Topic: Unexplained weight loss & lung spot; doctors wont talk?
June 17, 2019 / By Dougie Question:
A friend of mine has been going to the doctor and they found a spot on his lungs...he has not been sleeping and has lost about 20 pounds in the last couple of weeks. They point blank asked a nurse what it could possibly be, after the tests were run, and the nurse refused to talk about it. They are acting kind-of shady about it...of course the results of the test will tell, but those wont be out for a few days...anyone have any idea what it could be with these combined symptoms? One nurse did say that it could be a type of scar tissue on the lung from when he had pneumonia a couple of years ago...he is over 65 years old.
He is not a smoker so therefore no obvious reasons (other than he had pneumonia a couple of years ago) that he would have lung issues. There are no symptoms except a spot on his lung and he cannot sleep. And he has lost 20 lbs in the past couple of weeks. He had the test run a few days ago, not a few weeks, so he only has a few days to wait, but we didnt know if there might be a reason they are seeming to be so secretive.
Brent | 6 days ago
You didn't mention what were his symptoms? Why he took chest x-rays. Is he a smoker? Is he having problem away from the lungs? Weight loss and spot in the chest could due to lung cancer or tuberculosis.
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I would suggest calling the doctor, not asking the nurse. The nurse probably doesn't want to speculate; she's not qualified to guess given symptoms but no diagnosis from a doctor, unless it's something really obvious (and even then, she might be restricted, to minimize chances of lawsuits). His doctor is far better qualified to suggest possibilities, though may or may not be able to say much definite until the test results are in. It seems odd though that it has been weeks since the test and no results? I would definitely call the doctor in this case, to find out why the delay, if nothing else.
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Originally Answered: How to tell the difference in restrictive lung disease from obstructive lung disease?
Restrictive ----> reduced lung volumes
Intrinsic disease involves the lung parenchyma
Extrinsic disease involves extrathoracic involvement (i.e., neuromuscular disease)
Common symptoms are exertional dyspnea, cough, sometimes hemoptysis, some pleuritic pain.
Obstructive ----> reduced flow rates
Shortness of breath or dyspnea which usually occurs with exercise and can interfere with daily activities. In severe cases, shortness of breath can occur while resting.
Cough with or without the production of sputum.
Coughing blood (haemoptysis).
Chest pain. This may or may not be pleuritic chest pain (that is pain that worsens with the movements of breathing).
Noisy breathing, either wheeze or stridor.
Loss of appetite.
Cyanosis, a bluish discoloration of the lips, tongue or fingers.