Concern about interstitial lung disease/pulmonary fibrosis. Steroids to test for active inflammation?

I am seeing a pulmonologist today. I think I have pleurisy, but my bigger concern is that I suspect that I have interstitial lung disease. I have slowly developed shortness of breath during exertion over the last few years along with a dry cough. It feels the way ILD is described. I am really hoping there is no permanent scarring. Anyway, I read (in the Lupus Encyclopedia) u/LupusEncyclopedia that if active inflammation of the interstitial tissue doesn't show up on a CT scan or other test, a round of steroids may be used as a test--basically, see if the problem improves with steroid use. While I really don't want to be on steroids, I may suggest this if the tests don't turn up anything. (I had a CT scan after a blood clot recently and no abnormalities were noted. I think that if I do have inflammation of the interstitial tissue, it's minor. But I want to catch it before it gets worse or causes scarring).

Anyone know how long one needs to be on steroids to tell if the SOB and coughing is due to ILD? And whether it's a high dose?

Also, for those of you who have had ILD and active inflammation: What has worked?

Thank you!

*Update: Lung scan was clear, although the DLOC was slightly abnormal. Pulmonologist diagnosed costochondritis and said maybe pleurisy, but definitely no ILD. That is a huge relief, but the coughing and shortness of breath is still a mystery. Rheum wants me to see ENT for possible vocal chord dysfunction, but I don't know that this would explain the symptoms. Need to see GI to follow-up about possible silent reflux cause. Honestly, it feels mysterious. I'm really frustrated. Will update if I get to the bottom of it, or it goes away.

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πŸ‘€︎ u/BreadfruitNew7016
πŸ“…︎ Oct 19 2021
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Development of Pulmonary Rehab for Interstitial Lung Disease and Idiopathic Pulmonary Fibrosis murmur-dev.csail.mit.edu/…
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πŸ“…︎ Dec 11 2021
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Anyone diagnosed with interstitial lung disease?

My ct results just came back and I have minimal bronchial wall and parenchymal tthickening. Anyone else dealing with the same thing? Has it resolved over time? Are there any effective treatments?

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πŸ‘€︎ u/ChestviceMarch11
πŸ“…︎ Sep 28 2021
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My rheumatologist just said: β€œ50% of RA patients have interstitial lung disease & don’t know it”.

She wasn’t saying it to be alarmist. She meant, it won’t be too much of a problem for most. But this subreddit was in fact what first alerted me to interstitial lung disease and it is quite alarming when you google. Does anyone else talk to their rheumy about it?

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πŸ‘€︎ u/ElaHasReddit
πŸ“…︎ May 19 2021
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Gene Variant Tied to Risk for Interstitial Lung Disease in RA drugs.com/news/gene-varia…
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πŸ‘€︎ u/anonymous-shad0w
πŸ“…︎ Sep 28 2021
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How does interstitial lung disease increase elastic recoil?

?

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πŸ‘€︎ u/kubota_bb
πŸ“…︎ Sep 01 2021
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Interstitial lung disease PFT OR HRCT FOR DX?

If both options are given which we will choose?

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πŸ“…︎ Sep 01 2021
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interstitial lung disease?

My mother is on celcep (mycrophenalte) for interstitial lung disease. She’s fully vaccinated with Moderna. Is the vaccine effective with her medication please?

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πŸ‘€︎ u/pumpkintummy-
πŸ“…︎ Aug 10 2021
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Successful treatment of EGFR T790M-mutant non-small cell lung cancer with almonertinib after osimertinib-induced interstitial lung disease: a case report and literature review ncbi.nlm.nih.gov/pmc/arti…
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πŸ‘€︎ u/montaukwhaler
πŸ“…︎ Aug 07 2021
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Study investigates chronic health conditions and COVID antibody response after second jab: , 14% of those with COPD tested negative, 29% with diabetes, 46% with interstitial lung disease and the highest level, at 53%, was found in those with congestive heart failure hospitalhealthcare.com/co…
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πŸ‘€︎ u/shallah
πŸ“…︎ Aug 13 2021
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N95 nano-particles and their potential for causing interstitial lung disease. ncbi.nlm.nih.gov/pmc/arti…
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πŸ‘€︎ u/WRR_SSDD247
πŸ“…︎ Jan 30 2021
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Can a 25 year old have interstitial lung disease?

I could type out all of my diagnostic criterion but I'm honestly terrified someone's gonna come back and tell me I'm dying! So I'll keep this brief.

25F experiencing low oxygen levels for a little over a month. Has ranged from the high 70s to the low 90s β€” generally hovers around 90, and has gotten up to 98 on a few brief occasions. Steroids and antibiotics have not resolved the issue. COVID pretty definitively ruled out after 3 negative tests and a negative antibody test.

I'm impatiently waiting for my appointment with a pulmonologist in about a week but the doctors keep talking about the possibility of interstitial lung disease. This potential diagnosis has spread amongst my family and they keep texting me like I'm dying. And according to Google I may actually be dying.

But I'm 25. Interstitial lung disease is like.... really unlikely, right?

