Edit concept Question Editor Create issue ticket

Hyperactive Airway Disease


Presentation

  • We are reporting an interesting case of a young male with pulmonary tuberculosis who presented with features of Bronchial asthma and was diagnosed to have pulmonary tuberculosis. Key words: Pulmonary Tuberculosis, Asthma, Wheezing.[scopemed.org]
  • Improve your interpretation of presenting symptoms with 38 new topics and 40 new images in the Differential Diagnosis section, and optimize patient care with more than 250 new figures and tables.[books.google.com]
  • Improve your interpretation of presenting symptoms with 39 new topics in the Differential Diagnosis section, and optimize patient care with 12 new tables in the Clinical Practice Guidelines section.[books.google.com]
  • The most common presentation of asthma in the toddler and pre-schooler is an episodic illness with wheeze, cough, and respiratory distress from viral respiratory infections interspersed with extended symptom free periods.[pediatrics.aappublications.org]
  • Although affected individuals can occasionally be asymptomatic, most of them present with wheezing, bronchial hyperreactivity, hemoptysis, productive cough, low-grade fever, malaise, weight loss, and/or worsening symptoms of asthma and cystic fibrosis[orpha.net]
Fever
  • She does not have fever, but is suffering from nasal congestion and cough. Previously a doctor had pescribed anti-allergics - i.e. (Betnesol). She has allergy to dust and pollution. I am worried for her. Please advise. Thanks and regards.[doctor.ndtv.com]
  • (inanition) (of unknown origin) (persistent) (with chills) (with rigor) R50.9 ICD-10-CM Diagnosis Code R50.9 Fever, unspecified 2016 2017 2018 2019 Billable/Specific Code Applicable To Fever NOS Fever of unknown origin [FUO] Fever with chills Fever with[icd10data.com]
  • Pulmonary infections occurring during pregnancy need special attention to prevent hypoxemia, and reduce fever. Maternal fever accelerates fetal enzyme systems significantly increasing fetal oxygen requirements.[obgynmorningrounds.com]
  • If high fever, difficulty breathing or barky cough develop, consult our office about the use of Albuterol or Xopenex. Please keep track of your medication supply and contact our office during regular office hours to request refills.[nepeds.com]
Swelling
  • Asthma flare-ups begin with swelling in the airways. Asthma flare-ups or serious attacks can happen if the swelling is not treated. Taking medicines to control the swelling can prevent an asthma flare-up.[nationwidechildrens.org]
  • The obstruction to airflow is due to narrowing of the airways by constriction of muscles around the airways as well as swelling of the lining of the airway and collection of secretions within the lumen of the airway.[clinicalpediatrics.com]
  • It’s caused by some irritant that triggers the airways to overreact and swell or narrow.[healthline.com]
  • The mucous membranes in the lungs can swell. The muscles membranes can produce an excess of mucous. There are several triggers for the symptoms associated with reactive airway disease.[health.howstuffworks.com]
  • This causes swelling and further narrowing of air passages. Excessive mucus is produced in response to both of the conditions, clogging the airways and tiny air sacs of the lungs (called alveoli ).[verywell.com]
Falling
  • He seems to have an attack religouly every fall. He was allergy tested as a younger child and not much showed up. We have dogs, cats, dust bunnies and a gerbil. None of these things bother him.[abchomeopathy.com]
  • I'm feeling a little better about the whole thing, as it sounds eminently manageable, wherever on the scale Whatsit Jr. happens to fall.[boards.straightdope.com]
Pain
  • Also, he had a bad ulcer and pain. He also had a dry cough twice last year, but not this bad. Please advise. Read Full » Dr. Faisal Abdul Karim Malim Child Health Specialist Answer: Hello, Welcome to icliniq.com.[icliniq.com]
  • We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019[patientslikeme.com]
  • Important Side Effects and Interactions — Abdominal pain (2.9 percent), rash (2 percent), GI upset/nausea/diarrhea (2 percent) and dizziness (1.9 percent) have been the most commonly reported side effects associated with montelukast.[ems1.com]
