Excessive sweating, medically known as hyperhidrosis, can have a significant impact on an individual’s quality of life. For those seeking relief in Delhi, understanding the hyperhidrosis treatment cost in Delhi is crucial. This condition affects millions worldwide, causing discomfort and embarrassment in social and professional settings. Delhi, being a hub for advanced medical care, offers various treatment options for hyperhidrosis, ranging from non-invasive therapies to surgical interventions. Patients looking for hyperhidrosis treatment in Delhi have access to a wide array of options, including topical medications, iontophoresis, botulinum toxin injections, and surgical procedures like endoscopic thoracic sympathectomy (ETS). The cost of these treatments can vary widely based on factors such as the severity of the condition, the chosen treatment method, and the healthcare provider. This article aims to provide an overview of hyperhidrosis, explore available treatment options in Delhi, and discuss the factors that influence treatment costs, helping patients make informed decisions about their care. Understanding Hyperhidrosis Hyperhidrosis is a medical condition characterized by excessive sweating beyond what the body needs for temperature regulation. This disorder affects millions of people worldwide, causing significant discomfort and impacting their quality of life. Understanding the types, symptoms, and causes of hyperhidrosis is crucial for those seeking treatment in Delhi. Types of Hyperhidrosis There are two main types of hyperhidrosis: primary focal hyperhidrosis and secondary generalized hyperhidrosis. Primary focal hyperhidrosis is the most common type, typically affecting specific areas of the body such as the underarms, palms, soles, or face. This type often begins in childhood or adolescence and may have a genetic component. Secondary generalized hyperhidrosis, on the other hand, is caused by an underlying medical condition or medication side effect and usually affects larger areas of the body. Common Symptoms The primary symptom of hyperhidrosis is excessive sweating, which can manifest in various ways. People with this condition may experience: Over time, hyperhidrosis can lead to skin irritation, inflammation, and an increased risk of skin infections. Many individuals with hyperhidrosis report feeling embarrassed or self-conscious about their condition, which can have a significant impact on their social and professional lives. Causes and Risk Factors The exact cause of primary hyperhidrosis remains unknown, although genetic factors are believed to play a role. Secondary hyperhidrosis, however, can be attributed to various factors: Risk factors for developing hyperhidrosis include a family history of the condition, age (onset typically occurs before 25 years old), and certain medical conditions. While hyperhidrosis is not life-threatening, it can significantly impact a person’s quality of life, making treatment an important consideration for those affected by this condition. Diagnosis and Evaluation The diagnosis and evaluation of hyperhidrosis involve a comprehensive approach to determine the severity and underlying causes of excessive sweating. Healthcare providers in Delhi employ various methods to assess and diagnose this condition accurately. Medical History The first step in evaluating hyperhidrosis is obtaining a detailed medical history. Doctors inquire about the onset, duration, and specific areas affected by excessive sweating. They also ask about family history, as hyperhidrosis often has a genetic component. Patients are typically questioned about triggers, such as emotional stress or physical activity, and whether sweating occurs during sleep. This information helps differentiate between primary focal hyperhidrosis and secondary generalized hyperhidrosis, which may be caused by underlying medical conditions or medications [1]. Physical Examination During the physical examination, healthcare providers directly observe the affected areas for visible signs of excessive sweating. They may use the Hyperhidrosis Disease Severity Scale (HDSS) to assess the impact of sweating on daily activities. This scale has been found to have strong to moderate correlations with other quality of life measures and gravimetric sweat production measurements. In some cases, doctors may employ the starch-iodine test to outline the areas of excessive sweating. This test involves applying a 1-5% iodine solution to the skin, followed by sprinkling starch over the area. The interaction between starch and iodine in the presence of sweat produces a purple color, identifying the location of active sweat glands. Diagnostic Tests While laboratory