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Is "his airways are constricted" or "his ariway is constricted" the right way to say it, or could you say it either way?
Correct because you do have more then one airway. The trachea (windpipe) breaks into two. The left main stem bronchus and the right main stem bronchus. Those then break off into many smaller bronchioles.
Both are quite correct. Choose whichever sounds less cumbersome, whichever one seems to flow.
nahh!! sounds fine