Doctor insights on:
Bronchial Tracheal Malacia
Ok for 8monthold use nasonex (mometasone) steroid nasel spray for slightly enlarged adenoids.History trach, bronch, lary malacia.Operated coarc aorta bicuspid valve?
No simple answer: A simple answer would be to say that Nasonex (mometasone) is a pretty benign drug in most instances - and that would be true. However, you describe a very, very complex case with complex respiratory issues. I would only use this drug if the physicians managing your child say ok. It should have no effect on the heart problems. ...Read moreSee 1 more doctor answer
My spirometry:slight restrictive shape of curve.Moderate expiratory limitation.Examination for extrathoracic obstruction & expiratory trachealstenosis?
HRCT: Extrathoracic obstruction may result in changes in airflow both on inspiration and expiration depending on where the obstruction is located. If your physician is investigating an extrathoracic cause, an HRCT is indicated. Sometimes enlarged lymph nodes may impinge on the airway as one possible cause. The restriction is mild and may be due to a number of causes such as fibrosis or scarring. ...Read moreSee 1 more doctor answer
Yes: Children with Tracheobronchomalacia have a weakness in the airway. This predisposes them to airway obstruction because of the accumulation of mucus. Their inability to properly clear the airway of mucus might result in irritation of the bronchial mucosa and bronchospasm. The child needs to be under the management of a Pediatrician, who will prescribe the appropriate treatment, as needed. ...Read more
Can allergy cause inflammation of neck airways(apart from nasal airways), leading to labored breathing?
Provent: Referrring to provent?...Epap is the measurable postive pressure in your airway as you exhale. So as you breath out provent causes pressure to build up in your airway that keep your tissues from collapsing. This can be as high as as 12 cm water. (cpap can get up to 16 cm of water). For this to work your mouth must stay closed & must not have nasal obstruction. ...Read more
Different Conditions: Bronchial Asthma is chronic Inflamatory disease of the airways&causes episodes of Bronchospasm causing cough,Wheezing&shortness of breath which is reversible with use of Bronchodilaters like Albuterol Chronic Bronchitis is inflammation&irritation of the airways and is irreversible even with use of Bronchodilatrs like Albuterol and it produces excessive mucus and cough persist more than3months/year ...Read moreSee 1 more doctor answer
Xray result:Prominent perihilar interstitial markings suggesting bronchitis.No superimposed infiltrate or atelectasis.I thought bronchitis didn't show?
Subtile finding: Normal bronchial walls are hard to see on a chest x ray (arrows in pic). If they are thickened one can see them a little more. Even so, it is a tough call so we say "suggestive of" to say we really are not sure, but we see enough to be more than just a little suspicious. For complete eval of lung tissue we do high resolution CT. "Bronchitis" is a clinical diagnosis, though, so listen to your Dr. ...Read more
Is collapse of arytenoid into airway upon inhalation with strider/breathlessness in adult with normal vocal chord movement mechanical or functional?
Depends.: Good question. Depends why it is happening. If it is occurring due to muscle tension dysphonia (inappropriate use of muscles of voice production), it's functional and may improve with voice therapy by a Speech a Pathologist. Other causes such as swelling or trauma are not functional, though it is not common that they are referred to as mechanical. Be sure to follow up with your ENT on this issue, ...Read more
What's a 14mm noncalcified left upper lobe parenchymal pulmonary mass adjacent atelectasis.Left upper lobe bronchus/hillar peribronchial cuffing/thick?
Mgt PHI: The imaging may be uploaded to an inbox consultation. From your description I would suggest a follow up imaging study with an evaluation with additional information. Have you smoked? Is there a family history of cancer? Have you been tested for any infections? The mass is probably impinging on the airway and causing areas of collapse, called atelectasis. This area is prone to secondary infection ...Read more
My baby had single umbilical artery, is that why he had coarctation aortic arch + lary, trach, bronc malacia?
Linear opacities in the lung base are noted compatible with subsegmental atelectasis?meaning (asthma, cough, flem, no fever, seen specialist asthma
Chest XRay - Latetal view demonstrates blunting of both costophrenic angles w/either small lung base pleural effusions are chronic pleural thickening.
If you have: previous chest X-rays to compare, that would be helpful in making the determination between mild pleural thickening(scarring) or effusion(fluid). There are numerous potential etiologies for each. Further imaging could include ultrasound, special chest xray views(decubitus views ), or CT scan. ...Read more
Not good news: Pulmonary fibrosis means that the patient has developed abnormal tissue formation (fibrosis) that affects the thin membranes separating the air sacs from the blood vessels making it harder for oxygen to cross from air to the red bleed cells. This disease usually irreversible; it is critical to have an early diagnosis and be managed at an institution and by medical staff familiar with it. ...Read moreSee 1 more doctor answer
Difference...: Asthma is characterized by recurrent, reversible airway obstruction. Emphysema and chronic bronchitis are both forms of COPD and are characterized by irreversible airway obstruction usually caused by smoking. Now, COPD patients can also have a reversible airway obstruction component and asthmatics can develop an irreversible component over time so there is overlap in this definition. ...Read moreSee 1 more doctor answer