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Result of chest spirometry test - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2569 Questions
Doctor :   hi
Doctor :   how can i help u
Doctor :   r u there
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
User :   Hello Doctor
User :   How are you?
Doctor :   fine
Doctor :   how about u
Doctor :   go ahead with the medical query please
User :   I have a question about my Spirometry test results
Doctor :   ok
User :   I am in the US and had gone to the Doctor complaing about Chest discomfort
Doctor :   ok
User :   The ECG came back normal and then the doctor ordered the Spirometry test
User :   When compared with the Predicted values, my results are low
Doctor :   ok
Doctor :   could u type in the test report
Doctor :   i mean impression on the report
Doctor :   r u asthmatic?
User :   I am not asthmatic
Doctor :   ok
User :   My FVC vallue is 3.062
Doctor :   ok
Doctor :   fvc is forced vital capacity
User :   Sorry FEV1 is 3.062, FVC is 3.672
Doctor :   ok
User :   The FEV1/FVC is 83%
Doctor :   ok
User :   Some medical literature suggests that this is normal for a non-smoking Indian male
Doctor :   ok
Doctor :   fev1 is less than 79%
Doctor :   there is mild obstruction
Doctor :   since urs is 83%
Doctor :   is it normal
Doctor :   ok
Doctor :   it can also be seen
Doctor :   in asthma and copd
User :   ok ... are my results in the normal range?
Doctor :   it can seen in COPD And asthma
Doctor :   ur values
Doctor :   normal value is 85%
Doctor :   of the predicted values
Doctor :   r u there
User :   So what would you suggest I do next?
Doctor :   values between 65% to 85% of predicted value
Doctor :   i seen in mild disease
Doctor :   any medicines prescribed for u
Doctor :   is seen in mild disease
Doctor :   do u smoke
User :   I have been prescribed budesinide/formoterol inhalation
User :   No I do not smoke and do not have any congestion/chest infection or cough
Doctor :   ok
Doctor :   any other medical problems u have
User :   No I do not have any other medical problems
Doctor :   For health information Please fill these details -Age: Gender: Occupation: Location: Marital Status: User :   Age: 35
User :   Gender: Male
Doctor :   ok
User :   Occupation: Computer consulting
User :   Location Texas, USA
User :   Martial Status: Married
Doctor :   ok
Doctor :   continue to medicine
Doctor :   continue witht the medicine
Doctor :   prescribed by the physician
Doctor :   u might need review
Doctor :   again
User :   Ok. Is this sommething I need to be very concerned about?
Doctor :   how long u had chest discomfort
User :   About 10 days ... it is not there now
Doctor :   ok
Doctor :   could u describe the nature of pain
Doctor :   were u breathless
User :   Not actual pain ... more like discomfort in my left chest
Doctor :   ok
User :   No I have not been breathless
Doctor :   did u have similar complaints in the past
User :   Yes ... about 8 years back
Doctor :   ok
Doctor :   any medicine prescribed that time
User :   No. Then I was told it was due to depression
Doctor :   ok
Doctor :   do u have wheezing problem
Doctor :   is this chest discomfort seasonal?
User :   No wheezing problem
User :   No ... Ater 8 years, this is the 1st time it is coming back
Doctor :   please login once again
User :   ok
Doctor :   as there is some technical difficulty
Doctor :   Hi
User :   Hi doctor
Doctor :   Please continue
User :   What do you think could be the cause of this?
Doctor :   As far I suggest you the values are normal for you
Doctor :   There is something called Obstructive disease and Restrictive pulmonary disease
Doctor :   You should not be concerned about it if the values are above 80%
Doctor :   and no risk factors
Doctor :   and previous history of similar complaints
User :   ok ... are you referring to the FEV1/FVC ratio?
Doctor :   yes
Doctor :   How long have you been staying in US
User :   I have been here 13 years
User :   Do I contiue the medicine?
Doctor :   For health information Please fill these details -Age: Gender: Occupation: Location: Marital Status:
Doctor :   sorry dont answer this again
Doctor :   i mean the last question
Doctor :   I asked it alreaduy
User :   ok
Doctor :   How long have yu been using Budesonide
User :   Just started it today
Doctor :   ok
Doctor :   Were you using any other medicines
Doctor :   or prescribed anything else
Doctor :   What dose are you said to take
User :   I take Imipramine HCl 25mg and Lorazepam 1mg QD from the depression diagnosis 8 years back
User :   The budesonide is 2 puffs BID
Doctor :   ok
Doctor :   This is a prophylactic dose
Doctor :   that is given i mean the budesonide
Doctor :   to prevent further attacks of this kind
Doctor :   I think the doctor has listened some wheeze while he ascultated your chest
User :   ok
Doctor :   and that he might have put you with this on low dose
Doctor :   he might decrease it or remove it if you dont get any attack after sometime
Doctor :   Ok
Doctor :   anything else
User :   Thank you so much Doctor ... I have just 1 last question
Doctor :   Please fill the feedback form while I type the information you needed.
User :   In the test result the Predicted FVC is 5.421 and the the predicted FEV1 is 4.422. These I think are valures for Causaian males not for Indian males?
Doctor :   Please fill the feedback form while I type the information you needed.
User :   I filled it out
Doctor :   The values of the spirometry are not important per se the clinical findings that the doctor sees in yoiu when he physically examines you are most important
Doctor :   Remember the doctor shall always treat the patient and not the lab values
Doctor :   the lab values only aid in his clinical suspicion
User :   ok Doctor... thank you very much
User :   Bye and have a good day
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service

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