Interstitial Lung Disease Treatments

Your Partner in Interstitial Lung Disease Care

When medication for interstitial lung disease (ILD) is recommended by one of our ILD providers, it is usually an immunosuppressive and/or anti-fibrotic drug tailored to the specific individual with a primary goal to decrease or stop worsening scarring (fibrosis) from occurring in the lungs. Ultimately, the right therapy may also improve your quality of life.

The pulmonologists (lung specialists) at Emory Healthcare have the expertise to treat your ILD. They’ll work with you to identify the therapy that will best address your symptoms. You can count on us to be with you every step of your ILD journey.

Our Multidisciplinary Approach to ILD Treatment

To ensure you experience the best outcome, we take a team-based approach to your care. The fellowship-trained pathologists, pulmonologists and cardiothoracic radiologists meet weekly to review cases of individuals with ILD. Together, we decide on the most accurate diagnosis and create a personalized treatment plan.

At Emory Healthcare, you don’t have one physician on your case. You have the expertise of an entire team.

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Treatments for Interstitial Lung Disease

There is no cure for ILD. Because lung damage may be permanent, treatment can’t always stop your condition from getting worse. Fortunately, we have many ILD clinical trials that focus on identifying new, innovative therapies. Our pulmonologists can determine if you qualify and help you learn more about enrolling in one of our clinical trials if you are interested.

To diagnose your ILD and identify the best treatment option, our experts may use one of these methods to evaluate your lung tissue:

  • Fiberoptic bronchoscopy: For this procedure, our experts thread a thin, flexible tube called a bronchoscope through your mouth or nose to your lungs. They use a small light and camera at the end of the tube to examine and assess your tissue. They can also perform a transbronchial biopsy and remove a small part of your lung tissue.
  • Bronchoalveolar lavage: During fiberoptic bronchoscopy, our pulmonologists spray—and quickly suction out—a small amount of sterile salt water into a portion of your lungs. The water they remove contains cells from your lungs that our experts can analyze to determine your condition.
  • Cryobiopsy: During bronchoscopy, a device that freezes and removes tissue is inserted into your lungs. This allows for larger and higher quality pieces of lung tissue to be obtained and examined without the need for surgery.
  • Video-assisted thoracoscopic surgery (VATS) biopsy: For this invasive procedure, we will refer you to a thoracic surgeon. During this surgery, they insert small tools and a camera through a small incision (cut) between your ribs. The camera provides a clear view while the surgeon removes a tissue sample from your lungs.

Based on the results of these evaluations, we offer a wide variety of leading-edge treatments that may help manage your symptoms:

Immunosuppressive Therapy

These medications suppress your immune system to help control your ILD symptoms by decreasing inflammation. They may also be able to slow the progression of your disease. These medications include corticosteroids, methotrexate, azathioprine, mycophenolate, and rituximab.

Anti-Fibrotic Therapy

These treatments have been shown to decrease the rate of lung function loss, and may reduce the likelihood of a flare (exacerbation) in lung disease. Anti-fibrotic medications include nintedanib and pirfenidone.

Oxygen Therapy

Using an outside source of oxygen won’t reverse or prevent lung damage. But it may:

  • Enhance your ability to exercise
  • Help you sleep better
  • Improve your breathing
  • Lower your blood pressure on the right side of your heart
  • Prevent or reduce complications from a low blood oxygen level

Pulmonary Rehabilitation

Pulmonary rehabilitation helps you return to your normal activities as much as possible. Most pulmonary rehabilitation programs focus on:

  • Breathing techniques to improve the efficiency of your lungs
  • Exercises to help you stay physically active longer
  • Nutritional counseling

Lung Transplant

If your ILD continues to worsen despite medication, a lung transplant may be your best option. In that case, your doctor will refer you to our lung transplant program.

Interstitial Lung Disease

Interstitial lung disease is a group name for more than 200 conditions that cause permanent lung scarring and shortness of breath.

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Make an Appointment with Emory Pulmonology Services

Create a MyChart account to schedule online or call 404-778-3261 to schedule an appointment.

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Make an Appointment with Emory Pulmonology Services

Create a MyChart account to schedule online or call 404-778-3261 to schedule an appointment.