Just asking different opinions and to see if any one else can relate. My Dlco is at 59 is this a fixed rate or can it change? Get better? For context she noted small lung disease . Everything was within normal range except the Dlco.
Suffered severe asthma when I was a kid but stopped taking any kind of medication from puberty onwards. Now in my 30's and the past months I've been more aware that exercising is eliciting an asthmatic response even when I regularly work out.
So I thought to go see a Pulmonologist about getting an inhaler again and decided to ask Claude to read through my 2 years of Apple Health data to prep me a report for my Doctor's visit and what it gave me was more revealing to me far more than I expected.
My brother 17 y/o male hx of primary MN(nephrotic syndrome) gets ritux infusion every 6 months, currently on lisnopril, has been having for the past 4-6 days bad cough and very bad wheezing. Started him on augmentin and z pack and doing abluterol nebulizer every 2 hours and it gets better but then wheezing gets worse at night, but no fever/chills/n/v/d, just the cough and wheezing, o2 sats are ok, they were intially low 90’s but now 98. Did resp panel and came back + for rhinovirus which he has got before. This is what cxr shows, radiology attending said it doesnt show anything concerning. But im worried why is his cough getting worse and why is the wheezing coming/going, is it because of the suppressed immune system? He saw peds pulm in clinic and she thinks its Asthma and started him on stronger Asthma medications and still on 50 mg prednisone and Albuterol. She mentioned that if the Asthma doesnt get better then we should get a CT scan to rule out fibrosis but my question is what do u guys think? Does ritux cause pulm fibrosis in young kids or is this just a asthma flare up with the rhinovirus. Thank you all for help
Not asking for advice, just an explanation in layman’s terms on results of my 4 year olds CT of chest. Our specialist might not be able to discuss with us for a while (frustrating) and so just trying to understand what this means. Thank you.
Hi, I’m 23 years old and for the past few weeks I’ve had the impression that my fingernails look larger. To me, it seems like it could be the beginning of clubbed fingers. The nail plate and nail bed appear to have become longer. Could someone evaluate this?
As for tests, I’ve had a spirometry done and the results were normal.
I am a healthy 22 year old female that needs advice on what to do. I work as a preschool teacher so I get sick pretty often and recently I have been experiencing upper respiratory symptoms such as crud, and what feels like water in my lungs. Every time I go to the doctor they seem to write it off but when I’m sick I sometimes feel like I’m just coughing all the time trying to get water out of my lungs and nothing ever comes up. It’s especially worse currently where I don’t feel like I can breathe in without coughing on this. I haven’t been to the doctor this time, and my mom thinks I should get a chest x ray. I have a lot of anxiety around the hospital or the E.R so I don’t really ever go in. What do you all think?
Over the last 2 days I’ve coughed this fun stuff up. And I get super dizzy and short of breath if I get my heart rate elevated anything beyond walking to the bathroom. I’ve also been sweating my ass off like almost constantly for the past week. Though that could also be attributed to the lack of AC in my buddy’s house here where I’m staying right now. I’m starting to get concerned now but I am terrified of doctors, and hospitals. And Just leaving the house in general. I get panic attacks whenever I’m gone longer than an hour and I can’t do any sort of gathering. I can’t even make it to the psychiatrist appointment to get my Xanax refilled. So idk what to do. Reddit doctors help me please. On a side note I’ve had some palpitations and chest pain. Have An extensive medical history including PEA arrests, almost a dozen surgeries related to compartment syndrome and multi-organ failure. AKI, peripheral neuropathy, DIC, and sepsis. All of that was from an accidental overdose that resulted in a pretty bad case of rhabdomyolysis. I have a steroid inhaler laying around and I’m wondering if it would help. Any insight here? Please don’t tell me to go to the hospital.
There will be a pathologist involved in the procedure to analyze samples. Will I be told that day if findings are abnormal and what are the preliminary impressions?
I had no idea about clubbed nails.
My nails were normal till 2021 i guess when i look at older photos.
I was diagnosed with asthama in 2023-24ish, so the doctor saw that but wasnt very serious.
Last month I went again to a pulmonologist as i was having trouble while sleeping (wheezing cough, chest and chin itching) and cough throughout the day.
So he saw my nails and was very worried, did a lot of blood tests, CT scans, Xrays, no results came out worry-some :/
My wife 30 years old was diagnosed with tracheal stenosis two years ago. She had balloon dilation couple of times, and later doctor used laser to cut off the growth. Biopsy showed this as a scar tissue
We had relief for some time as my wife can breath again but after couple of weeks she again started to have tracheal stenosis. The tissue is growing again, then the doctors kept a stent in her trachea for a month. Tissue went back again and she has good clearance for breathing. After almost 9 months after stent treatment we went for checkup last week and the tissue is already starting to block my wife airway with only 40 to 50% airway clearance(first image from last week doctor visit, second image was the one from the very first finding)
Did anyone here has experience with this problem? or did anyone you know worked on this problem
Please advise any doctors or hospital. We live in India, and we also have residence in Germany.
