Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?
Persistent mild dry cough with slight shortness of breath? Hello Doctor: Due to family members exhibiting cold symptoms, I began experiencing throat discomfort in mid-October. On October 17, I visited an ENT specialist after my family members had already shown symptoms. After thr...
Dr. Yang Wenda reply Pulmonology
Hello: If respiratory symptoms persist, it is recommended to visit the thoracic medicine clinic for a chest X-ray for further evaluation![Read More] Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?
Understanding Chest CT Findings: A Case Study of Lung Nodules and Follow-Up
I would like to consult the physician regarding the content of this report? A 44-year-old female; Clinical Information: Right lower lobe (RLL) ground-glass opacity (GGO) measuring 0.4 cm (serial image 65) has progressed since the image from October 2020. Computed Tomography (CT) ...
Dr. Yang Wenda reply Pulmonology
Hello: The report indicates that a 1.2 cm nodule in the right breast should be evaluated by a breast surgeon. The other small nodules in the lungs are recommended to be followed up in 12 months as per the report. Detailed interpretation should be correlated with clinical symptoms...[Read More] Understanding Chest CT Findings: A Case Study of Lung Nodules and Follow-Up
Understanding Palpitations, Coughing, and Vomiting: A Chest Medicine Perspective
Wheezing, coughing, vomiting, and incontinence? Hello, Director Yang. I had a stent placed in October 2013. About five months later, I began experiencing occasional missed beats, accompanied by vomiting (usually without anything in my stomach, but in rare cases, severe vomiting c...
Dr. Yang Wenda reply Pulmonology
Hello: The chest X-ray shows no abnormalities in the lungs, and the cough is not persistent. It is suspected that the main issue lies in the arrhythmia and temporary cardiac backflow obstruction, leading to chest tightness and cough. During the ECG, it happened to capture a momen...[Read More] Understanding Palpitations, Coughing, and Vomiting: A Chest Medicine Perspective
Understanding Low-Dose CT Scan Results for Lung Health Concerns
Low-Dose Computed Tomography Report of the Lungs Hello Dr. Yang: My family member is a breast cancer patient who just completed treatment in January of this year. Since January, they have been experiencing phlegm retention, and occasionally the phlegm is reddish-brown. They have ...
Dr. Yang Wenda reply Pulmonology
Hello: The CT scan report looks fine. Sinusitis (possibly post-nasal drip) and bronchitis may cause minor mucosal bleeding, leading to changes in the color of the sputum. Since the examination showed no significant issues, try not to worry about it![Read More] Understanding Low-Dose CT Scan Results for Lung Health Concerns
Understanding Left Chest Pain: Causes and When to Seek Help
Pain in the lower left chest? Hello doctor, I woke up in the middle of the night and felt pain under my left breast when I turned over. The next morning, the pain persisted almost all day, and it hurts when I take deep breaths or laugh. I've experienced something similar bef...
Dr. Yang Wenda reply Pulmonology
Hello: If the doctor has examined you and the X-ray results are normal, it is likely that you are experiencing pain from the chest wall muscles or costal cartilage. Pay attention to your sleeping posture and taking some muscle relaxants and pain relievers should help improve the ...[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Monitoring Lung Nodules and Local Fibrosis: Key Insights and Follow-Up
Follow-up on pulmonary nodules and localized fibrosis? Dear Director, I hope you are well. I previously consulted you on this platform on September 7, 2021, regarding my health check in October 2020, which showed pulmonary nodules and localized fibrosis on a low-dose CT scan (the...
Dr. Yang Wenda reply Pulmonology
Hello: Congratulations on your recent CT report showing that the 3mm nodule has not increased in size and is no longer visible. It is likely that it was just an inflammatory lesion that has been absorbed. Local pleural thickening usually does not change significantly or disappear...[Read More] Monitoring Lung Nodules and Local Fibrosis: Key Insights and Follow-Up
Understanding CYFRA 21-1 Levels: Is 2.78 ng/ml Normal or Concerning?
Health Check Report CYFRA 21-1 I would like to ask the doctor if a CYFRA 21-1 level of 2.78 ng/ml is considered normal. The reference range in the health check report is 2.37 ng/ml, and the report indicates that the CYFRA 21-1 value is elevated. However, I found that the general ...
