Dr. Lokesh Guglani
Pediatric Pulmonology
Detroit, MI
23 years experience male
Locations
University Pediatricians
Detroit, MI
Office
Detroit, MI
About
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Pediatric Pulmonology
Pediatrics
Doctor Q&A
227 Answers
80 Agrees
The number of answers this doctor has agreed with.
A 27-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Need evaluation: Pft can only show the degree of obstruction, whereas the diagnosis of asthma is a clinical one. For pts with asthma, chest infections can make things ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 46-year-old female asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
No worries: Fev1 of 128% predicted (assuming the other numbers on your pft were also normal) would suggest normal lung function. The normal range for fev1 is 80-1... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Caution advised: Rabbits are generally safe as pets, but they can sometimes get infected with pseudomonas or bordetella or staph aureus - infectious organisms that are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Current status: Outside of north america, europe & australia, there are not many lung transplant centers that routinely perform lung transplants for CF patients. Betw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
More info needed: Please provide more information about your symptoms, duration, any treatments taken, underlying diagnoses etc. Please get evaluated immediately by a d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Inflammation: Interstitial pneumonia is an inflammatory process that affects the walls of the small air sacs in the lungs causing them to thicken & cause difficulti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 35-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Limited info: This is a very limited description of flow volume loop on spirometry. This has to be interpreted with other parameters (fvc, fev1 etc.) to get the com... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Entry into lungs: Caused by entry of foreign material coming either from throat or stomach into the airways. The acidic stomach contents or accidentally ingested hydroc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Depends on type: There are several types of interstitial lung disease and the prognosis and rate of progression of lung disease depend on the type of disorder causing ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Pittsburgh: The nearest center with expertise in treatment of respiratory disorders would be pittsburgh, pa. You can see any of the lung specialists at upmc. Anot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 48-year-old member asked:
My 11 yr old son was diagnosed with mediastinal emphysema due to air leak, what are possible causes?
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Pneumomediastinum?: Please clarify if the air leak happened in the mediastinum or into the pleural space? The former is called pneumomediastinum & is seen in patients wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Yes: Tuberculosis is an infection caused by mycobacterium tuberculosis infecting the lungs. A combination of meds can treat TB if they are taken as prescr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Gastroparesis &Pneum: Gastroparesis is delayed emptying of food from stomach into intestines, which increases the chances of food coming up the esophagus as reflux. This ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Yes: The interpretation of TB test requires the measurement of the size of the induration and not the redness. So while a little redness may occur in most ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
No harm: Tb test in an anorexic person who has significantly poor nutrition does not cause harm. But it can sometimes be falsely negative as severe nutritional... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Exposure not disease: A positive TB test indicates past exposure to the bug that causes tb. Whether you have active TB disease or not depends on whether you are symptomatic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Inflammation: Tuberculosis infection causes chronic inflammation in the form of granulomas that invade normal tissue in the involved organ & cause it not function p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Correct gene defects: Cystic fibrosis is a genetic disorder where a dysfunctional cftr protein causes problems in various organ systems. By restoring the function of this p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Not really: If you are having symptoms due to an asthma flare up, the best strategy would be to use a rescue inhaler/nebulization treatment such as albuterol for ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
RespiratoryInfection: Flu is an infection of respiratory tract caused by influenza virus. It spreads through inhalation of droplets coughed by infected person. It can start... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Controller + rescue: The best available treatment for asthma is regular use of anti-inflammatory medications to control the root cause of asthma - increased airway inflamm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Depends: The rate of progression of TB depends on a number of factors - site of infection/involvement, bacterial burden, immune status of host, previous treatm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Weeks to months: Because the TB bug (mycobacterium tuberculosis) is a very slow growing bug, it will take weeks to months before it will multiply in enough numbers ins... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Cooling mechanism: Sweating is a means for the body to cool itself down during/after exercising/intense physical activity by allowing evaporation which lowers the skin t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Higher risk in HIV: Having a positive TB test indicates that you have been exposed to the TB bug. The infection could be latent or active, & this can be determined by fur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
