What are the symptoms of a pulmonary embolism warning sign?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 29, 2024
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Pulmonary embolism is also very common in clinical settings, mainly seen in patients who have been bedridden for a long time, undergone various major surgeries, suffered from long bone fractures, pregnancy, etc. In the early stages of pulmonary embolism, patients generally experience varying degrees of chest pain, hemoptysis, and difficulty breathing, among others. If pulmonary embolism is suspected and the patient's condition permits, a pulmonary artery CTA scan should be immediately carried out to further confirm the diagnosis of pulmonary embolism. If the pulmonary embolism has already caused circulatory disturbances, thrombolytic therapy should then be considered.

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Written by An Yong Peng
Pulmonology
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Can pulmonary embolism cause bloating and abdominal distension?

Pulmonary embolism can, in rare cases, cause bloating and abdominal distension. The primary clinical manifestations of pulmonary embolism are chest tightness and difficulty breathing. Severe pulmonary embolism can also lead to a drop in blood pressure and sometimes may even cause the patient to faint. However, it is important to note that in severe cases of pulmonary embolism, patients may also experience abdominal distension. Patients with pulmonary embolism might also have acute pulmonary heart disease, which could include symptoms of gastrointestinal congestion. In such cases, patients may experience abdominal bloating. Additionally, there is a special condition known as chronic thromboembolic pulmonary hypertension, where patients may experience chronic pulmonary heart disease and chronic hypoxia, which can also lead to abdominal distension.

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Written by An Yong Peng
Pulmonology
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Can I eat lamb if I have pulmonary embolism?

Patients with pulmonary embolism can appropriately eat mutton, as it is acceptable in their case. For pulmonary embolism, it is advocated to follow a light diet, avoiding spicy, irritating food, and excessively greasy food to prevent aggravating the gastrointestinal burden of the patient. Additionally, it is acceptable for patients with pulmonary embolism to consume some meat, as long as it is not fatty meat. Once diagnosed with pulmonary embolism, patients should receive active treatment, which often requires anticoagulant therapy. If the condition is not too severe, simple anticoagulant treatment may allow the patient’s condition to recover. However, if the pulmonary embolism is more severe, thrombolytic therapy may be necessary. After thrombolytic treatment, vascular anticoagulant therapy is given to manage the patient's condition.

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Written by Wang Li Bing
Intensive Care Medicine Department
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The most common symptoms of pulmonary embolism.

Pulmonary embolism is also relatively common in clinical practice, primarily caused by an embolus blocking the pulmonary artery system, leading to a group of clinical syndromes. The clinical manifestations of pulmonary embolism mainly include the following points: The first is that patients may experience unexplained difficulty breathing and shortness of breath, especially after activity. The second is that patients experience significant chest pain. The third may be accompanied by hemoptysis, but usually, the amount of blood expectorated is not large. The fourth is that patients may experience restlessness, panic, and even a sense of impending doom. Clinically, there sometimes appears the so-called triad, which includes simultaneous occurrence of difficulty breathing, chest pain, and hemoptysis, etc. Pulmonary embolism is primarily diagnosed clinically through pulmonary artery CT.

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Written by Wang Chun Mei
Pulmonology
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Why can't patients with pulmonary embolism get out of bed?

Pulmonary embolism is a relatively common clinical disease, with many and complex inducing factors. The most common cause of pulmonary embolism in patients is due primarily to thrombi dislodging from the veins of the lower limbs or the pelvic deep veins, traveling through the bloodstream to the pulmonary arteries, thus causing the disease. Therefore, bed rest is essential during the acute phase of pulmonary embolism. The purpose of bed rest is to prevent further embolisms, to avoid the dislodging of pelvic or lower limb deep vein thrombi, which could lead to the formation of new thrombi. Therefore, for patients with pulmonary embolism, it is crucial to provide timely treatments such as thrombolysis to control the clinical symptoms caused by the pulmonary embolism effectively.

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Written by Li Jian Wu
Pulmonology
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Early symptoms of pulmonary embolism

In the early stages of pulmonary embolism, symptoms such as difficulty breathing, chest tightness, shortness of breath, and decreased oxygen saturation can occur. Early signs may include chest pain, as chest pain is often an initial symptom of pulmonary embolism. Sometimes the pain can be severe, and some patients may experience coughing, dry cough, and even cough up blood. There may also be symptoms of short exhalation and difficulty breathing, especially in patients with main trunk blockages, where the difficulty in breathing can be very pronounced. In more severe cases, some may experience fainting, suddenly collapsing while walking.