Doctor insights on:
Alternative Treatments For Reactive Airway Disease
Can umeclidium be used for the treatment of reactive airway disease? Vs a steroid? I am still coughing a bit with the steroid. Would other be better?
I have reactive airway disease, and my pulse ox has been ranging from 90 to 94, Is a nebulizer treatment sufficient to address this?
2 y/o has flu and reactive airway disease. Currently taking Tamaflu/prednisone/albuterol treatments. Cough is worse after treatments-barking. Normal??
What are the risks of slit therapy for allergies? I'm allergic to pretty much everything and have hyper reactive airway disease. Should I take slit?
SLIT: Sublingual immunotherapy (allergy drops) is new compared to subcutaneous immunotherapy (allergy shots). Only a few grass pollens have been studied in the slit group. Both have been shown to be effective in treating hay fever symptoms. However, not much is known about the effectiveness of other allergens in the slit group. A much higher dose of allergens are required in slit to induce tolerance. ...Read more
I have small airway disease, not asthma, which means I have problems getting air out of my lungs. Is this restrictive or obstructive? The doctor didn't put me on any treatment.
Need more info: It sounds like you may have a combination of some of both, but would need your entire medical record and to examine you before commenting. If dissatisfied with the explanation they gave you, consider a second opinion. Good luck. ...Read more
Seek care: Reactive airway disease aka asthma does not cause fevers. However, an upper respiratory illness that causes a fever can trigger his asthma. With his high fever, consider cool compresses and a dose of weight based acetaminophen. Try to keep him hydrated and call the doctors office tomorrow for further guidance. ...Read more
I have been coughing for 3 weeks now. The inhalers only provide temporary relief. Its bad mostly in the morning and before I go to bed. My peak flow meter always reads 250 and 290 before and after inhaler. I have a reactive airway disease. Should I see
Prevention is best: There are usually specific triggers such as smoke inhalation, allergens, and upper respiratory infections that exacerbate the reactive airway. Avoidance of your individual triggers is best. Once an episode is triggered, bronchodilators and inhaled steroids are usually necessary, sometimes oral steroids may be required. ...Read more
Very mild asthma: More and more we are shying away from using that term. It is usually used to label very mild asthma that flares up very infrequently, usually due to a well-defined trigger like infections, wheather change, pollen, etc. There's a reason asthma meds like albuterol are used for this. ...Read more
Our 2.5 year old son was diagnosed tioday with reactive airway disease. Should we go on vacation to aruba tomorrow?
Depends: It depends on how sick he is right now. If he is coughing a lot and wheezing, it's probably best not to go. However, if his oxygen saturation is good and the nebulizer treatments are helping, you just need to make sure you bring the machine and medications with you. It also depends on how long the flight is and how long your child can go in between treatments. ...Read more
Is there a convection between lupus and reactive airway disease that does not respond to inhalers?
See details: Lupus is associated with restrictive lung disease which would not respond to inhlaers as a rule. ...Read more
16 m.o. son, reactive airway disease, needs PE tubes, I'm afraid of anesthesia and it's effect on his RAD.?
Recently I was diagnosed with reactive airway disease. The last two days I've had non stop wheezing and my inhaler doesn't seem to help.
Acute exacerbation: RAD is a general term for a lot of different disorders. If a rescue inhaler is not helping relieve symptoms the airways are too obstructed and this can lead to serious problems. Typically additional treatment is needed such as systemic or inhaled steroid or long acting bronchodilator. Even antibiotics have been used. Would recommend in-person urgent care or PCP visit to evaluate ASAP. ...Read more
1yr old was dx'd w/ reactive airway disease. He's on albuterol 4x/day. His cough has gotten more painful/frequent since using it. Is this normal?
Contact pediatrician: If your baby's on the albuterol nebulizer, s/he should be getting better not worse on it. So it's best to contact your pediatrician as soon as possible to let them know what's happening. They can advise you further. Plus they can document this in your baby's chart. ...Read more
I have reactive airway disease-- could that be causing this deep wheeze coming from throat to stomach?
Yes it may be so:
Yes reactive airway disease can cause it, you should cosult your doctor if you do not have any meds and instrctions how and when to use. You may need inhaled meds and/or combination of both
consult your doctor. ...Read more
Is flovent and proventil (albuterol) normally prescribed to someone who is suffering from COPD or reactive airway disease?
Yes: These are standard treatment for the respiratory diseases that cause airflow obstruction. ...Read more
My allergist diagnosed me with reactive airway disease. He then put me on qvar, zyrtec (cetirizine) and ventolin. I''m kinda confused about the diagnoses...?
Qvar and Ventolin: Qvar is an inhaled corticosteroid and decreases inflammation in your bronchial tubes. It is called a controller, because it decreases the frequency of attacks. Ventolin is a bronchodilator and is used to relieve chest tightness or coughing right away, so it is called a rescue medication. Zyrtec is an antihistamine and is used for nasal itch, sneeze and running. You haven't described your symptoms. ...Read more
My son has reactive airway disease he is wheezing coughing and has a runny nose and a fever of 101 under arm pit he's been. Around a child with strep, ?
Positive methanine challenge indicating reactive airway disease for pft what's that mean? Lump feeling throat for months heavyness taking breaths. Would lung doc bronchoscopy and ent doc normal rule out something throat caused by cancer? Weak pulse
RAD: The challenge test just confirms that your airways react with some tightening/wheezing which reduces your lungs ability to move air. It is often used as a marker for asthma, RAD but beyond that tells you little. If you have had all these tests & they have not spotted a cancer, that should not be considered as a cause. If they eliminate a structural problem for your sensation it must be something else ...Read more
Is small airway disease showing obstruction in the small airways the same as copd, asthma or something else? Prognosis?
