Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Small Airways Disease
Question: I appreciate your answers on my question about the small airways disorder that I've been diagnosed with. Now I have had this for roughly 17 years slowly getting a bit worse not much I am asking today what might I expect as I go forward what kind of prognosis does this have , what should I expect with it being as mild as it is and if I take care of myself should I expected to stay that way. Since you said it is a maybe a group of different diseases or issues down in the eighth division further down in the small airways the quiet zone it may not be knowing exactly what I've got so we may not know what to expect. I want to belong to a gymnasium I kind of stopped 567 well let's just say a few years back anyhow I started swimming at the pool to see if I can help strengthen and get some exercise in on my lungs hopefully that'll help the other day day one it was a little bit of a challenge while I was swimming but afterwards I felt great last night I went it was still a challenge a bit my legs were sore but I didn't feel as good as I had the night before with my anxiety is it a possibility that I had myself so anxious expecting it to be as good as it was The first night that I actually made it feel worse my anxiety I know causes the majority of my problems I don't understand anxiety well enough but I have been told that if you carry chronic anxiety long enough it can take a long time to bring you back down to baseline do you believe this to be true. . If that is the case do you believe that this might take a while for myself to get my breathing down since you have said that anxiety makes the airways just a bit harder to R through I believe in that statement it's just how long should I expect on chronic anxiety for it to come in to baseline thank you
Brief Answer:
No worries, supportive care
Detailed Answer:
Thank you for getting back to me
As i mentioned earlier, SAD on its own is benign and has very slow progression and worst case scenario it may cause oxygen dependency and restrictive lung disease like interstitial lung diseases, but if you keep avoiding triggers like smoking, pollutants, allergens we discussed in our prior discussion, you will just need supportive therapy which is bronchodilators, humidifiers , good dust pollen free environment and chest physio exercises, of course you may join gym and slowly increase your compliance to the exercises, but don't overstress your body to some thing you cant bear.
let me tell, you what you feel to have in guise of your symptoms, SAD might be contributing only 1 % to it, rest 99 % is due to anxiety and panic attacks, So you need a very good psychotherapists and rehab sessions to get over it, it will make your life quite easy.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards
Khan
No worries, supportive care
Detailed Answer:
Thank you for getting back to me
As i mentioned earlier, SAD on its own is benign and has very slow progression and worst case scenario it may cause oxygen dependency and restrictive lung disease like interstitial lung diseases, but if you keep avoiding triggers like smoking, pollutants, allergens we discussed in our prior discussion, you will just need supportive therapy which is bronchodilators, humidifiers , good dust pollen free environment and chest physio exercises, of course you may join gym and slowly increase your compliance to the exercises, but don't overstress your body to some thing you cant bear.
let me tell, you what you feel to have in guise of your symptoms, SAD might be contributing only 1 % to it, rest 99 % is due to anxiety and panic attacks, So you need a very good psychotherapists and rehab sessions to get over it, it will make your life quite easy.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks,
Do I read you correctly, is SAD Restrictive or Obstructive. I always thought of it as Obstructive.
I am sorry for not including this earlier because I felt it might compromise an answer regarding lung disease, and yes, I know it will change certain aspects of my breathing. Last January, 2017 during a CT scan, I was found to have clear lungs but I had a very very very early stage non small cell tumor. It was in upper Right lobe. We did surgery and took adjoining Lymph nodes. Pathology showed we got it all, to be on the safe side I did 16 weeks of chemo to make sure it is gone. last week the CT showed no cancer.
IN THAT LAST CT, WE DID AN INSPIRATORY AND EXPIRATORY. The ct was clean of cancer, the radiologist commented that I had no signs of emphysema, and no air trapping showing. BUT he commented that I exhale more than I inhale. That's not obstructive is it?
Do I read you correctly, is SAD Restrictive or Obstructive. I always thought of it as Obstructive.
I am sorry for not including this earlier because I felt it might compromise an answer regarding lung disease, and yes, I know it will change certain aspects of my breathing. Last January, 2017 during a CT scan, I was found to have clear lungs but I had a very very very early stage non small cell tumor. It was in upper Right lobe. We did surgery and took adjoining Lymph nodes. Pathology showed we got it all, to be on the safe side I did 16 weeks of chemo to make sure it is gone. last week the CT showed no cancer.
IN THAT LAST CT, WE DID AN INSPIRATORY AND EXPIRATORY. The ct was clean of cancer, the radiologist commented that I had no signs of emphysema, and no air trapping showing. BUT he commented that I exhale more than I inhale. That's not obstructive is it?
Brief Answer:
No worries
Detailed Answer:
Thank you for getting back to me
As i mentioned, the etiology behind SAD is so diverse and so multiple in origin that it can end up in both obstructive as well as restrictive lung disease patterns in long run. For example if hypersensitivity pneumonitis is the etiology behind this SAD, restrictive patterns emerge eventually. The details of these discussions are beyond the scope of this forum but still for your education purpose i will provide a good reference source to study from in guise of link in the end, you can read more about your disease there. However obstructive disease is common as main pathophysiology of bronchiolitis eventually leads to greater end residual volumes and obstructive patterns and thats why needs to be differentiated for COPD and asthma in first place.
As far as your early stage non small cell CA is concerned, dont worry, that is taken care of with surgery and chemo, no need to be worried about that. Exhaling is slow and prolonged and could be psychological or SAD pattern, supportive care and adequate bronchodilation will take care of it and yes it is obstructive pattern.
You should be happy as you have no complication and your SAD is in early stage, just try to cope up with anxiety or you wont be able to enjoy the health you have and slightest bug in your health might be affecting your peace of mind seriously.
I will be here for you if yo need anything else from me. Here is a link to a website that can help you with your illness more and educate you better.
http://www.archivesofpathology.org/doi/10.1043/1543-2165-134.5.702?url_ver=Z39.88-2003&rfr_dat=cr_pub%3Dpubmed&rfr_id=ori:rid:crossref.org&code=coap-site
http://err.ersjournals.com/content/22/128/131
https://radiopaedia.org/articles/small-airways-disease
Regards
Khan
No worries
Detailed Answer:
Thank you for getting back to me
As i mentioned, the etiology behind SAD is so diverse and so multiple in origin that it can end up in both obstructive as well as restrictive lung disease patterns in long run. For example if hypersensitivity pneumonitis is the etiology behind this SAD, restrictive patterns emerge eventually. The details of these discussions are beyond the scope of this forum but still for your education purpose i will provide a good reference source to study from in guise of link in the end, you can read more about your disease there. However obstructive disease is common as main pathophysiology of bronchiolitis eventually leads to greater end residual volumes and obstructive patterns and thats why needs to be differentiated for COPD and asthma in first place.
As far as your early stage non small cell CA is concerned, dont worry, that is taken care of with surgery and chemo, no need to be worried about that. Exhaling is slow and prolonged and could be psychological or SAD pattern, supportive care and adequate bronchodilation will take care of it and yes it is obstructive pattern.
You should be happy as you have no complication and your SAD is in early stage, just try to cope up with anxiety or you wont be able to enjoy the health you have and slightest bug in your health might be affecting your peace of mind seriously.
I will be here for you if yo need anything else from me. Here is a link to a website that can help you with your illness more and educate you better.
http://www.archivesofpathology.org/doi/10.1043/1543-2165-134.5.702?url_ver=Z39.88-2003&rfr_dat=cr_pub%3Dpubmed&rfr_id=ori:rid:crossref.org&code=coap-site
http://err.ersjournals.com/content/22/128/131
https://radiopaedia.org/articles/small-airways-disease
Regards
Khan
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
