Breathing worsening quickly in Pulmonary Fibrosis / Interstitial Lung Disease

Why would breathing suddenly start to worsen for people who have pulmonary fibrosis? This can be the sign of worsening fibrosis (scarring of the lungs), but often there are some other factors involved (other medical problems).
Normally, pulmonary fibrosis can be progressive, and in these cases we expect a slow worsening of breathlessness over time (months to years). In some cases, the progression can be fairly quick. Sometimes, there may be flare-ups of the fibrosis (exacerbations) which can be extremely severe (but fortunately are quite rare).
Most often, when the breathing gets worse over days-weeks-months, there may be another medical problem that has appeared or worsened. If it's over a few days, most commonly there may be a chest infection (acute bronchitis or pneumonia) that could require antibiotic treatment. If it happens over weeks to months, there may be worsening in the lung inflammation associated with the pulmonary fibrosis (if there is an inflammatory ILD present), or there may be a new heart condition developing (such as heart failure, atrial fibrillation, heart valve problems etc. Sometimes, there may be anemia present.
A lot of other causes of breathlessness may be present, and sometimes there could be overlapping factors.
Having regular follow-up with your doctor is essential especially if you are suffering from progressive pulmonary fibrosis. It is very important to look for and treat any other potential conditions which exist at the same time as the pulmonary fibrosis.
#pulmonaryfibrosis #ild #breathlessness
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The opinions presented on this channel are my own and do not constitute medical advice in specific cases. If you are watching/listening to this content as a patient, you must seek personalized advice from your own healthcare team (who can provide you with a consultation and appropriate treatment and advice. This information presented here may not apply in your case. If you are a health professional, please use your professional judgement when treating patients.

[@stephbeardsworth6989]

Many thanks.

[@Unknown-hu4gf]

Doctor, what's your take and opinion of the medication called Roflumilast?

[@tausifanwar7432]

Hello doctor! What is our opinion regarding Manuka Honey? Someone tells slow the progression of fibrotic and relief from coughing .
And also if yes , how to take this manuka honey ? Someone tells take with nebulizer.

[@blaydebalzer3207]

I’ve started taking pirfenidone and have become more phlegmy is this something I should be concerned about?

[@himanshukumarr.4955]

Hello Doctor, please give some information on chronic hypersensitve pneumonitis.

[@InterstitialLungDisease]

I have a few videos on this on my channel

[@rayunseitig6367]

ok

[@michaelktori5178]

One year ago I could manage with 2½ L/m Oxygen (24/7) Now I need 4 L/m. I take this as a deterioration.

[@rachelvillavueva9096]

I hope not. Sometimes I am 2 1/2 then have to put the concentrator at 3, especially when I feel like I have anxiety. I'm also asthmatic. The inogen portable I use also varies depending. To move, I have to put it on 4, to sit, I can do 2 or 3. I don't understand!!! I ended up like this all because of covid in August, 2020. Was hospitalized for about 8 months.

[@michaelktori5178]

It's likely that I'm a lot older than you and closer to the end of my illness unfortunately. The numbers on your portable are not litres per minute so can't be a good comparison. Best wishes to you as you recover.@@rachelvillavueva9096