Medical Questions? Ask a Doctor Online!
You basically need two types of inhalers
one for rescue which is albuterol
the other which is a combination medication (long acting bronchodilator + steroid)
symbicort and advair are good for this
What about spiriva
advair is better
in a study of COPD patients (which emphysema is included), people who took advair were 1/2 as likely to die
Ok I have been having sob for 4 months I had a cxr which showed mild hyperinflted lungs I had a pft which came out normal what do u think
I think that you should use the medication that I suggested if you need it
the advair is daily, but the albuterol is as needed
and if you smoke, stop!
My pulmonologist says I don't have copd
you have emphysema?
I quit smoking
did your dr say you have emphysema?
She said I had mild hyperinflted lungs but my pulmanary fuction test was normal...
okay, well if you don't have documented lung disease, don't take anything
but if you have wheezing secondary to lung disease, then you need meds
you don't want to take anything you don't need! :-)
I can't breath get out of breath really easy
Aren't hyperinflted lungs a sign of emphasima??
hyperinflated means too much air
Diagnosing emphysema can't be done with an X-ray alone.
it needs pulmonary function tests, physical exam
if those are normal, you don't have emphysema
did you see that
Could I have mild emphasima that won't show on pft yet....
not really, the PFTs are a main part of the diagnosis
Would a ct scan pick it up...
yes, but you need to have PFTs too
it is not just diagnosis on radiography
I have also had a cardio pulmanary exersise test I got to 200 watt power my doc said it was normal...
that is great
I would not worry about COPD or emphysema yet then
I can also run a mile in 8mins 30 secs and can run five miles in under an hour
yeah, your lungs are good
Could it be that this could all be from my 20 year smoking history and the lungs need time to repair themselves I have only quit last week
yes, that can be it
generally it takes a few years to repair themselvse
I hope that I provided you with excellent service?
It really takes that long
yes it does- but at least it CAN
Good point so basically with the test I have had emphasima can be ruled out??
Ok thanks doc yes excellent
I had a ct that shows emphasima but normal pft what the deal
The doc said mild emphasima changes on the ct scan yes my pft where above normal....the mild emphasima is causing my sob then?
Can it be stopped at this early state with the normal pft and the fact I quit smoking?....should I be on meds?
Don't the steroids reverse inflamation in the lungs
So advair would reduce my symtoms and not smoking and exercise will stop the progression?....also I ran a road race on thanksgiving it was 5 miles I did it in 54 mins which is about a 10 min 30 sec mile.....do you think I will ever end up on oxygen I'm 36 years old...
My fev 1 is 108% of predicted....do you think I will ever end up on oxygen??
What does that mean?