• Persistent cough lasting more than three weeks
• Breathlessness during routine activity or at rest
• Wheezing or chest tightness on exertion or at night
• Blood in sputum or coughing up blood
• Recurrent chest infections or pneumonia
• Loud snoring, choking during sleep or daytime fatigue
• Unexplained weight loss with chronic cough
• Known asthma or COPD with worsening symptoms
• Occupational exposure to dust, chemicals or smoke
• Breathing difficulty following COVID-19 recovery

Lung Conditions Treated at Kamineni Hospitals, LB Nagar

Obstructive Airway Diseases

• Asthma: Recurrent wheezing and breathlessness from airway inflammation.
• COPD: Progressive breathing difficulty managed medically and with rehabilitation.
• Bronchiectasis: Airway widening causing recurrent infections and thick sputum.
• ABPA: Fungal allergy-triggered airway inflammation in asthma patients.

Lung Infections and Inflammatory Conditions

• Pneumonia: Bacterial, viral or fungal lung infection requiring specialist management.
• Tuberculosis and Drug-Resistant TB: Active and DR-TB managed per national guidelines.
• Interstitial Lung Disease (ILD): Progressive lung scarring diagnosed with HRCT.
• Sarcoidosis: Granuloma-forming condition affecting the lungs and airways.
• Post-COVID Lung Complications: Persistent breathlessness or fibrosis after COVID-19.

Pleural and Structural Conditions

• Pleural Effusion: Fluid around the lungs drained and investigated for cause.
• Pneumothorax: Collapsed lung managed with drainage or observation.
• Pulmonary Hypertension: High pressure in lung arteries causing breathlessness.

Critical and Advanced Respiratory Conditions

• ARDS: Severe lung failure in critically ill patients needing ICU and ventilator support.
• Respiratory Failure: Type 1 and Type 2 failure managed with NIV, HFNO or ventilation.
• Lung Cancer: Lung mass or haemoptysis evaluated and coordinated with oncology.
• Occupational Lung Disease: Silicosis, pneumoconiosis and chemical-induced lung damage.

Sleep-Related Breathing Disorders

• Obstructive Sleep Apnea: Airway collapse during sleep causing snoring and fatigue.
• Central Sleep Apnea: Brain-driven breathing pauses during sleep.
• Obesity Hypoventilation Syndrome: Poor breathing during sleep in obese patients.

Pulmonology Services at Kamineni Hospitals, LB Nagar

Bronchoscopy

A flexible camera passed through the airway to collect BAL samples, perform biopsies, remove foreign bodies and evaluate haemoptysis or suspicious lung lesions.

Pulmonary Function Testing and Spirometry

PFT including spirometry, DLCO and FeNO to measure airflow, lung capacity and airway inflammation for asthma, COPD and ILD diagnosis and monitoring.

Sleep Study and CPAP/BiPAP Therapy

Full polysomnography to diagnose sleep apnea and breathing disorders, followed by CPAP or BiPAP initiation and titration by the pulmonology team.

NIV and High Flow Nasal Oxygen (HFNO)

Non-invasive ventilation and high flow nasal oxygen for respiratory failure, COPD exacerbations and hypoxic patients who do not require intubation.

Pulmonary Rehabilitation

Structured programme for COPD, ILD and post-COVID lung recovery — covering breathing exercises, graded activity and disease self-management.

Tobacco Cessation

Counselling and pharmacotherapy support for smokers with respiratory symptoms or a diagnosed lung condition.

Diagnostic Tests Available

• Chest X-Ray: infections, effusion, pneumothorax and masses
• CT Chest with HRCT: ILD, bronchiectasis and lung cancer staging
• Spirometry: airflow and lung volume for asthma and COPD
• DLCO: gas transfer measurement for ILD and pulmonary hypertension
• FeNO: exhaled nitric oxide for eosinophilic airway inflammation
• ABG: oxygen and CO2 levels for respiratory failure
• Bronchoscopy with BAL: airway sampling for infection and malignancy
• Polysomnography: overnight sleep and breathing assessment
• Allergy Testing (IgE, Skin Prick): allergen identification for asthma and ABPA
• Sputum Culture and AFB: bacterial and TB infection identification