Post-Crash Chest Pain: Should You See a Pulmonologist or Internist?
After a car accident..? Yesterday, I fell off my motorcycle after an emergency brake while carrying a passenger on the back seat. Both of us fell to the ground, and the person on the back landed on top of me. I have some abrasions on my body and face, and I felt pain in my chest ...
Dr. Jian Shuntian reply Pulmonology
Hello, direct or indirect impact to the chest can potentially cause bleeding within the thoracic cavity or pleura. Please visit a thoracic specialist for a chest X-ray to confirm and receive further treatment. Thank you. This response is respectfully provided by Dr. Jian Shun-Tia...[Read More] Post-Crash Chest Pain: Should You See a Pulmonologist or Internist?
Understanding Pulmonary Fibrosis After Lung Cancer Surgery: Key Insights
Inquire about pulmonary fibrosis issues? Hello Doctor, my father previously had lung cancer and underwent surgery to remove a lobe of his lung at the beginning of last year. He is currently under continuous monitoring. Last week, during a follow-up CT scan, the doctor mentioned t...
Dr. Jian Shuntian reply Pulmonology
Hello, generally, fibrosis refers to inactive lesions that can be monitored. However, if there is a misunderstanding during communication, it is advisable to discuss this further in person with the attending physician. Thank you. This response is respectfully provided by Dr. Jian...[Read More] Understanding Pulmonary Fibrosis After Lung Cancer Surgery: Key Insights
Is Pleural Effusion Hereditary? Understanding Family Health Risks
Will pleural effusion be hereditary? Both my mother and I have experienced brief episodes of chest pain and sometimes sudden, unexplained pain. My situation (21 years old) seems to have started after a severe cough from a cold (around December), and the pain is primarily on the l...
Dr. Jian Shuntian reply Pulmonology
Hello, pleural effusion is not hereditary. For chest pain issues, please visit the thoracic medicine clinic for further examination. Thank you. Sincerely, Dr. Jian Shun-Tian, Chief of Thoracic Medicine.[Read More] Is Pleural Effusion Hereditary? Understanding Family Health Risks
Understanding Chest Pain: When to Seek Medical Advice and Which Specialist to Consult
Chest pain? Hello Doctor: Recently, I have been experiencing chest pain frequently. I had a similar episode before and went to the hospital for an examination. They found that I have mitral valve insufficiency, but the doctor told me it was not a concern. Later, I consulted a pul...
Dr. Jian Shuntian reply Pulmonology
Hello, there are many potential causes for chest pain. It is still recommended to consult with specialists in cardiology, pulmonology, and gastroenterology. If no issues are identified, you may consider seeing a pain management specialist or an allergist/immunologist/rheumatologi...[Read More] Understanding Chest Pain: When to Seek Medical Advice and Which Specialist to Consult
Understanding Mild Fever and Persistent Cough: When to Seek Further Testing
mild fever As a child, I frequently caught colds, almost having to visit the doctor every month. However, about seven or eight years ago, I became much less sick. But whenever I do get sick, I tend to cough severely, often taking nearly a month to recover. After not having a cold...
Dr. Jian Shuntian reply Pulmonology
Hello, the chest CT scan is normal, but tuberculosis (TB) cannot be ruled out. It is recommended to test three sputum samples. If sputum is not available, an induced sputum procedure can be performed. The likelihood of pulmonary tuberculosis or bronchial tuberculosis is low, so i...[Read More] Understanding Mild Fever and Persistent Cough: When to Seek Further Testing
Understanding Chest Sounds and Shortness of Breath During Shoulder Movement
Please ask your question? I experience a whooshing sound in the area between my chest and mouth when my shoulders move alternately back and forth, and I get short of breath after just a few movements. I would like to know what might be causing this.
Dr. Jian Shuntian reply Pulmonology
Hello, does the patient have a history of long-term smoking that has led to chronic obstructive pulmonary disease, or a history of asthma? It is advisable to consult a pulmonologist or cardiologist to check for any heart disease. Thank you. Sincerely, Dr. Wu Ying-Hsun, Chief of G...[Read More] Understanding Chest Sounds and Shortness of Breath During Shoulder Movement
Managing Persistent Cough in Lung Cancer Patients: Key Considerations
Could you please provide more details about the persistent cough issue? Thank you? Dear Dr. Jian, My mother was diagnosed with early-stage lung adenocarcinoma after surgery last year. Recently, due to the cold weather and significant temperature fluctuations between day and nigh...
