
Dr. Pankaj Gulati
MBBS, DNB (Respiratory Medicine)
MNAMS, IDCCM (Critical Care)
Consultant – Pulmonology & Critical Care

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Shalby Hospital,Jaipur
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Asthma: Overview
Asthma is a chronic respiratory condition that affects millions of people worldwide. It is characterized by inflammation and narrowing of the airways, leading to breathing difficulties. Understanding the symptoms, causes, and treatment options for asthma is crucial for individuals living with this condition. In this comprehensive guide, we will delve into all aspects of asthma, providing you with valuable insights and tips for managing this condition effectively.
What is Asthma?
Asthma is a chronic lung condition that inflames and narrows the airways. This narrowing makes it difficult for air to flow in and out of the lungs, resulting in wheezing, coughing, chest tightness, and shortness of breath. These symptoms can range from mild to severe and may vary in frequency and intensity.

Dr. Pankaj Gulati
MBBS, DNB (Respiratory Medicine)
MNAMS, IDCCM (Critical Care)
DAA (CMC Vellore & International Asthma Services, Denver, USA)
Consultant – Pulmonology & Critical Care
Dr. Pankar Gulati is a leading asthma doctor in Rajasthan, India. He did DNB in Pulmonary Medicine from the National Institute of Tuberculosis and Respiratory Diseases. Some of the services provided by the doctor are Pulmonary Function Test (PFT), Interstitial Lung Disease Treatment, Pneumonia Treatment, Tuberculosis (TB) Treatment, and Asthma & Allergies Treatment, etc.
Dr. Pankaj Gulati provides the best asthma treatment to patients with long-term side effects of the virus such as nasal congestion, shortness of breath, respiratory failure, and lung issues.

Education
- DAA (CMC Vellore & International Asthma Services, Denver, USA)
- IDCCM (Indian Diploma Of Critical Care) – Fotis Hospital, Noida.
- DNB Respiratory Medicine – National Institute of Tuberculosis and Respiratory Diseases (LRS) New Delhi.
- MBBS – Government Medical College Kota, Rajasthan.
Experience
- Consultant- Dept of Pulmonology and Critical Care at Shalby Multispeciality Hospital, Jaipur ( 2017 – Present)
- Senior Resident – Pulmonology dept. at Jaipur National University (JNU) Medical College Hospital.
- Senior Resident – Pulmonology and Critical Care Medicine, in Fortis Escort Hospital Jaipur (May 2016- Oct 2016)
- Senior Resident – Pulmonology and Critical Care Medicine, in Fortis Escort Hospital Noida (Jan 2015- April 2016)
- Senior Resident – Rajan Babu Institute of Pulmonary Medicine and Tuberculosis, New Delhi (June 2014 – Jan 2015)
- DNB (Pulmonary Medicine) -National Institute of Tuberculosis and Respiratory Diseases (April 2011 – June 2014)
Symptoms of Asthma
Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, which leads to breathing difficulties. The symptoms of asthma can vary in severity and frequency from person to person. Here are some common symptoms:
Shortness of breath
Feeling breathless or experiencing difficulty in breathing is a hallmark symptom of asthma. It can be mild, moderate, or severe depending on the individual and the degree of airway constriction.
Chest tightness
People with asthma often describe a feeling of tightness or pressure in the chest. This sensation may be mild or intense, making it difficult to take deep breaths.
Wheezing
Wheezing refers to a high-pitched whistling sound produced during exhalation. It occurs due to the narrowing of the airways, causing air to pass through them at a faster rate.
Rapid breathing
Asthma can cause an increased respiratory rate, with rapid and shallow breaths. This is the body’s response to compensate for the decreased airflow through the constricted airways.
Coughing
A persistent cough, especially at night or early morning, is another common symptom of asthma. The cough may be dry or accompanied by phlegm, and it can worsen with physical activity or exposure to triggers.
Fatigue
Frequent episodes of asthma symptoms, particularly during the night, can disrupt sleep patterns and lead to fatigue and daytime tiredness.
When to see a doctor For Asthma?
It is recommended to see a doctor if you experience any of the following situations related to asthma:
Persistent or recurring symptoms: If you have ongoing symptoms such as shortness of breath, wheezing, coughing, or chest tightness that occur frequently or interfere with your daily activities, it is important to consult a doctor.
Emergency symptoms: If you have severe difficulty breathing, rapid breathing, severe wheezing, or chest tightness that does not improve with your usual medications or treatments, seek immediate medical attention.
Frequent need for quick-relief medication: If you find yourself relying heavily on quick-relief medications (such as short-acting bronchodilators) to relieve your asthma symptoms more than a few times a week, it may indicate that your asthma is not well controlled.
Nighttime symptoms: If your asthma symptoms often worsen at night, disrupting your sleep or causing frequent awakenings, it is advisable to see a doctor.
Decreased response to medications: If your current asthma medications are no longer providing adequate relief or if you notice a decline in their effectiveness over time, it is important to discuss this with your doctor.


