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Doctor insights on: Chronic Obstructive Pulmonary Disease With Chronic Interstitial Lung Changes

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If you have copd, will the disease carry over into the lungs transplants you receive?

If you have copd, will the disease carry over into the lungs transplants you receive?

Not usually: COPD is usually an acquired problem. However, if the causes are duplicated in the transplanted lungs (i.e. Heavy smoking) it could recur over years. ...Read more

Lung (Definition)

Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more


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Last stage. Copd. Pluse langerhans cell histiocytosis with lungs. Also microvascular ischemic disease. What should I expect its my husband?

Last stage. Copd. Pluse langerhans cell histiocytosis with lungs. Also microvascular ischemic disease. What should I expect its my husband?

End stage COPD: Your husband, unfortunately, has both severe lung disease and a bad heart. His exercise capacity must be very low. You did not mention hospice care, but his long-term prognosis is not good. ...Read more

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I took my pro air hfa inhaler before my pulmonary function testing. Would this affect my results if I have COPD, lung damage, or other diseases?

I took my pro air hfa inhaler before my pulmonary function testing. Would this affect my results if I have COPD, lung damage, or other diseases?

It would...: Improve reversible airway obstruction, as in asthma. Chronic obstructive lung disease, e.g. emphysema, chronic bronchotis, fibrosis, othet, has much more of a permament, irreversible, and less reversible, component to the obstruction. Drugs like proair have less
of an effect. Lack of a response is one factor in making the diagnosis. ...Read more

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I have been diagnosed COPD w/Interstitial lung disease. I had sarcoidosis at 24 I am now 59 yrs. Old. I am short of breath. What is the treament?

I have been diagnosed COPD w/Interstitial lung disease. I had sarcoidosis at 24 I am now 59 yrs. Old. I am short of breath. What is the treament?

There: Are new treatments for active pulmonary fibrosis, some treatments to alleviate bronchospasm, talk to your pulmonologist, or rheumatologist if sarcoid active for other treatments. ...Read more

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I had a CT of chest done and it showed hyperinflated lungs...Which could be asthma-copd-lung disease right? Could these cause atrial fibrillation?

I had a CT of chest done and it showed hyperinflated lungs...Which could be asthma-copd-lung disease right? Could these cause atrial fibrillation?

COPD: Not really, there is not direct correlation. However you are more likely to mat (multifocal atrial tachycardia) with lung disease. ...Read more

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With chronic bronchitis or copd, what is the color & texture is the mucous or secretions from the lungs?

With chronic bronchitis or copd, what is the color & texture is the mucous or secretions from the lungs?

All different...: Sputum can have many colors and still be ok. The color that is most worrisome is red; this always needs to be evaluated by your doctor. Otherwise, if your sputum changes in color and consistency you need to be seen by your doctor. ...Read more

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27 years old with hyperinflated lungs? I have had chronic anxiety and stress and am wondering if this could have caused it or is it asthma or copd?

27 years old with hyperinflated lungs? I have had chronic anxiety and stress and am wondering if this could have caused it or is it asthma or copd?

Anxiety or Asthma: Could be either or both. A visit to a pulmonary specialist would clarify that, following thorough medical exam & pulmonary function tests. ...Read more

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What cab be done for interstitial lung disease and pulmonary fibrosis?

What cab be done for interstitial lung disease and pulmonary fibrosis?

Not much: Ild/pulm fibrosis is a progressive destruction of lung architecture resulting in progressive shortness of breath. All therapy tried to date has not provided much improvement. Oxygen and exercise while awaiting lung transplant is a current management option. The mortality of ipf is on the order of less than 5 yr after dx. ...Read more

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What's the cure for interstitial lung disease/pulmonary fibrosis?

What's the cure for interstitial lung disease/pulmonary fibrosis?

None unfortunately: So far there is no effective treatment or cure for interstitial lung disease. In some cases where it is due to hypersensitivity to some inhaled antigen, steroid treatment may help, but otherwise there is no treatment of benefit. ...Read more

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Tell me about interstitial lung disease and pulmonary fibrosis?

Tell me about interstitial lung disease and pulmonary fibrosis?

Same: Ipf is one form of ild. It refers to disorders of the interstitium of he lung vs. Diseases that effect the bronchi, or alveolar spaces. ...Read more

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What's the relationship between interstitial lung disease and pulmonary fibrosis?

What's the relationship between interstitial lung disease and pulmonary fibrosis?

Similiar: Interstitial lung disease is an "umbrella" term for many diseases; one of these disease is idiopathic pulmonary fibrosis or ipf. ...Read more

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What. Is antihypertensive of choice in interstitial lung disease with mild pulmonary hypertension?

What. Is antihypertensive of choice in interstitial lung disease with mild pulmonary hypertension?

Several choices: In the absence of other heart problems I would tend to try amlodipine in someone with high blood pressure and mild pulmonary hypertension. However many other medications such as acei or arb, beta blockers, Diltiazem or diuretics could also be appropriate. Please discuss with your doctor. ...Read more

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Can interstitial lung disease like pulmonary fibrosis and those like pulmonary fib. Be ruled out pretty good with pulse ox, CT of lungs, and chest xra?

Can interstitial lung disease like pulmonary fibrosis and those like pulmonary fib. Be ruled out pretty good with pulse ox, CT of lungs, and chest xra?

No: The above tests are not sensitive enough. Pulmonary function tests and a high resolution ct scan of the lungs are more sensitive. If they are normal, then interstitial lung disease can be essentially ruled out. ...Read more

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My dr says I have acute interstitial lung disease and wants to do a pulmonary function test and high resolution CT scan. What does all of this mean?

