist
Md mbbs
12 years experience - 350 at clinic - 700 online

Dr. Hasnani's clinical experience in the field of pulmonary medicine was achieved via the completion of a prominent degree of doctor of medicine and a doctor of surgery. He is known as a distinguished physician. In 2010, he worked at the chalmeda anand rao institute of medical sciences, and in 2017, he had treatment training at svs medical college and hospital. ;
He is a renowned physician with clinical expertise in the field. He has done his postgraduate from svs medical college and hospital, worked as a resident at nova super speciality hospital, as a hospital resident at care nampally, registrar at olive hospital, senior resident at gandhi hospital, and consultant at udai omni hospital. He has treated many of his patients with the utmost care and precision at various reputed institutions.

Dr. Pradeep simha karur
Https://www. Lybrate. Com/hyderabad/doctor/dr-pradeep-simha-karur-pulmonologist
Mbbs mrcp uk cct respiratory medicine
17 years experience - 500 at clinic - 500 online

He has extensive experience as a pulmonologist general physician and holds significant degrees in the area from bangalore medical college and research institute bangalore, where he studied medicine. He is a well-respected physician with training in pulmonary medicine, having completed mrcp in 2010 and the cct- respiratory medicine in 2013, both from the royal college of physicians of the united kingdom.
He has served as a clinical research fellow at university hospital of south manchester, a pulmonologist at the Dr. Pradeep simcha chest clinic, and a pulmonologist at the redhead lyfe, as well as a consultant pulmonologist at sheffield teaching hospital. He was also a participant and presenter at several cme workshops and seminars associated with the british thoracic society, the european thoracic society, and the respiratory society.


Dr. Methuku narendar
Https://www. Lybrate. Com/hyderabad/doctor/dr-methuku-narendar-pulmonologist

Md - pulmonary medicine, mbbs
31 years experience - 400 at clinic

Doctor narendra is a renowned respiratory expert and an intellectual of pulmonary medicine before and during his time as a chest physician and as a professional pulmonologist. He received the md in pulmonary medicine and the mbbs from osmania medical college in hyderabad, making him a well-known physician with clinical skill in the field of pulmonary medicine. ;
He treats respiratory disorders including asthma, bronchitis, bronchiectasis, coronary obstructive pulmonary disease and lung cancer. He is a prominent member of the european respiratory society (ers), indian chest society (ics), american thoracic society (ats), nccp (american college of chest physicians), and european society of bronchology and interventional pulmonology (esbip), he attended numerous continuing medical education (cme) workshops and seminars.
Dr. Radhika sharma
Https://www. Lybrate. Com/hyderabad/doctor/dr-radhika-sharma-pulmonologist

Md - tuberculosis respiratory diseases pulmonary medicine
Mbbs 12 years experience - 500 at clinic - 500 online

He is well recognised as a skilled physician and pioneering pulmonologist. He is a doctor who specialises in infectious illnesses and has to have a sharp mind and good recall. Asthma, various allergic respiratory disorders, bronchitis, emphysema, copd, and lung cancer are his areas of expertise as well as a paediatric pulmonologist. He attended the highly acclaimed nanjing medical university for his mbbs in 2010. He earned his md in 2017 from chettinad medical college in tamilnadu, india.

Dr. Raju ch
Https://www. Lybrate. Com/hyderabad/doctor/dr-raju-ch-pulmonologist

Mbbs md pulmonary medicine
16 years experience - 400 at clinic

In the medical community, he is well regarded for his knowledge and experience in pulmonary medicine. He graduated with an mbbs from svs medical college in 2006 and an md in pulmonary medicine from mamata medical college of khammam in 2012, establishing him as a specialist with unrivalled knowledge in his area as a chest physician and paediatric pulmonologist. As a member and frequent speaker at fcc and cme workshops and seminars, he is well-known in the indian medical community and among the nccp.

