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What Does A Mixed Airway Defect With Moderately Severe Obstruction

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Posted on Sun, 19 Feb 2023
Question: what does a mixed airway defect with moderately severe obstruction FEVI 1.5L 58% with ratio of 75 FVC 59%. Just did this at office and he wants me to do a pulmonary function test. I smoked for 30 years and quit 13 years ago. I use a inhaler very rarely. I don't want to do one. I did one 13 years ago and I had aproblem with doing it nerves and tongue getting in way. I went for another reason today. He listened to my breathing and it was ok.
doctor
Answered by Dr. Drkaushal85 (30 hours later)
Brief Answer:
This is bronchitis.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the history you have given.
This PFT report is suggestive of obstructive defect, this suggests bronchitis.
This is mostly due to your smoking habit.
If you don't have any symptoms, no need to worry.
Get done regularly PFT every 1 year. If values are declining on serial PFT then you will need inhaled bronchodilators and inhaled corticosteroid.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
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Follow up: Dr. Drkaushal85 (15 hours later)
I have a few symptoms and have alot of sinus problems. My lung xray was ok. If bronchitis, wouldn't it show something on my xray. My doctor is doing a cat scan on my lungs for a nodule to evaluate it. Would he be able to determine if bronchitis. Im really scared it is COPD. Thank you!
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Follow up: Dr. Drkaushal85 (5 minutes later)
Also this was answered by another doctor on this site that suggested it may be COPD.
doctor
Answered by Dr. Drkaushal85 (8 hours later)
Brief Answer:
COPD should have progressive symptoms.

Detailed Answer:
Thanks for your follow up question on Ask a doctor. Com.
I can understand your concern.
I don't think you are having COPD. Because COPD patient will have persistent symptoms.
Since you don't have any copd symptoms, just only on the basis of PFT, it is not COPD.
COPD should have chronic symptoms with PFT abnormality.
Usually chest x ray is normal in bronchitis.
Even CT is mostly normal.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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What Does A Mixed Airway Defect With Moderately Severe Obstruction

Brief Answer: This is bronchitis. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. I have gone through the history you have given. This PFT report is suggestive of obstructive defect, this suggests bronchitis. This is mostly due to your smoking habit. If you don't have any symptoms, no need to worry. Get done regularly PFT every 1 year. If values are declining on serial PFT then you will need inhaled bronchodilators and inhaled corticosteroid. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.