Dr. Sagar Ramesh Makode
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
My brother just turned 26 years old three days back and he is a smoker for the last seven years. On average, he smokes 6 to 7 cigarettes a day. He developed a morning cough within a year of smoking. Now my query is that a few days back his stomach was upset and he puked. After puking he was cleaning his mouth and in the process, he was collecting phlegm and spitting. He noticed something red in the spit one time. He is not sure if it was blood or vomit since it was not bright red. He spat 3 to 4 times after that but nothing came out. It has been a week since then and no such incident has occurred after that. There is no other complaint. He is not breathless. His appetite is excellent. Stamina is very good. No weight loss. He had his last X-ray a year back during job recruitment. Now my query is that he has said he is not going to smoke again but is not going to meet the doctor for the red thing. I am really worried about the chances of lung cancer.
Hello,
Welcome to icliniq.com.
It is unlikely to be lung cancer. Firstly, the lung cancer is unlikely at this age group and frequently develop after 45 to 50 years. Next thing, blood should have been present consistently and other symptoms would have been present. Most of the times such occasional bleeding is due to mucosal bleeding in mouth or GIT. However, it is better to get evaluated once and get chest X-ray, although unlikely. So, try to convince him.
Patient's Query
Hi doctor,
Thank you for your reply. I spoke to him and he said he will get it done if he got any more episode or any other symptom. I am really worried. I have read that around 20 pack per year is required and his is coming to 3.5 pack per year. Is it significant?
Hi,
Welcome back to icliniq.com.
Yes, it is very unlikely to be lung cancer. There is nothing on history to suggest lung cancer, such episodes are usually non-cancerous. There is nothing to worry. I advised above things, just to be on safer side and be sure. All the best.
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Cardiology
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