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Dr. Ajay Handa

Senior Consultant- Pulmonology & Critical Care Medicine

MBBS, MD( Medicine), DNB( Medicine), DM( Pulmonary & Critical Care Medicine), FCCP( USA), FICP( India), FAPS( India)

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Department - Respiratory Medicine

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Dr. Ajay Handa

Senior Consultant- Pulmonology & Critical Care Medicine

Senior Consultant- Pulmonology & Critical Care Medicine

MBBS, MD( Medicine), DNB( Medicine), DM( Pulmonary & Critical Care Medicine), FCCP( USA), FICP( India), FAPS( India)

Pulmonologist In Bangalore

Dr. Ajay Handa is among the top pulmonologist in Bangalore, working as a Senior Consultant- Pulmonology & Critical Care Medicine Specialist at Sakra World Hospital. He is the best lung specialist in Bangalore with vast experience in treating various lung diseases. He did his MBBS from Armed Forces Medical College Pune in Dec 1989, followed by MD in General Medicine from the same Institution. He completed Post-doctoral training in DM (Pulmonary & Critical care Medicine) from PGIMER, Chandigarh in Dec 2006.

He has vast experience in Interventional Pulmonology procedures including diagnostic and therapeutic bronchoscopy, EBUS bronchoscopy, Thoracoscopy pleural biopsy, talc pleurodesis, Intrapleural fibrinolytic therapy, and bronchial thermoplasty. He has a keen interest in research and has authored over 38 publications in peer-reviewed national, and international journals and books. For his clinical achievements, research publications, and contributions to the field he has been conferred the Fellowship of the American College of Chest Physicians in Feb 2010 and the Fellowship of the Indian College of Physicians Medicine in Jan 2019.

He has been MCI recognized Professor for MD (Medicine) and DNB (Medicine) since 2010 and has mentored many students during this period. He has served in many Armed Forces Hospitals for over three decades and his last assignment prior to joining Sakra World Hospital was as Senior Consultant and Head of Internal Medicine and Pulmonary Medicine at the Institute of Naval Medicine, Mumbai.

MBBS, MD (Medicine), DNB (Medicine), DM (Pulmonary & Critical Care Medicine)
Fellow of American College of Chest Physicians & Fellow of Indian College of Physicians

His areas of interest include Lung Infections, Asthma, COPD, Allergic broncho-pulmonary Aspergillosis, diffuse parenchymal lung diseases, CTD-related interstitial lung disease, Sarcoidosis, Drug-induced lung diseases, and pulmonary hypertension.

Interventional Pulmonology - diagnostic and therapeutic bronchoscopy, Endobronchial Ultrasound (EBUS) bronchoscopy, Thoracoscopy/Pleuroscopy for pleural biopsy and talc pleurodesis, Intrapleural fibrinolytic therapy, and Bronchial thermoplasty.

Fellowship of the American College of Chest Physicians (FCCP)
Fellowship of Indian College of Physicians (FICP)
Fellowship of Academy of Pulmonary Sciences India (FAPS)
Dr. Shurvir Trust Visiting professorship award by the Association of Physicians of India

He is a member of numerous professional bodies including the National College of Chest Physicians, the Indian Association of Bronchology, the Association of Physicians of India, the National Association for the study of lung cancer, India, the Indian Society of Aerospace Medicine, and the Marine Medicine Society of India.

He has authored 38 papers in peer-reviewed national and international journals and in various books. He has been actively delivering talks and academic presentations at national and state conferences organized by various professional bodies and hospitals.

He has been an active Postgraduate teacher of Internal Medicine and Pulmonary Medicine with Bangalore Chest group, the Karnataka chapter of API, and the Medical Education Research Trust in Bangalore.

