Understanding Shortness of Breath: Causes and Solutions
Difficulty breathing? Breathing is difficult, and I need to take a deep breath to feel a little better. When I encounter cold air, I automatically stop breathing, and I constantly feel like I have a burp that won't come out.
Dr. Jian Shuntian reply Pulmonology
It may be a problem related to the tracheobronchial system; other factors such as psychological issues should also be considered. Please visit a pulmonology clinic for evaluation.[Read More] Understanding Shortness of Breath: Causes and Solutions
Post-Surgery Cough and Steroid Rash: Understanding Symptoms After Mediastinal Lymph Node Removal
Underwent radical lymphadenectomy for sarcoma in the mediastinum? I would like to ask Dr. Jian! My husband had a physical examination in mid-October, which indicated that there was something in his chest cavity. We went to a nearby large hospital for further examination and found...
Dr. Jian Shuntian reply Pulmonology
Hello, 1. Coughing can have many causes. It may be due to a sarcoid-like condition or other reasons, so it is necessary to consult a pulmonologist for an examination. You may seek another pulmonologist for a second opinion. 2. The use of corticosteroids can lead to skin sympt...[Read More] Post-Surgery Cough and Steroid Rash: Understanding Symptoms After Mediastinal Lymph Node Removal
Cracking Sounds in the Chest: What Does It Mean?
There is a sound in the thoracic region similar to the cracking of finger joints? Hello doctor, when I stretch my neck, I hear a similar cracking sound in my chest area as I do when I turn my neck. I couldn't find any answers online and I'm wondering if there is any iss...
Dr. Jian Shuntian reply Pulmonology
Hello, the sounds typically come from soft tissues such as muscles, ligaments, and cartilage rubbing against the bones and joints. It is advisable to consult a pulmonologist for an examination. If the chest X-ray shows no issues, it may simply be normal friction sounds. Dr. Jian-...[Read More] Cracking Sounds in the Chest: What Does It Mean?
Right-Sided Chest Pain When Lying Down: Possible Causes and Concerns
Right-sided chest pain? Hello doctor, I have recently experienced slight pain in the middle of my chest when lying on my right side, which feels like tenderness inside (the pain subsides when I lie on my right side). Due to my work, I often have pain around my right clavicle, but...
Dr. Jian Shuntian reply Pulmonology
Hello: There are many possible causes of chest pain, including muscle inflammation, fasciitis, costochondritis, mediastinitis, pleuritis, lung inflammation, and cardiac issues. It is not possible to deduce the cause based solely on symptoms. Please visit a thoracic specialist for...[Read More] Right-Sided Chest Pain When Lying Down: Possible Causes and Concerns
Understanding Right Hilar Nodular Opacity: Causes and Concerns
What is a "right chest door nodule shadow"? During the school health check-up, I recently received the results stating "right hilar nodule shadow." I recalled that a few years ago, I started experiencing chest pain, where I would suddenly feel a sharp pain in ...
Dr. Jian Shuntian reply Pulmonology
Hello: It is recommended to visit the pulmonology department for further examination. The causes of the nodular shadow in the right hilum are numerous, and it is difficult to make a judgment without a chest X-ray. Therefore, it is advised to definitely return to the pulmonology o...[Read More] Understanding Right Hilar Nodular Opacity: Causes and Concerns
Why Isn't There a Legal Requirement for Hospitalizing Patients with Phlegm-Yang Until They Test Negative?
Why doesn't the government have legal authority to mandate hospitalization for patients with phlegm-heat syndrome until they achieve a negative conversion before discharge? Dear Director Jian: Why is there no legal basis to mandate hospitalization for patients with phlegm-he...
Dr. Jian Shuntian reply Pulmonology
Hello: This question should be answered by the Centers for Disease Control and Prevention (CDC). According to the current CDC recommendations, individuals with non-MDRTB (non-multidrug-resistant tuberculosis) can return to school or work after two weeks of treatment, as their inf...[Read More] Why Isn't There a Legal Requirement for Hospitalizing Patients with Phlegm-Yang Until They Test Negative?
Low-Dose CT Scans for Lung Cancer Screening: Equipment Insights in Taiwan
Equipment for low-dose computed tomography of the chest in various hospitals? Hello, doctor. Due to my family medical history, I am at high risk for lung cancer and would like to self-pay for a low-dose chest CT scan. I found information online stating that low-dose CT scans typi...
