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Doctor insights on: What Does A Pulmonary Doctor Do

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What is a pulmonary doctor?

What is a pulmonary doctor?

Lung doctor: Doctor trained in all aspects of lung disease. ...Read more

Dr. Lawrence Kessler
1 Doctor shared a insight

Respiratory (Definition)

Pertaining to the work of breathing done by the chest ...Read more


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Had an endoscopy today vomitted blood 2days ago it was clear and doctor said it could be from the lungs and need to go to a pulmonary doctor?

Had an endoscopy today vomitted blood 2days ago it was clear and doctor said it could be from the lungs and need to go to a pulmonary doctor?

Two possibilities...: There may be two possibilities in your case. Either: 1) the GI doctor missed something small like a dieulafoy's lesion or a healing mallory-weiss tear; or 2) the blood you vomited was ingested from another source like the nose, sinuses, teeth, or lungs. You need a tie-breaker opinion so I suggest talking with your primary care doctor about symptoms & risks, & allow him to direct your next step. ...Read more

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Hello. My gp found I have 2swollen nodes in my chest. Why is he sending me to a pulmonary doctor instead of a oncologist? Thanks.

Hello. My gp found I have 2swollen nodes in my chest. Why is he sending me to a pulmonary doctor instead of a oncologist? Thanks.

Determine what it is: It needs to be determined what the swollen nodes are from first. It doesn't necessarily mean cancer - it can be an infection or an inflammatory or autoimmune disease. If either of these, it's not for an oncologist. If cancer, need to know if it's lung or another cancer that spread there. Treatments are different for different cancers. Then, the oncologist knows what to do for you. ...Read more

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35 yrs old male, found multiple lung nodules 2 are 4mm should I worry, pulmonary doctor says I should not worry?

Don't worry: At your age, if you are an asymptomatic non-smoker, you should have nothing to worry about. I wonder why the radiographs were taken in the first place? You should follow the advice of your physician. Depending upon why the images were taken I may or may not be more suspicious of those nodules. ...Read more

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What should I do if I have an 8 yr old son who has asthma and his pcp or pulmonary doctor can not find out what is triggering it!?

What should I do if I have an 8 yr old son who has asthma and his pcp or pulmonary doctor can not find out what is triggering it!?

Play detective: It is not always possible to know the triggers for asthma in someone. Try watching for causes yourself. Does it follow being around a pet, going outside on high pollen count days, or when the air quality is poor, when around smoke or dust, or when a cold is starting? Does exercise, cold air or heat cause it? Keep looking for a connection and notify your doctors when you find it. ...Read more

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Fell on my back, had cat scan, revealed (2) 4mm lung nodule pulmonary doctor says I should have nothing to worry about, follow cat scan in 6 mnth?

Probably overkill: For nonsmokers, with nodules in that size range, we recommend no further follow-up. If you are smoker, stop smoking. If any follow-up is necessary, 12 months is probably all you need. ...Read more

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Extreme short of breath. My pulmonary doctor first diagnosed as asthma, then after more tests, says I have copd. How do I know it's not lung cancer?

Extreme short of breath. My pulmonary doctor first diagnosed as asthma, then after more tests, says I have copd. How do I know it's not lung cancer?

Be at peace: Say the same thing to your pulmonologist and he might order t scan of lungs 2nd opinion is worth too. Are you a smoker? Loosing wt? ...Read more

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I have an appointment with a pulmonologist (?) soon. My lungs are not fully filling with air. What am I to expect at my first visit?

I have an appointment with a pulmonologist (?) soon. My lungs are not fully filling with air. What am I to expect at my first visit?

Lung evaluation: Hi! When you first see the pulmonologist you will describe your "history" of the lung problem, then the md will do a physical exam. Other testing may be done on the first day including oximetry (oxygen test from a finger probe), pulmonary function test (breathing tests), and perhaps a chest x-ray and blood tests. ...Read more

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Can I doctor tell if a nodule is benign just by looking at an x ray? I got sent to the pulmonologist who said it was nothing to worry about I am worry

Nodules: Hi Cat45021, pulmonary nodules can show up for lots of reasons ranging from bad to nothing. Chest xrays show them in a very superficial way. In evaluating them, location, size, age of patient, prior xrays, medical and smoking history all play a role. If your doctor took all of this into account and felt it was not suspicious, then it likely isn't. A follow up xray in 6 months may be helpful. ...Read more

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I can hear faint whistling with exhalation is long but two doctors can't hear it with the stethoscope while I have it. One is a pulmonologist. Causes?

I can hear faint whistling with exhalation is long but two doctors can't hear it with the stethoscope while I have it. One is a pulmonologist. Causes?

Lung function test?: You need a lung function test to assess your problem since this may be from asthma even though the doctors couldn't hear anything. If lung function turns out to be normal, then a chest x-ray may be needed. ...Read more

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Is it possible for a pulmonologist tell if you have asthma by just listening to your lungs?

Is it possible for a pulmonologist tell if you have asthma by just listening to your lungs?

Not exactly: You exam plus your history give a lot of data; pulmonary function tests help but don't exclude or rule in the diagnosis. ...Read more

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Had a bad cough for 3 months, third time in 3 years. Doctors stumped and I've tried everything. X-rays clear and nothing works. Pulmonologist stumped.?

Had a bad cough for 3 months, third time in 3 years. Doctors stumped and I've tried everything. X-rays clear and nothing works. Pulmonologist stumped.?

