Why do patients with pulmonary nodules have poor lung function?

Mar 22, 2025 Source: Cainiu Health
Dr. Ren Yi
Introduction
Under normal circumstances, the causes of poor lung function in patients with pulmonary nodules include nodule mass effect and compression, decreased lung tissue elasticity, tuberculosis, pneumoconiosis, and chronic obstructive pulmonary disease (COPD), among others. The solution depends on the specific cause and should be determined by a healthcare professional. It is important to seek medical attention promptly and follow medical advice for treatment. During the treatment process, patients should also focus on adjusting their lifestyle and dietary habits to promote recovery.

Generally, the reasons for poor lung function in patients with pulmonary nodules include compression of lung tissue, reduction of lung expansion space, obstruction of airflow, impairment of gas exchange, and increased pulmonary vascular pressure. If experiencing any discomfort, it is recommended to seek medical attention promptly. Detailed explanations are as follows:

1. Compression of lung tissue

Pulmonary nodules may compress lung tissue, leading to localized structural abnormalities. This compression can affect the surface area available for gas exchange and the patency of airways, thereby reducing ventilation efficiency.

2. Reduction of lung expansion space

Pulmonary nodules may limit the space available for lung expansion, decreasing the maximum volume of air that can be exhaled with each breath. Patients may experience shortness of breath, especially after strenuous activity, and may find it difficult to take deep breaths to obtain sufficient oxygen.

3. Obstruction of airflow

When pulmonary nodules are large or numerous, they may occupy space within the lungs, reducing the effective ventilatory surface area. This can lead to dysfunction in both inhalation and exhalation, with typical symptoms including labored breathing, chest tightness, or even a sensation of suffocation. These symptoms may persist even after rest and are often accompanied by coughing and sputum production.

4. Impairment of gas exchange

The presence of pulmonary nodules can interfere with gas exchange between the blood and the external environment, reducing the effective working surface area of the lungs and limiting the opportunity for oxygen to enter the bloodstream. This can lead to insufficient oxygen supply to various organs and tissues in the body, causing symptoms such as fatigue and drowsiness. Long-term progression may also result in conditions such as anemia.

5. Increased pulmonary vascular pressure

Pulmonary nodules may impede blood flow through the pulmonary vessels, increasing the workload on the right side of the heart and elevating pulmonary arterial pressure. The heart must work harder to pump blood, potentially causing symptoms such as angina or syncope.

If pulmonary nodules are present, it is recommended to seek timely medical care and follow a physician's guidance regarding treatment with medications such as Xihuang Capsules, Shenyi Capsules, Isoniazid Tablets, and others. During treatment, attention should be given to adjusting lifestyle habits and dietary patterns to promote recovery from the condition.