Medical Forum / Diseases and Disorders / Cancer / March 2006
DO I have Lung Cancer? Please check my symptoms
|
|
Thread rating:  |
Theodore Baldwin Boothe III - 20 Feb 2006 19:49 GMT PREFACE: I am in my 30s and have smoked more than 17 years at more than 1 1/2 packs per day. BUT Please read all I have to say about my symptoms. I obviously need to stop smoking but please read on.
I have gone to the ER once because of severe left-sided chest pain and the doctor said it was "pleurisy" and I received a breathing treatment and was given an inhaler which lasted about 2 weeks. I have also, in the last 10 years, received about 20 x=rays from my primary doctor and each time he says there is nothing showing any signs of lung cancer [last x-ray was about 1 1/2 years ago]. My doctor has, because of weezing, given me inhaler of all kinds over the years. He always comments on how excessive the weezing is in me. I have , since my teens, had about 8 cases of Bronchitis, and each time it is worse than the previous case.
Symptoms Now: 1. Weezing - it is very bad, I can be talking and it sounds like a whistle is in my throat. Coughing really hard does not make it much better. 2. Extreme pain between shoulder blades - much more common when waking up and the pain only goes away after about 4 or 5 hours. Narcotic's help but not much. 3. VERY excessive amount of coughing [90% priductive/10% unproductive] usually is really bad the 2 or 3 hours before I wake up. I probably cough more than 100 times a day now. 4. UNABLE to finish a long sentence. When saying a sentence I frequently am unable to finish without pausing to get another breath to finish the sentence. The sentence at the end is usually like I end it in a whisper and then need a break to finish the sentence. 5. Out of breath - I can do something as simple as get up from a chair and walk 20 feet and be out of breath to a degree. 6. Sudden violent inhalation of Air - 5 or more times a day I will suddenly inhale really deep. It is almost like some kind of muscular contraction in my lungs. I can be doing anything and this will happen to me. When I do this, people who witness it say it is similar to what a person does right after holding their breath or coming out from under water for a period of time. 7. Jaw and Neck pain - I have about 3 days a week of very severe pain in the left side of my head. Mostly the ear and jaw area extending down to my left side of my neck. This is very painful and only a narcotic or heat to the area makes it go away. 8. Seeing stars - I can literally look/stare across a room and see tiny swimming stars that look like pieces of rice in a petree dish. I do not have any ocular disorders. 9. Weight gain - In less than Year I have gained 90 pounds. 10. Heart palpitations - this has gotten worse nearly every month. Even lying down makes it worse. It is as though my heart is beating 200 beats per minute. It is very frightening and most times I have to get back up and then try later to return to bed. 11. Dizziness - I get very dizzy when standing up/standing or walking for more than 20 minutes. Although my head will be still it appears that I am turning my head left to right in a fast motion. Doesn't go away unless I sit/lay down.
So, in anyone's opinion does it seem I have lung cancer or any other disorder?
If you do think I do then can you give me an idea of how to explain all this to my doctor so that he orders the right tests? He had only done x-rays and I have read where that test can sometimes only detect stage 4.
Thanks for your input.
J - 20 Feb 2006 20:21 GMT > PREFACE: I am in my 30s and have smoked more than 17 years at more > than 1 1/2 packs per day. [quoted text clipped - 9 lines] > He had only done x-rays and I have read where that test can sometimes > only detect stage 4. We can't diagnose here. I read it all. Sounds like you've got chronic lung disease. Ask your physician for a CT-scan. Ask him if there's one that can include between the shoulder blades. Then go read alt.support.stop-smoking for tips on how others have managed to quit smoking. They also may have an FAQ - with lists of resources etc - watch for it. Once you've read posts for a few weeks and gathered up various plans of action, if you have questions, post there to them and get moving. Meantime, the CT -scan results will probably be back. Work with your doctor on how to improve your lung function. Good luck ! J
John Richards - 21 Feb 2006 00:06 GMT I am by no means an expert on smoking-related lung cancer, but I'd guess you are too young to have it. That's not to say that what you *do* have is very serious, and that you should stop smoking immediately. Incidentally, I smoked for some 20 years (age 15-35), and luckily have no ill effects from it yet (age 65). So if you quit early enough, you may reverse what damage has been done.
