What does restrictive disorder in spirometry test imply?

Hi,

Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). The CT (computed tomography) scan which you attached is showing ground glass with mild reticular changes in your basal regions and from the history which you gave it could be an interstitial lung disease (restrictive pattern in spirometry and ggo in CT chest), and in the next visit, I would advise you to go for a DCLO (diffusing capacity for carbon monoxide) and serum IgE (immunoglobulin E) levels.

Hi,

Welcome back to icliniq.com. Kindly give me information about what happened when you visit your consultant there.

Hello,

Welcome back to icliniq.com. Yes, it is true that restrictive disease does not respond to inhaler and as you see responding to inhalers there might be a mixed pattern in spirometry. Please attach your spirometry and diffusing capacity of lungs for carbon monoxide (DLCO) reports so that I can explain them. There is no scarring on the CT film which you uploaded. (attachment removed to protect patient identity).

Hi,

Welcome back to icliniq.com. I have seen those reports. (attachment removed to protect patient identity). Initial spirometry was suggestive of mixed pattern with both obstructive and restrictive components and there is reversibility in it and the later one which includes DLCO also showed significant improvement post bronchodilation (13%) which indicate that you will have definite benefit by using bronchodilators that are inhalers. Secondly, regarding your CT it shows ground glassing and reticulation which may also be seen in hypersensitive pneumonitis (HP) as I remember you do have a dermatological problems like urticaria. Do suggest to your physician if it might be HP.

Hi,

Welcome to icliniq.com. If you do have chronic gastritis there is a chance of microaspiration which might increase your respiratory symptoms. So use a proton pump inhibitor like Omeprazole or Esomoprazole.

Hi,

Welcome back to icliniq.com. You do not need to undergo a lung biopsy for this, and as there is ground glassing predominantly in your computed tomography (CT) chest it may be resolved with the use of steroids.

Hi,

Welcome back to icliniq.com. As you do have autoimmune like problems to know the causative agent, you need to know the allergen which might have resulted in that kind of problem. Regarding biopsy, I do not think any body would like to do a biopsy in a ground glass picture which is diffuse in lower lobes. Regarding your autoimmune condition, there are a number of blood tests that can detect what kind of autoimmune disease you do have.