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What Causes Constant Chest Discomfort And Chronic Dry Cough?

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Posted on Thu, 4 May 2017
Question: Hello. Last night I went to the ER with chest discomfort and a chronic dry cough I've had for a few months. I have a history of PE's so they did a CTA and luckily my heart was good and no PE. But, they did note that I have two small indeterminate noncalcified lung nodules. The ER doctor said the pulmonologist looked at the films and said I need a biopsy. I did not meet the pulmonologist. I guess they didn't do the written report of the long findings since it was a CT for my heart. How can I get more information I can't see a pulmonologist for two Weeks. Thanks
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
After the age of 50 years, all lung nodules should be screened for malignan

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
After the age of 50 years, all lung nodules should be screened for malignancy.
And you are having chronic cough since few months.
So nodules can be due to
1. Infection
2. Malignant
3. Simple fibrotic etc.
I need more information to guide you further.
So please let me know
1. Do you smoke?
2. Do you have weight loss?
3. Do you have fever?
4. Do you have expectoration? Did you had hemoptysis (blood in sputum) in past?
All these are very important investigation deciding next step of investigation.
So please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Drkaushal85 (57 minutes later)
I am wondering why the pulmonologist who reviewed the CT said I need a biopsy without ever meeting me or talking to me. He/she only spoke to the ER doctor. Is that normal?
doctor
Answered by Dr. Drkaushal85 (12 minutes later)
Brief Answer:
No, this is not normal.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No this is not normal.
Pulmonologist should definitely examine you first, should definitely take detailed history and then should discuss about possibilities and then should reach on final conclusion.
So that was not normal.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15003 Questions

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What Causes Constant Chest Discomfort And Chronic Dry Cough?

Brief Answer: After the age of 50 years, all lung nodules should be screened for malignan Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. After the age of 50 years, all lung nodules should be screened for malignancy. And you are having chronic cough since few months. So nodules can be due to 1. Infection 2. Malignant 3. Simple fibrotic etc. I need more information to guide you further. So please let me know 1. Do you smoke? 2. Do you have weight loss? 3. Do you have fever? 4. Do you have expectoration? Did you had hemoptysis (blood in sputum) in past? All these are very important investigation deciding next step of investigation. So please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.