Dr. Jian Shuntian reply Pulmonology Question - Page 4

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Shortness of Breath and Chest Pain: When to See a Doctor?

Chest pain and shortness of breath while walking? Hello Doctor, around the end of last year, I started experiencing shortness of breath while walking, and recently it has become particularly severe. I feel very breathless when walking from the first floor to the third floor, and ...


Dr. Jian Shuntian reply Pulmonology
Hello: Please go to the hospital's pulmonary department immediately. Thank you. Jian Shun Tian.

[Read More] Shortness of Breath and Chest Pain: When to See a Doctor?


Chest Pain with Deep Breathing and Position Changes: Causes Explained

Chest pain with deep breathing and changes in position? Hello doctor, for the past week, I have been experiencing pain in the center of my chest whenever I take a deep breath. Changing positions, such as going from bending over to standing up straight, or opening my arms and then...


Dr. Jian Shuntian reply Pulmonology
Hello: All three possibilities exist. Please first go to the pulmonology department for a chest X-ray, and then consult with a pulmonologist for further evaluation.

[Read More] Chest Pain with Deep Breathing and Position Changes: Causes Explained


Sudden Breathlessness During Sleep: When to Seek Medical Help

Suddenly feeling unable to breathe in the middle of sleep? You have experienced waking up suddenly during sleep three times, feeling as though you can't breathe. You also tend to dream when under stress, and you have no significant medical history. Which specialty should you...


Dr. Jian Shuntian reply Pulmonology
Hello: Please see a pulmonologist first.

[Read More] Sudden Breathlessness During Sleep: When to Seek Medical Help


Struggling to Breathe While Sleeping: What You Need to Know

Waking up in the middle of sleep and feeling unable to breathe? Hello doctor, sometimes while I'm sleeping, I suddenly can't breathe and have to quickly sit up and take deep breaths, which produces a wheezing sound. Which specialty should I consult for this condition? T...


Dr. Jian Shuntian reply Pulmonology
Hello: Please schedule an appointment with the pulmonology department.

[Read More] Struggling to Breathe While Sleeping: What You Need to Know


Coughing Fits and Fainting: Understanding Respiratory Issues in Smokers

Coughing after choking and then falling? Hello, doctor. I would like to ask about my father, who has been coughing for a long time, possibly due to smoking. He is currently 56 years old and has been smoking for over 30 years. He used to feel like there was phlegm in his throat, w...


Dr. Jian Shuntian reply Pulmonology
Hello: Please first consult a pulmonologist to check for any lung issues. Additionally, visit an otolaryngologist to evaluate the reasons for your choking episodes and to assess for any swallowing problems. Difficulty in swallowing could also be related to neurological issues, so...

[Read More] Coughing Fits and Fainting: Understanding Respiratory Issues in Smokers


Understanding Breathing Issues: Chest Discomfort and Heart Concerns

Could you please provide more details about the respiratory issues? Hello doctor, I would like to inquire about something that has recently happened. For the first time, I suddenly experienced difficulty breathing, a feeling of tightness in my chest, and my heart rate increased, ...


Dr. Jian Shuntian reply Pulmonology
Hello: It could be a heart issue, so you may consider seeing a cardiologist and possibly undergoing a 24-hour Holter monitor. If there are still no findings, you can consult a pulmonologist. If everything is normal, you might want to see a psychiatrist to check for any anxiety is...

[Read More] Understanding Breathing Issues: Chest Discomfort and Heart Concerns


Understanding Chest Discomfort: Is It Respiratory or Cardiac?

Could you please provide more context or specify your question? Hello doctor, I would like to inquire about something that has happened recently. For the first time, I suddenly experienced difficulty breathing, a feeling of tightness in my chest, and an increased heart rate, maki...


Dr. Jian Shuntian reply Pulmonology
Hello: It may be a heart issue, so you can consult a cardiologist and consider a 24-hour Holter monitor. If there are still no results, you can see a pulmonologist. If everything is normal, you may want to see a psychiatrist to check for any anxiety issues.

[Read More] Understanding Chest Discomfort: Is It Respiratory or Cardiac?


