Topics

Spray or inhalation
Hello, since I (female, 43 years old) have CF allergic asthma, I am having a hard time opening and loosening the secretion in the mornings. I take three puffs or Symbicort® (budesonide and formoterol) before inhaling Pulmozyme® (DNAse). Would it be better to inhale Ventolin® (salbutamol) first (ca. 6 drops) and then Symbicort® only after 1-2 hours? Thank you for your answer.
23.07.2012
Very rare mutation
Hello, I appeal to you because I can not find on the internet the answer to my question: I was diagnosed with CF at the age of 5 months with Pseudomonas aeruginosa colonization from the beginning. I wanted to know if it was serious knowing that today I am 19 years old? And my mutation is the R569 in the homozygous state, I wish to know much more about my mutation since I have not found anything on the internet? thank you
23.07.2012
low growth
I have a five year old child that is outside the growth curves. We did a sweat test in Thessaloniki and it was negative. My wife was very worried, so she was checked at Laiko hospital and the results were negative. Is there anything else we can do? My wife is so upset that our life has changed. I believe that the boy is of small statute due to his genes. Is it possible for the boy to have a negative sweat test and to suffer from CF? Thank you.
19.07.2012
Testing
Dear Dr. Doudounakis, Regarding the test, it was performed in Heppokration Hospital in Thessaloniki by Dr. Tsanaka's team and the value was 26. They used the method you made reference to, but I do know how the pancreatic function is checked.
19.07.2012
Different classes of mutation
Hello, I want to thank you for creating this site. My question is that when I am researching the different cystic fibrosis mutations, I see mutation class 1, 2, 3, or 4. So I wanted to know what that meant, what is worst? thank you
19.07.2012
Pancreatic enzymes
Hello, My 7 month old has CF and since he is two months he takes "pancreatic enzymes" at the beginning of each meal... I wonder what are its effects? How do this drug work? Disadvantages? Its risks? Its duration of effectiveness? Under what conditions this medicine is it most effective with enteral nutrition during the night? How to use it with food diversification I started some days ago? Should we give it before each meal even without milk? Thank you.
19.07.2012
Emergency water supply -- what to do?
Dear expert team, due to road work until September 2012, our village has installed an emergency water supply system with thin hoses (4 cm in diameter) which is supposed to be put into operation next week after flushing and disinfection. According to the person in charge, this is permissible temporarily, even though the water will be significantly warmer. It is not recommended as drinking water. But what can I do prophylactically apart from letting the water run for a longer time before using it? To me, washing lettuce with boiled water seems unrealistic, and our nine-year-old son, who has CF, has to shower/wash/brush his teeth as well, after all. I am quite at a loss.
19.07.2012
Physiotherapy with Asthma and CF
Hello, When would you inhale Pulmozyme®? I feel that the secretion gets looser more easily if I inhale Pulmozyme® first and then wait for an hour before I do physiotherapy. 1. NaCL 0.9% and 4 dr. Ventolin® (salbutamol) 2. Pulmozyme® (DNAse) 3. Symbicort® (budesonide and formoterol) and Spiriva® (tiotropium bromide) 4. Therapy And if I combine the autogenic drainage with the humid inhalation (PariBoy®) and the PEP®, how can I hold my breath briefly with an open mouth? Would it be better to take out the mouthpiece briefly and keep the lips closed?
19.07.2012
Trip to Venice
Hello, do you think a trip to Venice for a person with CF is unreasonable, given the risk of exposure to Pseudomonas in the waters of the city? Thank you in advance
19.07.2012
Cystic fibrosis-prenatal diagnostics
Dear team, I would like to know whether I can test my unborn child for cystic fibrosis during pregnancy and if so, with which test? Thank you for your answer.
19.07.2012
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