I'd probably give more details if anyone is actually curious but I'm mainly just here to see if I need to start preparing myself for death, tyia

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πŸ‘€︎ u/arch-android
πŸ“…︎ Feb 08 2021
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Sjogren's syndrome and Interstitial lung disease

Hey yall. I was diagnosed with sjogrens syndrome in 2017 and have not taken plaquneil for it until 15 days ago. I recently found out that my lungs are demonstrating some kind of impairment ( DLCO is low, at 67%) and some of my doctors think it is because of Sjogrens.

This year, my ANA is at 1:1280 (I know super high) and I am very positive for both SSA and SSB antibodies.... Has anyone been struggling with ILD associated to sjogrens? Has your DLCO improved upon treatment? Im kind of worried I ll be stuck like this or even die early because of this. I heard that fibrosis is difficult to treat.

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πŸ‘€︎ u/likeastone10
πŸ“…︎ Dec 10 2020
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Diagnosed With Interstitial Lung Disease due to RA. Any others?

I was diagnosed with Interstitial Lung Disease and Rheumatoid Arthritis back in May. Last year, about July I noticed my hands were hurting and by the end of the year I felt I had a cold I could not shake. It must have progressed fairly fast. They have me on oxygen now, and I just started taking Cellcept. Is there anyone else here in the community that has the same thing? It would be nice to have an online friend to talk to. Thanks!

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πŸ‘€︎ u/200poundsoflove
πŸ“…︎ Nov 28 2020
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Outcomes of curative-intent radiotherapy in non-small cell lung cancer (NSCLC) patients with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD) sciencedirect.com/science…
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πŸ‘€︎ u/montaukwhaler
πŸ“…︎ Apr 27 2021
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What to know about interstitial lung disease medicalnewstoday.com/arti…
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πŸ‘€︎ u/amy33amy33
πŸ“…︎ Mar 15 2021
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Low Vitamin D Levels Tied to Interstitial Lung Disease drugs.com/news/low-vitami…
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πŸ‘€︎ u/amy33amy33
πŸ“…︎ Mar 15 2021
🚨︎ report
The Importance of Early Recognition of Interstitial Lung Diseases-Practical Strategies for the Radiologist

https://preview.redd.it/f1e8n82z5gv61.png?width=796&format=png&auto=webp&s=4befafc1cdf9a12d0aeec0e2c82bb3239a009da2

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πŸ“…︎ Apr 26 2021
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Interstitial Lung Disease - Opinions on Transplant /r/COPD/comments/ba45yn/i…
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πŸ‘€︎ u/amy33amy33
πŸ“…︎ Mar 15 2021
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Fatal interstitial lung disease associated with Crizotinib pathologically confirmed by percutaneous lung biopsy in a patient with ROS1-rearranged advanced non-small-cell lung cancer: a case report | BMC Pulmonary Medicine bmcpulmmed.biomedcentral.…
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πŸ‘€︎ u/amy33amy33
πŸ“…︎ Mar 15 2021
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$UTHR - BZ: United Therapeutics Announces FDA Approval and Launch of Tyvaso For The Treatment of Pulmonary Hypertension Associated with Interstitial Lung Disease
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πŸ“…︎ Apr 01 2021
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I don't know what is going on... What are my chances of having some kind of interstitial lung disease based on these information?

Age: 22

Height: 176cm

Weight: 65kg

Gender: Male

Occupation: student

Ethnicity: Chinese

Never-smoker, no history of any illegal drug use.

Recently been advised to get a CT scan by my GP because she couldn't figure out what is causing my respiratory symptoms.

My symptoms are as following:

- Cough that gets worse after eating since Feburary (started out as a dry cough, but since August it became more of a wet cough with white/colourless mucus)

- Chronic throat clearing as if I always have mucus in my chest or at the back of my throat - this started at the same time when my cough became productive.

- Feels like I can't take a satisfying deep breath as if my lungs won't fill up as well as they used to (noticed this at around Feburary/March)

- Occasionally shortness of breath that seems to get worse when I speak but not when I do exercises (might be related to anxiety(?))

- I can feel that there is some rattling in my lungs when i breath especially when I'm sitting on my bed against a pillow (this is a new symptom that started around 5 days ago) but my GP couldn't hear anything in my lungs with a stethoscope upon consultation...

Chest x-ray (from September): normal. Normal spirometry (from September). No abnormal sounds heard in my lungs by any of the doctors that I've been to. No wheezing. Initially 96% oxygen saturation at rest, then my GP raised my finger a bit higher and the number rose to 98% and she said that the initial reading was due to a postural issue (?) Been on trial for asthma medication since early September (fluticasone furate/vilanterol 200/25 + montelukast) to no effect. No improvement with Omeprazole neither. Blood test for neutrophils, eosinophils...etc are all within normal range. No Covid-19 (been tested three times between July-September, all negative).

Other clinical conditions that I have: allergic rhinitis, allergic to dust mites

Further information: Between Feburary and June, I've lived in a pretty dusty accommodation because I didn't take the time to clean it as often as I should. I remember one instance in February when i accidentally inhaled some mold from a rotten orange that I left behind in a drawer when i opened the drawer and it was highly unpleasant (i coughed some but otherwise I didn't think think much of it). Then, in March, I had one instance where a shared vacuum cleaner malfunctioned and the ventilator blew the dusts that leaked from the cylinder into my face - I coughed really hard like I had

... keep reading on reddit ➑

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πŸ‘€︎ u/obscurasphenix
πŸ“…︎ Oct 20 2020
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