tests are not always necessary for diagnosing primary hyperhidrosis, they may be conducted to rule out secondary causes. Some diagnostic tests that may be performed include: In some cases, chest radiography may be used to exclude tuberculosis or neoplastic causes of hyperhidrosis. Additionally, an echo-Doppler study might be conducted to assess cardiac function, as some research has indicated a potential association between hyperhidrosis and impaired left ventricular filling. For quantitative assessment, gravimetric measurement may be used, particularly in clinical trials. This method involves applying pre-weighed filter paper to the affected area for a specific time and then calculating the rate of sweat production in mg/min. However, it’s important to note that there can be some overlap in sweating rates between patients with hyperhidrosis and healthy individuals. In Delhi, healthcare providers specializing in hyperhidrosis treatment utilize these diagnostic tools and techniques to develop personalized treatment plans. The comprehensive evaluation process ensures that patients receive appropriate care tailored to their specific needs and the severity of their condition. Hyperhidrosis Treatment Options in Delhi & its cost Delhi offers a range of treatment options for individuals seeking relief from hyperhidrosis. These options vary from non-invasive treatments to minimally invasive procedures and surgical interventions. Non-Invasive Treatments For those looking for hyperhidrosis treatment in Delhi, several non-invasive options are available. Topical antiperspirants containing aluminum chloride are often the first line of treatment for mild cases of hyperhidrosis. These can be particularly effective for axillary (armpit) hyperhidrosis, although long-term use may cause irritation or soreness. Iontophoresis is another non-invasive treatment option. This procedure involves immersing the affected areas, such as hands or feet, in water while a low-voltage electrical current is passed through it. The electric current temporarily shuts down the treated sweat glands. A typical treatment session lasts 20 to 40 minutes, and patients might need 6 to 10 sessions for effective results. Oral medications, such as anticholinergic drugs, may be prescribed in some cases to reduce sweating. However, these medications can have side effects and may not be suitable

I. Introduction The cost of lung surgery in India is a major concern for patients and their families. A report published in Lancet Global Health suggests that the burden of chronic respiratory disease in India accounts for 32% of the global burden. A significant proportion of these diseases need surgery for cure. According to the WHO, lung cancer is the second most common cancer in India, with an estimated 1.3 million new cases in 2020. As per the Indian Council of Medical Research (ICMR), lung cancer is the leading cause of cancer deaths in India, accounting for 27% of all cancer deaths. Surgery is the first line and most effective treatment for early-stage lung cancer. With the increasing incidence of lung cancer, the demand for lung surgery is also increasing. However, a survey by ICMR also found that unfortunately, only 25% of lung cancer patients in India receive the surgery they need due to financial constraints. In this article, we will explore the factors that affect the cost of lung surgery in India. II. Factors Affecting Lung Operation Cost in India A. Type of surgery – Open vs Minimally Invasive There are several factors that can affect the cost of lung surgery in India. One of the most significant factors is the type of surgery. According to a study by the Indian Journal of Thoracic and Cardiovascular Surgery, open surgery is still the most common type of lung surgery performed in India, accounting for 85% of all lung surgeries. However, the trend towards minimally invasive surgery is increasing. Minimally invasive surgery is less invasive and typically has a shorter recovery time. Video-assisted thoracic surgery (VATS) and Robotic surgery are the most common forms of Minimally invasive thoracic surgery. In VATS the surgery is completed through tiny keyhole cuts on the chest and by introducing a camera and long working instruments. It also utilizes specialized equipment called “Endostapler” which is required to cut and seal blood vessels, bronchus, and fissures. So the usage of these adds to the cost. In Robotic surgery, a robot is docked on the patient, and disposable robotic arms are used to perform the surgery through small incisions. The cost of minimally invasive surgery for lung cancer can range from $4,000 to $8,000 (~ INR 350,000 to 650,000), while the cost of open surgery for