Smoking is one of the leading causes of chronic lung disease, yet many smokers feel “normal” until significant lung damage has already occurred. This case study from our hospital in Pune highlights how a simple spirometry test helped detect early lung function changes in a smoker—before symptoms became severe.
Patient Background
A middle-aged male patient from Pune visited our hospital with complaints of:
- Occasional breathlessness on exertion
- Long-standing morning cough
- Reduced stamina during daily activities
He had a smoking history of over 15 years. He had never undergone lung function testing earlier and had no known diagnosis of asthma or COPD.
Why Spirometry Was Advised
In smokers, lung damage often progresses silently. Spirometry is the most reliable test to:
- Assess lung airflow and capacity
- Detect early airway obstruction
- Diagnose smoking-related lung diseases such as COPD
Considering his symptoms and smoking history, spirometry was advised at our pulmonology department.
How the Spirometry Test Was Performed
The test was carried out under expert supervision to ensure accuracy.
Test process:
- The procedure was explained in simple language
- The patient was seated comfortably with a nose clip
- He was instructed to take a deep breath and blow forcefully into the spirometer
- Multiple attempts were taken for consistency
- Pre- and post-bronchodilator readings were recorded
Proper guidance ensured reliable and reproducible results.
Spirometry Findings
The spirometry report showed:
- Reduced FEV₁, indicating airflow limitation
- Low FEV₁/FVC ratio, suggestive of obstruction
- Partial response to bronchodilator
These findings were suggestive of early-stage smoking-related airway disease, commonly seen in chronic smokers.
Interpretation & Counselling
After reviewing the results:
- The patient was counselled on the impact of smoking on lung health
- Smoking cessation was strongly advised
- Inhalation therapy and breathing exercises were initiated
- Regular follow-up and repeat spirometry were planned
Early diagnosis helped prevent further lung damage.
Why Smokers Should Consider Spirometry
Spirometry is especially important for smokers in urban environments like Pune, where air pollution can further worsen lung health. It helps:
- Detect lung disease early
- Monitor disease progression
- Support smoking cessation efforts
- Guide timely treatment
This case study highlights how spirometry plays a crucial role in detecting early lung damage in smokers. A simple test can make a significant difference in long-term respiratory health.
If you are a smoker or ex-smoker in Pune experiencing cough or breathlessness, a spirometry test can help assess your lung health and guide appropriate care.
