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Lung function declined

Question
[The original German question was asked in telegraphic style - this is also reflected in the translation]

Hello,

I am 38 years old and have CF. Since about half a year my lung function has declined. FEV1 35% and alltogether about 50%. The MRT does not show any decline. Oxygen is normal (97%). I have candida a. in the lungs and take Fluconazole. And often strong breathlessness. My question – can lung function become better. Or [do I have] also asthma?

Answer
Hello,

I cannot answer this question without having a complete picture of your history.
Of course there can also be asthma in CF patients but there can also be other reasons for a decline of the lung function – infections, allergic broncho-pulmonary aspergillosis, etc. You should discuss this with your CF doctor and also talk about how the lung function could be increased. Especially if the decrease happened in a very short period of time it is often possible to improve the lung function a bit. You should also ask about a rehabilitation program which could also contribute to the stabilization in such cases.

With best regards,
Prof. Dr. Joachim Bargon
01.07.2013