lung cancer can range from $3,500 to $5,500 (~ INR 300,000 to 450,000). B. Location of the hospital (e.g. rural vs urban) Another factor that affects the cost of lung surgery in India is the location of the hospital. According to a study by the Journal of Cardiothoracic Surgery, the cost of lung surgery is higher in urban hospitals compared to rural hospitals. However, it is very important to understand that lung surgery is a complex procedure that requires multi-disciplinary involvement. These surgeries are rarely available at rural hospitals because of a lack of trained personnel, equipment, and dedicated infrastructure. C. Experience and qualifications of the surgeon The experience and qualifications of the surgeon also play a role in determining the cost of lung surgery. According to a study by the Indian Journal of Thoracic and Cardiovascular Surgery, the cost of surgery performed by more experienced and highly qualified surgeons is higher compared to less experienced surgeons. The study found that the average cost of surgery performed by a senior consultant was around $7,500 (~ INR 600,000), while the average cost of surgery performed by a junior consultant was around $5,000 (~INR 400,000). D. Use of advanced technology and equipment The use of advanced technology and equipment as mentioned before can also affect the cost of lung surgery. Hospitals that use state-of-the-art technology and equipment may charge more for their services. E. Insurance coverage and availability Insurance coverage and availability can also play a role in determining the cost of lung surgery. Patients who have insurance may pay less for their surgery than those who do not. III. Cost Comparison of Lung Operations in India A. Comparison of costs for different types of lung surgery (e.g. lung cancer vs other lung diseases) As mentioned earlier, the cost of minimally invasive surgery for lung cancer can range from $4,000 to $8,000 (~ INR 350,000 to 650,000), while the cost of open surgery for lung cancer can range from $3,500 to $5,500 (~ INR 300,000 to 450,000). The cost of lung surgery for other lung-related illnesses such as bronchiectasis, tuberculosis, emphysema, empyema thoracis, lung bulla, decortication, lung abscess, aspergilloma, etc. can also vary. For example, the cost of minimally invasive surgery for another lung disease can range from $3,700 to $7,000 (~ INR 300,000 to 550,000), while the cost of open surgery for lung disease can range from $3,500 to $5,500 (~ INR 280,000 to 450,000). The exact surgical expenditure may also depend on many other factors like the general condition of the patient. A fit and stable patient pre-operatively is likely to have a smooth recovery and shorter hospital stay leading to lesser costs. Compared to that a very sick patient or an unfit candidate may need longer pre and post-surgery hospitalization including ICU stay. They may also require blood transfusions, higher-generation antibiotics, and other supportive therapies. All this will lead to a higher cost of the overall hospitalization for surgery. B. Comparison of costs at different hospitals and locations Lung surgery costs will vary from city to city, and even from hospital to hospital, based on the expertise of the team, the equipment used, and the overall general tariff of the hospital. C. Analysis of how costs vary based on the room category Additionally, the cost of lung surgery in the same hospital will vary depending on the room category chosen by the patient. This is true for most corporate and private hospitals in India. For example, the cost of the surgery would be cheaper in a sharing room as compared to a single or deluxe room and would be even higher in a suite room. It’s important to note that

Coughing up blood is called hemoptysis (pronounced “he-MOP-tih-sis”). The sight of blood anywhere is enough to send shivers down the spine of any mortal being. Imagine coughing out blood every now and then.  Even the thought of it is scary. But if and when it happens it is a concerning symptom that should not be ignored. It is important to understand what might be causing it, what to do if it happens, and what treatments are available. This article will provide an overview of this condition, including what to do if you notice blood in your cough. Introduction Coughing up blood, or hemoptysis, is an alarming symptom that should not be ignored. It involves spitting up blood or bloody mucus from your lower respiratory tract (lungs and throat). It can be a sign of a serious underlying condition and should be evaluated by a doctor. Hemoptysis often can be a ‘lucky’ symptom allowing diagnosis of a small lung cancer or bronchial adenoma. Many patients present to us