Our Services

We offer a full range of services, including:

Investigation and Management

We offer the investigation and management of:

  • Breathlessness and cough
  • Asthma and allergy
  • Chronic obstructive lung disease/Emphysema
  • Interstitial lung disease
  • Bronchiectasis
  • Lung cancer
  • Occupational lung disease
  • Lung infections
  • Tuberculosis, atypical TB

Lab Tests

We provide the following tests:

Full Pulmonary Function

Assessment of airway function (spirometry) and lung parenchyma (lung volumes and gas transfer).

Lung volumes are typically increased in obstructive diseases (e.g. asthma, emphysema/bronchitis, bronchiectasis, etc.), and reduced in restrictive disorders (eg. pulmonary fibrosis and other interstitial diseases, and chest wall disease such as pleural thickening and/or neuromuscular weakness). Gas transfer is usually reduced in emphysema and interstitial lung disease.

Spirometry

Measures FEV1, FVC, FEF25-75 and flow volume loop.

This may help in the diagnosis of:

Obstructive Diseases

  • FEV1 is low, FEV1/FVC is reduced and FVC is usually normal
  • In small airways obstruction, FEF25-75 is low, FEV1 is normal and FEV1/FVC is normal

Restrictive Diseases

  • Volumes are reduced (low FEV1 and FVC), FEV1/FVC is normal or increased.
  • Upper airways obstruction is assessed by the shape of the flow-volume loop.

Oxygenation Assessment

Exercise Oximetry may help determine the need for oxygen at home or with exercise.

Skin Prick Testing

Commonly occurring aeroallergens are used to assess the presence of atopy. It is the most sensitive test of atopy. Before this test, avoid antihistamines for 3 days.

Respiratory Muscle Strength

Can be estimated by maximum mouth pressures in inspiration and expiration.

Altitude Simulation

Assesses patients' ability to respond to a hypoxic challenge. Individuals already on domiciliary oxygen should probably be considered unfit to fly.

Bronchial Provocation

Allows an assessment of airways reactivity to different stimuli. Inhalation challenge testing may be used for the assessment of chronic cough and in the diagnosis of asthma. Generally, the more severe the asthma, the more reactive are the airways. The test may also be positive in current smokers, those with hay fever, atopic but asymptomatic patients, and for up to 6 weeks after respiratory tract infection.