Understanding Lung Health: Insights on Valve Issues and Growth in Teens
Issues related to the lungs? Hello doctor, a few weeks ago I suddenly experienced some difficulty breathing. I saw a pulmonologist who found nothing serious, but when I consulted a cardiologist, it was discovered that I have mild mitral valve regurgitation. The pulmonologist ment...
Dr. Jian Shuntian reply Pulmonology
Hello: In summary, there are no significant issues, and regular follow-up is sufficient. What is considered regular? Please return to the thoracic medicine outpatient clinic annually or whenever you experience discomfort. Best regards.[Read More] Understanding Lung Health: Insights on Valve Issues and Growth in Teens
Understanding Upper Right Chest Pain: Causes and Concerns
Right upper chest pain? I apologize for the inconvenience, but recently I've been experiencing significant pain in the upper right side of my chest, along with headaches. I've had similar episodes in the past, but the pain decreased over time. Now, it has started again,...
Dr. Jian Shuntian reply Pulmonology
Please first go to the pulmonology department for a chest X-ray examination. After that, you will need to be referred to another department. The pulmonologist will provide recommendations based on clinical judgment. Thank you.[Read More] Understanding Upper Right Chest Pain: Causes and Concerns
Understanding Post-Surgery X-Ray Abnormalities After Spontaneous Pneumothorax
Abnormal X-ray findings after spontaneous pneumothorax surgery 10 years ago? Hello, I had surgery for a right-sided spontaneous pneumothorax 10 years ago. In the following years, every time I had a health check, the chest X-ray reports showed abnormalities. Some doctors indicated...
Dr. Jian Shuntian reply Pulmonology
Hello: The X-ray abnormalities you mentioned may occur after surgery. If there are any new changes, you may want to consult your pulmonologist or thoracic surgeon. Best regards, Jian Shun Tian.[Read More] Understanding Post-Surgery X-Ray Abnormalities After Spontaneous Pneumothorax
Understanding Mild Emphysema: Post-Surgery Care and Health Monitoring
Mild emphysema in both lungs? Hello, Director! I was hospitalized in the emergency department of Taichung Veterans General Hospital at the end of February this year due to a spontaneous pneumothorax, and I ultimately underwent a wedge resection and pleurodesis. My recovery post-s...
Dr. Jian Shuntian reply Pulmonology
Emphysema is an imaging diagnosis observed on chest X-rays; however, to confirm the presence of emphysema, further examinations are necessary. Please consult a pulmonologist at the Veterans General Hospital. It is advisable to avoid air pollution, secondhand smoke, and toxic subs...[Read More] Understanding Mild Emphysema: Post-Surgery Care and Health Monitoring
Breathing Issues and Pain: When to See a Pulmonologist or Neurologist?
There is a sound during exhalation on the lower right side of the chest? Hello, Doctor. For the past few days, I have been experiencing a sound in the middle lower right side of my chest when I inhale. I also have difficulty taking deep breaths, which leads to feelings of dizzine...
Dr. Jian Shuntian reply Pulmonology
Hello: Please consult a pulmonologist. Best regards, Jian Shun-Tian.[Read More] Breathing Issues and Pain: When to See a Pulmonologist or Neurologist?
Understanding Treatment for Lung Cancer and Related Symptoms
Lung issues Hello doctor, my father was diagnosed with stage III lung adenocarcinoma last year. He has already undergone surgery and completed six rounds of chemotherapy. However, the day after his last chemotherapy session, he suddenly started experiencing dizziness and a loss o...
Dr. Jian Shuntian reply Pulmonology
It is possible that the high calcium levels were discovered during a clinical blood test, and this may not necessarily be related to the dizziness. For further details, please consult the attending physician. Thank you. Sincerely, Jian Shun Tian.[Read More] Understanding Treatment for Lung Cancer and Related Symptoms
Understanding Chest X-rays: When to See a Specialist for Bone Issues
Chest X-ray for health check-up? Hello, doctor! This year during the company health check, they mentioned that my chest X-ray showed what seems to be a bone protrusion. They advised me to follow up. The hospital said I could see an orthopedic specialist. Which department should I...
