Doctor insights on:
Recurrent Airway Obstruction
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more
Maybe: This could make you more prone to them. Recurring sinus infections are more often due to virus(and not bacteria)..They can be caused by frequent exposure to others who have respiratory infections(ie, teachers, students) ;or having underlying allergies; or rarely a "minor" immune problem. See an allergist and ENT for a careful evaluation. ...Read moreSee 1 more doctor answer
Not alwasy: The more inefficient the damaged lung becomes at eliminating co2 the more you have to work to breath and the more work the more co2 you make. Once co2 is up for a period of time your body stops responding to theco2 &switches to o2 for the drive. Thus co2 rises even more as the body stops response to co2. This makes o2 dangerous to use. Most COPD get no rise in co2. You need a blood test to know. ...Read moreSee 1 more doctor answer
Can allergy cause inflammation of neck airways(apart from nasal airways), leading to labored breathing?
2 types: Maybe more but one is chronic obstructive that you see in emphysema (COPD) and another type is rare but is where a physical obstruction such as a tumor is blocking the airway. Most chronic obstr is due to genetic or smoking related or other environmental factors that break down good lung tissue and replace it with scar tissue. ...Read more
Dx Laryngomalacia. Virus caused sig. Strider/loss of voice. epiglotitis R/O
Could combo laryngeal inflammation &Laryngomalacia cause severe symptoms
Yes: Adenoids being enlarged is a prime reason of nasal congestion in children. It can also increase runny nose and issues with ear infections. Adenoidectomy is one of the most common surgeries performed in the us every year. If you are asking about an adult, then the adenoids are very unlikely to be the culprit. In grownups, allergies and enlarged turbinates or septal deviation are more common. ...Read more
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
What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?
Usually a gallstone: Usually a gallstone causing obstruction of the common bile duct can cause sudden painful jaundice, sometimes with associated cholangitis (infection of the bile) This requires drainage and extraction of the stone from the common bile duct with a procedure call ERCP. Other causes can be tumors causing obstruction, which is more often painless and gradual. ...Read more
Ent found deviated septum, nasal obstruction, damage from gerd. Needs to do endoscopic septoplasty. Scared. Risks? Any life threatening risks?
Not big risk : Septoplasty is correction of the deviated or crooked septum. The basic risks include bleeding, infection , not getting a satisfactory correction of deviation, a septal perforation(hole), changes in smell/ taste temporarily. No life threatening risks from surgery. Most ENT doctors do 100's of these a year. Quite common and routine procedure. ...Read moreSee 1 more doctor answer
Chronic pansinusitits, otitis, bronchitis in 3 year old. Cf, IG def., obstruction, pcd, asthma ruled out. No smoke. Recurrent high fevers (105-107) .
Allergy?: The most common cause is obstruction of the sinus opening preventing sinus drainage. Thus the first order would be reducing the nasal congestion. Although the IG levels might be normal, the antibodies produced may not be and thus a post-vaccination antibody study may help assess this aspect. It is time for him to see an allergist-immunologist. Get a 2nd opinion if necessary. ...Read moreSee 2 more doctor answers
Rarely, but it can.: Laryngopharyngeal reflux (LPR) or silent reflux can rarely lead to sinus disease in addition to more common symptoms. Sinus disease can in turn lead to nasal symptoms. The key is to differentiate between allergic rhinitis or hay fever and reflux-related concerns, and allergy testing can help do so. Hope this helps! ...Read more
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