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Forum Name: Miscellaneous Chest Diseases

Question: Failed Pulmonary Function Test


 llbean - Thu Mar 13, 2008 7:50 pm

Hello,
I am a 27 yr old female who smoked for 10 years (Quit 2 years ago) and have been having difficulty breathing for a little over a month. Here is my history since this started:

- Lung Infection January and it went away with a Z-pack.
- Middle of February I got the same feelings, sore throat, burning feeling in chest, fever and shortness of breath.
- The Dr said I probably had walking pnemonia and gave me another z-pack. That didn't do anything.
- Peak flow test which was 340. My pulse ox was normal.
- Treated me for Asthma. Albuterol and Flovent did nothing after a 1 1/2 weeks.
- Went to the ER as I started feeling worse, chest x-ray and blood work normal, no improvement from breathing treatment.
-Pulmonary Function Test showed reduced FEF25-75 with normal FVC and FEV1, no improvement with bronchodilator.
-CT of Chest showed normal - solidary mildly enlarged 2 cm superior mediastinal lymph node (Not sure what this means)

It's been over a month and I feel the same, sore throat, sore and burning chest, and shortness of breath constantly. I do have an appt with a Pulmonologist next month but I am just very concerned. I feel as though I have to bug my Dr to help me. I am a new Mom with an 8 month old and need to get better quick.

Any help is GREATLY appreciated. Thank you so much for your time:-)
 Dr. A. Madia - Fri Mar 14, 2008 12:08 pm

User avatar Hi,

Lungs are made of spongy tissue with some extraordinary property to expand and collapse with breathing so that fresh oxygenated air can come in and carbon dioxide containing air can be breathed out.

Somking cigarettes, smoke from vehicles and factory, dust particles, foreign particles from stone quarries and cotton mills all can injure this fine mechanical property of the lung.

Even in those who do not smoke or have never smoked, diseases like Asthma, Emphysema and chronic bronchitis may result in the same injury.

Pulmonary function tests results show primarily two types of abnormality. Obstructive and Restrictive. Your PFT result show more of a restrictive pattern. Restrictive abnomality doesn't get much benefit from drugs like albuterol and flovent. You just might need somthing like Ipratropium to relieve your symptoms if your pulmonologist thinks so. Unfortunately internet is a medium where one can give opinion only from the data presented and we have no way to check the facts first hand.

But I do advise you to get in touch with your pulmonologist quick and follow his advice. Sometimes a different antibiotic prescribed on the basis of a culture and sensitivity test will relieve your symptoms.

Take care,


Apurva

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