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Cavity - conflicting opinion
Dear Doctor, Occasional bloody sputum since 2017. Several times tb test failed. Ent checked no issues. No stomach issues.  At 2021 i got handful of blood after heavy cough from chest center after I woke up with shortness of breath, fainting and temporary right hand paralyse for 10 mins. Doctor said it's like TIA and took Chest Ct which showed cavity in lung. Checked with many pulmonologist they said either leave it free till it get developed as cavity is very small or do bronchoscopy. I have taken CT now, it shows pulmonary artery touching cavity. Pulmonologist says just do bronchoscopy, find the issue of cavity, take medicine My friend brother MD pathologist says, since pulmonary artery impacting the cavity when you get a heavy cough it will cause internal bleeding leading to mortality 50 percent . Should I correct the artery? Or just take medicine after bronchoscopy finding the issue for cavity. It's more confusing and complicated.
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Take a consultation with pulmonologist for better evaluation and treatment
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Go for bronchoscopy and rule out tb. The cavity is very small. If hemoptysis is continuing even in small amount then think about bronchial artery embolization
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go for bronchoscopy under conscious sedation with xyl neb..then get evaluated for embolisation if required..my guess is it won't be needed
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Pl consult pulmonologist and cardio thorasik surgeon with detailed history and reports and treatment taken for better evaluation and treatment.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.