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      journal.chestnet.org

      • Restrictive lung diseases such as pulmonary fibrosis make it harder to inhale air. The diagnosis and treatment for obstructive vs. restrictive lung diseases depend on the cause but can include chest imaging and medications that help open up or clear the airways.
      www.verywellhealth.com › obstructive-and-restrictive-lung-diseases-914741
  1. Jul 25, 2023 · This term refers to an umbrella with numerous disorders that are characterized by diffuse cellular infiltrates in a periacinar location, including clinical conditions that vary from occasional self-limited inflammatory processes to severe debilitating fibrosis of the lungs.

    • Pedro J. Martinez-Pitre, Bhanusivakumar R. Sabbula, Marco Cascella
    • 2023/07/25
    • 2021
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    • Overview
    • What are restrictive lung diseases?
    • Types
    • Symptoms
    • Diagnosis
    • Treatment
    • Takeaway

    Restrictive lung diseases are chronic conditions that limit the ability of the lungs to expand during inhalation. This reduces the amount of air that the person can breathe in.

    A range of chronic health issues can restrict lung performance. For most of these conditions, there is no cure, but a person can manage the symptoms with medication and physical therapy. It is crucial for a doctor to identify the root cause of any lung-related symptoms.

    Long-term lung conditions fall into two general categories: restrictive and obstructive lung diseases.

    Restrictive diseases stop the lungs from fully expanding. This limits the volume of air and amount of oxygen that a person breathes in. To meet the body’s oxygen needs, the person’s breathing rate often increases.

    Restrictive lung diseases account for around one-fifth of all lung-related syndromes. They are often progressive, meaning that they worsen over time.

    By contrast, obstructive lung diseases block or narrow the airways. This stops the lungs from expelling air at optimum levels.

    Obstructive lung diseases account for around 80% of lung-related syndromes. Some examples include asthma, bronchiectasis, chronic obstructive pulmonary disease, known as COPD, and emphysema.

    Learn more about how the lungs work.

    Medical professionals classify restrictive lung diseases into two groups, depending on whether the cause is intrinsic or extrinsic. Intrinsic restrictive lung diseases occur within the lung, while extrinsic diseases occur outside of it.

    Intrinsic restrictive lung diseases affect the functional tissue of the lung, including the alveoli, capillaries, and the interstitium. The alveoli are small branches of air tubes in the lungs. Capillaries are blood vessels, and the interstitium refers to a group of tissues within the lung that provide support.

    Intrinsic restrictive lung diseases usually result from inflammation and scarring of lung tissue.

    The cause may be interstitial lung disease. This is an umbrella term for a large group of diseases that cause scarring of the lungs. The scarring leads to stiffness that makes it difficult to breathe and get oxygen to the bloodstream. Damage from interstitial lung disease is often irreversible and gets worse over time.

    One example of intrinsic restrictive lung disease is idiopathic pulmonary fibrosis. Some other health issues that may be involved in intrinsic restrictive lung disease include:

    •sarcoidosis

    People with different restrictive lung diseases may share some symptoms, including:

    •shortness of breath, especially with exertion

    •an inability to catch their breath or get enough breath

    •a long-term cough

    •gasping for breath

    •fatigue, which can be extreme

    A doctor who suspects a restrictive lung disease typically orders a pulmonary function test (PFT). This noninvasive test shows how well the lungs are working by measuring lung volume, capacity, rates of flow, and gas exchange. This information can help the doctor identify the type of lung disorder.

    An important part of a PFT involves measuring total lung capacity — the gold standard for diagnosing restrictive lung disease. This is the total volume of air that the lungs take in on maximum inhalation. A person with restrictive lung disease has a low total lung capacity.

    Another important measurement in a PFT is the diffusing capacity of the lungs for carbon monoxide (DLCO).

    This measurement determines whether the restrictive lung disease is intrinsic or extrinsic. Restrictive lung diseases such as pulmonary fibrosis tend to decrease the DLCO due to scarring and thickening of the area between the alveoli and the capillaries.

    Other tests are necessary for a confirmed diagnosis and to ensure the most effective treatment plan. The specific tests involved depend on whether the suspected cause is intrinsic or extrinsic.

    Some other common tests for restrictive lung disease include:

    The best treatment plan depends on the cause and the type of restrictive lung disease.

    In some cases, a person may need oxygen therapy, lung transplant surgery, or corrective surgery.

    Drug-based treatments for restrictive intrinsic lung disease, particularly interstitial lung disease, may include:

    •mycophenolate mofetil

    •rituximab

    •corticosteroids

    Restrictive lung diseases keep the lungs from expanding fully, limiting how much air a person can breathe in.

    The term covers several chronic conditions, including pulmonary fibrosis and various neuromuscular diseases. Many restrictive lung diseases are incurable, but a range of treatments and management strategies can reduce the symptoms and enhance the quality of life.

    • Jennifer Huizen
  3. Aug 20, 2017 · The main treatment for restrictive lung disease is supportive oxygen therapy. Oxygen therapy helps people with lung diseases get enough oxygen, even when their lungs cannot fully expand....

  4. Treatment. As with diagnostic testing, treatment of lung disease depends on many factors, such as the type and stage of disease, family history, patient’s medical history and the health and age of the patient. Any of the following may be used for treating lung disease: Inhalers. Expectorants. Antibiotics. Oxygen therapy. Chemotherapy. Lung ...

  5. Oct 22, 2018 · Your doctor will determine the treatment you need by the type and severity of the restrictive lung disease you have. Your age, medical history, and overall health are also key factors to...

    • James Roland
  6. Jul 21, 2024 · 17. Print. Medical Care. Treatment depends on the specific diagnosis, which is based on findings from the clinical evaluation, imaging studies, and lung biopsy. Corticosteroids,...

  7. Apr 5, 2024 · WebMD explains the difference between obstructive and restrictive lung disease, as well as symptoms, causes, and treatments.

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