Dr. Huang Yiwen reply Pulmonology Question - Page 3

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Understanding Chronic Cough: When to Seek Medical Attention for Your Mom

Itchy throat and cough? The definition of a persistent cough is typically a cough that lasts for more than eight weeks in adults. In your mother's case, if she has been coughing three to four times each morning for the past two weeks, it may not yet meet the clinical definit...


Dr. Huang Yiwen reply Pulmonology
Dear ERIC: A cough lasting for three weeks without improvement can be classified as a chronic cough. Further evaluation is necessary, and it is recommended to consult a pulmonologist for a chest X-ray (CXR) examination. Changhua Hospital cares about your health.

[Read More] Understanding Chronic Cough: When to Seek Medical Attention for Your Mom


Understanding Tuberculosis Transmission and Treatment Risks in Families

Tuberculosis-related issues? Hello, Doctor! My father was diagnosed with open pulmonary tuberculosis in 2020 and was hospitalized for nearly a year for treatment. After that, both my mother and my daughter tested positive and received preventive medication. I, myself, tested nega...


Dr. Huang Yiwen reply Pulmonology
Dear Megan: Thank you for your inquiry. 1. You had a nodular shadow in the past, which suggests that you may have had an infection that is currently in a dormant state as a granuloma. Although preventive medication was administered, it may not have completely eradicated the inf...

[Read More] Understanding Tuberculosis Transmission and Treatment Risks in Families


Understanding Lung Atrophy: Causes, Treatments, and Rehabilitation Options

Lung atrophy Hello, this month's low-dose computed tomography (CT) scan shows lung atrophy. What are the possible causes of atrophy? Are there any treatment or rehabilitation options available? Thank you for your response. Low-dose CT of the chest without contrast enhancem...


Dr. Huang Yiwen reply Pulmonology
Dear Health: Lung atelectasis is incomplete expansion, generally due to the degeneration of the ciliated epithelium in the trachea or is often a result of previous infections. As long as there is no mucus accumulation, no special treatment is necessary. You can perform deep breat...

[Read More] Understanding Lung Atrophy: Causes, Treatments, and Rehabilitation Options


Understanding Central Chest Discomfort: Is It Acid Reflux?

Central chest tightness and pain? Hello, about two days ago I felt a tightness in the center of my chest, and the area between my stomach and chest felt uncomfortable. The tightness has since subsided, but I still experience some pain in the area between my stomach and chest. I a...


Dr. Huang Yiwen reply Pulmonology
Dear Xiao Lin: Based on your description, it seems appropriate to start with medications for gastroesophageal reflux. If there is no improvement, we can proceed with an endoscopy. Changhua Hospital cares about you.

[Read More] Understanding Central Chest Discomfort: Is It Acid Reflux?


Post-Surgery Follow-Up for Lung Adenocarcinoma: Key Considerations

Follow-up for Lung Adenocarcinoma Hello Dr. Huang, I underwent a thoracoscopic surgery this month to remove a 0.6 cm ground-glass nodule, which was diagnosed as lung adenocarcinoma (Acinar type). The doctor recommended some follow-up: 1. Schedule an MRI with contrast for the brai...


Dr. Huang Yiwen reply Pulmonology
Dear Jay: After undergoing a PET scan, if the findings are limited to the lungs, there is no need for frequent follow-up chest X-rays. For the first two years, a CT scan should be performed every six months, and thereafter, further imaging will be based on necessity. Changhua Hos...

[Read More] Post-Surgery Follow-Up for Lung Adenocarcinoma: Key Considerations


CT Scan for Fish Bone Detection: Is Contrast Dye Necessary?

General chest computed tomography (CT) scan? Hello doctor, on February 24th during lunch, I swallowed a fishbone (it was about 1-1.5 cm long, from a white ribbon fish). Three days later, I experienced some chest tightness and sharp pain, but it was very brief. Currently, besides ...


Dr. Huang Yiwen reply Pulmonology
Dear Mr. Li: It would be better to use contrast agents, but we can observe the situation first. If it is a medical condition, you can use health insurance. If a low-dose CT scan is needed, it will cost approximately 3,500 to 4,500. Changhua Hospital cares about you.

[Read More] CT Scan for Fish Bone Detection: Is Contrast Dye Necessary?


Understanding Chest X-Ray Reports: Why Final Results Take Time

Regarding the X-ray report? Hello, today I went to a large hospital for a chest X-ray. After the procedure, I immediately reviewed the report with the doctor, who said there were no significant issues. However, the doctor mentioned that the official report would not be available ...