Asthma Causes
The exact cause of asthma is not fully understood, but it is believed to be a result of a combination of genetic and environmental factors. Here are some common factors that can contribute to the development of asthma:
- Airborne allergens, such as pollen, dust mites, mold spores, pet dander or particles of cockroach waste
- Respiratory infections, such as the common cold
- Physical activity
- Cold air
- Air pollutants and irritants, such as smoke
- Certain medications, including beta blockers, aspirin, and nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve)
- Strong emotions and stress
- Sulfites and preservatives are added to some types of foods and beverages, including shrimp, dried fruit, processed potatoes, beer, and wine
- Gastroesophageal reflux disease (GERD), is a condition in which stomach acids back up into your throat
Risk factors
A number of factors are thought to increase your chances of developing asthma. They include:
- Having a blood relative with asthma, such as a parent or sibling
- Having another allergic condition, such as atopic dermatitis — which causes red, itchy skin — or hay fever — which causes a runny nose, congestion, and itchy eyes
- Being overweight
- Being a smoker
- Exposure to secondhand smoke
- Exposure to exhaust fumes or other types of pollution
- Exposure to occupational triggers, such as chemicals used in farming, hairdressing and manufacturing

Asthma Diagnosis and Treatment
Diagnosis of Asthma:
- Medical history: Your doctor will ask about your symptoms, their frequency and duration, any triggers that worsen your symptoms, and any family history of asthma or allergies.
- Physical examination: The doctor will listen to your lungs with a stethoscope to check for wheezing, assess your breathing patterns, and look for other signs of asthma or respiratory issues.
- Lung function tests: These tests measure how well your lungs are functioning. The most commonly used test for asthma is spirometry, which involves breathing into a device called a spirometer to measure the amount and speed of air you exhale. This helps assess the presence and severity of airflow obstruction.
- Peak flow monitoring: This test involves using a peak flow meter to measure the maximum airflow you can generate. It helps monitor changes in your lung function over time and can be useful in managing asthma.
- Allergy testing: If allergies are suspected to be a trigger for your asthma, your doctor may recommend allergy tests, such as skin prick tests or blood tests, to identify specific allergens that may be contributing to your symptoms.
Treatment of Asthma
- Medications: The primary goals of asthma treatment are to control symptoms, reduce the frequency and severity of asthma attacks, improve lung function, and enable you to lead a normal, active life. Treatment approaches may include:
- Asthma action plan: Your doctor will work with you to develop a personalized asthma action plan. This plan outlines the daily management of your asthma, including medication use, triggers to avoid, steps to take during worsening symptoms or asthma attacks, and when to seek medical help.
- Trigger avoidance: Identifying and avoiding triggers that worsen your asthma symptoms, such as allergens, smoke, air pollution, or certain medications, can help minimize asthma flare-ups.
- Regular follow-up: It is important to have regular check-ups with your healthcare provider to assess your asthma control, adjust your treatment plan if needed, and address any concerns or questions you may have.
About Breath Clinic
Best Allergy | Asthma | COPD | TB | Sleep Apnea Specialist doctor in Jaipur- Dr. Pankaj Gulati
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