Dr. Jian Shuntian reply Pulmonology Question - Page 10

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Understanding Left Chest Pain: Causes and When to Seek Medical Help

Left chest pain? Pain in the left chest (below the rib cage) when pressed, turning while sitting, laughing, or exerting effort (especially with the left arm) could indicate several potential issues. It is advisable to consult a healthcare professional, specifically a cardiologist...


Dr. Jian Shuntian reply Pulmonology
Please see the pulmonology outpatient clinic. After evaluation by the pulmonologist, they will advise whether a referral to another specialty is necessary. Thank you.

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


Understanding Chest Strain: Causes, Symptoms, and Treatment Options

Chest strain Hello, Dr. Jian: The location of the chest strain is in the middle of the chest, and this injury has persisted for about 8 months. I have consulted both Western and traditional Chinese medicine, and I have also had X-rays taken, but nothing conclusive has been found....


Dr. Jian Shuntian reply Pulmonology
You can seek help from the Rehabilitation Medicine or Pain Management outpatient clinics. Thank you.

[Read More] Understanding Chest Strain: Causes, Symptoms, and Treatment Options


Understanding Green Phlegm Cough: Causes and When to Seek Help

Green phlegm cough Hello Doctor, I have been coughing for almost a month. At first, I didn't think much of it, but two weeks ago, I started coughing up green phlegm in the morning, so I went to see a doctor. I took medication for seven days, which included antibiotics. Howev...


Dr. Jian Shuntian reply Pulmonology
Hello: You still need to go to the hospital for a chest X-ray. If there are no issues, you can return to your home country to handle it. If there are any problems, consult your physician for further management.

[Read More] Understanding Green Phlegm Cough: Causes and When to Seek Help


Understanding Persistent Cough: Causes, Concerns, and Next Steps

Coughing for over a month? Hello doctor, I have been experiencing a persistent cough for over a month, although it is not severe. About two weeks ago, I coughed up green phlegm, so I went to a clinic and took two different types of antibiotics. The first antibiotic did not improv...


Dr. Jian Shuntian reply Pulmonology
Hello: Please consult a pulmonologist for a chest X-ray to check for inflammation or other issues. Lung cancer may not always be visible on a chest X-ray; if there is a history of smoking or a family history of lung cancer, you may consider paying out-of-pocket for a low-dose che...

[Read More] Understanding Persistent Cough: Causes, Concerns, and Next Steps


Can CT Scans Determine Lung Cancer Spread to the Pleura?

Can a CT scan determine if lung cancer has metastasized to the pleura? Hello Doctor: 1. Can a CT scan determine if lung cancer has invaded or metastasized to the visceral pleura or chest wall? 2. In my mother's pre-operative examination report, it states "GGO (size 2...


Dr. Jian Shuntian reply Pulmonology
Hello: It is currently unclear whether it is a tumor, as the CT scan has not provided confirmation. Although it is in contact with the pleura, this does not necessarily indicate pleural metastasis. It is recommended to seek the opinion of a thoracic surgeon regarding the possibil...

[Read More] Can CT Scans Determine Lung Cancer Spread to the Pleura?


Understanding Chest Pain: Causes and Remedies for Discomfort

Chest pain In the first couple of days, I experienced chest pain when turning over in bed. Now, I notice some chest discomfort in the morning right after waking up. Usually, I don't feel much, but there is a slight pain when I shrug my shoulders. This has been going on for a...


Dr. Jian Shuntian reply Pulmonology
Hello: Please consult a pulmonologist first, as you may need to have a chest X-ray to determine if there are any issues in the thoracic cavity. Further management will be based on the diagnosis. Sincerely, Jian Shun-Tian.

[Read More] Understanding Chest Pain: Causes and Remedies for Discomfort


Post-Pneumothorax Surgery: When to Resume Intense Exercise and Air Travel

Post-pneumothorax surgery: Exercise and flying? Hello, Doctor. I underwent minimally invasive surgery for a pneumothorax on January 13th. In addition to addressing the original hole, the surgeon also treated four other potential weak spots. I am currently recovering well, with th...


Dr. Jian Shuntian reply Pulmonology
Hello: After completing treatment for a spontaneous pneumothorax, it is recommended to wait three weeks before engaging in vigorous exercise or flying. It is advisable to avoid activities that involve straining or holding your breath, such as weightlifting or diving. Some airline...

