Unexplained Right Chest Pulsations: Causes and Concerns
Involuntary twitching of the right chest? Hello, Doctor: For more than the past six months, I have been experiencing an involuntary pulsating sensation in the inner part of my right chest, similar to a heartbeat, but more rapid, which causes discomfort. When it becomes severe, it...
Dr. Yang Wenda reply Pulmonology
Hello: There are two scenarios that can cause a sensation of palpitations: one is a genuinely fast heart rate, and the other is palpitations. Your situation seems to lean towards the latter, as the electrocardiogram and 24-hour monitoring did not show significant tachycardia or a...[Read More] Unexplained Right Chest Pulsations: Causes and Concerns
Understanding Family History and Lung Adenocarcinoma Risk Factors
Questions about lung adenocarcinoma? I have several questions for the doctor. 1. What is the definition of family medical history? If there is only one case of a relative having a condition and no one else in the family has it, does this still fall under the medical definition ...
Dr. Yang Wenda reply Pulmonology
1. The cause of cancer remains unclear, but the primary culprit is carcinogens, especially smoking. If a second-degree relative has lung cancer, there has been exposure to secondhand smoke, or there has been long-term exposure to other carcinogens in the workplace, and the indivi...[Read More] Understanding Family History and Lung Adenocarcinoma Risk Factors
Understanding Choking: Is It Anxiety or a Blocked Airway?
Regarding the issue of choking? Doctor, I suspect that I choked while eating, but I didn't cough at the moment; I only felt difficulty breathing. After resting for a while, it got a bit better. Does this mean something is stuck in my trachea, or am I just overly anxious?
Dr. Yang Wenda reply Pulmonology
Hello: The trachea will reflexively induce a severe cough to expel any foreign object. Your symptoms do not suggest the presence of a foreign body in the trachea. However, if you have a persistent cough lasting more than two weeks, it is advisable to visit a pulmonology clinic fo...[Read More] Understanding Choking: Is It Anxiety or a Blocked Airway?
Can a Cat Jumping on Your Chest Cause Internal Injury?
Could you please clarify your question, doctor? Today, while I was lying down playing with my cat, he wanted to drink water, so he jumped from my chest onto the table. At that moment, I didn't feel any pain, just a sensation of pressure on my chest. After that, I didn't...
Dr. Yang Wenda reply Pulmonology
Hello: There should be no injury; a cat's paw has thick pads that are not easily bruised, so please do not worry too much.[Read More] Can a Cat Jumping on Your Chest Cause Internal Injury?
Feeling Dizzy After Smoking: Is It Nicotine Poisoning?
Smoking causes dizziness? I have been smoking for 28 years, and my consumption gradually increased to two packs a day. Two days ago, I suddenly started feeling dizzy and nauseous. Resting helps me recover, but I still feel weak and lack energy. Drinking sports drinks has improved...
Dr. Yang Wenda reply Pulmonology
Hello: It may be a temporary maladaptation due to nicotine withdrawal, but you will gradually adjust. Taking this opportunity to quit smoking is the best choice.[Read More] Feeling Dizzy After Smoking: Is It Nicotine Poisoning?
Persistent Cough and Chest Pain: Seeking Solutions Beyond X-rays
Persistent cough that does not resolve? Hello, Dr. Yang. I do not have a smoking habit, but during a business trip in March of this year, I smoked a few packs while socializing with colleagues and supervisors. Since then, I have experienced intermittent coughing and chest and bac...
Dr. Yang Wenda reply Pulmonology
Hello: Based on several imaging examinations confirming no significant pulmonary parenchymal lesions, you may consider Traditional Chinese Medicine for adjustments and treatment according to your constitution![Read More] Persistent Cough and Chest Pain: Seeking Solutions Beyond X-rays
Can Food Get Stuck in the Trachea? Understanding Swallowing Issues
Swallowing difficulties I would like to ask the doctor if food can accidentally enter the trachea while eating. Recently, I experienced a strange sensation in the middle area of my left second rib shortly after swallowing. I suspect that something may have gone down the wrong way...
