Asthma Diagnosis and Military Service Health Checks - Pulmonology

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Asthma Military Service Physical Examination


Hello Dr.
Yang,
I have been experiencing a persistent cough since early August.
I have visited an ENT specialist multiple times and have taken medication, but my condition did not improve.
It wasn't until early November that I went to a major hospital's pulmonology department for pulmonary function tests, X-rays, and blood tests.
The doctor diagnosed me with asthma and prescribed the following medications: 1.
Pulmicort Turbuhaler (two puffs in the morning and evening) and 2.
Ventolin inhaler (for emergency use).

I would like to ask the following questions:
Q1: Will using the Pulmicort Turbuhaler affect the results of the pulmonary function tests? If my results were initially abnormal, will they potentially return to normal after using the medication for a period of time?
Q2: If it does affect the results, what recommendations do you have? The doctor suggested that I should undergo a military re-examination as soon as possible, but I am uncertain when the military will notify me for the re-examination.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2020/11/21

Dr. Yang Wenda reply Pulmonology


Hello: The use of bronchodilators for asthma will improve symptoms and lung function.
It is recommended to continue the medication.
In case of an acute attack, it is advised to visit the emergency department or be hospitalized.
These records can be referenced for future military service examinations!

Reply Date: 2020/11/21

More Info


Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, chest tightness, and shortness of breath. Your recent diagnosis of asthma, following a series of tests including pulmonary function tests, X-rays, and blood tests, indicates that your healthcare provider has identified a significant underlying issue that requires management.


Q1: Will using the Pulmicort Turbuhaler (Budesonide) affect pulmonary function test results?
Using a medication like Pulmicort Turbuhaler, which contains budesonide, a corticosteroid, can indeed influence pulmonary function test (PFT) results. Corticosteroids are anti-inflammatory medications that help reduce airway inflammation and improve airflow. If your lung function was impaired prior to starting the medication, it is possible that after a period of consistent use, you may see an improvement in your PFT results.
However, it is essential to note that the timing of the pulmonary function tests in relation to your medication use can affect the results. If you perform the test shortly after using a bronchodilator (like your rescue inhaler, Ventolin), it may show improved lung function due to the immediate effects of the medication. Conversely, if you take the test after a prolonged period of using inhaled corticosteroids, it may reflect the cumulative anti-inflammatory effects, potentially leading to better lung function results.


Q2: What should I do if medication affects the test results?
If your healthcare provider is recommending that you undergo military service health checks soon, it is crucial to communicate with them about your medication regimen. Here are some suggestions:
1. Timing of Tests: Discuss with your doctor the best timing for your pulmonary function tests in relation to your medication schedule. They may suggest performing the tests at a specific time to get the most accurate assessment of your lung function without the immediate effects of bronchodilators.

2. Medication Adherence: Continue taking your medications as prescribed. Consistent use of inhaled corticosteroids can help manage your asthma effectively and may lead to improved lung function over time.

3. Pre-Testing Protocol: Your doctor may provide specific instructions on whether to use your rescue inhaler before the test or to refrain from using it for a certain period. Following these instructions can help ensure that the test results accurately reflect your baseline lung function.

4. Documentation: Keep a record of your symptoms, medication usage, and any changes in your condition. This information can be valuable for your healthcare provider and for military health assessments.

5. Follow-Up: Schedule a follow-up appointment with your healthcare provider to discuss your asthma management and any concerns regarding the military health checks. They can provide guidance on what to expect and how to prepare.


Conclusion
Asthma management is a dynamic process that requires regular monitoring and adjustment of treatment plans. It is essential to maintain open communication with your healthcare provider, especially when preparing for important evaluations like military service health checks. By following your prescribed treatment and understanding how it may affect your pulmonary function tests, you can better navigate your health assessments and ensure that your asthma is well-managed. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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