Waylander Posted October 5, 2007 Report Share Posted October 5, 2007 hhhhmmm not back yet? anyone got any news? Link to comment Share on other sites More sharing options...
Sparky Posted October 6, 2007 Author Report Share Posted October 6, 2007 Been to docs, but he admitted that he wasn't sure what it could be. Annoyingly, it had stopped that day. He said that he thought it could be bronchitis (sp?), but that because it hadn't done it that day (despite me coughing) that he wasn't going to go down that route, so as soon as it happens again (which it did but some time later), I've to go back. He did stress he was clutching at straws though - got the impression he wasn't that fussed and that I was wasting his time. Link to comment Share on other sites More sharing options...
UBM Posted October 6, 2007 Report Share Posted October 6, 2007 Glad you're OK (ish!) Link to comment Share on other sites More sharing options...
Waylander Posted October 6, 2007 Report Share Posted October 6, 2007 [ QUOTE ] Been to docs, but he admitted that he wasn't sure what it could be. Annoyingly, it had stopped that day. He said that he thought it could be bronchitis (sp?), but that because it hadn't done it that day (despite me coughing) that he wasn't going to go down that route, so as soon as it happens again (which it did but some time later), I've to go back. He did stress he was clutching at straws though - got the impression he wasn't that fussed and that I was wasting his time. [/ QUOTE ] Bronchiectesis perhaps? Do you habitually couhgh up mucky stuff? If not it is unlikely. I would suggest if it is still hapenning you get your ass to A&E; they can do a Chest xray and a quick blood test which between them will address many causes and hopefully your blood test will be negative and that will knock the clot idea firmly on its head . Your GP shouldn't have had to think about it as he should have a "haemoptysis pathway" already in place so all he had to do was sling you on that conveyor belt. Link to comment Share on other sites More sharing options...
Sparky Posted October 6, 2007 Author Report Share Posted October 6, 2007 No not really coughing up mucky stuff before - I am at the moment, but not had it before now. Only thing that's been a little unusual over last 6 months if when I feel I've got a cold, or something like that, and I blow my nose, a fair amount of blood was coming out then - but I put that down to I was blowing my nose too hard - even when I didn't think I was. Like I said, I don't my GP was fussed. I'm going to see how I am today/tomorrow and if there's no change, or it comes back I will go to A&E. Thanks for your advice so far. You seem much more clued up than my GP Link to comment Share on other sites More sharing options...
Waylander Posted October 6, 2007 Report Share Posted October 6, 2007 No problem. To be fair it is alot easier just throwing up the worst case scenarios and saying "pick one and eliminate the rest" than actually trouble-shooting a single problem [ie a patient] in front of you. Perhaps the amount of bleed IS trivial and/or he has access to info which would all but make the other "bad" things very unlikely but still having been down this road it is something I am a little sensitive about [being a Chest Radiologist doesn't help ] Good luck and keep us posted. Chest xray and D-Dimer if it doesn't stop mister Link to comment Share on other sites More sharing options...
Sparky Posted October 6, 2007 Author Report Share Posted October 6, 2007 Cheers mate p.s, what's a D-Dimer? Link to comment Share on other sites More sharing options...
mlhj83 Posted October 7, 2007 Report Share Posted October 7, 2007 D-Dimer is a test done to detect the break down of blood clots if you had a clot in your lungs (Pulmonary embolism). A positive test is not diagnostic but rather supportive to other test to aid diagnosis. But a negative test excludes clots in your lungs. A spiral CT scan is one of the diagnostic test for clots in the lungs. I would definitely seek the advice of another doctor if you are still having symptoms. If you have one or some of the following symptoms apart from coughing up of blood, you should seek medical attention asap: chest pain (esp. on breathing in) breathlessness fever together with malaise and perhaps muscle aches significant weight loss over a period of time(even when your appetite is normal and you haven't increased exercising) ankle swelling or recent swelling of your leg bronchiectasis is unlikely unless you have had a long history of lung disease. Hope this helps Link to comment Share on other sites More sharing options...
Sparky Posted October 7, 2007 Author Report Share Posted October 7, 2007 Cheers Link to comment Share on other sites More sharing options...
