Doctor insights on:
Cystic Fibrosis And Advair
No: Two completely different diseases. CF is an inherited disorder leading to failure to clear mucus and repeated infections. It does end up with fibrosis in the lungs. Idiopathic fibrosis is a disease of unknown cause where scar tissue replaces normal lung and eventually causes respiratory failure. ...Read more
Old Days: Back in the "old days, " patients with CF would frequently die, and the autopsy findings of the lungs showed scarring ("fibrosis") and bubbles ("cysts, " "cystic"). Thus, it was called cystic fibrosis. We know much more now about this disease, but the old name stuck. ...Read moreSee 1 more doctor answer
Occasionally: Corticosteroids for pulmonary fibrosis is mostly not helpful. Pts with nsip have shown a response to steroids. In COPD steroid pulses for acute worsening of function but should be weaned quickly. Long term steroids in COPD have not been beneficial. ...Read moreSee 2 more doctor answers
Bronchiectasis: Chronic airway infection in CF is common; it isn't the same as "chronic bronchitis" precisely but has similar traits (copious purulent sputum production, discomfort, airway obstruction). More commonly the chronic infection and mucus plugging lead to airway destruction, dilation in a condition known as bronchiectasis. Google cts of the chest for both and take a look at the differences. ...Read moreSee 1 more doctor answer
In a way: Most patients with diabetes have either a failure of the pancrease (pancrelipase) to produce Insulin or develop resistance to Insulin for various reasons. In cf, there is pancreatic insufficiency due to injury to the pancrease (pancrelipase) from the disease itself... And this can lead to CF related diabetes (where more Insulin is needed). ...Read moreSee 1 more doctor answer
Yes: Meconium is the normal fecal debris composing the accumulated intestinal contents at birth.It is heavily colored by bile, dark and sticky. Meconium ileus can occur when the meconium has abnormal glue like stickiness caused by CF and will not empty from the bowel.The blockage can require emergency surgery. ...Read more
No: Only if you have chronic airway infection with pseudomonas aeruginosa. ...Read more
When babies are born, are they screened for cystic fibrosis? Also, can a chest xray indicate cystic fibrosis in the lungs?
Depends: The specifics of newborn screening are defined on a state to state basis. Many states screen for CF, but this was not added to the screening in my state until about 10 years ago. The x-ray changes that may be seen in some older CF patients are not present in early childhood and not specific to the disease when they are seen. ...Read moreSee 1 more doctor answer
Can benefit some: Lung transplantation is an option when the medical regimen can not prevent further decline in end stage lung disease. The timing of the transplantation is important in maximizing the benefit of the transplant. The average survival at one year is around 90%, five years is approx 55% depending on the center. I hope that this helps. Prmg pediatrics/respiratory fax 858 259 9689 for ?S. ...Read moreSee 1 more doctor answer
My father is diagnosed with idiopathic pulmonary fibrosis, copd, polycythemia and cronic asthmatic bronchitis. Is he a candidate for lung transplant?
Lung transplant: Other factors are considered too, as age, general health, other chronic diseases, the original lung disease and whether it can recur in the transplanted lung, your father needs to be evaluated in a tertiary care hospital, either a university or a teaching hospital, better if they have a transplant program, wish you wellness ...Read more
Chest X-ray Hyperinflamed lung and perihilar bronchitis changes are seen.No acute pulmonary or pleural disease.25 year,non smoker,Please explain findi?
Might be normal: I obviously have to make some assumptions without seeing the films myself. First, I believe that "hyperinflated" was meant instead of hyperinflamed, as it is a more common term. It is used often when lungs appear over expanded.Although it sometimes suggests air trapping seen in asthma, or copd... It tends to be overused...and is often seen in normal people who are able to take a very Deep breath ...Read more
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