Difficult Asthma & Advanced Biologic Therapy Desk
Individualized treatment regimens for childhood and adult asthma, allergic rhinitis, and severe refractory asthma utilizing modern inhaled formulations and targeted biologic therapies.
Procedure Overview & Clinical Purpose
Severe Refractory Asthma requires precision phenotype evaluation rather than simply escalating oral steroid doses. Dr. Kashyap Goyal utilizes Fractional Exhaled Nitric Oxide (FeNO), Absolute Eosinophil Count (AEC), and Total Serum IgE to identify Type-2 high inflammation and initiate targeted biologic therapies (e.g., Anti-IL5, Anti-IgE) that transform patient quality of life.
Key Patient Candidates & Symptoms
What Happens During the Procedure?
FeNO Airway Biomarker Analysis
Quick breath analysis measures fractional exhaled nitric oxide to assess active eosinophilic inflammation.
Allergy & Phenotypic Blood Profiling
Total IgE and eosinophil counts determine exact inflammatory pathway and biologic suitability.
Precision Biologic & Inhaler Regimen
Initiation of targeted monoclonal antibodies alongside optimized micro-aerosolized inhaler therapy.
Long-Term Symptom & Spirometry Follow-up
Regular spirometry and symptom scoring ensure complete freedom from acute asthma flare-ups.
How to Prepare Before Coming to the Hospital
- Bring all previous prescription slips, discharge cards, and current physical inhalers
- Bring recent blood test reports (CBC, Absolute Eosinophil Count, Total IgE)
Dr. Kashyap Goyal, MBBS, MD, DM (Pulmonary, Critical Care & Sleep Medicine), MBA (PCHM)
Senior Pulmonologist, Critical Care & Sleep Specialist at Delhi Heart Institute, Bathinda & Vijay Hospital, Gidderbaha (MBBS, MD, DM (Pulmonary, Critical Care & Sleep Medicine), MBA (PCHM), AIIMS, DMC Ludhiana). Specializing in video bronchoscopy, difficult asthma biologics, computerized PFT, and polysomnography.
Schedule Your Procedure or Second Opinion
Book an OPD evaluation with Dr. Kashyap Goyal at Delhi Heart Institute, Bathinda, or discuss your case on WhatsApp.
Super-Specialist Pulmonology Services
