From the windpipeto the smallest branch,with the same care. — Dr. Shiva Ebrahimi
Pulmonary and Critical Care (ICU) Subspecialist, Internal Medicine Specialist Tabriz
For a cough that will not settle, breathlessness, asthma, respiratory allergy and sleep disorders, with clear explanations and regular follow-up.
Listen and measure first, then treat; plain explanations and regular follow-up.
Dr. Shiva Ebrahimi is a pulmonary and critical care (ICU) subspecialist and an internal medicine specialist in Tabriz. Most lung diseases are long-term, and the result of treatment depends on using the inhaler correctly, not dropping the controller medicine once you feel better, and knowing the warning signs. This site tells you when to see a lung specialist, what lung tests are and where to get help urgently. The aim of treatment in asthma and COPD is to control symptoms and have fewer attacks.
More about the doctorLung and sleep conditions, in plain language.
Every lung condition has its own course. These pages explain what the condition is, how it is investigated and how treatment generally works. Your diagnosis and treatment plan are decided by the doctor after an examination.
Asthma and respiratory allergy
Asthma is a long-term disease of the airways that shows itself as cough, wheezing, shortness of breath and chest tightness. This page explains in plain language what asthma is, how it is assessed, what treatment aims for, what you can do yourself and when to get urgent help.
Read moreCOPD and the harm of cigarettes and hookah
COPD is a long-term lung disease that makes it harder to get air out of the lungs, and it is mostly linked to cigarette smoke and other smoke. This page explains what COPD is, how it is diagnosed with spirometry, what treatment aims for, how quitting cigarettes and hookah helps, and when to get urgent help.
Read moreSnoring, sleep apnea and sleep disorders
Snoring is harmless most of the time, but if it comes with pauses in breathing during sleep, sudden choking or daytime sleepiness, it may be sleep apnea. This page explains what sleep apnea is, how it is assessed with a sleep test, what the treatments are and when to get urgent help.
Read moreInterstitial lung diseases and lung fibrosis
In interstitial lung diseases, the tissue between the air sacs becomes inflamed or scarred and stiff, causing shortness of breath and a dry cough. This page explains what this group of diseases is, how it is assessed with CT and other tests, what treatment looks like overall and when to get urgent help.
Read moreLung nodules and pleural fluid
A lung nodule is a small, round spot that is sometimes found by chance on a CT scan or chest X-ray, and pleural fluid is fluid that has collected in the space around the lung. This page explains what each means, how they are assessed and followed up, and when to get urgent help.
Read more
From the first history to long-term follow-up
Most lung diseases are long-term, and the treatment plan is adjusted over time. At each step you know what comes next.
- Step 1 of 5.
Listening to you and to your lungs
The doctor asks about your cough, your breathing, smoking or hookah and your work, and listens to your chest. Bring earlier results and scans, and your inhalers themselves.
- Step 2 of 5.
Measuring the lungs
Depending on your symptoms you may need spirometry, imaging or blood tests. No single result is a diagnosis: it is read together with the examination.
- Step 3 of 5.
Diagnosis and treatment plan
The diagnosis and the treatment options are explained in plain words, and you make the plan together. The aim is to control symptoms and reduce attacks.
- Step 4 of 5.
Learning to use your medicines
An inhaler only works when it is used the right way. Technique and the difference between controller and reliever medicines are explained. Do not stop or reduce a medicine on your own.
- Step 5 of 5.
Follow-up and adjusting the plan
Regular visits continue and the plan is adjusted to how you are doing. Get in touch sooner if a new symptom appears or you feel worse.
You are not alone on this path.
Treating a lung condition is more than visits. Imaging, tests, getting medicines and follow-up are all part of it. The support team arranges appointments and coordinates these so that you and your family spend less time chasing them.
Medical imaging and ultrasound centers
Quick appointments and quick results for CT scan, MRI, ultrasound, PET, mammography and densitometry.
Medical diagnostic laboratory
Quick appointments and results, with sampling at home and follow-up of the results.
Pharmacy and specialty medicines
Supply of specialty medicines and delivery for residents of Tabriz.
Quick appointments and referral to specialists and subspecialists
The support person arranges the appointment and the referral. You write the doctor or specialty you want on the form.
Quick appointments and referral to rehabilitation and health experts
The support person arranges quick appointments and referral to rehabilitation and health experts.
Specialized home treatment and rehabilitation
Doctor visits, nursing and physiotherapy at home.
Services marked "Free" on the support form are provided at no cost.
What is worrying you?
Tap what you are facing to reach the matching page. This list is not a diagnosis; it only points you to the right page.
- A cough that will not go away
- Breathlessness on exertion
- Wheezing
- An asthma attack or seasonal allergy
- Snoring and daytime sleepiness
- Pauses in breathing during sleep
- A nodule or spot on a CT scan
- Cigarettes or hookah
- My inhaler does not seem to work
If you cannot finish a sentence, your lips or nails have turned blue, or your reliever inhaler is not working, do not wait for an appointment. In an emergency, call 115 (Iran's emergency number). When should I call urgently?
Simple answers to the first questions.
Why will this cough not go away?
A cough that lasts several weeks has many possible causes, from asthma, allergy and reflux to the effects of smoking and earlier infections. You cannot tell which one it is from the cough alone. A doctor looks for the cause by listening to your history, listening to your lungs and, when needed, ordering an X-ray or tests. If the cough comes with blood in the phlegm, fever, weight loss or breathlessness, do not delay.
Do I have asthma or an allergy?
Sometimes both. In asthma the airways are inflamed and sensitive, causing wheezing, cough and breathlessness. In an allergy the body reacts to pollen, dust or something similar. A doctor tells them apart after an examination and, if needed, tests.
Are inhalers addictive?
No. Lung inhalers are not addictive. The medicine goes straight to the lungs, so a smaller amount works. If you have to use your reliever inhaler all the time, it means the condition is still not well controlled and you should talk to your doctor.
I feel better; can I stop my inhaler?
A controller medicine is there to prevent attacks, not only for when you feel bad. Feeling well is usually the result of that medicine. Your doctor decides when to reduce or stop it; do not put it aside on your own.
Am I using my inhaler correctly?
If an inhaler is not used correctly, part of the medicine stays in the mouth and throat instead of reaching the lungs. If you are not sure, bring your inhaler to the visit. The patient guide explains the steps and how a spacer works.
What is spirometry and how do I prepare?
Spirometry is a test in which you blow into a device that measures the volume and speed of the air you breathe out. The center that does the test tells you exactly how to prepare, for example how many hours before the test to skip your inhaler. Do not put your medicines aside on your own.
Does a nodule on a CT scan mean cancer?
Not necessarily. Most lung nodules are benign, but what follow-up a nodule needs is decided by the doctor based on its size, shape, your age and smoking history. Bring the CT film and report.
Is my snoring dangerous?
Simple snoring is usually harmless. If it comes with pauses in breathing during sleep, waking up gasping, morning headaches or daytime sleepiness, it should be checked. A sleep test shows whether sleep apnea is present.
What should I bring to the first visit?
The CT film and report and chest X-ray, any earlier spirometry, test results, your inhalers and a list of all the medicines you take. If something is missing, come anyway.
Do you work with insurance?
The list of insurers will be announced soon.
Do you offer online follow-up?
Details will be announced once the doctor confirms them.
These answers are general and do not replace your doctor's advice for your situation.
The first step, a calm conversation.
Go to the booking page or talk to support. Either way, we are with you.
Support number