[Read More] Post-Pneumothorax Surgery: When to Resume Intense Exercise and Air Travel


Understanding Chest Concerns: What Does a Hollow Spot Indicate?

A depression or indentation? I recently experienced some discomfort due to a cold but didn't seek medical attention. After some time, I felt better. However, I've noticed occasional strange sensations in my chest, and the lower edges of my ribs have become more pronounc...


Dr. Jian Shuntian reply Pulmonology
Please consult a pulmonologist for an examination, as it is necessary to see the actual condition in order to make a proper assessment. Thank you. Sincerely, Jian Shun Tian.

[Read More] Understanding Chest Concerns: What Does a Hollow Spot Indicate?


Chest Pain and Increased Heart Rate: When to Seek Medical Help

Chest pain and increased heart rate? Hello Doctor: I have been experiencing chest pain frequently, primarily in the upper part of my chest. I have undergone X-rays and an electrocardiogram, both of which showed no abnormalities. However, my heart rate has recently been around 100...


Dr. Jian Shuntian reply Pulmonology
It is possible that you have mitral valve prolapse. Please consult a cardiologist to determine if an echocardiogram is necessary, and seek their advice for further referrals or examinations. Thank you.

[Read More] Chest Pain and Increased Heart Rate: When to Seek Medical Help


Persistent Coughing: When to Seek Medical Attention for Symptoms

Persistent cough Hello: I have been coughing for a long time. Whenever I talk for too long, I start coughing uncontrollably, and I also feel very weak and easily get sleepy. Am I coming down with a cold? If it is a cold, do I need to see a doctor?


Dr. Jian Shuntian reply Pulmonology
I have been coughing for a long time, and it is essential to see a doctor. It is necessary to identify the cause of the cough, which can be very diverse and cannot be explained in detail. Please consult a pulmonologist for evaluation, as you may need a chest X-ray and other tests...

[Read More] Persistent Coughing: When to Seek Medical Attention for Symptoms


Prognosis of Semisolid Nodules in Pulmonary Medicine: A Comprehensive Review

Prognosis of semisolid nodules? Dear Dr. Jian, I have two questions I would like to ask you: 1. Regarding malignant nodules, solid nodules generally have a poorer prognosis, while ground-glass opacities (GGO) have a better prognosis. I would like to inquire about the prognosis...


Dr. Jian Shuntian reply Pulmonology
According to academic theory, lung cancer (adenocarcinoma) typically begins as ground-glass opacities (GGO), then progresses to semi-solid lesions, and finally to solid lesions. If a lesion is benign, it usually presents as solid from the outset. Therefore, statistically, GGOs an...

[Read More] Prognosis of Semisolid Nodules in Pulmonary Medicine: A Comprehensive Review


Understanding Chest Discomfort: Can a Cold Cause These Symptoms?

Chest discomfort and restlessness? Hello Doctor, for the past two weeks, I have been experiencing a feeling of tightness in my chest, and occasionally, I feel a slight pain on either side of my chest, although it is not severe. A week ago, I also had headaches and nausea, but tho...


Dr. Jian Shuntian reply Pulmonology
Hello: It is possible, but we need to observe if it occurs again. If it does, further examination will be necessary. Sometimes, emotions can also have an impact, so please try to relax and get plenty of rest. Best regards, Jian Shun Tian.

[Read More] Understanding Chest Discomfort: Can a Cold Cause These Symptoms?


Understanding Tingling Sensations in the Chest Area: Possible Causes

Numbness in the chest? The sensation of tingling on both sides above the chest and below the collarbone may indicate a condition related to nerve irritation or compression, such as thoracic outlet syndrome or cervical radiculopathy. It is advisable to consult a healthcare profess...


Dr. Jian Shuntian reply Pulmonology
Hello: It may be a thoracic or neurological issue. It is necessary to check for possible nerve compression. You can consult a pulmonologist or a neurologist for examination. Thank you. Sincerely, Jian Shun Tian.

[Read More] Understanding Tingling Sensations in the Chest Area: Possible Causes


Causes of Left Lung Swelling and Scoliosis in Pediatric Patients

Left lung swelling? The newborn examination reveals left lung swelling and thoracic scoliosis. What could be the cause of the lung swelling? Thank you.


