Doctor insights on:
Reversible Obstructive Airway Disease
Yes: Medical treatment can slow the progression of the disease and improve symptoms, but if you are a smoker and have copd, stop smoking now, it's the best thing you can do! ...Read more
Cough/wheeze: We all have airways that have a protective apparatus that reacts to keep noxious gas or debris from filling the sensitive air blebs in our lung. When this works correctly, as soon as the triggering event is gone, the "gate keeper" opens it and normal breathing ensues. RAD is a condition where the gate tends to remain closed, producing wheezing or cough. Meds work to reduce the keep airways open. ...Read more
Prevention is best: There are usually specific triggers such as smoke inhalation, allergens, and upper respiratory infections that exacerbate the reactive airway. Avoidance of your individual triggers is best. Once an episode is triggered, bronchodilators and inhaled steroids are usually necessary, sometimes oral steroids may be required. ...Read more
Pursed lip breathing: Pts with COPD who practice pursed lip breathing keep their airways open a little longer allowing more air into the lung. Most COPD pts learn this technique early on in their disease course. ...Read more
Recently diagnosed with small airway disease and prescribed an inhaler. Should I be worried that I appear to need to use it daily (once or more)?
Very mild asthma: More and more we are shying away from using that term. It is usually used to label very mild asthma that flares up very infrequently, usually due to a well-defined trigger like infections, wheather change, pollen, etc. There's a reason asthma meds like albuterol are used for this. ...Read more
Smoking: The most common cause is smoking.Get a more detailed answer ›
Please help! What is the optimal pattern of breathing for patient with obstructive airway disease?
Any: There is no optimal patters. Breath normally & at times hold breath X few seconds & blow out through your moth partially close as in blowing a balloon. It will help ypur respiratory muscles. By keeping a slow pattern will oxygenated without causing acid-base problems ...Read more
Is there a specific diet / food plan that would be recommended for someone diagnosed with small airway disease / asthma? If so, what is it?
Food's not the key: The stuff you see on the internet about this-or-that food or 'super-food' being very good/bad for this particular disease is almost all made up as entertainment. Eat sensibly and manage your disease carefully as your physician directs. ...Read more
Seek care: Reactive airway disease aka asthma does not cause fevers. However, an upper respiratory illness that causes a fever can trigger his asthma. With his high fever, consider cool compresses and a dose of weight based acetaminophen. Try to keep him hydrated and call the doctors office tomorrow for further guidance. ...Read more
Our 2.5 year old son was diagnosed tioday with reactive airway disease. Should we go on vacation to aruba tomorrow?
Depends: It depends on how sick he is right now. If he is coughing a lot and wheezing, it's probably best not to go. However, if his oxygen saturation is good and the nebulizer treatments are helping, you just need to make sure you bring the machine and medications with you. It also depends on how long the flight is and how long your child can go in between treatments. ...Read more
Is small airway disease showing obstruction in the small airways the same as copd, asthma or something else? Prognosis?
Asthma: In the past small airways disease did not have its own code but listed under asthma. It is almost like in between the reactive airways and asthma, showing up mainly when someone has a trigger like an upper respiratory infection or bronchitis. It may not show the same inflammatory reaction in blood tests like asthma, but is seen in the pft as reversible process like asthma. ...Read more
Just was diagnosed with small airway disease / asthma. Prescribed an inhaler, which I used frequently, and now prescribed advair. Is that normal?
Yes, very common: Asthma is treated in a step wise fashion. If the rescue inhaler isn't working well to control your symptoms, then an inhaled steroid would be prescribed, then an inhaled steroid/LABA like advair. Once controlled well, you might be able to de-escalate therapy. I would discuss this with your pulmonologist. ...Read more
Is there a recommended workout program (cardio / weights / weight machines) for someone diagnosed with small airway disease / asthma? If so, what?
Recommendation: Make sure you take your chronic medicines. Take your short-acting medicine before exercise, and do an incremental exercise as you can tolerate. Only avoid food you can be allergic to, eat and live healthy and avoid begin around smokers. You'll be fine. Good luck. ...Read more
I have been coughing for 3 weeks now. The inhalers only provide temporary relief. Its bad mostly in the morning and before I go to bed. My peak flow meter always reads 250 and 290 before and after inhaler. I have a reactive airway disease. Should I see
Is there a convection between lupus and reactive airway disease that does not respond to inhalers?
See details: Lupus is associated with restrictive lung disease which would not respond to inhlaers as a rule. ...Read more
16 m.o. son, reactive airway disease, needs PE tubes, I'm afraid of anesthesia and it's effect on his RAD.?
Recently I was diagnosed with reactive airway disease. The last two days I've had non stop wheezing and my inhaler doesn't seem to help.
Acute exacerbation: RAD is a general term for a lot of different disorders. If a rescue inhaler is not helping relieve symptoms the airways are too obstructed and this can lead to serious problems. Typically additional treatment is needed such as systemic or inhaled steroid or long acting bronchodilator. Even antibiotics have been used. Would recommend in-person urgent care or PCP visit to evaluate ASAP. ...Read more
Can umeclidium be used for the treatment of reactive airway disease? Vs a steroid? I am still coughing a bit with the steroid. Would other be better?
I have reactive airway disease, and my pulse ox has been ranging from 90 to 94, Is a nebulizer treatment sufficient to address this?
1yr old was dx'd w/ reactive airway disease. He's on albuterol 4x/day. His cough has gotten more painful/frequent since using it. Is this normal?
Contact pediatrician: If your baby's on the albuterol nebulizer, s/he should be getting better not worse on it. So it's best to contact your pediatrician as soon as possible to let them know what's happening. They can advise you further. Plus they can document this in your baby's chart. ...Read more
How does hyperactive airway disease affect your breathing especially your exhale? What is the best way to strengthen your exhale without albuterol?
What are the risks of slit therapy for allergies? I'm allergic to pretty much everything and have hyper reactive airway disease. Should I take slit?
SLIT: Sublingual immunotherapy (allergy drops) is new compared to subcutaneous immunotherapy (allergy shots). Only a few grass pollens have been studied in the slit group. Both have been shown to be effective in treating hay fever symptoms. However, not much is known about the effectiveness of other allergens in the slit group. A much higher dose of allergens are required in slit to induce tolerance. ...Read more
Just had a pft and was told that I have small airway disease showing obstructions in my small airways. What does that mean? I.E. Asthma or COPD or something else? Born at 27.5 weeks and on vent as baby.
The most typical reason for "small airway" disease in someone young is asthma or viral infection. Prematures can also have chronic lung disease and it is possible for those changes to be permanent.
If you have asthma (and probably even if you have chronic lung disease from being premature) you can improve your lung function with appropriate therapy.
Pulmonary anti-inflammatory therapies are key. ...Read more
Why is my exhalation only affected by asthma/hyperactive airway disease but not my inhalation? How do I fix my exhalation so I can breathe better?
Bronchodilators: In asthma and or hyperactive airway disease, the lining of your windpipe mucosa sells up, thus you need to exert more when you breathe out, if you have been prescribed inhalers, you should use the as prescribed, and breathing exercise will help, if you are not being treated, you should see you doctor or a pulmonologist. ...Read more