  • […] chronic lung condition differentiated by audible crackles when breathing and finger clubbing Bronchiolitis obliterans, a severe lung disease often affecting younger people who do not smoke Congestive heart failure, often accompanied by leg swelling, chest pains[verywell.com]
  • Example -- kid comes in with 6 days of fevers, weakness/fatigue, joint pains, conjunctivitis, large lymph node in neck. I'm starting to think about Kawasaki and perhaps admit them for IVIG.[forums.studentdoctor.net]
Cough
  • Read Full » My daughter has cough. Shall I give her Dexona? Query: Hello doctor, My 5 year old daughter is suffering from a cough and mild fever for the last four days. Doctor prescribed with LCF Syrup and Azithral Syrup, but she is still coughing.[icliniq.com]
  • She is suffering from cold, nasal congestion and cough frequently. For the past one month, she has cold & cough and is unable to sleep at night.[doctor.ndtv.com]
  • There are so many cough syrups out there and if you don't know what you're doing, your cough and other symptoms can actually worsen. If your cough is simply dry, you don't need and expectorant![wisegeek.org]
  • […] infections and he'd cough and cough ... 31 Toddler Vs.[mamapedia.com]
  • In response to a trigger, the small airways in the lungs become inflamed with mucous and the child develops cough, wheeze and sometimes trouble breathing.[nepeds.com]
Dyspnea
  • It is characterized by spasmodic contraction of airway smooth muscle, wheezing, and dyspnea (dyspnea, paroxysmal). Asthma is a chronic disease that affects your airways. Your airways are tubes that carry air in and out of your lungs.[icd10data.com]
  • Cardinal symptoms are dyspnea, wheezing, and cough.[medical-dictionary.thefreedictionary.com]
  • […] criteria to arrive at a definitive diagnosis: Must have no immediate complaints of previous respiratory ailments Onset of symptoms after a single event or accident Exposure to high concentration of irritants and caustic fumes With cough, wheezing and dyspnea[ukaccidentatwork.co.uk]
  • […] since RAD can not be used as a real diagnosis for physicians. [1] An exact definition of the condition does not exist. [2] Individuals that are typically labeled as having reactive airway disease, or RAD, generally have a history of wheezing, coughing, dyspnea[en.wikipedia.org]
  • It may present with a cough, a sensation of chest tightness or discomfort, dyspnea, or audible wheezing.[womenshealthsection.com]
Nasal Congestion
  • She is suffering from cold, nasal congestion and cough frequently. For the past one month, she has cold & cough and is unable to sleep at night.[doctor.ndtv.com]
  • Predictors of adverse respiratory events include surgery on the airway, history of reactive airways disease and asthma, passive smoking, snoring, the parents’ statement that the child has a “cold”, presence of copious secretions, and nasal congestion.[openanesthesia.org]
  • Or look for other symptoms (nasal congestion, rhinorrhea, fevers, conjunctivitis, sick contacts, etc), recognizing that some overlap with seasonal allergies, so you'll need to know if they have those and if they were exposed to any of their allergens.[forums.studentdoctor.net]
  • Asthma and viral bronchiolitis can also be nearly identical to each other when presented in very young children, since they both consist of wheezing, coughing, and nasal congestion.[en.wikipedia.org]
Dyspnea
  • It is characterized by spasmodic contraction of airway smooth muscle, wheezing, and dyspnea (dyspnea, paroxysmal). Asthma is a chronic disease that affects your airways. Your airways are tubes that carry air in and out of your lungs.[icd10data.com]
  • Cardinal symptoms are dyspnea, wheezing, and cough.[medical-dictionary.thefreedictionary.com]
  • […] criteria to arrive at a definitive diagnosis: Must have no immediate complaints of previous respiratory ailments Onset of symptoms after a single event or accident Exposure to high concentration of irritants and caustic fumes With cough, wheezing and dyspnea[ukaccidentatwork.co.uk]
  • […] since RAD can not be used as a real diagnosis for physicians. [1] An exact definition of the condition does not exist. [2] Individuals that are typically labeled as having reactive airway disease, or RAD, generally have a history of wheezing, coughing, dyspnea[en.wikipedia.org]
  • It may present with a cough, a sensation of chest tightness or discomfort, dyspnea, or audible wheezing.[womenshealthsection.com]
Dry Cough
