COPD – that’s Chronic Obstructive Pulmonary Disease – basically means your lungs can’t move air like they should. Your breathing tubes get swollen and tight, plus those tiny air sacs get damaged and lose their stretch. Normal lungs work like a good balloon – easy in, easy out. But COPD lungs? It’s like breathing through a drinking straw.
I’ve been a COPD specialist in Pune for 23 years now, and honestly, most patients come to me way too late. They’ve had this nagging cough for months, maybe even shortness of breath, but figured “I’m just getting old.” By then, real damage has happened. Early COPD diagnosis changes everything – I can slow down the disease before it steals your breath permanently.
Most patients don’t realize COPD is creeping in until it’s advanced. That stubborn morning cough gradually becomes an all-day companion. Simple tasks like carrying groceries suddenly leave you breathless. Your chest feels tight, like someone’s squeezing it. Then comes the telltale wheeze.
While everyone knows smoking is the main villain, my years practicing in Pune have shown me something worrying. Non-smokers are getting COPD too, thanks to our city’s air. I’ve seen traffic cops, building site supervisors, even teachers develop breathing problems from years of dust and pollution. Your family history matters too – some people just get dealt bad lung genes. And if you had bad chest infections as a kid, that can come back to haunt you later.
Look, after treating COPD patients in Pune for over two decades, I’ve figured out something important. Most doctors spend five minutes with you, listen to your chest, hand you an inhaler and say “use twice daily.” That’s not real treatment.
When you come to me, we do proper lung tests – spirometry, breathing checks, the whole thing. Then I sit down and create a plan that actually works with your life. What helps my retired school principal isn’t going to work for the guy driving an auto-rickshaw all day. I explain everything in whatever language you’re comfortable with – Marathi, Hindi, English – and I don’t rush you out. Takes longer? Sure. But when patients really get what’s happening with their lungs, they stick to treatment. Makes all the difference.
Stop smoking - that's the biggest thing. Then proper inhalers and medicines help keep your airways open. Some patients also benefit from breathing therapy, which teaches better lung techniques.
Try that pursed-lip thing - breathe in normally through your nose, then breathe out slow like you're whistling. Do some deep breaths too and cough gently if mucus comes up. Won't fix your lungs, but help them work better.
Pursed-lip breathing works best for most patients. It slows down your breathing and keeps airways open longer. Do this plus gentle walking - even 10 minutes helps strengthen breathing muscles.
Asthma hits kids mostly, and stuff like dust or cats set it off. COPD shows up after you're 40, and once it starts, those symptoms stick around - they don't just disappear like asthma does.
Your rescue inhaler with salbutamol gives quick relief in 5-10 minutes. Basically opens up those squeezed airways so air can move better. Don't leave home without it - you never know when you'll need it
Mon – Sat: 10:20 am – 1.30 pm and 5.30 pm – 7.30 pm
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Contact Emergency Services of Manipal Hospitals Baner for any emergency case with special mention of Dr Nagesh Dhadge during the visit.
Pleural interventions are specialised procedures used to treat conditions like pneumothorax or pleural effusion that affect the area surrounding the lungs. These therapies aid in breathing improvement, pain relief, and life quality restoration. Because every breath counts, our centre focusses on safe, minimally invasive procedures customised for each patient.
(1) Chest X-ray Basic imaging to check for fluid, air, or abnormalities around the lungs.
(2) Ultrasound of the chest More precise than X-ray for detecting fluid; often used to guide interventions like thoracentesis.
(3) CT Scan (Chest) Detailed imaging that can help identify infections, tumors, or complex effusions.
(4) Pleural Fluid Analysis (after Thoracentesis) Fluid is removed and tested in a lab to check for infection, cancer, TB, etc. Pleural Biopsy If needed, a small sample of pleura is taken (sometimes during an intervention) to test for diseases like TB or cancer.
Pulmonary Rehabilitation is a program of education of lung disease of the patient and personalized exercises to reduce breathlessness and empowers patient how to maximally utilize their remaining lung capacity to carry on with their routine activities with less efforts. We conduct 4 weeks, 6 weeks and 8 weeks programs of pulmonary rehabilitation. The patient attends in person two sessions per week to learn about exercises under careful supervision. One lecture of 10 minutes is also conducted during the same time educating patient on various aspects of their lung disease. Pulmonary rehabilitation reduces breathlessness, fatigue, anxiety about chronic lung disease. It has been found to reduce rates of hospitalization.
(1) 4 weeks Package – Two in person training sessions lasting for 1 hours each
(2) 8 weeks Package – Two in person training sessions or one in person and remaining online sessions lasting for 1 hours each
(3) 6 weeks Package – Two in person training sessions lasting for 1 hours each. Total 12 visits. Option of online training
Asthma, COPD and bronchitis are common obstructive airway disease found in the general population. They are responsible for significan symptoms, repeated admissions in the hospital
(2) Lung function test – We offer from basic spirometry to advanced computerised lung function test for the diagnosis of asthma, COPD or bronchitis. This includes oscillometry, FeNO, skin prick allergy testing
(1) Inhaler technique training – All our patients are trained face to face on how to take inhalers correctly to avoid poor response to therapy
Diganostic flexible bronchoscopy is a procedure to examine breathing tubes from the inside. It is indicated for investigating symptoms like blood in sputum, suspected cases of lung cancer, lung collapse. Our bronchoscopy suite is supported by world class instruments and infrastructure. Dr Nagesh Dhadge has done more than 500 bronchoscopies so far.
(1) Diagnostic flexible bronchoscopy
(2) Therapeutic flexible bronchoscopy for mucus plug removal
(3) Bronchoalveolar lavage (BAL)
(4) Endobronchial biopsy
Skin prick allergy test is done for symptoms of recurrent sneezing , runny nose for diagnosing allergic rhinitis, allergic bronchial asthma and patients of chronic cough.
Skin prick allergy is more specific than blood allergy test. Patient should be off any anti-allergic tablets for 7 days before testing. The reports are available within 30 minutes of the procedure. Skin prick allergy testing is more specific than blood allergy test
Skin pick allergy test – We commonly test for airborne allergens like pollens, dust mites, fungi and limited food allergens
Sleep apnea is a very common disorder, but the symptoms are poorly recognised by the patient before complications occur. It usually starts as loud snoring. It may then progress to daytime sleepiness, fatigue, body aches, cognitive decline, poor concentration due to and frequent urination in night due to fragmented sleep. Poor sleep in night damages important organs such as heart and brain, resulting in to complications such as heart disease, high blood pressure and vehicular accidents.
(1) Overnight sleep study- We offer level 2 and level 3 sleep studies for the diagnosis of sleep apnea.
(1) CPAP troubleshooting- Many patients after starting CPAP may have a few troubles with CPAP machine. We offer consultations to help patient with their CPAP machines
(1) CPAP advice and pressure titration- This is a Paragraph. Click on “Edit Text” or double click on the text box to edit the content and make sure to add any relevant information that you want to share with your visitors.