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Dr Amit Patel

Dr Amit Patel
Pulmonology & respiratory medicine
Central London


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Dr Amit Patel

MBBS MD FRCP AHEA

Pulmonology & respiratory medicine
London


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Dr Amit Patel areas of expertise:

  • Chronic cough
  • Breathing problems
  • Asthma
  • Respiratory diseases
  • Lung diseases
  • Sleep apnoea

Professional statement

Dr Amit Patel is a leading London Consultant Respiratory physician specialising in the investigation and management of all respiratory diseases including acute and chronic cough, asthma, breathlessness of unknown cause, COPD,  lung cancer, respiratory failure, sleep apnoea, sarcoidosis, interstitial lung disease and bronchiectasis. He has a number of private clinics in London, alongside his NHS work at King's College Hospital and Guys and St Thomas's Hospital. During his higher specialist training he obtained a MD in the Division of Asthma, Allergy and Lung Biology within King’s College London. Dr Patel holds a postgraduate teaching qualification and is actively involved in undergraduate and postgraduate teaching and teaches all aspects of respiratory medicine. He has been involved in a number of research projects and his work has been published in a number of high impact factor international journals, and presented at major symposia in North America, Europe and the UK.


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persistent_cough
What is a chronic cough, and how is it ...

 Credentials

GMC: 6029386

 Professional experience

• More than 15 years of experience
• Consultant Respiratory Physician, London Bridge Hospital (present)
• Consultant Respiratory Physician, Hospital of St John and St Elizabeth (present)
• Consultant Respiratory Physician, King Edward VII Hospital (present)
• Consultant Respiratory Physician, King's College Hospital NHS Foundation Trust (present)
• Consultant Respiratory Physician, King's Private, King's College Hospital (present)

 ...

 Sub-specialties

• Acute and chronic cough
• Shortness of breath
• Asthma
• Respiratory infection
• Interstitial lung disease
• Sleep apnoea
• Sarcoidosis
• Lung cancer and pulmonary nodules
• COPD

 ...

 Teaching posts

• Honorary Senior Lecturer, King's College London (present)

 Education

• MBBS, King's College London (2001)
• MRCP, Royal College of Physicians (2005)
• AHEA, Higher Education Academy (2011)
• MD, King's College London (2015)
• FRCP, Royal College of Physicians (2016)

 ...

 Publications and conferences

• Author of numerous articles published in high impact peer reviewed journals
• Regular presentations at national and international medical conferences

 Professional membership

• Fellow of the Royal College of Physicians
• Member of the British Thoracic Society
• Member of the Medical Protection Society
• Associate of the Higher Education Academy

 ...

Languages spoken

  • English
  • Gujarati

Diseases, Medical Tests and Treatments

Asthma

Asthma (or bronchial asthma) is a lung disease caused by narrowing of the bronchi, which causes breathing difficulties. It is characterised by the pre ...

Breathing problems

Breathing problems can be caused by a number of conditions such as asthma, allergies, unresolved infections, COPD, and a variety of other conditions w ...

Chronic cough

A chronic cough lasts for more than three weeks without an apparent cause. A visit to a specialist is recommended if the cough persists to exclude any ...

Lung diseases

The lungs are responsible for providing oxygen to our body. Lung diseases are responsible for around a fifth of annual deaths in the UK. They are nume ...

Sleep apnoea

Sleep apnoea is the interruption of breathing that occurs moments after falling asleep, preceded by a period of loud snoring for at least 10 seconds. If this process is repeated 5 times for each hour of sleep it is called Obstructive Sleep Apnoea Syndrome. Obstruction of breathing causes a decrease in oxygen levels in the body that makes it difficult for the person to have a restful sleep and causes tiredness the next morning. In addition, the persistence of this lack of oxygen could lead to pulmonary hypertension and future right-sided heart failure or myocarditis, so it is important to detect it early and perform relevant tests for a safe diagnosis. A sleep study is carried out to establish treatment that includes the change of some lifestyle habits (diet, abstention from alcohol, postural changes) and the prescription of a CPAP machine, which generates air pressure via a nasal mask. This stops respiratory obstruction, preventing snoring and favouring restful sleep. In some cases, surgery may be required if there are any airway scars or when the mask is not effective. ...

Respiratory infection

Respiratory infection is when the respiratory tract or lungs become infected. In some cases it can lead to pneumonia.

Bronchiectasis

Bronchiectasis is a disease of the airways where they are irreversibly widened. Bronchiectasis can be congenital or acquired when infections in the airways are recurrent. ...

Bronchiolitis

Bronchiolitis is a viral disease characterised by swelling of the small airways. Runny nose, cough and shortness of breath are the most common symptoms. It can develop in both children and adults. However, in adult smokers it can cause serious breathing difficulties that must be treated with care. ...