Dr. Yang Wenda reply Pulmonology
Hello: The standard values after calibration of each testing instrument may vary slightly. Biomarkers (CYFRA 21-1 or CEA) are not used to diagnose malignant tumors, and clinically, a transient elevation in these values does not lead to a high suspicion of tumors. Typically, follo...[Read More] Understanding CYFRA 21-1 Levels: Is 2.78 ng/ml Normal or Concerning?
Breathing Difficulties Before Sleep: Causes and Solutions
Waking up suddenly due to difficulty breathing before falling asleep? Hello, Doctor. Recently, I have been experiencing sudden episodes of feeling unable to breathe just before falling asleep, which causes me to wake up abruptly. Occasionally, I have a slightly elevated body temp...
Dr. Yang Wenda reply Pulmonology
Hello: If your recent health check-up did not mention any abnormalities in your cardiopulmonary function, it may be related to the autonomic nervous system. I recommend returning to discuss with the physician who prescribed you Ezetimibe whether any adjustments to your medication...[Read More] Breathing Difficulties Before Sleep: Causes and Solutions
Post-COVID Cough and Breathing Issues: Understanding Symptoms and Next Steps
Asthma symptoms after diagnosis? Hello, doctor. First of all, I had asthma when I was a child, but I rarely experienced episodes as I grew older, and I have had very few symptoms over the past ten years. However, three weeks ago, I was diagnosed with COVID-19 for the second time....
Dr. Yang Wenda reply Pulmonology
Hello: If symptoms do not improve or if you hear wheezing sounds while breathing, it is recommended to see a pulmonologist to assess for possible asthma recurrence![Read More] Post-COVID Cough and Breathing Issues: Understanding Symptoms and Next Steps
Should You Repeat LDCT for Lung Nodules? Key Considerations
Should another LDCT scan be performed for the pulmonary nodule? Hello Doctor: Two years ago, I underwent a health check at a health examination center, during which a digital tomosynthesis of the chest revealed a 0.5 cm nodule in the right lower lobe of my lung. The health examin...
Dr. Yang Wenda reply Pulmonology
Hello: LDCT will not have issues with insufficient lung inflation that could lead to missing nodules. If you are still concerned, you may consider undergoing an additional LDCT scan at your own expense![Read More] Should You Repeat LDCT for Lung Nodules? Key Considerations
Assessing Lung Cancer and Tuberculosis Risks After Past Coughing Episodes
About seven years ago, I had a cough that lasted for about 3 to 4 weeks, and it resolved with medication. Is there a risk of lung cancer or tuberculosis? Hello, I would like to ask about an episode I had approximately 7 years ago when I experienced an unexplained cough for about ...
Dr. Yang Wenda reply Pulmonology
Hello: The likelihood of these two conditions occurring at your age is very low. However, if there are significant abnormalities in your lungs, an X-ray is necessary to confirm.[Read More] Assessing Lung Cancer and Tuberculosis Risks After Past Coughing Episodes
Understanding Chest and Back Pain: When to Seek Further Medical Help
Chest pain and back pain? I have been experiencing chest pain for a year, lasting for a few seconds each time. The pain occurs intermittently near the right side under the clavicle and is difficult to describe. I have undergone X-rays and a CT scan, and a pulmonologist suggested ...
Dr. Yang Wenda reply Pulmonology
Hello: If your symptoms are suggestive of neuropathic pain, it is recommended to see a neurologist. If you also experience respiratory distress, it is advisable to consult a cardiologist.[Read More] Understanding Chest and Back Pain: When to Seek Further Medical Help
Understanding Your Chest Scan: Key Insights for Chronic Cough and Throat Phlegm
Hello, doctor. I would like to ask for your help in reviewing my test results, as I have some questions I would like to discuss? I have been experiencing a long-term cough and often feel phlegm in my throat. I have seen many doctors at various clinics and taken numerous medicatio...
Dr. Yang Wenda reply Pulmonology
Hello: It is recommended to consult the original prescribing physician regarding the relevant test reports, as they can provide explanations in conjunction with your original symptoms, other medical history, or family history.[Read More] Understanding Your Chest Scan: Key Insights for Chronic Cough and Throat Phlegm
Understanding Nausea and Coughing in Autonomic Nervous System Disorders
Intermittent nausea with autonomic nervous system dysfunction? Hello, doctor. I would like to inquire about my husband. He has autonomic nervous system dysfunction and experiences intermittent nausea. When he feels nauseous, he coughs and makes a gagging sound, but he usually doe...
