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California Specialty Physicians / Comprehensive Sleep Center
Milpitas, CA
Phone
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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.
Pulmonology
Critical Care
Internal Medicine
Sleep Medicine
Languages spoken
Hindi, Kannada, Oriya, Urdu
Doctor Q&A
93 Answers
14 Agrees
The number of answers this doctor has agreed with.
A 38-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: Commonly seen in small cell cancers; and sometimes in non small cells types as well.
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5.4k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Seek help: Start with your internist who may initiate some basic tests based on your symptoms and then may refer you to a pulmonologist who will diagnose and the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Sats <90%: Oximeter showing <90% or more appropriately pao2 <58 is considered hypoxia and need for o2 supplemental oxygen will be needed.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Lot of them: Cough, dyspnea, wheezing, chest tightness, chest heaviness, chest pain, gasping, snoring, stridor, sputum production, heartburn, hemoptysis, fever, ca... Read More
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5.4k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Likely: ARDS still carries a very high mortality rate of about 35-38% in multiple studies and the morbidity rate is higher. Lot of work has been done and is o... Read More
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5.4k viewsAnswered >2 years ago
A 41-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Crushed??: If this means difficulty expanding and chest tightness, then a lot of things can do it including asthma, copd, cough leading to chest muscle pains, dy... Read More
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5.4k viewsAnswered >2 years ago
A 42-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Maybe: Quite a few viral illnesses leave a rash, localized or systemic, coryza, cold, and usually resolved. Watch out for extension.
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5.4k viewsAnswered >2 years ago
A 59-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Inflammation: Usually these words mean acute on chronic nonspecific 'inflammation' or 'infection' of the lungs and causes could be many. A pulmonary consultation wi... Read More
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5.4k viewsReviewed >2 years ago
A 44-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Maybe: Bnp of 331 is considered 'borderline' and can be due to right or left heart failure; and may or may not be chf. Clots neg is a good thing. Edema has ... Read More
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5.4k viewsAnswered >2 years ago
A member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Snoring : Snoring may or may not indicate sleep apnea. Statistically 40% men snore but about 1 in 4 have sleep apnea and of course, as is true with all branches... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Exogenous hormones: Any hormone given from externally (body not being able to make it enough for its own need, or as a form of medication to achieve certain goal) comes u... Read More
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5.4k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Low 'fighters': With dmd and its subsets, there are some cases with affected white cell lines and the immunoglob as well.
Add to this problem of poor muscles power ... Read More
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5.4k viewsReviewed >2 years ago
A 28-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Infection of lung: An organism called pneumocystis carini (now jirovechi) can cause infection of the lung, esp in the immunocompromised hosts and can cause profound hypo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
May be: Primers are known to cause increased bronchoresponsiveness in some folks. If you do get wheezing and dyspnea when in the vicinity of the primers, may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Dont know: I dont think anybody without an 'eye' (like a crystal ball) for the future can date this.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 21-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: More complex the medical issues like diabetes, immunodef or chronic illnesses- , more likely the chance of infection and for it to progress to sepsis.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 22-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Not true: Sepsis management has come a long way, and if done per guidelines, has brought down mortality and morbidity dramatically. Still, i agree, a lot of wor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 41-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Normal: Just like every other person.. About 90% and above; whether on or off the ventilator.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 34-year-old member asked:
Could diesel fumes cause scar tissue and fibrosis - if the diesel fumes are in the work environment?

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
No: Not likely to in short term exposure. Fibrosis generally happens with long term, generally decades, of exposures to inciting factors, that can be of v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 27-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Concerted effort: Effort under guidance is the best. I strongly recommend bariatric surgery; through a program though!. Teamwork including dietician, exercise therapist... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Muscle pains?: Presuming the 'hurt' to be in the ribs, and suspecting cough to be present for a good many days, most likely it is muscular, complicated by altered an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Test: It is 'polymerase chain reaction' test request for diagnosis of pertussis bug in the sample and is a good one.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 23-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Maybe: While in normal or thin abd people on deep pressing one can feel the pulsating aorta, it is actually rare! pulsating in the abdomen with 'warm' abdome... Read More
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5.4k viewsAnswered >2 years ago
A 29-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
?: If you live in a coal dust prone area, the incidence will be really high, compared to population living away from it.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
NO: I dont think there is a solid relationship; but logically it makes sense for people to actually breathe harder or faster..
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 32-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: Bradypnea means less number of breaths, generally less than 8/ min.
