Q. Can the constant feeling of tightness in the chest be COPD?
Hello doctor,
I am frustrated with my asthma. I am 26 years old and developed asthma two years ago. It went untreated for almost a year, then I started taking Qvar (two puffs twice a day) and moved to Symbicort. I am currently on 180/4.5 of Symbicort, two puffs twice a day. While it helped a lot, I still have near-constant chest tightness. I was worried that it might have damaged my lungs or had done remodeling, but I underwent HRCT, which found no abnormalities. My PFT results are as follows: Pre-bronchodilator FVC: 6.18 L (116 % predicted), FEV1: 4.53 L (102 % predicted), FEF25: 75 3.45 L (75 % predicted), Ratio: 73 % (88 % predicted), RAW: 2.27 (134 % predicted), sGAW: 0.10 (38 % predicted), Post-bronchodilator FVC: 6.34 L (119 % predicted) change is of 3 %, FEV1: 4.69 L (106 % predicted) change is of 4 %, FEF25-75: 3.79 L (83 % predicted) change is of 10 %, Ratio: 74 % (89 % predicted) change is of 1 %.
I was diagnosed with mild persistent asthma. My question is, how can I have pretty much normal spirometry with normal HRCT but still have these daily annoying symptoms. Is it possible this tightness is my new normal? I am desperately trying to get back to how I was before I developed asthma. I would appreciate any suggestions. I am thinking of Montelukast and asking to switch to Trelegy. The cardiac workup was normal (Echo and ECG).
Hi,
Welcome to icliniq.com.
There are two types of treatment for asthma control and relief. I would suggest you -
- Use Levolin (Levosalbutamol) metered-dose inhaler (MDI) two to four puffs per day.
- Take capsule AB Phylline (Acebrophylline) 100 mg twice a day.
- Use Symbicort (Budesonide-Formoterol) three puffs twice daily.
Consult your specialist doctor, discuss with them and take medicines with their consent.
Also, rule out nasal problems, like, nose block. Finally, ensure that procedure of taking puff is correct. You can see demo videos online for the same.
Hello doctor,
I want to know what you think of the fact that this bronchoconstriction is daily and persistent. Is this more in line with COPD?
Hi,
Welcome back to icliniq.com.
For diagnosing chronic obstructive pulmonary disease (COPD), age is an essential factor, as also smoking or long time pollution history. So, therefore, the age should be more than 40 years. And also, smoking or exposure to fumes and pollution history for at least ten years. So it goes to asthma more, but the spirometer is not completely suggestive of asthma as sometimes it tells wrong results.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Do fluctuating bpm with chest discomfort reveal autonomic dysfunction?
.. you have been suffering from seem to point to a number of possibilities. One would initially suspect a cardiac abnormality given the drastic fluctuations in your pulse rate, but that would show up on an ECG or echo tests. Since your ECG and echo t... Read full
What is the treatment for COPD?.. said your father has COPD, low oxygen levels are expected when the disease is advanced. COPD is a chronic progressive disease. Inhaler medicines are only for the symptomatic relief. Smoking cessation is the best policy to halt the progression of t... Read full
Is asthma permanently curable?.. son is premature, it does not matter with the present illness. Let me first clear you that he is suffering from bronchial asthma. And anyone can have asthma without any family history. So, it is not necessary to be always run in families. To conf... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Coronavirus Variant Arcturus: | Omicron XBB.1.16 Variant
Arcturus is an emerging variant of the Omicron virus that causes various symptoms and spreads rapidly across the world. ... Read more»
Adrenaline Rush - Symptoms, Causes, Effects, and How to Control
Adrenaline is a hormone responsible for fight or flight response. It is also a neurotransmitter and medicine. It is also... Read more»
Fatty Liver - Types, Symptoms, Stages, and Treatment
The liver is the largest gland in the body. Its primary function is to process the food and drinks we consume. and filte... Read more»
Ask your health query to a doctor online?
Ask a Pulmonologist Now* guaranteed answer within 4 hours.
