What could be the reason for low peak flow for many years?

Question

Hello doctor,

I am a 37-year-old female taking Salbutamol whenever required with a history of rhinitis or polyps. Ten weeks back, I started developing new symptoms such as a constant tingling sensation in the lower throat or windpipe, cough, raspy breathing, and chest tightness. Sometimes I feel like I cannot exhale completely and there is no shortness of breath. This causes me a lot of anxiety episodes that last about half an hour. I have prescribed the tablet Omeprazole for suspected acid reflux and waiting for the investigation results from barium swallow and spirometry tests. I have been diagnosed with anxiety and my chest has sounded clear. Also, the peak flow meter at my home level was always around 300 and not during the episodes. Since I always had a low peak flow reading for many years I have been referred for pulmonary function testing. Kindly help.

Answer 1

Hello,

Welcome to icliniq.com. I went through your query and understood your concern. It looks like an active symptom of an asthma attack. Salbutamol is a short-acting beta agonist which is why it was not much helpful as it is given in stage 1 asthma. You need a pulmonary function test and based on that we can decide whether a steroid inhaler is needed or not. Nebulizer with Duolin and Budecort (500 mcg dose) can be given twice daily for two days post-food. If possible get a serum Immunoglobulin E (IgE) and absolute eosinophils count blood test on an empty stomach. Send me a chest X-ray posterior-anterior view and also chest auscultation findings by a pulmonologist. I hope this has helped you. Thanks and regards.

Answer 2

Hello,

Welcome back to icliniq.com. It is possible. But which esophageal dysmotility issues do you have? Thank you.

What could be the reason for low peak flow for many years?

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