Survival Rates and Exercise Benefits for Emphysema Patients
Survival rate of emphysema? 1. What is the survival rate for emphysema? 2. Does daily exercise increase the survival rate? 3. What types of exercise are most suitable for patients with emphysema? 4. How much exercise is needed to maintain lung capacity and slow the decline of lun...
Dr. Jian Shuntian reply Pulmonology
Its function is only about 70% -- this is classified as mild impairment. As long as one avoids exposure to air pollution, quits smoking, and steers clear of secondhand smoke, the lifespan should be quite long. Daily exercise can increase survival rates. If lung function is at 70%...[Read More] Survival Rates and Exercise Benefits for Emphysema Patients
Understanding Chest Pain and Throat Discomfort: Is It GERD?
Pain radiating from the back to the lateral side of the chest? Hello, recently I have been experiencing occasional acid reflux, along with pain radiating from the back of my throat to the outer side of my chest, and I also have symptoms of dizziness. Are these signs of gastroesop...
Dr. Jian Shuntian reply Pulmonology
Based on the symptoms described, it is likely gastroesophageal reflux disease (GERD). Please visit a gastroenterologist for an evaluation, and you may need to undergo an endoscopy.[Read More] Understanding Chest Pain and Throat Discomfort: Is It GERD?
Struggling with Breathing: When to Seek Further Medical Help?
Often, I have to breathe through my mouth and take deep breaths to feel comfortable? I previously visited a pulmonologist who performed a chest X-ray and prescribed a bronchodilator. However, after using it for a month, I have not experienced any improvement. My symptoms include ...
Dr. Jian Shuntian reply Pulmonology
Hello: Please consult a pulmonologist. If no issues are found, then see a cardiologist and a psychiatrist, as sometimes it can be caused by stress. Thank you. Jian Shun-Tian.[Read More] Struggling with Breathing: When to Seek Further Medical Help?
Understanding Chest Pain During Menstruation: Causes and Concerns
Chest pain with deep inhalation? Hello Doctor, I experience breast pain before my menstrual period, but this time, during my recent cycle, I have noticed that when I take a deep breath, I feel significant pain in the upper right side of my chest (similar to the area above my righ...
Dr. Jian Shuntian reply Pulmonology
Please visit a thoracic specialist for a chest X-ray examination when you experience chest pain during your menstrual period. If the results are normal, it is not a pulmonary issue; please then consult a breast surgeon. Thank you.[Read More] Understanding Chest Pain During Menstruation: Causes and Concerns
Understanding Chest Pain: Causes and When to Seek Medical Attention
Chest pain? Hello Doctor: I have chest pain that lasts about 1 to 3 seconds. It's not very intense and occurs more frequently in the left side of my chest near the center, although sometimes I also experience pain on the right side. Recently, I've noticed that the area ...
Dr. Jian Shuntian reply Pulmonology
Please consult a pain management specialist or an allergy and immunology specialist, as it may be pain due to fascial inflammation. Thank you.[Read More] Understanding Chest Pain: Causes and When to Seek Medical Attention
Understanding Spontaneous Pneumothorax: Pain Management and Treatment Options
Spontaneous pneumothorax I would like to ask about my pneumothorax, which has recurred for the second time. This time it is not severe, just a mild issue at the apex, so the doctor said surgery is not necessary and it can be allowed to reabsorb. However, I still feel a lot of pai...
Dr. Jian Shuntian reply Pulmonology
Hello: Persistent pain may indicate that the wound has not yet healed. If this occurs a second time, surgical repair is recommended. Best regards.[Read More] Understanding Spontaneous Pneumothorax: Pain Management and Treatment Options
Understanding White Spots Near Bronchi: Causes and Probabilities
White spots near the bronchi? I would like to ask about the white spots found next to the bronchi on an X-ray. What could they possibly be? What is the likelihood of different conditions?