 Signature John Richards
> PREFACE: I am in my 30s and have smoked more than 17 years at more > than 1 1/2 packs per day. > BUT Please read all I have to say about my symptoms. I obviously need > to stop smoking but please read on. [snip]
Salisha - 25 Feb 2006 23:25 GMT There are many different lung ailments that can have the same symptoms as yours. J is right, go and request a CAT scan from your doctor, and then get help for quit smoking. There are other ailments out there that are caused by smoking not only cancer that can have many symptoms. COPD also known as emphasyma as well as severe asthma and a whole list of others. I am not a doctor and this is just a few ailments, ask your doctor, soon. Sali
Steph - 26 Feb 2006 01:40 GMT > There are many different lung ailments that can have the same symptoms > as yours. J is right, go and request a CAT scan from your doctor, and [quoted text clipped - 4 lines] > doctor, soon. > Sali I think you might get more mileage out of a history and physical before the CT scan
J - 26 Feb 2006 11:17 GMT > I think you might get more mileage out of a history His doctor, of 10 years,. must be keeping a history.
> and physical which would be what? tapping on (areas of) the back and chest? temperature? weight? listen to heart, take pulse, what else?
> before the CT scan J
alex - 26 Feb 2006 14:42 GMT Clinical exam consists of complete history of past medical history, family history and social history. After taking this information a physical exam takes place. Each system is reviewed: a.. General Inspection a.. Head (Eyes, Ears, Nose & Throat) and Neck a.. Chest/Lungs a.. Heart a.. Abdomen a.. Urinary a.. Genitalia & Rectum a.. Musculoskeletal a.. Neurological a.. Skin
The manner a physical exam done is an art a doctor learns in medical school and is refined over the years of practice. The Physician and Advanced practice nurses,and physician assistants trained to observe. This is not something you can learn on the internet. A complete exam can take over an hour. It is not a question that can be accurately answered in a forum like this. There are books written that explains the whole process which is integrated into a program where you learn biochemistry, A&P, microbiology, etc. To comprehend the nuances of an exam you must have the background to understand.
To often patients come in diagnosing themselves, which many times is far of course. If you had a leak in your pipes, I tell the plumber what I think is wrong, I don't say this pipe needs to be replaced and expect the problem to be fixed without letting the plumber examine the area. Then if he does what I ask and the problem isn't solved I complain.
Yes, perhaps a CT Scan is in order in this situation, but for the scan to have any meaning , the physician has to write a rationale for the radiologist to follow. Furthermore, a CT scan is used to support the clinical exam. I agree with the advice a good clinical exam, and I would add with a physician you have a trusting relationship with.
My opinion is that we should not be offering any medical advice other than you need to go see a professional .When I read post here when none medical people say it could be this or tell your doctor this, it can be harmful. For many reasons, the major reason being no clinical exam can be done on the internet. And people can often look better or worse than want is written on paper. Socks is a classic example of this according to his description of the tests and symptoms.....he should have been bed bound for the past year of his life, yet he lived a productive life almost to the end. Of course we can all share our personal experiences, that is what a support group is about.
Steph - 26 Feb 2006 16:59 GMT >> I think you might get more mileage out of a history > [quoted text clipped - 8 lines] > > J My point was that approaching your doc and demanding a CT scan is putting the cart before the horse
Mike Radcliffe - 27 Feb 2006 20:57 GMT > My point was that approaching your doc and demanding a CT scan is putting > the cart before the horse But don't you find this is a common thing with patients these days? People think technology is the answer to everything and forget that many if not most ailments can be diagnosed in one session with their gp and very often scans are only needed to confirm what the doctor already knows or suspects or when an initial diagnosis fails to respond to treatment, MIKE
alex - 27 Feb 2006 23:22 GMT > But don't you find this is a common thing with patients these days? People > think technology is the answer to everything and forget that many if not > most ailments can be diagnosed in one session with their gp and very often > scans are only needed to confirm what the doctor already knows or suspects > or when an initial diagnosis fails to respond to treatment, > MIKE I think may people think reading information is equal to a clinical exam and any information posted on the internet is 100% accurate. Alex
Steph - 28 Feb 2006 01:48 GMT >> My point was that approaching your doc and demanding a CT scan is putting >> the cart before the horse [quoted text clipped - 5 lines] > or when an initial diagnosis fails to respond to treatment, > MIKE It's very common, Mike. But, as you know, common does not mean best.........