Bronchoscopy

A bronchoscopy is a diagnostic test to visualise and collect samples of secretions or tissues from the airways (larynx, trachea, and larger bronchi) to diagnose multiple related pathologies, such as pulmonary obstructions and cancerous tumours. It may serve as a biopsy or for the extraction of liquids for later study, in addition to being used for therapeutic purposes.  ...

Chest infection

Chest infections can be caused by bacteria, viruses, and more rarely other organisms. They cause fever, breathlessness, fatigue, and occasionally coughing up blood. ...

Chronic bronchitis

Bronchitis is an inflammation of the bronchial tubes, the airways that carry air to your lungs. It causes a cough that often brings up mucus. It can also cause shortness of breath, wheezing, a low fever, and chest tightness. There are two main types of bronchitis: acute and chronic. Chronic bronchitis is a type of COPD. Smoking tobacco is the most common cause. Excess mucus is produced by inflamed bronchials which can lead to coughing an wheezing. ...

Cystic fibrosis

  Cystic fibrosis (CF), or mucovicidosis, is a genetic, hereditary, non-contagious and incurable disease that manifests itself from birth as a result of two altered genes. This is a complex pathology because it affects all the organs but in a different way, and in varying degrees, depending on the case. With CF, very viscous mucus that clogs the lungs, the digestive system and the reproductive system, prevents the normal function of the organs. The diagnosis is made by genetic blood tests and from a sweat test (or iontophoresis), to verify the excessive secretion of salt through the patient's sweat. Currently, gene therapy is being studied as a potential cure of CF; this would involve replacing the defective gene that causes this disease with a normal one that works correctly. Meanwhile, the therapies and drugs most used for this disease are: respiratory physiotherapy exercises, with previous inhalation of medicines for the fluidification of mucus; antibiotic, oral, intravenous or inhaled treatments; pancreatic enzymes given at each meal; vitamin supplements, calorie supplements and a proper diet; isotonic drinks to prevent dehydration; performing mild physical exercise that improves lung capacity, and in extremely severe cases, transplant of an affected organ. ...

Lung biopsy

A lung biopsy is the extraction of lung tissue for histological examination to determine the best diagnosis of lung diseases. The test, which usually lasts between 30 and 60 minutes, is undertaken after a period of nil by mouth, an X-ray and a CT scan of the chest. A lung biopsy is initiated through a skin incision of about 3mm, into which a needle is inserted, then into the lung tissue or tumour, from which the sample is taken for analysis in the laboratory. Subsequently, a chest radiograph is performed to verify that there has been no damage during the process. ...

Pleural effusion

Pleural effusion is when an abnormal quantity of fluid gathers around the lung. It may be caused by a number of different medical conditions. The most common cause is congestive heart failure and exudative effusions which are caused by blocked blood vessels or lymphatic vessels, inflammation, lung injury, and tumours.  ...

Pneumonia

Pneumonia is an illness of the lungs that, in extreme cases, can cause death, usually caused by a bacterial infection. Common symptoms include coughing, problems breathing, rapid heartbeat, fever, loss of appetite, and sweating and shivering. ...

Pneumothorax

Pneumothorax is the presence of air in the pleural space between the lungs and chest. Symptoms generally include onset of one-sided chest pain, or shortness of breath. If the condition is not reversed, it can result in death. ...

Pulmonary embolism

A pulmonary embolism is when a blockage occurs in the pulmonary artery, which carries blood from the heart to the lungs. Symptoms can include chest pain, coughing, shortness of breath, or even dizziness. The blockage, often a blood clot, can be fatal as it can block the flow of blood to the lungs. ...

Pulmonary emphysema

Pulmonary emphysema is a chronic obstructive pulmonary disease (COPD) with no cure. It is characterised by the destruction of the walls of the alveoli. This causes a decrease in respiratory function and the progressive destruction of the lung. Its main symptoms are shortness of breath (especially during activity and physical exercise), coughing and respiratory difficulty. ...

Pulmonary Fibrosis

  Pulmonary fibrosis (or idiopathic pulmonary fibrosis) is a respiratory disease in which the lungs become scarred and stiff, making it difficult to breath. It occurs most frequently in patients aged between 50-70, and some of the causes for its occurrence include the use of snuff, the effect of some drugs on the body, acid-gastric reflux, environmental causes and exposure to certain toxic substances. Symptoms vary widely: dyspnea, cough, fever, decreased body mass, etc., so the diagnosis should clarify its difference from other diseases with similar symptoms. Through a comprehensive examination of the patient (complete analysis, chest X-rays, CT scans and biopsy) based primarily on corticosteroids, cytotoxic and anti-fibrotic, with satisfactory results in most cases, treatment is established. ...

