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    Complementary and Alternative Medical Lab Testing Part 2: Respiratory
    Complementary and Alternative Medical Lab Testing Part 2: Respiratory
    Complementary and Alternative Medical Lab Testing Part 2: Respiratory
    Ebook101 pages1 hour

    Complementary and Alternative Medical Lab Testing Part 2: Respiratory

    By Ronald Steriti

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    About this ebook

    Complementary and Alternative Medical Lab Testing (CAM Labs) contains summaries of the published research on lab tests, primarily from PubMed trials on humans. Each chapter (disease) begins with a brief summary of conventional lab tests, followed by additional lab tests, including diabetes, insulin resistance, metabolic syndrome, inflammation, etc. There are sections on endocrine hormones (thyroid, adrenal, sex steroids) and environmental medicine (toxic heavy metals). The nutritional assessments section includes minerals, vitamins and amino acids.

    CAM Labs 2 - Respiratory

    1. Asthma
    2. Bronchitis
    3. Chronic Obstructive Pulmonary Disease
    4. Cystic fibrosis
    5. Emphysema
    6. Pneumonia
    7. Sarcoidosis

    LanguageEnglish
    PublisherRonald Steriti
    Release dateJun 4, 2016
    ISBN9781311957122
    Complementary and Alternative Medical Lab Testing Part 2: Respiratory
    Author

    Ronald Steriti

    Dr. Ronald Steriti is a graduate of Southwest College of Naturopathic Medicine and currently is researcher for Jonathan V. Wright at the Tahoma Clinic.

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      Book preview

      Complementary and Alternative Medical Lab Testing Part 2 - Ronald Steriti

      Complementary and Alternative

      Medical Lab Testing

      Part Two: Respiratory

      By Ronald Steriti, ND, PhD

      ©

      Complementary and Alternative Medical Lab Testing Clinician’s Guide Part Two: Respiratory

      By Ronald Steriti, ND, PhD

      Copyright © 2016

      All rights reserved. No part of this book may be reproduced in any form or by any means, including photocopying, including in a web site, or stored in a retrieval system, or transmitted in any form by any means, without expressed, written permission of the copyright owner.

      The contents of this document are the sole property of the author.

      Disclaimer

      This book has not been evaluated by the FDA amd is not intended to diagnose, treat, cure or prevent any disease.

      The information contained in this book is for educational purposes only, and should not be construed as medical advice or instruction. No action should be taken based solely on the contents of this book. Readers should consult appropriate health officials.

      While extensive efforts have been made to ensure the accuracy of the information contained, the possibility of errors, omissions, and misinterpretations cannot be ruled out. The reader is advised to consult the original references for verification and clarification.

      Foreward

      This book is a summary the published research on lab tests, primarily from PubMed. The studies are limited to those with trials on humans. As such, some labs may be excluded due to the lack of published research. That is simply a reflection of the current state of research - much more work is needed!

      Although this book may be useful for differential diagnosis, lab tests are can also be used to identify inderlying causes and associated conditions.

      The sections on conventional lab tests are purposefully brief. These tests are typically used to confirm a diagnosis. There are other more comprehensive sources of information on conventional medical lab testing.

      Table of Contents

      1. Asthma

      2. Bronchitis

      3. Chronic Obstructive Pulmonary Disease

      4. Cystic fibrosis

      5. Emphysema

      6. Pneumonia

      7. Sarcoidosis

      Chapter 1. Asthma

      Asthma is a disorder of the tracheobronchial tree characterized by mild to severe obstruction to airflow. Symptoms vary from coughing to dyspnea, and are generally episodic or paroxysmal, but may be persistent. The clinical hallmark is wheezing, although cough may be the predominant symptom.

      Conventional Lab Tests

      The diagnosis of asthma remains largely clinical due to the absence of a gold standard. In addition to lung function studies (spirometry), the following labs may be ordered.

      CBC (usually normal)

      Nasal eosinophils (Amorim et al., 2010) (Bradding, 2008)

      Immunoglobulins (IgE is associated with allergic disease) (Sandeep et al., 2010)

      Additional Lab Tests

      Fasting Glucose, Hemoglobin A1C

      A retrospective, longitudinal cohort study using the electronic records of a large health plan in northern California included responded to surveys (n = 121,886). Individuals with diabetes are at increased risk of several pulmonary conditions (asthma, COPD, fibrosis, and pneumonia). The asthma hazard ratio HR was 1.08 (95% CI 1.03-1.12). (Ehrlich et al., 2010)

      A case study published in the American Journal of Emergency Medicine describes a 13-month-old boy with wheezing and associated hyperglycemia. (Dieppe et al., 2009)

      Insulin Resistance, Metabolic Syndrome

      Twenty-one allergic asthmatics and 10 non-allergic healthy controls, aged 6-17.9 years were studied. More than 40% of the allergic asthmatics had insulin resistance (compared with none of the controls). (Arshi et al., 2010)

      Out of a random sample of 12 934 persons from a general population, 6784 (52.5%) were included and participated in a health examination in 1999-2001. After 5 years they were re-invited and 4516 (66.6%) participated at follow-up. A total of 3441 participants defined as non-asthmatic at baseline and with complete information on all the considered variables were included in the analyses. Insulin resistance was associated with incident wheezing (OR 1.87, 95% CI 1.38-2.54) and asthma-like symptoms (OR 1.61, 95% CI 1.23-2.10). (Thuesen et al., 2009)

      C-Reactive Protein (CRP)

      Associations between high-sensitive C-reactive protein (CRP) and spirometric lung function were assessed in a population-based cohort of approximately 1,000 Danes aged 20 yrs. In males, the average decline in forced expiratory volume in one second (FEV(1)) in the highest CRP quintile was 23 mL/yr versus 1.6 mL/yr in the lowest quintile. In females, the average decline was 6.2 mL/yr in the highest CRP quintile versus an increase of 1.8 mL/yr in the lowest CRP quintile. The findings show that higher levels of C-reactive protein in young adults are associated with subsequent decline in lung function. (Rasmussen et al., 2009)

      Urinary Cotinine

      Urinary cotinine may be useful as a biomarker of exposure to passive smoking in childhood asthma. (Ehrlich et al., 1992)

      Autoimmune Assessments

      Using cross-sectional data from the Israeli Defense Force database, the authors analyzed the prevalence of autoimmune disorders in asthmatic and nonasthmatic military personnel (307,367 male and 181,474 female soldiers) between 1980 and 2003. Significantly more women than men had autoimmune disorders. Compared with asthmatic women, nonasthmatic women had a significantly higher prevalence of all autoimmune disorders. (Tirosh et al., 2006)

      Virus

      The predominant precipitant for acute asthma symptoms is viral infection, detected in 80% to 85% of cases. (Okpapi et al., 2013)

      Sulfates and Sulfites

      In surveys of asthmatics, over 40% reported the triggering of allergic or allergic-like symptoms following alcoholic drink consumption and 30 - 35% reported worsening of their asthma. Sensitivities to wine appear to be due mainly to pharmacological intolerances to specific components, such as biogenic amines and the sulphite additives. Histamine in wine has been associated with the triggering of a wide spectrum of adverse symptoms, including sneezing, rhinitis, itching, flushing, headache and asthma. The sulphite additives in wine have been associated with triggering asthmatic responses. (Vally and Thompson, 2003)

      Wine appears to be a significant trigger for asthma, although studies have found that only a small number of wine sensitive asthmatic patients responded to a single dose challenge with sulfited wine under laboratory conditions. (Vally et al., 2009) (Vally et al., 2007) (Vally and Thompson,

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