Dr. Jian Shuntian reply Pulmonology
Hello: Regarding the issue with the equipment, please consult a radiologist. Thank you![Read More] Low-Dose CT Scans for Lung Cancer Screening: Equipment Insights in Taiwan
Understanding Chest Numbness: Causes and When to Seek Help
Numbness in the chest? I experience a tingling sensation in my chest at least twice a week, which makes it difficult for me to breathe. This has been happening for a long time, and I'm not sure why. After exercising, my lips turn pale, and I struggle to catch my breath.
Dr. Jian Shuntian reply Pulmonology
Hello: Please visit a cardiologist as soon as possible to check for any heart problems.[Read More] Understanding Chest Numbness: Causes and When to Seek Help
Understanding Breast Nipple Lumps: Causes, Symptoms, and Treatment Options
There is a lump in the nipple? I would like to ask about a situation where I discovered a lump in my nipple during the sixth grade. After an examination, I forgot what the doctor said, but I remember being told it was due to excess female hormones and that it likely wouldn't...
Dr. Jian Shuntian reply Pulmonology
Hello, 1. As our hospital specializes in thoracic medicine, regarding your inquiry, you may consult a general surgeon or a breast surgeon for further examination to determine the appropriate course of action. 2. You can also visit the Taiwan e-Hospital consultation website to...[Read More] Understanding Breast Nipple Lumps: Causes, Symptoms, and Treatment Options
Understanding Chest Pain After a Car Accident: When to Seek Help
Car accident ~ Pain in the chest and abdomen radiating to the back? Hello Doctor: I was in a car accident in October 2013, and at that time, in addition to two fractures and multiple contusions, the most painful area was my chest. An X-ray was taken, and the doctor diagnosed it a...
Dr. Jian Shuntian reply Pulmonology
Hello, 1. Based on your description, I recommend that you see a pulmonologist or an orthopedic specialist and get another chest X-ray. Sometimes rib fractures may not be visible on an X-ray immediately, but even if a fracture is present, conservative treatment is usually the ap...[Read More] Understanding Chest Pain After a Car Accident: When to Seek Help
Understanding Right Rib Pain and Small Lumps: When to Seek Medical Help
Small lump above the right rib cage? Two days ago, I noticed a difference between the left and right ribs. There is a small lump on the upper part of the right rib cage that sometimes causes sudden pain, while at other times it does not hurt. When I press on the small lump on the...
Dr. Jian Shuntian reply Pulmonology
Hello, 1. You may first consult a pulmonologist, who will perform a chest X-ray and a physical examination to determine if there are any small masses, and then decide which specialty to see next. 2. Alternatively, you can start with a family medicine physician, who will conduc...[Read More] Understanding Right Rib Pain and Small Lumps: When to Seek Medical Help
Transferring Lung Lymphoma Patient for Better Care: Is It Feasible?
I would like to transfer my care for lung lymphoma to your hospital? Hello Dr. Jian: My father, who is 81 years old, was diagnosed with pulmonary lymphoma in March. He is currently at Beigang Matsu Hospital and his condition is not good; he now requires a ventilator. The doctors ...
Dr. Jian Shuntian reply Pulmonology
Hello, 1. The Chest Hospital is located in Tainan City and is an acute care facility; it does not have a palliative care unit, which may not meet your needs. 2. Whether a transfer to another hospital is appropriate requires a clinical assessment. Since I have not personally ex...[Read More] Transferring Lung Lymphoma Patient for Better Care: Is It Feasible?
Understanding Treatment Failure in Lymphatic Tuberculosis: Causes and Solutions
Lymphatic tuberculosis In March of this year, I was diagnosed with lymphatic tuberculosis, and the drug sensitivity test showed effectiveness. However, after four months of medication, the lymphatic secretions still tested positive, indicating treatment failure. The original regi...
Dr. Jian Shuntian reply Pulmonology
Hello, if the treatment has truly failed, we still need to wait for the culture report. If the culture is positive and identifies Mycobacterium tuberculosis, we will need to rely on the results of the drug sensitivity test to select the appropriate medication. Currently, we can s...[Read More] Understanding Treatment Failure in Lymphatic Tuberculosis: Causes and Solutions
Understanding Lung Shadows and Fluid: What Do They Mean for Your Health?
The presence of shadows and fluid in the lungs may indicate several conditions, such as pneumonia, pulmonary edema, lung tumors, or pleural effusion. It is essential to conduct further diagnostic tests, such as imaging studies or laboratory tests, to determine the underlying caus...
