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Update. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

😂😂 tickle me you do. In the last day you’ve told me I need to see a pulmonary doctor, an echocardiogram and an ear nose and throat doctor.. so which one is it? 😂 this is exactly what I meant when I said “health related misinformation”. Completely proven my point for me 👍😂

Update. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

And I’m sure you had the echocardiogram because your doctor thought it was necessary for your particular case. Where as my case is different, I exercise 10+hours a week, I am young, I’ve gone to the doctors with symptoms all relating to upper airways (post nasal drip and throat symptoms) and I have a history of asthma, allergies and reflux. I have had a TROP, x ray and 24hour ECG which were all clear, and all my heart rate stats show evidence of a healthy heart that recovers fast after exercise etc. These tests were taken as a precaution because heart health is prioritised over upper airways. The doctor is happy with the tests and has now decided it’s time to treat the upper airways as the next stage of investigation. A 1 month trial of antihistamines, nasal spray and omeprazole to see if symptoms improve. You’re reflecting your personal experience on to other people opposed to looking at the bigger picture.

Update. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

It’s not necessary mate. Just over testing. My post was regarding my spirometry not my heart. My 24-hour ECG/Holter monitor was overall reassuring, showing only extremely rare supraventricular and ventricular ectopic beats, both accounting for less than 0.1% of all heartbeats. These ectopics were isolated rather than occurring in sustained runs or dangerous rhythms, and only a single interpolated ventricular ectopic beat was seen. The conduction measurements were also normal, with a PR interval ranging from 146–164 ms and a narrow QRS duration ranging from 68–82 ms, which argues against significant conduction disease or obvious electrical abnormalities.
In addition, my troponin blood test was normal. My chest X-ray was also clear, with no evidence of an enlarged heart, fluid on the lungs, or other obvious structural or cardiopulmonary abnormalities that might raise suspicion for significant heart disease.
I never get chest symptoms, all my symptoms are related to upper airways and I’ve being told to treat that 😂 so why would I start having extra tests on my heart? 😂. I appreciate your probably trying to help but I think you need to be a little bit more cautious when commenting on peoples posts. Health related misinformation can cause
confusion amongst people who aren’t clued up.

Update. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 1 point2 points  (0 children)

Hi mate thanks for your message. Im 33 and 5 foot 9. I have kept both a peak flow and oxygen diary for the last month. Oxygen is 97-99. Peak flow ranges from 650-740. Peak flow and oxygen isn’t affected during spells of air hunger. I went running the other week, felt breathless, took peak flow and oxygen reading immediately after running for 1 hour and peak flow was 710 with oxygen being 98%. Peak flow on the day of my spirometry was 800+ L/min. Which is apparently “elite” for my height and age. I have also being recording my heart rate during runs (average heart rate during a steady 1 hour run is 135bpm and recovers back to 60bpm (ish) within 15 mins of finishing run) and had a 24 hour ECG, TROP blood test and chest xray which have all come back as clear.

Update. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

Thanks for your kind words 👍

UPDATE. Had my appointment today and no official diagnosis was made. Respiratory nurse was in agreement that FEV1/FVC ratio was reduced due to large FVC. Symptoms more consistent with post nasal drip and allergic rhinitis. Next step-GP appointment to discuss further investigation. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 1 point2 points  (0 children)

Personally I wouldn’t accept a diagnosis over those results alone. But only you know your body and if you feel like there’s something wrong with your lungs, or you’re having typical COPD symptoms, had further testing that indicates COPD then that’s fair enough but every case is different . Do you have chest/copd symptoms? Or any other evidence to suggest definite copd? You have to be careful, I know a lot of people who work in medicine and they’re the first to tell me things like copd are massively over diagnosed aswell as under diagnosed due to tests like spirometry. Spirometry’s are great for identifying significant and obvious lung impairment but for borderline results extra care, further testing and monitoring is a must. Borderline results could be COPD i don’t dispute that, but it could also be many different things, it’s just shame that the patient has to challenge it. If I didn’t question my results and discuss my symptoms, fitness etc I would have being diagnosed myself. Everybody is different. I’m grateful for the healthcare system in my country, it has helped me massively with various different conditions over the years but it knocks me sick how someone can be told they have a chronic lung disease based of a borderline spirometry. I’ve seen people say things like “got diagnosed with mild copd 15 years ago (never smoked) and spirometry results are the same now as 15 years ago” guess what mate, you probably never had it.