Dr. Jian Shuntian reply Pulmonology
Hello: You can see either a pulmonologist or an orthopedic surgeon, but it is recommended to first consult a pulmonologist. The pulmonologist will then advise whether a referral to an orthopedic surgeon is necessary. Thank you.[Read More] Understanding Chest X-rays: When to See a Specialist for Bone Issues
Why Holding Your Breath After Deep Breathing Can Cause Dizziness
After taking a deep breath and holding it for about five to six seconds, I experienced blackouts in my vision and tingling in my head? After taking a deep breath and holding it for about five to six seconds, if you experience blackouts in your vision and numbness in the back of y...
Dr. Jian Shuntian reply Pulmonology
Hello: Please visit the pulmonary medicine outpatient clinic for evaluation and treatment by the physician.[Read More] Why Holding Your Breath After Deep Breathing Can Cause Dizziness
Understanding Persistent Throat and Chest Discomfort: Is It a Foreign Body?
Throat tightness, chest tightness, and tension in the back of the neck and occipital region? I would like to ask the doctor, if there is indeed a foreign object in the trachea or vocal cords, even something as small as an insect or food residue, will it definitely trigger a stron...
Dr. Jian Shuntian reply Pulmonology
Hello: The presence of a foreign body in the trachea typically causes coughing and inflammation. It is unclear whether this is related to the current symptoms. It is recommended to perform a chest X-ray, as determining whether a foreign body has entered and remained in the trache...[Read More] Understanding Persistent Throat and Chest Discomfort: Is It a Foreign Body?
Understanding Chest Pain: Causes and Concerns for Your Health
Pain in the center of the chest? Hello, Dr. Jian. I have been smoking for 18 years (currently trying to quit) and I have a regular exercise routine. However, due to heavy work stress over the past six months, I often have to stay up late from Monday to Friday, and I only get to r...
Dr. Jian Shuntian reply Pulmonology
Hello: Based on the description, it seems more like myofascial pain, but it is still recommended to consult a pulmonologist to check for any associated issues.[Read More] Understanding Chest Pain: Causes and Concerns for Your Health
Understanding Lung Nodules: Is a Biopsy Necessary for Diagnosis?
Regarding pulmonary nodules? Hello, Doctor: I would like to ask about pulmonary nodules. If we want to take an active approach, should we first perform a biopsy? Is the biopsy of a pulmonary nodule done by inserting a needle directly through the skin? Thank you!
Dr. Jian Shuntian reply Pulmonology
Hello: The evaluation of pulmonary nodules depends on various factors such as size, location, and shape. It is advisable to consult a pulmonologist or a thoracic surgeon for recommendations based on the actual condition of the CT scan images.[Read More] Understanding Lung Nodules: Is a Biopsy Necessary for Diagnosis?
Understanding Chest Pain and Palpitations: Seeking Medical Advice
Hello, doctor? Hello, doctor. I do not smoke or drink, maintain a regular lifestyle, and have no history of allergies or asthma. I exercise occasionally and do not experience significant stress. I have been experiencing symptoms primarily of palpitations and chest tightness for a...
Dr. Jian Shuntian reply Pulmonology
Hello: It is still possible, please go for further examination in the cardiology department.[Read More] Understanding Chest Pain and Palpitations: Seeking Medical Advice
Understanding Upper Left Back Pain: Gastrointestinal or Musculoskeletal Issues?
Left upper back pain? Hello Doctor, I would like to ask some questions. I have had gastrointestinal issues for a long time, experiencing gastroenteritis at least a dozen times since childhood. Last April, I felt unwell, and the examination revealed that my dizziness was caused by...
Dr. Jian Shuntian reply Pulmonology
Hello: It is recommended to have a chest X-ray and then consult a pulmonologist for further advice.[Read More] Understanding Upper Left Back Pain: Gastrointestinal or Musculoskeletal Issues?
