Oxygen Therapy

Oxygen therapy is provided for patients with breathing disorders who cannot get adequate oxygen readily. It will help in increasing the quality of life by ensuring proper sleep and good energy. Breathing disorders that might need supplemental oxygen therapy include chronic obstructive pulmonary disease, asthma, undeveloped lungs in newborns, lung fibrosis, sleep apnea, respiratory asthma, heart failure, etc. Oxygen gas, liquid oxygen, oxygen concentrators, and hyperbaric oxygen therapy are the distinct varieties of oxygen therapy.

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Is it advisable for a COPD patient to fly?

Query: Hello doctor, This is regarding my father, 77 years old, is a patient of COPD. He is an ex-smoker for almost 40 years and has been suffering from a shortening of breath for the last few years but his situation got worse in the last year. He was prescribed with home Oxygen machine for at least 10...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. Thanks for writing your query to me. I can understand your concern about your father. I have seen all the reports attached herewith (attachment removed to protect patient identity). Considering his general condition now, your concern of air travel is very important t...  Read Full »

How to manage bilateral pneumothorax and mediastinal emphysema?

Query: Hi doctor, I am looking for a specialist opinion. My wife is diagnosed with pulmonary fibrosis. She has a small rim of pneumothoraces bilaterally with subcutaneous disease and mediastinal emphysema. I am attaching her reports. Kindly suggest a treatment to manage the condition.  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hi, Welcome to icliniq.com. I have gone through the CT scan reports and images (attachment removed to protect patient identity). It seems to be a long-standing problem and it progresses fast. You have not mentioned the chief complaints of the patient and previous treatment details. According to th...  Read Full »

Please suggest the latest treatment for non-specific interstitial pneumonia.

Query: Hi doctor, For the past five years, I have been suffering from non-specific interstitial pneumonia. Initially, I used Deltacortril and Imuran for a year and then till now I am only using Imuran two tablets in the morning and one in the evening. While going to sleep, I use 1 L/min oxygen. I do like t...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. NSIP, non-specific interstitial pneumonia is a chronic disease of interstitial pneumonia. The treatment of disease runs long term. If you stop the treatment early, there is more chance of relapse and the disease will not be controlled with the same medicines. Coming t...  Read Full »

How is COPD treated?

Query: Hi doctor, My father has SpO2 level with oxygen is more than 95 and without oxygen is 75-80. He also has COPD. But, all tests are normal like CT scan, USG and x-ray. Please explain.  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com.  As you said your father has COPD, low oxygen levels are expected when the disease is advanced. COPD is a chronic progressive disease. Inhaler medicines are only for the symptomatic relief. Smoking cessation is the best policy to halt the progression of the disease. P...  Read Full »

What is the treatment for inhaling drywall dust?

Query: Hello doctor, I have a question in regards to pulmonology and exposure to crystalline silica. I have done a ton of research on the internet regarding this subject and probably know as much as anyone can know based solely on internet information. So I am hoping someone with a more advanced knowledge ...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. I have surfed your links and understood your problem in detail. (attachments removed to protect patient identity) After silica exposure you are suffering from what is called as acute silicosis. Acute silicosis results from short term exposure to very large am...  Read Full »

What support should be given before onset of hypercapnia in a TB patient?

Query: Hello doctor,I have TB disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss.  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. As you said, the patient has TB, hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible options for NIV are ...  Read Full »

During oxygen therapy, is it necessary to check oxygen saturation?

Query: Hello doctor, Is it necessary to check oxygen saturation if the patient is on oxygen for shortness of breath?  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. As you said that patient needs oxygen for shortness of breath, it is absolutely not required to measure the oxygen saturation all the time. But, if dyspnea (shortness of breath) is due to COPD (Chronic Obstructive Pulmonary Disease) that is due to excessive smoking,...  Read Full »

Is there a permanent cure for pulmonary hypertension?

Query: Hi doctor, I am suffering from rheumatoid arthritis for past 15 years, which has now affected my whole body. Since one and a half year, I am getting shortness of breath and cough. Last year, when I was admitted in the hospital to get this treated, my doctor advised me to use external oxygen for long...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hi, Welcome to icliniq.com. Both rheumatoid arthritis and pulmonary hypertension are chronic diseases. As there is no permanent cure for it, the aim of treatment in such case is control of symptoms only. Medicines help only to control the symptoms. You are a known rheumatoid arthritis patient and no...  Read Full »

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