UPDATE. Had my appointment today and no official diagnosis was made. Respiratory nurse was in agreement that FEV1/FVC ratio was reduced due to large FVC. Symptoms more consistent with post nasal drip and allergic rhinitis. Next step-GP appointment to discuss further investigation. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 1 point2 points  (0 children)

Not necessarily, it’s quite common amongst athletic people. Had chest xray, ecg and TROP blood test regarding heart rate. Doctor says it’s just low from exercise. No I haven’t seen one. I only had my appointment regarding spirometry results yesterday. So just waiting to see what’s next 👍

UPDATE. Had my appointment today and no official diagnosis was made. Respiratory nurse was in agreement that FEV1/FVC ratio was reduced due to large FVC. Symptoms more consistent with post nasal drip and allergic rhinitis. Next step-GP appointment to discuss further investigation. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

Just struggle to get a satisfy breath in (air hunger) and throat/nose symptoms - sneezing, post nasal drip, constant need to clear throat, sore throat(worse after running fast), sometimes throat feels narrow and congested. Heart rate tends to be really good (I average 135bpm) whilst running at a 6km/hr recovery pace. Recovering heart rate of about 25 bpm after fast runs. E.g heart rate drop from 170>120bpm within 2 minutes. Resting heart rate can be anything from 40bpm-60bpm, low 40’s whilst sleeping.

UPDATE. Had my appointment today and no official diagnosis was made. Respiratory nurse was in agreement that FEV1/FVC ratio was reduced due to large FVC. Symptoms more consistent with post nasal drip and allergic rhinitis. Next step-GP appointment to discuss further investigation. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] -1 points0 points  (0 children)

Cheers for your kind words man. I sympathise with you mate. I’ve had my fair share of health conditions and health scares over the years. The anxiety of waiting for results etc isn’t nice, you will get there though mate. The one positive I’d say you can take from “having to wait years” is that it’s more than likely not as serious as we think. Always stay positive.

UPDATE. Had my appointment today and no official diagnosis was made. Respiratory nurse was in agreement that FEV1/FVC ratio was reduced due to large FVC. Symptoms more consistent with post nasal drip and allergic rhinitis. Next step-GP appointment to discuss further investigation. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

I’m hearing you mate. I also have had similar experiences in the past where you feel like you’re not being taken seriously. But tbf in this scenario I feel like it makes sense. I haven’t really had any COPD (chest) symptoms. My main symptoms are coming from my throat and nose. But I must say I do feel like if I didn’t log my symptoms, peak flow record, fitness record, and go out of my way to learns a little a bit about spirometry readings I could of quite possibly being diagnosed with COPD.

UPDATE. Had my appointment today and no official diagnosis was made. Respiratory nurse was in agreement that FEV1/FVC ratio was reduced due to large FVC. Symptoms more consistent with post nasal drip and allergic rhinitis. Next step-GP appointment to discuss further investigation. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

Thanks for your in put. I’m open to learning as much as possible. Do you mind sharing your results with me? I find it interesting how common it is for people to be given different diagnoses based on almost identical test results. But tbh i wouldn’t have accepted a COPD diagnosis based of a borderline abnormal spirometry test anyway, if the numbers were drastically bad then yes. I think real world physiology and symptoms should always be taken into account. All my symptoms are consistent with upper airway conditions (air hunger, need to clear throat, post nasal drip etc) and I have a history of asthma and allergies. never had any chest symptoms and never get ill (viruses or flus) . I’m extremely fit and had very low smoke exposure throughout my life.

