Small nodules in both lungs need to be treated with regular review, medication, and surgery, taking into account the size and nature of the nodules.
With the widespread use of low-dose spiral CT in medical checkups, more people are finding lung nodules, even small double lung nodules.
For small bilateral lung nodules without any symptoms and with nodules not exceeding one centimeter, the main treatment is regular review. Because most of these multiple small nodules are benign lesions, they can be reviewed after three to six months to observe any changes in the nodules.
If patients with double lung nodules have fever, cough, sputum, or even cough up blood, they may have inflammatory nodules or tuberculous nodules, which can be combined with other tests to make a clear diagnosis and then take appropriate medication.
Inflammatory nodules should be treated with antibiotics such as ceftriaxone, levofloxacin and azithromycin. Tuberculous nodules are mainly treated with anti-tuberculosis therapy, and commonly used drugs include isoniazid, rifampicin, pyrazinamide and so on. Then review after three months, the nodules have no change or become smaller, continue clinical observation.
For the case that the lung nodules have increased significantly after review. Then it is necessary to further do enhanced CT, bronchoscopy or lung puncture biopsy, through these tests to determine the nature of the nodule, give a clear diagnosis, malignant nodules should be timely surgical resection or radiotherapy.
All of the above drugs should be used under the guidance of a doctor, not self-medication.