Treatment of Stage III Pneumoconiosis

Written by Wang Chun Mei
Pulmonology
Updated on February 17, 2025
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In cases of pneumoconiosis reaching stage three, radiological examinations generally reveal a large area of fibrotic changes in the lungs. Clinical symptoms in such patients tend to be relatively severe, typically including notable cough, phlegm, shortness of breath, and respiratory difficulty. Some may even experience fevers, headaches, dizziness, and general weakness due to concurrent bacterial infections.

For the treatment of stage three pneumoconiosis, there are generally no specific effective medications available clinically. Treatment primarily focuses on symptomatic relief and reducing the occurrence of complications. Patients often use medications such as cough suppressants, expectorants, and asthma relief to manage symptoms. Additionally, it's advisable to use anti-fibrotic drugs to slow the progression of pulmonary fibrosis.

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Written by Li Ying
Pulmonology
1min 47sec home-news-image

How is pneumoconiosis caused?

Pneumoconiosis is a systemic disease characterized by diffuse fibrotic scarring of lung tissue. It is caused by the long-term inhalation of industrial dust and dust during occupational activities, which accumulates in the lungs. Once pneumoconiosis occurs, it is irreversible and incurable for life, with a high mortality rate of up to 22%. So, who is more likely to develop pneumoconiosis? The main occupations include: First, mining activities, including coal mining, metal mining, and non-metal mining. These activities produce a large amount of dust that, when inhaled into the lungs, can cause pneumoconiosis. Second, mechanical manufacturing, specifically during the manufacturing process of metal castings. Activities such as sand mixing for casting and sand molding can lead to pneumoconiosis, particularly among welders who dominate this industry. Third, metal smelting, involving ore loading and unloading, steel casting, and alumina sintering. The primary occupations exposed include sintered pellet raw material workers, sintering workers, and blast furnace operators, all of whom come into contact with large amounts of dust. Fourth, the construction industry, for example, with materials resistant to fire such as quartz sand, glass, stone, and cement production, as well as asbestos mining. Workers in these industries are exposed to large amounts of dust. In China, the top three types of pneumoconiosis are silicosis, coal worker's pneumoconiosis, and graphite pneumoconiosis, along with those working in jade processing and welder's pneumoconiosis, which are relatively common.

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Written by Wang Chun Mei
Pulmonology
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How many times a year is pneumoconiosis re-examined?

Pneumoconiosis is an occupational disease that tends to affect individuals who have been exposed to dust over a long period of time in a harsh environment. Clinically, pneumoconiosis is a chronic occupational disease for which there are generally no specific effective treatments. In managing pneumoconiosis, the medications used typically aim to slow the progression of the disease and alleviate the existing clinical symptoms of discomfort in patients. For cases where the symptoms are relatively mild, it is usually recommended that an annual review suffices. However, for more severe cases, and where the patient may also experience significant clinical discomfort during this period, it is generally recommended to consider increasing the frequency of check-ups to 2 or 3 additional times. Therefore, the specific number of annual follow-ups for pneumoconiosis should be determined based on the individual condition of the patient, rather than having a fixed rule that stipulates only one or two examinations per year for everyone.

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Written by Wang Chun Mei
Pulmonology
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Can patients with pneumoconiosis eat watermelon?

Patients with pneumoconiosis are quite common, likely due to the long-term presence of polluted dust particles in the environment, which cause this occupational disease when inhaled. Typically, patients with pneumoconiosis can alleviate some of their clinical discomfort symptoms through medication. Clinically, pneumoconiosis is a very slow-progressing disease, and usually, the treatment duration is relatively long. The consequences for these patients are generally severe. Therefore, even if the symptoms are well controlled by medication, it is still recommended that patients with pneumoconiosis avoid spicy and irritating foods as much as possible and eat fresh vegetables and fruits appropriately. Watermelon is permissible for pneumoconiosis patients to consume, especially during the hot summer. Eating watermelon not only provides nutrition and cools the body but also helps relieve symptoms such as chest tightness and shortness of breath caused by overheating.

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Written by Yuan Qing
Pulmonology
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Early symptoms of pneumoconiosis

Pneumoconiosis primarily occurs when a large amount of dust or smoke is present in the production or living environment. Long-term inhalation of such air leads to the deposition of dust and smoke particles inside the alveoli. These particles are then transported by phagocytic cells within the alveoli to the pulmonary interstitium and lymphatic vessels. This affects the normal process of gas and blood exchange in the lungs, thus leading to pneumoconiosis. In the early stages, the symptoms of pneumoconiosis are generally insidious, including cough, phlegm, and gradually worsening symptoms of breathlessness, wheezing, and chest tightness after physical activity, which can easily be confused with symptoms of the common cold or bronchitis.

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Written by Wang Chun Mei
Pulmonology
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Can pneumoconiosis be treated by lung washing?

Pneumoconiosis is generally caused by long-term inhalation of dust particles, resulting in a type of pulmonary fibrosis. Typically, the clinical symptoms experienced by patients are recurrent over a long period. These patients usually suffer considerably, and when clinical symptoms occur, appropriate medications are needed to provide symptomatic treatment for relief. Symptoms may worsen even with slight activity, and in such cases, patients generally receive symptomatic treatment. There are no specific drugs that can cure this condition. Treatment for pneumoconiosis is usually symptomatic. While some patients may opt for lung lavage if circumstances allow, it is not necessarily a treatment for pneumoconiosis. Lung lavage carries certain risks and has not been widely implemented clinically. Therefore, it is generally recommended that patients with pneumoconiosis stick to symptomatic treatment and avoid lung lavage due to the significant risks involved.