Understanding Multiple Small Nodules on Chest CT: What to Do Next?
Multiple small white spots on chest CT? Hello Doctor, I had a chest X-ray in February last year, and the doctor noted some suspicious small white spots. I then consulted a thoracic surgeon, who arranged for a CT scan in August. The CT results showed several small white spots in m...
Dr. Jian Shuntian reply Pulmonology
Hello: A follow-up chest CT scan is required, as chest X-rays typically cannot detect these small nodules. Thank you. Best regards.[Read More] Understanding Multiple Small Nodules on Chest CT: What to Do Next?
Improving Breathing After Tracheostomy: Treatment Options Explored
Inability to breathe independently after tracheostomy? Dear Doctor: The patient has been unable to breathe independently for over three months after tracheostomy, and no other causes have been identified. Are there any better treatment options available?
Dr. Jian Shuntian reply Pulmonology
Hello: This issue is very complex and requires further discussion with a pulmonologist, as problems with the heart, lungs, nutrition, and nervous system can all have an impact.[Read More] Improving Breathing After Tracheostomy: Treatment Options Explored
Understanding Afternoon Fatigue and Chest Discomfort: Causes and Solutions
Experiencing chest tightness and fatigue in the afternoon? Hello, doctor. I experience unexplained fatigue and a desire to sleep after classes, especially around 2 or 3 PM. I also feel dizzy and yawn frequently. While sitting, I feel okay, but when I stand, I have an urge to take...
Dr. Jian Shuntian reply Pulmonology
Hello: There could be many reasons for your condition. Please first consult a pulmonologist. If there are no issues, then see a cardiologist to check for mitral valve prolapse. If no organic cause is found, you may consider visiting a psychosomatic medicine clinic (psychiatry).[Read More] Understanding Afternoon Fatigue and Chest Discomfort: Causes and Solutions
Awakening from Sleep Due to Breathing Difficulties: Possible Causes
Waking up startled due to the inability to breathe while asleep? Hello, doctor. Recently, I have been experiencing sudden awakenings during sleep due to a sensation of not being able to breathe. It feels similar to nasal congestion, but I do not actually have nasal blockage. I ca...
Dr. Jian Shuntian reply Pulmonology
Hello: It is very likely that you have sleep apnea. Please visit a hospital with a sleep center for a sleep study. Thank you. Sincerely, Chien Shun-Tian, Chest Hospital.[Read More] Awakening from Sleep Due to Breathing Difficulties: Possible Causes
Post-Exercise Chest Discomfort and Breathing Issues: What to Know
Discomfort in the chest and difficulty breathing after exercise? Hello, doctor. I have maintained a habit of exercising for 30 minutes every day. However, in the past few months, I have been experiencing dizziness, chest tightness, and sharp chest pain after exercising, and the f...
Dr. Jian Shuntian reply Pulmonology
Hello: 1. For the thoracic area, you may consult a pulmonologist to check for exercise-induced asthma. 2. Regarding the heart, it is necessary to seek medical attention to determine if there are any arrhythmias or hypertrophic cardiomyopathy. 3. Dizziness after exercise and its r...[Read More] Post-Exercise Chest Discomfort and Breathing Issues: What to Know
Understanding Chest Tightness and Upper Left Back Pain: Causes and Solutions
Chest tightness and pain in the upper left back? Hello, doctor. I'm not sure if it's related to my menstrual period or something else, but I've been feeling a persistent tightness in my chest and pain in my upper left back for the past few days. Once I adjust my po...
Dr. Jian Shuntian reply Pulmonology
Hello: Based on the description, it could be a muscle or fascia issue. Please check for any abnormalities in the lungs or thoracic cavity by visiting a pulmonology clinic. Additionally, if there is a possibility of congenital airway narrowing or asthma, please also consult a pulm...[Read More] Understanding Chest Tightness and Upper Left Back Pain: Causes and Solutions
Understanding Breathing Difficulties: Causes and Concerns in Chest Medicine
Respiratory issues Hello Doctor: Recently, I have been experiencing occasional shortness of breath and difficulty breathing (without any signs of worsening). Sometimes, I feel like I can't get enough air. This condition has been ongoing for a month. I have tested negative fo...