Dr. Arun kanala
Https://www. Lybrate. Com/hyderabad/doctor/dr-arun-kanala-pulmonologist

Fellowship in minimal access surgery mch cardio thoracic vascular surgery
14 years experience - 600 at clinic

He is well-respected in the medical community for his expertise as a pulmonologist. Accuracy and precision are necessities in the field of surgical oncology. Asthma and bronchitis are among the examples of the respiratory illnesses he treats. ;
He holds a fellowship in minimally invasive surgery from osmania medical college in hyderabad (2010), an mch in cardiothoracic vascular surgery from harvard medical school in the united states (2008), and a fellowship in minimally invasive surgery from the same institution in 2012.
He has treated many patients with the utmost care and precision throughout his time as a clinical fellow at brigham women's hospital in boston and a consultant at government chest hospital. A prominent member of the association of thoracic surgeons of the united states. He has also attended various continuing medical education workshops and seminars.


Dr. Sandeep raj bharma
Https://www. Lybrate. Com/hyderabad/doctor/dr-sandeep-raj-bharma-pulmonologist ;

Fellowship in pulmonary medicine, fellowship in sleep medicine, md
13 years experience 500 - 700 at clinic 700 online

As an asthma expert and paediatric pulmonologist, he has treated children suffering from a variety of diseases. He has also held positions as a pulmonologist and sleep expert. He is a chest specialist. In 2012, he got his fellowship in pulmonary medicine from christian medical college and hospitals, vellore, where he excelled academically. In 2010, he earned a fellowship in sleep medicine from johns hopkins university. In 2009, he earned his medical degree from kamineni institute of medical sciences, narketpally.
He has served as a consultant at hospitals in kamineni. He was awarded a global fellowship in sleep medicine. He plays a significant role in the american college of chest physicians.

Seeing someone who used to do all their activities on their own turn to someone who needs help even with small things like going to the bathroom can be very difficult.

The lungs are vital organs in that they are essential to supply oxygen to the entire body. If the various organs do not receive adequate oxygen, their function can be impaired. Therefore, lung function needs to be maintained. Lung function can be impaired by chronic conditions like COPD and bronchiectasis. In both these, the overall ability of the lungs to take in adequate oxygen is reduced. Therefore, the lungs need to be rehabilitated so that they can improve their ability to function better. These exercises are aimed at the following:

Improve ability to breathe effectively
Reduce episodes of breathlessness
Reduce the number of hospitalizations required to clear sputum and infections
Improve ability to perform small, routine chores on their own
Improve exercise tolerance over a period of time
Improve overall quality of life
Reduce morbidity and mortality rates
It has been proven beyond doubt that in addition to medications, physiotherapy plays a vital role in improving lung function over a period of time. Depending on the actual condition of the patient, a physiotherapy program is drawn up. Initially, the therapist will guide the patient and/or the caretaker with the various exercises. Over a period of time, the caretaker and the patient can do these on their own. The intent of these common exercises is to improve breathing efficiency, clear mucus, and improve overall lung function.

Active breathing techniques (ABT) We all know that breathing is involuntary; however, making an effort to consciously breathe can improve the efficiency. More oxygen is taken in and sent to the various organs, thereby rejuvenating the entire body.
Postural drainage: With any chronic lung condition, sputum or mucus tends to accumulate in various parts of the lungs. If not drained, it can attract more bacteria and cause infection. The patient is made to lie in various positions so that different parts of the lungs are drained, aided by gravity. This is highly effective in clearing secretions.
Pursed lip breathing: Inhaling through the nose and letting the air out through the mouth like how a candle is blown helps improve lung function.
Forced coughing: A person is taught to induce coughing so that secretions are cleared out, thereby reducing chances of infection. Inhale as usual to the full capacity and exhale in coughing spurts.
It has been proven beyond doubt that with no side effects (unlike medications), physiotherapy improves the overall quality of life in people with COPD.

Based on latest data available till date.

