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Paediatric Pulmonology

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About Paediatric Pulmonology

Specialised Respiratory and Lung Care for Children

The Paediatric Pulmonology department at Sitaram Bhartia Institute of Science and Research provides specialised care for children with breathing, airway, allergy-related, sleep-related, and lung conditions.

Our team supports children with concerns such as recurrent wheezing, chronic cough, asthma, tuberculosis, sleep-disordered breathing, suspected cystic fibrosis, allergy-related respiratory symptoms, and other lung-related conditions.

The department offers paediatric pulmonology consultation, flexible fibreoptic bronchoscopy, lung function tests, sweat chloride tests, skin prick allergy tests, chest physiotherapy, and coordinated care with paediatricians, PICU, NICU, physiotherapy, and other specialists where required.

Our goal is to help children breathe better through timely diagnosis, evidence-based treatment, parent education, and child-friendly respiratory care.

Conditions and Concerns We Treat

Our Paediatric Pulmonology team supports children with concerns such as:

  • Recurrent wheezing
  • Chronic cough
  • Asthma
  • Tuberculosis
  • Sleep-disordered breathing
  • Snoring with breathing concerns
  • Recurrent respiratory infections
  • Breathlessness
  • Allergy-related breathing symptoms
  • Suspected cystic fibrosis
  • Excess mucus or chest congestion
  • Difficulty clearing secretions
  • Lung function concerns
  • Airway-related concerns
  • Respiratory symptoms requiring bronchoscopy
  • Breathing concerns requiring chest physiotherapy
  • Respiratory problems needing multidisciplinary care

Our Paediatric Pulmonology Services

Paediatric Pulmonology Consultation

A paediatric pulmonology consultation helps evaluate breathing, airway, lung, allergy-related, and sleep-related symptoms in children.

During consultation, the doctor may review:

  • Child’s symptoms and duration
  • Cough pattern
  • Wheezing episodes
  • Breathing difficulty
  • Fever or infection history
  • Allergy history
  • Sleep symptoms such as snoring or disturbed breathing
  • Previous reports, X-rays, or scans
  • Current medicines or inhaler use
  • Growth and feeding concerns
  • Need for lung function tests, allergy testing, bronchoscopy, sweat chloride test, or chest physiotherapy

The aim is to understand the cause of the child’s breathing concern and plan treatment in a safe, practical, and child-friendly way.

Asthma and Recurrent Wheezing Care

Asthma and recurrent wheezing can affect a child’s sleep, activity, school attendance, and quality of life.

Care may include:

  • Symptom assessment
  • Trigger identification
  • Inhaler guidance
  • Medicine planning
  • Monitoring of control
  • Parent education
  • Emergency warning sign guidance
  • Follow-up care

The goal is to help children manage symptoms better and reduce the risk of repeated flare-ups.

Chronic Cough Evaluation

A chronic cough in children may have several possible causes and should be assessed if it is persistent, recurrent, or affecting daily life.

Evaluation may include review of:

  • Cough duration and pattern
  • Night-time cough
  • Cough with exercise
  • Allergy symptoms
  • Infection history
  • Exposure to smoke, dust, or pollution
  • Previous treatments
  • Need for further testing or imaging

Treatment depends on the cause and clinical assessment.

Tuberculosis Care

Children with suspected or diagnosed tuberculosis may need careful evaluation, treatment planning, monitoring, and follow-up.

Paediatric pulmonology support may include:

  • Symptom assessment
  • Review of investigations
  • Treatment planning
  • Monitoring response to treatment
  • Parent counselling
  • Follow-up support
  • Sleep-Disordered Breathing Evaluation

Sleep-disordered breathing may affect sleep quality, daytime energy, behaviour, attention, and growth.

A paediatric pulmonologist may evaluate children with:

  • Loud snoring
  • Pauses in breathing during sleep
  • Restless sleep
  • Mouth breathing
  • Daytime sleepiness
  • Morning headaches
  • Poor concentration
  • Behavioural concerns linked with poor sleep

Further evaluation is advised based on the child’s symptoms and doctor’s assessment.

  • Paediatric Pulmonology Facilities
  • Flexible Fibreoptic Bronchoscopy

Flexible fibreoptic bronchoscopy is a minimally invasive procedure used to examine the airways.

It may be advised when the doctor needs to look inside the airways to evaluate symptoms or suspected airway-related concerns.

The procedure is recommended only where clinically required and after discussion with the parents.

Lung Function Tests

Lung function tests help assess how well the lungs are working.

They may be advised for children with:

  • Asthma
  • Recurrent wheezing
  • Chronic cough
  • Breathlessness
  • Exercise-related breathing symptoms
  • Known or suspected lung disease
  • Follow-up of respiratory conditions

These tests help guide diagnosis, treatment planning, and monitoring.

Sweat Chloride Test

The sweat chloride test helps evaluate children for suspected cystic fibrosis by measuring chloride levels in sweat.

It may be advised when a child has symptoms or clinical findings that suggest the need for cystic fibrosis evaluation.

Skin Prick Allergy Test

Skin prick allergy testing may help identify specific allergens that could be contributing to respiratory symptoms.