Dr. Jian Shuntian reply Pulmonology
Hello: First, please have a pulmonologist check for any asthma issues or other respiratory problems. If organic and functional issues are ruled out, it may be related to psychological factors.[Read More] Understanding Breathing Difficulties: Causes and Concerns in Chest Medicine
Mild Pain Near Lower Rib: Possible Causes and Specialist Recommendations
Mild pain near the ribs? Recently, I have been experiencing a slight pain in the lower right rib area (about a fist's distance above the navel, near that bone). The pain is not prominent; I only feel a slight discomfort when I press on the bone with my fingers. Additionally,...
Dr. Jian Shuntian reply Pulmonology
Hello: Please first consult a pulmonologist. If there are no issues found by the pulmonologist, you may then seek an evaluation from a gastroenterologist.[Read More] Mild Pain Near Lower Rib: Possible Causes and Specialist Recommendations
Understanding Rib Pain: When to Seek Medical Attention
Pain below the ribs? Hello, doctor. I had pain on the left side near my back a while ago, which usually occurs at night. Recently, I've been experiencing mild pain below both sides of my rib cage. I spend long hours sitting at the computer. I had a check-up at the end of las...
Dr. Jian Shuntian reply Pulmonology
Hello: It has been six months; it is recommended to undergo re-examination.[Read More] Understanding Rib Pain: When to Seek Medical Attention
Understanding Lung CT Scans: Concerns About Nodules and Radiation Exposure
Pulmonary CT scan Hello, Chief Physician! Today I reviewed my report, and the nodule from two years ago has not changed, but there is one more nodule in another location. The internist suspects it is an infection and has advised a follow-up CT scan in three months. I am feeling v...
Dr. Jian Shuntian reply Pulmonology
Hello: 1. Low-dose chest computed tomography (CT) can be considered; currently, there are no specific methods to reduce radiation exposure, but increasing the intake of antioxidant-rich foods may help. 2. A lung CT scan does expose the breasts to radiation, which can still have a...[Read More] Understanding Lung CT Scans: Concerns About Nodules and Radiation Exposure
Post-Thoracoscopic Surgery Cough: Duration and Management Insights
Coughing after thoracoscopic surgery? Hello, doctor. I underwent a thoracoscopic surgery to remove a small piece of lung tissue due to a pneumothorax a little over a month ago. The surgery was brief, and my recovery has been good, but I have been coughing continuously since the p...
Dr. Jian Shuntian reply Pulmonology
Hello: There are many reasons for coughing after thoracoscopic surgery. The initial cough may be due to damage to the lungs and pleura caused by the surgery, which will improve as the injuries heal. It may also be related to intubation during the surgery, which can cause tracheal...[Read More] Post-Thoracoscopic Surgery Cough: Duration and Management Insights
Understanding Intermittent Chest Pain: Causes and When to Seek Help
Sharp pain in the center of the chest? Hello Doctor: I started experiencing severe pain in the center of my chest one day at the end of May. It was a sharp pain that made it very uncomfortable to take a deep breath, and I was afraid to move because of the intensity of the pain. I...
Dr. Jian Shuntian reply Pulmonology
Hello: Based on your description, there could be many potential causes: costochondritis, thoracic radiculitis, fasciitis, mediastinal issues, cardiac problems, etc. Please visit the thoracic department at the hospital for an examination, and then consult with the thoracic special...[Read More] Understanding Intermittent Chest Pain: Causes and When to Seek Help
Understanding Mild Pain Under the Right Armpit: Causes and Concerns
Mild pain in the right axilla? Doctor, I’m sorry to bother you. I started feeling a slight pain in my right armpit a few days ago, but the pain is very mild and only lasts for a few seconds. I don’t have any symptoms like coughing, coughing up blood, or joint pain. Could this be ...
Dr. Jian Shuntian reply Pulmonology
Hello: The likelihood of lung cancer is low; please visit the pulmonary medicine clinic for an examination.[Read More] Understanding Mild Pain Under the Right Armpit: Causes and Concerns
Understanding Pectus Excavatum: Breathing Issues and Exercise Impact
Pectus excavatum issue? Hello, doctor. Since I was young, I've felt that I get more easily out of breath than my classmates during exercise (like running), but it's not excessively so. My level of physical activity is quite average; I participate in physical education c...