No effect: Tb test (ppd test) is a diagnostic test that is used to determine if someone has ever been exposed to the TB bug. It does not have any harmful effects... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Airway Clearance: To help improve lung function & prevent chronic infections, it is important to do airway clearance therapies with the help of breathing treatments (hy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Palliative: Palliative care does not always mean withdrawal of support. It can be initiated soon after diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Slightly reduced: Asthma can cause a slight drop in vital capacity but a greater reduction in flow rates (such as fev1). Hence the ratio of fev1 to forced vital capacit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 46-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Not recommended: Correct diagnosis & treatment of tuberculosis infection is essential for preventing damage to the organ systems involved & also to prevent the develop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Preventive therapy: The best strategy to prevent asthma attacks is to use an anti-inflammatory medicine on a daily basis as preventive therapy. It will help suppress airw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Depends on cause: Obstructive & restrictive lung disorders are broad groups that include several disease conditions. The body's response to either of these categories o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Second line meds: Since majority of the TB meds can cause elevated liver enzymes, substituting them in someone with active TB disease requires careful consideration of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Ask: Ask about the specific symptoms that can be alleviated, advance directives & what to do in emergency.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
To protect children: To ensure that young children do not get exposed to anyone with tb, child care providers (e.g. Those working in daycares or hospitals) are required to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Yes: The TB test can become positive within the first day in someone that has been exposed to TB in the recent past.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
No: The PPD test has to be measured & interpreted within 48-72 hours after administration of the test. Any swelling/induration noted a week after the init... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Inhaled infection: Tb generally enters the body by inhalation of droplets that were coughed out by an infected person around you. Once you inhale the droplets containing... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Take your meds: The most important thing for ensuring adequate treatment & prevention of future recurrences of TB is to complete the entire duration of recommended th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Spreads via droplets: Tb infection generally spreads by droplets coughed out by an infected person which are then inhaled by people around them. Once those who inhaled infe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Asthma or VCD?: Your symptoms could be related to vocal cord dysfunction (vcd) that is causing the throat tightness & possibly intermittent episodes of difficulty in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Goes away on its own: The small bump from the TB test should go away on its own. Do not scratch or pick on it, as it might irritate the site & cause it to take longer to he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Up to few centimeter: Lung granulomas are usually tiny and can only be observed in lung tissue under the microscope. In long standing cases of TB or other non infectious co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Resp infections: About 3-4 colds or respiratory tract infections are fairly common in young children especially in winter months. Exposure to various pathogens in dayc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Secretions: The rattling sound from lungs is generally due to vibrations produced by retained secretions (mucus/phlegm) in the airways (breathing tubes) in your l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Varied symptoms: Tb can infect many organ systems but the most common site is lungs. Cough, fever, night sweats, weight loss, reduced appetite, breathing difficulty, n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Local Health Dept: You can go to the local health department in your city/town or your doctor's office & get the PPD (tuberculosis) test done. You have to go back to the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Several hours: Rsv can survive on hard surfaces such as tables and crib rails for many hours. It also lives on soft surfaces such as tissues and hands for shorter am... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 44-year-old male asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Yes and no: Since tonsils are lymphoid tissue, the TB bug can certainly secondarily spread to the tonsils in someone who is already infected with tb. However, TB ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Lokesh Guglanianswered
Pediatric Pulmonology 23 years experience
Mercury exposure: Mercury vapors escape when a cfl bulb breaks & several precautions are necessary. Stop airconditioning or fans in that room, open all doors and window... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
206
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Guglani is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Guglani is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful! I really appreciate your answer, it truly helped understand my problem.
HealthTap member
Thank you, your answer was very helpful! I will set up anothet sleep study too much co2 build-up thank you
HealthTap member
This saved my life. Thank You! Can i ahve your personal e-mail/tel no plz send masood@alhammad.sa.com
Education & Training
Medical/Graduate school
University College of Medical Sciences
Graduated 2000MD
Residency
Women and Children's Hospital of Buffalo
Awards
Thomas F Frawley MD Research Fellowship
Theodore I Putnam Pediatric Resident Award
Top Pediatric Pulmonologist, First Place, National - Winter
2013
Affiliations
American Academy of Pediatrics
American Thoracic Society
American College of Chest Physicians
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