Dr. Jian Shuntian reply Pulmonology
I suspect that the swelling of the left lung may indicate emphysema or increased inflation, possibly caused by scoliosis, but there could be other reasons as well. Further confirmation is needed, and it would be advisable to consult a pulmonologist to determine if pulmonary funct...

[Read More] Causes of Left Lung Swelling and Scoliosis in Pediatric Patients


Sleep Deprivation and Chest Tightness: When to Seek Medical Advice

Insufficient sleep and chest tightness? Recently, I have experienced chest tightness when I lack sleep, but the symptoms would subside once I go to sleep. This year, I have been experiencing these symptoms frequently during the late night, yet sleeping would alleviate the issue. ...


Dr. Jian Shuntian reply Pulmonology
Hello: There are many causes of chest tightness, including issues related to the thoracic cavity (mediastinum), lungs, gastroesophageal reflux, heart, anxiety, menopausal disorders, and psychological problems. Each potential cause needs to be examined individually. It is advisabl...

[Read More] Sleep Deprivation and Chest Tightness: When to Seek Medical Advice


Can Bronchitis Cause Chest Cavity Itching? Understanding Your Symptoms

Can bronchitis cause itching in the chest? Dear Doctor: I previously had a cold with bronchitis, and an X-ray showed no pneumonia. However, I have a very sensitive itching sensation inside my right chest cavity (not on the surface), and pressing on it can trigger a cough. Sometim...


Dr. Jian Shuntian reply Pulmonology
Hello: In cases of severe tracheobronchitis or bronchitis, one may experience coughing and a sensation of itchiness behind the sternum, but coughing triggered by pressure on the chest or breast is relatively uncommon. If the chest X-ray shows no abnormalities, you may seek a seco...

[Read More] Can Bronchitis Cause Chest Cavity Itching? Understanding Your Symptoms


Understanding Chest Trauma: When to Seek Medical Attention After a Blow

A bruise is a pain that breathes? My boyfriend struck me forcefully with his bare hands in the area just below my chest, around the costal arch (slightly to the left of the center below the left breast). At that moment, I was unable to breathe for about one to two seconds, follow...


Dr. Jian Shuntian reply Pulmonology
Hello: 1. A heavy impact to the chest can potentially injure the chest muscles, ribs, lungs, diaphragm, spleen, cardiovascular system, stomach, and other structures, depending on the severity of the impact. 2. Rib fractures may not be visible on an X-ray within the first two days...

[Read More] Understanding Chest Trauma: When to Seek Medical Attention After a Blow


Understanding Chest Pain: Causes and When to See a Doctor

Chest pain? Hello, doctor. I would like to ask you about experiencing chest pain this morning, especially when exhaling. What could be the cause of this, and do I need to see a doctor? Additionally, I have a left ankle that I received traditional Chinese medicine treatment for ye...


Dr. Jian Shuntian reply Pulmonology
There are many causes of chest pain. If the pain is due to chest wall muscle strain, there is usually tenderness upon palpation. If it is related to lung issues, the pain typically occurs during inhalation and may be accompanied by nasal congestion and cold symptoms. Viral infect...

[Read More] Understanding Chest Pain: Causes and When to See a Doctor


Should You See a Doctor for Mild Left Chest Pain After a Sports Injury?

Mild pain in the left chest? Hello, doctor! I would like to ask, today I had a collision while playing basketball with my classmates. After the game, I noticed a slight pain in my left chest when taking deep breaths or yawning, and it also hurts when I bend over. Should I go to t...


Dr. Jian Shuntian reply Pulmonology
Hello: The collision is most likely to cause muscle injury and inflammation. You can go to the hospital for a chest X-ray to check for any fractures or pneumothorax issues.

[Read More] Should You See a Doctor for Mild Left Chest Pain After a Sports Injury?


Understanding Brief Chest Pain: Causes and Concerns Explained

Chest pain? Hello Doctor: I have been feeling quite anxious for the past three months, and in the last month, I have experienced sharp chest pains. However, the pain lasts no longer than one second and completely disappears after that. It occurs approximately once every half hour...


Dr. Jian Shuntian reply Pulmonology
Hello: If there are no issues with the thoracic cavity and heart, it may be muscular, neurological, or myofascial pain, and you can consult a pain specialist for diagnosis and treatment.

[Read More] Understanding Brief Chest Pain: Causes and Concerns Explained


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