🗣 More than 47 years of experience
👨🏼⚕️ Senior Consultant & Advisor, Pulmonary, Apollo Hospital
23/01/2026
😮💨 Breathlessness Even When All Tests Are Normal? Here’s a Hidden Reason
Sometimes patients experience breathlessness even when lungs, heart, weight, hemoglobin, and anxiety levels are completely normal. So what’s causing the problem?
According to Dr. M. S. Kanwar, one often overlooked cause is a sedentary lifestyle.
When a person does very little physical activity, the deeper and peripheral parts of the lungs (alveolar areas) do not get a chance to expand fully. Over time, these areas may partially collapse, reducing overall lung expansion and lowering vital capacity.
This doesn’t always show up clearly on routine tests, but it can still lead to:
Early fatigue
Breathlessness on exertion
Reduced lung efficiency
💡 The solution is simple yet powerful: Regular breathing exercises, aerobic activity, and general physical movement help keep the lungs fully inflated and functioning optimally.
✔️ Keep moving
✔️ Practice deep breathing
✔️ Avoid prolonged sedentary habits
Your lungs need regular expansion to stay healthy — just like any other muscle.
Dr. M. S. Kanwar
Senior Consultant – Pulmonology & Lung Transplantation
🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
Breathlessness, Normal Lungs, Sedentary Lifestyle, Lung Capacity, Vital Capacity, Breathing Exercises, Pulmonology Awareness, Dr MS Kanwar
21/01/2026
😮💨 Breathlessness Due to Anemia: When Low Hemoglobin Affects Your Breathing
Not all breathlessness starts in the lungs.
Many patients feel shortness of breath, extreme fatigue, dizziness, or palpitations — and assume it is a lung problem. But in several cases, the real cause is anemia.
🔍 How does anemia cause breathlessness?
Hemoglobin carries oxygen from the lungs to the rest of the body. When hemoglobin levels are low:
Oxygen delivery to tissues reduces
The heart and lungs work harder to compensate
Patients feel breathless even on mild exertion
Walking, climbing stairs, or daily activities become exhausting
⚠️ Common symptoms of anemia-related breathlessness
Shortness of breath on exertion
Easy fatigue and weakness
Palpitations
Pale skin
Dizziness or headache
🩺 Important to remember:
Breathlessness does not always mean asthma, COPD, or lung disease. A simple blood test can reveal anemia, and timely treatment can completely reverse symptoms.
📌 Early diagnosis saves unnecessary tests and anxiety.
If breathlessness is progressive, persistent, or associated with fatigue, a proper evaluation is essential.
👨⚕️ Expert Insight by Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
40+ years of experience in managing complex respiratory conditions
🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
✨ Don’t ignore breathlessness — sometimes the solution is simpler than you think.
Breathlessness, Anemia, Low Hemoglobin, Shortness of Breath, Fatigue, Pulmonology, Lung Health, Oxygen Delivery, Respiratory Symptoms, Health Awareness
19/01/2026
😮💨 Breathlessness Due to Obesity: When Extra Weight Affects Your Breathing
Breathlessness is not always caused by lung disease. One very common and often overlooked reason is obesity.
When excess body weight increases, it puts additional pressure on the chest wall and diaphragm.
This restricts proper lung expansion, reduces lung volumes, and increases the work of breathing.
Fat deposition around the abdomen and chest makes every breath more effortful, especially during walking, climbing stairs, or mild physical activity.
Obesity is also closely linked with conditions like: • Obstructive Sleep Apnea
• Obesity Hypoventilation Syndrome
• Reduced exercise tolerance
• Early fatigue and air hunger
In many patients, investigations of the lungs come back normal, yet breathlessness persists.
The real cause lies in the mechanics of breathing, reduced chest compliance, and increased oxygen demand due to excess body mass.
The good news?
With weight reduction, breathing exercises, lifestyle modification, and medical guidance, breathlessness related to obesity can improve significantly.
🎥 In this episode, Dr. M. S. Kanwar explains how obesity impacts breathing and why correct diagnosis is essential before labeling it as a lung disease.
👨⚕️ Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
40+ years of clinical excellence
🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
Breathlessness, Obesity and Lungs, Shortness of Breath, Pulmonology, Sleep Apnea, Lung Health, Dr MS Kanwar, Respiratory Awareness
18/01/2026
😮💨 Breathlessness Without Lung Disease?
It Could Be Psychogenic Dyspnoea
Not every episode of breathlessness comes from the lungs or the heart.
Sometimes, breathing difficulty has a psychological origin, a condition known as psychogenic dyspnoea.
👨⚕️ Dr. M. S. Kanwar explains that many patients feel genuine air hunger, chest tightness, or an inability to take a deep breath, yet all lung tests, X-rays, and heart evaluations are normal.
