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Understanding Chest X-Ray Results: Insights and Patient Guidance

Chest X-ray examination Hello Doctor, I recently had a chest X-ray at a hospital in the northern part of Taiwan, and the report stated: "mild infiltrates in both lower lungs. Suggest clinical correlation and follow-up. Blunting of left costophrenic angle. Otherwise, unremark...


Dr. Wang Zhengde reply Pulmonology
Hello: Based on your description, it seems that your attending physician suspects an infection or other issues in your lungs and needs to obtain relevant specimens. Inhaling steam to help with mucus clearance is a feasible method. Suctioning mucus with a tube is also a commonly u...

[Read More] Understanding Chest X-Ray Results: Insights and Patient Guidance


Why Long-Term Coughing Should Not Be Ignored: A Call for Medical Attention

Chronic cough but unwilling to seek medical attention? Since around December 2023, my mother (who is 55 years old) has been experiencing a cough. Initially, she visited a clinic where she was diagnosed with a common cold and was given a three-day supply of medication to take home...


Dr. Wang Zhengde reply Pulmonology
Dear Ms. Yang, Based on your statement, your mother has been experiencing a cough for over three weeks, which qualifies as chronic cough. There are many potential causes for chronic cough, ranging from post-nasal drip to malignant tumors. I recommend that your mother seek medica...

[Read More] Why Long-Term Coughing Should Not Be Ignored: A Call for Medical Attention


Understanding Your X-Ray Report: Insights on Lung and Heart Health

X-ray report issues? Persistent cough that does not improve, with a sensation of multiple needle-like pains in the lungs after coughing. X-ray results show: no active lung lesions, borderline heart size, mild tortuous aorta, and mild spondylosis at the thoracolumbar spine. Clinic...


Dr. Wang Zhengde reply Pulmonology
Hello Lisa: Based on your statement, it is believed that you have already visited the hospital for medical care and received relevant examinations and treatments. It is recommended that you return to your original attending physician's clinic for continued follow-up. Due to ...

[Read More] Understanding Your X-Ray Report: Insights on Lung and Heart Health


Is Your Cough and Fever a Sign of Lung Inflammation?

Having a slight fever after choking? Hello, doctor. Last Thursday, I accidentally inhaled some black rice into my trachea and started coughing at that moment, but I'm not sure if I coughed it out. Since last Friday until today, Wednesday, my temperature has been around 37.5 ...


Dr. Wang Zhengde reply Pulmonology
Dear Ms. Yuan, Based on your description, it is possible that a foreign object has aspirated into your lungs. While generally healthy adults should be able to cough out foreign objects, if you are experiencing fever or persistent coughing, I recommend that you visit a nearby hos...

[Read More] Is Your Cough and Fever a Sign of Lung Inflammation?


Understanding Mild Lung Opacity: Causes and Concerns for Patients

Mild pulmonary opacity? In mid-November, I experienced gastritis and gastroesophageal reflux, along with bronchitis and a cold. My weight dropped from 53 kg to around 48-49 kg in a short period. My family, who have been coughing for a long time, suggested that I might have pneumo...


Dr. Wang Zhengde reply Pulmonology
Hello Mei Mei, due to the limited information that can be provided through online consultations, I can only answer some of your questions. Compared to a chest X-ray, a computed tomography (CT) scan has a higher sensitivity and can reveal more details, which may include issues tha...

[Read More] Understanding Mild Lung Opacity: Causes and Concerns for Patients


Managing Side Effects of Tuberculosis Treatment in Elderly Patients

Complications of tuberculosis medication? Hello Dr. Wang, My father was diagnosed with tuberculosis in September of this year and has been undergoing treatment for three months. During his previous follow-up visits, his liver function tests were completely normal, but this time,...


Dr. Wang Zhengde reply Pulmonology
Dear Miss Vicky, It is indeed important to pay special attention to drug-induced hepatitis caused by anti-tuberculosis medications. However, if it occurs, it typically happens early in the course of treatment. In addition to medications, other causes of elevated liver enzymes in...

[Read More] Managing Side Effects of Tuberculosis Treatment in Elderly Patients


Understanding Chest Pain, Shortness of Breath, and Wheezing Symptoms

Chest pain, difficulty breathing, shortness of breath? Doctor, I would like to ask about my recent symptoms. I've been experiencing chest pain, difficulty breathing, and wheezing. I went to the hospital for a 24-hour ECG, echocardiogram, and chest X-ray. The doctor said ther...