Dr. Jian Shuntian reply Pulmonology
Hello: The absence of issues with cardiopulmonary function refers to a static state; however, exercise may have an impact, although it might not be significant. Aerobic exercise should be beneficial for cardiopulmonary function.[Read More] Understanding Pectus Excavatum: Breathing Issues and Exercise Impact
Persistent Chest and Abdominal Pain with Hiccups After Eating
There is a mark near the lower abdomen of the chest, accompanied by burping after eating? I have diabetes and have been experiencing pain in the area just below my chest and above my abdomen before bedtime for some time. I often have trouble sleeping. I visited a doctor and after...
Dr. Jian Shuntian reply Pulmonology
Hello: It is possible that there are issues with the stomach or esophagus, and cardiac problems cannot be ruled out. You may first consult a gastroenterologist; if there are no issues found, you can then see a cardiologist. Alternatively, you may choose to see a cardiologist firs...[Read More] Persistent Chest and Abdominal Pain with Hiccups After Eating
Understanding Your Chest X-Ray Report: Normal Findings Explained
Confusion regarding X-ray report content? I went to the hospital for a chest X-ray examination as part of my internship requirements (I did not undergo a full health check). I informed the doctor that the X-ray was needed for my internship, and the doctor ordered the X-ray based ...
Dr. Jian Shuntian reply Pulmonology
Hello: According to this report, the chest X-ray shows no issues, indicating that there is no infectious disease; however, the actual diagnosis report does not state that there is no infectious disease. If your training facility requires a statement confirming the absence of infe...[Read More] Understanding Your Chest X-Ray Report: Normal Findings Explained
Understanding Chest Pain: Is It a Heart or Thoracic Issue?
Chest pain Hello, doctor. My mother has been experiencing pain in the center of her chest when pressed, and occasionally feels a sharp pain while moving. Could this be related to her heart or an issue in the thoracic cavity?
Dr. Jian Shuntian reply Pulmonology
Hello: Generally, tenderness is related to chest wall or muscle issues, but it is still necessary to consult a pulmonologist for an examination, and then ask the pulmonologist if a referral to a cardiologist is needed.[Read More] Understanding Chest Pain: Is It a Heart or Thoracic Issue?
Unusual Chest Sounds During Exhalation: Causes and Concerns
There is a sound in the chest when exhaling forcefully? Hello, recently when I exert myself while exhaling, or during activities like coughing or laughing hard, I hear a sound from my left chest that resembles a "bloop" sound, similar to a flatulence noise, accompanied ...
Dr. Jian Shuntian reply Pulmonology
Hello: It should be considered abnormal, and there may be suspicion of mucus in the airway or an obstruction. Please discuss with your pulmonologist and attending physician whether a bronchoscopy or a computed tomography (CT) scan is necessary.[Read More] Unusual Chest Sounds During Exhalation: Causes and Concerns
Understanding Breathing Difficulties: When to See a Pulmonologist
Difficulty breathing? In the past two weeks, I have experienced sudden difficulty breathing at night, requiring deep inhalations, and my breathing has been rapid, making it feel like I can't catch my breath. I have been unable to sleep well. I visited a clinic and received m...
Dr. Jian Shuntian reply Pulmonology
Hello: Please visit the pulmonology outpatient clinic; it may not necessarily be pneumonia symptoms.[Read More] Understanding Breathing Difficulties: When to See a Pulmonologist
Understanding the Sensation of a Foreign Object in the Chest
Sometimes there is a sensation of something being lodged in the chest? I suddenly feel a sensation of something lodged in my chest, followed by a significant pressure in the middle of my chest that lasts for a while and then goes away, only to return after some time. I've ex...
Dr. Jian Shuntian reply Pulmonology
Hello: It could be an esophageal issue, such as gastroesophageal reflux disease (GERD); it may also be a cardiac problem. Please first visit a pulmonologist for a chest X-ray. If there are no issues, you can then see a cardiologist and a gastroenterologist to evaluate the heart a...[Read More] Understanding the Sensation of a Foreign Object in the Chest