Question 1

How do I know if it's asthma or COPD?

Accepted Answer

Spirometry. Asthma typically shows reversible obstruction; COPD shows fixed obstruction and cannot be diagnosed without the test. Some people have features of both.

Question 2

I only use my reliever — is that a problem?

Accepted Answer

Needing a reliever more than a couple of times a week usually means the underlying inflammation is not controlled. Book a review rather than simply getting another reliever.

Question 3

Do I really need a spacer?

Accepted Answer

A spacer meaningfully improves how much medication reaches the lungs from a puffer, at any age. Bring your devices in and we will check the technique together.

Question 4

What is an action plan?

Accepted Answer

A written document setting out your usual treatment, what to do as symptoms worsen, and when to seek urgent help. People with one act earlier and are hospitalised less often.

Question 5

Can COPD be reversed?

Accepted Answer

The damage cannot be undone, but symptoms, flare-ups and quality of life all improve with treatment, vaccination and pulmonary rehabilitation. Stopping smoking is the only thing shown to slow further decline.

Question 6

My child wheezes with every cold. Is that asthma?

Accepted Answer

Not necessarily. Wheeze with viral infections is common in young children. Diagnosis depends on the pattern over time, and reliable spirometry is not usually possible before about six.

Question 7

Should I exercise if it makes me breathless?

Accepted Answer

Yes, with guidance. Avoiding activity worsens breathlessness over time. Pulmonary rehabilitation and exercise physiology exist precisely for this.

Question 8

Is spirometry bulk billed?

Accepted Answer

Yes, for patients with a valid Medicare card, as are the action plan and the reviews.

Asthma and COPD.