Dr. Yang Wenda reply Pulmonology Question - Page 21

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Post-Thoracoscopic Surgery: Managing Rib Pain and Wound Care Concerns

Post-operative pain in the rib area and wound issues after pneumothorax surgery? I underwent a thoracoscopic partial resection of the right upper lobe and pleural adhesion surgery for pneumothorax on June 16 of this year. Recently, I have been experiencing pain in the area of my ...


Dr. Yang Wenda reply Pulmonology
Hello: Post-operative wound pain may persist for a period of time, and the duration varies from person to person. If the pain is severe, you may ask your physician to prescribe pain relief medication for backup. For larger wounds, if the adhesive bandage is exuding fluid, replace...

[Read More] Post-Thoracoscopic Surgery: Managing Rib Pain and Wound Care Concerns


Understanding Chest Pain and Weakness: Key Insights for Patients

Chest pain and weakness? Hello, doctor. Thank you for taking the time to answer my questions. After my last inquiry regarding cold symptoms leading to hemoptysis, I have recovered over the past two weeks. However, I have been experiencing chronic asthmatic cough symptoms for a mo...


Dr. Yang Wenda reply Pulmonology
Hello: Here is a brief response: 1. First, confirm whether you have asthma. If diagnosed with asthma, the main treatment medications are inhaled corticosteroids and inhaled bronchodilators! 2. Theophylline may have some gastrointestinal side effects; if you do not notice signific...

[Read More] Understanding Chest Pain and Weakness: Key Insights for Patients


Understanding Lung Nodules: Key Questions and Expert Insights

Management of pulmonary nodules? Dear Doctor, I had a chest CT scan on May 1st, which showed a 0.7 cm nodule in my right lung. I have several questions: 1. I was suffering from a severe cold with yellow-green sputum. Would this affect the interpretation of the CT scan? 2. Chang...


Dr. Yang Wenda reply Pulmonology
Hello: 1. The relationship between a cold with yellow phlegm and nodules is minimal. 2. It is recommended to follow up in three months. 3. Smoking may lead to emphysema, but it varies by individual constitution; your imaging results are not significant, and your emphysema should ...

[Read More] Understanding Lung Nodules: Key Questions and Expert Insights


Managing Persistent Bronchitis Symptoms After a Cold: What to Do Next?

Bronchitis Hello Doctor, I previously had a cold combined with bronchitis. I didn't have a fever, but I saw a doctor and took medication. The cold symptoms improved in about 1 to 2 weeks, but the bronchial issues have not resolved. I cough about 2 to 3 times a day. I have ha...


Dr. Yang Wenda reply Pulmonology
Hello: Initially, it was acute bronchitis, and the X-ray examination has ruled out the possibility of pneumonia or tuberculosis. Subsequently, the residual symptoms of airway hyperresponsiveness can only be managed with medication, or one may consider traditional Chinese medicine...

[Read More] Managing Persistent Bronchitis Symptoms After a Cold: What to Do Next?


Persistent Cough with Choking Sensation: When to Seek Further Evaluation?

Persistent cough that feels somewhat like choking when coughing? The mother is 58 years old. Due to concerns about her uncle being suspected of having tuberculosis, she also needs to be monitored. The doctor at the chest hospital mentioned that the mother currently has no issues,...


Dr. Yang Wenda reply Pulmonology
Hello: Your question can be briefly answered as follows. A chest X-ray is used to assess whether there are any abnormal shadows or nodules in the lungs. If abnormalities are found, further diagnostic tests may be arranged to confirm the diagnosis (such as tuberculosis, lung cance...

[Read More] Persistent Cough with Choking Sensation: When to Seek Further Evaluation?


Understanding Symptoms: Should You Worry About Lung Cancer?

Symptoms of lung cancer? Hello Doctor, I have long experienced symptoms of cough and poor cold resistance, often diagnosed as asthma. On May 13, I had acute cold symptoms such as fever and cough, which triggered severe coughing episodes resembling asthma attacks. Around May 25, t...


Dr. Yang Wenda reply Pulmonology
Hello: A normal chest X-ray indicates that there are no obvious lung tumors and no extrapulmonary symptoms. Your related tests do not appear to be typical of asthma. If the medication provides improvement, it is recommended to continue using it, as these medications can help with...

[Read More] Understanding Symptoms: Should You Worry About Lung Cancer?