Dr. Wang Zhengde reply Pulmonology
Hello, Xiaolin: Based on your description and age, it is also important to consider gastroesophageal reflux disease (GERD) or asthma. I recommend consulting with your current physician or seeking the expertise of a pulmonologist nearby. Thank you for your inquiry! Wishing you a s...

[Read More] Understanding Chest Pain, Shortness of Breath, and Wheezing Symptoms


Understanding Persistent Right Chest Pain: Causes and When to Seek Tests

Chest tightness or chest discomfort? I have been experiencing a dull pain in my right chest for three weeks now, but I don't know the cause. I just know that the pain on the right side is uncomfortable, and I feel like I want to hit it, but I can't reach that spot. I wo...


Dr. Wang Zhengde reply Pulmonology
Hello: Based on your age and the information provided, your condition could potentially be asthma or benign arrhythmia. Since I am not aware of the circumstances surrounding your recent medical visits, I cannot provide further commentary; I can only say that each physician has th...

[Read More] Understanding Persistent Right Chest Pain: Causes and When to Seek Tests


Understanding Your Chest CT Report: Key Insights and Next Steps

Chest CT Report I have been experiencing some random sharp pains in my right chest, particularly noticeable when drinking hot soup or bending over to work. I consulted a pulmonologist, and after an X-ray, the doctor suspected a nodule approximately 0.7 cm in size, while other are...


Dr. Wang Zhengde reply Pulmonology
Hello, Ah-Chung: Based on the findings from the attached CT scan and chest X-ray reports, there are some specific observations (1. reticular opacities and/or subpleural nodules in the right middle lobe, lingula of the left upper lobe, posterior right lower lobe, and left lower lo...

[Read More] Understanding Your Chest CT Report: Key Insights and Next Steps


Understanding Persistent Breathing Difficulties: A Comprehensive Guide

Chronic difficulty in breathing since childhood? Hello, doctor. As the title suggests, I have undergone many tests since childhood. I do not have asthma, and my heart occasionally has a valve that stops moving, but the doctor said this is not a major concern. However, since I was...


Dr. Wang Zhengde reply Pulmonology
Hello, Miss Jue: Your question is a bit complex, so I will first address your last inquiry. Insufficient blood oxygen levels can indeed cause difficulty in breathing. You can use a home pulse oximeter to measure your oxygen saturation; if it falls below 94%, you need to seek medi...

[Read More] Understanding Persistent Breathing Difficulties: A Comprehensive Guide


Understanding Heart Sounds and Symptoms: When to Seek Medical Advice

Lying down to rest, I can hear sounds from my heart? Recently, my sleep duration has decreased (averaging 4-5 hours). Current condition: I feel short of breath and nauseous after standing for a long time. When I lie down to rest, I can hear a rhythmic sound from my heart when I e...


Dr. Wang Zhengde reply Pulmonology
Dear Miss Yi, Based on your description, your condition may be indicative of paroxysmal arrhythmia, and insufficient sleep could be a contributing factor. However, online consultations cannot replace actual clinical evaluations. I recommend that you seek a professional clinical ...

[Read More] Understanding Heart Sounds and Symptoms: When to Seek Medical Advice


Understanding Shortness of Breath: Causes and Solutions

Dyspnea Doctor, recently I have been experiencing sudden shortness of breath during the day. When I take naps, I sometimes wake up in the middle of my sleep unable to breathe, but my body can't wake up. I can only get up when I feel like I can't hold my breath any longe...


Dr. Wang Zhengde reply Pulmonology
Dear Ms. Guo: Based on your description, your symptoms may be caused by an asthma attack. However, a written statement cannot replace a clinical professional evaluation. I recommend that you seek further diagnosis and treatment from a nearby pulmonologist. Thank you for your inqu...

[Read More] Understanding Shortness of Breath: Causes and Solutions


Persistent Cough: Understanding Causes and Concerns in Chest Medicine

Persistent cough In mid-May, I experienced throat swelling. The pharmacy provided medication for four days, which alleviated my symptoms, but I began to develop a scratchy throat and a cough, without any phlegm. My throat is not painful or swollen, just slightly itchy. Occasional...


Dr. Wang Zhengde reply Pulmonology
Hello Miss Pikachu: Based on your description, I suspect that you may have been infected with the COVID-19 virus at that time, but the rapid test showed a negative result. Your current symptoms could be a result of post-viral syndrome. It is also possible that you are experiencin...

[Read More] Persistent Cough: Understanding Causes and Concerns in Chest Medicine


Understanding Nighttime Discomfort: Bloating and Breathing Issues While Lying Down

At night, when I lie flat to sleep, I experience bloating in my stomach, a feeling of breathlessness, and a sensation as if my throat is blocked. I keep burping air? Hello doctor, in the past year, whenever I lie down to sleep at night, I experience bloating in my stomach, and I ...


