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I have had the PFT test and actually going for another this coming Tuesday. I have never used my rescue inhaler for any part of the test. As a matter of fact, the tech scheduling the test, tells me not to use any inhaler within 4 hours before the test. So I am not sure what purpose requiring the rescue inhaler has for final test results. Of course when you go outside after the test, you are subject to whatever is in the outside air. It could be pollen, dust and dander, auto exhaust, etc. All these irritate your lungs, so it is not surprising it affects your breathing. I will take my rescue inhaler with me and most likely use it after the test, but that is just normal use for me. My test is done at our local hospital. So the air quality is clean as compared to outside. I am not sure exactly what you expect the results to compare to. My last test put me in the stage 2 category. But there are days when I feel like I am in the stage 3 or worse category. Having a hard to breathe day for sure makes you feel worse than what the test results say. I don't think that will change. Have you discussed this with your medical team? I ask all kinds of questions to my medical team and they always explain everything to my satisfaction. I am very grateful for that. Take care and God Bless!