Dr. Sachin Kumar

Senior Consultant - Pulmonology & Critical Care Medicine

Department - Pulmonology

Dr. Arjun Satapute

Associate Consultant - Respiratory Medicine

Department - Department of Respiratory medicine

Dr. Ajay Handa

Senior Consultant- Pulmonology & Critical Care Medicine

Department - Respiratory Medicine

Videos By Dr. Ajay Handa

Sleep Apnea syndrome | Dr. Ajay Handa Top Pulmonologist In Bangalore | Sakra World Hospital

Watch this live discussion with our expert, Dr Ajay Handa, Senior Consultant - Pulmonology, Top Pulmonologist In Bangalore, about Sleep Apnea syndrome. Questions from our viewers 1. What causes sleep apnea? 2. What are the warning signs of sleep apnea? 3. Are there any risk factors related to sleep apnea? 4. Can Patients consult from home and get treated from home, can a sleep study be done from home? 5. What is the treatment apart from CPAP? 6. What can happen if sleep apnea goes Untreated? 7. Is sleepwalking connected to sleep apnea?

Read More

Approach To Diffuse Lung Diseases Role Of Pulmonologist | Dr Ajay Handa Pulmonologist In Bangalore

Diffuse lung diseases (earlier known as interstitial lung diseases) are a group of diseases which cause Bilateral pulmonary infiltrates on chest radiographs. Watch Dr Ajay Handa Pulmonologist In Bangalore.

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Asthma - Symptoms & Causes | Best Pulmonologist in Bangalore -Dr. Ajay Handa | Sakra World Hospital

Sakra RX - Your Daily dose of Health by Dr. Ajay Handa (Senior Consultant â€“ Pulmonology & Critical Care Medicine) as he talks about 'Asthma'.

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Webinar on Living well during the pandemic | Guidance for people with Chronic Lung Diseases

Webinar on Living well during the pandemic. Guidance for People with Chronic Lung Diseases by Dr Sachin, Senior Consultant - Pulmonology & Critical Care And Dr Maheswarappa, Senior Consultant & HOD - Physical Medicine Rehabilitation & Sports Medicine Medicine.

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Sakra RX | Pulmonary Medicine Department | Best Pulmonologist in Bangalore -Dr. Ajay Handa | SWH

Sakra RX - Your Daily dose of Health by Dr. Ajay Handa (Senior Consultant â€“ Pulmonology & Critical Care Medicine) as he talks about the 'Pulmonary Medicine Department' and his Area of Expertise.

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Pulmonary Hypertension Symptoms and Causes | Best Pulmonologist in Bangalore - Dr Ajay Handa | SWH

We're Live with the Best Pulmonologist in Bangalore - Dr. Ajay Handa - Senior Consultant, Pulmonology as he discuss about Pulmonary Hypertension Symptoms and Causes.

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Frequently Asked Questions

What is Sleep apnea?

Sleep Apnea is a disease wherein sleep-related breathing disturbance causes health effects due to low oxygen levels and the disruption of sleep results in excessive daytime sleepiness interfering in an individual's day-to-day life and profession.

When the person is sleeping, the upper part of the airway which connects the mouth to the windpipe consists of the pharynx and hypo-pharynx. In these areas, the muscle tends to be very floppy due to a lack of firm support of cartilage or bone. During deep sleep, the tone in these muscles reduces and they collapse during breathing causing loud snoring, and reduced airflow during breathing, and if complete closure, it prevents air from entering the lungs. These episodes happen throughout the night multiple times which causes poor quality of sleep due to fragmentation, frequent disruption, and repeated awakening, either physically or in the form of abnormal jerking movements, choking episodes, gasping for breath, and nightmares. The end result is the person wakes up in the morning not feeling refreshed and having excessive daytime sleep in episodes throughout the day leading to poor concentration and interference in the professional sphere.

What causes Sleep Apnea?

It is a lifestyle disease intimately related to being overweight and obese. Hence individuals having a weight that is above their ideal weight have a greater tendency of having obstructive sleep apnea. The excess fatty tissue in obese persons tends to get deposited around the upper part of the airways( pharynx and hypopharynx) reducing their diameter. Those with a body mass index (BMI) > 30 are considered to be at higher risk of obstructive sleep apnea. The prevalence of sleep apnea in India is about 5% in males and 2.5% in females in various surveys.