Dr. Jian Shuntian reply Pulmonology
Hello, there are many reasons for the presence of shadows in the lungs along with fluid accumulation, such as inflammation, pneumonia, tuberculosis, tumors, etc. Further examinations are necessary to establish a diagnosis, and treatment can only be provided based on that diagnosi...[Read More] Understanding Lung Shadows and Fluid: What Do They Mean for Your Health?
Flu and Pneumonia: Treatment Duration, Complications, and Concerns
Influenza, pneumonia, treatment duration, and complications? Hello Doctor: My family member, a 46-year-old male, is experiencing a 40-degree fever due to influenza, along with pneumonia. After screening, there is evidence of pulmonary infiltration, and his white blood cell count ...
Dr. Jian Shuntian reply Pulmonology
Due to the complexity of the condition, a complete understanding may not be possible, and only simple questions can be addressed. Further discussions with the attending physician may be necessary. (1) The use of antibiotics is partially metabolized by the kidneys, depending on th...[Read More] Flu and Pneumonia: Treatment Duration, Complications, and Concerns
Understanding Central Chest Pain: Causes and Medication Effects
Central chest pain? Hello Doctor, I experienced pain in the center of my chest all night while I was sleeping. It was a type of pain that would come and go. What could be the possible issue? Recently, I have been taking the following medications: VOREN, SU=TON TABLETS, and CIMETI...
Dr. Jian Shuntian reply Pulmonology
Hello, the causes of chest pain are complex and are significantly related to age and pre-existing conditions. Without knowing your basic information, it is difficult to provide an accurate response. Based solely on the medications you mentioned, they could potentially cause esoph...[Read More] Understanding Central Chest Pain: Causes and Medication Effects
Understanding Tuberculosis Testing: X-rays, Interferon, and More
Tuberculosis Screening Currently, the tests for tuberculosis (TB) include chest X-rays, tuberculin skin tests (TST), and other more accurate out-of-pocket tests. One such test is the Interferon Gamma Release Assay (IGRA), which is a blood test that detects the immune response to ...
Dr. Jian Shuntian reply Pulmonology
Hello, no test is 100% accurate, so it is necessary to consider all examinations to make a judgment on whether preventive medication is needed. The physician will explain the benefits and risks, but the final decision rests with the parents. Preventive treatment will only be admi...[Read More] Understanding Tuberculosis Testing: X-rays, Interferon, and More
Understanding Costochondritis: Symptoms and Nail Changes Explained
Regarding rib adenitis? I would like to ask if hidradenitis suppurativa is related to nails, as I have noticed that my toenails have been uneven for a long time. I found online that it might be related to hidradenitis suppurativa. Could you please tell me what symptoms are associ...
Dr. Jian Shuntian reply Pulmonology
Hello, it seems that there is no diagnostic term for rib gland inflammation in the medical terminology used in Taiwan. If there are abnormalities in the nails, it is advisable to consult a dermatologist for further examination and treatment. Thank you for your inquiry, and I wish...[Read More] Understanding Costochondritis: Symptoms and Nail Changes Explained
Understanding Diaphragmatic Hernia Repair Surgery: Key Questions Answered
Diaphragmatic hernia repair surgery Dear Sir, I previously underwent an examination at a major hospital and was diagnosed with a diaphragmatic hernia, which has caused my stomach to rise and compress my left lower lung, resulting in atrophy. The doctor mentioned that I could be ...
Dr. Jian Shuntian reply Pulmonology
1. Symptoms of gastric distension and acid reflux may be related to a hiatal hernia, but further confirmation is needed. 2. It is necessary to determine the specific type of hiatal hernia, which requires endoscopy, barium swallow studies, and computed tomography (CT) scans to de...[Read More] Understanding Diaphragmatic Hernia Repair Surgery: Key Questions Answered
Understanding Chest Discomfort: Causes and Solutions for Breathing Issues
chest There is a feeling of tightness in the chest, as if there is a blockage, and it requires significant effort to breathe in air.
Dr. Jian Shuntian reply Pulmonology
Hello, there are many factors to consider in this situation, which could include pulmonary heart issues, psychological stress, or problems such as gastroesophageal reflux. Please visit a pulmonology clinic first to confirm the underlying cause. Thank you. Sincerely, Dr. Jian Shun...[Read More] Understanding Chest Discomfort: Causes and Solutions for Breathing Issues