Treatment for lung diseases: Dr Prashant Chhajed

crop_5_240x240may27Dr. Prashant Chhajed is currently the Chief Pulmonologist of the Lung Care and Sleep Centre at Fortis Hospitals Mulund and Vashi. He is also a Consultant Chest Physician at Lilavati and Nanavati Hospitals, Mumbai. With over 20 years of experience in Pulmonary Medicine, he has more than 120 scientific publications and has been regularly invited to lecture in various parts of the world. He has received national and international awards for the contribution of Pulmonary Research.

His areas of interests within Pulmonary Medicine include Interventional Pulmonology (Rigid Bronchoscopy, Pleuroscopy), Endobronchial Ultrasound guided Transbronchial Needle Aspiration (EBUS TBNA), Sleep apnea, Interstial Lung Disease and Asthma.

Dr. Chhajed answered Sify readers’ queries related to the above in an exclusive chat.

Sir, My son 17 yr have cough & cold very frequently whenever change of weather. takes 15-20 days to get cured with antibiotics. Problem starts with nasal blockage & congestion initially & acute cough after 2-3 days. Kindly suggest
Should assess for allergic rhinitis.

MEDICINE FOR FIBROSYS IN LUNGS
Depends on type.

And what about yoga like kapaalbhaati and anulom vilom for pulmonary health?
May be helpful.

And is it that even hot showers and sauna bath are good for cleansing lungs?
Not known.

Good afternoon. Is it true Dr. Chhajed that inhaling eucalyptus through steam detoxifies our lungs?
Not known.

What are the worst environment related causes of asthma sir?
Some are Dust. Pollution.

How to prevent the onset of asthma?
Not known. 🙂

Its said that blowing and filling balloons with mouth and blowing a conch keeps our lungs healthy? Myth or fact?
May be helpful In selected cases. On advise of chest physician

Can heavy weight training workout cause asthma or any other breathing problem?
Unlikely.

I am 28yr male. I exercise with heavy weights daily for strength training. I get breathless sometimes. What is your opinion?
Worthwhile to get a lung consultation with a chest physician including pft

should I go for a vaccination again for whooping cough during pregnancy?
Speak to your obstetrician.

I am a pregnant 6months…. i catch up with cough easily…. i had suffered with whooping cough in childhood and was vaccinated. Will my baby also have whooping cough?
Unlikely.

Should asthma patients never exercise?
Discuss about exercise indices asthma with your chest physician.

What is your advice to my brother-41 suffering from asthma?
Regular follow up with a chest physician

Why does longer duration of asthma lead to serious sleep disorder?
Asthma symptoms are known to be present also at night or early morning. Speak to your chest physician.

My elder brother 41 years has asthma. He is on medication. I want to know what other health risks can come with asthma?
Allergic rhinitis may be also be present. Talk to your chest physician.

Does shortness of breath during climbing stairs indicate something serious?
Needs to be investigated.

Hello good morning Sir. how are sleep disorders related to pulmonary health?
It is a big topic – sleep related breathing disorders. Sleep apnea is most common

Is sleeping in air conditioned environment increase the chance of loud snoaring?
No

Can snoaring be treated naturally?
No.

What is your opinion on the nasal cap available to reduce snoaring?
Unclear question

Its commonly said that even pigeons in and around home triggers breathing disorder like asthma. How true?
Main lung problem linked to pigeons is hypersensitivity pneumonitis

Does keeping cats as pets increase the chances of developing breathing problems?
If one is allergic to cats.
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Is it ok to smoke a cigarette once or twice a month?
No

What are the treatment options available today for interstial lung disease?
Interstitial lung disease encompasses a group of diseases. The interstitial lung disease needs to be subtyped and accordingly treatment can be advised.

Hey Dr Prashant. When you say exercise induced asthma does it mean that heavy exercise can lead to asthma or does it mean that exercise can asthmatic attack in people suffering from asthma?
Some individuals may have exercise induced asthma. Not all individuals who exercise will get exercise induced asthma

I have 2 dogs as pets at home. Am I at a risk of getting asthma some day?
If you are allergic to dogs then you may be at risk

Can passive smoking also cause asthma at some stage?
May cause bronchitis.

To what extent can passive smoking harm?
Passive smoking is also harmful and should be avoided.

Our environment is getting more and more polluted day by day. How can I keep my lungs healthy?
Best is to avoid polluted areas. Yoga and breathing exercises may be helpful.

Is there still no permanent cure or treatment to asthma?
Asthma can be well controlled with current therapies.

Hello. What is the first thing to do if someone gets an asthma attack in the family?
Reliever therapy needs to be always kept with the patient. Ask your chest physician for reliever therapy. Also understand about controller therapy from your chest

What foods are the best and what foods should be avoided on having asthma?
You have to observe which foods are affecting and accordingly avoid them. Discuss with your chest physician.

Being an asthma patient what type of physical activity is the best for my father’s health?
Depends on the severity of the asthma. Get a physiological assessment for severity of asthma. Accordingly your doctor can advice.

How can he prevent asthma from getting worst?
Take prescribed medications regularly. Also monitor PFT

My father 59yrs is under medication for asthma. Does asthma get worst with growing age?
you need to get his pulmonary function test to assess the severity of asthma

As I have put on some extra weight since I got married. I do have belly fat. Does excess body weight cause snoring and sleep apnea?
yes it can

Is snoring related to sleep apnea?
yes. snoring is associated with sleep apnea

I am 36yrs male. I do snoar really loud sometimes. When should snoring be considered abnormal?
snoring can be linked to obstructive sleep apnea. symptoms such as unrefreshed sleep or excessive day time sleepiness are some of the symptoms of sleep apnea. so if you have any symptoms in addition to the snoring you should see a chest physician intertested in sleep apnea. it is also linked to diseases such as blood pressure and diabetes.

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