in our clinic with this complaint. Typically it starts with just a “streak or tinge of red” in the sputum, wherein its more phlegm and less blood. Gradually the quantity of blood starts increasing to maybe a teaspoon or tablespoon. Often patients cough up massive amount of blood (100-200ml ) with every bout of cough. The frequency of such episodes may also go up with time. What causes blood in the cough? While hemoptysis is a tell-tale sign of lung cancer, it is more often due to a benign cause. It can be caused by a number of conditions, including infections, lung diseases like emphysema and bronchiectasis. It can also be caused by trauma to the lungs, such as a blunt force injury or a foreign object lodged in the lungs. Infections are the most common cause of hemoptysis. These can include bacterial, viral, parasitic (Hydatid Cyst), and fungal infections. A special kind of fungal infection called “Aspergilloma” is very often seen in the Indian scenario wherein a fungal ball will be found inside a cavity in the lung. Tuberculosis and pneumonia are the most common causes of infectious hemoptysis. Even after Tuberculosis has been treated and cured it may still leave behind its sequelae in the lungs. These can cause blood in cough many days, months or even years after completion of full treatment of Tuberculosis. Other causes of hemoptysis include heart failure, lung cancer, pulmonary embolism, and pulmonary hypertension. What to do if you notice blood in your cough? Although just the presence of blood in cough is a reason enough to see a doctor, coughing out massive amounts of blood is an emergency and should not be ignored at any costs. Losing too much blood at once can be life-threatening not only because of loss of blood from the body but also because of the risk of drowning in your own blood when they fill up your airways leading to suffocation. You need to visit an ER immediately if you’re coughing up large amounts of blood. In the meantime, there are certain measures that you can take to help relieve the symptoms. If you are coughing up a lot of blood, it is important to remain calm and try to minimize the amount of coughing. You should avoid activities that could cause further coughing, such as strenuous activity or smoking. Additionally, it is important to take deep, slow breaths to help increase the oxygen levels in your lungs. Diagnostic tests for hemoptysis Your doctor will try to ascertain the exact reason why is there blood in your cough because there can be many reasons for this. They will likely order a series of tests to determine the underlying cause. These tests may include a chest X-ray, a sputum culture, a bronchoscopy, and a CT scan. A chest X-ray can help your doctor evaluate the size and shape of your lungs and detect any abnormalities. A sputum culture is a test to check for the presence of bacteria or fungi in your sputum, which can indicate an infection. Bronchoscopy is a procedure where a small camera is inserted into your airways to evaluate for abnormalities. A CT scan can help your doctor detect any tumors or a fungal ball or any other other gross abnormalities in your lungs. Treatment options for Coughing Up Blood The treatment for hemoptysis will depend on the underlying cause. But while the doctors look for the cause they would start some treatment for blood loss related to coughing up blood which may include: 1. Medicines They are used to stop bleeding related to severe blood loss (like tranexamic acid) 2. Bronchoscopy To remove clots in your airways. They may use one of these methods or a combination to see if they can control the bleeding bronchoscopically: 3. Bronchial Artery Embolization (BAE) This is used to stop blood flow in blood vessels that are causing your bleeding. BAE is a procedure done by Intervention Radiologists where they block the culprit blood vessels (bronchial arteries) feeding the area of lung which is the source of bleeding. If BAE is successful you may get rid of the bleeding at least temporarily 4. Blood transfusion To replace the lost blood in case it is a lot and has caused a drop in Haemoglobin. Once a cause is found, your doctor will address it. Treatments may include: Surgery for Coughing Up Blood In some cases, surgery may be necessary to treat hemoptysis. Surgery is performed in case of persistent or recurrent hemoptysis that can not be controlled by non-surgical treatment and in whom the lesions could be anatomically localized and confirmed by CT or bronchoscopy. Surgery may involve removal of the tumour or other affected tissue, or it may involve using a stent or other device to help keep the airways open. Depending on the extent of damage or size of tumour, the following types of surgeries may be offered: *Interesting read: Can you live with one lung? Out of all