Dr. Huang Yiwen reply Pulmonology
Dear Ryan: The on-site examination should be conducted by the pulmonology department. If there are no issues, then there are no issues. If it is not the pulmonology department, we will wait for the radiologist to finalize the report as the final reference. Changhua Hospital cares...

[Read More] Understanding Chest X-Ray Reports: Why Final Results Take Time


Understanding Post-Surgery Chemotherapy for Lung Squamous Cell Carcinoma

Staging of Lung Cancer Pathology Report Hello Doctor, I have reviewed my father's pathology report after his left lung pneumonectomy. Since he underwent neoadjuvant therapy (chemotherapy + immunotherapy) prior to surgery, the post-operative staging indicates T0N1. The thorac...


Dr. Huang Yiwen reply Pulmonology
Dear Mark: 1. Preoperatively, you have received neoadjuvant therapy. Postoperatively, the staging is T0N1, so you can just be monitored. 2. Currently, the adjuvant chemotherapy after surgery consists of Vinorelbine and Carboplatin for 4 cycles. Changhua Hospital is concerned abou...

[Read More] Understanding Post-Surgery Chemotherapy for Lung Squamous Cell Carcinoma


Asthma Treatment: Can Inhalers Cause Tongue Sores and Numbness?

Asthma with tongue ulceration? The patient used the inhaler for the first time last night, taking one puff each, and has been using it for about four to five days. Initially, there was some improvement in the cough, but yesterday morning, the cough worsened unexpectedly. Addition...


Dr. Huang Yiwen reply Pulmonology
Dear Ms. Huang: Both Pulmicort and Symbicort contain steroids and bronchodilators, so it is important to rinse your mouth after use to avoid the risk of oral thrush. Occasionally, these medications can irritate the vocal cords, which may explain the atypical side effects you de...

[Read More] Asthma Treatment: Can Inhalers Cause Tongue Sores and Numbness?


Understanding Low-Dose CT Results: Lung Collapse and Fibrotic Bands Explained

Low-dose computed tomography results? Hello, doctor. Two years ago, I underwent a low-dose computed tomography (CT) scan, which showed no visible lung nodules, but there were areas of atelectasis or fibrotic bands in the right middle lobe, left lower lobe, and lingula. No obvious...


Dr. Huang Yiwen reply Pulmonology
Dear Mr. Long: The report from the computed tomography scan indicates old changes consistent with atelectasis, which in medical terms is interpreted as incomplete expansion. This is mostly caused by poor function of the local bronchial wall's fibrous tissue. There is no sign...

[Read More] Understanding Low-Dose CT Results: Lung Collapse and Fibrotic Bands Explained


Understanding Asthma Medication: Impact on Sleep Quality and Side Effects

Asthma medications The patient has recently started using asthma medication for the first time, as they have never used any medication before. The doctor prescribed a dry powder inhaler to be taken in the morning and evening. The patient has a long-standing issue with post-nasal ...


Dr. Huang Yiwen reply Pulmonology
Please refer to the response from February 15th.

[Read More] Understanding Asthma Medication: Impact on Sleep Quality and Side Effects


Post-COVID Cough and Unusual Breathing Sounds: What to Know

COVID-19, abnormal breath sounds? Hello, doctor. I was diagnosed with COVID-19 on December 19 of last year. Initially, I thought it was just a cold, so after my appointment, I went home and did a rapid test, which confirmed I was positive. I immediately informed the clinic where ...


Dr. Huang Yiwen reply Pulmonology
Dear Ms. Lin: It is indeed possible that the symptoms you mentioned after COVID-19 are related to changes in the immune system caused by the viral infection, which may trigger wheezing responses. Therefore, your first question should have a chance of being addressed. We recommend...

[Read More] Post-COVID Cough and Unusual Breathing Sounds: What to Know


Understanding Asthma Medications: Do They Affect Sleep Quality?

Asthma medications The patient has recently started using asthma medication for the first time, as they have never used any medication before. The doctor prescribed a dry powder inhaler to be taken in the morning and evening. The patient has a long history of post-nasal drip and ...


Dr. Huang Yiwen reply Pulmonology
Dear Ms. Huang: The components of Xibikua include trace amounts of bronchodilators and corticosteroids, both of which may have a slight impact on sleep. However, since the amounts are minimal, the effect is not significant unless one is particularly sensitive. Nonetheless, it can...

[Read More] Understanding Asthma Medications: Do They Affect Sleep Quality?


Understanding Lung Nodules: When to Consider Surgical Removal?