My dr says I have acute interstitial lung disease and wants to do a pulmonary function test and high resolution CT scan. What does all of this mean?

Not simple pneumonia: For a simple pneumonia, the initial x-rays can provide classical features and the doc can send you on your way with simple treatment. Interstitial lung disease requires a more involved evaluation because the potential causes are quite diverse. Differentiating a simple transient from a long term issue is important to identify a cause and course of treatment. ...Read more

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Shortness of breath on exertion and at rest. Former smoker but already quit. What could it be, in a 26 year-old.....?

Shortness of breath on exertion and at rest. Former smoker but already quit. What could it be, in a 26 year-old.....?

Shortness of breath: There is a long list of causes of shortness of breath. Asthma and other lung diseases; heart diseases; anemia. Your symptoms are potentially serious and should be investigated. Would need more information to make any useful suggestions. Should see a doctor. ...Read more

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How long to wait between Normal chest CT that showed mild interstitial markings lungs & high resolution CT to see any changes? 6 mo? 1 yr? No differe

How long to wait between Normal chest CT that showed mild interstitial markings lungs & high resolution CT to see any changes? 6 mo? 1 yr? No differe

Try plain chest xray: CT scans have very high doses of radiation compared to a plain chest xray. You had some findings that could be followed with a plain chest xray.

If there were significant changes on the next xray, then you may need a Chest CT. If not, I suggest talking to your doctor to postpone the CT. Because you are 31 yo, you need to be aware of the amount of radiation your body is receiving. ...Read more

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Is intersitial lung disease the same thing as pulmonary fibrosis?

Confusion: Interstitial lung disease (ild) causes lung damage which is referred to as pulmonary fibrosis. There is a form of ild that is called idiopathic pulmonary fibrosis. ...Read more

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Could COPD be caused by an early childhood deformity in the lungs?

Could COPD be caused by an early childhood deformity in the lungs?

Not usually: Generally, COPD (chronic obstructive pulmonary disease) refers to a condition occurring in adulthood, usually from tobacco use, although there are some rare other contributing causes. Although we see occasional cases of congenital lung structural abnormalities (like congenital lobar emphysema), which can cause other health issues like recurrent pneumonias, it doesn't seem to lead to copd. ...Read more

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Will blowing up balloons strengthen my lungs? I have moderate copd........

Will blowing up balloons strengthen my lungs? I have moderate copd........

No: Nothing you can do will repair the damage to your lung tissue or airways. Your chest muscles are strong enough and balloons are unlikely to help much. There are programs for rehabilitation for COPD patients and I hope you can get into one of these. Best wishes and I hope you do well. ...Read more

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Do inhaled steroids help the lungs heal when you have copd?

Do inhaled steroids help the lungs heal when you have copd?

Inflammation...: Inhaled steroids decrease airway inflammation in COPD which can decrease disease progression. There is no cure for COPD but inhaled steroids decreases symptoms of disease by decreasing inflammation in the airways. ...Read more

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I quit smoking 10 years ago, but was just diagnosed with copd. Will my lungs get worse?

Yes...: COPD is a slowly progressive disease that has no cure. So, over time, your condition will slowly get worse. There are treatments that will control symptoms, however, so see your doctor. Smoking cessation is important to slow disease progression so congrats on quitting! Follow your doctor's treatment plan to control your symptoms! ...Read more

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84 year old being weaned off a non invasive ventilator with suspected COPD. What will happen next if lungs don't cope?

CPAP/BiPAP: Some patients benefit from nocturnal support with CPAP or BiPAP chronically. The patient should be evaluated for sleep apnea and arterial blood gasses should be analyzed. A persistently high pCO2 or acidosis may impair weaning.
Look for complications like infection, concomitant congestive heart failure which may be contributing ...Read more

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My mom is at the end of life with COPD and empezema they say she has no air flow at all thru her lungs. How long can she live like this?

My mom is at the end of life with COPD and empezema they say she has no air flow at all thru her lungs. How long can she live like this?

Time is short: If her doctor is giving details such as this, it may be time to seek the help of hospice care. For many end stage diseases, hospice care actually improves and extends life! ...Read more

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Can I have COPD at age 27? I smoked heavily from 16 - 21 and have allergic asthma. Now I feel symptoms of overinflated lungs, and I'm unable to exhale

Can I have COPD at age 27? I smoked heavily from 16 - 21 and have allergic asthma. Now I feel symptoms of overinflated lungs, and I'm unable to exhale

Possible...: There is a form of copd, alpha-1-antitrypsin disorder, that occurs in younger people and the disease progression increases with smoking. It is diagnosed via a blood test. Pulmonary function testing will show chronic obstruction. See a lung specialist if this is a concern so this disorder can either be ruled out or treated with enzyme replacement therapy. ...Read more

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Will opiods cause further damage to lungs with copd?

Will opiods cause further damage to lungs with copd?

Shouldn't: Oral opioids taken as prescribed should not cause further damage to lungs. ...Read more

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Could anyone suggest natural therapies for COPD of lungs?

Sure: Tried and true strategies: if you are smoking quit smoking, nothing else will do you more good than quitting. Moderate exercise, 20 to 30 minutes a day, 4 or 5 days a week. Increase intake of fresh fruits and vegetables.
There are no proven herbal remedies. Avoid aromatherapy. ...Read more

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Is COPD severe when lungs are hyper inflated and diaphram is flattened? Can this be reversed?

The severity: Of COPD is a clinical assessment and can be quantified with Pulmonary Function Studies, but if those findings are present on a chest xray, it is likely that the COPD is significant. In general, the lung damage cannot be reversed. ...Read more

Dr. James Lin
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Respiratory (Definition)

Pertaining to the work of breathing done by the chest ...Read more