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Questions about worrying spirometry results

Thread Status: Hello , There was no answer in this thread for more than 60 days.
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Spiroman

New Member
Jan 27, 2009
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Dear deeperbluers,

I have registered on DB already some years ago, and posted every now and then. I have gained a tremendous amount of knowledge through this board, and want to thank you all for this.

I have something very important I want to ask, and I hope you understand that I write this anonymously, because the information revealed here could affect my livelihood if my identity was revealed.


I recently had a spirometry test for work related reasons, and for the first time ever I had an unusual result.
First the test showed a problem with my distal airways: airflow was lover than it should be. After trying this a few times, I was asked to inhale a bronchodilator to open up the airways, and to see if this makes a difference. This improved the results slightly.

Although I was so far given only a very vague analysis of the results (a more complete report will follow), I understood that this result points to reversible bronchoconstriction (narrowing of the air passages in the lungs, that is improved by medication). As far as I know and understand, this would point to asthma, or at least a predisposition for asthma.



This was of course a huge surprise for me. I have never had any symptoms. I am very fit and do a lot of sports. I have practiced both scuba- and freediving (including deep dives) for years.

It also made me very worried: part of my livelihood comes from scuba diving, and the medical requirements in my line of work are very strict. If I was diagnosed with asthma, I could be in trouble.


Finally, we come to my questions:
-I know that freedivers can use their lungs differently from most non-freedivers. Also, there is probably some level of adaptation involved. Could these somehow lead to the results that I described?
-Could some lung stretches lead to temporary bronchoconstriction? Shortly before the spirometry test, I did both mild "Udyiana Bandha" -style stretching ("sucking the stomach in" with empty/slightly reverse packed luns). I also did mild pack stretching. Could these have a temporary effect on the bronchi, and on the results of the spirometry test?

The medical personell involved with the testing know nothing about freediving, which makes it hard to discuss these things with them.
I know no-one can make a diagnosis on this message board, but at least I could gain more knowledge which would make it easier to discuss these possibilities with the medical staff.

If you have any ideas or thoughts on this, I would be very thankfull if you could post them here, or as a private message if you prefer.

Edit: I would also like to add that I had a very slight cold for a few days, ending a couple of days ago.
 
Frank Pernett here on DB would be able to give you some good thoughts. He's a doctor, I belive specialized in the lungs. I'm no expert but who knows if recovering from a cold has much stronger effects on the airways than one thinks or feels.
 
Freediving can have a pretty big effect on those tests. I would fail a standard scuba spiro test because although my FEV1 (how much I can exhale in the first second) is very high, my FEV1/FVC (what proportion of my lung volume I can exhale in 1 second) is very low.

Also, packing increased my peak exhale flow but reduced the peak flow on subsequent non-packing exhales, probably because of reduced elasticity. Your stretching might have the same result?
 
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Two comments I'd like to make.

There are many things that cause bronchitis and or asthma symptoms. I worried about it for most of my career then when I retired and spent half a day taking tests the answer was '... might be able to induce a slight trace of asthma'.

I also thought my career was over, about ten years before they declared me too old, when I had brain surgery. Combination of two good doctors on my side, a little luck and 'they' let me back in the left seat of an airliner in 30 days.

A good doctor is worth his weight in gold, at least.
 
What is your FEV1 and FVC in litres and as percentages of predicted values? What is your peak expiratory flow rate? It is impossible to comment without knowing these values.
 
Diaphragm stretches can be irritating to my lungs under some circumstances and in ways that could certainly kick off some asthma symptoms. Maybe yours too. Colds can bring on asthma symptoms that can persist for quite a while in some sensitive people. Sounds like it would make sense to retake the test with no stretching, (or deep freediving) or a cold for several weeks prior to the test.

If you dive exhale (FRC) consistently, it has been reported that blood vessel walls in the alveoli thicken. I don't see how this could lead to asthma type symptoms, but maybe the info will lead you somewhere.

Good luck

Connor
 
I too had "asthma" when I took the FEV1/FVC spirometer test.
But its really silly.

WHen the doctor said I should inhale fully I took a very big inhale ( no packing). Then I had Astma.

Then I retook the test and "da da daaaa" I had not Astma. When I retook the test I took an "full" inhale. And what a non-freediver still would call a giant inhale...

I have been spearfishing 3 years, diving deep (+40m) for 1 year. PB 52.7m

My numbers quoting form my paper.
Im 193cm, 27 years (at that time), Race 1 (what is this??), Sex M


Test #1..My Result... Normal.................Normal %
FVC..............7.7 L........5.7L ................. 135%
FEV1 ............5.91 L .......4.7L.................. 126%
FEV1/FVC %...77% ...... 84%..................... 92%

Test #2

FVC.................7.3L...........5.7L............... 128%
FEV1...............6.08L..........4.7L............... 129%
FEV1/FVC%......83% ..........84%................ 99%

My theory is that we freedivers train ourselves to breath and contain air in a such specialised ways that such ratios as FEV1/FVC simply doesnt apply to us.. Look at these numbers... we are not normal...

The Norms were made of "Knudson" in 1983

Morten Villadsen
 
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