It may be considered in children with:

  • Allergy-related cough
  • Recurrent wheezing
  • Asthma triggers
  • Recurrent sneezing or nasal allergy symptoms
  • Suspected environmental or food-related allergy triggers

Results are interpreted along with the child’s symptoms and medical history.

Chest Physiotherapy

Chest physiotherapy uses specific techniques to help clear mucus from the lungs and improve breathing.

It may be advised for children with:

  • Excess mucus
  • Chest congestion
  • Difficulty clearing secretions
  • Certain chronic lung conditions
  • Recovery after respiratory illness
  • Breathing concerns requiring airway clearance support

Chest physiotherapy is planned according to the child’s age, condition, comfort, and doctor’s advice.

Coordinated Care with Other Specialties

Respiratory concerns in children may sometimes require support from multiple teams.

Our Paediatric Pulmonology department works closely with:

  • Paediatrics
  • Paediatric Intensive Care Unit
  • Neonatal Intensive Care Unit
  • Paediatric Gastroenterology
  • Paediatric Cardiology
  • Paediatric Neurology
  • Imaging and Diagnostics
  • Physiotherapy and Rehabilitation
  • Nutrition services
  • Other paediatric specialists where required

This coordinated approach helps ensure that the child’s breathing, growth, nutrition, sleep, and overall health are considered together.

Our Approach to Paediatric Pulmonology Care

At Sitaram Bhartia, paediatric respiratory care is built around careful evaluation, child comfort, parent education, and long-term breathing health.

Our approach focuses on:

  • Understanding the child’s symptoms in detail
  • Identifying triggers and underlying causes
  • Using tests and procedures only when clinically required
  • Providing evidence-based treatment
  • Teaching correct inhaler and medicine use
  • Supporting parents with practical home-care guidance
  • Coordinating with PICU, NICU, physiotherapy, and other specialists when needed
  • Supporting chronic respiratory conditions with regular follow-up
  • Creating a child-friendly and reassuring environment
  • Helping children breathe better and stay active

When Should You Consult a Paediatric Pulmonologist?

You may consider consulting a paediatric pulmonologist if your child has:

  • Persistent cough
  • Recurrent wheezing
  • Asthma symptoms
  • Repeated chest infections
  • Breathlessness
  • Noisy breathing
  • Cough during sleep or exercise
  • Poor response to routine treatment
  • Suspected tuberculosis
  • Snoring or sleep-disordered breathing
  • Suspected allergy-related breathing problems
  • Suspected cystic fibrosis
  • Excess mucus or difficulty clearing secretions
  • Any recurring or worrying respiratory symptom

Seek urgent medical care if your child has severe breathing difficulty, bluish lips, chest retractions, inability to speak or feed due to breathlessness, extreme drowsiness, low oxygen levels, or sudden worsening of breathing.

Doctors and Care Team

Our Paediatric Pulmonology team includes paediatric pulmonologists, paediatricians, respiratory support teams, technicians, physiotherapists, specialty nurses, and trained support staff.

The team works together to provide consultation, lung function testing, allergy evaluation, bronchoscopy support, chest physiotherapy, parent counselling, and coordinated care for children with respiratory and lung-related concerns.

Why Choose Sitaram Bhartia for Paediatric Pulmonology?

Specialised Respiratory Care for Children

We provide care for children with recurrent wheezing, chronic cough, asthma, tuberculosis, sleep-disordered breathing, suspected cystic fibrosis, allergy-related respiratory symptoms, and other lung concerns.

Child-Friendly and Family-Centred Care

Children need care that is gentle, reassuring, and age-appropriate. Our team involves parents in the treatment process and explains care plans clearly.

Comprehensive Evaluation

Our team assesses symptoms, triggers, allergy history, sleep concerns, growth, reports, and previous treatment to understand the child’s overall respiratory health.

Lung Function and Allergy Testing Support

Lung function tests and skin prick allergy tests may help assess breathing capacity and identify possible triggers where clinically indicated.

Flexible Fibreoptic Bronchoscopy

Flexible fibreoptic bronchoscopy may be available when airway evaluation is required based on the child’s symptoms and doctor’s assessment.

Sweat Chloride Testing

Sweat chloride testing may be advised in selected children where cystic fibrosis evaluation is required.

Chest Physiotherapy Support

Chest physiotherapy helps selected children clear mucus, improve breathing, and support recovery from respiratory illness or chronic lung conditions.

Coordinated Hospital-Based Care

The Paediatric Pulmonology team works closely with Paediatrics, PICU, NICU, Imaging and Diagnostics, Physiotherapy, Nutrition, and other paediatric super-specialists when required.

Evidence-Based Treatment

Care is guided by established paediatric and respiratory care principles, clinical judgement, and the child’s individual needs.

Parent Education and Long-Term Support

We help parents understand symptoms, triggers, inhaler use, warning signs, home care, follow-up needs, and prevention strategies.

Meet Our Team

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Dr. Suman Bisht

Dr. Suman Bisht

Consultant,
Paediatric Pulmonology

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