A 55-year-old male asked:
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50 yr. old non-smoker, w/ copd exacerbation of 1+ year. pulmonologist informed me spirometer reading was 22%, but increased to 37% after the bronchodilator. any reasonable expectation of improvement?

3 doctor answers
Dr. Sue Ferranti
28 years experience Internal Medicine
Diagnosis??: If you have never smoked, and spirometry shows obstruction that improves with bronchodilator therapy, you may have asthma and not copd. If you do have copd, that means there is irreversible airway obstruction that is treatable but not curable so, over time, it will worsen. If you have COPD and never smoked, get tested for alpha1 anti trypsin deficiency, a form if COPD with a different treatment.
Answered on Oct 20, 2016
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Dr. Nestor Del rosario
33 years experience Addiction Medicine
Yes.: You have COPD with asthmatic component which means there is improvement with meds and if you stop smoking. The pure COPD patient is less lucky as these improvements will not be seen and usually don't feel much better with all sorts of treatment. Please stop smoking and stay healthy.
Answered on Jun 10, 2014
Dr. Frank Mayo
47 years experience Pulmonary Critical Care
NOT LIKELY: You have severe obstruction that improves with therapy. Have you been evaluated for alpha-1 antitrypsin deficiency? The testtassesses hereditary empyhsema. If pos you may benefit from antitrypsin replacement iv.
Answered on Dec 7, 2013

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