CarMad Posted October 22, 2007 Report Share Posted October 22, 2007 How did it all go ? Are you still living then. Link to comment Share on other sites More sharing options...
Sparky Posted October 23, 2007 Author Report Share Posted October 23, 2007 Been OK mainly, but happened a little yesterday so will be going to see GP again anyway. It's considerably less in quantity when I cough, but there are traces. Link to comment Share on other sites More sharing options...
CarMad Posted October 23, 2007 Report Share Posted October 23, 2007 Cool, hope everythings ok at the docs. Link to comment Share on other sites More sharing options...
BigMeanBob Posted November 5, 2007 Report Share Posted November 5, 2007 How old are you sparks? Link to comment Share on other sites More sharing options...
Sparky Posted November 8, 2007 Author Report Share Posted November 8, 2007 I'm 29 mate. Link to comment Share on other sites More sharing options...
ian_m Posted November 9, 2007 Report Share Posted November 9, 2007 Old Man Link to comment Share on other sites More sharing options...
Sparky Posted November 13, 2007 Author Report Share Posted November 13, 2007 Yeah, but you look it! Link to comment Share on other sites More sharing options...
ian_m Posted November 13, 2007 Report Share Posted November 13, 2007 Thats because I work Link to comment Share on other sites More sharing options...
jimbutler Posted November 13, 2007 Report Share Posted November 13, 2007 Sparky As an A&E Consultant I think you need looking at by a proper Doctor rather than the usual half trained 9-5 clockwatching chimps that work in GP land. Waylander is right about the PE (slightly wrong on a negative D-dimer excluding embolic disease, but let's not get into sensitivity specificity and pre-test probabilities here!), but the temperature thing is worrying - you could have pneumonia or anything from a long list of conditions varying from trivial to unpleasant. If you are around the Manchester area you are welcome to come to my department and we'll sort you out. If not, go to a proper A&E - not a minor injuries or urgent care centre - tell the triage nurse you have had haemoptysis for 6 weeks, fever, and general malaise. You need a chest X-ray and bloods. Depending what shows up you may need to be admitted to hospital. In order to avoid waiting too long, get yourself down to A&E first thing tomorrow - if you get there about 0830 you should beat the rush. Do not put it off, do it tomorrow. I command you. Jim PS have you lost any weight? Link to comment Share on other sites More sharing options...
UBM Posted November 13, 2007 Report Share Posted November 13, 2007 Sparky you old, skinny bastard - get yourself to A and E now...... Link to comment Share on other sites More sharing options...
Waylander Posted November 13, 2007 Report Share Posted November 13, 2007 I didn't give that little synopsis on D-Dimer Jim I reckon he has bronchiectesis myself.... Link to comment Share on other sites More sharing options...
jimbutler Posted November 13, 2007 Report Share Posted November 13, 2007 [ QUOTE ] I didn't give that little synopsis on D-Dimer Jim I reckon he has bronchiectesis myself.... [/ QUOTE ] You're quite right it wasn't you - not sure how I managed to get that wrong. Must pay attention in future! Not 100% keen on the bronchiectasis idea, I'm wondering about a good old fashioned untreated lobar pneumonia. Link to comment Share on other sites More sharing options...
Waylander Posted November 13, 2007 Report Share Posted November 13, 2007 yeah but multiple episodes spanning months if not years? [he said he's had it on and off many times] Link to comment Share on other sites More sharing options...
Sparky Posted November 14, 2007 Author Report Share Posted November 14, 2007 Jim, thank you. And for your offer too. Not lost any significant weight, so I'd say no. I shall be going tomorrow to get it seen to. Link to comment Share on other sites More sharing options...
Waylander Posted November 14, 2007 Report Share Posted November 14, 2007 Aye he's a good man Jim Link to comment Share on other sites More sharing options...
jimbutler Posted November 14, 2007 Report Share Posted November 14, 2007 Wonder if Sparky'll be appearing with a diagnosis, or if he's incacerated in an MRSA filled DGH. Ta for the compliment waylander, obviously you're a decent sort yerself - BTW did you end up going to Bolton?? Link to comment Share on other sites More sharing options...
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