Dr. Yang Wenda reply Pulmonology
Hello: Your swallowing function is normal for your age, and there should be no issue with food entering the trachea (unless you are laughing uncontrollably while eating). Typically, if food does enter the trachea, it will result in severe coughing. This is for your reference.[Read More] Can Food Get Stuck in the Trachea? Understanding Swallowing Issues
Understanding a Lump Inside the Rib Cage: Possible Causes and Concerns
Inner side of the rib? I would like to ask about a round lump on the inner side of my right rib cage near my chest. What could it be? Some people suggested it might be a lipoma or something similar. It's located close to the liver area. Is this something that has always been...
Dr. Yang Wenda reply Pulmonology
Hello: It is recommended to see a dermatologist or a general surgeon for an evaluation by a physician.[Read More] Understanding a Lump Inside the Rib Cage: Possible Causes and Concerns
Understanding Pleural Effusion: Ultrasound Accuracy and Related Symptoms
Pleural effusion During a previous echocardiogram (performed from the anterior chest), the doctor mentioned that I have pleural effusion in the left thoracic cavity and advised me to see a pulmonologist. After consulting the pulmonologist, the doctor first arranged for an X-ray, ...
Dr. Yang Wenda reply Pulmonology
Hello: It is possible for a small amount of pleural effusion to be present only in the anterior part and not in the posterior part, although this situation is relatively rare. It is also possible for the pleural effusion to resolve on its own (for example, if cardiac function imp...[Read More] Understanding Pleural Effusion: Ultrasound Accuracy and Related Symptoms
Repeated Pneumonia Hospitalizations: Unraveling the Mystery Behind My Symptoms
I have been hospitalized for pneumonia three times in a row, and the doctors are puzzled, as all tests have come back normal? Hello, Doctor. I initially experienced severe shortness of breath and a high fever. On December 5, 2018, I went to the emergency room and was diagnosed wi...
Dr. Yang Wenda reply Pulmonology
Hello: After successful treatment of pneumonia, if the X-ray appears normal (without significant fibrosis), there should be no obvious sequelae. Recurrent pneumonia, in the absence of immunodeficiency (such as diabetes, autoimmune diseases, HIV, etc.), may be due to bodily imbala...[Read More] Repeated Pneumonia Hospitalizations: Unraveling the Mystery Behind My Symptoms
Understanding Tightness Around the Collarbone: Causes and Solutions
The tightness in the collarbone and throat? Hello, Doctor. I am a liver transplant recipient and have been experiencing post-nasal drip and mild gastroesophageal reflux. Three years ago, I felt tightness around my clavicle and consulted a pulmonologist who mentioned that I have a...
Dr. Yang Wenda reply Pulmonology
Hello: Most of the examinations have been completed, and there are no significant abnormalities. All findings have been evaluated by multiple specialists, so you can rest assured that there are no major issues. As for the tightness or discomfort in the collarbone or chest, it may...[Read More] Understanding Tightness Around the Collarbone: Causes and Solutions
Understanding Chest Discomfort: Is It Pneumothorax?
Chest tightness, pneumothorax? Hello, doctor. Recently, I've been experiencing a feeling of tightness and mild pain in my right chest, especially when swallowing, which then shifts to the center of my chest. Could this be a pneumothorax?
Dr. Yang Wenda reply Pulmonology
Hello: The diagnosis of pneumothorax primarily relies on X-rays. Typically, a more severe case may present with a sensation of shortness of breath, and the location of discomfort does not change. This is for your reference![Read More] Understanding Chest Discomfort: Is It Pneumothorax?
Understanding Sleep-Related Breathing Difficulties: Causes and Concerns
Shortness of breath? Hello, doctor. Since the end of last year, I have experienced about four episodes of difficulty breathing while sleeping, feeling as if my throat is constricted for about 30 seconds. Out of these four episodes, I only woke up during two of them. I underwent a...
Dr. Yang Wenda reply Pulmonology
Hello: Asthma has been ruled out, and it seems more related to mitral valve prolapse. However, it is still associated with life stress or dreaming. If there are concerns related to the heart, you may consider seeing a cardiologist for a 24-hour Holter monitor test.[Read More] Understanding Sleep-Related Breathing Difficulties: Causes and Concerns
Understanding Abdominal Discomfort: Insights from Gastroenterology
Abdominal discomfort and pain issues? Hello, doctor. About four months ago, I experienced pain in the liver area and unusual anxiety. Prior to that, I was hospitalized for acute gastroenteritis about six months ago, and during blood tests, the doctor found elevated liver enzymes....