Dr. Jian Shuntian reply Pulmonology
Hello, Ah-Ching. 1. Please consult a pulmonologist to determine whether the cough is due to asthma, a viral infection, or a bacterial infection. 2. In theory, it is acceptable to receive the flu vaccine without a fever; however, since your child has been coughing, receiving th...[Read More] Managing Persistent Cough in Lung Cancer Patients: Key Considerations
Understanding Spontaneous Pneumothorax: Treatment Options and Concerns
Pneumothorax Hello, doctor. I have a question I would like to ask you, and I hope you can guide me. I am currently 22 years old, weighing 60 kg, and standing 175 cm tall. I am a student. From mid-last year to the end of last year, I experienced three episodes of spontaneous pneum...
Dr. Jian Shuntian reply Pulmonology
Mr. Ignorance: Hello! 1. There is no medication to treat pneumothorax; surgical intervention is required. 2. Spontaneous pneumothorax usually has no specific cause, but there are a few precautions to consider: <1> Avoid smoking. <2> Avoid actions that increase intrath...[Read More] Understanding Spontaneous Pneumothorax: Treatment Options and Concerns
Can Swallowing Water While Swimming Cause Lung Edema?
Swimming Hello, doctor: If I accidentally inhale some water while swimming, could inhaling too much lead to pulmonary edema? Thank you.
Dr. Jian Shuntian reply Pulmonology
Miss Xiao Xiao: Hello, if you accidentally inhale water while swimming, don't worry, inhaling a small amount won't lead to pulmonary edema.[Read More] Can Swallowing Water While Swimming Cause Lung Edema?
Understanding Shortness of Breath: Causes and Concerns in Chest Medicine
Why do people experience shortness of breath or difficulty breathing? Three weeks ago, I was hospitalized for acute pyelonephritis for six days. One night, I experienced shortness of breath, rapid heartbeat, and fever. After receiving supplemental oxygen, I gradually felt better....
Dr. Jian Shuntian reply Pulmonology
The first episode may have been triggered by a bacterial infection, leading to signs of sepsis. The second episode could be due to a drop in blood pressure. Both instances are related to blood pressure; when blood pressure decreases, tissue perfusion is insufficient, resulting in...[Read More] Understanding Shortness of Breath: Causes and Concerns in Chest Medicine
Understanding Chest Tightness and Persistent Cough After Cold
There is a slight tightness in the chest? Since experiencing a cold last month that led to hoarseness, I have been suffering from persistent voice strain that has not fully recovered. Recently, whenever I take a deep breath and cold air enters my throat or trachea, it triggers a ...
Dr. Jian Shuntian reply Pulmonology
Severe colds can lead to inflammation of the lower respiratory tract, such as tracheitis, bronchitis, and bronchiolitis, resulting in damage or shedding of the epithelial lining of the trachea and bronchi. At this point, airway hyperreactivity increases, making individuals more s...[Read More] Understanding Chest Tightness and Persistent Cough After Cold
Survival Rates for Stage III Lung Adenocarcinoma with Lymph Node Spread
The survival duration for stage III lung adenocarcinoma that has spread to the lymph nodes can vary significantly based on several factors, including the patient's overall health, response to treatment, and specific characteristics of the cancer. Generally, the 5-year surviv...
Dr. Jian Shuntian reply Pulmonology
Stage III lung adenocarcinoma can be divided into IIIA and IIIB, and survival duration can vary significantly. It ranges from a few days to several years, with a median survival of approximately 6 months for 50% of patients. In summary, it is important to prepare for the worst wh...[Read More] Survival Rates for Stage III Lung Adenocarcinoma with Lymph Node Spread
Understanding Left Lower Lobe Pulmonary Fibrosis: Causes, Effects, and Treatment
What is left lower lobe fibrosis? Left lower lobe fibrosis refers to the formation of scar tissue in the lower lobe of the left lung. This condition can lead to a reduction in lung function, causing symptoms such as shortness of breath, chronic cough, and decreased exercise toler...
Dr. Jian Shuntian reply Pulmonology
Fibrosis in the right lower lung may be a result of previous inflammation, such as pneumonia or other inflammatory responses. It is typically a benign reaction. To determine if it has any significant impact, further examination is necessary. Please consult a pulmonologist for fur...[Read More] Understanding Left Lower Lobe Pulmonary Fibrosis: Causes, Effects, and Treatment
Understanding Sudden Chest Discomfort: Causes and Concerns
Chest tightness and pain? Hello! I am twenty years old and sometimes I suddenly feel a brief tightness or pain in my chest that lasts about 1 to 2 seconds and then quickly resolves. What could be the cause of this? Could it be a heart issue? Sometimes it occurs on the right side ...
