pulmonology

Introduction

Fibrosis occurs when normal tissue is replaced by thickened scar tissue, impairing organ function. It can develop in the lungs, liver, or other organs after chronic injury or inflammation. The condition progresses gradually, so understanding its early symptoms is crucial for timely diagnosis and treatment.

Understanding Fibrosis

When healing responses over-activate, excess collagen builds up in tissues, creating stiffness. Over time, this scar tissue limits oxygen exchange (in the lungs) or detoxification (in the liver).

Early Signs of Pulmonary Fibrosis

  1. Shortness of Breath
    Initially noticeable only during exertion, breathlessness eventually appears even at rest.
  2. Persistent Dry Cough
    A chronic, hacking cough without mucus that lasts for months often signals scarring in lung tissue.
  3. Fatigue and Weakness
    Low oxygen supply leads to ongoing tiredness and reduced activity tolerance.
  4. Chest Tightness or Discomfort
    Patients may feel a dull ache or pressure in the chest area.
  5. Clubbing of Fingers
    Long-term low oxygen levels cause fingertips to enlarge and nails to curve.

Early Signs of Liver Fibrosis

  • Abdominal bloating or fullness
  • Swelling in feet or legs
  • Yellowing of skin or eyes (jaundice)
  • Easy bruising or fatigue
  • Loss of appetite and unintentional weight loss

Causes and Risk Factors

  • Long-term smoking or exposure to pollutants
  • Chronic viral infections (hepatitis B or C)
  • Autoimmune diseases
  • Excessive alcohol intake
  • Certain medications or radiation therapy

Diagnosis and Treatment

Doctors use blood tests, imaging (CT or ultrasound), and sometimes biopsies to confirm fibrosis. While scarring cannot always be reversed, early treatment slows progression. Options include medication to reduce inflammation, oxygen therapy, and lifestyle modifications such as quitting smoking and maintaining a balanced diet.

Living with Fibrosis

Regular monitoring, vaccinations against respiratory infections, and pulmonary or hepatic rehabilitation can improve life quality.

Conclusion

The early signs of fibrosis—fatigue, breathlessness, dry cough, or swelling, should never be ignored. Early diagnosis helps preserve organ function and prevent complications. At Horizon Naupada, advanced diagnostic support and personalised care assist patients in managing fibrosis effectively and improving long-term wellbeing.