Pulmonary and Sleep Specialists in Michigan

Bronchiolitis Obliterans Doctor in Oakland County and Wayne County Michigan

Bronchiolitis Obliterans Doctor in Oakland County and Wayne County Michigan

What is Bronchiolitis Obliterans?

Bronchiolitis Obliterans (BO), also known as Obliterative Bronchiolitis (OB), is a chronic inflammatory condition that scars and obliterates the bronchioles. These small airways are crucial for the transfer of air from the lungs to the body. Damage to these bronchioles can lead to significant respiratory issues, often making it difficult for individuals to breathe effectively.

If you have concerns about bronchiolitis or suspect you may have BO, it's vital to consult with a healthcare professional for accurate information and guidance.

How is bronchiolitis obliterans diagnosed?

A definitive diagnosis of BO involves a thorough clinical assessment, including a detailed medical history and lung function tests. These assessments may include spirometry, which measures the volume and flow rate of air in and out of the lungs, and lung diffusion capacity testing, which evaluates gas exchange within the lungs. Imaging tests like high-resolution computed tomography (HRCT) or bronchoscopy with transbronchial biopsy can help confirm the diagnosis by identifying characteristic findings such as bronchiolar wall thickening, mucous plugs, and obliteration of the lumen.

Dr. Asker Asmi, MD is a certified pulmonologist, and sleep disorders doctor in Michigan

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Dr. Asmi’s Beaumont Hospital Page
Dr. Asmi’s Henry Ford Profile Page

Dr. Asmi is a Pulmonologist and sleep specialist based in Michigan that specializes in advanced COPD. He follows a multidisciplinary treatment plan that includes nutrition, medicine, lifestyle changes, damage prevention and active treatment with close follow up. Doctor Asmi’s expertise include Critical Care Medicine, Pulmonary Medicine, Pulmonary Critical Care and Sleep Medicine. Dr. Asmi is also affiliated with Beaumont Hospital and runs a private practice in Riverview, MI.

What are the symptoms of bronchiolitis obliterans?

The symptoms of BO can vary greatly from one individual to another, depending on the extent and location of the damage in the lungs. Common symptoms include persistent coughing, shortness of breath, wheezing or squeaking sounds during breathing (known as stridor), chest tightness or pain, and recurrent respiratory infections. In severe cases, individuals may experience rapid heart rate, fatigue, and difficulty performing daily activities.

What are the causes of bronchiolitis obliterans?

BO can be caused by various conditions, including idiopathic pulmonary fibrosis (IPF), chronic obstructive pulmonary disease (COPD), sarcoidosis, connective tissue diseases, or following lung transplantation. In some cases, the exact cause remains unknown. Risk factors for developing BO include smoking, environmental pollutants, and certain medications.

What are the treatments for bronchiolitis obliterans?

There is currently no cure for BO; however, treatments can help manage symptoms and improve quality of life. These treatments may include bronchodilators to help relax and open the airways, oxygen therapy to provide additional oxygen support, corticosteroids to reduce inflammation, or mucolytic agents to thin and loosen mucus in the lungs. In more severe cases, individuals may require mechanical ventilation or lung transplantation.

How can bronchiolitis obliterans be prevented?

Preventing BO involves addressing its underlying causes. For those with IPF or other conditions that increase the risk of developing BO, avoiding environmental exposures such as tobacco smoke and air pollution is essential. Individuals should also maintain a healthy lifestyle by eating a nutritious diet, getting regular exercise, and avoiding stress when possible. Those with underlying health conditions should work closely with their healthcare providers to manage these conditions effectively.

FAQs (Frequently Asked Questions)

What is the difference between bronchiolitis and BO?

Bronchiolitis is an acute inflammatory condition affecting the bronchioles, often caused by a viral infection. BO, on the other hand, is a chronic condition characterized by the obliteration and scarring of the bronchioles.

How does BO progress?

The rate at which BO progresses can vary greatly from one individual to another. Some may experience a gradual decline in lung function over years, while others may experience a more rapid deterioration.

Can BO be reversed?

Currently, there is no definitive treatment that can completely reverse the damage caused by BO. However, treatments can help manage symptoms and slow the progression of the condition.

What are the long-term consequences of BO?

The long-term consequences of BO depend on the extent and location of the damage in the lungs. Some individuals may experience significant respiratory impairment, making it difficult to perform daily activities or maintain an independent lifestyle. In severe cases, BO can lead to respiratory failure and premature death.