Doctor insights on:
What Type Of Doctor Can Order A Bronchoscopy
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
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
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: Bronchoscopy has many indications besides evaluation of a lung mass. Sometimes the procedure is done if you are having prolonged cough or coughing up blood. Sometimes the procedure is done to evaluate the size and patency of your airways. Sometimes it is done to retrieve a foreign body that is stuck or aspirated into the lungs (like a coin, tooth, or peanut). ...Read more
Had bronchoscopy, doc suspects not asthma, but bronchi inflamed. Seretide works well, bdt supports with min level sign of asthma, bronchoscopy can tell?
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
+ PPD test, CT scan solitary pulmonary nodule. 5mos after nodule stable/slight increase pet2.9suv bronchoscopy inflammatory no cough doc said remov?
More information is required. The pet uptake (measured in standard uptake value or suv), is low level, but not low enough to guarantee benignity. Given age and + ppd, I would suspect this could be an active granuloma.
Given your age, I would encourage consultation with a pulmonologist and full review of all your records first. Lung surgery is serious business. ...Read more
Positive methanine challenge indicating reactive airway disease for pft what's that mean? Lump feeling throat for months heavyness taking breaths. Would lung doc bronchoscopy and ent doc normal rule out something throat caused by cancer? Weak pulse
RAD: The challenge test just confirms that your airways react with some tightening/wheezing which reduces your lungs ability to move air. It is often used as a marker for asthma, RAD but beyond that tells you little. If you have had all these tests & they have not spotted a cancer, that should not be considered as a cause. If they eliminate a structural problem for your sensation it must be something else ...Read more
I have pneumoniya, finish bronchocopy, result came negativ, but my doctor want bipsy, is that nececery?
Biospy: If your doctor feels its needed it probably is needed to make a diagnosis. Important to know, do you have a mass? If you do, you need a biopsy. ...Read more
Had broncoscopy 2 months ago. Still sick. Doc wants to do another broncoscopy to clear mucus. Spent 2 weeks in hospital in April w/ pnemonia. Safe?
Basically: With all you have been though, sounds like you need the second scope. Be safe, get well. ...Read more
Should I go to the doctor? I think I jammed my finger in gym class today, but I'm not too sure. It's not swollen or bent, it just hurts a lot when I'm writing, typing or texting.
I: I would ice the finger and take Motrin or advil (ibuprofen) to help prevent swelling. Also refrain from using the finger (e.G typing / texting). If the pain does not subside in a day then have the finger examined, and if necessary x-ray'd. Even though it may not be broken, you could have sustained ligament damage. If you find that you have lost the range of motion in the finger you should seek help. ...Read more
Had bronchoscopy with washing. Woke up from sedation, with left, side of lower lip swollen blister type thing. Is this normal? Should I pop it?
Don't pop it: This probably means that something was resting on your lip during the procedure and you were unaware because you were asleep. Most likely it was a mouth guard that is typically used - to make sure you don't bite down on the scope. If you can avoid it, I wouldn't pop it. This may open it up and risk infection. ...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
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
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
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
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
Lavage fluid returnd: BAL stands for "bronchoalveolar lavage". The physician performing the bronchoscopy washed (lavaged) a part your lungs with saline & then sucked the fluid back up to try to capture microorganisms or cells that might be diagnostic. A lavage usually involves a <30 mL of saline at a time. The yield is a piece of technical data: about 50% of the fluid used in the wash was sucked back up. 60% is normal. ...Read more
I was diagnosis by bronchoscopy with trachobronchomalacia and distal bronchomalacia. What if any are my best tx options. I'm 35...?
See below: There aren't a lot of options. If you smoke, stop smoking. Then, I would look at a tertiary care center than has interventional pulmonology. You might be a candidate for a dynamic Y stent. Then, if this helps, you can be evaluated by a cardiothoracic surgeon for possible a surgical fix. If these aren't options, you may need a tracheostomy depending on the degree of symptoms you have. ...Read more
Is it still possible to have asthma with a neg methcholine challange? What if cellular changes indicating asthma is seen on bronchoscopy?
It is possible: Traditionally methacholine challenge negativity was termed as a gold standard result suggestive of absent asthma. However if the test was done while you were on asthma treatment (inhalers etc) changes the equation. In that context it could be a false negative test result. There are no diagnostic "cellular" changes in bronch due o asthma though high eosinophil count could be seen. Talk to doc. ...Read more
After a bronchoscopy my 16 mo boy still has no specific dx. They said his lungs were "smooth" &had to use hypertonic to clean out. What does this mean?
Report information: I would suggest obtaining a copy of the bronchoscopy report to clarify the details. The bronchoscopy report will include details on the appearance of the airway, which I am interpreting from your comments was normal. The procedure can include a lavage (wash out) to collect fluid to analyze in the lab. I would suggest requesting the results of the lavage for more information. ...Read more
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
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
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
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
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