Seeking Transfer for Advanced Treatment of Pneumonia and Suspected Tuberculosis

Can I transfer to another hospital for treatment by Director Yang for tuberculosis and pulmonary inflammation? Thank you? Dear Director Yang, My grandfather is 89 years old. He was hospitalized on May 4 due to a fever, and tests indicated pneumonia with an inflammatory marker of...


Dr. Yang Wenda reply Pulmonology
Hello: Pneumonia and pulmonary tuberculosis cannot be distinguished from X-ray images, and the presence of pulmonary edema further complicates the differentiation between inflammation and fluid accumulation. This is also why it is challenging for clinicians to make a definitive d...

[Read More] Seeking Transfer for Advanced Treatment of Pneumonia and Suspected Tuberculosis


Understanding Bacterial Infections and Treatment in Respiratory Health

Bacterial and pleural infiltration..? Hello Doctor, I would like to ask a few questions... I developed yellow, foul-smelling nasal discharge due to a cold, and after seeing a doctor, it did not improve. It progressed to an upper and lower respiratory tract infection, with sinusit...


Dr. Yang Wenda reply Pulmonology
Hello: It is common for normal nasal cavities and respiratory tracts to coexist with commensal bacteria, so the presence of bacteria in cultures does not necessarily indicate an infection or disease. However, based on your description, this condition may involve sinusitis and a m...

[Read More] Understanding Bacterial Infections and Treatment in Respiratory Health


Is Your Sore Throat from Choking or a Cold? When to See a Doctor

Throat irritation or choking sensation? Hello, doctor: I started experiencing a sore throat yesterday. I'm not sure if it's caused by a cold or if I choked on my saliva, as I did choke on it before the pain started. Now, swallowing saliva causes pain in my throat. Shoul...


Dr. Yang Wenda reply Pulmonology
Hello: If you experience mild choking while swallowing saliva that is intense enough to cause pain, it is recommended to see an otolaryngologist. Please do not self-medicate by purchasing over-the-counter medications!

[Read More] Is Your Sore Throat from Choking or a Cold? When to See a Doctor


Understanding Breathing Issues: Exploring Causes and Connections

Respiratory issues Hello doctor, I used to have some nasal congestion and felt a noticeable sensation when breathing in. Recently, the nasal congestion has improved, but I constantly feel like my breathing is too smooth and that I'm not getting enough oxygen. Could this be a...


Dr. Yang Wenda reply Pulmonology
Hello: 1. When nasal congestion is resolved, breathing feels normal and unnoticeable like in a healthy person. 2. Frequent burping is mostly due to gastric bloating; it is recommended to consult a gastroenterologist.

[Read More] Understanding Breathing Issues: Exploring Causes and Connections


Understanding Duasma HFA 200 Inhaler: Usage, Duration, and Treatment Insights

Duasma spray The Duasma HFA 200 inhaler is typically prescribed for use twice a day, with two puffs each time. The duration of a single inhaler can vary based on individual usage, but generally, it may last about one month if used as directed. This medication is primarily for tre...


Dr. Yang Wenda reply Pulmonology
Hello: I recommend that you consult your attending physician or asthma case manager regarding your questions!

[Read More] Understanding Duasma HFA 200 Inhaler: Usage, Duration, and Treatment Insights


Sharp Pain Under Right Chest: Causes and When to Seek Help

Sharp pain in the lower right side of the chest, especially during breathing? I have been experiencing a sharp pain under my right chest for the past couple of days, especially noticeable when I am lying down and when I take deep breaths. Thank you for your help.


Dr. Yang Wenda reply Pulmonology
Hello: It is recommended that you get a chest X-ray to check for any pulmonary abnormalities.

[Read More] Sharp Pain Under Right Chest: Causes and When to Seek Help


Understanding Chest Discomfort: Causes and Concerns

Chest issues I have been feeling a tingling and itching sensation in the middle of my chest for the past two days. Sometimes I cough very hard, but I don't have a fever. What could be the problem?


Dr. Yang Wenda reply Pulmonology
Hello: If you feel that your respiratory system is more sensitive, it is recommended to first consult an otolaryngologist to check for any abnormalities in the throat or consider an evaluation of your constitution by a traditional Chinese medicine practitioner.

[Read More] Understanding Chest Discomfort: Causes and Concerns


Post-Cold Coughing: Is It a Sign of Chronic Bronchitis?

Post-cold bronchial irritation? Hello Doctor, two months ago I delayed seeking medical attention due to a cold. Initially, I had tonsillitis, which later spread to my trachea. I experienced a persistent cough for about a week that kept me awake at night. Now, two months after rec...


