You know how traffic jams make cars work harder? That’s similar to what happens with Pulmonary Hypertension (PH). The blood vessels between your heart and lungs get narrow and stiff – like a traffic jam in your chest. Your heart’s right side has to work overtime, and honestly, it gets exhausted.
Here in Pune, I’ve seen many patients who initially thought their breathlessness was just because of our humidity or pollution. But when simple activities like climbing stairs at Shaniwar Wada or walking in Koregaon Park leave you gasping, that’s your body asking for help.
I often tell my patients, “Stop blaming everything on Pune’s pollution – sometimes your heart’s actually trying to tell you something.”
Watch Out for These Early Signs
PH is sneaky. Most people don’t realize what’s happening until symptoms get worse. My patients usually mention:
Well, it could be heart valve issues you were born with, lung problems like COPD (pretty common here with the dust), blood clots that traveled to your lungs, or even autoimmune conditions that run in families.
The thing is, catching this early makes a world of difference. I’ve got the diagnostic tools right here in Pune – no need to rush to Mumbai anymore.
Living Well with PH – Real Tips That Actually Work
Managing PH isn’t just about popping pills (though those are important too!). My patients who do best? They’re the ones who make small, smart changes:
Keep your appointments – I know traffic from Wakad to the city center is brutal, but these check-ups matter Watch that salt – easier said done with all our delicious Maharashtrian food, but your ankles will thank you. Move, but don’t overdo it – maybe skip the Sinhagad trek, but gentle walks in your society are great, Track how you’re feeling – use your phone to note when you feel breathless or tired
One of my patients from Kothrud said, “I couldn’t even walk around my building without getting breathless. Now I’m doing my evening walks again – though I do take breaks!”
Sildenafil or tadalafil are preferred first-line treatments for most patients as they provide the best value and effectiveness.
With early diagnosis and proper treatment, many patients live 10-20+ years. Early intervention and medication compliance significantly improve life expectancy.
Stage 1: No symptoms. Stage 2: Mild breathlessness during activity. Stage 3: Marked fatigue, chest pain. Stage 4: Severe symptoms at rest.
Most times it's heart problems on the left side, but I also see lung disease, old blood clots, and family history causing it.
Absolutely! Light walking is great. Just avoid heavy gym sessions. I'll suggest a safe exercise routine that works for your specific case.
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.