I have a few respiratory symptoms. Kindly help.
Possible causes of symptoms in 3 mins

Q. What could be the reason for low peak flow for many years?

Answered by  
Dr. Rahul Reddy Keesari
and medically reviewed by   iCliniq medical review  team.


Professional Bio: Dr. Rahul Reddy Keesari is a Pulmonologist with 11 years of clinical experience. He did his MBBS with an internship at Mamata Medical College, Khammam, in 2013. He then completed his MD in Pulmonary M... 

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This is a premium question & answer published on Apr 24, 2023 and last reviewed on: Oct 12, 2023
Patient's Query

Hello doctor,

I am a 37-year-old female taking Salbutamol whenever required with a history of rhinitis or polyps. Ten weeks back, I started developing new symptoms such as a constant tingling sensation in the lower throat or windpipe, cough, raspy breathing, and chest tightness. Sometimes I feel like I cannot exhale completely and there is no shortness of breath. This causes me a lot of anxiety episodes that last about half an hour. I have prescribed the tablet Omeprazole for suspected acid reflux and waiting for the investigation results from barium swallow and spirometry tests. I have been diagnosed with anxiety and my chest has sounded clear. Also, the peak flow meter at my home level was always around 300 and not during the episodes. Since I always had a low peak flow reading for many years I have been referred for pulmonary function testing. Kindly help.

Answered by  Dr. Rahul Reddy Keesari


Welcome to icliniq.com. I went through your query and understood your concern. It looks like an active symptom of an asthma attack. Salbutamol is a short-acting beta agonist which is why it was not much helpful as it is given in stage 1 asthma. You need a pulmonary function test and based on that we can decide whether a steroid inhaler is needed or not. Nebulizer with Duolin and Budecort (500 mcg dose) can be given twice daily for two days post-food. If possible get a serum Immunoglobulin E (IgE) and absolute eosinophils count blood test on an empty stomach. Send me a chest X-ray posterior-anterior view and also chest auscultation findings by a pulmonologist. I hope this has helped you. Thanks and regards.

Patient's Query

Hello doctor,

The chest X-ray findings will take a while to send. I had a Barium swallow test yesterday and the doctor said I had inter oesophageal dysmotility. This might explain some of the symptoms.

Answered by  Dr. Rahul Reddy Keesari


Welcome back to icliniq.com. It is possible. But which esophageal dysmotility issues do you have? Thank you.

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