5 doctors weighed in:

50 yr. Old non-smoker, w/ COPD exacerbation of 1+ year. Pulmonologist informed me spirometer reading was 22%, but increased to 37% after the bronchodilator. Any reasonable expectation of improvement?

5 doctors weighed in
Dr. Sue Ferranti
Internal Medicine
2 doctors agree

In brief: Diagnosis??

If you have never smoked, and spirometry shows obstruction that improves with bronchodilator therapy, you may have asthma and not copd.
If you do have copd, that means there is irreversible airway obstruction that is treatable but not curable so, over time, it will worsen. If you have COPD and never smoked, get tested for alpha1 anti trypsin deficiency, a form if COPD with a different treatment.

In brief: Diagnosis??

If you have never smoked, and spirometry shows obstruction that improves with bronchodilator therapy, you may have asthma and not copd.
If you do have copd, that means there is irreversible airway obstruction that is treatable but not curable so, over time, it will worsen. If you have COPD and never smoked, get tested for alpha1 anti trypsin deficiency, a form if COPD with a different treatment.
Dr. Sue Ferranti
Dr. Sue Ferranti
Thank
Dr. Frank Mayo
Internal Medicine - Pulmonary Critical Care

In brief: NOT LIKELY

You have severe obstruction that improves with therapy.
Have you been evaluated for alpha-1 antitrypsin deficiency? The testtassesses hereditary empyhsema. If pos you may benefit from antitrypsin replacement iv.

In brief: NOT LIKELY

You have severe obstruction that improves with therapy.
Have you been evaluated for alpha-1 antitrypsin deficiency? The testtassesses hereditary empyhsema. If pos you may benefit from antitrypsin replacement iv.
Dr. Frank Mayo
Dr. Frank Mayo
Thank
Dr. Nestor Del rosario
Addiction Medicine

In brief: Yes.

You have COPD with asthmatic component which means there is improvement with meds and if you stop smoking.
The pure COPD patient is less lucky as these improvements will not be seen and usually don't feel much better with all sorts of treatment. Please stop smoking and stay healthy.

In brief: Yes.

You have COPD with asthmatic component which means there is improvement with meds and if you stop smoking.
The pure COPD patient is less lucky as these improvements will not be seen and usually don't feel much better with all sorts of treatment. Please stop smoking and stay healthy.
Dr. Nestor Del rosario
Dr. Nestor Del rosario
Thank
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