Suggest Treatment For Mild Asthma
please do the chest CT
Detailed Answer:
Hello and welcome to HealthcareMagic,
I can understand your concern,
Sometimes in bronchiectasis especially in localized one, there is no specific sign and symptom and a normal lung function too. It might be your case
In bilateral bronchiectasis, the patient has a chronic wet cough with or without breathlessness, sometimes bloody sputum and in most cases low lung function.
In lung cancer, the signs and symptoms vary from chronic dry cough, blood in the sputum when the cancer is localized in the airways. If it is away from them than chest pain might be a symptom. However, there are patients free of symptoms too.
Clubbing is a sign of chronic usually lung diseases that should be screened with chest CT. But cardiac problems cause clubbing too.
So I'd recommend you to do the chest CT with contrast and after having the result we can discuss again on it further.
Regards and feel free to ask me again
Dr.Jolanda
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Detailed Answer:
Hi again,
If we exclude by examinations all other diseases which may cause finger clubbing then the last one is the inherited clubbing.
We cannot say it is inherited without prior evaluate several diseases.
I mean if you don't have any other causative factor for clubbing than you may have inherited it
Hope this info helps you. Feel free to ask further.
Regards
Dr.Jolanda
Also, about an hour after I lay down to go to sleep, I choke on and then spit up a great deal of mucus. (Not every night, but frequently.) Is that a symptom of some kind of bronchial problem (i.e, bronchiectasis) or could it be allergy related? (which is what my dr. seems to think) Hi Dr. J.
Although my fingers are clubbed, my pulse ox is 98% (read from a fingertip pulse oximeter). Is that a good sign? (I need some good news.) Thank you.
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Detailed Answer:
Hi again,
Yes, this is a good sign for the lungs.
However, if your doctor has said that nothing problem with your lungs don't worry so much because he knows your clinical picture better.
And the clubbing you most likely have inherited it.
Regards
Dr.Jolanda
But one more question about clubbing. After researching the tests for clubbing online, I see that when I do one of the tests, I still have the XXXXXXX window between my index fingers. Does that potentially mean I do not have clubbing, and all of the worrying has been for naught?
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Detailed Answer:
Hi
Usually asbestosis appears after 20-30 years of exposure.
There are three grades of digital clubbing.
It depends on what grade is your clubbing.
Dr.Jolanda
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Detailed Answer:
Hi again,
Yes, a severe(advanced) clubbing might be inherited.
But the severity of clubbing may or may not be directly related to the severity of the health issue.
Dr.Jolanda