Dr. Jian Shuntian reply Pulmonology
There are many causes of chest pain, including issues related to the thoracic cavity, heart, or chest wall muscles. Gastroesophageal reflux may also be a possibility. Additionally, changes in mood can be related. To make a final diagnosis, it may be necessary to consult a pulmono...[Read More] Understanding Sudden Chest Discomfort: Causes and Concerns
Understanding Pneumothorax: Symptoms, Causes, and Diagnosis
Suspected pneumothorax Hello, doctor: Since I was in junior high school, I have occasionally experienced difficulty breathing, which I initially thought was due to nasal congestion. However, during high school, it seemed to worsen, and I have been experiencing intermittent pain i...
Dr. Jian Shuntian reply Pulmonology
This condition is not a pneumothorax, which refers to the presence of air in the pleural cavity, causing chest pain and shortness of breath or difficulty breathing. The symptoms you described are rather nonspecific. It would be advisable to visit a hospital with a thoracic depart...[Read More] Understanding Pneumothorax: Symptoms, Causes, and Diagnosis
Managing Persistent Phlegm After Aspiration Pneumonia: Causes and Solutions
Post-inhalation pneumonia, characterized by excessive sputum production, can be attributed to several factors. The inflammation and irritation of the airways may lead to increased mucus secretion. Additionally, residual infection or bronchial hyperreactivity can contribute to ong...
Dr. Jian Shuntian reply Pulmonology
It may be related to bronchiectasis following pneumonia, or injury to the mucosa of the throat after intubation, or frequent choking incidents. The sputum associated with bronchiectasis requires time to heal, so it is advisable to avoid cold drinks and cold foods such as radishes...[Read More] Managing Persistent Phlegm After Aspiration Pneumonia: Causes and Solutions
Understanding Emphysema: Symptoms, Diagnosis, and Heart Connection
Suspected emphysema Dear Dr. Jian, Two months ago, I noticed an unusual knocking sound in my chest while inhaling (after taking a deep breath and holding it briefly). The frequency of the sound is synchronized with my pulse and is accompanied by chest tightness. The initial diag...
Dr. Jian Shuntian reply Pulmonology
Hello Mr. Zhou: 1. Emphysema is primarily diagnosed through pathological examination; however, in clinical practice, this is often not feasible. Therefore, diagnosis can be made based on clinical symptoms and pulmonary function. Patients typically experience chest tightness and...[Read More] Understanding Emphysema: Symptoms, Diagnosis, and Heart Connection
Are Over-the-Counter Steam Inhalers Beneficial for Lung Health?
Are commercially available steam inhalers beneficial for the maintenance of lung diseases? Dr. Jian: Hello, the patient has bronchiectasis and allergic asthma. Is it appropriate to use an over-the-counter steam inhaler for daily maintenance? Also, is bronchiectasis truly beyond h...
Dr. Jian Shuntian reply Pulmonology
In principle, asthma patients are not advised to use plain saline steam inhalation, whether during an attack or at baseline. During an asthma attack, bronchodilators can be used in conjunction with saline steam inhalation. For patients with bronchiectasis who have excessive sputu...[Read More] Are Over-the-Counter Steam Inhalers Beneficial for Lung Health?
Asthma vs. Bronchitis: Understanding the Differences and Treatment Options
Asthma and bronchitis? I was diagnosed with bronchitis in 1998, initially not taking it seriously. However, I experienced symptoms during seasonal changes for two consecutive years. During one episode, I was coughing so severely that I went to a major hospital for an examination,...
Dr. Jian Shuntian reply Pulmonology
Basically, asthma and bronchitis are not exactly the same. Bronchitis refers to an inflammatory response in the bronchi, which can be caused by viral infections, bacterial infections, or chemical irritants. The primary symptom of bronchitis is coughing, so when patients present w...[Read More] Asthma vs. Bronchitis: Understanding the Differences and Treatment Options
Can Open Tuberculosis in Mothers Infect Their Newborns?
Open pulmonary tuberculosis mother A friend of mine has active pulmonary tuberculosis and recently gave birth to a child. I would like to ask the doctor: Is the child at risk of being infected? Should we maintain some distance when talking or interacting with her to avoid transmi...
Dr. Jian Shuntian reply Pulmonology
First, it is essential to determine whether the mother is undergoing treatment. How long has she been receiving treatment? Is the medication effective? A brief overview is provided below; for more detailed information, please call (04) 2211125 ext. 113 after 4:30 PM to speak with...[Read More] Can Open Tuberculosis in Mothers Infect Their Newborns?