Can I Get a Tooth Extraction After Two Months of TB Treatment?
Regarding tooth extraction issues? Doctor Jian, I have been taking tuberculosis medication for two months (and I am preparing to reduce the dosage). Now I have a broken tooth root; can I go ahead and have the tooth extracted?
Dr. Jian Shuntian reply Pulmonology
Hello: Please first check the white blood cell count, hemoglobin, and platelet count. If they are normal, you can proceed with the tooth extraction.[Read More] Can I Get a Tooth Extraction After Two Months of TB Treatment?
Understanding Calcifications in the Right Lung: What You Need to Know
Calcification nodules in the right lung detected during health check-up? Hello Doctor: About two months ago, I underwent a comprehensive health check-up, and the chest X-ray revealed a few small white spots in my right lung. The physician mentioned that these are likely calcifica...
Dr. Jian Shuntian reply Pulmonology
Please bring all relevant information, including the CT scan and chest X-ray, to consult with a pulmonologist.[Read More] Understanding Calcifications in the Right Lung: What You Need to Know
Understanding Lung Nodules: Should You Worry About Cancer Risk?
Pulmonary nodule A month ago, I paid for a low-dose CT scan that indicated several nodules measuring 3-5.5 mm in both lung lobes, and my CEA level was elevated; the standard is 3.2, and mine is 4.2. Recently, I also felt lymph nodes in my armpit. Does this mean I have a high prob...
Dr. Jian Shuntian reply Pulmonology
Please visit the pulmonology clinic and bring your CT scans and relevant information for the physician's assessment.[Read More] Understanding Lung Nodules: Should You Worry About Cancer Risk?
Understanding Bronchial Provocation Testing: What You Need to Know
Pulmonary function challenge test issues? Hello, I would like to ask a question. I have never had asthma issues since childhood, but in the past few months, I have started experiencing shortness of breath, chest tightness, and wheezing whenever I walk quickly. Sometimes, I even f...
Dr. Jian Shuntian reply Pulmonology
1. Provocation tests are used to assess airway sensitivity, similar to asthma testing. 2. There may be asthma present, with normal lung function during routine assessments, but symptoms indicate poor control; please continue treatment in the pulmonary clinic.[Read More] Understanding Bronchial Provocation Testing: What You Need to Know
Understanding Chest Pain: When to See a Doctor for Symptoms
Chest issues Hello: I experience sharp or stabbing pain in my left chest every day, and I also feel discomfort in my left armpit. There is a painful spot in the upper right area of my left chest that hurts when pressed. Sometimes, I also experience sudden dizziness. I'm not ...
Dr. Jian Shuntian reply Pulmonology
Please first consult a pulmonologist for diagnosis and then inquire whether a referral to another specialty is necessary.[Read More] Understanding Chest Pain: When to See a Doctor for Symptoms
Understanding Chest Discomfort: Causes and When to Seek Help
Chest tightness? Hello Dr. Jian, I forgot to mention that I am experiencing numbness and weakness in my left hand. Thank you.
Dr. Jian Shuntian reply Pulmonology
Please first consult a pulmonologist for diagnosis and then inquire whether a referral to another specialty is necessary.[Read More] Understanding Chest Discomfort: Causes and When to Seek Help
Persistent Cough and Rib Pain: When to Seek Medical Attention?
Coughing for a month, currently experiencing a dry cough and unbearable rib pain? Hello, doctor. I currently live abroad, and it's inconvenient for me to see a doctor. Last month, I had a persistent cough for about a month and relied on over-the-counter medications. During t...
Dr. Jian Shuntian reply Pulmonology
Hello: You should get a chest X-ray to clarify the cause of your chest pain. If you have phlegm that is difficult to cough up, you still need to visit a hospital or clinic. In case of emergency medical care abroad, you can report it to the National Health Insurance Administration...[Read More] Persistent Cough and Rib Pain: When to Seek Medical Attention?