  The answer is YES !!! You can live with one Lung Living a one-lunged life may sound scary but the good news is you can totally live with one lung. Not only that, you can actually thrive with just one lung. A normal life after pneumonectomy is a reality. Many diseases of the lungs may sometimes require a radical surgical treatment in the form of complete removal of one lung from a person’s body. This surgery is called a “Pneumonectomy”. So you will be living a life with just one lung after this surgery. Certain medical conditions or an injury to the lung may sometimes irreversibly damage the lung. It can lead to symptoms like repeated chest infections manifesting as fever, cough or/and shortness of breath. Often patients may present with frequent bouts of blood during coughing (hemoptysis). Common diseases that cause this clinical scenario are Tuberculosis, Bronchiectasis, Fungal lung diseases (Aspergilloma, Mucormycosis), Lung cancer, Lung abscess etc. Your doctor would first try to treat you conservatively with medicines. But often he or she may suggest a surgery for removal of the diseased lung. You will then be referred to a Thoracic Surgeon (Chest Surgeon) who will perform this surgery. The first response of a patient and their family on hearing about such a surgery is that; Is it even possible to live with only one lung? Isn’t it supposed to cut down a person’s breathing capacity into half?  People surviving with a single kidney is often heard of, but living with a single lung; that is rare. Patients often ask us whether the removed lung will re-grow, like in case of Liver? What will happen to the empty space in the chest after removal of lung ? Although it is not possible for the lung to re-grow but the body does compensate by slow and gradual expansion of the other remaining lung towards the void. Post pneumonectomy patients in due time reach about 70-80 percent of their pre surgery lung function. The heart also drifts towards the post pneumonectomy space. A fluid fills the residual space in the chest cavity which slowly gelatinizes into a proteinaceous material and the chest scaffold collapses slightly. This is how mother nature helps to obliterate the “empty space” left behind by removal of a lung. But before performing such a major surgery your surgeon will thoroughly evaluate you to decide whether you are fit or not. This mainly involves blood tests, radiological investigations and a complete cardio-pulmonary evaluation. Assessment of the pulmonary reserves especially in regards to a lung resection is the most vital. Tests like Pulmonary function test (PFT), Diffusing capacity for Carbon Monoxide (DLCO), Lung Perfusion scan and Cardio-pulmonary exercise testing (CPET) will help the surgeon to reach to a conclusion if a Pneumonectomy can be safely done or not. These days a Pneumonectomy can be performed by minimally invasive techniques like Video Assisted Thoracoscopic Surgery (VATS) or Robotic Surgery. The whole surgery can be done by tiny key-hole incisions on the chest. There would be no need for a big cut on the chest or cutting muscles or rib spreading. But the approach for surgery would be decided by your surgeon on a case to case basis. Once a patient has recovered from the surgery, they can live a pretty normal life. Living with one lung doesn’t usually affect everyday tasks or life expectancy, though a person with one lung wouldn’t be able to exercise as strenuously as a healthy person with two lungs. For instance climbing stairs may make such patients more short of breath as compared to normal people. However that also varies from patient to patient. People have run marathon with a single lung, for example this “one lung runner” https://www.google.co.in/amp/www.thebetterindia.com/74187/kanishka-lahiri-cancer-survivor-runs-half-marathons-climbs-mountains-trekking-one-lung-runner/amp/?client=ms-android-motorola&espv=1 Similarly 46 year old Dave has 1 lung. But it didn’t let it stop him from completing the Prudential RideLondon 100 mile cycle in 2016. https://www.blf.org.uk/your-stories/1-lung-1-life-100-miles Pope Francis also lost one of his lung to a childhood pneumonia. But he carries on his papal duties as efficiently as other cardinals. So it is definitely possible to live a normal life with a single lung provided the remaining lung is maintained in good health. One can do that by avoiding smoking and environmental pollution. Also by being up to date with Pneumonia and Influenza vaccines to guard against any serious lung infections. It is vital that if you or anyone you know needs removal of a lung, you should research well. You should get yourself treated only by a Surgeon with considerable experience in doing this complicated surgery. Feel free to get in touch with our team to discuss your case with Dr. Kamran Ali

