Pediatric Pulmonology

Pulmonology is a science that studies respiratory diseases, that is, diseases of the trachea, bronchi, lungs, and pleura.

When your child's bronchi or lungs become ill, you address to a pediatrician that prescribes treatment, and, the child most often recovers quickly. But sometimes, despite the therapy, the disease does not recede or proceeds unusually and leads to some complications. Then the pulmonologist's consultation becomes necessary.

At the GMC, a pulmonologist gives recommendations how to better and more efficiently help the child in order to cope with the disease faster, indicates what additional studies and medicines should be used for the therapy in accordance with relevant standards.

The pulmonologist decides if the preventive treatment is required, as well as, if necessary, recommends hospitalizing the sick child in specialized pulmonology departments of pediatric hospitals.

What problems and diseases should you see a pediatric pulmonologist with?

• Edema, shortness of breath
• Unstable breathing while the child is sleeping
• Cough acute, subacute, chronic productive, unproductive
• Chest pain
• Acute and chronic diseases of the bronchi and lungs (viral and bacterial infections, mycoses, parasitoses, bronchopulmonary dysplasia, cystic fibrosis)
• Congenital malformations of the lungs

What services does a pediatric pulmonologist provide?

• Initial consultation with a pediatric pulmonologist
• Repeated consultation with a pediatric pulmonologist

Pediatric pulmonologist:

• talk with the child and parents
• listens to complaints
• studies the life history and anamnesis
• examines the patient
• prescribes tests and therapy
• gives lifestyle recommendations

What examination does a pediatric pulmonologist prescribe?

• General blood analysis
• Biochemical blood test: C-reactive protein, antistreptolysin - O
• Determination of total immunoglobulin E, immunoglobulins A, M, G, complement C3, C4, vitamin D3
• Eosinophilic cationic protein, Phadiatop adult allergy test, Phadiatop Infant
• Enzyme-linked immunosorbent assay for infection (mycoplasma pneumonia Jg G, Jg M, chlamydia pneumonia Jg G, Jg M, candida, HSV type 1 and 2, CMV, VEB)
• Enzyme-linked immunosorbent assay for helminths (toxocariasis, ascariasis, opisthorchiasis, echinococcosis, giardiasis, trichinosis, toxoplasmosis, Helicobacter pylori)
• General sputum analysis
• Bacteriological culture of sputum and analysis of the microbe sensitivity to antibiotics
• Feces for pancreatic elastase
• Blood test for alpha 1 antitrypsin
• Spirometry with samples (from 7 years)
• Exhaled nitric oxide test (from 4 years)
• Monitoring of computer pulse oximetry (from 3 years)
• Induced Sputum Test (from 7 years)
• Chest X-ray
• Chest computed tomography

A medical gas analyzer is used in our clinic to evaluate the level of nitric oxide (NO) in exhaled air. The patient is offered to breathe into the tube for a certain time, and then the doctor evaluates the indicators and draws conclusions about the presence and severity of pulmonary pathology.

Nitric oxide is a marker of airway inflammation. This makes its measurement a useful tool for the diagnosis of bronchial asthma and other bronchopulmonary diseases. The method is recommended for monitoring the effectiveness of treatment regimens; it allows individually adjusting the prescribed doses of drugs.

The medical device for measuring nitric oxide is mandatory for equipping the office of a pulmonologist.

This study method is safe, gives a quick, accurate and reproducible result, suitable for adults and children.