Childhood asthma is a chronic inflammatory airway condition that causes coughing, wheezing, breathlessness and chest tightness. Dr. Manisha Meenesh Juvekar specialises in evaluating and managing asthma in children. Treatment may include inhaled medication, identification of environmental triggers, correct inhaler technique and regular monitoring to reduce attacks and improve respiratory health.
Severe childhood asthma involves persistent symptoms or repeated attacks despite appropriate standard treatment. Specialist evaluation includes reviewing inhaler technique, medication adherence, allergy triggers and possible associated conditions. Additional therapies may be considered for selected children based on clinical findings, asthma severity and treatment response.
Cystic fibrosis is an inherited disorder that affects the lungs, digestive system and other organs by producing unusually thick mucus. Respiratory management may include airway clearance techniques, infection monitoring, appropriate medication and multidisciplinary care. Children require long-term assessment of lung function, growth and nutritional health.
Paediatric obstructive sleep apnoea is a condition in which the upper airway repeatedly narrows or becomes blocked during sleep. Symptoms may include loud snoring, breathing pauses, restless sleep and daytime behavioural difficulties. Evaluation may involve sleep studies and assessment of airway anatomy, with treatment selected according to the underlying cause and severity.
Recurrent pneumonia involves repeated episodes of lung infection in a child. Evaluation aims to identify possible contributing factors such as airway abnormalities, aspiration, immune problems or chronic lung disease. Diagnostic investigations and treatment depend on the child's symptoms, medical history and examination findings.
Chronic cough in children may result from asthma, infections, upper airway disorders or other respiratory conditions. Assessment includes reviewing cough duration, associated symptoms, environmental exposures and previous treatments. Appropriate investigations help determine the cause and guide individualised medical management.
Wheezing in infants may occur because of viral infections, airway inflammation, structural abnormalities or other respiratory conditions. Assessment considers the child's age, breathing pattern, feeding, growth and associated symptoms. Treatment depends on the underlying diagnosis, and urgent medical attention is required if significant breathing difficulty develops.
Paediatric bronchoscopy is a specialised procedure that uses a thin camera to examine a child's airways. It may help evaluate persistent respiratory symptoms, airway obstruction, suspected abnormalities or recurrent infections. Diagnostic samples may be collected when necessary, and the procedure requires appropriate paediatric monitoring and specialist expertise.
Allergen immunotherapy involves administering carefully controlled doses of identified allergens to modify the immune response over time. It may be considered for selected children with allergic rhinitis or allergic asthma. Treatment requires confirmation of clinically relevant allergens, appropriate patient selection and medical supervision.
Allergic rhinitis is an immune-mediated condition causing sneezing, nasal congestion, a runny nose and itching after exposure to allergens. In children, persistent symptoms may affect sleep and daily activities. Management may include allergen avoidance, nasal medications, antihistamines and immunotherapy for suitable patients.
Bronchiectasis is a chronic respiratory condition involving abnormal widening of the airways, which can cause persistent cough, mucus production and recurrent chest infections. Treatment may include airway clearance exercises, appropriate antibiotics, respiratory monitoring and management of underlying causes to reduce exacerbations and protect lung function.
Paediatric sleep studies assess breathing, oxygen levels and other physiological measurements during sleep. They may help diagnose obstructive sleep apnoea and other sleep-related breathing disorders. Findings guide treatment planning, which may involve airway management, medical treatment or referral to appropriate paediatric specialists.