  Becoming a good Surgeon is a lifelong process. It is every young surgeon’s dream. In pursuit of becoming a “good” surgeon they put their blood and sweat into it. Imagine what it requires for being the “best” in your craft. To be called the best chest surgeon or thoracic surgeon in Delhi or any geographic domain, is an honour. But can everyone become the best? It’s not an easy question to answer. Especially if you look at it from a patients perspective.  When your primary physician or other specialist like a Pulmonologist tells you that you need to see a thoracic surgeon, it can feel unnerving. Finding a highly skilled thoracic surgeon can help put you at ease. But how do you find the best thoracic surgeon in Delhi or India for you or your loved ones?  Probably there are no specific measurable metrics which can define a good or best Surgeon. But may be if there were some, then they would be –  Knowledge, Degrees, Experience, Empathy, Manual dexterity, Leadership quality, Mental toughness, Ability to take critical decisions and handle complex surgeries etc. Unlikely that you or any one else can assess a surgeon on ‘all’ these indices. But here are some important factors to keep in mind in your pursuit of the best thoracic surgeon in Delhi or anywhere else: Dr. Kamran Ali –One of the best thoracic surgeon in Delhi Dr. Ali is a Lung Transplant and Thoracic (Chest) Surgeon who has trained extensively at Centres of Excellence across the World. He is passionate about Surgical treatment of End Stage Lung Diseases, Advanced Lung Failure, Infectious/Inflammatory Lung Diseases and Lung Cancer. He is proficient in handling the entire spectrum of thoracic (chest) surgery diseases. He graduated in Medicine from JNMCH, Aligarh, following which he finished his residency in Surgery from the prestigious Sir Ganga Ram Hospital, New Delhi. He then trained extensively in Thoracic Surgery in India, South Korea and Japan. His training in India at Medanta the Medicity, covered the entire spectrum of General Thoracic Surgery. At Seoul National University, South Korea he mainly focused on acquiring the skills of Minimally Invasive Thoracic Surgery (VATS and Robotics), while his time at National Cancer Centre and Tokyo University in Japan was spent mostly in learning complex lung resections for thoracic cancers. After the fellowships, he worked as a Consultant chest surgeon in Thoracic Surgery with the Fortis Group of Hospitals, Delhi NCR and later at Sir Ganga Ram Hospital, New Delhi. In 2020 he was selected for a Fellowship in Lung Transplant at The Medical University of Vienna, AKH, Austria, which is one of the highest volume Lung Transplant centres in the world. There he was actively involved in all aspects of lung transplantation including patient selection, surgical management (donor & recipient), as well as post operative care. He was also part of the surgical team which did Europe’s 1st and World’s 2nd Lung Transplant for COVID-19 ARDS. Before joining Max Superspeciality Hospital, Saket, New Delhi he was working as a Senior Consultant in Lung Transplant & Thoracic Surgery at Marengo QRG Hospital, Faridabad and Yashoda Hospitals, Hyderabad and successfully performed many complex Double and Single Lung Transplants. Dr. Ali is a respected figure in the Indian medical community and is often invited to speak at conferences and seminars on the topic of lung transplantation and thoracic surgery. He also has to his credit many scientific publications in international and national journals. He also serves as Associate Editor of Asia Thoracoscopic surgery Education Program (ATEP) Bulletin and Guest editor for Journal Of Visualized Surgery (JOVS), apart from being a reviewer for many international and national journals.  Apart from his surgical and academic expertise, he is very well known for his impeccable bedside manners. He is quite popular amongst his patients and puts them at ease right from the word go, and has great interpersonal communication skills. Dr. Ali’s passion for his work is reflected in the dedication and commitment he brings to each and every surgery he performs. He is known for his meticulous attention to detail and his willingness to go the extra mile to ensure the best outcomes for his patients. He is also an advocate of patient-centered care and works closely with his patients to provide them with the best possible care. For the above mentioned qualities, many of his patients refer to him as one of the best chest surgeon or thoracic surgeon in Delhi.