Lung Disease

What are the most common lung diseases? Their characteristics, symptoms, diagnostic methods, and most common treatments.

Symptoms and Causes

Lung diseases not only affect the lungs but also other parts of the respiratory system, such as the larynx, bronchi, bronchioles, or blood vessels. They are often caused by viral or bacterial infections, smoking, or prolonged exposure to pollutants.

Some of the most common lung diseases include:

  • Chronic obstructive pulmonary disease (COPD): The irreversible loss of lung function due to airflow obstruction in the bronchi. COPD includes chronic bronchitis and emphysema. Chronic bronchitis causes daily cough and sputum production, while emphysema (destruction of the alveoli) primarily makes breathing difficult.
  • Cystic fibrosis: A congenital disease characterized by the presence of bronchiectasis (bronchial dilations) and excessive production of thick mucus that clogs the airways.
  • Pneumothorax: The leakage of air into the space between the chest wall and the lungs.
  • Lung cancer: The abnormal growth of cells forming lung tissue.
  • Pulmonary fibrosis: Thickening of the lung tissue due to secondary inflammatory rheumatic diseases, resulting in a loss of elasticity and function.
  • Asthma: Reversible airway obstruction due to inflammation in the bronchi.
  • Pulmonary embolism: The result of a blood clot (thrombus), usually originating in the legs, breaking loose and blocking blood vessels that carry blood to the lungs.

Currently, lung diseases are one of the leading causes of death worldwide, making early detection and proper treatment essential for a better prognosis and patient outcomes. Additionally, adopting healthy lifestyle habits, such as quitting smoking, helps prevent these diseases and improves quality of life.

Symptoms

Although each condition is different, individuals with lung disease commonly exhibit the following symptoms:

  • Dyspnea (difficulty breathing or shortness of breath).
  • Persistent cough, sometimes producing mucus or blood.
  • Clubbing of the fingers (fingertips shaped like drumsticks).
  • Chest pain.
  • Wheezing (a whistling sound when breathing due to bronchial inflammation).
  • Cyanosis (bluish discoloration of the skin).
  • Fatigue.
  • Depression.
  • Anxiety.

Causes

The primary cause of lung diseases, especially chronic ones, is exposure to irritants such as tobacco smoke, certain allergens, environmental pollution, some chemicals, or dust.

Depending on the origin of the disease, lung conditions are classified into:

  • Interstitial lung disease: Affects the connective tissue surrounding the alveoli.
  • Infectious lung disease: Caused by fungal, viral, or bacterial infections.
  • Pneumoconiosis or occupational lung disease: Results from exposure to irritants in the workplace.

Risk Factors

Some factors that increase the risk of developing lung disease include:

  • Smoking.
  • Inhalation of pollutants.
  • Exposure to dust or allergens.
  • Certain medical treatments, such as antibiotics or chemotherapy.

Complications

The most severe complication of lung diseases is respiratory failure, meaning the lungs deteriorate completely and cease to function, preventing the body's cells from receiving enough oxygen.

Prevention

To prevent lung diseases, it is recommended to adopt healthy lifestyle habits such as:

  • Quitting smoking.
  • Engaging in moderate regular exercise.
  • Ventilating indoor spaces daily.
  • Maintaining proper hygiene, especially handwashing (frequently, particularly after using the bathroom, returning home, or before cooking).
  • Following a balanced diet rich in vitamins, omega-3 fatty acids, and minerals like zinc.

Which Doctor Treats Lung Disease?

Lung diseases are treated in pulmonology clinics or palliative care units.

Diagnosis

The diagnosis of lung diseases relies on various tests, depending on the symptoms each patient presents. Some of the most commonly used diagnostic methods include:

  • Lung auscultation: To assess the sounds generated during breathing.
  • Spirometry: To evaluate lung capacity by measuring airflow through the lungs.
  • Pulse oximetry: To measure oxygen levels in the blood.
  • Gram stain: Used on mucus samples to identify infectious agents, mainly bacteria.
  • Imaging tests: Chest X-ray, computed tomography (CT), or lung scintigraphy help visualize lung conditions and detect abnormalities or lesions.
  • Lung biopsy: A sample of lung tissue is analyzed to detect or rule out cancer cells, infectious agents, or lung diseases.

Treatment

The treatment for lung disease varies depending on the specific condition. In addition to addressing the causes and alleviating symptoms, palliative care is used in severe cases to improve patients' quality of life. Some of the most common approaches include:

  • Pharmacological treatment:
    • Antibiotics, antivirals, or antifungals for infections.
    • Bronchodilators to facilitate airflow through the bronchi.
    • Steroids to reduce inflammation.
  • Oxygen therapy: When blood oxygen levels are low, an artificial supply of additional oxygen is provided.
  • Mechanical ventilation: A device attached to a mask is used to assist breathing in individuals who cannot do so on their own.
  • Pulmonary rehabilitation: Exercises designed to optimize lung capacity and increase physical endurance.
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