Dr. Qu Changke reply Pulmonology Question - Page 3

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Understanding Chest Pain: When to See a Pulmonologist

Thoracic cavity Three months ago, I experienced tightness in my chest and difficulty breathing, which worsened. After three weeks, it happened again, and two weeks later, it occurred once more. Now it seems to happen almost daily, making breathing uncomfortable. I find myself nee...


Dr. Qu Changke reply Pulmonology
Hello, regarding the issue of chest pain, it can manifest from mild conditions (such as muscle pain) to severe conditions (such as pulmonary embolism or myocardial infarction). Therefore, it is recommended that you first schedule an appointment with a pulmonologist for further ev...

[Read More] Understanding Chest Pain: When to See a Pulmonologist


Understanding Pulmonary Edema: Causes, Symptoms, and Management Tips

Questions regarding pulmonary edema? My uncle, born in 1951, used to smoke but quit about six months ago. Approximately three to four months ago, he discovered symptoms of pulmonary edema (which was identified during a medical visit). He is experiencing shortness of breath, night...


Dr. Qu Changke reply Pulmonology
First, there are several questions that need clarification: 1. Is the patient experiencing pleural effusion or pulmonary edema? 2. What exactly is the medication referred to as "smoke detox"? If it is indeed pulmonary edema, it is generally classified as "cardiogen...

[Read More] Understanding Pulmonary Edema: Causes, Symptoms, and Management Tips


Top Hospitals and Doctors for Pneumonia Treatment in Taipei

Recommended hospitals and doctors for pneumonia treatment in Taipei? Doctor, my wife had pneumonia six months ago when she was 25 years old. Recently, she feels like it has relapsed and has been coughing. We visited an ENT specialist nearby, but it didn't help. Could you rec...


Dr. Qu Changke reply Pulmonology
If you have a persistent cough that does not improve, I recommend visiting a pulmonology clinic for a physician to evaluate whether a chest X-ray is necessary.

[Read More] Top Hospitals and Doctors for Pneumonia Treatment in Taipei


Understanding Chest Discomfort: Is It Related to Eating or Smoking?

Thoracic cavity?? Lungs?? I recently feel a burning sensation along my trachea to my chest every time I eat. What could be the problem? Shouldn't eating affect the stomach? But the burning sensation isn't in my stomach, so why is that? P.S. I smoke.


Dr. Qu Changke reply Pulmonology
Based on the described symptoms, it is highly likely that there is an issue with the esophagus. However, it is still recommended to visit an outpatient clinic for further confirmation.

[Read More] Understanding Chest Discomfort: Is It Related to Eating or Smoking?


Understanding Symptoms: Is It Pneumothorax or Costochondritis?

What are the symptoms of pneumothorax? Last night, I felt pain near my left chest close to my arm while sleeping, and I also felt a bit of tightness in my breathing. However, after getting up, the pain subsided, but I still felt a bit of tightness. In the afternoon, when I lay fl...


Dr. Qu Changke reply Pulmonology
Hello, Xiao Wang: There are many causes of chest discomfort, not just pneumothorax, muscle pain, or pleuritic pain. Furthermore, regarding pneumothorax, the symptoms can vary from person to person. Therefore, it is advisable to visit an outpatient clinic. Please see a specialist.

[Read More] Understanding Symptoms: Is It Pneumothorax or Costochondritis?


Understanding Infiltration: A Patient's Gratitude to Pulmonology

Thank you! Hello Dr. Qu, Thank you for taking the time to clarify my doubts despite your busy schedule, and for helping me understand the meaning of "infiltration." I will be picking up my report tomorrow, and I hope for good health and peace of mind. Thank you once a...


Dr. Qu Changke reply Pulmonology
Hello, Aaron: Wishing you health and happiness! Best regards, Dr. Qu.

[Read More] Understanding Infiltration: A Patient's Gratitude to Pulmonology


Understanding Clear Opacity in the Right Lung: What It Means for Your Health

"Right lung" "clear and moist"? Hello, doctor: During my physical examination, an X-ray showed "clear infiltration" in the upper right lobe of the right lung. What does the term "clear infiltration" mean? Additionally, there is a small area...