Maintain social distancing
wash your hands frequently and use sanitisers
use face mask
do not go out of home unnecessarily


patients of rheumatology like rheumatoid arthritis, sle, ankylosing spondylitis, vasculitis are not at
Increased risk of getting coronavirus as compared to the general population
well controlled disease or arthritis offer better protection against any infection including coronavirus,
As compared to the uncontrolled disease
patients should not stop taking their medicines without asking the doctor
covid-19 disease behaves similar to that of general population in patients taking rheumatology
Medicines
patients taking biological medicines, high dose steroids or cyclophosphamide, elderly should takes
Extra precautious and should maintain social distancing and must not go out of their homes
as of date there is no hard evidence that hydroxychloroquine prevents infection from coronavirus.

Rheumatoid Arthritis is an autoimmune condition wherein the body s immune system mistakenly attacks the linings of the joint. This condition affects both sides of the body including the eyes, hands and legs. Unlike the depreciating damage of osteoarthritis, rheumatoid arthritis causes a distressful swelling that consequently leads to bone deformity and even erosion. As such, it is one of the more important characteristics of the condition which distinguishes it from other forms of arthritis. It often leads to debilitating disabilities.

Risk factors and complications
Factors such as obesity, smoking, age (affects mostly after the age of 40) and many environmental factors increase the risk of Rheumatoid arthritis. In severe cases, rheumatoid arthritis can lead to a plethora of other conditions such as:

Dry mouth and eyes
Osteoporosis
Abnormal body composition
Treatment
Blood and imaging tests will first be carried out. Based on such diagnosis, you may be advised medications such as steroids or Nonsteroidal anti-inflammatory drugs (NSAIDS). Now in case of severe pain, one would have to take to surgery. Varying surgeries work on different joints of the body and some of these include:

Arthroplasty: This procedure replaces all or a part of the joint for instance, the knee or the hip.
Arthroscopy: A procedure which helps pull out inflamed tissue or debris from the required joint with the help of light, small instruments.
Cervical spinal fusion: Pressure on the median nerve is eased with this procedure.
Hands and foot surgeries: These procedures help correct dysfunctional joints of the hands, fingers, legs and toes.
Synovectomy: Synovectomy helps remove more intricate tissues which are inflamed or otherwise.
What to consider before you opt for one?
Although these various surgeries often restore almost-normal movements in the patient, they can only do so in two or possibly three joints. And of course, it goes without saying that you should consult with an orthopaedist orthopaedic surgeon) experienced in arthritis and joint surgeries before opting for such.

You may have reached a ripe age with all the worldly knowledge at your disposal to share with the world. You may have reached a stage where you no longer feel like a learner in important areas of life and could easily be someone who has the experiences and the expertise to help people out in times of their trouble.

However, you may also be at a juncture where your knees in particular may not be your best friends anymore. You may be facing a lot of joint issues and the knees may be a pair of joints that give you immense pain and discomfort when you climb stairs, walk some distance or even just stand or sit. It is very likely that you may be suffering from rheumatoid arthritis and may experience unbearable pain in a lot of joints of the body.

Though when you are afflicted with rheumatoid arthritis, you feel pain in more than one joints, but the knees are the worst affected areas in most cases and a lot of patients are advised to undergo a knee replacement surgery to be able to control the pain. There may be a lot of debates and doubts about whether a person suffering from RA should go under the knife to experience a new life after the surgery.

Some may not agree:
Just as all things have two sides to them, there are those who may be in favour of a knee replacement surgery and those who may not suggest taking the surgery. The reasons why a lot of experts may not favour the surgery include reasons such as the recovery period may take too long, though the surgery may be carried out for the knee joints, it may not be able to help in bringing down the pain in the other joints and arguments such as the replacement surgery may not be absolutely successful all the time.