Your suggestions and guidance is very helpful to us, our lives are totally impacted due to this problem and my wife is totally depressed and no doctor is able to help us. We almost exhausted our savings and sold properties to find a treatment for us but so far no hope. Please help with any information you are aware of
Wanted to share my experience since I haven't found too many personal stories on here.
37F, no meds, no medical conditions, non smoker, breastfeeding a 15 month old.
By far the worst and sickest I have ever been in my life.
Pretty much the title. Here are the comments/findings:
PFT Interpretation
PFT Impression:
Pulmonary function testing is within normal limits.
The patient has supra normal lung volumes, which is probably a normal
variant.
There are no pathologic findings other than the elevated lung volumes; all
volumes increased to the same degree.
Impression of COPD:
Not consistent with COPD
Test Performed:
Spirometry without bronchodilator, Plethysmographic lung volumes, and
Diffusing capacity
Quality of Data:
The patient's efforts are acceptable and reproducible with the exception
of pre bronchodilator FVC measurement.
Spirometry Interpretation:
Spirometry is within normal limits.
Flow Volume Loops:
Flow-Volume loops are normal.
Lung Volumes:
Lung Volumes: Plethysmographic lung volumes show hyperinflation with
increased Total Lung Capacity.
Diffusing Capacity:
Diffusing capacity of the lung is normal.
Respiratory Muscle Strength:
Not done
Can someone tell me what this means? If you would like the numbers as well I can provide them. Than you.
Hi all,
I am 24 years old, 5’6 and 150 pounds. Around three months ago I woke up with excruciating joint pain and shortness of breath and a weird feeling in my throat while breathing in. The joint pain went away after about a week but I am still suffering with the dyspnea today. I had a lung function test that came back as obstructive, but I have no family history of COPD and I don’t smoke. I have tachycardia, EKG came back normal but with tachy. They aren’t really taking me seriously because of my age and are just slapping an asthma diagnosis on but I am not responding to any of the inhalers (alvesvo, Symbicort). It’s very debilitating on my day to day life (I’ve gotten out of breath rolling over in bed) and I am not sure what else to do. When I breathe in, I have a weird tight really uncomfortable sensation in my throat that doesn’t allow me to take a full breath in and when I try to take a full breath in, it feels like there is something blocking my lungs from fully functioning. I was wondering if anyone has any insight on this. Thanks
Rather than a discussion on pulm topics by pulm experts it’s just a bullshit version of /r/askdoctors
Pulmonary Function Tests (PFTs) come up a lot for people with asthma, COPD, and sometimes for medication monitoring (like amiodarone). But many staff and even some nurses aren’t always sure what these tests actually measure or why providers order them.
What Are Pulmonary Function Tests?
Pulmonary Function Tests (PFTs) measure how well the lungs work.
They evaluate:
* How much air you can breathe in
* How much air you can breathe out
* How fast you can blow air out
* How well oxygen moves into the blood
Used for:
* Asthma
* COPD
* Restrictive lung disease
* Pulmonary fibrosis
* Medication monitoring
* Shortness of breath workups
* Pre-surgery clearance
* Neuromuscular disorders
Common Parts of PFT Testing
Most common test.
The person takes a deep breath and blows out hard and fast into a tube.
This helps diagnose:
* Asthma
* COPD
* Airway obstruction
* Restrictive lung disease
Sometimes they do it before and after a bronchodilator to see if breathing improves.
Measures how much air the lungs can hold.
Used for:
* Restrictive lung disease
* Neuromuscular disorders
* Severe COPD
* Scoliosis affecting breathing
Measures how well oxygen moves from lungs into the bloodstream.
Used for:
* Pulmonary fibrosis
* Emphysema
* Pulmonary hypertension
* Medication monitoring (especially amiodarone)
Medications That May Require Pulmonary Monitoring
You may see PFTs ordered for people on:
* Amiodarone
* Montelukast Sodium
* Methotrexate
* Nitrofurantoin (long-term)
* Bleomycin
* Some chemotherapy
* Some immunosuppressants
Amiodarone especially — that medication requires monitoring of:
* Lungs
* Thyroid
* Liver
* Eyes
* Heart (EKG)
I also have some breathing issues and chest pain, this symptoms are from past 3-4 months
Last week, I was doing yard work and had the "brilliant" idea of using my leaf blower to clean up the end of my driveway. About 2 or 3 minutes in I realized how much dirt and debris I was kicking up and wasn't wearing a mask.
I didn't have any immediate issues or sickness from it, and I haven't had any breathing issues which is shocking to me because I have asthma, but my esophagus is hella angry with me (feels like when I had strep). Occasionally, when I cough I get a sharp pain in the center of my chest, which isn't often, but otherwise I feel okay. No phlegm or infection year as I can tell. Everything I've read ranges from you're fine to you could possibly die in 6 months, and I'm on the fence of going to the walk-in.
Thoughts?