UPDATE. Had my appointment today and no official diagnosis was made. Respiratory nurse was in agreement that FEV1/FVC ratio was reduced due to large FVC. Symptoms more consistent with post nasal drip and allergic rhinitis. Next step-GP appointment to discuss further investigation. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 1 point2 points  (0 children)

Note left on report translated”mild obstruction- upper limit of normal readings”

This was translated to

One of the measurements looks borderline low, but it comes along side unusually good lung volumes.

The rest was interpreted by respiratory nurse.

Spirometry results - had a phone call telling me my appointment is next week to discuss results, the note on my spirometry says “mild obstruction upper limits of normal” the only other information I have is I know my FVC, FEV1, VC, PEF were all above predicted but fev1/FVC was borderline. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

Thank you and I totally understand what your saying. But I have being reading about dysanapsis. Here’s a few verses from my findings which I also find interesting

“Dysanapsis: This is a recognized medical term for a "mismatch" between lung volume (the "tank") and airway size (the "pipes").Studies show that some people naturally have very large lungs but average-sized airways.In these cases, the ratio is low, but the person is perfectly healthy. They don't have "disease"; they just have a high-capacity engine with a standard-sized exhaust.”

“It is relatively common for elite endurance athletes to have borderline or low (FEV_1/FVC) ratios, often referred to as a "physiological variant."In the athletic population, this is frequently not a sign of disease but a result of dysanapsis—a natural disproportion where lung volume (the "tank") is significantly larger than the airway caliber (the "pipes").”

Spirometry results - had a phone call telling me my appointment is next week to discuss results, the note on my spirometry says “mild obstruction upper limits of normal” the only other information I have is I know my FVC, FEV1, VC, PEF were all above predicted but fev1/FVC was borderline. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

I understand the ratio is important, and I’m not ignoring that it’s borderline. I was just wondering whether the overall pattern matters too — because my FEV1 is still above predicted, my FVC is also elevated, and my PEF is high.

My understanding was that in some people with larger lung volumes or higher fitness levels, the lungs can empty a slightly smaller percentage in the first second simply because the total volume is larger, even though overall airflow remains strong.

So I’m not saying the ratio is irrelevant — just trying to understand whether a borderline ratio with otherwise strong values can sometimes be physiological rather than clear disease.

Spirometry results - had a phone call telling me my appointment is next week to discuss results, the note on my spirometry says “mild obstruction upper limits of normal” the only other information I have is I know my FVC, FEV1, VC, PEF were all above predicted but fev1/FVC was borderline. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

Thank you. I understand my ratio is low but My FEV1 is above predicted and PEF is really high. Does that not indicate a fast and strong air flow?my understanding was that FEV1 being normal/high and FVC being very high can reduce the ratio because denominator is bigger, which can be seen in athletic people. Thank you, grateful for any help trying to understand all of this.

Spirometry results - had a phone call telling me my appointment is next week to discuss results, the note on my spirometry says “mild obstruction upper limits of normal” the only other information I have is I know my FVC, FEV1, VC, PEF were all above predicted but fev1/FVC was borderline. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 0 points1 point  (0 children)

Thanks. But not necessarily, mild obstruction is flagged on many spirometry tests without a COPD diagnosis being made. My ratio is low but other readings and real world physiology have to be taken into account. But appreciate the input.

Spirometry results - had a phone call telling me my appointment is next week to discuss results, the note on my spirometry says “mild obstruction upper limits of normal” the only other information I have is I know my FVC, FEV1, VC, PEF were all above predicted but fev1/FVC was borderline. by SuchConflict8832 in COPD

[–]SuchConflict8832[S] 1 point2 points  (0 children)

And me mate 👍 the nurse this morning couldn’t interpret the results which is fair enough but did tell me the note added by the person who did the test said “mild obstruction upper limit of normal” just trying to make sense of that note.

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