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Using A Spirometer To Identify Breathlessness

By Serena Price


Shortness of breath is one of the main complaints that sends people to the doctor's office. One of the tools used to help diagnose the cause of breathlessness is called a spirometer. This is a kind of pulmonary function monitor (PFM) and measures the volume of air inspired and expired through the lungs. The printed output from the device is a graph, and this can indicate whether the breathing dysfunction is restrictive or obstructive. Spirometers are constructed differently to enable different strategies for measuring the movement of air (pressure transducers, ultrasound, water gauge).

Various lung function tests are employed to eliminate serious lung conditions such as bronchitis, asthma and emphysema. They can determine the cause of breathlessness, investigate the effects of medication or airborne contaminants on the lungs and to watch the progress of treatment. They are conducted prior to surgery on the lungs to provide a benchmark of pulmonary function.

It was Claudius Galen, noted Roman physician, who devised the first PFM and conducted the first lung function tests. This took place in the late first or early second century AD. Later instruments were based on a bell jar turned upside down in water. Modern variants include the whole body plethysmograph, peak flow meter and the pneumotachometer.

According to the Mayo Clinic, shortness of breath may be defined as an intense chest tightening and a feeling of being suffocated. It may be confined to a single episode or it may become chronic. While it is important to rule out any serious problems underlying breathlessness, in most cases the root cause is harmless and easily curable.

There are a handful of "red flag" signs which, when they occur at the same time as breathlessness, may indicate a serious underlying condition. These include persistent tiredness and pallor, a chronic wheeze or cough, ankle swelling, a pain that gets worse with exercise, breathlessness that worsens when lying down, any other unusual or recurring symptoms. A history of working with hazardous chemical fumes, asbestos, wood dust or in a coal mine is also something worth mentioning to the doctor.

Asthma, a chronic disease of the airways, is somewhat more serious. According to the Centers for Disease Control in Atlanta, Georgia, 18.9 million non-institutionalized adults have asthma at any one time. This represents 8.2 percent of that population.

Once all serious problems have been eliminated from consideration, many cases of shortness of breath can be attributed to one of two causes, muscle knots (aka trigger points) or dysfunctional breathing habits together with weak muscles. Treatment includes exercises to strengthen the muscles. For trigger points, therapy involves massage, which is almost always successful.

Invented shortly after Christ walked the Earth, the spirometer is a handy tool for diagnosing the cause of shortness of breath. It can determine the presence of abnormal ventilation, but further tests are often required to eliminate from consideration conditions like asthma, emphysema and bronchitis, among others. Most cases of breathlessness stem from an easily treatable condition, either trigger points, dysfunctional breathing patterns or a combination of the two.




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