🧠 What is psychogenic dyspnoea?
It is breathlessness triggered by:
- Anxiety or panic
- Emotional stress
- Fear of illness
- Hyper-awareness of breathing
➡️ The symptoms feel very real, but they are not caused by structural lung disease.
⚠️ Common features include:
- Sudden onset of breathlessness at rest
- Frequent sighing or deep breathing
- Symptoms worsening with stress
- Relief when distracted or reassured
- Normal oxygen levels and investigations
❗ Many patients fear serious lung disease, which further worsens anxiety and breathing discomfort, creating a vicious cycle.
🩺 Key message from Dr. Kanwar:
Before assuming lung disease, it is essential to rule out medical causes. Once serious conditions are excluded, reassurance, counseling, breathing techniques, and stress management can bring remarkable improvement.
💬 Breathlessness is not always in the lungs — sometimes, it begins in the mind.
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👨⚕️ About Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
40+ years of clinical excellence
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📍 Consultation Details
For Physical Consultation (India):
Indraprastha Apollo Hospital, New Delhi
📞 +91 9818080522
For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
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🔔 Stay tuned for upcoming videos where Dr. Kanwar explains different causes of breathlessness — beyond lungs and heart.
18/01/2026
😮💨 Breathlessness… But Are Your Lungs Really the Problem?
Breathlessness is often the first symptom people associate with lung disease — but not every episode of breathlessness comes from the lungs.
👨⚕️ Dr. M. S. Kanwar explains that many patients visit him convinced they have a lung issue, yet their lungs turn out to be completely normal.
🩺 So what causes breathlessness without lung disease?
✔ Heart-related conditions
✔ Anemia (low hemoglobin)
✔ Anxiety & panic disorders
✔ Deconditioning or obesity
✔ Hormonal and metabolic imbalances
Sometimes, the feeling of suffocation or air hunger is not due to damaged lungs, but due to how the body is responding to stress, circulation, or oxygen delivery.
⚠️ Ignoring this symptom or self-diagnosing can delay the correct treatment.
🎥 In the upcoming episodes, Dr. Kanwar will explain non-lung causes of breathlessness in detail, helping you understand when to worry and when not to.
👉 Stay tuned. Early understanding saves lives.
👨⚕️ About the Doctor
Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
Indraprastha Apollo Hospital, New Delhi
📞 Consultation Details
For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634
For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
breathlessness causes, shortness of breath without lung disease, dyspnea awareness, heart vs lung breathlessness, anxiety breathlessness, unexplained breathlessness, pulmonary expert advice, lung health awareness
18/01/2026
😮💨 Breathlessness Without Lung Disease? It Could Be Psychogenic Dyspnoea
Not every episode of breathlessness comes from the lungs or the heart.
Sometimes, breathing difficulty has a psychological origin, a condition known as psychogenic dyspnoea.
👨⚕️ Dr. M. S. Kanwar explains that many patients feel genuine air hunger, chest tightness, or an inability to take a deep breath, yet all lung tests, X-rays, and heart evaluations are normal.
🧠 What is psychogenic dyspnoea?
It is breathlessness triggered by:
- Anxiety or panic
- Emotional stress
- Fear of illness
- Hyper-awareness of breathing
➡️ The symptoms feel very real, but they are not caused by structural lung disease.
⚠️ Common features include:
- Sudden onset of breathlessness at rest
- Frequent sighing or deep breathing
- Symptoms worsening with stress
- Relief when distracted or reassured
- Normal oxygen levels and investigations
❗ Many patients fear serious lung disease, which further worsens anxiety and breathing discomfort, creating a vicious cycle.
🩺 Key message from Dr. Kanwar:
Before assuming lung disease, it is essential to rule out medical causes. Once serious conditions are excluded, reassurance, counseling, breathing techniques, and stress management can bring remarkable improvement.
💬 Breathlessness is not always in the lungs — sometimes, it begins in the mind.
👨⚕️ About Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
40+ years of clinical excellence
---
📍 Consultation Details
For Physical Consultation (India):
Indraprastha Apollo Hospital, New Delhi
📞 +91 9818080522
For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
🔔 Stay tuned for upcoming videos where Dr. Kanwar explains different causes of breathlessness — beyond lungs and heart.
11/01/2026
🫁 Lung Cancer: A Silent Lung Disease in Its Early Stages
Lung cancer is often called a silent lung disease because, in its early stages, it usually causes no obvious symptoms.
👨⚕️ Dr. M. S. Kanwar explains that early lung cancer may grow slowly and quietly, without fever, sputum, pain, or breathing difficulty. This is why it is often detected late.
