Bronchoscopy

Bronchoscopy is a diagnostic test that is used to examine the lungs and the airways. In this procedure, a thin and lighted tube called the bronchoscope is inserted in the mouth or nose moved down the throat, windpipe, and then into the airways. Bronchoscopy may feel uncomfortable, but it may not be painful. Some of the risks of bronchoscopy are bleeding, infection, perforation in the airway, and irritation of the airways.

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Can you please help me diagnose why I spit blood?

Query: Hello doctor, I spit blood early in the morning after waking up. I consulted a dentist and then a chest specialist, who advised bronchoscopy and sputum tests. The reports were normal. But, nobody could find the cause for the blood in spit. It is happening from the past two years. Not regularly, but...  Read Full »


Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. The most common causes of early morning blood in the sputum are: Chest infection or tuberculosis. Cardiac issues like rheumatic heart disease. Reflux esophagitis. Now, if your chest has been evaluated and a clearance has been given by your doctor, then my recommendatio...  Read Full »

What does the white areas on my chest x-ray suggest?

Query: Hello, I recently had a bronchoscopy with lavage. X-ray to me seems abnormal as it has lots of white areas. My current medication includes Carbocisteine. Is there any visible sign of mucoid impaction, lung abscess, or emphysema? Can you see anything on this x-ray? Please help.  Read Full »


Dr. Muhammad Shoyab

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Please be assured that your x-ray is normal (attachments removed to protect the patient's identity). This x-ray was done with you lying in a supine position, and the "lots of white" that you see on both sides are due t...  Read Full »

Can bronchoscopy help in lung collapse caused due to pneumonia?

Query: Hi doctor, My uncle has been admitted to a hospital, after a week of high-grade fever along with a cough, which gradually increased. They took a chest x-ray and blood tests and confirmed that it is pneumonia, and my uncle was on O2. He was also suspected for swine flu, and we waited for the reports,...  Read Full »


Dr. Anshuman Srivastava

Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity) This history seems to be of acute viral pneumonitis, probably due to a new unknown strain or H1N1. Sometimes, cultures may be negative while he can still harbor it. The CT scan is suggest...  Read Full »

My right lower lobe looks collpased and the whole right segment looks very large. Can it be bronchiectasis?

Query: Hello doctor, I want to ask if the bronchoscopy looks normal. The right lower lobe looks collpased and the right segment looks very large. I have wheezing, cough, and no sputum. I am very concerned that I have bronchiectasis.  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. According to your statement, you have a complaint of wheezing, and cough. According to your picture of bronchoscopy (attachment removed to protect the patient's identity), it seems to be normal. For confirmation, I advise you to get CXR (chest X-ray) or HRCT (high ...  Read Full »

I have been suffering from a chronic cough for the past three months. Is it indicative of plastic bronchitis?

Query: Hello doctor,I have had a chronic cough for three months. I am worried as something is partially obscuring my airway. Why do I have holes in my lungs? I have a photo of this to show. The hole is tiny, approximately half a centimeter. Is this normal?   Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hello,Welcome to icliniq.com.I can understand your concern. According to your statement, you have been suffering from a cough for the last three months. You have recently undergone bronchoscopy, and you want to know about the arrow-marked hole of your bronchoscopy picture (attachment removed to prot...  Read Full »

How is the cause of breathing difficulty and blood in sputum diagnosed?

Query: Hi doctor, The patient is experiencing breathing difficulty, which relieves by inhaler, and O2 saturation is 93 to 95. The patient coughs out phlegm with blood and has no fever. He is negative for COVID-19 and TB. He has pain in the back and right arm. I want someone to reread the CT scan. He has a...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you have been suffering from difficulties breathing, productive cough with phlegm, and blood. Your HRCT (high resolution computed tomography) of the chest has shown a mass-like consolidati...  Read Full »

What is the purpose of bronchoscopy?

Query: Hello doctor, One week before, I had some fever and cough problem for which the doctor suggested a chest x-ray, sputum culture, and sensitivity test and give some antibiotic courses for five days. Currently, I am fine, with no fever or chest pain. Only some coughing is there. On examining lung x-...  Read Full »


Dr. Amolkumar W. Diwan

Answer: Hello, Welcome to icliniq.com. I have seen all reports attached to your query and justify your concern about an invasive procedure like bronchoscopy. (attachment removed to protect patient identity). The history you mentioned is quite clear but many important points are missing too. Without whi...  Read Full »

Is bronchoscopy and tube necessary in a pneumonia patient with COPD?

Query: Hello doctor,My father is in the hospital fighting pneumonia and has COPD. His latest X-ray has shown some improvement. The X-ray shows he has an extensive airspace and interstitial opacities in the left lung and patchy opacity in the right lower lung. The plan is to do a bronchoscopy and use a tube...  Read Full »


Dr. Harsha D. S

Answer: Hello, Welcome to icliniq.com. I have gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not improved, broncho...  Read Full »

Is there any alternative to bronchoscopy to get tissue for testing cancer?

Query: Hello doctor, I have a family friend that recently was admitted to hospital for shortness of breath. She was advised that after several examinations that she has a form of cancer. The information that we were provided with was that they were unable to ascertain where or how severe the cancer was. S...  Read Full »


Dr. Sumit Srivastava

Answer: Hi, Welcome to icliniq.com. Confirmation of any form of cancer is by biopsy only when the malignant cells are visualized under a microscope and reported to be positive. Rest of the radiological test like HRCT and MRI are highly sensitive but not specific. I am assuming that the cancer was either d...  Read Full »

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