These stimuli can include methacholine, histamine, and distilled water. This feature is characterized by increased bronchoconstriction reactions in response to stimuli that should not elicit so strong of response. The term reactive airway disease originally began to appear in medical literature in the 1980s in reference to asthmatic patients with hyperactive airways, which is a common feature of asthma. Terminology It is common to see RAD incorrectly used as a synonym for asthma Unlike RAD, reactive airways dysfunction syndrome is recognized by multiple societies as a real clinical syndrome, including the American Thoracic Society and the American College of Chest Physicians. ![]() RAD can be confused with reactive airways dysfunction syndrome, an asthma-like disorder that results from high exposure to vapors, fumes, and/or smoke. Other problems that healthcare workers have with the use of the RAD label include its exclusion in the International Statistical Classification of Diseases and Related Health Problems, which can lead to billing issues in hospitals and other health care facilities, and the creation of a fabricated sense of security when using it has a diagnosis. There are also concerns with overtreatment and undertreatment with RAD amongst physicians, since there is little formality with the label. Since RAD is not recognized as a real clinical diagnosis, its meaning is highly inconsistent and may cause confusion and misdiagnosis within the medical community. ![]() More generally, there is controversy over the use of RAD as a label in the healthcare setting, largely due to the ambiguous definition that the term has. While some physicians may use RAD and asthma synonymously, there is controversy over this usage. Physicians most commonly label patients with RAD when they are hesitant about formally diagnosing a patient with asthma, which is most prevalent in the pediatric setting. Symptoms may also include, but are not limited to, coughing, shortness of breath, excess mucus in the bronchial tube, swollen mucous membrane in the bronchial tube, and/or hypersensitive bronchial tubes. ![]() Individuals who are typically labeled as having RAD generally have a history of wheezing, coughing, dyspnea, and production of sputum that may or may not be caused by asthma. An exact definition of the condition does not exist. Reactive airway disease ( RAD) is an informal label that physicians apply to patients with symptoms similar to those of asthma. Medical condition Reactive airway disease
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