Dr Asfandyar Khanzada

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Dr Asfandyar Khanzada Evening Clinic: Khalil Health Center, Adnan Plaza, Forest Bazaar, Palosi road, Peshawar
(2)

Chest and Medical Specialist
For Appointment
Whatsapp 03129595035

Morning Clinic: PIMS Hospital, Opposite Peshawar General Hospital, Phase 5, Hayatabad, Peshawar.

19/09/2026

Rat Pill Poisioning

“Someone has swallowed rat poison?

Don’t wait for symptoms before taking it seriously.

The biggest mistake is thinking, ‘He looks completely fine, so nothing happened.’

Different rat poisons contain different chemicals and can cause very different types of poisoning.

Some can cause dangerous bleeding, while others can cause severe effects on the brain, heart, kidneys, or other organs.

And some serious complications may not appear immediately.

So if someone has swallowed a suspected rat poison, don’t try random home remedies and don’t wait for them to become sick.

Keep the original packet or container if available. The exact product and active ingredient can completely change the treatment.

And don't induce vomiting unless a poison-control professional specifically tells you to.

**Rat poison isn't one poison.

If it was swallowed, treat it as a poisoning emergency—even if the person currently feels completely normal.

16/09/2026

“Your LFTs are normal, so you think your liver is completely healthy?

Not necessarily.

The first thing to understand is that a routine liver panel doesn’t answer every question about your liver.

ALT and AST can show liver-cell injury.

Bilirubin and alkaline phosphatase can point toward problems with bile flow or other liver and biliary conditions.

But then there’s another question:

How well is your liver actually functioning?

That’s where tests such as albumin and PT/INR become important, because they give information about the liver’s ability to make proteins and clotting factors.

And if you have fatty liver, hepatitis, abnormal liver enzymes, or other risk factors, blood tests alone may not be enough.

You may need ultrasound and, in selected patients, FibroScan or other fibrosis assessment.

And if hepatitis is suspected, you need specific tests such as HBV or HCV testing—not just a routine LFT.

So don’t ask:

‘Are my LFTs normal?’

Ask:

‘Do I have liver injury, impaired liver function, or liver fibrosis?’

Because those are three different questions.

15/09/2026

ہر تھکن کو معمول، ہر درد کو معمولی، اور ہر علامت کو نظرانداز کرنا سمجھداری نہیں۔ کبھی کبھی جسم خاموشی سے مدد مانگ رہا ہوتا ہے۔

14/09/2026

Your creatinine is normal, so you think your kidneys are fine?

Not necessarily.

One of the biggest mistakes is checking only serum creatinine.

A proper kidney assessment usually looks at three things.

First: serum creatinine and eGFR — these estimate how well your kidneys are filtering blood.

Second: urine testing — particularly urine albumin-to-creatinine ratio, or ACR.

Because your kidneys can start leaking protein into the urine before your filtration falls significantly.

And third: blood pressure and blood sugar — because hypertension and diabetes are two major causes of chronic kidney disease.

So if you have diabetes, high blood pressure, cardiovascular disease, a family history of kidney disease, or other risk factors, don’t just ask:

‘What is my creatinine?’

Ask:

‘What is my eGFR, and is there albumin in my urine?’

Because kidney disease can be silent for years.

A normal creatinine is reassuring—but it isn’t a complete kidney check.

14/09/2026

صحت کی قیمت بیماری کے وقت نہیں، صحت مند رہتے ہوئے سمجھیں۔ جو احتیاط آج معمولی لگتی ہے، وہ کل زندگی بچا سکتی ہے۔

10/09/2026

You made sure your children got their vaccines.

But when was the last time you checked your own vaccination status?

Adults need vaccines too.

And as winter approaches, one of the most important vaccines to think about is the influenza vaccine, especially if you’re older, pregnant, have asthma, COPD, diabetes, heart disease, or another condition that increases your risk from respiratory infections.

And there’s another vaccine many people don’t think about:

Pneumococcal vaccination.

Pneumococcal bacteria can cause serious infections including pneumonia, and vaccination is recommended for certain adults based on age and medical risk. (CDC)

Depending on your age and circumstances, you may also need vaccines such as Tdap/Td, hepatitis B, shingles, HPV or others. (CDC)

So don’t think vaccination is something that ends when childhood ends.

Your vaccination record doesn’t expire just because you grew up.

Before winter, check whether you and your family are actually up to date.

09/09/2026

“Your child looks perfectly healthy.

So you might think, ‘Why does he need another vaccine?’

That’s exactly when vaccines are supposed to work — before the disease arrives.

In Pakistan, routine childhood vaccination protects children against serious diseases including tuberculosis, polio, hepatitis B, whooping cough, meningitis, pneumonia, measles and several others. (EPI Pakistan)

And don’t make this mistake:

Missing a vaccine doesn’t mean you should simply give up on the schedule.

Many vaccines can be caught up if doses were missed, and the exact schedule depends on the child’s age and previous vaccinations.

Also, don’t be afraid just because several vaccines are given during the same visit. Simultaneous vaccination is an established practice and can reduce the number of visits needed. (EPI Pakistan)

Your child doesn’t need to get sick first to prove that a vaccine was necessary.

**Vaccination is not treating the disease.

It is preventing your child from having to fight it in the first place.**”

08/09/2026

Want to lose weight but don’t know where to start?

I’ve written a FREE practical ebook on weight loss to help you understand what actually works — without crash diets, starvation, detox drinks, or unrealistic promises.

Inside the ebook, I cover:

• How weight loss really works
• What you should eat
• Portion control
• Hunger and cravings
• Common mistakes that prevent weight loss
• Practical daily strategies
• How to lose weight in a sustainable way

This isn’t a “lose 10 kg in 10 days” program.