⚠️ Why lung cancer remains silent initially: • No fever or signs of infection
• No sputum or chest pain
• No breathlessness in early stages
• Tumor grows quietly without blocking airways
As the tumor increases in size or starts affecting the bronchus, symptoms begin to appear — such as persistent cough, breathlessness, chest discomfort, or blood in sputum.
🚨 In rare cases, early blood in sputum leads to timely investigation, making early detection possible through chest X-ray or CT scan, which can significantly improve outcomes.
🩺 This is why unexplained cough, blood in sputum (even once), or persistent chest symptoms should never be ignored, especially in smokers or individuals with high exposure to pollution.
🎥 In this video, Dr. Kanwar emphasizes early evaluation and timely imaging to detect lung cancer before it advances.
📞 Consult Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
Indraprastha Apollo Hospital, New Delhi
For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634
For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
lung cancer awareness, silent lung disease, early lung cancer signs, blood in sputum, chest xray screening, pulmonary oncology, early detection saves lives, respiratory health
10/01/2026
🫁 Interstitial Lung Disease (ILD): A Silent Lung Disease You Must Not Ignore
Interstitial Lung Disease often begins silently.
In the early stages, patients usually experience only mild breathlessness, especially while walking or climbing stairs. Because there is no fever, no pain, and no obvious warning sign, many people assume it is just weakness, low stamina, or aging.
👨⚕️ Dr. M. S. Kanwar explains that this is exactly why ILD is considered a silent lung disease.
⚠️ How ILD progresses quietly:
• Mild breathing discomfort on exertion
• Fatigue or reduced walking capacity
• No early cough or fever in many cases
• Symptoms slowly worsen over months
By the time breathlessness becomes clearly noticeable, significant lung scarring may already have developed — making treatment more challenging.
🩺 Early diagnosis through clinical evaluation, lung function tests, and imaging can slow disease progression, improve quality of life, and delay advanced complications.
🎥 In this video, Dr. Kanwar highlights why early attention to unexplained breathlessness is critical and how ILD should never be ignored.
📞 Consult Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
Indraprastha Apollo Hospital, New Delhi
For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634
For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
07/01/2026
🫁 Asthma: A Silent Lung Disease You Shouldn’t Ignore
Asthma often begins quietly.
In the early stages, symptoms are mild, occasional, or ignored, which is why asthma is considered a silent lung disease.
👨⚕️ Dr. M. S. Kanwar explains that many patients do not recognize asthma initially because the lungs slowly start narrowing without obvious warning signs.
⚠️ How asthma progresses silently: • Mild breathlessness while climbing stairs
• Fatigue during walking or daily activity
• Occasional cough or chest tightness
• Wheezing that appears later
Asthma can begin in childhood or develop in adulthood, and in both cases, the early symptoms are often mistaken for poor fitness, seasonal allergies, or stress.
🚨 When untreated, airway narrowing increases, symptoms become frequent, and asthma attacks may suddenly turn severe — affecting quality of life and oxygen levels.
🩺 Early recognition, proper diagnosis, and timely inhaler therapy can keep asthma completely under control and prevent complications.
🎥 In this video, Dr. Kanwar highlights why asthma should never be ignored and how early intervention makes all the difference.
📞 Consult Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
Indraprastha Apollo Hospital, New Delhi
For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634
For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
asthma awareness, silent lung disease, early asthma symptoms, wheezing and breathlessness, adult asthma, childhood asthma, airway narrowing, pulmonary care, lung health education
06/01/2026
🫁 Silent Lung Diseases: When Damage Happens Quietly
Some lung diseases do not show early warning signs. They progress silently, and by the time symptoms become obvious, significant lung damage has already occurred.
👨⚕️ Dr. M. S. Kanwar explains how several common yet serious lung conditions can remain unnoticed in their early stages and gradually worsen over time.
🔍 Examples of Silent Lung Diseases discussed:
• Asthma – Mild symptoms ignored until frequent breathlessness or attacks begin
• Lung Cancer – Early stages often show vague signs like fatigue or mild cough
• Interstitial Lung Disease (ILD) – Progressive scarring without early breathlessness
• Silicosis – Occupational exposure leading to slow, irreversible lung damage
⚠️ These diseases often develop without clear symptoms initially, and patients seek help only when breathlessness, cough, or oxygen issues become prominent.
🩺 Early diagnosis through clinical evaluation, imaging, lung function tests, and proper follow-up can significantly change outcomes.
🎥 In this series, Dr. Kanwar will discuss each condition individually, helping patients recognize early red flags and understand when to seek medical attention.
