Pulmonary Embolism

A blockage in the pulmonary artery, which is the artery that supplies blood to the lungs, is called pulmonary embolism. The symptoms include stabbing chest pain, dizziness, increased heartbeat, rapid breathing, cough, and mucus in blood.

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I am worried about if my chest X-ray has any nodules of concern. Please help.

Query: Hello doctor, I am looking for a second opinion regarding my chest x-ray. The chest x-ray showed no masses, nodules or pneumonia. I just have a very mild inflammation and an old rib injury. The doctor told me that I had heart deformities, but I already knew about those.  Read Full »


Dr. Vivek Chail

Answer: Hello, Welcome to icliniq.com. I have seen your x-ray reports (attachment removed to protect patient identity). There appears to be a mild prominence of the bronchovascular markings in both the lungs, more so in the lower lobes. This is not a serious problem and sometimes can occur without any acc...  Read Full »

My 1-month-old baby has been diagnosed with tricuspid atresia and unrestrictive pulmonary flow. Please advise.

Query: Hello doctor, I want to inquire what it means if a 1-month-old kid is diagnosed with tricuspid atresia and unrestrictive pulmonary flow.  Read Full »


Dr. Faisal Abdul Karim Malim

Answer: Hi, Welcome to icliniq.com. This child will have to be evaluated physically by a pediatric cardiologist and may need to be started on diuretics with monthly monitoring based on the clinical condition. Surgical management is to be advised as per the clinical condition. In layman's terms, it means t...  Read Full »

Is the mediastinal lesion on the computed tomography (CT) scan due to thymic gland rebound?

Query: Hi doctor, I had a CT scan 24 days back, and it was normal. I then had another CT scan nine days back, and it showed a 1.8 x 1.3 x 4.8 cm mediastinal lesion. An indeterminate anterior mediastinal lesion is likely related to thymic gland abnormality and possibly thymic gland rebound hyperplasia or th...  Read Full »


Dr. Muhammad Shoyab

Answer: Hello, Welcome back to icliniq.com. I understand your concern. It is quite natural to be worried about mediastinal or thymic lesions, and CT (computed tomography) scan is the best modality for their detection. However, the images (attachment removed to protect the patient's identity) that you have p...  Read Full »

Is it possible to have a pulmonary embolism with a negative D-dimer test?

Query: Hi doctor, My pain started behind knee, but now is causing recurrent chest pains and shortness of breath. I could not do much physical activity. There is no previous history of such event. I am currently on Aspirin. I had an EKG, lung x-ray and D-dimer blood test. Is it possible to have a pulmonary ...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. D-dimer is a very desirable indicator of clot formation. It may be positive even if you do not have a pulmonary embolism. But, if D-dimer is normal, then a pulmonary embolism is unlikely the cause of your symptoms. Pulmonary embolism can cause sudden onset of shortness...  Read Full »

What is the treatment for forced breathing and persistent cold and cough?

Query: Hello doctor, I recently had issues with a somewhat forced breathing and a cold or a cough that is not clearing up from the last two to three months. The doctor sent me for a pulmonary test, the results of which I have attached. What do they mean? I have also attached my latest blood reports. Can yo...  Read Full »


Dr. Salah Saad Shoman

Answer: Hello, Welcome to icliniq.com. I have gone through both the reports (attachment removed to protect patient identity). Your lung function tests detected a decreased diffusing capacity which can be due to either a vascular disease that decreases the blood supply to a portion of the lung or parenchyma...  Read Full »

What are the changes observed in the lung tissue after pulmonary embolism?

Query: Hi doctor, What happens to the lung tissue after a pulmonary embolism? I came to know that blood flow stops to a specific area depending on the size and quantity of emboli in the pulmonary artery. But after treatment with blood thinners or clot busters or oxygen and increased fluid to restore flo...  Read Full »


Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Thank you for writing and I understand your concern. Usually, when a clot gets mixed with blood and flows as normal, the blood thinner breaks into pieces, and later on it flows in the normal blood and stays at its site without causing any symptoms. Then medicines ar...  Read Full »

I am COVID positive, and my resting heart rate is 100. Shall I take tablet Xarelto now?

Query: Hello doctor,I am a 35-year-old male. My height is 175 cm, and my weight is 74 kg. I am tested positive for COVID-19 today. My resting heart rate is 100, and I am fine without any scaring symptoms.My father died unexpectedly from a pulmonary embolism at the age of 33, and my three siblings have had ...  Read Full »


Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. Your heart rate seems to be linked to the anxiety of being tested positive for COVID-19 (Coronavirus Disease-2019). Only a small number of patients get severe problems with this disease. And after vaccination, the complications become further smaller. Vaccinated peo...  Read Full »

Why is my heart rate always more than 110 bpm?

Query: Hello doctor, I am 42 years old, and I am experiencing increased heart rate and flutters for one year. For the past week, there is a frequent episode of increased heart rate. My heart rate rises more than 110 bpm. I had bilateral pulmonary embolism five years ago, and I am currently taking tablet Xa...  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. I hope you are doing good. I advice you to do the following; 1) Holter monitoring, to know about your arrythmias. 2) A routine ECG (electrocardiogram) to know whether your arrythmias is controlled or uncontrolled. 3) Echocardiogra...  Read Full »

I have factor V clotting disorder. How to prevent having a blood clot?

Query: Hi doctor, I am a 37 year old male with factor V clotting disorder. How can I prevent blood clot?  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Most people with factor V Leiden never have any symptoms. But, some are at a higher risk of getting blood clots, especially in the leg or the lungs. When clots do occur, they can cause, warmth, redness, pain, and swelling in the leg. These are symptoms of a condition c...  Read Full »

Does pulmonary embolism show up on an ECG?

Query: Hello doctor,I just want to make sure if this EKG is good? No ischemia, or pulmonary embolism, or anything?  Read Full »


Dr. Ahmed Goha

Answer: Hi, Welcome to icliniq.com. From the attached reports (attachments removed to protect the patient's identity), ECG is normal. There is no ischemia.  Read Full »

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