It’s about understanding your body, changing the right habits, and losing weight without making your life miserable.

📖 The ebook is completely FREE.

If you’re serious about improving your weight and health, send me “WEIGHT” in DM and I’ll share it with you.

Dr. Asfandyar Khanzada
Chest & Medical Specialist

07/09/2026

“If you’re trying to lose weight and you’re hungry all day, your diet may be the problem.

A common mistake is simply eating less food—without thinking about what that food contains.

Protein is particularly important during weight loss.

Eggs, chicken, fish, lean meat, yogurt, lentils and beans can help you feel fuller and make it easier to control your total food intake.

Protein also helps preserve muscle while you’re losing weight.

And that matters—because the goal isn’t simply to make the number on the weighing scale smaller.

You want to lose fat, while keeping as much muscle as possible.

But don’t make the opposite mistake either.

Adding huge amounts of protein while ignoring total calories won’t magically make you lose weight.

Your overall calorie intake still matters.

So instead of asking:

‘How little can I eat?’

Ask:

‘How can I eat fewer calories while staying full and preserving muscle?’

That is a much smarter way to lose weight.”

جدید نکوٹین پاؤچز اور ویپنگ (Va**ng) کا پوشیدہ خطرہاگرچہ روایتی سگریٹ نوشی پھیپھڑوں کی صحت کے لیے ایک جانا پہچانا خطرہ ہ...
06/09/2026

جدید نکوٹین پاؤچز اور ویپنگ (Va**ng) کا پوشیدہ خطرہ
اگرچہ روایتی سگریٹ نوشی پھیپھڑوں کی صحت کے لیے ایک جانا پہچانا خطرہ ہے، لیکن جدید متبادل—جیسے ای لریکٹرانک سگریٹ (Vapes) اور منہ کے ذریعے استعمال ہونے والے نکوٹین پاؤچز—اس غلط فہمی کے تحت تیزی سے مقبول ہو رہے ہیں کہ یہ "محفوظ" ہیں۔
ایک ماہرِ امراضِ تنفس (Chest Specialist) کے طور پر، میرے پاس اکثر ایسے مریض آتے ہیں جنہوں نے ان مصنوعات کو نقصان دہ نہ سمجھتے ہوئے استعمال کرنا شروع کیا، اور بعد میں پھیپھڑوں اور دل کی شدید بیماریوں کا شکار ہو گئے۔
غلط فہمیاں بنام طبی حقائق
غلط فہمی: "یہ صرف پانی کا بخار (Water V***r) ہے۔"
حقیقت: ویپ سے نکلنے والے ایروسول میں باریک ذرات، بھاری دھاتیں (جیسے نکل اور سیسہ)، کیمیائی مرکبات اور ذائقے (Flavorings) شامل ہوتے ہیں جو پھیپھڑوں کی مستقل اور شدید بیماریوں کا باعث بنتے ہیں۔
غلط فہمی: "نکوٹین پاؤچز پھیپھڑوں کو نقصان نہیں پہنچاتے۔"
حقیقت: انتہائی مرتکز نکوٹین رگوں میں رکاوٹ کا باعث بنتی ہے، بلڈ پریشر اور دل کی دھڑکن کو بڑھاتی ہے اور انسان کو تیزی سے اس کا شدید عادی بنا دیتی ہے۔
غلط فہمی: "یہ سگریٹ نوشی چھوڑنے میں مددگار ہے۔"
حقیقت: زیادہ تر لوگ سگریٹ اور ویپ دونوں کا ایک ساتھ استعمال شروع کر دیتے ہیں یا نکوٹین کی شدید لت کے دائمی چکر میں پھنس جاتے ہیں۔
یہ مصنوعات آپ کے جسم کو کیسے نقصان پہنچاتی ہیں؟
سانس کی نالیوں میں سوزش: گرم کیمیائی بخارات کی مسلسل انھیلیشن (Inhalation) آپ کی سانس کی نالیوں کے ان خلیات کو نقصان پہنچاتی ہے جو بلغم اور کثافتوں کو صاف کرتے ہیں۔
سانس کی حساسیت: ویپنگ سے پہلے سے موجود دمہ کی بیماری مزید شدت اختیار کر سکتی ہے اور سانس کی نالیوں میں شدید گھٹن پیدا ہو سکتی ہے۔
دل پر دباؤ: نکوٹین کا خون میں تیزی سے جذب ہونا شریانوں کی لچک کو ختم کر دیتا ہے، جس سے طویل مدتی قلبی امراض کا خطرہ بڑھ جاتا ہے۔
مریضوں کے لیے اہم طبی مشورے
دوہرے استعمال سے پرہیز کریں: سگریٹ کے ساتھ ویپ کا استعمال شروع کرنا پھیپھڑوں کے خطرات کو کم نہیں کرتا؛ مکمل طور پر ان سے چھٹکارا حاصل کرنا ہی واحد حل ہے۔
مستند طبی طریقہ علاج اختیار کریں: تجارتی متبادلات پر بھروسہ کرنے کے بجائے ڈاکٹر کے مشورے سے سائنسی بنیادوں پر مبنی علاج اور کاؤنسلنگ کا سہارا لیں۔
علامات پر نظر رکھیں: اگر ان مصنوعات کے استعمال کے بعد آپ کو مسلسل کھانسی، سانس پھولنے یا سینے میں جکڑن کا احساس ہو تو فوری طور پر پھیپھڑوں کا معائنہ کروائیں۔

ڈاکٹر اسفند یار خانزادہ
چیسٹ سپیشلسٹ | انٹرنل میڈیسن اور ریسپائریٹری کیئر
عملی، مستند اور قابلِ اعتماد طبی معلومات کے لیے فالو کریں۔

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