Pulmonologist for Koramangala, Bengaluru

Two very different reasons Koramangala patients come

Koramangala holds two populations at once. There are long-settled families, many with elderly parents living with them or nearby. And there is a large, young, highly informed working population. The lung problems each brings are quite different, and so is what they want from a consultation.

Dr. Manjunath M Negigoudara consults at KIMS Hospital, Electronic City, about 25 minutes south. He holds MBBS as a Gold Medalist from Bangalore Medical College, MD in Pulmonary Medicine from JSS Medical College, DNB in Respiratory Medicine and a Fellowship in Interventional Pulmonology from Manipal Hospitals. He has personally managed 250+ lung transplant cases within the KIMS Institute of Heart and Lung Transplant, which has completed 780+ thoracic transplants, and has published in the European Respiratory Journal and the Journal of Heart and Lung Transplantation.

Getting a second opinion for a parent

This is the single most common reason families from Koramangala make contact. An elderly parent has been given a diagnosis of pulmonary fibrosis or interstitial lung disease, or has been told they need a lung transplant, or has been told they are not a candidate for one, and the family wants the conclusion checked before acting on it.

That is a reasonable thing to want and in transplant medicine it is ordinary practice. A second opinion answers four questions.

• Does the diagnosis fit the images? Fibrosis is a pattern, not a cause. Patients labelled idiopathic sometimes have a treatable cause that was not searched for, most often chronic hypersensitivity pneumonitis or an autoimmune condition.
• Has treatment been optimised? Antifibrotic drugs not started, pulmonary hypertension never assessed, oxygen not prescribed despite dropping on exertion, reflux and sleep apnoea untreated. Each changes symptoms and none requires surgery.
• Is transplant genuinely indicated, and is the timing right? Sometimes yes, sometimes not yet, sometimes no.
• What happens if nothing changes for now? A realistic picture, so the family decides on information rather than on fear.

Most of this is done from the existing scans and reports without the patient travelling. Send the HRCT images themselves, pulmonary function tests including DLCO, the echocardiogram, recent blood work and the medication list to +91 79937 41199. Full detail on the second opinion page.

Conditions most often reviewed

• Interstitial lung disease, including whether the subtype has actually been established. See interstitial lung disease
• Pulmonary fibrosis and IPF, including antifibrotic treatment and its cost in India. See pulmonary fibrosis and IPF
• Pulmonary hypertension, where which of the five groups a patient belongs to determines the treatment. See pulmonary hypertension
• Lung transplant candidacy, whether indicated, and whether it is too early or too late. See who needs a lung transplant
• Post-transplant care for patients transplanted at other centres, including rejection surveillance and airway complications
• A recommended procedure, particularly whether a surgical lung biopsy is necessary or whether a cryobiopsy would answer the same question. See procedures

Making it manageable for an older patient

The practical difficulty with an elderly, breathless parent is not the consultation but everything around it: the journey, the waiting, the repeated trips for tests, and the exhaustion that follows. Three things reduce that considerably.

Send the existing reports ahead, so the visit starts at the decision instead of at the beginning and duplicate tests are avoided. Say when booking that the patient is elderly or very breathless, so the appointment can be scheduled to minimise waiting and so any additional tests can be grouped into the same visit. And consider the metro rather than driving, since an elevated line running above the traffic is far more predictable and considerably more comfortable for someone short of breath than an unpredictable road journey.

The younger half of the practice

Working-age Koramangala patients tend to arrive with a different set of complaints, usually after several months and two or three rounds of treatment for something else.

• A cough of more than eight weeks that has been treated repeatedly with antibiotics. Chronic cough is very rarely an infection. The usual causes are cough-variant asthma, allergic rhinitis with post-nasal drip, and acid reflux, often together.
• Adult-onset asthma, frequently under-treated with a reliever inhaler alone. Needing a blue inhaler more than twice a week means it is not controlled.
• Sleep apnoea, which is under-diagnosed in younger and slimmer people because it does not match the expected picture. Airway shape matters as much as weight.
• Breathlessness put down to being unfit, where the test that matters is what your oxygen does when you walk, not what it reads sitting down.

See the HSR Layout page, which covers these four in detail, and sleep apnoea assessment.

Getting there from Koramangala

By metro

The Namma Metro Yellow Line opened in August 2025 and runs elevated above Hosur Road. From Koramangala the nearest boarding points are BTM Layout, Jayadeva Hospital or Central Silk Board, and the line runs south through Bommanahalli, Hongasandra, Kudlu Gate, Singasandra, Hosa Road, Beratena Agrahara and Electronic City to Infosys Foundation Konappana Agrahara, the station for the KIMS Electronic City area.

By road

KIMS Hospital, Survey No. 37 and 38, PES University EC Campus, Hosur Road, Konappana Agrahara, Bengaluru 560100. From Koramangala, join Hosur Road at Silk Board and take the Electronic City elevated expressway. Usually about 25 minutes outside peak hours, considerably longer in them. Parking is on site.

Or not at all

Video consultations run 9 AM to 9 PM, booked and paid in advance, and suit families joining from other cities or countries alongside the patient.

For patients across Bengaluru and beyond

South Bengaluru

The clinic serves HSR Layout, Sarjapur Road, BTM Layout, Jayanagar, JP Nagar, Bannerghatta Road and the Hosur Road corridor south to Bommasandra and Anekal.

Across India

Families arranging care for a parent living elsewhere request second opinions from Mysuru, Mangaluru, Shivamogga, Hubballi-Dharwad, Belagavi and Kalaburagi within Karnataka, and from Chennai, Madurai, Kochi, Thiruvananthapuram, Hyderabad, Vijayawada, Visakhapatnam, Mumbai, Pune, Nagpur, Delhi NCR, Lucknow, Patna, Kolkata, Bhubaneswar and Guwahati. In many of these cases the patient never travels: the opinion is issued on the reports and treatment continues locally.

International patients

A large share of requests come from adult children living abroad arranging care for parents in India, from the United States, Canada, the United Kingdom, Australia, Singapore, the UAE, Saudi Arabia and Qatar. Video consultations between 9 AM and 9 PM India time let the family join the call alongside the patient. Opinions are also issued for patients resident in Nepal, Bangladesh, Sri Lanka, the Maldives, Kenya, Tanzania, Nigeria and Oman.