Lung Function Tests and Asthma Treatment in Taiwan - Pulmonology

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Hello, doctor: At the end of last year, I was hospitalized due to asthma triggered by a cold.
During my hospitalization, I underwent pulmonary function tests.
However, I was curious why I had to inhale the same substance multiple times before blowing into the spirometer (five times in total), and after inhaling a bronchodilator twice, I experienced severe wheezing to the point where I had no strength to walk.
After returning to the ward, I received an injection, and gradually my wheezing subsided.
Could you please clarify: 1.
What medication did I inhale during the test? 2.
What was the injection? Was it a corticosteroid? Thank you~~~~

Xiao Fang, 20~29 year old female. Ask Date: 2005/06/13

Dr. Yang Wenda reply Pulmonology


Hello Xiaofang: The substance you inhaled during the examination and the injection you received afterward are best clarified by your original attending physician.
My personal speculation is that the substance you inhaled for the first time may have been a bronchial provocation agent, which can induce bronchial hyperreactivity in patients with latent asthma (those with subtle clinical symptoms or near-normal lung function), thereby manifesting asthma symptoms.
This is a method used for auxiliary diagnosis.
The injection you received later to relieve asthma symptoms may have been a corticosteroid, as your reaction was too severe, necessitating corticosteroids to suppress the allergic inflammatory response; otherwise, your respiratory distress could persist for a longer duration.
Best wishes!

Reply Date: 2005/06/13

More Info


Understanding lung function tests and asthma treatment is crucial for managing respiratory conditions effectively. In your case, it sounds like you underwent a series of pulmonary function tests, which are essential for diagnosing and monitoring asthma and other lung diseases.

1. What was the medication you inhaled during the test?
The substance you inhaled during the lung function test is likely a bronchodilator, which is a type of medication used to relax and open the airways in the lungs. Common bronchodilators include albuterol (also known as salbutamol), which is often administered via a metered-dose inhaler or nebulizer. The purpose of this medication is to assess how well your lungs respond to treatment and to measure any improvement in airflow after its administration. The test typically involves taking a series of deep breaths and then exhaling forcefully into a spirometer, which measures the volume and speed of air you can exhale. This helps determine the presence and severity of any airway obstruction.

2. What was the injection you received afterward?
The injection you received after experiencing significant shortness of breath could have been a corticosteroid or another bronchodilator. Corticosteroids, such as methylprednisolone or dexamethasone, are often used to reduce inflammation in the airways and can help alleviate severe asthma symptoms. If you were experiencing an acute asthma exacerbation, this injection would help reduce airway swelling and improve breathing. It’s important to note that while bronchodilators provide quick relief, corticosteroids are used for longer-term control of inflammation.

Asthma management often involves a combination of medications, including long-term control medications (like inhaled corticosteroids) and quick-relief medications (like bronchodilators). The goal is to minimize symptoms, prevent exacerbations, and maintain normal lung function.

In Taiwan, as in many places, asthma is diagnosed based on clinical history, physical examination, and lung function tests. The results of these tests help healthcare providers determine the severity of asthma and tailor treatment plans accordingly. If your lung function tests indicated significant airway obstruction, your doctor would likely recommend a stepwise approach to treatment, which may include increasing the dosage of inhaled corticosteroids or adding other medications.

It's also essential to recognize that asthma can be triggered by various factors, including respiratory infections, allergens, exercise, and environmental pollutants. Understanding your triggers and managing them is a critical aspect of asthma care.

In summary, the inhaled medication during your lung function test was likely a bronchodilator to assess your lung function, while the injection you received afterward was probably a corticosteroid to help manage your acute symptoms. If you have further questions about your treatment plan or the medications prescribed, it’s always best to discuss them with your healthcare provider, who can provide personalized advice based on your medical history and current condition.

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