Lung Function Tests for Pre-teens, Teenagers & Adults

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Lung Function Tests:

What is a lung function test?

A lung function test, also known as pulmonary function testing (PFT), is a series of non-invasive procedures performed to evaluate how well your lungs are working. These tests are crucial in assessing lung health by measuring various aspects of lung function, including lung capacity, airflow, gas exchange, and respiratory muscle strength. With these tests, we can effectively guide patient care.

Why should I have a lung function test done?

Having a lung function test done is important for several reasons:

  1. Diagnosis of Respiratory Conditions: Lung function tests can help diagnose various respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, and others. By measuring lung capacity, airflow, and gas exchange, these tests provide valuable information for accurate diagnosis.
  2. Monitoring Lung Health: For individuals with known respiratory conditions, regular lung function tests are essential for monitoring lung health and tracking disease progression. Changes in lung function over time can indicate the effectiveness of treatment or the need for adjustments in management plans.
  3. Assessment of Lung Function Before Surgery: Lung function tests may be required before certain surgical procedures, especially those involving the chest or lungs. These tests help assess a person's lung capacity and respiratory function, which is important for determining the risk of complications during and after surgery.
  4. Evaluation of Respiratory Symptoms: If you experience symptoms such as shortness of breath, coughing, wheezing, or chest tightness, a lung function test can help identify the underlying cause. It provides objective measurements of lung function that can aid in determining the appropriate diagnosis and treatment.
  5. Monitoring Occupational Exposure: For individuals working in environments with potential respiratory hazards, such as dust, chemicals, or pollutants, regular lung function testing can help detect early signs of lung damage or disease caused by occupational exposure.


Overall, having a lung function test done is crucial for maintaining respiratory health, diagnosing respiratory conditions, monitoring disease progression, and ensuring appropriate management and treatment. If you have concerns about your lung health or experience respiratory symptoms, consult with your healthcare provider to determine if a lung function test is necessary.

How is the lung function testing done?

During a lung function test, several non-invasive procedures are performed to assess the function and health of your lungs.

Firstly, you will be asked to breathe into a device called a spirometer. This measures the amount of air you can exhale and how quickly you can do so. It helps in evaluating lung capacity and airflow.

Next, a lung volume test may be conducted, where you'll be asked to breathe in and out of a sealed booth. This measures the total volume of air your lungs can hold, including the amount that remains after you exhale completely.

A diffusing capacity test is another part of lung function testing. You'll breathe in a harmless gas mixture for a brief period, and then exhale. This test measures how efficiently oxygen moves from your lungs into your bloodstream.

Lastly, an exercise test may be performed. This involves activities like walking or cycling on a stationary bike while your heart rate, breathing, and oxygen levels are monitored. It helps to assess how well your lungs functions under exertion and can identify any issues related to shortness of breath during physical activity.

Overall, lung function testing provides valuable information to your healthcare provider about the health of your lungs, helping in the diagnosis and management of various respiratory conditions.

Spirometry with bronchodilator:

What is Spirometry with Bronchodilator?
Spirometry with bronchodilator is a type of lung function test that involves performing spirometry before and after inhaling a bronchodilator medication. Spirometry measures the volume and speed of air you can inhale and exhale, while a bronchodilator is a medication that relaxes the muscles around the airways, making it easier to breathe.
Why is Spirometry with Bronchodilator Done?
Spirometry with bronchodilator is done to assess how well your lungs respond to bronchodilator medication. It helps healthcare providers diagnose and monitor conditions such as asthma or chronic obstructive pulmonary disease (COPD). By comparing spirometry results before and after inhaling the bronchodilator, healthcare providers can determine if there is a reversible component to your breathing difficulties, indicating airway constriction that responds to medication.
How is Spirometry with Bronchodilator Done?

During spirometry with bronchodilator:

  1. Baseline Spirometry: You will first perform spirometry to establish baseline lung function measurements.
  2. Inhalation of Bronchodilator: After baseline spirometry, you will inhale a bronchodilator medication, usually through a metered-dose inhaler or nebulizer.
  3. Repeat Spirometry: After waiting a specific amount of time for the bronchodilator to take effect (typically around 15-20 minutes), you will perform spirometry again to assess any changes in lung function.

Spirometry without bronchodilator:

What is Spirometry Only and Why is it performed During Subsequent Appointments?