Dr. Jian Shuntian reply Pulmonology
Hello: I apologize for not being able to accurately respond without seeing the chest X-ray. There are many possibilities. Please consult a pulmonologist with the chest X-ray. Thank you. Sincerely, Jian Shun Tian.[Read More] Understanding White Spots Near Bronchi: Causes and Probabilities
Understanding Asthma: Evaluating Bronchial Hyperreactivity and Treatment Effects
Is it asthma? Hello, doctor. The bronchial provocation test was positive, and you explained that this may indicate bronchial hyperresponsiveness, with a very high likelihood of asthma, but it is not 100% certain and requires further clinical observation for confirmation. However,...
Dr. Jian Shuntian reply Pulmonology
Hello: No, the treatment should be correct. Sincerely, Jian Shun.[Read More] Understanding Asthma: Evaluating Bronchial Hyperreactivity and Treatment Effects
Understanding Coughing and Breathing Difficulties: When to See a Doctor
Respiratory cough Hello Doctor: I have been coughing for about a week. I cough when I inhale, and sometimes I experience a bit of difficulty exhaling. I have a history of allergic rhinitis and a smoking habit. Is there a connection between these factors? I do not have a cold; sho...
Dr. Jian Shuntian reply Pulmonology
Hello: Coughing may be associated with allergic rhinitis and smoking, but it is not necessarily the case. Therefore, it is still necessary to undergo an examination by a pulmonologist. Best regards.[Read More] Understanding Coughing and Breathing Difficulties: When to See a Doctor
Can You Diagnose Asthma Without Coughing Symptoms?
Is it asthma? Hello doctor, I later went for a consultation and underwent a bronchial provocation test, which came back positive. The diagnosing physician diagnosed me with asthma. Aside from sudden shortness of breath, chest tightness, and a feeling of bronchial constriction, I ...
Dr. Jian Shuntian reply Pulmonology
Hello: This indicates bronchial sensitivity and hyperreactivity, which has a very high likelihood of being asthma; however, it is not 100% certain and requires further clinical observation for determination. Respectfully, I submit this for your consideration.[Read More] Can You Diagnose Asthma Without Coughing Symptoms?
Persistent Cough for Over Two Months: Causes and Concerns
Coughing intermittently for more than two months? Hello, doctor. I traveled abroad in December, and during that time, I started to catch a cold, which later developed into a cough. Initially, around January, my cough became severe, and the phlegm was green. After seeing the docto...
Dr. Jian Shuntian reply Pulmonology
Hello: It may be chronic bronchitis. The primary recommendation is to quit smoking and avoid secondhand smoke and air pollution. When air quality is poor, it is advisable to wear a mask. To determine if there is lung cancer, a chest X-ray or CT scan is necessary, as a diagnosis c...[Read More] Persistent Cough for Over Two Months: Causes and Concerns
How to Alleviate Throat Discomfort from Inhaled Exhaust Fumes
Inhalation of exhaust fumes? Hello: This morning while riding my motorcycle, I was behind a large truck that started emitting a significant amount of exhaust fumes. By the time I got to the office, I began to feel discomfort in my throat. What methods can I use to alleviate this ...
Dr. Jian Shuntian reply Pulmonology
Hello: Exhaust fumes can irritate the throat and trachea, leading to inflammation. It is recommended to wear a mask, avoid smoking, secondhand smoke, and air pollution. Drink plenty of water and limit the intake of fried, spicy, and sour foods. Best regards.[Read More] How to Alleviate Throat Discomfort from Inhaled Exhaust Fumes
Understanding Chronic Cough with Blood: Causes and Next Steps
Coughing with discomfort in the trachea and blood-tinged sputum? Hello, Doctor. Ever since I recovered from a prolonged cough four years ago, I now experience discomfort in my trachea and sometimes notice blood in my cough whenever I catch a cold and cough. (Four years ago, my co...
Dr. Jian Shuntian reply Pulmonology
Hello: You may want to visit an otolaryngologist to check for any nasopharyngeal and sinus issues. Additionally, it is recommended to see a pulmonologist for a repeat chest X-ray. Please consult with the pulmonologist to determine if a chest CT scan, bronchoscopy, or other examin...[Read More] Understanding Chronic Cough with Blood: Causes and Next Steps
Sudden Severe Pain in the Left Chest: Causes and Concerns
Sudden, severe pain in the left chest? I have been experiencing sudden, intense pain in my left chest that lasts for about 1 to 2 minutes. After the pain subsides, I feel pain in my left chest when I take a deep breath. I'm not sure what could be causing this.
