Severe breathlessness at rest, coughing large amounts of blood, or chest pain with collapse needs emergency care now. Massive haemoptysis and tension pneumothorax are immediately life-threatening. Go to the nearest hospital.
Tuberculosis including drug-resistant disease, asthma, COPD, interstitial lung disease and bronchoscopy, at accredited hospitals across Delhi NCR.
Tuberculosis is the reason most of our patients reach this page, and the single most important thing about it is testing which drugs will actually work. Treating resistant TB with standard drugs fails while the lungs are destroyed.
Free. No obligation. A written opinion within 48 hours.
Drug-resistant tuberculosis is a significant problem across South Asia, the Middle East and Africa, and it cannot be identified without testing.
GeneXpert and similar tests detect tuberculosis DNA and rifampicin resistance the same day. This should be done on every sample, not just difficult cases.
It identifies resistance to the full range of drugs and guides a regimen that will actually work. Where the first test shows resistance, this becomes essential.
If you have been treated before — particularly if the course was interrupted or incomplete — the chance of resistance is considerably higher. Tell us exactly which drugs and for how long.
Bedaquiline and related agents have improved outcomes in drug-resistant disease substantially, and treatment is shorter than it was. These require specialist supervision.
If you are on tuberculosis treatment and not improving after two months, ask whether sensitivities were ever obtained. That question changes more outcomes than any hospital choice.
What we are asked about most in chest medicine.
Including multi-drug resistant and previously treated disease
Difficult and severe asthma, including biologic therapy
Assessment, treatment and pulmonary rehabilitation
Pulmonary fibrosis and related conditions
Often a consequence of previous tuberculosis or infection
Drainage and diagnosis of the underlying cause
Assessment of whether a nodule needs biopsy or surveillance
Including silicosis and dust-related disease
Detailed pages for these are being written. In the meantime send your reports and you will get the same written opinion within 48 hours, from the same clinical team that reviews every case.
Most chest medicine is diagnosis and medication rather than surgery, which makes for short trips.
A flexible camera passed into the airways allows washings, brushings and biopsies to be taken directly from the affected area. It is the key test where sputum is negative but tuberculosis or cancer is suspected, and samples go for culture and molecular testing as well as histology.
Ultrasound on the tip of the bronchoscope images lymph nodes beside the airways and allows needle sampling of them safely. It stages lung cancer accurately and diagnoses tuberculosis and sarcoidosis in lymph nodes without any surgical procedure.
A regimen chosen against the specific resistance pattern of your infection, with newer agents where resistance is present. Treatment runs six months for sensitive disease and considerably longer for resistant disease, with monitoring for side effects. Most of the course is tablets taken at home once established.
Fluid around the lung is drained and sampled, and where the cause is unclear a camera examines the pleural surface and takes biopsies. It diagnoses tuberculous and malignant effusions reliably where fluid analysis alone is inconclusive, which is common.
Assessment of why asthma remains uncontrolled — inhaler technique, adherence, and coexisting conditions are the commonest reasons before any drug is blamed. Where genuinely severe, biologic injections targeting specific inflammatory pathways transform control, and biosimilars here cost a fraction of Western prices.
Molecular testing plus culture with a full drug panel. Without it, resistant tuberculosis is treated blind.
Newer agents require specialist supervision and monitoring for cardiac and other side effects. A general physician prescribing them is not adequate.
Where sputum is negative, these are what secure the diagnosis rather than a trial of treatment on guesswork.
Ask one question above all: will my samples be sent for culture and full drug sensitivity testing? If the answer is unclear, look elsewhere.
Bronchoscopy carries small risks of bleeding, low oxygen and, uncommonly, lung puncture. Pleural procedures can cause pneumothorax. Tuberculosis drugs cause liver injury in a proportion of patients and require monitoring; newer agents for resistant disease can affect the heart rhythm and hearing, and need specific monitoring. Ask what monitoring is planned before starting.
Massive haemoptysis is immediately life-threatening and needs emergency treatment locally.
Requires oxygen and assessment now. Air travel with severe hypoxia is dangerous.
Highly infectious sputum-positive disease should be treated for a period before flying, both for your safety and others'.
Inhaler technique and adherence explain most uncontrolled asthma. Correcting them costs nothing.
Small nodules being monitored on a schedule rarely need travel. We will say so.
Much of chest medicine is tablets and monitoring that belong near your home. What is worth travelling for is a secure diagnosis and a regimen that will work.
A patient travelling for assessment of tuberculosis that has not responded to treatment.
Only by testing. Molecular tests such as GeneXpert detect rifampicin resistance within hours; culture with a full drug panel takes weeks but identifies the complete pattern. If you have been treated before, particularly incompletely, resistance is considerably more likely and testing is essential rather than optional.
Ask whether sensitivities were ever obtained. Failure to improve after two months of proper treatment suggests either drug resistance, poor absorption, an incorrect diagnosis, or another condition alongside. Repeat sputum testing with culture is the next step, not simply continuing the same drugs.
Most of it, yes, once the regimen is established and monitoring arranged. Sensitive disease is six months of tablets. Resistant disease is longer and needs closer monitoring, some of which can still be done locally with a written protocol. What is worth travelling for is securing the diagnosis and the right regimen.
In most patients the reason is not the disease but inhaler technique, adherence, or an untreated coexisting condition such as reflux, nasal disease or obesity. These are checked before any drug is escalated. Genuinely severe asthma is uncommon, and that is when biologic therapy becomes appropriate.
Considerably more so than in Europe or North America, because biosimilars are available. For a patient with genuinely severe eosinophilic or allergic asthma who has not responded to inhaled treatment, this is one of the clearer reasons to seek treatment here. Assessment first establishes whether you qualify.
Usually not immediately. Small lung nodules are common and the great majority are benign, particularly in regions where tuberculosis is endemic and old scarring is frequent. Size, appearance and whether it has changed over time determine whether it needs biopsy or simply repeat scanning on a schedule.
Related pages: Brain and spinal tuberculosis · Spinal tuberculosis · Lung cancer · Obstructive sleep apnoea · All treatments
Send your chest imaging and all sputum results, and tell us exactly which tuberculosis drugs you have taken and for how long. That history shapes everything.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
WhatsApp +91 83035 86344 · Phone +91 83035 86344 · Email tibhind@gmail.com
Coordinators available 9:00–20:00 IST. We speak Arabic, English, Russian and Bengali.