Understanding Chest Discomfort: Is It Lung or Heart Related?
There is a feeling of tightness in the center of the chest? Hello, doctor. For the past two or three days, I've been feeling a bit of tightness in my chest, specifically around the center of my chest and near the xiphoid process. I haven't experienced any shortness of b...
Dr. Wu Yingxun reply Pulmonology
Hello: There may be a higher chance of mitral valve prolapse, so please follow up with a cardiologist.[Read More] Understanding Chest Discomfort: Is It Lung or Heart Related?
Understanding Post-COVID Complications: Pleural Effusion and Back Pain
Pleural effusion, pleural fluid accumulation, coronavirus? Hello Doctor: My aunt was diagnosed with COVID-19 and a few days after her quarantine ended, she suddenly experienced severe lower back and waist pain. She has not been vaccinated. We took her to a new infectious disease ...
Dr. Wu Yingxun reply Pulmonology
Hello: Pleural effusion does not always yield bacterial cultures. Typically, broad-spectrum antibiotics are used to treat the bright red effusion, and there may be a suspicion of malignant effusion, which can be differentiated through pleural biopsy. Additionally, severe COVID-19...[Read More] Understanding Post-COVID Complications: Pleural Effusion and Back Pain
Understanding Chest Discomfort: When to See a Pulmonologist
Chest tightness, difficulty breathing, cold sweats, numbness in the hands, and pain in the upper back and shoulders? One night, I suddenly experienced chest tightness, rapid heartbeat, and difficulty breathing, feeling like I was about to faint. I went to the emergency room, but ...
Dr. Wu Yingxun reply Pulmonology
Hello: Please have a check-up with the pulmonology and cardiology departments (including X-ray, pulmonary function tests, echocardiogram, and 24-hour Holter monitoring). If there are no issues, it may be a case of autonomic nervous system dysfunction.[Read More] Understanding Chest Discomfort: When to See a Pulmonologist
Understanding Persistent Throat Irritation and Coughing Issues
Throat itching, coughing, and phlegm issues? Good evening, Dr. Wu: Due to the pandemic, I prefer not to go to the hospital at this time. My symptoms have been present for about six months. I experience a scratchy throat 3-4 times a day, accompanied by a sensation of phlegm. Each ...
Dr. Wu Yingxun reply Pulmonology
Hello: 1. There may be post-nasal drip or gastroesophageal reflux related issues; consider getting a chest X-ray, and you can wait to check until the pandemic situation improves. 2. You can receive the AZ vaccine.[Read More] Understanding Persistent Throat Irritation and Coughing Issues
Understanding Loud Breathing: Causes and When to Seek Help
Respiratory issues In mid-February 2020, during my internship at the hospital, my supervising instructor asked why I was breathing so heavily and loudly. However, at that moment, I did not feel short of breath and did not experience any physical discomfort. Following my instructo...
Dr. Wu Yingxun reply Pulmonology
Hello: Please have an ENT examination to check for any upper respiratory issues.[Read More] Understanding Loud Breathing: Causes and When to Seek Help
Understanding Pain Perception in Comatose Patients with Aspiration Pneumonia
Aspiration pneumonia My father underwent tooth extraction under general anesthesia and developed aspiration pneumonia due to gastric acid reflux. He has been in a coma for a day. I would like to know if he can feel pain while in a coma, and if so, can the doctor administer morphi...
Dr. Wu Yingxun reply Pulmonology
Hello: It should not be painful.[Read More] Understanding Pain Perception in Comatose Patients with Aspiration Pneumonia
Is My Boyfriend's Coughing Blood a Sign of Tuberculosis Recurrence?
Is it a recurrence of tuberculosis? Hello, doctor. My boyfriend unfortunately contracted tuberculosis (TB) ten years ago and underwent a resection surgery at that time. However, over the years, he occasionally experiences a bloody taste or coughs up a small amount of blood when h...
Dr. Wu Yingxun reply Pulmonology
Hello: Coughing up blood does not indicate a recurrence; if there is a recurrence, the cure rate is still very high, over 90%. It is important to go to the hospital for an examination.[Read More] Is My Boyfriend's Coughing Blood a Sign of Tuberculosis Recurrence?
Understanding Left Apical Pleural Fibrosis: Should You Be Concerned?
Fibrosis of the left apical pleura? I apologize for the interruption. I am 22 years old and a junior in college. A few days ago, I reviewed my school health check report, which indicated left apical pleural fibrosis. I would like to ask if this condition is serious. I do not smok...
Dr. Wu Yingxun reply Pulmonology
Hello: Apical pleural fibrosis is quite common, indicating that there has been previous inflammation that left scar tissue. It is harmless to the body, and annual X-ray examinations for monitoring are sufficient.[Read More] Understanding Left Apical Pleural Fibrosis: Should You Be Concerned?
Understanding Chest Pain: Causes, Diagnosis, and Treatment Options
Causes of Chest Pain Hello Dr. Wu, this year I have been experiencing chest tightness and pain in various locations, sometimes accompanied by a cold sensation, similar to the pain of a bruise when pressed. When I visited Fu Jen University for a check-up, the doctor indicated that...
Dr. Wu Yingxun reply Pulmonology
Hello: Multiple hospitals have ruled out asthma, yet there is still chest tightness and pain. It may be worth checking for gastroesophageal reflux disease (GERD).[Read More] Understanding Chest Pain: Causes, Diagnosis, and Treatment Options
Understanding Left Chest Pain: Causes and When to Seek Help
There is often a dull pain in the left chest (near the inner side)? Hello, I have been using e-cigarettes, and recently I have been experiencing frequent pain between my chest. Sometimes it feels like a sharp stabbing pain, similar to being cut with a knife, and at other times it...