High tech tests should be used to confirm diagnoses, not make them. Otherwise we should have a public CT scan/MRI booth on every street corner.
J - 28 Feb 2006 09:11 GMT > "Mike Radcliffe" <bobbyradcliffe@optusnet.com.au> wrote in message > >> [quoted text clipped - 13 lines] > High tech tests should be used to confirm diagnoses, not make them. > Otherwise we should have a public CT scan/MRI booth on every street corner. My CT-Thorax told me about one lung (and ruled some out) and explained one back pain.
As I recall, several (or 3), over the past few years here, were told no cancer (from x-ray) but was found to be cancer (on CT). Since i can't remember who they were, I can't say if they're still clear after surgery. J
Steph - 28 Feb 2006 19:25 GMT >> "Mike Radcliffe" <bobbyradcliffe@optusnet.com.au> wrote in message >> >> [quoted text clipped - 30 lines] > they were, I can't say if they're still clear after surgery. > J CTs are wonderful things. Just not first on the list if you want a good medical opinion
turtletrot1 - 01 Mar 2006 01:38 GMT What abour the new reports on the amount of radiation in CT's and that this contributes to cancer later on? And the recommendation that MRI be used whnever possible? Cost more..but not significantly. And cuts down on health care cost in the long run. (Or that is the rationalization as reported in the press.) I think CT should not be run of the mill, CYA protocol.
Steph - 01 Mar 2006 08:33 GMT > What abour the new reports on the amount of radiation in CT's and that > this contributes to cancer later on? And the recommendation that MRI > be used whnever possible? Cost more..but not significantly. And cuts > down on health care cost in the long run. (Or that is the > rationalization as reported in the press.) > I think CT should not be run of the mill, CYA protocol. Anything has risks, including CTs and MRIs. And crossing the road, and grilling a piece of tuna......... The real issue is to balance the potential benefit against the potential risk.
CTs and MRI aren't interchangeable, they each have their own specificity and sensitivity. And the biggest danger of any test, MRI included, is the death spiral of increasingly invasive investigations which results from some minor, innocuous "abnormality" being found.
matt weber - 01 Mar 2006 21:19 GMT >What abour the new reports on the amount of radiation in CT's and that >this contributes to cancer later on? And the recommendation that MRI >be used whnever possible? Cost more..but not significantly. And cuts >down on health care cost in the long run. (Or that is the >rationalization as reported in the press.) >I think CT should not be run of the mill, CYA protocol. CT scan does indeed involve a pretty good does of radiation, in fact that is one of the issues with virtual colonscopy. You do it as a screening examination, and over 25 years, (6 such examinations) it raises the risk of Cancer substantially. It is a risk benefit issue.
If you are looking for something that if not prompty treated may kill in weeks, and you increase the lifetime risk of cancer a little, that is reasonable risk benefit ratio. However screening examination that involve such high doses of radiation are probably a bad idea, since odds of finding anything in that is of urgent significance is low. By definition, screening tests need to carry low risks to be worthwhile. If the test carries a greater risk than the problem it is supposed to be able to find, it is a bad risk benefit ratio.
Hopefully as better detectors are designed, and better software developed it may be possible to substantially reduce the radiation exposure from a CT scan, but isn't going to happen tomorrow.
bj - 01 Mar 2006 23:40 GMT > CT scan does indeed involve a pretty good does of radiation, in fact > that is one of the issues with virtual colonscopy. You do it as a > screening examination, and over 25 years, (6 such examinations) it > raises the risk of Cancer substantially. It is a risk benefit issue. If you have virtual colonoscopy, and they continue to find nothing, why would you still have them so often? And if they find something one time (or you have some real symptoms), why would you have a "virtual" the next time?
