Doctor insights on:
Small Airway Disease Symptoms
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
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)?
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
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
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
I have small airway disease, not asthma, which means I have problems getting air out of my lungs. Is this restrictive or obstructive? The doctor didn't put me on any treatment.
Need more info: It sounds like you may have a combination of some of both, but would need your entire medical record and to examine you before commenting. If dissatisfied with the explanation they gave you, consider a second opinion. Good luck. ...Read more
Age 33. Diagnosed with asthma / small airway disease. Prescribed advair diskus (salmeterol and fluticasone) 250/50 and proair hfa. Took a peak flow meter test and blew 350 l/min. Is that bad? Recommendations on how to improve?
Don't look: The peak flow rate is based on your height and sex and thus can't tell whether yours is bad or not. The more important point is how much has it changed from your pfr when you not have breathing problem. As suggested by dr pizzo, you should consult an allergist to help manage your problem. There is a chance that the atenolol may adversely impact your asthma. Fev-1 is superior to pfr. ...Read more
What could cause chest muscle soreness after exercise and shortness of breath regularly with a diagnosis of small airway disease (never smoked)?
COPD: You have a form of chronic obstructive pulmonary disease (COPD) which isn't your fault but happens to people from breathing the air we live in and/or second-hand smoke and/or bad luck. See your doctor as there are a variety of inhaler treatments that may very well help you. Be gentle with yourself: you're not 18 anymore. You may need to modify your exercise regimen but exercise is still advised. ...Read more
Diagnosed small airway disease / asthma. On advair diskuz 250/50 and proair hfa. Would it be beneficial to get a finger pulse oximeter and a peak flow meter to track (especially during attacks)?
A peak flow suffices: And it is better to monitor and record ur peak flow readings am and pm, there are variations, night timereadings are bit lower, that would help ur md better direct your treatment and as well would predict if any astham exacrbation would happen hours ahead of time, an asthma action plan planned with ur 1ry md or with ur allergist will help, no need for an oximeter, review all ur meds with ur md. ...Read more
Diagnosed with small airway disease. Born 27.5 weeks, on vent and pneumonia and pulmonary edema as baby. Had pft. Chronic coug. Tightness in chest when not on inhaler. Nonsmoker. What does this mean?
Association: Very premature children (those born before 32 weeks' gestation) have higher asthma risk -- almost three times that of children born at full term for asthma as young adults. In one study adults age 25 to 35 yrs old had over twice incidence of asthma than adults of full term infants. There is association but not definite cause and effect. ...Read more
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
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
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