Department Of Pulmonology
The pulmonologist/ chest physicians/ respiratory medicine specialist are expert consultants who deal with lungs/ respiratory system related diseases & disorders. The lungs are the vital organs that help in breathing and provide oxygen to the body. These specialists provide you the solution to various lung disorders including but not limited to i.e. asthma, Chronic obstructive pulmonary disease (COPD), interstitial lung disease (ILD), Lung cancer, and other common respiratory infections like bacterial, viral, and fungal pneumonia. Recently, COVID-19 disease is one such kind of viral infection that can cause lung infections, pneumonia, and respiratory failure.
At CK Birla hospitals, the RBH department of pulmonology is equipped with expert consultants, trained staff, and cutting-edge new tools to provide solutions for all possible lung-related problems.
The scope of services
- Pulmonary medicine/ Chest or Respiratory medicine
- Interventional Pulmonology
- Sleep-related breathing disorders
Get treatment for concerns:
- Lung infections like tuberculosis and other bacterial pneumonias
- Viral infections affecting the lungs like swine flu, COVID-19, SARS
- Acute allergic and non allergic bronchitis
- Reactive airway diseases
- Bronchial asthma
- It is difficult to treat asthma or severe asthma. Expert advice on biologicals
- COPD (Chronic obstructive pulmonary disease) and other smoking related lung disease
- Smoking prevention and cessation counselling
- Interstitial lung disease (ILD) and other occupational lung diseases
- Hemoptysis (Cough with blood in sputum)
- Pleural effusion (collection of water between membranes around the lungs)
- Pneumothorax (collection of air between membranes around the lungs)
- Chest trauma (lung contusion)
- Lung Cancer
- Another form of cancer that affects the lungs
- Pulmonary Hypertension
- Pulmonary embolism
- Obstructive sleep apnea (OSA) and other sleep-related respiratory disorders (SRRD)
- Chest pain evaluation.
- Breathlessness due to any cause.
- Vasculitic diseases related to lung diseases (secondary to rheumatoid arthritis, SLE, systemic sclerosis, etc.)
- Post and peri-operative respiratory failure
- Tracheal stenosis (windpipe narrowing) due to various reasons, including post intubation tracheal stenosis (PITS), endobronchial tuberculosis (EBTB), endobronchial tumors, growth.
- Foreign bodies (Various foreign bodies (i.e. areca nuts (Betel nuts)/tooth etc.) lead to chronic cough and non-resolving pneumonia.
- Prolonged air leak secondary to broncho-pleural fistula-endobronchial management
Facilities or services are available.
- Inhaler training and teaching
- A pulmonary function test (PFT)
- Six minute walk distance test (6MWDT)
- Pulmonary rehabilitation
- Home oxygen therapy (LTOT)
- Sleep study (Polysomnography) and CPAP titration
- BiPAP and CPAP treatments
- Bedside lung ultrasound (point of care)
- Pleural fluid removal (thoracentesis)
- Chest drain/tube insertion
- Hemlich's valve insertion for simple pneumothorax
- Home mechanical ventilation for chronic respiratory failure
- Adult vaccination
- Diagnostic bronchoscopy with BAL.
- Endobronchial ultrasound guided trans-bronchial needle aspiration (EBUS-TBNA)
- Radial endobronchial ultrasound (R-EBUS) guided biopsy for peripheral pulmonary lesions i.e mass lesion, consolidation
- Transbronchial lung biopsy (TBLB) for tuberculosis, sarcoidosis
- Cryoprobe assisted transbronchial lung biopsy for interstitial lung disease (ILD).
- Rigid thoracoscopy for tracheal stenosis, tracheal tumors,
- Thermal ablation in the airway-electrosurgery, argon plasma coagulation (APC)
- Tracheal stenting
- Self-expanding metal stents (SEMS), silicone stents
- expert management of Broncho-pleural fistula using endoscopic techniques.
- Expert management of hemoptysis by endoscopic glue and spigot insertion where conventional methods are not successful.
- Medical thoracoscopy with pleural biopsy for undiagnosed pleural effusion/ early empyema
- Pleurodesis for recurrent pleural effusion due to cancer and some benign conditions like pneumothorax.
