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Understanding Lung Fibrosis: Symptoms, Treatment, and Monitoring

Pulmonary fibrosis Regular X-ray examinations show an increase in lung markings, while another hospital reported lung infiltration without mentioning lung markings. Can lung markings and lung infiltration improve, or could they progress to pulmonary fibrosis? Currently, there are...


Dr. Wu Yingxun reply Pulmonology
Hello: 1. Essentially, pulmonary infiltration indicates the presence of inflammation, which may be symptomatic. Increased lung markings may suggest denser vascularity (clinically asymptomatic), and the interpretation of both can sometimes be subjective; a computed tomography (CT)...

[Read More] Understanding Lung Fibrosis: Symptoms, Treatment, and Monitoring


Choking Hazards: Understanding Aspiration Pneumonia Risks in Seniors

Choking, wheezing, coughing, and respiratory issues? An elderly person who accidentally ingests a large amount of lotion and subsequently experiences coughing, vomiting, and difficulty breathing may be at risk for aspiration pneumonia. Thank you.


Dr. Wu Yingxun reply Pulmonology
Hello: It is advisable to seek medical attention from a pulmonologist for possible aspiration pneumonia.

[Read More] Choking Hazards: Understanding Aspiration Pneumonia Risks in Seniors


Understanding Tuberculosis Symptoms: Key Questions and Concerns

Symptoms of pulmonary tuberculosis? Hello Doctor, I have been told by a physician that I might have tuberculosis, but currently, I am unable to produce any sputum for testing. This situation has made me quite anxious. I would appreciate your assistance in clarifying some issues. ...


Dr. Wu Yingxun reply Pulmonology
Hello: Tuberculosis (TB) of the lungs may not always present with symptoms, and having symptoms does not necessarily mean it is tuberculosis. The general diagnosis of pulmonary tuberculosis involves examining chest X-rays or computed tomography (CT) scans. Of course, sputum tests...

[Read More] Understanding Tuberculosis Symptoms: Key Questions and Concerns


Understanding Lung Nodules: X-Ray vs. CT Scan Insights

X-ray examination - pulmonary nodule Hello Doctor: I would like to ask: 1. In recent years, chest X-rays have consistently shown a small nodule in the right lower lung measuring about 0.8 cm, with no change in size. Therefore, I underwent a full-body CT scan at Linkou Chang Gung ...


Dr. Wu Yingxun reply Pulmonology
Hello: Based on the CT report, the liver nodule should also be visible on the chest CT. It is recommended to return for a follow-up appointment to discuss with the physician whether the X-ray shows a hepatic hemangioma.

[Read More] Understanding Lung Nodules: X-Ray vs. CT Scan Insights


Understanding Persistent Breathing Difficulties: When to Seek Further Medical Help

Shortness of breath? Hello doctor, I have been experiencing difficulty breathing and wheezing at night due to a cold, accompanied by cold sweats and numbness in my fingers. I have visited the emergency room multiple times, but blood tests and X-rays showed no issues. Subsequently...


Dr. Wu Yingxun reply Pulmonology
Hello: We need to check for gastroesophageal reflux disease (GERD) and thyroid issues. If the organs are functioning properly, we may need to consider a psychological evaluation.

[Read More] Understanding Persistent Breathing Difficulties: When to Seek Further Medical Help


Can Lung Apex Pleural Thickening and Fibrosis Truly Reverse?

Is it possible for long-standing abnormalities on chest X-rays (such as apical pleural thickening and mild fibrosis) to reverse and heal without medication? Hello, I am a 50-year-old male, non-smoker and non-drinker. In 2018, I had my first chest X-ray at Hospital A, which reveal...


Dr. Wu Yingxun reply Pulmonology
Hello: Mild pleural thickening and fibrosis at the lung apex are likely irreversible reactions, but they do not cause chest pain and are considered old lesions. Some physicians may overlook these inactive lesions.

