Doctor insights on:
Emphysema Barrel Chest
No: A pigeon chest is a deformity of the sternum in teenagers called pectus carinitum or excavatum. These are usually not responsible for any symptoms but are mostly cosmetic. A barrel chest is the result of COPD or emphysema and is an over expansion of the lungs from smoking resulting in the entire rib cage billowing out ke a barrel. ...Read more
COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more
Hy doc. I have barrel chest in my left chest and copd. Can I fix my chest to normal with surgery? Or can it fix by go to the gym? Thank you
Barrel chested" is a term used to indicate increased chest diameter due to hyperinflation. It is commonly seen in copd?
Yes..: Barrel chest, when present, is most commonly seen in copd. But, patients can have COPD without being barrel chested. ...Read more
I am 45 n have moderate emphysema COPD for 3 yrs. For the past 3 months I have been havr bad chest pains different from normal pressure also pain in?
Serious: This needs to be evaluated by a physician. You are at risk for cardiovascular disease (heart attack) as well as worsening lung disease. ...Read more
Yes: Emphysema can occur with a normal chest xray. Mild changes may only be visible with ct scan, however the underlying physiologic abnormality with emphysema or COPD is diagnosed with pulmonary function tests which measure lung function and involve breathing into a device which can measure aspects while breathing. ...Read more
What could cause emphysema -like changes on chest xray that isn't emphysema? 58 yr old never smoked
What could be causes of stabbing chest pain with deep breaths? Patient is 86, with MDS, emphysema, & osteoporosis. Started after vertebrate surgery.
Chest pains: Stabbing or shooting chest pains with deep breaths are often caused by pinched intercostal nerves which run between 2 ribs. They can also occur with rib fractures or bruises, pleurisy, pulmonary blood clots or pneumonia. A spot xray or bone scan would spot a rib fracture which could occur in this patient with osteoporosis and COPD. ...Read more
How can a person who never smoked nor had exposure to 2nd hand smoke, have no symptoms yet show emphysema changes on chest xray? 58 yrs old
How to treat alpha1-antitrypsin deficiency/emphysema? I go to the er alot due to my chest can this condition do that or is it something else
Chest CT w/o contrast clear 7th jan, urge to take a deep breath every 30 seconds. Gets better when I lie down straight. Smoker... Cancer? Emphysema?
Impossible to say: With a normal ct a few weeks ago, lung cancer is unlikely unless it is inside a bronchus. Most causes of shortness of breath get worse when lying down. Your doctor should do pulmonary function tests in addition to a complete history and physical examination. If symptoms persist, you need a full cardiac/pulmonary workup, and consider anxiety/depression related issues if neg. ...Read more
Double pneumonia 3 yrs ago. Bad chest infection 3 months ago. CT scan showed 1.6cm enlarged hilar lymph node & emphysema & unchanged 3 months later.?
Repeated pneumonias: For a non-smoker getting emphysema (COPD) and then recurrent pneumonia raises some questions. Any history of travel to Asia or Africa? Specifically reasons to suspect TB? Also weight loss and or night sweats will sway me to get a biopsy of that hilar node. If the answer is No to above questions then simply repeating the CT scan after 6 months may suffice. Talk to a pulmonologist (lung doc). ...Read more
Seeing pulmonarologist tomorrow for sob. Chest x-ray, EKG and blood work all normal. Could it be asthma, COPD or emphysema? Gp said lungs sound clear
I have stage 2 emphysema and 4 lung nodules on a ct scan (3mm and smaller) shadow xray and CT scan. Shortness breath, chest pain, night sweats?
Your findings are of concern, and an exam documenting any lymphadenopathy is important. I would suggest seeing your PCP. Your symptoms may also be due to TB, cardiac disease, pulmonary embolism.
A virtual online appt is available for follow up and to review your HRCT.
Code: NCYHPZ ...Read more
Other way around:
Actually, lung compliance in increased in emphysema. Compliance of the lung is how "stretchy" the lung is. The more compliant the lung is, the more "stretchy" it is. In emphysema, the lung has been destroyed by smoking (most often), and thus it is more "stretchy" and can fill with air more easily.
Conditions which cause decreased lung compliance include fibrosis (scarring) and heart failure. ...Read more
My husband has been diagnosed with emphysema. His lung capacity is at 40%. Is this severe emphysema and how will it affect his life?
It really depends on which number is 40%. There are several ratios that are on a lung function test. If the fev1 number if 40% of normal, then that is severe emphysema.
How it will affect his life depends on how his symptoms are. If he is not very short of breath, then it may not affect him at all. It really depends on his functional ability. Would go see a lung specialist. ...Read more
Yes: It depends on the severity of your emphysema. There are other options as well like lung volume reduction surgery that you may be a good candidate for. Either way you need to be evaluated by a team of doctors that specialize in treating this type of conditions. Your doctor can refer you to an appropriate lung specialist who can discuss all options with you. ...Read more
Criteria...: There are specific criteria for lung transplant. If you meet the criteria, you would then be deemed eligible. You would need to be evaluated by a transplant center to see if you qualify. Since organs are not readily available, the criteria are quite strict, including smoking cessation. See your doctor to discuss this and to proceed with referral, if it is thought that you qualify. ...Read more
Cough: Emphysema typically causes breathlessness with exertion. Cancer is silent at first, but later can cause persistent cough or even coughing up blood. Chest pain that is persistent may occur. Emphysema generally doesn't cause much coughing, unlike chronic bronchitis which often occurs in combination (copd). ...Read more
Common symptoms of emphysema include cough, wheezing, and shortness of breath. The problem with lung cancer is...many times, there are no symptoms (like coughing up blood) until it is too late. That is why lung cancer is so deadly.
And that is why smoking, which causes lung cancer, is so harmful. ...Read more
No cure: There is no "cure" for emphysema. The damage that is done is permanent, but with attention to smoking cessation, and treatment (inhaled medicine to breath easier, vaccination against pneumonia and flu, treatment of infections that involve the lung, etc.) most patients can live with the disease for many years and have symptoms controlled and quality of life improved. ...Read more
For certain patients: Lvrs is successful in regards to improved survival in a certain type of patient. It helps patients live longer who have their emphysema confined to the upper parts of their lungs on chest ct, and who have poor exercise capacity as determined by pulmonary physiology tests. To understand the role of lvrs in treating emphysema, talk to a board certified thoracic surgeon. ...Read more
COPD versus cancer: In emphysema the air sacs of the lung (alveoli) are damaged. The result is the lung "traps air in the damaged sacs and it becomes hard to exhale. The lung becomes over inflated. Breathing (getting oxygen in and carbon dioxide out) are progressively harder. In lung cancer a cell is damaged and can not regulate its growth, (ie becomes cancerous) with tumor formation. Both are linked to smoking. ...Read more