Is It Normal to Experience Coughing and Chest Discomfort After Inhaler Use?
Is it normal to experience worsened sleep, coughing, and a sensation of heartbeat and chest tightness when using a bronchodilator? On July 13 of this year, I was diagnosed and have had a cough for over three weeks, accompanied by wheezing, choking cough, and a sensation of my hea...
Dr. Guo Hongyi reply Pulmonology
Dear public, We recommend that you first confirm whether you are using the correct method for inhaling your medication. You can search online for instructional videos on the proper inhalation technique. If you continue to experience discomfort after using the medication correct...[Read More] Is It Normal to Experience Coughing and Chest Discomfort After Inhaler Use?
Should You Follow Up on Lung Nodules Detected by Low-Dose CT?
Low-Dose Computed Tomography Report of the Lungs Hello, Doctor. My family has a history of lung cancer, and I recently underwent a low-dose computed tomography (LDCT) scan. The results showed two nodules measuring 0.2 cm and a "right middle lobe motion artifact or a small gr...
Dr. Guo Hongyi reply Pulmonology
Hello, the public: Lung nodules and lesions do require monitoring or further examination, but the timing for follow-up should be determined based on their imaging characteristics. It is not possible to provide a definitive course of action at this moment. I recommend discussing t...[Read More] Should You Follow Up on Lung Nodules Detected by Low-Dose CT?
Training for Tracheostomy Decannulation: Key Considerations for Elderly Patients
How to train for tracheostomy decannulation? My mother suffered a brain hemorrhage from a fall in January of this year. At that time, the doctors assessed that she was in a coma and unable to breathe on her own. After two months of treatment and over five months of care, she can ...
Dr. Guo Hongyi reply Pulmonology
Dear public, Tracheostomy training can generally be conducted when vital signs are stable and medical personnel are present. While a productive cough and the presence of sputum may slightly affect the success rate, these factors should not be the sole reason to postpone trainin...[Read More] Training for Tracheostomy Decannulation: Key Considerations for Elderly Patients
Can Coughing Too Hard Cause Blood in Your Phlegm?
Can coughing too hard cause bleeding? A few days ago, I had a cold with a sore throat and a dry cough. I'm not sure if I coughed too hard, but I coughed up pink phlegm, which seems to be blood-tinged. The first phlegm I coughed up in the morning was pink, but throughout the ...
Dr. Guo Hongyi reply Pulmonology
Dear public, Hello: There are many causes of hemoptysis, and it is not possible to provide a response without further evaluation. It is recommended that you visit a nearby pulmonology clinic for a proper assessment. Thank you.[Read More] Can Coughing Too Hard Cause Blood in Your Phlegm?
Navigating Treatment Options for Advanced Lung Cancer Patients
Cancer treatment Hello Dr. Kuo, my father is a patient with lung adenocarcinoma that has progressed to small cell lung cancer, currently with metastases to the bones and liver. He previously had to interrupt radiation therapy due to severe leukopenia. If his white blood cell coun...
Dr. Guo Hongyi reply Pulmonology
Hello, the treatment of cancer involves numerous considerations related to clinical factors, imaging, and the current physical condition of the patient. It is not possible to provide you with diagnostic and treatment recommendations in this manner. It is advisable to discuss stra...[Read More] Navigating Treatment Options for Advanced Lung Cancer Patients
Should COVID-19 Patients Get Chest X-Rays? Key Considerations
Do COVID-19 positive patients need to undergo a chest X-ray examination? Hello, doctor. For individuals who have tested positive for COVID-19, is it advisable to get a chest X-ray to check for lung issues when they test negative on a rapid test? In what situations or for which gr...
Dr. Guo Hongyi reply Pulmonology
Hello, if you have related pulmonary symptoms, you can visit a medical facility for an evaluation by a physician to determine if a chest X-ray is necessary. Currently, there are no specific regulations or recommendations regarding which groups must undergo a chest X-ray upon diag...[Read More] Should COVID-19 Patients Get Chest X-Rays? Key Considerations
Understanding Occasional Right Chest Pain: Causes and Insights
Occasional sharp pain in the right chest? Hello, doctor. Recently, I have been experiencing sudden sharp pain in the area between my ribs, about three finger widths above my right nipple, which lasts for about 10 seconds before returning to normal. A while ago, I visited the hosp...
Dr. Guo Hongyi reply Pulmonology
Hello, the public. Based on what you have described, you have seen various specialists but no abnormalities were found. If the aforementioned specialties have ruled out any issues, intercostal pain is often related to muscular or neurological factors, typically caused by fatigue ...[Read More] Understanding Occasional Right Chest Pain: Causes and Insights
Understanding Rapid Deterioration in Lung Cancer Patients After Radiation Therapy
Cancer treatment Hello Dr. Kuo, my father has been a patient with lung adenocarcinoma that progressed to small cell lung cancer (2020-2023), with metastases to the bones and liver (from November 2022 to January 2023). During his hospitalization from November 29, 2022, to January ...
Dr. Guo Hongyi reply Pulmonology
Hello, Miss. I have received your inquiry and I am deeply sorry to hear about your father's illness. Based on your description, your father has been diagnosed with lung adenocarcinoma that has progressed to small cell lung cancer (2020-2023), with metastases to the bones and...[Read More] Understanding Rapid Deterioration in Lung Cancer Patients After Radiation Therapy