Dr. Qu Changke reply Pulmonology
Hello, Aaron: First of all, it should be "infiltration" rather than "cleansing." Infiltration is a term used in radiology. It describes an increase in radiopacity on imaging studies. Therefore, it is a description of an abnormal phenomenon in imaging. As for w...

[Read More] Understanding Clear Opacity in the Right Lung: What It Means for Your Health


Understanding Restrictive Lung Disease: Symptoms and Treatment Options

Could you please provide more details about the respiratory issues? Dear Doctor, Since March of this year, I have been experiencing tachycardia and difficulty breathing (feeling of effort during inhalation), which led me to seek treatment at the Department of Internal Medicine a...


Dr. Qu Changke reply Pulmonology
Hello, Xiao Jin: The physician at National Taiwan University prescribed Inderal and Herbesser to control the symptoms of tachycardia. The term "restrictive ventilatory defect" refers to a reduced lung capacity and is used to describe the results of pulmonary function te...

[Read More] Understanding Restrictive Lung Disease: Symptoms and Treatment Options


Understanding Chest Pain: Causes and When to Seek Help

Chest pain Hello: Every morning when I wake up, I experience chest pain, as if someone is pressing down on my chest. In the past, this pain would only occur when I first got up, but today I have a constant feeling of pressure in my chest and I can't make any sudden movements...


Dr. Qu Changke reply Pulmonology
Hello Xiaoyue: There are many diseases that can cause chest pain, ranging from mild to severe. Therefore, I recommend that you visit the outpatient clinic for further evaluation and testing. Best regards, Department of Internal Medicine.

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


Understanding Chest Pain: Causes and When to Seek Help

Chest pain Hello Dr. Qu: I have a question. I experience chest pain intermittently, and the pain can be quite severe. Sometimes I have to press on my chest with both hands to alleviate the pain. It's also difficult to turn over while sleeping. I am unsure what the cause migh...


Dr. Qu Changke reply Pulmonology
Hello Amin: Based on the symptoms you described, it seems less likely to be discomfort caused by a lung disease. However, I still recommend that you undergo preliminary examinations such as a chest X-ray and an electrocardiogram (ECG). Dr. Qu Chang.

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


Understanding Chest Discomfort and Breathing Issues: What You Need to Know

Regarding respiratory issues? I don't know how long it's been, but I saw a cardiologist who said there was nothing wrong, and I had an electrocardiogram that came back normal. My family also doesn't have any hereditary diseases. However, I don't know when it s...


Dr. Qu Changke reply Pulmonology
Dear user: We recommend that you visit the outpatient clinic. It is necessary to assess your condition and arrange for relevant examinations accordingly. Sincerely, the Department of Orthopedics.

[Read More] Understanding Chest Discomfort and Breathing Issues: What You Need to Know


Could I Have Tuberculosis? Understanding Lung Cavities and Symptoms

Am I infected with tuberculosis? A few days ago, I had a health check-up and the radiologist mentioned that there are cavities in my lungs, which may indicate tuberculosis. They advised me to get another X-ray next month, but I don't have any symptoms. Could this be the case...


Dr. Qu Changke reply Pulmonology
Dear user: You need to undergo sputum tests for further examination (acid-fast stain and TB culture). Additionally, it is recommended that you also perform a cytological examination of the sputum.

[Read More] Could I Have Tuberculosis? Understanding Lung Cavities and Symptoms


Understanding Post-Intubation Complications: What to Expect After ICU Care

Complications after intubation? Hello Doctor: I was hospitalized on January 18 due to a persistent high fever (40 degrees Celsius). After an X-ray examination, the doctor diagnosed me with pneumonia, which required hospitalization. On January 20, I underwent intubation due to acu...


Dr. Qu Changke reply Pulmonology
Dear netizens: Most complications from endotracheal intubation are temporary. Only a small number of patients may experience permanent damage to the larynx. Therefore, it can be said that most conditions have the potential to recover, but a 100% guarantee cannot be provided.

[Read More] Understanding Post-Intubation Complications: What to Expect After ICU Care


Understanding Persistent Cough: Antibiotics, Chest Discomfort, and Lung Health

Common cold Hello, doctor. I have been coughing non-stop due to a cold and have visited the clinic three times without improvement. Eventually, I had an X-ray done, which showed more white spots on one side, likely due to dust. The doctor prescribed me a week’s worth of erythromy...