Dr. Yang Wenda reply Pulmonology
Hello: Your symptoms are more indicative of neuropathic pain. Adequate sleep, moderate exercise, and stress relief should gradually improve your condition. Try not to focus on whether any organ has a significant pathological change! Best wishes![Read More] Understanding Abdominal Discomfort: Insights from Gastroenterology
Understanding Pulmonary Infiltrates: Causes, Concerns, and Care Tips
Pulmonary infiltration Hello, my family member was taken to the emergency room due to blood oxygen levels dropping to the 70s. They have a history of chronic obstructive pulmonary disease (COPD) and multiple pneumonia infections. During this hospitalization, the nurse mentioned t...
Dr. Yang Wenda reply Pulmonology
Hello: Pulmonary infiltrates may be indicative of pneumonia, excessive mucus, or pulmonary edema. It is advisable to consult the attending physician for a clearer diagnosis. Maintaining a balanced diet, enhancing sputum clearance, and practicing deep breathing exercises to avoid ...[Read More] Understanding Pulmonary Infiltrates: Causes, Concerns, and Care Tips
Early Stage Lung Adenocarcinoma: Treatment Options and Recommendations
Stage I lung adenocarcinoma My grandmother, born in 1931, underwent a single-port thoracoscopic surgery on the right upper lobe last month. Last week, the pathology report confirmed that the doctor diagnosed her with early-stage lung cancer, stage I. The physician recommended tak...
Dr. Yang Wenda reply Pulmonology
Hello: It is recommended to discuss with your grandmother's primary care physician.[Read More] Early Stage Lung Adenocarcinoma: Treatment Options and Recommendations
Is It Asthma? Understanding Throat Noises and Chest Tightness
Is this considered asthma? Hello Doctor, I have two questions. 1. Recently, I sometimes yawn, and when I inhale deeply, my throat makes a wheezing sound. Last night, I woke up in the middle of the night, and I also noticed a noise in my throat while inhaling, which is somewhat ...
Dr. Yang Wenda reply Pulmonology
Hello: The sounds from phlegm or laryngeal secretions are different from asthma; asthma typically presents with wheezing and shortness of breath.[Read More] Is It Asthma? Understanding Throat Noises and Chest Tightness
Understanding Side Chest Pain During Exhalation: Causes and Concerns
Pain on the outer side of the chest when exhaling? Hello, doctor. I do not smoke or drink, and I have been experiencing this condition for a week. The pain is located on the outer side of my left chest, specifically on the side of my body. I feel a very mild pain when I exhale, u...
Dr. Yang Wenda reply Pulmonology
Hello: The chest X-ray is normal, which likely rules out most pulmonary diseases. There is no pain during exercise, and it does not seem to be musculoskeletal pain. Neuropathic pain is possible, but it is usually not severe. It is recommended to relax and not to deliberately test...[Read More] Understanding Side Chest Pain During Exhalation: Causes and Concerns
Managing COPD: Inhaler Use and Concerns About Dependency
Inhaled medications for chronic obstructive pulmonary disease (COPD)? Hello, doctor. The elderly patient has chronic obstructive pulmonary disease (COPD). In addition to taking medication and using an oxygen concentrator at home, he also uses steam inhalation. His condition was s...
Dr. Yang Wenda reply Pulmonology
Hello: 1. It is recommended to use the inhaled medication for 2-3 days, and you can stop once improvement is noted. 2. Inhaling every 6 hours is acceptable. 3. The most important aspect of maintenance is to use the inhaled medication regularly at the same time every day. 4. If th...[Read More] Managing COPD: Inhaler Use and Concerns About Dependency
Dealing with Coughing and Choking on Traditional Chinese Medicine
Choking on traditional Chinese medicine? 1. If a doctor is choked by herbal powder, will they cough? When taking the medication, it feels like a bit of the powder was not completely swallowed. 2. If it accidentally gets inhaled, how should it be handled? Will it be absorbed by ...
Dr. Yang Wenda reply Pulmonology
Hello: It is normal to cough when inhaling powdered medications, just as one would cough when inhaling pepper or flour. These substances will be absorbed by the body on their own. However, if the cough persists for more than two weeks, please visit a pulmonologist for a chest X-r...[Read More] Dealing with Coughing and Choking on Traditional Chinese Medicine