Here is why you should get it:
Though the patients may have to go through pain in getting a set of new knee joints, there are a lot of reasons that help the patients in taking up the resolve to get the surgery done. Here are a few reasons why it may be the thing to do:

The surgery help you get back in time when you were able to lead a life free of pain in the knees. While the other joints may experience pain when you suffer from RA, the pain in the knees comes across as the most painful and when that is tackled, more than half the battle is won.
While it may be easy to tackle the pain in the other joints through simple physio exercises, it is difficult to manage the knee joint pain and a surgery may be the ultimate relief for the problem.
When a major pain region such as the knee is tackled, it becomes simpler to handle the other joints and the problem of RA may be resolved entirely.
With such advantages from the surgery, it may make sense to a lot of people to get over with the procedure and experience a better quality of life.

Over time, our joints, connective tissues and muscles go through a lot of wear and tear. Additionally, certain conditions may also cause problems, including inflammation and conditions that create persistent pain. These conditions usually fall under the broad category of arthritis, which can be of many types. Rheumatoid arthritis (RA) happens when your immune system targets your joints and causes inflammation. RA influences the joints on both sides of the body, for example, both hands, wrists and knees. This symmetry separates it from other kinds of arthritis. It can affect the skin, eyes, lungs, heart, blood, or nerves.

Various signs of inflamed joints are as follows:

Stiffness: Functioning of the joints becomes rigid and doesn't move properly. It is particularly severe in the morning. While those with different types of arthritis have stiff and immobile joints in the morning, people with rheumatoid arthritis take over 60 minutes before their joints feel free.

Swelling or Inflammation: Liquid enters the joint and gives rise to inflammation.

Extreme pain: Irritation inside a joint makes it painful and delicate even to touch. In a chronic condition, this may also lead to fractures.

Redness and warmth: The joints might appear hotter and more pink or red than the skin around it.

Needless to say, your lifestyle choices affect all aspects of your physical wellbeing, and that also include your joints- especially if you are suffering from arthritis. It s a common theory, that joints which are strained and stressed by bearing the burden of extra pounds show more inflammation, wear and tear and stiffness which lead to aggravation of arthritic pain. Here are a few holistic approaches to consider; certain changes in your existing lifestyle that can help you to reduce your arthritic pains:

First and foremost, it s important that you must indulge in plenty of exercises every single day, to keep pounds off and thus help yourself handle this degenerative disease.
In case of creating a healthy diet plan, stick to low calorie and low carb foods. Also be sure that you are consuming lots of vegetables and fruits in your diet. This also helps you to keep fit and put a break on the obesity factors that are detrimental to your health.
As even a few extra pounds can worsen arthritic pain, keep track of your weight and talk to your orthopedic doctor to determine your optimal and healthiest weight. Focus on this prescribed weight coefficient and keep tracking your weight loss patterns unless you have reached your goal.
Cut down on alcohol. There has never been a finer alternative to that.
Feeling depressed or stressed by arthritic pain is a common syndrome among arthritic patients. Nevertheless, on the flipside, such reactions actually worsens the agony of this disease and inhibit you from doing what you need to do, such as taking medications and exercising to keep yourself fit at the end of the day.
Although admittedly, making drastic modifications in your lifestyle can be painful and difficult at first, these are the best remedies for easing arthritic pain in a natural way.
Don t just rely on medications, take control of your disease in a holistic manner and you ll soon find yourself in control of your life again.

Treatments

If rheumatoid arthritis is not treated immediately after diagnosis, it might cause further complications in the future such as lymphatic blood cancers, osteoporosis (a medical condition resulting in brittle and weak bones), blockage of the arteries and dry mouth syndrome (Xerostomia).

The treatment of rheumatoid arthritis includes:

Prescribed dosage of non-steroidal anti-inflammatory drugs such as Ibuprofen and Naproxen, anti-rheumatoid drugs such as Methotrexate and steroidal drugs such as Prednisone help in reducing inflammation and pain. The dosage depends on the intensity of the condition.
Performing regular exercises which will help you retain flexibility of the joints and subsequently cure rheumatoid arthritis.
In extreme cases, the doctor might suggest surgeries such as:
Synovectomy: A surgery that removes the damaged portion of the joint
Joint fusion: This option will realign the joint and reduce the pain If you wish to discuss about any specific problem, you can consult a internal specialist.