Other risk factors for sleep apnea include:

Tobacco smoking
Alcohol abuse
Allergic nose problems( rhinitis)
Family history of sleep apnea
Thyroid gland dysfunction(Hypothyroidism)
Pituitary gland dysfunction ( Acromegaly)
Tonsil or adenoid enlargement in young children
Facial abnormality- small mal-position of the lower jaw

What are the warning signs of sleep apnea?

Snoring – loud snoring which disturbs the spouse is the most common symptom
Witnessed Apneas – spouse nudges the patient for “stopped” breathing
Waking up with a gasping episode due to air hunger
Waking up with a choking episode or bout of cough

If you snore with any of the above symptoms, it's best to approach your doctor and get an assessment done to rule out Sleep Apnea.

What tests are performed to diagnose sleep apnea?

The diagnostic test is an overnight sleep study in a sleep laboratory. A sleep laboratory is just like a bedroom where patients sleep comfortably just like they sleep at home. This sleep study test is technically called Polysomnography and is designed to assess the sleep, breathing pattern, and oxygen saturation levels in the laboratory under observation by a trained technician who monitors these parameters in real time.

What parameters does a doctor look for during the sleep apnea test?

The sleep study equipment records various parameters including sleep stages, breathing patterns, respiratory efforts, leg movements, snoring, and oxygenation during the overnight sleep period:

Brain waves pattern in sleep- electroencephalography (EEG)
The activity of the eyes and the chin muscles ( EOG)
The activity of chin Muscle activity (EMG)
Airflow through the nose and mouth
Respiratory movements of the chest and abdomen
Electrocardiography for the heart beating rhythm (ECG)
Body position monitoring
Snoring sounds
Pulse oximetry for oxygen saturation
Leg movements during sleep

What is central sleep apnea?

In this type of sleep apnea, the respiratory center in the brain does not generate any signals to the respiratory muscles leading to episodes of Apnea or hypopneas. It is usually found in people with brain disease (after stroke/brain infections) or heart disease (with heart failure).

Can people consult a doctor from home and do a sleep study at home?

If anyone in your family has warning signs of sleep apnea, then we at Sakra World Hospitals offer video consultation services where you can discuss the problems with Specialist doctors. If the symptoms are suggestive of Sleep Apnea and there are no other diseases like chronic lung disease, stroke, or heart disease, a limited sleep study can be done at your home to make a diagnosis of Sleep apnea. This is not the ideal type of sleep study but in persons with high probability can be useful for the diagnosis of sleep apnea.

How can sleep apnea be prevented?

Maintaining a healthy lifestyle is the most important preventive measure
Exercise regularly 30-40 minutes per day
Maintain healthy food habits
If you are obese, then reduce weight to your ideal body weight gradually
Avoid alcohol and smoking tobacco

How is sleep apnea treated?

Sleep apnea which is causing sleep disturbance, frequent awakening, witnessed apnea episodes and daytime sleepiness needs urgent treatment. The treatment of choice is using a device called Continuous positive airway pressure (CPAP). The CPAP machine delivers air under positive pressure through tubing to a mask. The mask is applied to the patient using velcro straps to cover the nose (nasal mask) or covers the face and nose (full face mask- if nose blockage). Air under positive pressure prevents the collapse of the upper airways and improves the sleeping pattern and oxygen saturation. It is very important to explain that the CPAP device has to be used regularly during sleep by the patients. Apart from this, they need to maintain the ideal body weight and develop the habit to sleep on either side to avoid lying flat on the back (supine).

What happens if sleep apnea is not treated?

Unrecognized or untreated sleep apnea is a major health problem. It predisposes to the development of Hypertension, Diabetes, heart attack, brain stroke, and abnormal heart rhythms, and also increases the risk of sudden death.

What is the role of medicines in treating sleep apnea?

Unfortunately, there are no medications for treating sleep apnea as it results from upper air passage closure during deep sleep. CPAP is the treatment of choice and is life-saving if used regularly during sleep.

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