Dr. Wang Zhengde reply Pulmonology
Hello, Mr. Wu: Based on your statement, a more common condition would be gastroesophageal reflux disease (GERD), but other issues (such as dysphagia or esophageal achalasia) should still be considered. It is recommended that you visit a nearby pulmonology or gastroenterology clin...

[Read More] Understanding Nighttime Discomfort: Bloating and Breathing Issues While Lying Down


Persistent Hiccups Leading to Breathing Difficulties: What You Should Know

Persistent hiccups leading to difficulty breathing? Hello Doctor, Since I was young, I have occasionally experienced difficulty breathing. I have read many articles suggesting that it could be due to gastroesophageal reflux disease (GERD) or bronchitis, but I do not have persis...


Dr. Wang Zhengde reply Pulmonology
Hello Xiaoya: Given your age, the long-term symptoms of bronchial itching and coughing may actually be manifestations of asthma. Additionally, the symptom of burping is somewhat difficult to assess in terms of its exact nature (burp or hiccup?), and it could potentially be a sign...

[Read More] Persistent Hiccups Leading to Breathing Difficulties: What You Should Know


Understanding Persistent Throat and Chest Discomfort: Possible Causes

Itchy trachea, difficulty breathing, and tightness near the clavicle? I have been experiencing a dry and itchy throat since May of this year. After seeing a doctor and taking medication, it improved for a while, but soon the itching returned. Recently, I have started to feel a lo...


Dr. Wang Zhengde reply Pulmonology
Hello: Based on your age and symptom description, it is highly likely that you have asthma. Asthma is an allergic airway disease that can vary in severity, with mild symptoms that may resolve on their own, and severe cases that can lead to respiratory failure or death. Online con...

[Read More] Understanding Persistent Throat and Chest Discomfort: Possible Causes


Understanding Sharp Pain Under the Right Rib: Causes and Solutions

Sharp pain under the right rib cage? Hello, since I had a massage, I felt that while the massage therapist was pressing on my back, I could feel my ribs pressing against the bed. It was uncomfortable at the time, but it didn't feel like inflammatory pain. However, about four...


Dr. Wang Zhengde reply Pulmonology
Hello Linlin: Based on your description, your issue may be inflammation of the ribs, cartilage, or muscles in the lower right chest. It is recommended that you rest the affected area and avoid lifting heavy objects. Additionally, you may consider applying ice or taking pain relie...

[Read More] Understanding Sharp Pain Under the Right Rib: Causes and Solutions


Understanding Shortness of Breath: Causes and Concerns for Young Adults

Shortness of breath Hello Doctor, I am 23 years old, 163 cm tall, and weigh 46 kg. Since the outbreak of the pandemic, my work has been forced to stop, and I have mostly stayed at home. Starting last week, I experienced shortness of breath and irregular heartbeats, but it improve...


Dr. Wang Zhengde reply Pulmonology
Hello Joy: During the pandemic, many people's lives have been affected. Based on your description, it may be related to psychological factors. You can call the Mental Health Hotline at 1925 for assistance. However, if you experience shortness of breath or difficulty breathin...

[Read More] Understanding Shortness of Breath: Causes and Concerns for Young Adults


Persistent Nasal Congestion and Breathing Issues After Cold

Difficulty breathing and nasal congestion? Hello, doctor: I have had a cold for about three weeks with no improvement. In the first week, I experienced a sore throat and cough. In the second week, I had persistent nasal congestion throughout the day, phlegm in my throat, dry coug...


Dr. Wang Zhengde reply Pulmonology
Hello: During the pandemic, if you experience symptoms such as sore throat, cough, nasal congestion, and diarrhea, you should suspect the possibility of a COVID-19 infection. It is recommended to wear a mask and seek medical attention promptly, while providing your physician with...

[Read More] Persistent Nasal Congestion and Breathing Issues After Cold


Understanding Soft Throat Sensation and Coughing During Inhalation

During inhalation, there is a soft and itchy sensation in the throat? Hello, I would like to ask about a sensation of a soft and itchy throat when I inhale, which then leads to coughing. What disease could this be? I do not have a runny nose, but I do experience mild nasal conges...


Dr. Wang Zhengde reply Pulmonology
Hello Woozi: Based on your age and symptoms, your condition appears to be more consistent with asthma, which is a chronic airway obstruction disease influenced by both genetic predisposition and environmental factors. However, an accurate diagnosis and management still require a ...

[Read More] Understanding Soft Throat Sensation and Coughing During Inhalation