Hypopnea (if severe apnea) if shallow breathing; rate is good but volume is a pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 43-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Variable: Generally 4-10 days. Like almost anything in medicine, depends on a lot of variables including physical health of the individual and virulence of the ... Read More
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5.4k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: Smoking has been associated with tremors. Marijuana is equivalent to 17 cig per some studies.. So you can calculate..
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Sleep apnea: Most certainly you have sleep apnea with its classical adrenergic response (sweating, tachycardia) with fragmented sleep, insomnia associated with sle... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: They can be manifestation of sleep related problems or independent of these.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Generally : Generally dyspnea (or shortness of breath) can be caused by multitude of problems and discsusion of each of this is beyond the scope of this qa sessio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 46-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Not advisable: Persistent cough needs to be evaluated for the cause, as cough is only a symptom (or a sign) for something very benign or more sinister. I strongly re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: No protection from organisms and dust is offered by the nasal passage and the pharyngeal regions. Sinuses also help in ventilation process as well as ... Read More
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5.4k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Link: Please see the link below and read at your leisure. Let me know if you have any specific question.
http://www.nlm.nih.gov/medlineplus/druginfo/meds/a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 47-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Exercise: Aerobics and weight training are both helpful in reaching your goal- better way!
other wise, becoming obese is another way:).
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 19-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Leg movement disorde: Can be due to RLS or plmd or a benign condition called 'hypneic jerks'. Other rare leg movement disorders can present as well and a good history and e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 43-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Could be: Could be pericarditis also. Hope the follow up ekg is 'normal'.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 37-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Depends: Variables like need to treat initiation or maintenance insomnia, adults or kids or elderly, or depression as comorbidity are considered in chosing the... Read More
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5.4k viewsAnswered >2 years ago
A 26-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Spasm: Paraspinal muscle spasms can present this way and heat application, changing postures should help. If not, see a pt.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Number of causes: Infection itself can cause leukopenia due to demand supply issue. Drugs can do it. So can cancers, certain type of infections and a host of causes tha... Read More
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5.4k viewsAnswered >2 years ago
A 29-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Breathes on own: Ventilator 'breathes' for you. If taken off, you are on your own ! if you are not treated yet of the primary disease condition, lungs may not be able ... Read More
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5.4k viewsAnswered >2 years ago
A 24-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: Unfortunate, but true. Cancer cells found any place other than the 'point of origin' makes it 'metastatic' and by established norms in TNM classificat... Read More
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5.4k viewsAnswered >2 years ago
A 32-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
No: 5 days of clexane? 150 mg? Who gave you this? Doesn't seem to serve the purpose and dosage is absurd. Generally given as a bridge till the warfarin is... Read More
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5.4k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Yes: No problems have been reported; nor could one anticipate one with the 'essence of life'. I hope you dont have severe COPD and blebs, that may rupture,... Read More
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5.4k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Depends: If the lung health is the only consideration and one doesnt have any symptoms then a 'routine' cxr may safely say that your lungs are healthy.. I gues... Read More
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5.4k viewsAnswered >2 years ago
A 54-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Incomplete Treatment: Looks like you have both central and obstructive events and bipap (not sure why given, unless i know more about the report or study) is eliminating so... Read More
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5.4k viewsAnswered >2 years ago
A 46-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
No: In most states, all you need to do is hands on training in a lab; do some online courses and take the brpt tests for cpsgt or rpsgt. Bingo...
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5.4k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Oxygen in the blood: Measured indirectly by the oximeter, it measures the amount of oxygen your blood is carrying.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 35-year-old female asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Less likely: Most knots or lumps 'palpable' on the 'tummy' may or may not be serious illnesses but are definitely not clots. If in doubt, and if these 'hard place... Read More
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5.4k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. Sanjay Agarwalanswered
Pulmonology 28 years experience
Train and pass board: Hands on training in a lab, modules online, and then clear the exams held by brpt.
Good luck.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k 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
110
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Agarwal is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Agarwal is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you so very much! I worry so much about these blood clots. I have 4 little ones and fear of dying and leaving them is so real now.
HealthTap member
Thank you, your answer was very helpful! Thank you so muchi have been hurting all and I had no clue what was going on
HealthTap member
Thanks for your help. I am 30 years old.
Education & Training
Medical/Graduate school
Bangalore Medical College
Graduated 1995MD
Residency
Michael Reese Hospital & Medical Center
Awards
honors
Top Pulmonologist , First Place, California - Winter
2013
HealthTap Founding Doctor
Affiliations
American Acacdemy Of Sleep Medicine
American College Of Chest Physicians
Indian Society Of Critical Care Medicine
Publications
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