- Indwelling pleural catheter (IPC) for a subset of recurrent pleural effusion patients due to malignant and non-malignant cases.
- Whole lung lavage (WLL) for pulmonary alveolar proteinosis (PAP).
Why Choose CK Birla RBH?
- highly advanced, fully equipped pulmonary medicine department
- Experts provide the best treatment that focuses on improving pulmonary health.
- Hygienic and advanced bronchoscopy suites
- Affordable treatment
- Highly experienced, skilled, dedicated, and qualified faculty.
- Modern and world-class Intensive Care Unit
- Patient-centric approach
- Patient safety first guidelines
- State-of-the-art acute care facilities
- Emergency care
- Seamless care from OPD to IPD for chronic respiratory failure patients
- We provide our patients with world-class treatment at the most affordable prices.
Types of Bronchiectasis
Healthcare experts have categorized the bronchiectasis depending on how the airway damage can look. Here are the main types of bronchiectasis:
- Cylindrical: It is among the most common types of bronchiectasis and is not very serious.
- Cystic: It is not very common but is the most severe form of bronchiectasis.
When should you make an appointment with a pulmonologist?
If you have following symptoms :-
- Yellow or green sputum
- Blood in sputum
- Chest pain
- Chest tightness
Bronchiectasis symptoms often take longer to develop from months to years. Here are some of the most common symptoms that are often experienced by the patients:
- Severe regular cough
- Coughing up blood
- Breath shortness
- Cough huge amounts of mucus daily
- Severe chest pain
- Weight loss
- Wheezing sounds in the chest with breathing
- Fingernails and toenails change in structure, referred to as clubbing
- Regular respiratory infections
What will the pulmonologist or chest physician do ?
Pulmonologists will take a detailed history and examine the patient. He can advise you on tests like chest X-ray, spirometry, and necessary blood tests. In selected cases, you might require a CT chest and later bronchoscopy as per your clinical condition.
If your history is suggestive of obstructive sleep apnea, then you might need a sleep study for further evaluation and management.
A pulmonologist will plan treatment based on the history, examinations, and test results.
In severe COPD or chronic respiratory diseases, you might need to enrol in pulmonary rehabilitation. Pulmonary rehabilitation is a structured programme that includes targeted physiotherapy, nutrition, and psychiatric consultation, along with respiratory medicine.
In chronic respiratory diseases, long-term management, follow-up, and monitoring are essential for control of symptoms and slowing the progression of the diseases.
Adult vaccination is one of the important components of chest physician consultation. It includes vaccination against influenza, COVID vaccination, streptococcus pneumonia, etc.
Bronchiectasis is an outcome of any lung injury. There are two primary categories of this condition which are considered to be the causes. Here are they:
- Cystic fibrosis: This category is linked to cystic fibrosis which is a genetic condition leading to atypical mucus production. It affects the lungs and other bodily organs such as the liver and pancreas. As a result, it causes regular infections in the lungs and becomes the reason for the bronchiectasis condition.
- Non-cystic fibrosis: It is not interlinked with cystic fibrosis and common conditions are causing non-CF bronchiectasis. Here are these conditions:
- Earlier serious respiratory infections such as pneumonia or tuberculosis
- Severe asthma
- Primary or secondary immunodeficiency
- Primary ciliary dyskinesia
- Allergic bronchopulmonary aspergillosis
- Chronic obstructive pulmonary diseases
Bronchiectasis risk factors
The risk of growing bronchiectasis rises with age, however, young people are more likely to develop this condition. According to a study, women are more prone to developing this condition than men. Here are some of the conditions that increase the risk of growing this condition:
- Regular aspiration of things such as food or drinks
- Inflammatory bowel disease
- An atypical immune system functioning
- An autoimmune disease such as HIV
- Chronic obstructive pulmonary disease
- Allergic aspergillosis- An allergic reaction of the lungs to fungus
- Lung infections like chronic cough, tuberculosis, pneumonia
A healthcare expert will begin bronchiectasis diagnosis by evaluating and understanding the health history of a patient. They will listen to the lungs and check if they are functioning well or not. If the doctor suspects that the patient has bronchiectasis, then they will recommend certain tests to confirm. There are several tests ordered for diagnosing bronchiectasis. Here are these tests:
- CT scan or X-ray- This test helps in checking if the airways are damaged or not by taking a lung picture through a machine.