[Read More] Can Lung Apex Pleural Thickening and Fibrosis Truly Reverse?


Understanding Chest Pressure: Why Lying Down Causes Discomfort

Chest tightness? Hello Doctor, whenever I lie down or sleep on my side, I feel a strong pressure in the center of my chest, but this does not happen when I am standing. What could be the reason for this?


Dr. Wu Yingxun reply Pulmonology
Take an X-ray to examine the lungs and check for any issues in the mediastinum, as well as to assess for any gastroesophageal problems.

[Read More] Understanding Chest Pressure: Why Lying Down Causes Discomfort


Understanding Right-Sided Chest Pain After COVID-19: Causes and Next Steps

Right-sided chest pain? After being infected with COVID-19, I have been experiencing pain on the right side of my chest (approximately from the lower edge of the breast to the outer area of the breast) for over three weeks. I have difficulty taking deep breaths, and I feel sharp ...


Dr. Wu Yingxun reply Pulmonology
Hello: The likelihood of neuropathic pain may be higher, and since the examination showed no issues, it should not be an organic problem.

[Read More] Understanding Right-Sided Chest Pain After COVID-19: Causes and Next Steps


Managing Excessive Sputum After Tracheostomy: What to Do?

What should be done if there is excessive sputum after tracheostomy? Hello Doctor: My father has had a tracheostomy for over a year. Since the tracheostomy, he has been producing a lot of sputum, and it seems that we haven't been suctioning deeply enough, which led to a seco...


Dr. Wu Yingxun reply Pulmonology
Hello: To examine the lung structure for any issues through X-rays, in addition to sputum collection, it may still be necessary to perform a sputum culture, as there could be an infection that warrants the use of antibiotics.

[Read More] Managing Excessive Sputum After Tracheostomy: What to Do?


Chest Pain After Choking: Is Aspiration Pneumonia Possible?

Chest pain after choking? Hello, doctor! I would like to ask about an incident that occurred on January 3rd. I choked while drinking a health supplement containing propolis in the morning. I coughed forcefully, even to the point of vomiting. Since then, I have been experiencing m...


Dr. Wu Yingxun reply Pulmonology
Hello: It is still advisable to visit a pulmonologist for a chest X-ray to confirm.

[Read More] Chest Pain After Choking: Is Aspiration Pneumonia Possible?


Understanding Pain Near the Breastbone: Causes and Concerns

Pain upon palpation of the bone beneath the breast? Hello, doctor. A few days ago, I noticed some pain when I touched my left breast. Upon careful examination, I did not find any lumps or hard masses. However, I feel pain when pressing on the bone near the nipple (on the side clo...


Dr. Wu Yingxun reply Pulmonology
Hello: You can consult with a pulmonologist or a breast surgeon.

[Read More] Understanding Pain Near the Breastbone: Causes and Concerns


Do You Need Follow-Up for Chest X-Ray Findings?

Is follow-up necessary for the X-ray report? Hello, last month my family member was hospitalized for orthopedic surgery. During the hospitalization, a chest X-ray was performed, and now I see the report in the health record as follows: "Increased lung markings, bilateral wit...


Dr. Wu Yingxun reply Pulmonology
Hello: According to the report, there are no significant abnormalities, so follow-up can be done once a year.

[Read More] Do You Need Follow-Up for Chest X-Ray Findings?


Understanding Abnormal Chest X-Ray Results from Company Health Check

Abnormal chest X-ray in company health examination? Hello Dr. Wu, I recently had my company's annual health check-up for 2023, and the results showed an abnormal chest X-ray: there is an increased hazy opacity in the peripheral area of the left middle lung, overlapping with ...


Dr. Wu Yingxun reply Pulmonology
Hello: Please schedule an appointment with the pulmonology clinic for the physician to reassess if there are any issues.