Dr. Yang Wenda reply Pulmonology
Hello: Individuals who do not smoke are less likely to develop chronic bronchitis, so there is no need to worry excessively at this time. Your airways may be more sensitive currently. It is recommended that you consider visiting a traditional Chinese medicine clinic to adjust you...

[Read More] Post-Cold Coughing: Is It a Sign of Chronic Bronchitis?


Understanding Chronic Bronchitis: Symptoms and Management Strategies

Chronic bronchitis Hello doctor, I previously had acute bronchitis and saw a doctor and took medication. I had an X-ray, and the doctor said there was no pneumonia. Now, a month has passed, and I occasionally cough. The sputum is clear and bubbly, and sometimes my chest feels itc...


Dr. Yang Wenda reply Pulmonology
Hello: After acute bronchitis, the airways may still be in an inflammatory or hypersensitive state, requiring some time for recovery. It is recommended to consider visiting a traditional Chinese medicine clinic, as there may be some medications that can help improve airway hypers...

[Read More] Understanding Chronic Bronchitis: Symptoms and Management Strategies


Understanding Lung Nodules: Should You Be Concerned About Size Changes?

Pulmonary nodule enlargement? Hello Doctor, I had a health check-up at Taipei Kang Ning Hospital last December, and there were about six nodules in my lungs, two of which were larger GGO (ground-glass opacities) with the hospital report indicating sizes of 0.55 and 0.5. In April ...


Dr. Yang Wenda reply Pulmonology
Hello: The changes are indeed minimal and within the measurement error range, unlike the behavior of tumor cells. It is recommended to follow the physician's advice for annual CT scans. If you are still concerned, a follow-up chest X-ray after six months can also be consider...

[Read More] Understanding Lung Nodules: Should You Be Concerned About Size Changes?


Understanding Throat Obstruction: Symptoms and Concerns Explained

Throat obstruction, headache, tightness? Hello Doctor: Recently, while eating snacks and laughing, I felt something foreign enter my throat and get stuck at the level of my Adam's apple. My voice changed, and I started coughing violently after only a few words, but I didn&#x...


Dr. Yang Wenda reply Pulmonology
Hello: If the CT scan and ENT examination do not reveal any foreign objects, there is no need to worry about the presence of a foreign body. However, the forceful passage of a foreign object through the larynx and severe coughing can cause localized inflammation and tension in th...

[Read More] Understanding Throat Obstruction: Symptoms and Concerns Explained


Persistent Dry Cough: Causes, Concerns, and Treatment Options

Persistent cough? Hello doctor, I have been coughing for over a month now, and it's a dry cough. It has made my throat very painful and dry, and I also feel some discomfort in my chest. I have seen a doctor and received an injection, but the cough only stopped for one day (t...


Dr. Yang Wenda reply Pulmonology
Hello: First, see a pulmonologist for a chest X-ray to confirm that there are no abnormalities in the lungs. If there is a poor response to Western medicine, you may also consider consulting a traditional Chinese medicine practitioner to discuss any dietary and lifestyle consider...

[Read More] Persistent Dry Cough: Causes, Concerns, and Treatment Options


Understanding Chest Pain: Causes and When to Seek Help

Chest pain It's been almost a week... When I swallow saliva, it feels like there's a protrusion in my esophagus, and every morning when I lift heavy objects at work, I experience significant chest pain... It's a bit hard to breathe... By the afternoon or evening, t...


Dr. Yang Wenda reply Pulmonology
Hello: Chest pain can range from superficial pain in the skin to deeper pain in the muscle layer (often related to heavy lifting, twisting of the chest, or movements that expand the chest). It can also be related to the esophagus within the thoracic cavity (which may worsen with ...

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


Unexplained Left Chest Pain: Causes and Concerns Explored

Unexplained pain in the left chest? Hello Dr. Yang, I would like to express my sincere gratitude for your patient response to another question. I do not smoke or drink alcohol, but I have been experiencing chronic post-nasal drip and gastroesophageal reflux. I have been on choles...


Dr. Yang Wenda reply Pulmonology
Hello: Thank you for your clear description! Based on the previous suggestion, you can consider seeing a traditional Chinese medicine practitioner to adjust your constitution and modify certain lifestyle habits.

[Read More] Unexplained Left Chest Pain: Causes and Concerns Explored


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