The concerns of pulmonary nodules? Hello, Director Huang. I was diagnosed with stage I nasopharyngeal carcinoma in January 2022. A PET scan showed normal lungs, but during a follow-up CT in December 2022, a 0.8 x 1.3 mm oval non-solid nodule was found in the right lung. A broncho...


Dr. Huang Yiwen reply Pulmonology
Dear Xia: It is recommended to proceed with direct excision. Currently, thoracoscopic surgery is very convenient and safe. A 1.3 mm excision would provide more peace of mind. Changhua Hospital cares about you.

[Read More] Understanding Lung Nodules: When to Consider Surgical Removal?


Understanding Right Chest Pain: Causes and When to Seek Help

Right chest pain? 1. The pain is located in the lower right chest area and feels somewhat like a cramp during deep breathing, but it resolves after 1-2 days of rest. I experienced a similar condition last month. 2. This time, there is also soreness in the pectoralis major area (a...


Dr. Huang Yiwen reply Pulmonology
Dear C: There are many causes of chest pain. First, we should rule out cardiac and thoracic causes before considering neuromuscular origins. Changhua Hospital is concerned about you.

[Read More] Understanding Right Chest Pain: Causes and When to Seek Help


Navigating Medical Care for Inhaled Foreign Objects in Taiwan

Foreign body aspiration into the nasal cavity? In March 2018, I accidentally inhaled a male cone from a Podocarpus tree while passing underneath it. This caused an immediate and severe coughing fit. The male cone, measuring only 0.4 cm, could not be removed and has since fragment...


Dr. Huang Yiwen reply Pulmonology
Dear Biology Teacher: The question you raised is indeed a bit challenging. The pulmonology department can assist with bronchial washing for some examinations, but it is still recommended to visit the toxicology department first to see if there are any relevant concerns from the C...

[Read More] Navigating Medical Care for Inhaled Foreign Objects in Taiwan


Understanding Post-Pneumonia Chest Pain: Insights from a Pulmonologist

Hello, Director? Hello, Director Huang. I was hospitalized for pneumonia in December and was discharged after completing the antibiotic treatment. The pulmonology department referred me to cardiology for evaluation due to a heart murmur. I went for a follow-up appointment with th...


Dr. Huang Yiwen reply Pulmonology
Dear a86915398: There is indeed no need to take antibiotics since there are no longer any pneumonia symptoms, and taking antibiotics now for the symptoms left over from December would be pointless. The main symptoms of pneumonia are still cough and fever. If you are only experien...

[Read More] Understanding Post-Pneumonia Chest Pain: Insights from a Pulmonologist


Understanding Tuberculosis Transmission and Risks in Family Members

Questions related to pulmonary tuberculosis? Hello, Doctor! My father was diagnosed with open pulmonary tuberculosis in 2020 and was hospitalized for nearly a year for treatment. After that, both my mother and my daughter tested positive and received preventive medication. I, mys...


Dr. Huang Yiwen reply Pulmonology
Dear Megan: In 2020, your father had tuberculosis, so it is most likely that he was the source of transmission. Tuberculosis is primarily transmitted within households. Currently, the incidence rate in Taiwan has decreased to 31 per 100,000. The chance of contracting it from outs...

[Read More] Understanding Tuberculosis Transmission and Risks in Family Members


Do Cigarette Butts Contribute to Air Pollution? Health Concerns Explained

Do cigarette butts cause air pollution? I live on the first floor. When I open the window in my room, it leads to the balcony, where not only is the exhaust vent located, but also people occasionally throw cigarette butts down from above. Over time, there have been hundreds of th...


Dr. Huang Yiwen reply Pulmonology
Dear food: It can have an impact, or we can find ways to improve the environment, as such conditions are detrimental to both mental and physical health. Changhua Hospital cares about you.

[Read More] Do Cigarette Butts Contribute to Air Pollution? Health Concerns Explained


Understanding Chest Pain After a Car Accident: Causes and Next Steps

Hello, Director Huang. I have been experiencing pain after a recent car accident? On January 28, I went to the emergency room after a car accident. Besides external bruises, I experienced left-sided chest pain rated around 2 to 4 out of 10. The pain felt like it was on the surfac...


Dr. Huang Yiwen reply Pulmonology
Dear Mr. Chen: Based on your description, in addition to the impact, it is likely related to your history of pneumothorax and severe scoliosis (which may be causing respiratory limitations and pain). If there is no improvement, I recommend scheduling a CT scan to rule out other c...

[Read More] Understanding Chest Pain After a Car Accident: Causes and Next Steps


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