Dr. Qu Changke reply Pulmonology
Dear users: An abnormal chest X-ray does not necessarily indicate pneumonia. On the other hand, there are many pathogens that can cause pneumonia, and erythromycin may not be effective against all of them. Therefore, it is recommended that you collect sputum for testing and follo...

[Read More] Understanding Persistent Cough: Antibiotics, Chest Discomfort, and Lung Health


Long-Term Cough Relief: The Surprising Impact of EFEXOR

Chronic cough temporarily improved after taking EFEXOR? Hello Doctor, I have been suffering from a chronic cough since high school, and it occurs very frequently without any identifiable cause. However, I recently noticed that while taking the antidepressant medication EFEXOR, I ...


Dr. Qu Changke reply Pulmonology
Dear netizens: If you have symptoms of a persistent cough, it is recommended that you visit a pulmonology clinic for a thorough examination.

[Read More] Long-Term Cough Relief: The Surprising Impact of EFEXOR


Understanding Pink Phlegm: Causes, Concerns, and Coping Strategies

Sputum mixed with pink mucus? Hello, I tend to have a prolonged cough whenever I cough. A few years ago, I had a cough that lasted for a year, and after catching a cold at the end of July this year, my cough has been intermittent. Sometimes I don’t cough at all in a day, while ot...


Dr. Qu Changke reply Pulmonology
Hello Ping Ping: Here is my response: In clinical practice, determining the cause of a disease requires knowledge of the patient's age, gender, other related symptoms, and whether there is a smoking habit, among other factors. I recommend that you visit a major hospital for ...

[Read More] Understanding Pink Phlegm: Causes, Concerns, and Coping Strategies


Managing Discomfort from Long-Acting Asthma Inhalers: Tips and Insights

How to alleviate discomfort from using long-acting asthma inhalers? We are using long-acting bronchodilators (which are said to contain steroids) due to our medical condition. However, after using them in the morning and evening, we experience a significant increase in heart rate...


Dr. Qu Changke reply Pulmonology
Hello, syndrome.tw: Here is the response: Although inhaled bronchodilators can cause side effects such as increased heart rate and hand tremors, they are usually not severe and are generally within tolerable limits. Are you currently using any other medications? It is recommended...

[Read More] Managing Discomfort from Long-Acting Asthma Inhalers: Tips and Insights


Essential Tips for Managing Chemotherapy in Small Cell Lung Cancer

Regarding chemotherapy for lung cancer? Recently, I went to the hospital for an examination, and the doctor said my father has metastatic small cell lung cancer, so he needs to undergo chemotherapy. I would like to know what to pay attention to during chemotherapy (for example, r...


Dr. Qu Changke reply Pulmonology
Hello, Anonymous: When treating small cell carcinoma with chemotherapy, it is essential to pay attention to the side effects of the chemotherapy drugs. Common side effects include ototoxicity, nephrotoxicity, neurotoxicity, nausea, vomiting, and cytopenias, among others, dependin...

[Read More] Essential Tips for Managing Chemotherapy in Small Cell Lung Cancer


Understanding Breathing Difficulties: Causes and Solutions

Difficulty breathing? Hello Doctor: Sometimes I feel like my breathing is not smooth, and at times I make strange noises from my throat. Although I want to control it and not make those noises, I feel uncomfortable if I don't. I have previously been examined at a large hospi...


Dr. Qu Changke reply Pulmonology
Hello, Evil Winged Fairy: May I ask what tests you have undergone? You might have issues with airway hyperreactivity. A pulmonary function test could be helpful. Wishing you good health, Dr. Chiu.

[Read More] Understanding Breathing Difficulties: Causes and Solutions


Understanding Complex Ventricular Premature Contractions: What You Need to Know

What is complex ventricular premature contraction? I was just disqualified due to "complex ventricular premature contractions." I would like to ask what this condition is. Most of the information online only mentions the term without detailed explanations, so I would li...


Dr. Qu Changke reply Pulmonology
Hello, Rabbit: The contraction of the heart is triggered by the electrical activity of the heart. Under normal circumstances, it is initiated by the sinoatrial (SA) node located in the atria and transmitted to the atrioventricular (AV) node, which then spreads throughout the vent...

[Read More] Understanding Complex Ventricular Premature Contractions: What You Need to Know


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