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Wheeze!

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Tactic@l

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Dec 18, 1999, 3:00:00 AM12/18/99
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Hi!

Just to really understand what really wheezing is all about. Can anybody
tell me what is the exact medical definition of wheezing?

To my knowledge, wheezing is e disgusting sound made during breathing. This
is the time where we will encounter xtreme breathing difficulties as there
are too much mucus deep in the lungs. Most of the time when i encounter
what i called 'wheezing', i have mucus that are deep in my lungs that during
breathing, i encountered tight and heavy chest. When i placed my palms on my
chest, i can feel those 'wheezing' vibrations but the thing is that during
normal breathing (which i tend to breathe in and out slowly, and not too
deeply), i won't be able to hear the loud wheezing .Neither will i get those
loud wheezing sound when i tried to cover my ears. However the moment if i
tried to open my mouth and give it a deep blow out...u can hear all the
mucus at work!

does any asthmatic out there too are confused with the term wheezing
especially when doctors need to ask you how often you have wheezings?

Don Elton

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Dec 18, 1999, 3:00:00 AM12/18/99
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Wheezing refers to high pitched tones heard during breathing. When
speaking of asthma, wheezing is more specifically a musical polyphonic
expiratory sound indicating noise generated by multiple airways of varying
diameters and airflows having constricted flows resulting in airway
vibration at various resonant frequencies which leads to the sound heard.

--
Don Elton
del...@cts.com
Columbia, SC

http://www.midcarolina.org


ScoobyRCP

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Dec 18, 1999, 3:00:00 AM12/18/99
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wheezing is produced by the narrowing of the small airways which are called
bronchioles. The narrowing is a combination of edema and constriction of the
muscle bands which surround the bronchioles. The actual wheezing noise is
caused from the turbulent airflow moving through the above narrowed airways.

Asthma management is aimed at reducing the edema which can be from a variety of
causes, and relaxing the muscular constriction around the small airways.
Without appropriate management you are dooming yourself to a lifetime of
problems, some of which may lead to early death.

Scooby
RCP, EMT-P
Perinatal-Pediatric Respiratory Specialist

This mail is a natural product. The slight variations in spelling and
grammar enhance its individual character and beauty and in no way are to
be considered flaws or defects.


Pam

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Dec 18, 1999, 3:00:00 AM12/18/99
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On Sat, 18 Dec 1999 17:32:07 GMT, Don Elton <del...@cbbs.cts.com>
wrote:

>Wheezing refers to high pitched tones heard during breathing. When
>speaking of asthma, wheezing is more specifically a musical polyphonic
>expiratory sound indicating noise generated by multiple airways of varying
>diameters and airflows having constricted flows resulting in airway
>vibration at various resonant frequencies which leads to the sound heard.
>

Musical polyphonic expiratory sound... yeah, sorta like throwing your
voice but deep within you. Sounded like a sorta of high pitched sigh
or whine, was the wierdest noise I heard when this first occured... I
thought my husband was groaning at his computer in an odd tone till I
asked him what that little noise was he was making and he said, "What
noise?" Is rather difficult at first to track that sort of noise
cause my ears are more tuned to listening to things from the outside.
It was rather exciting though, I remember thinking, "Now I'll be dang!
I do wheeze afterall!" One of the funnier moments which occur from
desperate situations. haha!!

Don Elton

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Dec 19, 1999, 3:00:00 AM12/19/99
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The polyphonic part is important in asthma. A monophonic wheeze suggests
partial obstruction of a single airway. This is seen with a mucus plug,
tumor, or foreign body. One patient was sent to me for evaluation of
difficult to control asthma. He was about 40 or so and said he had
developed asthma about 5 years prior and in spite of 6 medicines wheezed
all the time and was very limited in activity because of shortness of
breath. Even steroids didn't help. On his physical examination I noted
that his wheezing was much louder on the right than on the left
(suggesting that perhaps the wheezing on the left was just transmitted
noise from the right) and it was mostly monophonic in quality. This sound,
and the fact that he had developed severe refractory symptoms as an adult
where he had never had symptoms before suggested that perhaps he didn't
have asthma at all (not a bad guess when someone doesn't respond to any of
the usual treatments). At fiberoptic bronchoscopy he was found to have a
guitar pick shaped and sized foreign body wedged tightly in his right
mainstem bronchus. It was sort of like a large Dorito (tm). There was a
large amount of granulation tissue growing into the object so it couldn't
easily be removed. After removal and having a laser procedure to burn off
the granulation tissue he no longer wheezes or has shortness of breath and
no longer requires any breathing medicines - i.e. "asthma cured". The
pathologists couldn't clearly identify the object but guessed it might be
denture material but the patient had no clue what it was or how it got
there.

--

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