  • Read Full » My son often suffers with dry cough. Why? Query: Hi doctor, My son is 5.6 years old. He is having dry cough for the last 8 to 10 weeks. It is very often worse at night. Also, he had a bad ulcer and pain.[icliniq.com]
  • Let me say to anyone out there with a dry cough: You need to try Delsym cough syrup. So many have still not heard of it! No one, including doctors, seems to understand the dry cough.[wisegeek.org]
  • What are the symptoms of reactive airways disease Difficulty in breathing Wheezing Dry cough Excessive mucus production Sweating Listlessness Tired How is respiratory airways disease diagnosed The doctor has to make sure that it is not asthma or other[instah.com]
  • Dry cough is present too. Chest retractions may also accompany reactive airway disease. This symptom is experienced as if the skin is being pulled between the ribs while inhaling. Flaring of the nostrils may occur as well.[ic.steadyhealth.com]
  • These signs may include wheezing, shortness of breath and dry cough. MAKE AN APPOINTMENT Call 434.243.3675 . Content was created using EBSCO’s Health Library. Edits to original content made by Rector and Visitors of the University of Virginia.[uvahealth.com]
Choking
  • […] inhibitor to asthmatic children with GERD did not reduce asthma symptoms. 13 SUDDEN ONSET Foreign body aspiration can occur anytime, but it is most common between eight months and four years of age. 14 High airway obstruction causes coughing, gagging, choking[aafp.org]
Failure to Thrive
  • Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more.[books.google.com]
  • Steatorrhea and failure to thrive further suggest cystic fibrosis. With the widespread use of neonatal screening, cystic fibrosis is often discovered at birth.[aafp.org]
Hypertension
  • If given IV, albuterol is less effective as a bronchodilator, and the plasma concentrations needed effectively abolish β2 selectivity (10) β -blockers in the presence of reactive airway disease – The treatment of tachycardia, hypertension, or angina pectoris[isanagpur.org]
Ulcer
  • Also, he had a bad ulcer and pain. He also had a dry cough twice last year, but not this bad. Please advise. Read Full » Dr. Faisal Abdul Karim Malim Child Health Specialist Answer: Hello, Welcome to icliniq.com.[icliniq.com]
  • […] respiratory disorders 2016 2017 2018 2019 Billable/Specific Code with asthma J45.909 Rhinitis (atrophic) (catarrhal) (chronic) (croupous) (fibrinous) (granulomatous) (hyperplastic) (hypertrophic) (membranous) (obstructive) (purulent) (suppurative) (ulcerative[icd10data.com]
  • Yoshihiro, Ito Isar, Niimi Akio, Izuhara Kenji, Ohta Shoichiro, Ono Junya, Iwata Toshiyuki, Oguma Tsuyoshi, Tajiri Tomoko, Nagasaki Tadao, Izuhara Yumi, Matsumoto Hisako, Mishima Michiaki EUROPEAN RESPIRATORY JOURNAL 44 Sep 2014 [Refereed] Sacral pressure ulcer[researchmap.jp]
Irritability
  • That makes them very sensitive, and they may react strongly to things that you are allergic to or find irritating. When your airways react, they get narrower and your lungs get less air. Read more on MedlinePlus.gov.[treato.com]
  • If the substance is essential to your daily life or work, it may be possible to substitute it for one that is less irritating.[healthnavigator.org.nz]
  • Some causes or irritants may include: pet hair or dander dust pollen smoke mold or mildew exercise stress perfume or other strong odors changes in the weather Sometimes, a combination of two or more irritants can cause a reaction, but those same irritants[healthline.com]
  • Symptoms of reactive airway disease can be caused by exposure to irritants such as smoke, fume or particulates. Inhalation of an irritant leads to the narrowing and obstruction of the airways.[ic.steadyhealth.com]
  • It is a pulmonary disorder caused due to external irritants, and is non-allergic. It is an asthma-like condition that develops in people usually due to constant exposure to respiratory irritants like smoke, gases, fumes, dust, etc.[buzzle.com]
Headache
  • Headache had a reported 18.4 percent incidence in drug trials but also occurred in 18.1 percent of patients given placebo. Headache has not been recognized as a common side effect in any other studies of montelukast.[ems1.com]
  • Here are his symptoms when he has an attack: it always starts with a constant cough, congested nose or runny nose, sometimes a headache, labored breathing, very low energy level and sometimes a sore throat.[abchomeopathy.com]

