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Doctor insights on: What Does Pink Puffer Mean

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What do the terms "pink puffer" and "blue bloater" mean?

What do the terms "pink puffer" and "blue bloater" mean?

Older Terms: These are older terms- the pink puffer classically described a patient with emphysema (thin, pink means oxygenated). The blue bloated means a patient with chronic bronchitis (poorly oxygenated- blue and overweight). We now know there is a lot of overlap between these two types of patients. ...Read more

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Dr. Shah Chowdhury
630 doctors shared insights

Inhaler (Definition)

It is a type of medication delivery system used to inhale aerosolized medications. The most well know of this is ...Read more


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Md #: what can the following mean to the layperson? "the basis for the classic "pink puffer" variant of copd." thank-you.

Md #: what can the following mean to the layperson? "the basis for the classic "pink puffer" variant of copd." thank-you.

Description: A "pink puffer" describes someone with COPD who has difficulty breathing and a "pink complexion. They usually have increased lung capacity as opposed to "blue bloaters" who have diminshed lung capacity. This doesn't mean pink puffers are in better shape just different. ...Read more

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What happens if you have a inhaler, does that mean you have asthma?

What happens if you have a inhaler, does that mean you have asthma?

Not Necesarily: Inhalers are given to patients for many reasons. Asthma is an inflammatory lung disorder diagnosed using a test called a spirometry. Having an inhaler does not automatically make you an asthmatic but you should see your doctor to figure it out. ...Read more

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What does the "ne" mean at the end of proventil (albuterol) inhaler ne?

What does the "ne" mean at the end of proventil (albuterol) inhaler ne?

Ne in Proventil (albuterol): It is a symbol of neon, an inert gaseous element in the atmosphere. ...Read more

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When using an inhaler (proair hfa) the side effects included mental changes and confusion. What does this mean? Will my personality/memory change?

When using an inhaler (proair hfa) the side effects included mental changes and confusion. What does this mean? Will my personality/memory change?

Proair inhailer: I've not had a single patient complain of mental changes on proair. Obviously, it's a very frequently used medication and if the such side effects were common, it would not be used. ...Read more

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When using an inhaler (proair hfa) some side effects included mental changes and confusion. What does this mean? Will my personality/ memory change?

When using an inhaler (proair hfa) some side effects included mental changes and confusion. What does this mean? Will my personality/ memory change?

Medical evaluation.: Please let your doctor know asap. I don't exactly know what you mean by mental changes. Proair hfa has possible side effects to include: psychoses (auditory hallucinations & persecutory delusions), restlessness, anxiety, irritability, insomnia, confusion, mental status changes. Your symptoms need to be evaluated. ...Read more

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Urine test came back with a ph level of 8.5 What does that mean? Could it be related to SOB which I thought was asthma but meds & inhaler not helping

Urine test came back with a ph level of 8.5 What does that mean?  Could it be related to SOB which I thought was asthma but meds & inhaler not helping

Likely not related: Urine pH reflects the function of the kidneys in maintaining the acid base balance in the body & the lungs also play a role through a diff. mechanism. A value of 8.5, slightly above normal limit. Increased acid may increase your rate of breathing. Uncontrolled SOB should be re-evaluated by your physician for a better control of your resp. problem who can also determine need for nephrology consult ...Read more

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Allergic to leaves/mold + asthma. Find I'm using inhaler/neb more freq. Does this mean asthma is no longer well controlled? What do I tell my pulmo?

Allergic to leaves/mold + asthma. Find I'm using inhaler/neb more freq. Does this mean asthma is no longer well controlled? What do I tell my pulmo?

Yes: Increasing use of a rescue inhaler may mean that asthma is not well controlled - or maybe that there is an infection. Would let your pulmonologist know the frequency that you are having to use a rescue inhaler as well as letting him or her know all of your symptoms. ...Read more

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Will my asthma inhaler stop working if I don't use it for 3 weeks ? I mean will spray malfunction?

Will my asthma inhaler stop working if I don't use it for 3 weeks ? I mean will spray malfunction?

Prime it: Some inhalers requires priming with the 1st trigger mainly to fill up the delivery sprout and thus will not deliver medication. On the other hand if you were using inhaled steroid as a controller drug, it may not work after 3 weeks either due to loss of asthma control from the lack of medication or the fact that it takes 2-3 weeks for it to give you optimal results. ...Read more

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What does it mean for a hyperaerated lung to press on the abdomen, is it dangerous for person to refuse an inhaler meant for an exercise induce asthma?

What does it mean for a hyperaerated lung to press on the abdomen, is it dangerous for person to refuse an inhaler meant for an exercise induce asthma?

Air can't get out: With asthma, patients get "hyperareated lungs", meaning there is much air trapped in the lungs because the patients cannot easily breathe out the air. It is dangerous when there is way too much air trapped in the lungs. It is not dangerous when the asthma is mild, but sometimes the mild asthma can turn into dangerous asthma over a few hours. We use the same inhalers for different types of asthma. ...Read more

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I have COPD I am having to take more inhaler as of late, due to tightness in throat and wheezing, does this mean that it is getting worse?

I have COPD I am having to take more inhaler as of late, due to tightness in throat and wheezing, does this mean that it is getting worse?

Acute exacerbation: Either getting worse or just sudden worsening, what we call acute exacerbation. You didn't mention which inhalers but in general, you should be on three, two of which are preventive (spiriva or tudorza plus advair or symbicort), and third is rescue (albuterol). Could also consider Daliresp (roflumilast) pill. Go see your doctor for evaluation & adjustment of your regimen. ...Read more

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Some water went down my windpipe and am coughing. Afraid of secondary drowning but i can breathe ok now. Will my asthma inhaler help if im still wheezing after awhile? Also getting a headache that doesnt mean water is on my brain does it?

Some water went down my windpipe and am coughing. Afraid of secondary drowning but i can breathe ok now. Will my asthma inhaler help if im still wheezing after awhile? Also getting a headache that doesnt mean water is on my brain does it?

Water in trachea: The water in your wind pipe (trachea) will not drown you but will cause coughing at the time amid could transiently aggravate your asthma so the use of your inhaler in this setting would be helpful. The headache does not mean water on the brain. The headache is likely from the coughing and will pass. You will be ok. ...Read more

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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?

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

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Should someone carry a puffer even though they have not had symptoms or attacks in years?

Should someone carry a puffer even though they have not had symptoms or attacks in years?

Asthma: Not a bad idea- however, check with your doc and make sure that you are not carrying an expired inhaler. ...Read more