Asthma Clinic
Asthma Clinic
Asthma Clinic
Asthma Clinic

Overview

The Jehangir Pulmonology Clinic is the unique comprehensive centre for Asthma, Allergy & other Respiratory diseases in both children and adults. The clinic involves multidisciplinary services of peadiatric specialists from Pulmonology, Allergy and Immunology, ENT, respiratory therapy and more. We have a highly sophisticated Bronchoscopic suite, Sleep lab, Spirometry, ICU and other cutting edge equipment.

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Scope of Services
Adult Pulmonology:

Pulmonary Function Testing (PFT): Our advanced PFT lab, outfitted with cutting-edge technology, meticulously assesses lung function with precision and accuracy. From spirometry to lung volume measurements and diffusion capacity testing, our expert respiratory therapists utilise the latest techniques to evaluate pulmonary function and diagnose conditions such as asthma, COPD, and restrictive lung diseases.

Pulmonary Function Tests are non-invasive assessments that demonstrate how well the lungs are functioning. The tests measure lung volume, capacity, flow rates, and gas exchange. This information can assist doctors in diagnosing and determining the treatment of certain lung conditions. It is a comprehensive evaluation of the respiratory system, which includes patient history, physical examinations, and tests of pulmonary function. The primary purpose of pulmonary function testing is to identify the severity of pulmonary impairment.

Pulmonary Function Tests typically take approximately 15 minutes to complete. The Pulmonology department at Jehangir hospital is equipped with Forced Oscillometry Technique for PFT. The forced oscillation technique (FOT) is a non-invasive method used to measure respiratory mechanics. FOT employs small-amplitude pressure oscillations superimposed on normal breathing and has the advantage over conventional lung function techniques as it does not require the performance of respiratory manoeuvres. This technique can be utilised in children and elderly frail people to diagnose respiratory disease. Jehangir Hospital is one of the few hospitals in Pune to offer this service.

Imaging Services: Leveraging advanced imaging capabilities encompassing chest X-rays, computed tomography (CT) scans, and magnetic resonance imaging (MRI), we provide detailed insights into the structure and function of the respiratory system. Whether detecting pulmonary nodules, evaluating airway abnormalities, or assessing the extent of lung disease, our radiology team delivers high-quality imaging solutions to support accurate diagnosis and treatment planning.

Bronchoscopy: Within our dedicated bronchoscopy suite, a range of diagnostic and therapeutic procedures are conducted to investigate and manage respiratory disorders. Employing flexible and rigid bronchoscopy techniques, our skilled pulmonologists visualise the airways, obtain tissue samples for biopsy, remove foreign bodies, and perform interventions such as bronchial stenting and bronchial thermoplasty.

Nidra - Sleep Studies Clinic: According to a recent study conducted by AIIMS, New Delhi, obstructive sleep apnoea and other sleep disorders are increasing in India. The number of Indians suffering from obstructive sleep apnoea could be as high as 104 million,. According to the researchers, who analysed seven studies conducted over the past two decades from different parts of the country, 11% of Indian adults suffer from OSA, with men at higher risk (13%) compared to women (5%). At Jehangir Hospital, we perform Level I studies to diagnose and treat this condition. Level I sleep studies, or polysomnography, involve overnight testing in a sleep laboratory with a trained technician in attendance. Level I polysomnography is considered the gold standard for this.

Through our comprehensive sleep medicine program, polysomnography and home sleep apnea testing are conducted to evaluate sleep disorders such as obstructive sleep apnea, central sleep apnea, and insomnia. Our multidisciplinary team of sleep specialists, respiratory therapists, and technologists collaboratively diagnose and manage sleep-related breathing disorders, thereby enhancing patients' quality of life and overall well-being. We also offer immunotherapy against allergens in selected patients providing curative treatment to their allergy.

Allergy Testing:In collaboration with our allergists and immunologists, we offer allergy testing services to identify respiratory allergens and sensitivities contributing to conditions such as allergic rhinitis, asthma, and sinusitis. From skin prick tests to blood tests for specific IgE antibodies, our comprehensive allergy testing panel enables targeted allergen avoidance strategies and personalised treatment plans.

EBUS:EBUS ( ultrasound) bronchoscopy is a procedure used to diagnose different types of lung disorders, including inflammation, infections or cancer. The EBUS scope has a video camera with an ultrasound probe attached to create a local images of your lungs and nearby lymph nodes in order to accurately locate and evaluate areas seen on x-rays or scans that need a closer look.

Paediatric Pulmonology:

The Jehangir Paediatric Pulmonology Clinic is the unique comprehensive centre for Asthma, Allergy & other Respiratory diseases in children. The clinic involves multidisciplinary services of peadiatric specialists from Pulmonology, Allergy and Immunology, ENT, respiratory therapy and more. We have a highly sophisticated Bronchoscopic suite, Sleep lab, Spirometry, ICU and other cutting edge equipment.

