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What is the severity of having lung disease in the upper and lower lobes?

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Practicing since : 1979
Answered : 920 Questions
My consultant said he can no longer treat my lung disease as its in the upper and lower lobes what does this actually mean ? It's emphysemia and don't know long it means I have got left?
Posted Sun, 12 Jan 2014 in Lung and Chest disorders
Answered by Dr. Shashi Dangwal 40 minutes later
Brief Answer: It may mean that your disease is advanced. Detailed Answer: Hello XXXX, Your doctor may mean that your disease is advanced and it may be becoming difficult to control the symptoms. But you have not mentioned any thing about your symptoms and their severity. Or may be doctor is exasperated and trying to stress the importance of quitting smoking because that remains the first and foremost part of treatment of emphysema/COPD. Before elaborating any further it is important to know about your general condition so you may post your symptoms in this forum and i`ll try and answer them.
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Follow-up: What is the severity of having lung disease in the upper and lower lobes? 3 hours later
My symptoms are breathless, coughing, pain in chest due to coughing, no appetite and chronic fatigue daily and am 46 f have worked in pubs clubs etc all my adulthood as well as a regular smoker trying to stop aswell as told its in the upper and lower lobes basically it was all sort of honeycombed! Thank you XXXX I also was given ling age of 76yrs
Answered by Dr. Shashi Dangwal 12 hours later
Brief Answer: Your disease does seem to be advanced. Detailed Answer: From your symptoms and description of chest x ray/ct scan findings, your disease does seem to be advance and it may be difficult for your PCP to control the symptoms. Still you must make an all out attempt and quit smoking straightaway as this is the most important step in the management of your disease. You must continue with your inhalers and other treatment as presribed by your PCP. Preventing episodes of acute excerbation is equally important. Do some deep breathing exercises and some physical exercise like walking for gradually increasing distances. In very advanced stages there is option of domicilliary oxygen therapy or non invasive ventillation. For this you may have to consult a pulmonologist.
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