Workup

Reversible Airway Obstruction
  • When the patient is well again and if they are old enough to cooperate, you can consider pulmonary function testing to look for reversible airway obstruction. #4 Have a fancy lab with a respiratory viral panel and see if something comes up positive.[forums.studentdoctor.net]
  • The hallmarks of asthma are reversible airway obstruction from bronchial smooth muscle contraction, mucus hypersecretion, and mucosal edema.[womenshealthsection.com]
  • Corticosteroids and inhaled salbutamol in patients with reversible airway obstruction markedly decrease the incidence of bronchospasm after tracheal intubation. Anesthesiology2004; 100: 1052–7.[isanagpur.org]

Treatment

  • About Hyperactive Airway Disease Discussions around the web We found 58 discussions Treato does not review third-party posts for accuracy of any kind, including for medical diagnosis or treatments, or events in general.[treato.com]
  • Early treatment is most effective and works the fastest to reverse the symptoms.[nepeds.com]
  • The treatment for Reactive Airway Disease, which is the younger age group diagnosis of asthma, is very similar to treatment of asthma. The main difference is that Reactive Airway Disease is something that most kids do grow out of.[kidsinthehouse.com]
  • A treatment still undergoing scientific study is the use of high-dose vitamin D. In a case study, 2000 IU/day of vitamin D was given to a patient unresponsive to asthma treatments.[ukaccidentatwork.co.uk]
  • Management and treatment The best treatment approach is not currently established. Therapeutic options include oral corticosteroids (e.g: prednisolone, prednisone) and antifungal agents (like itraconazole, voriconazole or posaconazole).[orpha.net]

Prognosis

  • Prognosis The clinical course of ABPA is variable. Many ABPA patients can be stabilized for long periods when treated. However, long-lasting remissions are seen in only 50% of patients and many patients require recurrent courses of therapy.[orpha.net]
  • Experts can help answer if reactive airway disease is genetic or what reactive airway disease prognosis may be. Get the answers to your questions about reactive airway disease answered by asking an Expert.[justanswer.com]

Etiology

  • Definition Bronchial hyperreactivity may last as long as 6 weeks following an upper respiratory tract infection, of which up to 95% are of viral etiology.[openanesthesia.org]
  • Etiology ABPA is an immunologic disorder due to a predominant T-helper 2 lymphocyte response to Aspergillus fumigatus infection without tissue invasion.[orpha.net]
  • PATTERN The pattern of wheezing may suggest the etiology.[aafp.org]
  • […] range wrong for transient wheeze Last edited: Apr 18, 2017 #11 I think the multiplex viral panels are useful only if they are going to change management *(cohort with other children with same disease process, forgo abx, forgo other testing to search for etiology[forums.studentdoctor.net]
  • URI and URI-like symptoms of noninfectious etiology, such as allergic or vasomotor rhinitis in a child make the airway hyperreactive. Airway reactivity persists for 4 – 6 weeks following URI.[isanagpur.org]

Epidemiology

  • CONCLUSION: This is the first epidemiological study in Lebanon that determined physician diagnosed asthma prevalence and hyperreactive airway disease and their associated factors among Lebanese adults.[ncbi.nlm.nih.gov]
  • Summary Epidemiology The prevalence of ABPA in the general population is unknown. Clinical description ABPA is most commonly diagnosed in adults although it is increasingly being diagnosed in children.[orpha.net]
  • When trying to search for it in the ICD, it tells to "see asthma." [4] Some medical professional argue that using RAD as a diagnosis will only complicate research on asthma in the context of clinical research and epidemiology as well.[en.wikipedia.org]
  • At my institution we are lucky to have a very rational epidemiology dept who was able to change the culture.[forums.studentdoctor.net]
  • Epidemiological Observations from the Nagahama Cohort Study.[researchmap.jp]
Sex distribution
Age distribution

Pathophysiology

  • Current views of the pathophysiology of asthma emphasize its inflammatory component and the risk of gradual, irreversible airway remodeling due to subepithelial fibrosis in poorly controlled asthma.[medical-dictionary.thefreedictionary.com]
  • Childhood Asthma: Pathophysiology and Treatment. 2nd ed. New York, NY: Dekker; 1993:255–282. 3. Martinati LC, Boner AL. Clinical diagnosis of wheezing in early childhood. Allergy. 1995;50(9):701–710. 4.[aafp.org]
  • Mishima Respirology 13(6) 810-816 Nov 2008 [Refereed] TGFB1 promoter polymorphism C-509T and pathophysiology of asthma.[researchmap.jp]
  • Pathophysiology of Asthma: Asthma is obstructive disease of the large or small airways. It combines reversible airway constriction, inflammation, airway edema and mucous plugging.[womenshealthsection.com]

Prevention

  • Hence detection of Tuberculosis at the earliest is important to start administration of anti-tuberculosis chemotherapy, to prevent the spread of disease and to prevent complications.[scopemed.org]
  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]
  • Prevention is better than cure” as the saying goes and doctors need to focus on preventing the disease.[instah.com]
  • Prevention There is no known way to prevent bronchospasm. References: Reactive airways dysfunction syndrome. Health Navigator New Zealand website. Available at: . Updated August 23, 2017. Accessed August 28, 2017. Brooks S.[cancercarewny.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!