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Dr. Cameron
Dr. Cameron, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine and Ivy League trained. Medical Review Officer trained in Drug Testing
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What inhaler works best for emphasima not bronchit

This answer was rated:

What inhaler works best for emphasima not chronic bronchitis

Dr. Natasha :

Hello

Dr. Natasha :

You basically need two types of inhalers

Dr. Natasha :

one for rescue which is albuterol

Dr. Natasha :

the other which is a combination medication (long acting bronchodilator + steroid)

Dr. Natasha :

symbicort and advair are good for this

Customer:

What about spiriva

Dr. Natasha :

advair is better

Dr. Natasha :

in a study of COPD patients (which emphysema is included), people who took advair were 1/2 as likely to die

Dr. Natasha :

http://www.webmd.com/lung/copd/news/20071228/advair-vs-spiriva-fewer-copd-deaths

Customer:

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

Dr. Natasha :

I think that you should use the medication that I suggested if you need it

Dr. Natasha :

the advair is daily, but the albuterol is as needed

Dr. Natasha :

not spiriva

Dr. Natasha :

and if you smoke, stop!

Customer:

My pulmonologist says I don't have copd

Dr. Natasha :

you have emphysema?

Customer:

I quit smoking

Dr. Natasha :

did your dr say you have emphysema?

Customer:

She said I had mild hyperinflted lungs but my pulmanary fuction test was normal...

Dr. Natasha :

okay, well if you don't have documented lung disease, don't take anything

Dr. Natasha :

but if you have wheezing secondary to lung disease, then you need meds

Dr. Natasha :

you don't want to take anything you don't need! :-)

Customer:

I can't breath get out of breath really easy

Customer:

Aren't hyperinflted lungs a sign of emphasima??

Dr. Natasha :

not necessarily

Dr. Natasha :

hyperinflated means too much air

Dr. Natasha :

Diagnosing emphysema can't be done with an X-ray alone.

Dr. Natasha :

it needs pulmonary function tests, physical exam

Dr. Natasha :

if those are normal, you don't have emphysema

Dr. Natasha :

did you see that

Customer:

Could I have mild emphasima that won't show on pft yet....

Dr. Natasha :

not really, the PFTs are a main part of the diagnosis

Customer:

Would a ct scan pick it up...

Dr. Natasha :

yes, but you need to have PFTs too

Dr. Natasha :

it is not just diagnosis on radiography

Customer:

I have also had a cardio pulmanary exersise test I got to 200 watt power my doc said it was normal...

Dr. Natasha :

that is great

Dr. Natasha :

I would not worry about COPD or emphysema yet then

Customer:

I can also run a mile in 8mins 30 secs and can run five miles in under an hour

Dr. Natasha :

wow

Dr. Natasha :

yeah, your lungs are good

Customer:

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

Dr. Natasha :

yes, that can be it

Dr. Natasha :

generally it takes a few years to repair themselvse

Dr. Natasha :

I hope that I provided you with excellent service?

Customer:

It really takes that long

Dr. Natasha :

yes it does- but at least it CAN

Dr. Natasha :

I hope that I provided you with excellent service?

Customer:

Good point so basically with the test I have had emphasima can be ruled out??

Dr. Natasha :

yes

Customer:

Ok thanks doc yes excellent

Dr. Cameron and 3 other Medical Specialists are ready to help you
Hey Kevin
I was following up to see how you were doing
Customer: replied 3 years ago.

I had a ct that shows emphasima but normal pft what the deal

I will get to this tomorrow. Not on computer
Customer: replied 3 years ago.

Ok thx

Well, you can have scarring in the lungs and normal PFTs. It means that your lungs are able to function normally despite being damaged. That is a good thing...

Customer: replied 3 years ago.

The doc said mild emphasima changes on the ct scan yes my pft where above normal....the mild emphasima is causing my sob then?

Most likely yes
Customer: replied 3 years ago.

Can it be stopped at this early state with the normal pft and the fact I quit smoking?....should I be on meds?

Once you have scarring it is permanent. But if you stop smoking it will not get worse.
The medications are for symptom relief
It cannot reverse the scarring
Customer: replied 3 years ago.

Don't the steroids reverse inflamation in the lungs

They DO, but they don't reverse SCARRING.
Customer: replied 3 years ago.

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...

Advair will reduce symptoms,
not smoking will reduce progression
exercise is good for overall health
Customer: replied 3 years ago.

My fev 1 is 108% of predicted....do you think I will ever end up on oxygen??

Not at the rate you are going :-)
Customer: replied 3 years ago.

What does that mean?

It means you are doing well