Obliterative Bronchiolitis (OB) vs. ILD or CLD?

Posted by jamiet @jamiet, Jul 4, 2018

I have been diagnosed with Obliterative Bronchiolitis (aka Bronchiolitis Obliterans) along with a long list of other diseases (Rheumatoid Arthritis, Chronic Hypoxemic Respiratory Failure, Collagen Vascular Disease, Fibromyalgia, Gastroparesis, Sjogren’s Syndrome and more). I lived and worked with the RA, Fibro for 16 years before I started have lung problems and was ultimately diagnosed with OB after going through many tests and months on HUUUUUUGE doses of steroids.

I never smoked a day in my life, so getting a lung issues was a huge surprise. I later found out this incurable, irreversible, rare lung disease can be triggered by RA, gastrointestinal issues, Sjogren’s Syndrome OR possibly even the medicine used to treat RA. Basically, my body is not processing oxygen (pulling O2 out of what I inhale) and getting that oxygen into the blood and to my organs/brain. This disease is on the Social Security Administration’s Compassionate Allowance List of conditions considered serious enough that disability claims are expedited and decided in three weeks.

The thing is I can’t find other people diagnosed with this disease. I did a key word search on this forum. I’ve searched other forums. I’ve searched websites listing clinical trials and research being done by hospitals, etc. The very few clinical trials I’ve found have all been for someone who gets the disease because of complications after a lung transplant. I haven’t found any non-transplant adults diagnosed with the disease.

I thought I’d throw it out to see if there is anyone else with the same diagnosis or anyone even familiar with the disease so we could share info, history, tips, etc.

Thanks ......

Interested in more discussions like this? Go to the Lung Health Support Group.

Can I ask if anyone with constrictive bronchiolitis has ever experienced any of the following??

1. difficulty swallowing spit and/or feeling like your throat is often tight or swollen
2. chest pain that comes and goes
3. getting a better deep breath when standing up from a chair, out of a car, or certain body positions. like just on the next breath it's better, but not after that.
4. feel best just before getting out of bed in the morning

REPLY
@jmunderhi

Can I ask if anyone with constrictive bronchiolitis has ever experienced any of the following??

1. difficulty swallowing spit and/or feeling like your throat is often tight or swollen
2. chest pain that comes and goes
3. getting a better deep breath when standing up from a chair, out of a car, or certain body positions. like just on the next breath it's better, but not after that.
4. feel best just before getting out of bed in the morning

Jump to this post

5. Or bubbling and popping in the rib cage

REPLY
@jmunderhi

Can I ask if anyone with constrictive bronchiolitis has ever experienced any of the following??

1. difficulty swallowing spit and/or feeling like your throat is often tight or swollen
2. chest pain that comes and goes
3. getting a better deep breath when standing up from a chair, out of a car, or certain body positions. like just on the next breath it's better, but not after that.
4. feel best just before getting out of bed in the morning

Jump to this post

Good questions, Jmunderhi. I’m hoping @trtrenck @zoelife @tonya1980 and @jamiet might have some input.

It’s encouraging to hear that you have moments where your breathing or a breathe is better, liking standing up from a chair or feeling good before getting out of bed in the morning. Have you considered pulmonary rehab exercises? I wonder if they might help to increase or reproduce the situations where you feel good to happen more often?

REPLY
@colleenyoung

Good questions, Jmunderhi. I’m hoping @trtrenck @zoelife @tonya1980 and @jamiet might have some input.

It’s encouraging to hear that you have moments where your breathing or a breathe is better, liking standing up from a chair or feeling good before getting out of bed in the morning. Have you considered pulmonary rehab exercises? I wonder if they might help to increase or reproduce the situations where you feel good to happen more often?

Jump to this post

Thanks. Along with those symptoms I also have lots of sensations in my ribs and chest. Feels like there’s always something going on. Bubbling, rippling, popping. The wallowing issues could be unrelated, but the best before getting out of bed and getting a better breath after getting up from a chair, stepping into the house from steps, etc help at times. I am completely out of breath with exertion, but at rest the above acts help.

REPLY
@trtrenck

I would love to be friends and talk about our different lung issues. I was diagnosed with COP in 2018 after several bouts of pneumonia. Had to have one lung drained from a pleural effusion. Also grew up with asthma. Then last year I got very short of breath. Doctor did full range of lung tests, blood tests and a lung biopsy. Initially told my ANA was very high but other lupus markers were negative. Was told I have Interstitial Lung Disease, and COPD-Emphysema. Lung biopsy did show the ILD was dormant, leftover injury from radiation (recurrent breast cancer on the chest wall). And yet, most of the time I seem ok???
So, those are the diagnoses. Mull that over and get in touch when you have some time we can chat. You can also text me directly if you want to go that route, let me know.

Jump to this post

Can I ask how the biopsy went in terms of pain and recovery? Was it VATs?

REPLY

I was diagnosed 3.5 years ago. I have never had a lung transplant. It has shown up in 5 lobes. I have lymph nodes that come and go. I have been tested for RA and am negative. I am sob, wheeze lots in the morning I have yellow phlegm. I was on a recalled cpap machine which could be the culprit. My pulmonologist wants to refer me to another pulmonologist at the Mayo Clinic. I am on Advair and a nebulizer. I did smoke when I was very young but have not had any cigarettes since 1989. I get concerned thinking about not being able to breathe in the future. It has been a taxing 3.5 years.

REPLY
@dmcress54

I was diagnosed 3.5 years ago. I have never had a lung transplant. It has shown up in 5 lobes. I have lymph nodes that come and go. I have been tested for RA and am negative. I am sob, wheeze lots in the morning I have yellow phlegm. I was on a recalled cpap machine which could be the culprit. My pulmonologist wants to refer me to another pulmonologist at the Mayo Clinic. I am on Advair and a nebulizer. I did smoke when I was very young but have not had any cigarettes since 1989. I get concerned thinking about not being able to breathe in the future. It has been a taxing 3.5 years.

Jump to this post

Welcome @dmcress54. Have you replaced your CPAP machine? Were you referred to a Mayo pulmonologist?

REPLY

I had a sleep study 4 weeks ago and am still waiting on my results.

Dr. Vincent Lem, a pulmonary MD in Kansas City, MO wanted me to go to one of his friends at the Mayo Clinic. I am on the fence because I really don't know what that would accomplish. I use an inhaler and use a nebulizer. I will not use steroids because of the side effects.
If you have any suggestions, please advise.

Dianna Cress

REPLY

I was also diagnosed with bronchitis obliterans about 6-7 years ago. No idea how I got it. Ended up having a double lung transplant at Mayo ( Rochester) in 2019. Be happy to chat more with you if you’re interested.

REPLY
@dmcress54

I had a sleep study 4 weeks ago and am still waiting on my results.

Dr. Vincent Lem, a pulmonary MD in Kansas City, MO wanted me to go to one of his friends at the Mayo Clinic. I am on the fence because I really don't know what that would accomplish. I use an inhaler and use a nebulizer. I will not use steroids because of the side effects.
If you have any suggestions, please advise.

Dianna Cress

Jump to this post

@dmcress54, I might suggest you ask your pulmonologist, Dr. Lem, why he recommends your going to Mayo Clinic. He probably has a specific reason and has confidence that Mayo can help.
By the way, Mayo Clinic in Rochester, Minn., and Mayo Clinic in Phoenix/Scottsdale, Ariz., are ranked among the Best Hospitals for pulmonology by U.S. News and World Report.

@krsunny1, great to hear about success stories, especially double lung transplants!

REPLY
Please sign in or register to post a reply.