Can Severe Nasal Congestion Cause Chest Pain? Understanding the Connection

Can severe nasal congestion and difficulty breathing cause chest pain? When I usually experience nasal congestion and difficulty breathing, I sometimes feel pain in my right or left chest, but the area is small. I know to use abdominal breathing, which prevents it from worsening ...


Dr. Jian Shuntian reply Pulmonology
Hello: Your condition seems to involve chest pain that occurs with nasal congestion, which I encounter infrequently in clinical practice. It is also possible that breathing through the nose during nasal congestion increases the workload on the respiratory muscles, leading to musc...

[Read More] Can Severe Nasal Congestion Cause Chest Pain? Understanding the Connection


Understanding Chest Pain: Causes and When to Seek Help

Chest pain issues? Hello Doctor, I have recently experienced pain when pressing on two spots: one at the center of my sternum and another at the lower edge of my chest. Sometimes, I also feel a sharp, electric-like pain on the left side of my chest, particularly in the internal a...


Dr. Jian Shuntian reply Pulmonology
Hello: It could be neuropathic pain or myofascial pain. You may want to consult a pulmonologist first. Thank you.

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


Chest Pain During Exercise: When to Seek Medical Attention?

Chest pain during exercise? Today in physical education class, we did some fitness exercises and ran two laps around the field. I felt that it was easier than before, but I also felt more fatigued. I'm not sure if it's because I haven't exercised in a long time. Af...


Dr. Jian Shuntian reply Pulmonology
Hello: 1. If the pain persists, you should see a pulmonologist for an examination. 2. Aortic dissection usually has no warning signs; the pain can manifest as anterior chest pain and pain behind the chest. It is typically severe and described as tearing pain. Preventive measures ...

[Read More] Chest Pain During Exercise: When to Seek Medical Attention?


Do You Need Latent TB Testing After Recovering from Active Tuberculosis?

After recovering from pulmonary tuberculosis, is it necessary to check for latent tuberculosis infection? My father had a tuberculosis infection many years ago, but he was cured after treatment. The health department currently offers blood tests to check for latent tuberculosis. ...


Dr. Jian Shuntian reply Pulmonology
Hello: Generally, individuals who have had tuberculosis and have completed their treatment do not need to undergo testing for latent tuberculosis infection. However, if there is a history of exposure to tuberculosis, it is recommended to have an evaluation by a pulmonologist.

[Read More] Do You Need Latent TB Testing After Recovering from Active Tuberculosis?


Understanding Your Child's Wheezing and Coughing: When to Seek Help

Shortness of breath and tightness in the chest? Hello Doctor: My child previously experienced frequent coughing and wheezing, which led us to seek medical attention at the hospital. The doctor prescribed bronchodilators, inhaled corticosteroids, and a nebulizer solution for us. T...


Dr. Jian Shuntian reply Pulmonology
Hello: Based on the described symptoms, it appears to be asthma and asthma attacks. Please consult a pulmonologist or a pediatric pulmonology specialist.

[Read More] Understanding Your Child's Wheezing and Coughing: When to Seek Help


Struggling to Breathe: When to Seek Help for Chest Issues

Shortness of breath? Hello, doctor. I would like to ask which specialty I should see for my symptoms. Sometimes I have difficulty breathing, and I get very short of breath after walking just a few steps. I have had a chest X-ray, which showed no issues, but these symptoms have pe...


Dr. Jian Shuntian reply Pulmonology
Hello: Please consult with a pulmonologist first, and then the pulmonologist will recommend the appropriate specialty for further consultation.

[Read More] Struggling to Breathe: When to Seek Help for Chest Issues


Understanding Unexplained Chest Pain: Muscle vs. Heart Issues

Unexplained chest pain? Recently, I have experienced a slight stabbing pain deep on the outer side of the areola (only at one point) when taking deep breaths. This occurs mainly at night and usually subsides after a few minutes. Could this be muscle pain or heart pain?


Dr. Jian Shuntian reply Pulmonology
Hello: At the age of 14, it is likely that growth is the primary factor. Please consult a pediatrician for confirmation.

