Doctor insights on:
Going In This Week For A Bronchoscopy With Biopsy Does This Hurt
No: When we perform flexible bronchoscopy we administer IV sedation and pain medications. We also use local numbing agents to make the procedure more comfortable. Despite taking multiple biopsies, almost all patient report no pain or discomfort. In fact, they do not remember the procedure due to some of the anxiolytics that they receive. Some mild local throat irritation may occur for 24-48 hour. ...Read more
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
No: Bronchoscopy is one of the main procedures performed to obtain tissue or fluid to help with diagnosis. Other procedures include ct guided biopsy as well as close radiologic follow up of ct or cxr abnormalities. The fact that you are undergoing bronchoscopy does not in itself suggest anything other than a need to obtain tissue to help your doctor with the diagnosis. ...Read more
Going in this week for a bronchoscopy with biopsy. Does this sound risky? Chances of bleeding inside?
Hard to say: Bronchoscopies are typically very safe. However, I don't know your circumstances. Some conditions will increase the chances of complications. ...Read more
How long does a kid stay typically inpatient after a lung biopsy during bronchoscopy for a trached 7yo? (crappy breathing, otherwise "ok")
Variable: A bronchoscopy with or without biopsy is fairly straightforward. The general description you've provided suggests a child that at baseline is chronically ill. Chances are the length of stay is more a matter of how long the child needs to recover from anesthesia in relation to baseline breathing challenges. Often this can be over night or it can be several days in a chronically ill child. ...Read more
Is it ok to be on treadmill after mediastinoscopy surgery and bronchoscopy w/lymph node biopsy? I was in treadmill for 1/2 hour yesterday&miso me pain
It is okay to exercise as you can tolerate. Exercise is likely to help in your recovery.
Wish you good health! ...Read more
Found 7mm bilobed Peripheral nodule, what is bilobed ex heavy smoker. Pulmonologist wants to do bronchoscopy with BAL and biopsy could it be cancer?
See below: I think a biopsy of a 7mm nodule would be very difficult to hit. Even using ENB and going right to the nodule, it would be difficult for a good sample at 7mm. Usually 1cm is the cut off for biopsy using guidance. I don't think it would be possible to biopsy something even 1cm without guidance unless you were just super lucky. ...Read more
Bronchoscopy with biopsy of lung nodules was done, biopsy result shows normal bt bronchial washing shows poorly differentiate cancer, confused?
See below: I'm not sure how your procedure was done, but nodules can be very difficult to biopsy, depending on size and if any type of imaging guidance is used. So in your case, the biopsy may have only gotten normal lung tissue and the nodule itself wasn't biopsied. The washing gets a large area - normal tissue and where the nodules are. It is sent for cytology. the Biopsy would be for histology. ...Read more
Chest xray showed something. Ct scan clear. Unable to do bronchoscopy today as I couldn't stop gagging. What's next? Got to wait a week to see doctor
Yes: I have seen 2 awake bronchoscopies. Both were on patients that were so hypoxic, if they were put to sleep, they would have likely ended up on the ventilator. Both patients did fine. Also, I talked to an attending once that had a bronch done while completely awake just so they could go to work when it was done. ...Read more
Usually, patients will have a sore throat for a few days. If biopsies are done, there may be some small amounts of blood coughed up for a few days.
There is a chance of puncturing a lung with the biopsies if those are done. This potentially will require a chest tube and a stay in the hospital. There's also the chance of severe bleeding depending on what's done during the procedure. ...Read more
Yes: If biopsies were performed, a day or two of coughing up small amounts of blood is completely normal. If not biopsies were done, this isn't normal. Or if it's more than just a small amount, like less than a teaspoon per day. ...Read more
Diagnosis/Therapy: Bronchoscopy is one of the main procedures performed by pulmonologists to help in the diagnosis of lung disease. Inspection of the airways is performed. Sometimes fluid or tissue is obtained for further analysis. Bronchoscopy can also be used for treatment of lung cancer, narrowing of the airways, and other lung problems. ...Read more
No it cannot: A bronchoscopy is useful for identifying that wegener's is affecting the lungs but it will not tell you the cause. Wegener's is in a class of conditions known as autoimmune. This is where the body does not recognize its own cells as being "self". In turn an immune response causes inflammation in the lungs, eyes and sinuses (the classic locatioins in the body to be affected by wegeners). ...Read more
Lung vs gi tract: Bronchoscopy is the study where they look into your lungs with a bronchoscope. Endocopy, a non-specific term, usually refers to the procedure of looking into your GI tract (stomach, intestines). But, in general, endoscopy is any study that looks inside your body, so a bronchoscopy is a type of an endoscopy... ...Read more
Can I choke during a bronchoscopy? I am being sedated and scared if I start coughing I will start coughing and choke
Choke & Bronchoscopy: As part of the preparation for bronchoscopy you should not eat for at least 7 hours. The only thing that can get you into trouble is if you vomit up food during the procedure. The physician will spray your throat with local anesthetics so that it will block your reflex to cough/choke. This works well and you should not worry. ...Read more
Yes: This is very often why a bronchoscopy is done. It can be used to directly visualize the airways. It can also be used to perform biopsies of either visualized areas of the lung and airways or areas more peripheral. There is also endobronchial ultrasound and electromagnetic navigational bronchscopy now available. ...Read more
Thoracentesis is when fluid is removed from the space between your lung and the chest wall with a needle - usually done to relieve pressure, or send a culture.
Bronchoscopy is done to look inside your airways with a camera (bronchoscope). It is done for numerous reasons: clean up secretions, look at anatomy, investigate tumors, obtain biopsies, and others. ...Read more
Pulm or Gen Surg: Pulmonologists do the bulk of bronchoscopy; however, most general surgeons have some training in bronchoscopy and should be able to perform one. Most sophisticated bronchoscopic procedures (ebus, transbronchial biopsy, etc) will be performed by a pulmonologist. Any physician can refer someone for an evaluation for bronchoscopy - but only the person doing it can "order" it. ...Read more
Depends: Bronchoscopy is an useful tool to answer some clinical questions. In the context of asthma it is useful to answer questions such as difficult to control asthma, unexplained and difficult to control cough. These are some of the indications. In highly selected patients bronchial thermoplasty (via a bronchoscope) is a procedure that is offered to aid in control of very severe persistent asthma. ...Read more
Depends: On why it's done. If it's to clean out a mucous plug, then usually just suctioning. If it's done to look for infection, then maybe a bronchioalveolar lavage (BAL) and potentially biopsy. If its done looking for cancer, then biopsies and BAL. Brushes are also commonly done to get the lung tissue cells to be looked at for cancer. ...Read more
Not much: Today most bronchoscopies are done with topical anesthesia and under moderate sedation (drugs that make a person very groggy but do not completely knock them out). Frequently there is some coughing but most people tolerate this procedure well and some do not remember the procedure afterward at all - "ready to go doc" after it is over is not an uncommon outcome. ...Read more
Airway examination: Bronchoscopy is a procedure to visually examine inside of the airways (trachea, bronchii). This can be done using a rigid bronchoscope or flexible fiber-optic scope. It can be used to obtain samples such as washings (bal) and biopsies for diagnosis. There are also therapeutic interventions that can be performed. ...Read more
Bronchoscopy is a procedure to visually examine inside of the airways (trachea, bronchii). This can be done using a rigid bronchoscope or flexible fiber-optic scope. It can be used to obtain samples such as washings (bal) and biopsies for diagnosis. There are also therapeutic interventions ...Read more
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