📞 Consult Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
Indraprastha Apollo Hospital, New Delhi
For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634
For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
silent lung diseases, early lung damage, interstitial lung disease awareness, lung cancer early signs, asthma progression, silicosis occupational disease, pulmonary screening, lung health education, respiratory disease prevention
24/12/2025
🌬️ Allergic vs Non-Allergic Asthma
Same symptoms, very different causes
👨⚕️ Dr. M. S. Kanwar
Senior Consultant – Pulmonology, Critical Care & Lung Transplantation
Director – Lung Transplant Program
40+ Years of Clinical Excellence
For Physical Consultation (India):
📞 9899988653 | 9716415790 | 9971000634
🌍 For International Online Consultations:
📞 WhatsApp/Call: +91 9910319688
“Asthma is not one disease — understanding the type is the key to correct treatment.”
🫁 What is Allergic (Atopic) Asthma?
Allergic asthma usually starts in childhood or early life and is strongly linked to genetic and atopic factors.
🔹 Key features:
• Family history of asthma or allergy
• Triggered by dust, pollen, pets, pollution, cold air
• Associated with allergy, eczema, allergic rhinitis
• Immune-mediated reaction
• Symptoms develop early and persist over years
👉 This type is not due to infection, but due to genetic sensitivity of airways combined with environmental exposure.
🫁 What is Non-Allergic
(Non-Atopic) Asthma?
Non-allergic asthma usually develops later in life, often after 35–40 years.
🔹 Key features:
• No strong allergy history
• Triggered by occupational exposure, chemicals, fumes, dust
• Linked with repeated bronchial irritation
• More common in industrial or work-related to environments
• Often harder to control
👉 This type is mainly environment- and exposure-driven, not genetic allergy.
🩺 Clinical Takeaway by Dr. Kanwar
✔️ Same wheezing, same breathlessness — but different causes
✔️ Treatment strategy depends on type of asthma
✔️ Correct diagnosis prevents over- or under-treatment
✔️ Occupational history is as important as symptoms
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✴ Dr. M.S.Kanwar has 45 years of experience in handling Critical Care, Acute and Chronic Respiratory diseases like Asthma, COPD Allergies, Lung Infections, Interstitial Lung Fibrosis, Sarcoidosis, and Lung Cancer.
✴ He is a Pioneer in Sleep Medicine in India and started this field for the first time in a big way in 1995 when he set up Asia's Largest and State of the Art Sleep Lab at Indraprastha Apollo Hospital, New Delhi. His team had done the largest Sleep studies in the country and he gets referrals for Sleep consultation from abroad also. His research papers on Sleep Apnea have been presented in the world conferences on Sleep Medicine.
✴ He is currently leading the Lung Transplant Program at Indraprastha Apollo Hospital, New Delhi. He is involved in training the Lung Transplant staff as well as in spreading the awareness on this cutting edge technology among physicians and the general public because this is a new life-saving modality in severely crippled Lung Failure cases.
✴ He had completed his M.B.B.S, M.D from Govt. Medical College, Amritsar and D.N.B ( Respiratory Medicine ) from National Academy of Medical Sciences, New Delhi. He did a Fellowship exam ( Cardiology ) by the University of Vienna ( Austria )after completing training in Rudolfstiftung Hospital, Vienna. He received Pulmonary and Critical care training from famed Mayo Clinic, Rochester( USA ). He also received Sleep Medicine training from Mayo Clinic Rochester. He received training an Echocardiography training at the University of Alabama, Birmingham( USA ). He received training in Lung Transplantation at UNH ( University Network Hospital), Toronto Canada.
✴ He started Critical Care Medicine when he was abroad for 13 years as a Consultant in Large Teaching Hospitals and Assistant Professor of Medicine in the late 1980's & 1990's. He started Critical Care Consultations in dealing with serious and life-threating ICU cases in Sepsis, Shock and Mechanical Ventilation in a Large 70 Bedded ICU Complex abroad in 1986.
✴ His areas of expertise are Critical Care Consultations, ICU Procedures including ECMO, Post- Renal and Post-Liver Transplant Complications, Mechanical Ventilation, Bronchoscopy EBUS, Medical Thoracoscopy and Hemodynamic challenges in ICU. His bulk of OPD patients are Asthma, COPD, Allergies, Lung Infections, ILD, Sarcoidosis, Tuberculosis, and Lung Cancer.
✴ He has presented various important researches related to Sleep Disorders & Bronchoscopy and also, had played a key role in faculty presentations held across India and the USA.
✴ He also has 33 Years of Teaching Experience pertaining to Respiratory, Critical Care and Sleep Medicine abroad as well as in India. He has trained scores of postgraduate DNB students of Respiratory Medicine and Post Doctoral Fellowships students in critical care as well as Sleep Medicine. He has been a guide to dozens of thesis of DNB students. He has been an examiner of Post- Doctoral Fellowship exams in Critical Care conducted by the National Board of Examinations. He has also been the examiner of Post - Doctoral of Sleep Medicine Fellowship examine conducted by ISDA.
