Doctor insights on:
Severe wheezing: Wheezing is typically heard on expiration - when breathing out. Inspiratory wheezing - wheezing when breathing in - usually occurs with severe asthma. Another sound heard on inspiration is called stridor. Stridor sounds like crowing and indicates obstruction around the vocal cords. Severe airway obstruction in croup or laryngospasm generates stridor. Wheezing occurs further down in the bronchi. ...Read moreSee 1 more doctor answer
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
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
Broad category: Bronchospastic refers to the small muscles that wrap around the small to medium airways in the lungs. These tiny muscles can constrict when there is inflammation triggered like cold, exercise, smoke, viruses, allergies, etc. This is typically seen in asthma or copd. ...Read moreSee 1 more doctor answer
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
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
Not reversible: If the cause is known such as cops/emphysema it is treatable. There are people whose lung simply look hyperaerated but no disease, no treatment necessary. In asthma exacerbation, air trapping can occur and cause hyperaerated looking lung and if treated the cxr reverses. Hyperaeration by the way is a diagnosis made on imagings. ...Read moreSee 2 more doctor answers
Definitions...: "walking" pneumonia is slang terminology that refers to a situation where there is an infiltrate on chest x-ray but the person has few symptoms. There are different scenerios that can produce this situation. "asthmatic bronchitis" means that there is bronchospasm associated with bronchitis, an infection of the airways. It can sometimes lead to a cough as the infection is resolving. ...Read moreSee 1 more doctor answer
Depends: The appearance/radiological description of a lung infiltrate can be helpful, but still non specific, unless it is part of the overall evaluation of the patient. In other words, the most accurate diagnoses depends on accurate history taking, physical examination, chest x ray description/appearance, and some bloodwork. Some common bugs may have atypical appearances on x ray, and viceversa... ...Read more
Pulmonary fibrosis: While I have not seen it commonly there are some families with a history of pulmonary fibrosis. Most of my office patients and previous fibrosis patients I have come across are the only ones in their family with fibrosis. I have one patient in my practice with several family members with progressive and ultimately fatal fibrosis. She has been evaluated at duke university with a genetic workup. ...Read moreSee 1 more doctor answer