Dr. Wu Yingxun reply Pulmonology
Hello: Please return for a follow-up appointment with the pulmonology department for an examination. Also, please refrain from using e-cigarettes.[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Understanding Chest Foreign Body Sensation: Causes and Next Steps
Chest foreign body sensation On December 13, 2020, after vomiting (I remember not having a choking sensation), I felt a cool burning sensation in my left chest, particularly in the lower chest area and about 2-3 cm from the center of my chest. The next day, the cool burning sensa...
Dr. Wu Yingxun reply Pulmonology
Hello: You can schedule a computed tomography (CT) scan and a bronchoscopy.[Read More] Understanding Chest Foreign Body Sensation: Causes and Next Steps
Understanding Nodular Densities in Chest X-Ray Reports: What You Need to Know
X-ray report consultation? The X-ray report (Chest A-P View @ Supine) mentions "Nodular densities at LLL and LUL," which indicates the presence of nodular opacities in the left lower lobe (LLL) and left upper lobe (LUL) of the lungs. This suggests that there are nodules...
Dr. Wu Yingxun reply Pulmonology
Hello: The physician may be concerned about an old lesion and still recommends a CT scan.[Read More] Understanding Nodular Densities in Chest X-Ray Reports: What You Need to Know
Understanding Respiratory Distress: Common Breathing Issues Explained
Respiratory distress syndrome, respiratory issues? I would like to ask the doctor: 1. Sometimes it feels like I forget how to breathe and have to consciously remind myself to breathe. 2. Hiccups make my breathing feel more comfortable. 3. I feel like I can't get enough air a...
Dr. Wu Yingxun reply Pulmonology
Hello: During the follow-up visit for the thoracic examination, please check if there is any drop in blood oxygen levels when walking, and also examine the thyroid.[Read More] Understanding Respiratory Distress: Common Breathing Issues Explained
Understanding Chest Pain: Is It Related to Mitral Valve Prolapse?
Chest pain? Hello Doctor: In the past few days, I have been experiencing occasional sharp pain in my right chest. Although my menstrual cycle is irregular, I have already had my period this month, but I still feel a sense of fullness and tenderness in my breasts. I was diagnosed ...
Dr. Wu Yingxun reply Pulmonology
Hello: You can go to the pulmonology department for an X-ray examination and to the cardiology department for an evaluation, as it may be more indicative of neuropathic pain.[Read More] Understanding Chest Pain: Is It Related to Mitral Valve Prolapse?
Distinguishing Between Pneumonia and Fibrosis on Chest X-rays
Pneumonia and pulmonary fibrosis? My father was hospitalized due to pneumonia, and the X-ray showed signs of pneumonia along with fibrosis. Can the doctor differentiate between fibrotic inflammation and pneumonia inflammation based on the X-ray? Since this is an emergency situati...
Dr. Wu Yingxun reply Pulmonology
Hello: If there are previous images for comparison, it will be clearer whether the new lesions are new or old.[Read More] Distinguishing Between Pneumonia and Fibrosis on Chest X-rays
Morning Chest Pain When Sitting Up: Causes and Concerns
Chest pain upon waking up? Hello, doctor: I would like to ask why I experience sharp chest pain when I lift my body from a lying position to a sitting position in the morning. I also often have back pain. What could be the cause?
Dr. Wu Yingxun reply Pulmonology
Hello: It is recommended to get a chest X-ray to check for any issues.[Read More] Morning Chest Pain When Sitting Up: Causes and Concerns
Understanding Choking: Symptoms and When to Seek Help
Regarding choking? Hello Dr. Wu, I have a situation. A few days ago, I drank beef noodle soup in the evening and added some chili, which caused my throat to become sensitive. Since then, I have been feeling that my breathing is not smooth, and I can feel my breathing rate at all ...
Dr. Wu Yingxun reply Pulmonology
Hello: Please first have a chest X-ray and then perform pulmonary function tests.[Read More] Understanding Choking: Symptoms and When to Seek Help
Understanding Mild Prominent Lung Markings on X-rays: Causes and Concerns
Regarding the presentation of mild prominence on X-rays and subsequent issues? Hello, Doctor. Recently, I visited the pulmonology department due to a persistent cough (which lasted about a week) and had an X-ray taken. The doctor reviewed the results and mentioned that there were...
Dr. Wu Yingxun reply Pulmonology
Hello: It should be an imaging description rather than a pathology report, generally referring to vascular imaging or monitoring for infiltrative inflammation.[Read More] Understanding Mild Prominent Lung Markings on X-rays: Causes and Concerns
Can You Dive After Spontaneous Pneumothorax? Expert Insights and Advice
Spontaneous pneumothorax Dear Doctor, Two years ago, I experienced a spontaneous pneumothorax and underwent chest tube drainage. The doctor advised that climbing stairs and experiencing shortness of breath could help speed up my recovery. I was discharged after about five to si...
Dr. Wu Yingxun reply Pulmonology
Hello: Based on the current description, there are no abnormalities. If any issues arise, please consult a pulmonologist for further examination; if a pneumothorax recurs, surgical intervention by a thoracic surgeon may be necessary.[Read More] Can You Dive After Spontaneous Pneumothorax? Expert Insights and Advice
Understanding Chest Pain: When to Seek Medical Attention
Chest pain? Hello doctor, yesterday while I was using the restroom, I suddenly experienced chest pain that lasted for a moment and then subsided. After a while, the pain only occurs during certain movements, such as deep breathing, exhaling completely, sneezing, or sometimes when...
Dr. Wu Yingxun reply Pulmonology
Hello: Should I seek medical examination for my lungs and heart to check for any issues, or is it just nerve pain?[Read More] Understanding Chest Pain: When to Seek Medical Attention