How to stop coughing and wheezing in the late stage of lung cancer

Written by Wang Chun Mei
Pulmonology
Updated on November 03, 2024
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Lung cancer is a relatively common type of malignant lung tumor clinically. Due to the different specific types of lung cancer in different populations, the symptoms experienced by patients also vary. In the early stages of lung cancer, symptoms are generally characterized by irritative dry cough, hemoptysis, breathlessness, and chest tightness. As the tumor grows and metastasizes, patients in the later stages may experience varying degrees of coughing, wheezing, and expectoration. For such patients, the first step is to provide appropriate anti-infection treatment and oral administration of antispasmodic drugs. Inhalation of medications that relieve bronchospasm can also be chosen, both of which can achieve a certain effect in relieving cough and easing breathing.

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Written by Han Shun Li
Pulmonology
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Is coughing up blood lung cancer?

Everyone knows that lung cancer can cause coughing up blood, but does coughing up blood necessarily mean one has lung cancer? It should not be interpreted this way. Although lung cancer can cause coughing up blood, there are many reasons for coughing up blood, and it is not only caused by lung cancer. Reasons for coughing up blood can also include bronchitis, pneumonia, bronchiectasis, tuberculosis, lung abscess, and many others. Therefore, if coughing up blood occurs, it doesn't necessarily mean one has lung cancer, and there is no need for excessive worry. If coughing up blood occurs, it is important to visit a hospital in a timely manner, where a doctor can conduct checks like chest X-rays to further investigate the cause.

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Written by Wang Chun Mei
Pulmonology
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How to treat dry cough caused by lung cancer?

Dry cough is a very common symptom in clinical practice, caused by many factors which are also very complex. Some patients might clearly have lung cancer. Due to the presence of lung cancer lesions, patients can experience irritating dry cough as well as symptoms like hemoptysis, chest pain, and chest tightness. It is possible that some patients do not exhibit symptoms of dry cough, perhaps due to other causes. Therefore, for dry cough, we need to identify if it is caused by lung cancer, as it often requires surgical treatment to control the symptoms. Some patients with minor lung cancer who experience dry cough might be able to control it with appropriate medications. However, to effectively control symptoms of dry cough caused by lung cancer, surgical removal is generally necessary and is the ultimate treatment plan.

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Written by Gong Chun
Oncology
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How is lung cancer treated?

For the treatment of lung cancer, it should currently be based on a comprehensive treatment method tailored to the patient's age, specific condition, nutritional status, economic condition, and the capabilities available at the hospital. It is particularly related to the stage of the disease and the type identified in the tissue biopsy. Currently, lung cancer primarily adopts a multidisciplinary comprehensive treatment approach spearheaded by surgical intervention. Surgical treatment is the preferred method for lung cancer, but since it is a systemic disease, surgery alone cannot completely address the issue. Therefore, it must be combined with radiotherapy, chemotherapy, and other treatments in a multidisciplinary and comprehensive approach. Additionally, immunotherapy and targeted therapy are inseparable and crucial parts of integrated treatment strategies for lung cancer. If the disease is staged and involves adenocarcinoma or squamous cell carcinoma of the lung, surgical treatment is recommended followed by adjuvant radiotherapy or chemotherapy, or targeted and immunotherapy. If surgery is not possible, some supportive treatments can be considered. For small-cell lung cancer, surgery is not recommended because it offers no benefit; instead, a combined approach of chemotherapy and radiotherapy is advised.

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Written by Gong Chun
Oncology
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Symptoms of brain metastasis from lung cancer

Brain metastasis of lung cancer is caused by hematogenous spread of lung cancer to the brain. Brain metastasis typically presents with symptoms such as headaches, nausea, and vomiting, including projectile vomiting. The headaches may be severe, and there may be abnormalities in sensory perception and motor function, possibly accompanied by seizures, mental confusion, olfactory disturbances, visual impairments, and other symptoms. The specific symptoms can vary depending on the location of the metastasis in the brain. However, most patients experience headaches, nausea, and vomiting. Individual differences are significant, and it's important to analyze the specific issues and the specific areas of the brain affected.

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Written by Gong Chun
Oncology
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What tests are conducted for lung cancer?

Diagnosis of Lung Cancer: The first method can be through chest X-ray and CT scan; The second is sputum cytology examination; The third involves using a bronchoscopy; The fourth is mediastinoscopy, which allows direct observation of the enlargement of lymph nodes on both sides of the mediastinum; The fifth is to perform PET-CT, which is Positron Emission Tomography-Computed Tomography; The sixth requires a biopsy; it can be done through a transthoracic needle biopsy, or via a bronchoscopic biopsy; The seventh is the biopsy of metastatic lesions, such as subclavian lymph nodes, and lymph node metastases in the neck or axillary areas can be examined; The eighth can involve drawing cancerous pleural effusion; if there is pleural effusion, pleural fluid cytology examination can be performed; The ninth method is thoracotomy exploration; if lung nodules or lung tumors cannot be definitively diagnosed through various other methods, thoracotomy exploration can be performed.