[Read More] Understanding Abnormal Chest X-Ray Results from Company Health Check


Managing Coughing Up Blood Clots After Tracheostomy: A Guide for Caregivers

Tracheostomy with hemoptysis? My father is 62 years old and has undergone a tracheostomy for about 1-2 years. Since the end of last year, he has been coughing up blood, which lasted for a month. Recently, it has started again, but this time it is more severe, with blood clots pos...


Dr. Wu Yingxun reply Pulmonology
Hello: It is recommended to have a chest X-ray or CT scan evaluated by a pulmonology outpatient clinic to check for any issues or lesions in the trachea before proceeding with further management.

[Read More] Managing Coughing Up Blood Clots After Tracheostomy: A Guide for Caregivers


Persistent Chest Pain for a Month: Which Specialist Should You See?

If you have been experiencing chest pain for about a month, you should see a cardiologist? Hello, in the past month, I have experienced three episodes of significant chest pain, primarily located on the left side near the heart, occasionally radiating from the center. The first e...


Dr. Wu Yingxun reply Pulmonology
Hello: After undergoing a chest X-ray and pulmonary function tests in the pulmonology department, the cardiology department can perform an echocardiogram and electrocardiogram.

[Read More] Persistent Chest Pain for a Month: Which Specialist Should You See?


Understanding Left Chest Pain: Causes and Concerns for Your Health

Left chest pain? Today, I felt a slight intermittent pain in my left chest, and throughout the day, the pain has been quite frequent. Recent chest X-ray results from a health check showed everything to be normal. Aside from the mild intermittent pain in my left chest, I have no o...


Dr. Wu Yingxun reply Pulmonology
Hello: It is recommended to see a cardiologist for an examination to check for any issues. If there are no problems with the thoracic cavity and heart, it may be intercostal neuralgia.

[Read More] Understanding Left Chest Pain: Causes and Concerns for Your Health


Concerns About Pneumothorax or Chest Injury After Trauma?

Is there a concern for pneumothorax or chest contusion? Four days ago, I experienced a blunt force impact to the lower left rib cage, similar to the sensation of chest compressions during CPR. At that moment, I felt air being forcibly expelled from my chest cavity, followed by a ...


Dr. Wu Yingxun reply Pulmonology
Hello: You should see a pulmonologist to determine if it is a pneumothorax or just a contusion.

[Read More] Concerns About Pneumothorax or Chest Injury After Trauma?


Understanding Left Rib and Chest Pain: Causes and When to Seek Help

Left-sided rib and chest pain? Hello Doctor, in the past two weeks, I have been experiencing pain on the outer side of my left rib cage, along the lower edge of my left chest, and beneath my left clavicle, which sometimes has a specific point of pain and other times is more gener...


Dr. Wu Yingxun reply Pulmonology
Hello: For chest pain, you can consult a pulmonologist to check for any issues with a chest X-ray. For headaches and nausea, you may want to see a neurologist to determine if they are related to prolonged computer use.

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


Consultation on Tracheal Medications for Lung Health Concerns

Tracheal-related medication consultation? Dr. Wu, your response is as follows: Have you undergone pulmonary function tests to assess lung capacity? If there is obstructive lung disease, inhalers can be used instead of oral medications. My reply: I have had pulmonary function test...


Dr. Wu Yingxun reply Pulmonology
Hello: If everything is normal and there is no improvement after taking the medication, you should stop taking it.

[Read More] Consultation on Tracheal Medications for Lung Health Concerns


Managing Medication for Respiratory Issues in Seniors: A Guide

Tracheal-related medication consultation? Hello, my 70-year-old mother, who weighs 78 kg and has not smoked for over 20 years, has been experiencing shortness of breath for the past couple of years. She gets breathless after climbing three flights of stairs. Last year, she consul...


Dr. Wu Yingxun reply Pulmonology
Hello: Is there a pulmonary function assessment for lung capacity? If there is obstructive lung disease, can inhalers be used instead of oral medication?

[Read More] Managing Medication for Respiratory Issues in Seniors: A Guide


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