Dr Agarwal Nursin
About Me
Dr Agarwal Nursin
MBBS
General Physician
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
ACUTE ASTHMA EXACERBATION
An acute asthma exacerbation represents a sudden worsening of asthma symptoms such as shortness of breath and wheezing due to airway inflammation. Prompt treatment can relieve symptoms effectively and prevent progression toward respiratory failure.
- Typical symptoms & triggers: Coughing spells at night or early morning hours along with chest tightness frequently triggered by allergens or respiratory infections.
- Diagnosis basics: Clinical evaluation supported by lung function tests including peak expiratory flow rate measurement during attacks.
- Immediate treatments: Inhaled beta-agonists via nebulizer or inhaler provide quick bronchodilation. Steroids may also be administered depending on severity.
- Long-term control strategies: Identifying triggers plus regular use of controller inhalers reduce frequency of exacerbations.
Recognizing early signs allows timely intervention reducing hospital admissions related to acute asthma episodes effectively.
DIABETIC KETOACIDOSIS (DKA)
This serious complication primarily affects people with diabetes when their body produces high levels of blood acids called ketones. It results from insufficient insulin leading to dangerous metabolic disturbances requiring urgent medical intervention.
- Causes & warning signs: High blood sugar levels combined with ketone buildup cause excessive thirst, frequent urination, nausea, abdominal pain, confusion.
- How it’s diagnosed: Blood tests measuring glucose concentration along with arterial blood gas analysis detecting acidosis confirm diagnosis.
- Treatment modalities: Immediate hospitalization for intravenous fluids, insulin therapy and electrolyte replacement are mandatory.
- Prognosis & management post-recovery: With rapid treatment most patients recover fully; ongoing diabetes management education helps prevent recurrences.
Early identification substantially improves outcomes in this potentially life-threatening emergency related to diabetes control.
GASTROENTERITIS
This illness involves inflammation of the stomach and intestines resulting in symptoms such as diarrhea and vomiting. It’s often caused by viral or bacterial infections from contaminated food or water sources.
- Causes & symptoms: Diarrhea, nausea, vomiting, abdominal cramps, sometimes fever; commonly due to viruses like norovirus or bacteria like E.coli.
- The diagnostic process: Mostly clinical based on history and symptom presentation; stool tests may be done if symptoms persist or worsen.
- Treatments available: Rehydration therapy with oral rehydration salts or IV fluids if severe dehydration occurs; symptomatic medications for nausea may be used cautiously.
- Avoidance tips: Hand hygiene and safe food handling are key preventive steps against gastroenteritis outbreaks.
This condition usually resolves within a few days with appropriate care but prompt hydration monitoring is essential especially in vulnerable populations like children and elderly adults.
URINARY TRACT INFECTION (UTI)
A urinary tract infection is an infection in any part of the urinary system, commonly affecting the bladder. It can cause discomfort and requires timely treatment to avoid complications.
- Symptoms and causes: Painful urination, frequent urge to urinate, cloudy or strong-smelling urine; caused mainly by bacteria entering the urinary tract.
- Diagnosis procedures: Urine sample analysis via dipstick testing and culture confirms presence of infection.
- Treatment approach: Antibiotics tailored based on urine culture results; plenty of fluids advised to flush bacteria out.
- Prevention measures: Proper hygiene practices and staying hydrated help reduce risk of recurrence.
Mild UTIs respond quickly to treatment but delays can lead to kidney infections requiring more intensive care.
HYPERTENSIVE CRISIS
A hypertensive crisis occurs when blood pressure rises rapidly to dangerous levels that could cause organ damage. Immediate recognition and treatment are crucial to prevent serious outcomes like stroke or heart attack.
- Symptoms/causes: Severe headache, chest pain, shortness of breath, vision changes; often triggered by uncontrolled hypertension or medication noncompliance.
- Diagnosis: Urgent blood pressure measurement along with assessment of target organ damage (heart, kidneys, brain).
- Treatment options: Hospitalization for intravenous antihypertensives; monitoring vital signs closely to gradually reduce blood pressure safely.
- Management strategies: Lifestyle changes including low-sodium diet and adherence to prescribed medications after crisis resolution.
If handled promptly, patients can recover well without lasting damage from this critical emergency situation.
ACUTE BRONCHITIS
Acute bronchitis is a common respiratory condition involving inflammation of the bronchial tubes, which carry air to your lungs. It often follows a cold or other respiratory infection and typically resolves within a few weeks.
- Symptoms and causes: Cough with mucus, fatigue, mild fever, chest discomfort, often caused by viral infections.
- Diagnosis: Based on medical history and physical exam; chest X-rays may be used if pneumonia is suspected.
- Treatment: Primarily supportive care including rest, fluids, and over-the-counter pain relievers; antibiotics are generally not recommended unless bacterial infection is confirmed.
- Management: Avoid smoking and irritants; use a humidifier to ease breathing.
- Expectations: Symptoms usually improve within 7-10 days but cough can linger for up to three weeks.
This condition is self-limiting in most cases but recognizing when to seek further medical advice is important to prevent complications.