Pulmonary Function Tests

What Are Pulmonary Function Tests (PFTs)?

Pulmonary function tests (PFTs) are lung tests. They show how well your lungs work. They’re noninvasive, which means that the doctor doesn’t cut you or put any tools inside your body.

Why Are Pulmonary Function Tests Done?

Testing your lungs can help doctors diagnose lung diseases such as:

  • Asthma
  • Allergies
  • Chronic bronchitis
  • Chronic obstructive pulmonary disease (COPD)
  • Damaged or scarred lung tissue
  • Disease caused by breathing in asbestos fibers
  • Sarcoidosis, a collection of inflammatory cells around organs
  • Lung cancer
  • Infections
  • Thickened, stretched, or enlarged airways
  • Thickening or hardening of your connective tissues, known as scleroderma
  • Weakness of the muscles in the wall of the chest

You need a diagnosis to get the right treatment.

What Happens During Pulmonary Function Tests?

Your doctor chooses your tests based on what they need to find out. Each test works differently.

Spirometry

This is one of the most common pulmonary function tests. Spirometry measures how much air you can breathe in and out. It also measures how fast you can empty the air out of your lungs.

Spirometry helps diagnose breathing problems such as asthma and COPD. If you’re taking an asthma medicine, spirometry can help your doctor learn how well the medicine is working.

During the test, you’ll breathe in as much air as you can. Then you’ll quickly blow as much air out as you can through a tube connected to a machine called a spirometer.

The test measures two things:

1. The most air you can breathe out after inhaling deeply. The results will let you know if you have a reduced ability to breathe normally.

2. How much air you can exhale in 1 second. The score tells your doctor how severe your breathing problem is.

Body Plethysmography

You’ll breathe in deeply for body plethysmography, which measures how much air is in your lungs when you inhale deeply. It also checks how much air remains in your lungs after you breathe out as much as you can.

Plethysmography is used for several reasons:

  • Your doctor might order this test to see how a disease such as COPD or asthma affects your lungs. The test may show that your treatment needs to change.
  • It can help confirm whether you have a lung disease that reduces the amount of space in your lungs. Your doctor might call this a restrictive disease.
  • It can show if your airways have narrowed. If so, the test may help your doctor decide whether lung medications called bronchodilators could help you. Bronchodilators open airways.
  • It can help your doctor figure out how well you’d do if you needed surgery.

The test is painless and takes about 15 minutes. During plethysmography, you sit in a clear plastic box. You wear a nose clip and breathe through your mouth in and out of a special mouthpiece.

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Lung Diffusion Capacity

A lung diffusion capacity test measures how well oxygen moves from your lungs into your blood.

This test is similar to spirometry. You breathe into a tube attached to a machine. The test can help diagnose a disease of the blood vessels between your heart and lungs and show the amount of damage done by a disease such as emphysema, a disease in which your air sacs are gradually destroyed.

Bronchial Provocation Test

If you have asthma, you know that triggers such as exercise, smoke, and dust can suddenly make breathing difficult. A bronchial provocation test can help diagnose asthma. Your doctor can also use it to help measure how severe your asthma is.

During the test, you inhale a medication that makes your airways narrow. Then you take a spirometry test. You do this several times. Your doctor will use the readings to learn how much your airways narrow during an asthma attack.

Cardiopulmonary Exercise Stress Test

This test measures lung and heart strength. It’s usually given to people who may have heart disease or lung problems. Sometimes these conditions show up only during exercise.

During the test, you walk on a treadmill or a ride a stationary bicycle. The doctor keeps an eye on your heart rate as your heart beats faster and faster. You’ll breathe into a tube that measures your lungs as they work harder.

Pulse Oximetry Test

This painless test measures how much oxygen is in your blood. The doctor clips a probe to your finger, your earlobe, or another part of your skin. The device uses light to measure the level of oxygen in your red blood cells.

Arterial Blood Gas Test

This test measures the levels of gases like oxygen and carbon dioxide in blood taken from one of your arteries.

You’ll typically go to a hospital or your doctor’s office for an arterial blood gas test. A nurse or technician will use a needle to take the blood, probably from your wrist. It might hurt, and you could bleed a bit where the needle went in.

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Fractional Exhaled Nitric Oxide Test

When you have certain kinds of asthma, you might have high levels of a gas called nitric oxide in your body. The fractional exhaled nitric oxide test measures how much of it is in the air you breathe out.

For this test, you breathe out slowly and steadily into a tube that’s connected to a portable device.

How Do I Get Ready for Pulmonary Function Tests?

  • Take your medications before your test unless your doctor tells you not to.
  • Don’t smoke before the test; ask your doctor how long before the test you should stop.
  • If you use a short-acting inhaler, try not to use it for 6 to 8 hours before the test. If you do have to use it, let your doctor know before the test.

PFT Risks and Benefits

Pulmonary function tests are usually safe. You can go back to your normal activities afterward. Most tests take 15 to 30 minutes.

If you’ve noticed that you’re short of breath, ask your doctor about having a lung function test soon.

Lung function tests are important, whether you’ve already been diagnosed with a breathing problem or you think you may have one. They can be the first step toward breathing easier.

WebMD Medical Reference Reviewed by Paul Boyce, MD on September 17, 2019

Sources

SOURCES:

American Thoracic Society: “Pulmonary Function Tests.”

National Heart, Lung, and Blood Institute: “What are lung function tests?” “What are the risks of lung functions tests?”

Mayo Clinic: “Spirometry: Results,” “Nitric oxide test for asthma,” “Pulmonary fibrosis.”

Cleveland Clinic: “Body Plethysmography (Pulmonary Function Test).”

Hospital for Special Surgery: “Pulmonary Issues and Lupus.”

Lung Foundation of Australia: “Lung Function Tests.”

American Lung Association: “Emphysema,” “Lung Function Tests,” “Pulse Oximetry.”

Johns Hopkins Medicine: “Pulmonary Function Tests,” “Pulse Oximetry.”

Journal of Medical Implants and Surgery: “Invasive and non-invasive procedure.”

American Thoracic Society: “Pulmonary Function Tests.”

Journal of the American Board of Family Medicine: “Puzzling Dyspnea Caused by Respiratory Muscle Weakness.”

Lab Tests Online: “Blood Gases.”

Michigan Medicine: “Arterial Blood Gases.”

American Academy of Allergy Asthma and Immunology: “What is a FeNO test?

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