Cough with blood and right chest pain examination

Coughing is a common phenomenon in life. Colds can cause coughing, bronchitis can cause coughing, and lung diseases can also cause coughing. So if you keep coughing, you must go to the hospital for treatment in time, otherwise you may be infected with tuberculosis, especially if you cough up blood during the coughing process and it is accompanied by some chest pain. So what should you check if you cough with blood and have right chest pain?

Common symptoms include:

(1) Cough: It is a common symptom of lung cancer at the onset, especially in the central type. The characteristic of lung cancer cough is choking cough, without sputum or with only a small amount of white foamy sputum. If it grows near the common bronchus or carina, the choking cough will be more severe and difficult to control with antitussive drugs. The tumor grows on the tiny bronchial mucosa and may cause no cough or little cough. The cough caused by lung cancer is often masked by chronic bronchitis or smoky cough. If the nature or pattern of your usual cough suddenly changes, you should be alert to the possibility of lung cancer.

(2) Coughing up blood or coughing up blood in sputum: Hemoptysis is a common symptom of lung cancer. It is mainly caused by rupture and bleeding of the tumor surface growing on the bronchial mucosa, and is common in central lung cancer. Its characteristics are intermittent small amounts of blood in sputum, with more blood than sputum and the blood is fresher, and severe hemoptysis is rare. The duration of hemoptysis varies, from one to several days, and it may disappear on its own without treatment. In the elderly, the bleeding may last for several months and is difficult to stop despite treatment. This is often caused by central necrosis, dissolution and bleeding of peripheral lung cancer.

(3) Fever: Many patients are diagnosed with lung cancer after experiencing recurrent fevers that they mistake for colds or bronchitis. Half of the patients are first diagnosed with bronchial infection or segmental pneumonia. Although their symptoms improve after treatment, the lesions are not completely absorbed or recur, and a clear diagnosis is made only after a comprehensive examination. The causes of fever are: one is bronchial obstruction, retention of inflammatory secretions, and infection; the other is cancer fever, which is caused by the release of pyrogens by the tumor itself, or metabolic products stimulating the body temperature center. The former is effectively treated with anti-infection therapy, while the latter requires anti-inflammatory drugs and corticosteroids to reduce fever.

(4) Chest pain: It is a characteristic of lung cancer. Fixed-position chest pain or dull pain is often a reflection of the presence of cancer in the corresponding part of the lung. In particular, persistent, severe, and sharp pain indicates that the pleura, chest wall, and ribs have been invaded. This is more common in small cell lung cancer. There are also migratory and fixed pains in the muscles and bones throughout the body. Examination shows no positive physical signs. This is due to the late stage of the disease and the stimulation of cancer toxins.

(5) Dyspnea: When the tumor grows at the bronchial orifice, the lumen is blocked, resulting in ventilation dysfunction or atelectasis, manifested as shortness of breath or dyspnea. This symptom may also occur when there is pleural metastasis accompanied by pleural effusion. 2. Symptoms and signs of tumor compression and metastasis: If the tumor compresses or invades the recurrent laryngeal nerve, the vocal cord will be paralyzed; if the tumor compresses or invades the superior vena cava, dizziness, blurred vision, chest tightness, edema of the head, neck, chest and back, and dilation of skin capillaries may occur; if the tumor metastasizes to the mediastinum and compresses the esophagus, it may cause dysphagia; when the tumor invades the seventh cervical vertebra or the outside of the first thoracic vertebra, cervical sympathetic ganglion compression syndrome may occur (sunken eyeball on the affected side, drooping upper eyelid, constricted pupil, narrow palpebral fissure, higher skin temperature on the upper chest and face on the affected side, and no sweat); brain metastasis may cause symptoms of intracranial hypertension, headache, dizziness, and vomiting; metastasis to the pleura and pericardium causes effusion, which can cause chest tightness, shortness of breath, low and distant heart sounds, weakened breath sounds on the affected side of the chest, and dull percussion sounds; metastasis to the bones, in the later stages, severe pain may occur; metastasis to the spine, compression of the spinal cord can cause paraplegia; metastasis to the liver, symptoms and signs of liver cancer will appear. When lung cancer reaches the late stage, its prognosis is mostly complicated by infection, respiratory dysfunction, right heart overload and heart failure. If you feel that this is similar to you, then you should go to the hospital for a check-up and receive timely treatment.