When I had my first colonoscopy (a "real" one), I wouldn't have needed to go back for another for 10 years if they hadn't found (*and removed* -- which they can't do on "virtual") polyps -- even so, I didn't have to go back for 3-5 years (I went at a bit less than 5) -- nothing found then, so return in 5 years. bj
clifto - 02 Mar 2006 01:23 GMT > What abour the new reports on the amount of radiation in CT's and that > this contributes to cancer later on? And the recommendation that MRI > be used whnever possible? When I was a kid, the shoe stores had x-ray machines for checking the fit of shoes. Personally, I'm just waiting for the other shoe to drop (so to speak) regarding the effects of multi-thousand Gauss fields on the body.
Then again, I'm old enough to remember that a lot of information available from CT and PET and MRI used to involve exploratory surgery and week-long hospital stays. And since I neither glow in the dark nor attract passing automobiles, I let the doctors decide.
 Signature All relevant people are pertinent. All rude people are impertinent. Therefore, no rude people are relevant. -- Solomon W. Golomb
Figgertoes - 02 Mar 2006 03:21 GMT > When I was a kid, the shoe stores had x-ray machines for checking the > fit of shoes. Personally, I'm just waiting for the other shoe to drop > (so to speak) regarding the effects of multi-thousand Gauss fields on > the body. clifto,
I'd forgotton about those glowing green things. And they gave me a free dyed chick with my Easter shoes. And we didn't live on a farm. I actually believed my parents when they said Pecky was going to a nice farm where he'd have more room to play:-/ Fig
turtletrot1 - 02 Mar 2006 13:57 GMT A bit off of original thought, but when I was a kid in New England radium was used on watches to glow in the dark. The women who painted the hands for these watches often wet the bristles of the brushes with their mouths. There was quite a fall out from that. (Waltham Watch.) I think Stephs answer was not quite on the mark. I did not make up the information. I read about it in a reliable medical source. Guess I will have to bookmark such articles. And who grills Tuna these days?? (Mercury??)
figgertoes - 02 Mar 2006 21:15 GMT I
And who grills Tuna these days??
> (Mercury??) Maybe that's the risk he alluded to?
J - 02 Mar 2006 21:38 GMT > And who grills Tuna these days?? > > (Mercury??) > > Maybe that's the risk he alluded to? A friend of mine uses a crockpot. Her boss gave it to her. She likes it so much, she bought a bigger one and makes (freezable) batches of soups and stews. She places foods into it at lunch and when she comes home from work, dinner's ready ! J
figgertoes - 02 Mar 2006 23:47 GMT > A friend of mine uses a crockpot. Her boss gave it to her. > She likes it so much, she bought a bigger one and makes (freezable) > batches of soups and stews. > She places foods into it at lunch and when she comes home from work, > dinner's ready ! > J Thanks for reminder. Haven't done lately. I sometimes use & it's great to come home to aroma of food cooking, like I have a wife! However, what goes in at 8 AM stays there until I get home usually at least 10 hours later. I have a programmable one that keeps food warm after cooked, but I still have to be careful.
Something that always works - make a pot roast. Pull some out for 1st meal. Then shred everything in the pot, juice & all, with 2 forks. Add BBQ sauce & you have a very different leftover. Eat on bun. Usually Socks wanted the BBQ both nights. Fig - thinking of making Calico Beans
J - 03 Mar 2006 22:26 GMT > Thanks for reminder. Haven't done lately. I sometimes use & it's > great to come home to aroma of food cooking, like I have a wife! > However, what goes in at 8 AM stays there until I get home usually at > least 10 hours later. I have a programmable one that keeps food warm > after cooked, but I still have to be careful. Ah, yes. Now I remember why I stopped using mine. Now I can't find it. We spend more time searching any given day; another internet rumour. :p
> Something that always works - make a pot roast. Pull some out for 1st > meal. Then shred everything in the pot, juice & all, with 2 forks. > Add BBQ sauce & you have a very different leftover. Eat on bun. > Usually Socks wanted the BBQ both nights. > Fig - thinking of making Calico Beans sounds like a gas. Let us know how it turns out. Hugs J
|
|
|