[Read More] Understanding Unexplained Chest Pain: Muscle vs. Heart Issues


Understanding Nighttime Breathing Issues After Pneumothorax Surgery

Occasionally, I experience some difficulty breathing at night, but it is not painful? Last month I had surgery for a pneumothorax, and now at night when I lie down, I feel a sensation of something in my throat. Sometimes I also experience sudden palpitations and difficulty breath...


Dr. Jian Shuntian reply Pulmonology
Hello: Recurrence of pneumothorax is primarily characterized by chest pain and shortness of breath. If you experience difficulty breathing at night, it is advisable to consult a pulmonologist to check for issues such as asthma or bronchitis.

[Read More] Understanding Nighttime Breathing Issues After Pneumothorax Surgery


Post-Surgery Pulmonary Edema: Understanding Risks and Recovery

Postoperative pleural effusion? Hello Dr. Chien, my father is 81 years old and underwent hip surgery due to a fall, with spinal anesthesia. The day after the surgery, he developed respiratory failure and pulmonary edema and was transferred to the intensive care unit. The hospital...


Dr. Jian Shuntian reply Pulmonology
Hello: An 81-year-old elderly patient has developed respiratory failure and pulmonary edema after surgery, which is not uncommon and can have various causes. The patient has been admitted to the intensive care unit and should receive good care. Please discuss with the attending p...

[Read More] Post-Surgery Pulmonary Edema: Understanding Risks and Recovery


Understanding Tuberculosis Skin Test Results and Follow-Up Options

Subcutaneous Tuberculin Test On September 1st of this year, the first tuberculin skin test was negative, with normal blood tests and chest X-ray results. On November 3rd, the second skin test showed a result of 13mm, indicating a positive reaction. The health center issued a refe...


Dr. Jian Shuntian reply Pulmonology
Hello: 1. Blood tests can be performed to measure interferon-gamma release assays (IGRA) for decision-making. 2. The chance of misdiagnosis is low; it is not uncommon to have a negative result on the first test and a positive result on the second. 3. Prior vaccination with BCG ma...

[Read More] Understanding Tuberculosis Skin Test Results and Follow-Up Options


Understanding Noisy Breathing: Possible Causes and Solutions

Audible breathing? Hello, about a month ago, I started experiencing a sound of obstruction while breathing, but I do not have difficulty breathing. Occasionally, I cough up clear, foamy sputum that resembles mucus. I feel the sound of my breathing is located between my collarbone...


Dr. Jian Shuntian reply Pulmonology
Hello: It is necessary to examine the trachea and bronchi for mucus or foreign body inflammation. Please consult a pulmonologist for further evaluation. Allergies, such as rhinitis, may be related to the current symptoms.

[Read More] Understanding Noisy Breathing: Possible Causes and Solutions


Understanding Chest Tightness and Breathlessness: When to Seek Further Treatment

Chest tightness with a sensation of suffocation? Hello, doctor! Previously, I often experienced chest tightness and a sensation of suffocation. During a cardiology examination, I was found to have mitral and tricuspid valve prolapse, but I still feel short of breath. Therefore, t...


Dr. Jian Shuntian reply Pulmonology
Hello: The provided information is incomplete; it's unclear what the number 70 represents. If the pulmonologist has not treated it, it should not be serious. Please consult another pulmonologist, and if the answer is the same, it should not be serious.

[Read More] Understanding Chest Tightness and Breathlessness: When to Seek Further Treatment


Is It Asthma or Autonomic Nervous System Dysfunction?

Is it an issue with the autonomic nervous system or asthma? Hello doctor, I am 19 years old, 172 cm tall, and weigh 64 kg, with no family history of illness. One night, I suddenly experienced palpitations (around 110 bpm) and shortness of breath. After the doctor prescribed antia...


Dr. Jian Shuntian reply Pulmonology
Hello: Please check with the gastroenterology department for gastroesophageal reflux disease (GERD) and with the otolaryngology department for allergic rhinitis.

[Read More] Is It Asthma or Autonomic Nervous System Dysfunction?


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