Asthma: In the past small airways disease did not have its own code but listed under asthma. It is almost like in between the reactive airways and asthma, showing up mainly when someone has a trigger like an upper respiratory infection or bronchitis. It may not show the same inflammatory reaction in blood tests like asthma, but is seen in the pft as reversible process like asthma. ...Read more
Just was diagnosed with small airway disease / asthma. Prescribed an inhaler, which I used frequently, and now prescribed advair. Is that normal?
Yes, very common: Asthma is treated in a step wise fashion. If the rescue inhaler isn't working well to control your symptoms, then an inhaled steroid would be prescribed, then an inhaled steroid/LABA like advair. Once controlled well, you might be able to de-escalate therapy. I would discuss this with your pulmonologist. ...Read more
Is there a recommended workout program (cardio / weights / weight machines) for someone diagnosed with small airway disease / asthma? If so, what?
Recommendation: Make sure you take your chronic medicines. Take your short-acting medicine before exercise, and do an incremental exercise as you can tolerate. Only avoid food you can be allergic to, eat and live healthy and avoid begin around smokers. You'll be fine. Good luck. ...Read more
Is there a specific diet / food plan that would be recommended for someone diagnosed with small airway disease / asthma? If so, what is it?
Food's not the key: The stuff you see on the internet about this-or-that food or 'super-food' being very good/bad for this particular disease is almost all made up as entertainment. Eat sensibly and manage your disease carefully as your physician directs. ...Read more
Just had a pft and was told that I have small airway disease showing obstructions in my small airways. What does that mean? I.E. Asthma or COPD or something else? Born at 27.5 weeks and on vent as baby.
The most typical reason for "small airway" disease in someone young is asthma or viral infection. Prematures can also have chronic lung disease and it is possible for those changes to be permanent.
If you have asthma (and probably even if you have chronic lung disease from being premature) you can improve your lung function with appropriate therapy.
Pulmonary anti-inflammatory therapies are key. ...Read more
Why is my exhalation only affected by asthma/hyperactive airway disease but not my inhalation? How do I fix my exhalation so I can breathe better?
Bronchodilators: In asthma and or hyperactive airway disease, the lining of your windpipe mucosa sells up, thus you need to exert more when you breathe out, if you have been prescribed inhalers, you should use the as prescribed, and breathing exercise will help, if you are not being treated, you should see you doctor or a pulmonologist. ...Read more
If I have hyperactive airway disease/asthma and the main irritator is allergens (dust) if I remove the allergens will I be able to breathe normally?
Dust mites: There are several ways to minimize your exposure to dust mites, such as hepa air purifiers and dust mite covers and removing carpeting, but you cannot get rid of them completely unless you live in an arid environment. Your response will decrease and your asthma will improve. Consider getting allergy shots for long term relief of your symptoms. ...Read more
What is the difference between hyperactive airway disease and asthma? I'm confirmed to have both by pcp & pulmonary dr but I don't take any meds.
Not much: Reactive airways is a term used to describe reversible readily apparent episodes of chest tightness/shortness of breath / dry cough. Examples- fire fighters, symptoms while walking by the detergent aisle in grocery stores etc. Asthma is defined as reversible obstruction due to increased airway smooth muscle growth. Definitions might be different, but the clinical symptoms and treatment are same. ...Read more
Age 33. Diagnosed with asthma / small airway disease. Prescribed advair diskus (salmeterol and fluticasone) 250/50 and proair hfa. Took a peak flow meter test and blew 350 l/min. Is that bad? Recommendations on how to improve?
Don't look: The peak flow rate is based on your height and sex and thus can't tell whether yours is bad or not. The more important point is how much has it changed from your pfr when you not have breathing problem. As suggested by dr pizzo, you should consult an allergist to help manage your problem. There is a chance that the atenolol may adversely impact your asthma. Fev-1 is superior to pfr. ...Read more
Diagnosed small airway disease / asthma. On advair diskuz 250/50 and proair hfa. Would it be beneficial to get a finger pulse oximeter and a peak flow meter to track (especially during attacks)?
A peak flow suffices: And it is better to monitor and record ur peak flow readings am and pm, there are variations, night timereadings are bit lower, that would help ur md better direct your treatment and as well would predict if any astham exacrbation would happen hours ahead of time, an asthma action plan planned with ur 1ry md or with ur allergist will help, no need for an oximeter, review all ur meds with ur md. ...Read more
Seen Heart, lung, ent, hemat/asthma doc bunch tests only thing found was + meth challenge airway disease. On advair and Prtnx for reflux. 7mths Still have lump feeling in throat and don't get pounding heart feeling beat gos faster. Diff breathin pattern?
See GI doc: I suspect that your reflux is likely the cause for your throat sensation and Prtnx may not be enough to control it. The fast heart beat is likely from the long acting bronchodilator in Advair. With just mild asthma (detected by methacholine challenge only), it is debatable whether you need to take Advair. Consider stopping it. Consider getting checked for vocal cord dysfunction as well. ...Read more
Hyper reactive airway issues or adult onset asthma 29 yr w/m no previous issues can't find cause or treatment to get out of distress? Please help!
Specialist: About 20% of all adult onset asthma is occupationally triggered. Recent infections can trigger ongoing lung problems that may be difficult to treat. An asthma specialist either allergist or pulmonologist can provide a thorough evaluation to assist in finding the diagnosis and correct treatment. ...Read more