Vocal cord dysfunction

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TamsB May 2012 12:23pm, 22 May 2012 16 posts	0 TamsB Hi I've just tested negative for exercise induced asthma and it was suggested to me by the person who tested me that I may have vocal cord dysfunction. I've had a quick read up and it seems possible. Anyone else out there have any experience of this? Couldn't find anything else about it already on this site.
Pootle May 2012 12:26pm, 22 May 2012 8901 posts	0 Pootle I talk too much, does that count?
JohnnyO May 2012 12:30pm, 22 May 2012 12969 posts	0 JohnnyO Did they offer anything more specific? What did they base this on? Did you do formal flow/volume loop testing in a respiratory lab, or just blow into the spirometer in the GP surgery? EIA is difficult to diagnose, and there is no formal test that can exclude it. Its mostly a matter of whether you get any benefit from inhalers or not. There awas a big article only a few weeks ago about how EIA is increasingly common and sports governing bodies have abandoned formal testing.
TamsB May 2012 12:33pm, 22 May 2012 17 posts	0 TamsB Thanks Johnny - I did the full (unpleasant) 8 minute test in a resiratory lab and only got a 5% reduction, so EIA was discounted. The VCD theory stemmed from the observation of almost immediate wheezing when I started the test, and also the way I was breathing.
WA (Windassisted) May 2012 12:35pm, 22 May 2012 3456 posts	0 WA (Windassisted) You need to be referred to ENT so they can have a look.
Fellrunning May 2012 12:37pm, 22 May 2012 627 posts	0 Fellrunning And there was I thinking that this was the tribute thread for Robin Gibb - as you were....
GlennR May 2012 12:38pm, 22 May 2012 4384 posts	0 GlennR My EIA only occurs under conditions that would be virtually impossible to replicate in a test environment. I can't even predict when it's likely to happen when running.
JohnnyO May 2012 12:40pm, 22 May 2012 12970 posts	0 JohnnyO Fair enough. They need flow volume loops to diagnose it though, rather than just reversibility. Any hospital and many GPs can do this nowadays, but it might actually be too simple for a proper exercise lab. Its an upper airway obstruction problem and there will be flattening of the curve which, whilst not specific to vocal cord dysfunction, does indicate upper airway obstruction. The basic problem is that your peak flow of gas through your voice box is reduced, but you wouldn't notice it at rest. Have they referred you on? Treatment is (I think) psychological, apart from on the vanishingly rare occasions where there is an anatomical abnormality.
Helegant May 2012 12:42pm, 22 May 2012 745 posts	0 Helegant Similar here (test isn't long enough to trigger the stress response).
WA (Windassisted) May 2012 12:42pm, 22 May 2012 3457 posts	0 WA (Windassisted) Johnny- treatment varies dep on the problem, but more investigations needed first. Unlikely that an SLT will treat until seen by ENT