Dr. Yang Wenda reply Pulmonology
Hello: If you have a tendency to have a runny nose, you can consult an otolaryngologist to check for post-nasal drip. If there is no post-nasal drip or allergic rhinitis, then you should see a neurologist![Read More] Understanding Nausea and Coughing in Autonomic Nervous System Disorders
Understanding Throat Irritation and Dry Cough: Is It Asthma?
Itchy throat and dry cough? I have a habit of running 10 kilometers or hiking regularly, and I participate in full marathon events. I do not smoke or drink alcohol. I have been experiencing nasal allergies, often sneezing, and I frequently have a scratchy throat and dry cough, al...
Dr. Yang Wenda reply Pulmonology
Hello: You may have allergic rhinitis, so be careful not to consume overly cold foods. If you are not experiencing difficulty breathing, you might consider not using bronchodilators for the time being![Read More] Understanding Throat Irritation and Dry Cough: Is It Asthma?
Understanding Left Chest Pain: When to Seek Medical Help
Left chest tightness and pain? Hello Doctor: I have been experiencing a localized pain in my chest since September of last year, which led me to visit a pulmonologist. A chest X-ray was taken, and it showed no significant issues. At that time, the doctor suspected it might be gas...
Dr. Yang Wenda reply Pulmonology
Hello: If recent X-rays are still normal, it is still worth considering arrhythmia or neuralgia. The former requires ongoing follow-up and treatment by a cardiologist, while the latter necessitates adjustments in lifestyle, ensuring adequate rest, reducing stress, and avoiding co...[Read More] Understanding Left Chest Pain: When to Seek Medical Help
Understanding Chronic Chest Pain: Causes and Specialist Recommendations
Thoracic issues I have a deep, "sour" pain in my chest that requires tapping and rubbing for relief, but since it is deep, the effect is limited. Various examinations, including X-rays, have not revealed the cause. This symptom has troubled me for over ten years, and I ...
Dr. Yang Wenda reply Pulmonology
Hello: If all tests are normal, it is likely more related to neuropathic pain. It may be beneficial to focus on improving lifestyle habits, such as engaging in moderate exercise, enhancing sleep quality, reducing emotional fluctuations, and managing stress appropriately, to see i...[Read More] Understanding Chronic Chest Pain: Causes and Specialist Recommendations
Understanding Lung Nodules: What You Need to Know About Early Detection
Discovery of pulmonary nodules? Hello, doctor! During a company health check, a shadow was found in my right lung, and after follow-up at the hospital, a 0.6 cm nodule was confirmed in the right lower lung. The doctor immediately mentioned that if this is removed now, it would be...
Dr. Yang Wenda reply Pulmonology
Hello: It is not possible to determine whether a lesion is benign or malignant based solely on imaging without a pathological biopsy report. Clinicians will consider the patient's age, the quantity of smoking history both past and present, family history of lung malignancies...[Read More] Understanding Lung Nodules: What You Need to Know About Early Detection
Understanding Left Chest Pain: Symptoms, Causes, and Concerns
Sharp pain in the left chest? Hello Doctor, I have occasionally experienced chest tightness and pain in the past, but in the past week, I have noticed a more pronounced pain and tightness in my left chest. This occurs more frequently between 7 PM and 11 PM, lasting anywhere from ...
Dr. Yang Wenda reply Pulmonology
Hello: Your pain seems to be migrating and is not localized, which is more characteristic of neuropathic pain. In cases of mitral valve prolapse, patients often experience chest tightness and difficulty relaxing, which can also lead to neuropathic pain. If you haven't had a ...[Read More] Understanding Left Chest Pain: Symptoms, Causes, and Concerns
Understanding Chest Discomfort: Symptoms, Causes, and Remedies
Discomfort in the chest? Hello doctor, about a month ago, I went for a run in cold weather, but halfway through, I started experiencing chest pain. I ignored it and continued running, but since then, my chest has been feeling uncomfortable with sharp and tight pains, especially w...
Dr. Yang Wenda reply Pulmonology
Hello: Cold air may also stimulate the sensory nerves in the alveoli. Typically, this should resolve on its own as the weather warms up or with reduced consumption of cold beverages. However, I recommend that you consult a gastroenterologist to manage your gastroesophageal reflux...[Read More] Understanding Chest Discomfort: Symptoms, Causes, and Remedies