Symptoms: Should You Worry About Lung Cancer? - Pulmonology

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Symptoms of lung cancer?


Hello Doctor, I have long experienced symptoms of cough and poor cold resistance, often diagnosed as asthma.
On May 13, I had acute cold symptoms such as fever and cough, which triggered severe coughing episodes resembling asthma attacks.
Around May 25, the cough slightly eased, but I began to cough up blood-streaked sputum, accompanied by a feeling of heaviness in the left chest.
There was mild pain when coughing, and pressing on my left chest felt uncomfortable, almost like an urge to cough due to discomfort and heaviness.
After seeking medical attention, the X-ray results were normal.
Two weeks later, the blood in my cough stopped, but the heaviness in my left chest persisted, and I felt weak overall.
I experience hunger but also nausea.
The discomfort in my left chest continues with a persistent pain that feels different from the chest pain I had experienced before due to coughing.
Sometimes, deep breaths also cause discomfort in the left chest.
I have continued to seek medical care, and blood tests surprisingly showed no allergic reactions.
The provocation tests did not indicate asthma either, which differs from my previous understanding of asthma.
The doctor advised continuing asthma medication and monitoring my condition.
Since there is a family history of lung cancer, I would like to ask if I should be concerned about serious lung cancer issues given my symptoms.
Over the past six months, I have also experienced unexplained joint pain in my hands and feet, occurring for about 10 to 20 minutes at a time.
I have researched this online and am worried it might indicate an issue with my lungs or extra-pulmonary manifestations.
Do these symptoms resemble clinical tumor issues? I am very grateful for your guidance!

Ping Ping, 30~39 year old female. Ask Date: 2017/06/14

Dr. Yang Wenda reply Pulmonology


Hello: A normal chest X-ray indicates that there are no obvious lung tumors and no extrapulmonary symptoms.
Your related tests do not appear to be typical of asthma.
If the medication provides improvement, it is recommended to continue using it, as these medications can help with airway hypersensitivity.
Coughing too forcefully may cause microvascular rupture, leading to the presence of a small amount of blood in the sputum.
If the X-ray is normal, you can be reassured.
It is advised to get plenty of rest and engage in moderate exercise to strengthen your immune system.
Additionally, it is recommended to consult a traditional Chinese medicine practitioner to adjust your constitution.
Best wishes!

Reply Date: 2017/06/14

More Info


Dear Patient,
Thank you for sharing your concerns regarding your health symptoms and the potential risk of lung cancer. I understand that experiencing persistent cough, chest discomfort, and other related symptoms can be quite distressing, especially with a family history of lung cancer. Let’s break down your symptoms and address your concerns.

Firstly, it’s important to note that a cough, especially one that produces blood (hemoptysis), can be alarming. However, the presence of blood in your cough has stopped, which is a positive sign. The fact that your X-ray was normal is also reassuring, as it suggests that there are no obvious masses or lesions in your lungs at this time. However, persistent symptoms like chest discomfort, weakness, and unusual pain should not be ignored.

Your symptoms of chest tightness and discomfort, especially when accompanied by a cough, could be related to several conditions, including asthma, bronchitis, or even anxiety. Given your history of asthma, it is possible that your symptoms are exacerbated by respiratory issues rather than a malignancy. However, the sensation of discomfort in your chest and the persistent cough warrants further investigation.

Regarding your concern about lung cancer, it is essential to understand that while a family history can increase your risk, it does not guarantee that you will develop the disease. Lung cancer symptoms can vary widely, and many of the symptoms you describe, such as cough and chest discomfort, can also be attributed to non-cancerous conditions.
The joint pain and discomfort you mentioned could be unrelated to your lung symptoms. Sometimes, systemic issues or even anxiety can manifest as physical symptoms, including joint pain. It’s crucial to consider the whole picture of your health rather than focusing solely on one area.

Given your symptoms and family history, I recommend the following steps:
1. Follow-Up with Your Doctor: Continue to work closely with your healthcare provider. If your symptoms persist or worsen, further imaging studies, such as a CT scan of the chest, may be warranted to rule out any underlying issues that may not have been visible on the X-ray.

2. Consider Pulmonary Function Tests: Since you have a history of asthma, pulmonary function tests can help assess how well your lungs are working and whether there are any obstructive or restrictive patterns that need to be addressed.

3. Monitor Your Symptoms: Keep a detailed record of your symptoms, including when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider in determining the next steps.

4. Address Anxiety: If you find that anxiety about your health is affecting your daily life, consider discussing this with your doctor. They may recommend counseling or other strategies to help manage your anxiety.

5. Lifestyle Modifications: Ensure you are maintaining a healthy lifestyle, including a balanced diet, regular exercise, and avoiding smoking or secondhand smoke, as these can significantly impact lung health.

In conclusion, while your symptoms warrant attention, they do not definitively indicate lung cancer. Continuous monitoring and open communication with your healthcare provider will be key in addressing your concerns and ensuring your health is managed appropriately. Remember, early detection and intervention are crucial in managing any health issues effectively.

Take care, and I wish you the best in your health journey.

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