Chronic Obstructive Airway Disease

Also Know As Emphysema, Chronic Bronchitis

Sign/Symptoms
Ankle Swelling (Ankle Oedema) Breath Shortness (Dyspnoea) Breathing Painful or Difficult Breathing Rapid Hyperventilation (Tachypnea) Cough Cough Chesty Cough Chronic Cough Productive Drowsiness Enlarged Chest (Hyperinflation) Headache (Cephalgia) Skin Bluish Coloration (Cyanosis) Skin: Swelling Beneath The Skin (Angioedema) Swelling (Oedema, Edema) Twitching Weight Loss (Body Mass Index Decreased) Wheezing White Blood Cells Raised

Drugs
Fluticasone Theophylline

Treatments
Surgery Lung Transplant Lung Volume Reduction Surgery Bullectomy Medical Procedure Ambulatory Oxygen Therapy Oxygen Administration Alternative Medicine Flax Seed Oil No Recommendation Low Evidence Lifestyle Changes Regular Exercise (30 Minutes A Day) Weakly in Favour Moderate Evidence Reduce or Stop Smoking Strongly in Favour High Evidence Medical Therapy Ambulatory Oxygen Therapy Weakly in Favour Low Evidence Oxygen Administration Weakly in Favour Low Evidence Bullectomy Weakly in Favour Low Evidence Lung Transplant Weakly in Favour Low Evidence Lung Volume Reduction Surgery Weakly in Favour Low Evidence

Attributes
Commonality is common Incidence is approximately 1 in 6 people

Further Tests
Carbon Dioxide Total Content (TCO2) Carbon Dioxide Total Content (TCO2) (Increased) Functional Residual Capacity Functional Residual Capacity (Decreased) Heamatocrit (Hct) RBC Mass (Decreased) Partial Pressure of Arterial Carbon Dioxide (PCO2, PaCO2) Partial Pressure of Arterial Carbon Dioxide (PaCO2) (Increased) Reticulocyte Absolute Count Reticulocytes (Decreased) Spirometry Forced Expiratory Flow Between 25% and 75% of FVC (FEF25-75) (Decreased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Flaxseed Oil [1, 2, 3, 4]:

Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.

Recommendation: no recommendation (There is insufficient evidence to support claims that flaxseed oil helps to treat airway disease)

Grade of Evidence: low quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/flaxseed

3. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-flaxseed.html

4. http://nccam.nih.gov/health/flaxseed/index.htm

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