Hello dear See as per clinical history it seems normal exertion only only causing respiratory issues Test report are normal I suggest you to please do physical exercise like Alom vilom Surya namaskar Clamps Brisk walking Good diet Avoiding dust and pollen In addition get following up with pulmonary surgeon for better clarity Regards
Your concern about asthma is understandable, given the spirometry results and changes noted in the recent tests. While a 10% bronchodilator response can suggest reactive airways, it in itself doesn’t confirm asthma, especially if you haven’t experienced typical asthma symptoms like wheezing, shortness of breath, or chest tightness during activities or exposures that commonly trigger asthma symptoms. Your peak expiratory flow (PEF) readings indicate good lung function, particularly as they don’t vary significantly between morning and evening. This is notable, since asthma often causes more significant variations. The observed wheezing could be misleading too, possibly originating from the larynx, as mentioned by your doctor, which could be related to environmental irritants like mineral wool dust you mentioned in the military barracks. The fact that your symptoms resolved after leaving that environment is reassuring but doesn’t entirely exclude asthma or reactive airway issues. Allergies, especially seasonal pollen allergies, might play a role, potentially contributing to airway reactivity, but it seems antihistamines effectively manage your symptoms, primarily affecting the upper airways rather than respiratory function. Given these factors, waiting to see the pulmonologist for a comprehensive evaluation is wise. They may consider a full asthma assessment, which might include additional tests like a methacholine challenge or further allergy testing, to ascertain the degree of airway hyperresponsiveness. Meanwhile, document any exposure-related symptoms you may notice, and continue monitoring your peak flow as instructed by your healthcare provider. While waiting, avoid known irritants like smoke or harsh dust exposure, and manage allergies carefully to prevent confounding factors. Staying physically active is generally beneficial, but be attentive to any new symptoms during exertion. The evaluation by a pulmonologist will provide a clearer picture regarding any necessary work or lifestyle adaptations.