Spirometry only involves performing spirometry without the use of a bronchodilator. It is often done during subsequent appointments to monitor lung function over time, assess disease progression, or evaluate the effectiveness of treatment. Spirometry alone provides baseline measurements of lung function and can help healthcare providers track changes in lung health or response to therapy. It is a valuable tool in managing respiratory conditions and ensuring optimal lung function.

Body Plethysmography Testing:

What is Body Plethysmography Testing?
Body plethysmography testing is a lung function test that measures various parameters related to lung volume and airway resistance. It provides detailed information about how much air the lungs can hold, how well air moves in and out of the lungs, and how much effort is required to breathe. This test is valuable for diagnosing and monitoring respiratory conditions such as chronic obstructive pulmonary disease, asthma, and restrictive lung diseases.
Why is Body Plethysmography Testing Necessary?

Body plethysmography testing is necessary for several reasons:

  • Diagnosis: It helps healthcare providers diagnose respiratory conditions by providing precise measurements of lung volume and airway resistance.
  • Assessment of Lung Function: This test provides valuable information about how well the lungs are functioning and can detect abnormalities in lung mechanics.
  • Monitoring: For individuals with known respiratory conditions, comprehensive body plethysmography testing allows for regular monitoring of lung function to assess disease progression and treatment effectiveness.
  • Evaluation of Treatment Response: Changes in lung volume and airway resistance measured during testing can indicate how well a patient is responding to treatment and guide adjustments in therapy.
How is Body Plethysmography Testing Done?

During body plethysmography testing:

  1. Preparation: You will be comfortably seated in a transparent, airtight booth, and fitted with a mouthpiece and nose clip.
  2. Testing: You will be asked to breathe in and out normally while pressure changes in the booth are measured. This provides information about lung volume and airway resistance.
  3. Data Analysis: The data collected is analysed to assess lung volumes, including total lung capacity, residual volume, and functional residual capacity, as well as airway resistance and other parameters related to lung function.
  4. Interpretation: The results are interpreted by a healthcare provider to determine any abnormalities in lung function and assist in diagnosis and treatment planning.


Comprehensive body plethysmography testing is safe, well-tolerated, and provides valuable insights into lung function, making it an important tool in the management of respiratory conditions.

Pulmonary Stress Testing:

What is Pulmonary Stress Testing?
Pulmonary stress testing, also known as exercise testing or cardiopulmonary exercise testing (CPET), is a comprehensive assessment of lung and heart function during physical activity. It measures how well your lungs and heart work together to deliver oxygen to your muscles during exercise. This test is particularly useful for evaluating exercise capacity, identifying the cause of exercise intolerance, and assessing the severity of respiratory and cardiovascular conditions.
Why is Pulmonary Stress Testing Necessary?

Pulmonary stress testing is necessary for several reasons:

  • Assessment of Exercise Capacity: It provides valuable information about your ability to perform physical activity and how efficiently your body uses oxygen during exercise.
  • Diagnosis: Pulmonary stress testing helps healthcare providers diagnose respiratory and cardiovascular conditions that may affect exercise tolerance, such as asthma, chronic obstructive pulmonary disease, heart failure, or pulmonary hypertension.
  • Treatment Planning: The results of pulmonary stress testing can guide treatment decisions and help healthcare providers develop personalised exercise prescriptions or rehabilitation programs tailored to your specific needs.
  • Monitoring: For individuals with known respiratory or cardiovascular conditions, pulmonary stress testing allows for regular monitoring of exercise capacity and treatment effectiveness over time.
How is Pulmonary Stress Testing Done?

During pulmonary stress testing:

  1. Preparation: You will be fitted with a mask or mouthpiece connected to specialised equipment that measures oxygen consumption, carbon dioxide production, and other parameters during exercise.
  2. Baseline Measurements: Baseline measurements of lung function, heart rate, blood pressure, and oxygen saturation are taken while you are at rest.
  3. Exercise Protocol: You will perform incremental exercise on a treadmill or stationary bike, starting at a low intensity and gradually increasing the workload until maximal effort is reached.
  4. Monitoring: Throughout the test, your heart rate, blood pressure, breathing pattern, and oxygen consumption are continuously monitored.
  5. Data Analysis: The data collected during the test is analysed to assess exercise capacity, ventilatory efficiency, oxygen uptake kinetics, and other parameters related to lung and heart function.
  6. Interpretation: The results are interpreted by a healthcare provider to determine any abnormalities in exercise response and assist in diagnosis and treatment planning.

Pulmonary stress testing is safe when performed under the supervision of trained healthcare professionals and provides valuable insights into exercise physiology, making it an important tool in the evaluation and management of respiratory and cardiovascular conditions.