- Blood tests and sputum culture- A healthcare provider takes out the blood sample of the patient including mucus to check if there are any signs of infection.
- Lung function tests- These tests are performed to understand the functioning of the lungs. The patient is asked to breathe into the machine for testing.
- Genetic testing-The healthcare expert will take blood samples and other body fluid for testing the diseases
- Sweat chloride test- If the healthcare provider suspects cystic fibrosis, a sweat test is performed. The patient’s leg or arm sweat sample will be taken to detect the signs of cystic fibrosis.
- Bronchoscopy- A healthcare expert will involve the use of a procedure to determine airways. A tool named, a bronchoscope is used to identify and remove anything that is blocking the airway. A mucus sample will be taken for testing purposes.
Currently, there is no cure available for bronchiectasis treatment, however, there are options that help in managing the condition. The primary aim of treatment is managing the infections and bronchial secretions. Here are the options for the bronchiectasis treatment:
- Chest physiotherapy: This treatment option helps in clearing the mucus from the lungs through a high-frequency chest wall oscillation.
- Surgery: There might be a requirement for surgery when there is bleeding in the lungs or if the bronchiectasis has affected one lung part.
- Draining secretions: Another treatment option that commonly is recommended by a doctor involves bronchial secretions assisted by gravity. Some techniques will be taught by a respiratory therapist to the patient so that coughing up extra mucus is easy.
- Treatment of underlying conditions: If the patient is suffering from conditions such as immune disorders, chronic obstructive pulmonary disease, etc. that are causing bronchiectasis, then the doctor will take steps for the treatment of those conditions.
- Lifestyle changes: The doctor will recommend making some lifestyle changes such as a healthy diet, drinking plenty of fluids or liquids like water, and exercising for the bronchiectasis symptoms improvement.
Why should you choose Rukmani Birla Hospital for bronchiectasis treatment?
Rukmani Birla Hospital, Jaipur is among the eminent multi-special hospitals operating in the city for decades. The hospital has integrated the most amazing and experienced doctors including other staff members. We ensure dedicating ourselves to offering exceptional and satisfactory patient care. The primary objective behind the inception of this hospital is to make healthcare services available to everyone at an affordable cost including the finest treatment. So, if you are looking for bronchiectasis treatment, then get in touch with our most skilled and highly talented healthcare professionals at RBH.
Our Clinical Experts
Dr. Rakesh Godara
Senior Consultant - Pulmonary Medicine & Critical Care Experience: 13+ Years
Mr. Smile Ali
Mr. Smile Ali - Patient Testimonial | ARDS Case | Rukmani CK Birla Hospital Jaipur
Testimonial of Mr. Jogendra
Testimonial of Mr. Manvendra
Mr. Kapil Bhargav
Patient Testimonial | Mr. Kapil Bhargav | CK Birla RBH
Mr. Dinesh Chandra Agarwal
Patient Testimonial | Mr. Dinesh Chandra Agarwal | CK Birla RBH
Ms. Preeti Nanda Das
Covid 19 treatment | Patient Testimonial | Dr. Rakesh Godara | Rukmani Birla Hospital, Jaipur
Dr. Rakesh Godara
AskRBH | Precautions for 3rd Wave | Dr. Rakesh Godara | Rukmani Birla Hospital Jaipur
Dr. Rakesh Godara
RBH (Rukmani Birla Hospital) | World COPD Day | Dr. Rakesh Godara, Sr. Consultant
Tuberculosis or TB is a contagious bacterial infection which primarily attacks the lungs or throat but can spread to other parts of the body such as brain and spine.
A pulmonologist is a medical specialist that diagnoses and treats diseases and problems of the respiratory system. Pulmonologists treat patients of all ages and gender including children and their specialities range from asthma to tuberculosis.
Sleep is a very critical part of your everyday routine. An adult above the age of 18 must get 7 to 9 hours of sleep, while for ages 13-18 the hours of sleep shouldn’t be less than 9.25, and for ages 5 to 12 years it should be at least 10-11 hours.