Coughing on lung tumours may cause cancer pain because both the growth of the tumours and the cough reflection can cause pain.Lung tumor and cough.Lung tumours, especially primary lung cancer, often lead to cough. Coughing is a protective reflection of the organism and is designed to remove alien or secretive matter from the airway. Among lung cancer patients, cough may be due to:Direct stimulation of tumours: The growth of tumours may stimulate bronchial mucous membranes and cause cough.Increase in the number of endocrines: Tumours may cause an increase in bronchials and stimulate cough reflection.Aerobic blockage: Tumour blockage of bronchial trachea, resulting in gas flow blockage and coughing.Cancer pain.Cancer pain is the pain caused by the tumour itself or its treatment. In cases of lung tumours, cough can cause or exacerbate cancer pain for the following reasons:Tumorial infractions: tumours can cause direct pain when they break the pleural, rib nerve or chest wall.Muscle labour due to cough: Frequent and severe cough can lead to muscle pain in the chest and abdomen.Meningitis: Tumours can cause pleural inflammation, causing chest pain.Neural oppression: The growth of tumours may oppress the surrounding nerve and cause pain.Cough and cancer.The relationship between cough and cancer pain can be direct or indirect:Direct relationship: Cough caused by tumour abuse may cause direct pain.Indirect relationships: Cough itself may not directly cause cancer pain, but long-term cough can lead to muscle stress and labour, thus exacerbating existing cancer pains.The symptoms of cancer pain.Symptoms of cancer pain may include:Chestaches: Patients may feel blunt pains, stings or feelings of oppression.Increased pain when coughing: Coughing may exacerbate existing pain.Respiratory difficulties: Pain may accompany respiratory difficulties, especially when coughing.Persistence of pain: Cancer pain may persist and may increase over time.Diagnosis of cancer painThe diagnosis of cancer pain usually involves the following steps:Detailed medical history: Doctors ask about the nature, extent, duration and relation to cough.Medical examination: examination of physical signs of the chest and the respiratory system.Video screening: for example, chest X-ray, CT scan or MRI to determine the location and size of the tumor.Biological markers: Blood tests may include tumor markers, such as cancer embryo antigens (CEA).Cancer pain treatmentThe objective of treatment for cancer pain is to reduce pain and improve the quality of life. Treatment includes:Drug treatment: includes anti-inflammatory drugs, opioid analgesics, antidepressants and anticonvulsives.Radiotherapy: used to reduce the size of tumours and to alleviate pain.neurological retardation: Interrupting the transmission of pain through injecting drug.Psychological support: psychological counselling and support to help patients cope with pain.Palliative treatment: In the case of terminal lung cancer, palliative care is designed to provide comprehensive palliative care.Treatment challengesThe following challenges may be faced in treating cancer pain caused by lung tumours:Pain assessment is difficult: it may be difficult for the patient to accurately describe the extent and nature of the pain.Drug side effects: Painkillers can cause side effects such as constipation, nausea and sleeping addiction.Individualized pain management: Each patient has different pain experiences and needs individualized treatment programmes.ConclusionsCoughing on lung tumours may indeed give rise to canceral pain, which may be caused by direct tumour intrusion or by indirect injury caused by cough. The diagnosis and treatment of cancer pain requires a comprehensive consideration of the overall condition of the patient and a multidisciplinary team approach. Effective pain management can improve the quality of life and alleviate the suffering of patients with lung cancer.
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