1. Asthma and Respiratory Allergy:Our paediatric experts will provide your expert diagnosis, a personalised care plan. and comprehensive education, so that your child can breathe more easily whether at home, at school or daycare, and enjoy her/his favourite activities.
Symptoms of Asthma:
Recurrent wheezing
Tightness In the chest
Recurrent coughing, especially early in the morning or at night

Shortness of breath

2. Tuberculosis & other respiratory infections

Tuberculosis (TB) is an infection with a germ (bacterium) called Mycobacterium tuberculosis.

What are the symptoms of active tuberculosis?

Cough lasting more than three weeks is often the first symptom of active tuberculosis (TB). It can start as a dry irritating cough. Other common symptoms are a high temperature (fever), weight loss, chest pain and poor appetite. There can be breathlessness if the infection progresses and damages the lungs.

3. Complicated Pneumonia and Acute Respiratory Problems

Bacteria, fungi, parasites or most commonly, viruses can cause pneumonia in children. It typically starts after a cold, flu or upper respiratory infection.

Symptoms of pneumonia fever:
Chills
Cough
Fatigue
Nausea or vomiting

Shortness of breath

Complications of Pneumonia in Children

Breathing difficulty:Our paediatric experts will provide your expert diagnosis, a personalised care plan. and comprehensive education, so that your child can breathe more easily whether at home, at school or daycare, and enjoy her/his favourite activities. Fluid accumulation around the lungs (pleural effusion): Pneumonia can cause fluid to accumulate in the space between the tissue lining of the lungs and chest cavity (pleura). It needs to be drained through surgery or a chest tube.

Bacteria in the bloodstream (Bacteremia): Bacteria from the lungs can enter the bloodstream and spread the infection to other organs.

4. Chronic & recurrent Respiratory Problems: Commons symptoms include noisy breathing, cough, wheezing, breathlessness, fever and failure to gain weight.

5. Sleep Disorders in Children: Sleep disorders in children may lead to moodiness, irritability, lack of focus in class, sleepiness in school, inability to get up in time for school, and significant behavioural and learning problems. Some sleep disorders are serious enough to cause adverse cardiovascular and metabolic effects as well as failure to thrive. In some cases it may be necessary to observe your child's sleep in the sleep laboratory. Here, children are able to sleep without much difficulty in a comfortable bedroom-like setting, and with a parent nearby. Sleep disorders can lead not only to tired and cranky children, but to all kinds of behavioural problems at home, in school, and in their social lives as well.

6. Airway Disorders in Children: Paediatric airway disorders occur when a child's airway is obstructed or damaged due to illness, disease or congenital (present at birth) defect. Airway disorders occur when a child's airway is obstructed or damaged. The airway is made up of four structures: Pharynx (back of the mouth and nose), Larynx (voice box), Trachea (windpipe), Bronchi (lung passages).

Several diseases, illness or congenital defects can affect any part of the airway, hindering a child's ability to breath. Some of the most common types are outlined below:
Laryngomalacia
Subglottic stenosis
Tracheal stenosis
Vocal cord paralysis
Congenital airway defects
Foreign body in the airway
Symptoms:
Coughing
Difficulty breathing
Shortness of breath or noisy breathing
Wheezing
Allergy Clinic:

What Causes Allergies?Our immune system protects us from invading organisms that can cause illness.Sometimes however, our immune system will react to foods, pollens, dust, or medications and produce an allergic reaction. During an allergic reaction, your body produces antibodies that trigger certain symptoms. These symptoms can vary considerably depending on the allergen involved, as well as your age. For example, infants and toddlers often develop allergic reactions to foods such as milk and eggs, whereas children and adults can become allergic to things they might inhale, such as pollen or dust.

How are Allergies Diagnosed?

Your family history, medical history and physical examination will help determine if your symptoms are caused by an allergy. There are different blood and skin prick tests available to help diagnose an allergy.

Common Symptoms of Specific Allergen

Nose
Common Symptoms: Sneezing, Itchy, runny, stuffy nose and breathing from Mouth

Common Allergens: Pollen, house dust mites, cockroaches, pets and other animals

Eyes
Common Symptoms: Itchy, red, watery and swollen eyes
Common Allergens: Pollen, house dust mites, cockroaches, pets and other animals
Mouth
Common Symptoms: Tingling and itching in the throat, swelling of mouth and / or lips
Common Allergens: Fruits, vegetables, nuts and legumes
Skin
Common Symptoms: Eczema (dry or itchy skin) Rashes, hives, swelling
Common Allergens: Nuts, shellfish, eggs & milk
Lungs
Common Symptoms: Coughing, wheezing,Tightness of Chest, Shortness of breath, Asthma
Common Allergens: Pollen, house dust, mites, cockroaches, pets and other animals, food
Gastrointestinal
Common Symptoms: Diarrhoea, Pain and Nausea, Vomiting, Weightloss
Common Allergens: In Infants and toddlers: Eggs, milk, wheat, soya bean Children and In adults: Eggs, milk, shellfish, wheat, peanuts, hazelnuts and other tree nuts, fruits and vegetables.
Regardless of your type of Allergy, At Jehangir Hospital, our team of highly skilled specialists and our pool of credible doctors will add the care you require to your lives. Seek their guidance today to avoid all the harmful allergens for a healthy life.