Lung disease

Asbestosis is a lung disease that can happen when you breathe in tiny asbestos fibers. It is a natural mineral made up of small, thin fibers. These fibers don’t turn into gas and float away in the air, and they also don’t dissolve or mix with water.

Before people knew that asbestos was dangerous, builders used it in many different ways. The American Lung Association (ALA) says that many houses might have asbestos in things like pipes, floor tiles, and popcorn ceilings which were built before 1977.

Asbestos fibers are heat-resistant, strong, and don’t conduct electricity. Because of these useful properties, construction firms used asbestos a lot for a long time. However, in the 1970s, people realized that asbestos could lead to serious health issues, so companies quickly started using other materials instead.

It’s important to know that asbestos is only harmful if it turns into dust and gets into the air. As long as you don’t breathe in the asbestos fibers, you’re safe. So, if the asbestos in your home is not disturbed, it won’t cause any harm.

Treatment for Asbestosis

When tiny asbestos fibers get into the lungs, they cause inflammation and scarring. These fibers can also cause cancer because they are carcinogenic. If the fibers are enter into the lungs, they cannot be removed.

Currently, there is no healing for asbestosis, and the damage it causes to the lungs cannot be undone. By the time a healthcare provider diagnoses asbestosis, the lungs may already be significantly damaged.

As stated by the American Lung Association (ALA), there are steps a person can take to decrease symptoms and increase their quality of life:

  • Quit Smoking: Smoking promotes the chance of lung cancer and can worsen other symptoms of asbestosis. Stopping smoking can help improve lung health.
  • Oxygen Therapy: Breathing in oxygen-rich air from a tank or machine can help reduce breathlessness.
  • Pulmonary Rehabilitation: This program combines exercise with healthcare suggestions to help manage symptoms and improve overall lung function.
  • Vaccinations: As recommended by the Agency for Toxic Substances and Disease Registry regular vaccinations against pneumococcal pneumonia and flu to prevent infections that could further harm the lungs.

Diagnosis and Tests for Asbestosis

Doctors use several methods to diagnose asbestosis. The process typically includes a physical examination, a review of the patient’s medical history, a simple breathing examination, and an assessment of the patient’s job history to evaluate the risk of asbestos contact at work.

A key part of the diagnosis is performing a biopsy, where the doctor examines a small piece of lung tissue to find asbestos fibers. However, a biopsy cannot show the amount of asbestos in the lungs or predict the likelihood of developing an asbestos-related disease.

Early detection through an X-ray allows doctors to start the most appropriate treatment before symptoms become severe. However, it’s important to note that while chest X-rays are useful for detecting lung disease, they cannot directly find asbestos fibers.

Risk Factors for Asbestosis

The chance of developing asbestosis relies on a few things:

  • Amount of Asbestos Exposure: The more asbestos a person is exposed to, the higher the risk.
  • Frequency of Exposure: How often a person comes into contact with asbestos also affects the risk.
  • Time Since Exposure: The longer it has been since the exposure, the more likely symptoms may develop.
  • Existing Lung Problems: If a person already has lung or breathing issues, they are at higher risk.
  • Work History in Construction (1970s-1990s): People who worked in construction during these years are more likely to have been exposed to asbestos.

For people working in industries with a high risk of asbestos exposure, like construction and shipyards, there are now safety measures in place to reduce the risk.

Symptoms of Asbestosis

According to the American Lung Association (ALA) and the National Cancer Institute (NCI), individuals who have been exposed to asbestos should be vigilant for several symptoms that might indicate asbestosis or other asbestos-related diseases.

One of the primary symptoms is breath shortness, which can occur alongside wheezing or a hoarse voice. These respiratory issues may worsen over time, making it increasingly difficult to breathe normally. Another significant symptom is a persistent cough that gradually becomes more severe. In some cases, this cough may produce sputum (fluid from the lungs) that contains blood, which is a serious sign that requires immediate medical attention.

Chest pain or a feeling of tightness in the chest is also common among those with asbestosis. Some individuals may experience difficulty swallowing, which can interfere with daily activities and nutrition. Swell in the neck or face can also occur, which might indicate more advanced disease progression.

Other symptoms include a noticeable loss of appetite, leading to weight loss. People with asbestosis might also suffer from anemia or fatigue, resulting in constant tiredness and a general lack of energy. In more advanced cases, individuals may develop clubbed fingertips, where the ends of the fingers become swollen and rounded.

Being aware of these symptoms and seeking medical advice early can help manage the condition and improve quality of life.

Complications of Asbestosis

Individuals with asbestosis have a higher chance of developing two serious health conditions. They are lung cancer and mesothelioma.

Lung cancer is a type of cancer that starts in the lungs and can spread, making it difficult to breathe. According to the American Lung Association (ALA), it’s the most common cancer worldwide, and less than half of people diagnosed survive for more than a year.

Mesothelioma is an uncommon cancer that affects the lining around the lungs and chest, and sometimes, the lining of the lower stomach. It’s often not found until it’s quite advanced.

These diseases don’t usually show symptoms until they’ve extended to other parts of the body, which makes them very dangerous. That’s why early detection and treatment are crucial.

When to Consult a Healthcare provider

If you are concerned about your chance of asbestosis, it’s important to see a healthcare provider as soon as possible. Early medical attention means that treatment can begin sooner, which can help manage the condition better.

The American Cancer Society recommends that anyone exposed to asbestos should consider regular CT scans to check for lung cancer. Even if you don’t have any symptoms, regular testing can help catch any problems early. If you know you’ve been exposed to asbestos, it might be a good idea to talk to your doctor about getting these tests regularly.

Outlook for Asbestosis

If someone is diagnosed with asbestosis, their doctor will suggest a treatment plan to help manage the condition. This plan might include doing special exercises called pulmonary rehabilitation and using oxygen therapy.

The goal of these treatments is to stop the lungs from getting worse. However, some individuals with asbestosis might also develop more severe health problems like lung cancer or mesothelioma.

Prevention of Asbestosis

In the United States, there are strict rules about using asbestos to prevent people from getting sick. However many cases of asbestosis happen because people didn’t know how dangerous asbestos was when they were around it.

To stay safe, people can get an inspector to check their homes. If the inspector finds asbestos, they’ll suggest hiring an expert to take it out of the house. This keeps everyone in the household from breathing it in.

Summary

Asbestosis is a lung disease caused by inhaling asbestos fibers, commonly found in older buildings. Diagnosis involves medical history, physical exams, and lung function tests. Treatment focuses on symptom management and may include oxygen therapy.

Complications can arise, such as lung cancer and mesothelioma, leading to poorer outcomes. Prevention involves inspecting homes for asbestos and hiring specialists for removal. Despite regulations, awareness of asbestos dangers remains crucial for public health.

  1. https://pubmed.ncbi.nlm.nih.gov/29938630/
  2. https://pubmed.ncbi.nlm.nih.gov/1890489/

 

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