Asthma: When this type of symptom complex continues to reoccur it raises the possibility that you are having an allergic reaction to something and that you are having symptoms of cough variant asthma. Your chest xray and pulmonary function tests will often be normal. It may be time to see an allergist or at least be tried on an inhaled steroid containing medication. ...Read more

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I have blood clots, that threw to bilateral pulmonary emboli, I have a pulmonologist, what other specialist should I see to be proactive in my health?

I have blood clots, that threw to bilateral pulmonary emboli, I have a pulmonologist, what other specialist should I see to be proactive in my health?

Identify cause: Establishing the cause of blood clots and pulmonary emboli is important. A good place to start is your primary care physician, who will review your medical history, perform an examination, order appropriate tests and possibly suggest a subspecialist based on the findings. ...Read more

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My laryngopharyngeal reflux is not responding to proton pump inhibitors, and my doctor recommended sending me to a pulmonologist. Why is this?

My laryngopharyngeal reflux is not responding to proton pump inhibitors, and my doctor recommended sending me to a pulmonologist. Why is this?

Need further: Laryngopharyngeal reflux = extraesophageal reflux disease (eerd), is not stopped by proton pump inhibitors (ppis). In fact, reflux of gerd and eerd is not stopped by ppis. Ppis decrease or eliminate the acid component of what is refluxed. Lifestyle changes may decrease amount and frequency of refluxing. Potential cure/stopping of refluxing is by successful surgery in appropriate patients. ...Read more

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57 year old healthy male with chronic cough, not asthma, not allergies, no pulmonary cause. Where should he go next? Chronic cough for over 5 years....Been to pulmonologist, allergist, no cause found, no medication has helped. Allergy meds, inhalers, me

Find an expert: Consider going to a center with expertise in chronic cough. Mayo may be a good option since you are in il. There are also some treatments for refractory cough that you may also be eligible for. ...Read more

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What could cause dull pain in center of chest? Saw cardiologist had stress test, cardiac ct, and echo... all ok. Also saw pulmonologist... lungs ok.

What could cause dull pain in center of chest? Saw cardiologist had stress test, cardiac ct, and echo... all ok. Also saw pulmonologist... lungs ok.

Gastro related???: Sounds like you have had a good work up already. Gastrointestinal issues such as reflux disease, esophageal spasm, gallbladder and others, as well as musculoskeletal problems such as costochondritis can cause your symptoms. It all depends on the nature of the pain and what brings it on or makes it better. Cont to follow up with you Doc until you get an answer. ...Read more

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Laryngitis 3wks ago, Flu 2 wks ago. Lotsa phlegm stuck in throat since 3wks ago. Hospital-on nebuliser, xray shows lungs expand 2 much, pulmonologist help?

Laryngitis 3wks ago, Flu 2 wks ago. Lotsa phlegm stuck in throat since 3wks ago. Hospital-on nebuliser, xray shows lungs expand 2 much, pulmonologist help?

Emphysema?: The fact that your lungs expand too much would suggest an obstructive lung disease, like emphysema and COPD. Do you smoke cigarettes? This would explain the phlegm production and the refractory nature of your symptoms. ...Read more

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Breathless. No cough/wheezing. Xray a month ago was normal, doctor suggested deep breathing. EKG/Echo10 months ago: normal. Pulmonologist said allergies?

Breathless. No cough/wheezing. Xray a month ago was normal, doctor suggested deep breathing. EKG/Echo10 months ago: normal. Pulmonologist said allergies?

Asthma: Here are just 4 possibilities
Many people feel short of breath if the nasal passages are obstructed. I assume the pulmonologist ruled out asthma and other lung conditions, a pulmonary function test can be helpful. If you are taking hormones and your heart rate is >100 then clots to the lungs are to be considered. Esophageal conditions can sometimes cause tightness that feels like breathlessness ...Read more

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Hi doctors, can you tell me what is pulmonary hypertension?

Hi doctors, can you tell me what is pulmonary hypertension?

High bp: This is high blood pressure in the arteries in the lung. It can be due to thickening of the walls of the arteries causing them to be noncompliant. (there is also pulmonary hypertension if the left side of the heart has high pressure transmitting backward but that is a different case) this pressure has to be overcome by the right heart to pump blood through. ...Read more

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Doctors said she had a blood clot in her lungs. What's gonna happen?

Doctors said she had a blood clot in her lungs. What's gonna happen?

Blood thinners: Clot determined by ct scan or v/q scan. Blood thinners are drugs of choice. Sometime a "ivc filter" may be placed.
Depends why she has clot. Need to scan legs with an ultra sound to determine cause. Also need to review medications if they caused clot.
Other causes may be inactivity and genetic factors. Need to review these questions with primary md. Depends if 1st clot or not. ...Read more

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I get nervous when the doctor listens to my lungs in case I get breathless?

I get nervous when the doctor listens to my lungs in case I get breathless?

No worries: Nervousness during a physical examination is very common. A good physician will be able to separate nervousness from the exam from something other. Some patients even get high blood pressure in the doctor's office - known as white coat hypertension. ...Read more

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If my doctor saw I have hardening of the lungs does this mean I have cancer?

If my doctor saw I have hardening of the lungs does this mean I have cancer?

?: I am not sure what you mean by "hardening" of the lungs; my guess is that this is intersitial lung disease or inflammation in the lungs; please discuss with your doctor and see if u need to see a lung specialist. ...Read more

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What kind of doctors perform pulmonary function tests and exercise stress tests?

What kind of doctors perform pulmonary function tests and exercise stress tests?

See below: Pfts are usually performed and interpreted by pulmonologists but any internal medicine trained doctor can interpret them. Stress tests are usually done by cardiologists but some internists do them as well. ...Read more