Pulmonary hypertension

  Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and pulmonary thrombosis are conditions characterized by a disproportionately high pressure in the arteries of the lungs. This disease can cause the heart to suffer great distress and, if not treated early, can cause serious problems, even resulting in death. The origin of pulmonary hypertension is the narrowing of blood vessels in the lungs. Pressure accumulates with the difficulty the narrowed arteries experience in transporting blood. Treatments include pulmonary endarterectomy, a surgical technique that involves removing fatty plaques or blockages of the vessels supplying the lungs. This treatment is not suitable for patients with severe obstructive or restrictive lung disease. The second treatment option, for those patients who are not eligible for pulmonary endarterectomy surgery, is lung transplant. ...

Pulmonary nodule

The pulmonary nodule is a round or oval-shaped spot in the lungs and is detected by a CT scan or chest x-ray. In most cases, the appearance of the pulmonary nodule is not cancerous. Among its causes are scars and past infections. Its morphology is small, with a smooth edge and with a solid and uniform appearance. In the case of a malignant nodule, lung cancer is one of the major diseases that develop. Pulmonary nodules usually have symptoms. If the patient is a smoker, has lung cancer symptoms, or a nodule has grown or changed in appearance, a specialist may want to perform a biopsy to rule out cancer. ...

Pulmonary tuberculosis

  Pulmonary tuberculosis is an infectious disease caused by a bacterium, mycobacterium tuberculosis, that can be acquired by inhaling water droplets from the cough or sneeze of an infected person (the so-called Koch's bacillus). Among its most frequent symptoms in an advanced state of the disease are fever, sweating, weight loss, general tiredness, cough, chest pain, and blood in the sputum. For diagnosis, it is necessary to isolate these bacilli in cultures of sputum samples or through various tests or biopsies (bronchoscopy, pleural biopsy or ganglionic biopsy). If no treatment is performed, tuberculosis causes death. The usual treatment is based on the combination of at least four drugs (Isonizide, Rifampin, Pyrazinamide and Etambutol or sometimes others) administered several times a day for an extended period of time (usually six months). Since it is a contagious disease, medical advice should be followed in regard to medication control and initial isolation to avoid a possible spread of the disease to the rest of the population. ...

Respiratory failure

Respiratory failure occurs when there is insufficient oxygen supply to the heart or when the lungs do not remove carbon dioxide from the blood. There are different diseases that cause respiratory failure.- Lung diseases like COPD, embolism, pneumonia or fibrosis.- Affections of nerves or muscles and spinal trauma, stroke or muscular dystrophy.- Injuries in the ribs- Abuse of alcohol or drugs.Treatment depends on whether the failure is short-term or chronic....

Smoking cessation (quitting)

  Smoking is the acute or chronic intoxication produced by addictive tobacco use. It presents all the characteristics of any dependence disorder generated by toxic substances, including the withdrawal syndrome that occurs when they are discontinued; in this case, nicotine. Smoking has a number of health consequences affecting the body in general: pulse and breathing disorders, diarrhoea, vomiting, vertigo, fever, cold extremities, and in very serious cases, collapse and respiratory arrest. Common diseases among smokers are: respiratory, such as laryngitis or bronchitis; Digestive disorders, such as gastritis or heartburn (hyperchlorhydria); Cardiovascular diseases, such as arteriosclerosis; and others such as angina pectoris or lung cancer. There are now numerous smoking cessation programs that include some complementary therapies, such as nicotine replacement therapy in patients with high physical dependence, or antidepressants. ...

Spirometry

  Spirometry is a painless diagnostic test that measures the volume and flow rate of air into the lungs. It is done through a specialised apparatus, a spirometer or pneumotachograph, which has a nozzle the patient must place their lips around while their nose is blocked, to prevent air from escaping.. With this test three readings are taken, and the best result of the three is used for patient assessment. There are two types of spirometry: simple spirometry and spirometry. The information obtained from each of these stress tests is different and they are usually carried out consecutively. This technique is used for early diagnosis of chronic obstructive pulmonary disease (COPD) or to control the evolution of already treated patients. ...

Thoracic pain

Thoracic pain occurs in the front of the chest and can be a symptom of many conditions: heart disease, such as acute myocardial infarction, coronary insufficiency, or pericarditis; respiratory infections such as influenza, pneumonia; nervous disorders, such as anxiety attacks; or osteoarticular and muscular illnesses. However, the patient must bear in mind that, despite the sensation of severe chest pain, many times the causes are not dangerous to the health of the individual. Since the cause of chest pain can be multiple, to avoid any setbacks, it is essential to consult the specialist promptly to receive immediate treatment, if necessary. ...

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Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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