You have asked some difficult and excellent questions regarding interpretation of lung function and the diagnosis of asthma. A 5% improvement after a bronchodilator does not make the diagnosis of asthma at all. However, it does not rule out the diagnosis either. It is possible that someone with asthma is doing very well at the time of testing and his or her response cannot go beyond the
normalNormal saline flush range. This can happen with people who have fairly mild asthma and their lungs are
normalNormal saline flush a good part of the time. If you feel you have asthma, the test can be repeated when you feel you are having a problem. At that time, it should be easy to determine if you have reversibility consistent with asthma.