Dr. Jian Shuntian reply Pulmonology
Hello: There are many possible reasons. Please visit the pulmonary or cardiology outpatient clinic as soon as possible to determine the cause. Best regards.[Read More] Sudden Severe Pain in the Left Chest: Causes and Concerns
Understanding Itchy Sensations in the Left Chest: Causes and Concerns
Itchy sensation in the left thoracic cavity? Hello Dr. Jian: I previously had a cold and coughed up blood. I later had a CT scan, and the doctor said my lungs were fine and my lung function was normal. However, I now cough less, but I often feel an itch in my left chest cavity (w...
Dr. Jian Shuntian reply Pulmonology
Hello: It is recommended to perform a bronchoscopy. Sincerely, [Your Name].[Read More] Understanding Itchy Sensations in the Left Chest: Causes and Concerns
Understanding Chest Pain: Causes and When to Seek Help
Chest pain or discomfort? Hello Doctor: I have been experiencing chest pain for a long time (over six months), located in the center of my chest, just below the collarbone. Sometimes, sudden movements cause pain, and pressing on the chest wall during these episodes also hurts. Ho...
Dr. Jian Shuntian reply Pulmonology
It may be inflammation of the xiphoid joint; you can consult an orthopedic specialist or a pain management specialist.[Read More] Understanding Chest Pain: Causes and When to Seek Help
Understanding Blood-Streaked Sputum: Causes and Concerns
Sputum with blood streaks? Hello doctor, after New Year's Day this year, I noticed blood-streaked phlegm, but I didn't have a cough. It improved for a while, but recently the blood streaks have returned. I had an X-ray at a large hospital on January 30, and the doctor s...
Dr. Jian Shuntian reply Pulmonology
Hello: There are many causes for hemoptysis. It is essential to first ensure that there are no issues with the oral cavity and nasal passages. If the chest X-ray is normal and there are no problems in the oral cavity and nasal passages, then a bronchoscopy and chest computed tomo...[Read More] Understanding Blood-Streaked Sputum: Causes and Concerns
Understanding Breathing Difficulties: Causes and Treatment Options
Dyspnea I have been experiencing difficulty breathing since the second year of junior high school, but it wasn't very frequent until recently. Now, I often have trouble breathing, especially in the classroom or at night, and I find myself needing to take deep breaths without...
Dr. Jian Shuntian reply Pulmonology
Hello: There is also a pediatric pulmonology subspecialty, or you can consult a pulmonologist; some hospitals may accept this. You may also consider seeing a cardiologist. If everything is fine, you can consult a psychosomatic medicine specialist (i.e., psychiatrist), as stress c...[Read More] Understanding Breathing Difficulties: Causes and Treatment Options
Unexplained Lung Abnormalities: Seeking Answers for a 70-Year-Old Patient
Lung abnormalities have been present for over two months, and the cause is still unknown? Hello, doctor. My mother is 70 years old and has recently shown abnormalities in her lungs. The situation is as follows: 1. A few years ago, she had pulmonary tuberculosis in her right upp...
Dr. Jian Shuntian reply Pulmonology
Hello: Without imaging data, it is difficult to determine which condition is more likely. Based on your description, diagnosis may not be easy; a 7 cm increase in size over 9 months raises concerns for a tumor that cannot be ruled out. A bronchoscopy should be performed to check ...[Read More] Unexplained Lung Abnormalities: Seeking Answers for a 70-Year-Old Patient
Understanding Shortness of Breath: When to Seek Medical Help
Shortness of breath? Hello doctor, I have recently been experiencing a sensation of not being able to breathe, a feeling of tightness in my throat, constriction in my airways, bloating in my stomach, and chest tightness (mostly in the front of my chest). When I take deep breaths,...
Dr. Jian Shuntian reply Pulmonology
You can first visit the pulmonology outpatient clinic to have a chest X-ray and assess if there are any issues with lung function. If it is not a pulmonology issue, please consult the attending physician about which specialty to see next. It could potentially be related to gastro...[Read More] Understanding Shortness of Breath: When to Seek Medical Help