Dr. Yang Wenda reply Pulmonology Question - Page 22

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Understanding Left Chest Pain: Causes and When to Seek Help

Left chest tightness and pain, near the heart area? Sudden chest discomfort without any physical impact, characterized by a dull ache rather than sharp pain or palpitations. I have been experiencing intermittent left chest pain for three days (with fluctuations in intensity). Aft...


Dr. Yang Wenda reply Pulmonology
Hello: Your age indicates a lower probability of heart disease, and your electrocardiogram shows no abnormalities. It seems more like neuralgia (consider adjusting your lifestyle if you are experiencing high stress and a fast pace of life), or it could be esophageal spasm or gast...

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


Understanding Chest Discomfort: Causes and When to Seek Help

Chest tightness or pain? A couple of nights ago, I went to bed a bit late, and the next day I woke up with a sore throat, but I'm not sure if it's a cold. However, tonight before going to sleep, I felt a tightness in my chest, and around 3 AM, I experienced some pain. I...


Dr. Yang Wenda reply Pulmonology
Hello: It sounds like a cold. If the symptoms persist, you may want to see a pulmonologist. The chest pain should not be related to your clothing!

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


Understanding Chest Pain: Causes and Concerns for Heart Health

Mild chest pain? Hello Doctor: During high school, I occasionally experienced a squeezing pain in my heart. As I got older, the squeezing pain became associated with a feeling of not being able to breathe, requiring me to take deep breaths. I can feel my heart beating very strong...


Dr. Yang Wenda reply Pulmonology
Hello: You are still young and not yet at the age of vascular aging. Some young individuals may experience heart valve issues. Since you are concerned about potential heart problems, it is advisable to consult a cardiologist for peace of mind!

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


Understanding Coughing Up Blood: Causes and Next Steps for Patients

Coughing and sneezing with the presence of blood-tinged sputum, blood streaks, or blood spots? The patient has a long-term history of post-nasal drip and gastroesophageal reflux, has been taking cholesterol-lowering medication for an extended period, exercises infrequently, and h...


Dr. Yang Wenda reply Pulmonology
Hello: Based on the above, it seems that the microvasculature of the nasal cavity, throat, or trachea is relatively fragile and can easily rupture and bleed due to increased pressure (such as from coughing, sneezing, or lifting heavy objects). The bleeding is usually minimal and ...

[Read More] Understanding Coughing Up Blood: Causes and Next Steps for Patients


Understanding X-Ray Findings: Are 'Snowflake Opacities' a Sign of Lung Cancer?

X-ray examination issues? Hello Doctor, I have been coughing for the past few months. A couple of days ago, I woke up to find pink blood in my sputum, and I also have back pain. I have a long history of smoking and am concerned it might be a lung issue, so I went to the hospital ...


Dr. Yang Wenda reply Pulmonology
Hello: The X-ray shows a snowflake-like hazy infiltration, which is primarily considered to be due to infection or inflammation. After treatment, a follow-up X-ray can be performed. If the condition persists after two weeks of treatment, further examinations (such as a CT scan) s...

[Read More] Understanding X-Ray Findings: Are 'Snowflake Opacities' a Sign of Lung Cancer?


Managing Neck Swelling and Pain in Advanced Lung Cancer Patients

Swelling and pain in the neck? Hello Doctor, my father is 50 years old and has stage IV lung adenocarcinoma. He has completed six cycles of chemotherapy and is resting for a month before starting the seventh cycle. Throughout the process, my father's health has been quite go...


Dr. Yang Wenda reply Pulmonology
Hello: Your father's condition is best understood by the attending physician. First, we would like to thank the medical team for their effective treatment. However, we would like to ask the attending physician if the discomfort in his neck could be a potential side effect of...

[Read More] Managing Neck Swelling and Pain in Advanced Lung Cancer Patients


Understanding Coughing and Blood in Sputum: Is Lung Cancer a Concern?

Please consult a doctor? Hello Doctor, I have a smoking habit and occasionally experience a few coughs and a scratchy throat. This morning, when I woke up and coughed up phlegm, I noticed that it seemed to have blood in it; it was a light pink color mixed with clear phlegm. I...


Dr. Yang Wenda reply Pulmonology
Hello: Here are three simple suggestions! 1. First, consult an otolaryngologist to confirm that the blood-tinged sputum is not due to mucosal damage in the nasal cavity, throat, or oral cavity (including the gums)! 2. If the otolaryngologist confirms that it is not from the above...

[Read More] Understanding Coughing and Blood in Sputum: Is Lung Cancer a Concern?


Can Tuberculosis Still Be Contagious After Completing Treatment?

Can tuberculosis still be contagious after completing medication treatment? My father-in-law has tuberculosis but has completed his medication treatment and is currently going to the hospital for regular check-ups and follow-ups. My child is currently over three months old, and m...


Dr. Yang Wenda reply Pulmonology
Hello: After completing treatment for pulmonary tuberculosis, the chance of relapse is less than 5%. If regular follow-up chest X-rays show stability and there are no symptoms such as fever or significant cough with sputum, you should be treated like a normal person, and there wi...

[Read More] Can Tuberculosis Still Be Contagious After Completing Treatment?


Understanding Emphysema and Chronic Lung Infiltration: Key Insights

Pulmonary emphysema with bilateral pulmonary infiltrates? Hello, I recently had a medical check-up at a medical center in Kaohsiung. The chest X-rays (frontal and right lateral views) showed: a curved aorta, hyperinflation of the lungs, emphysema with chronic infiltrates in both ...


Dr. Yang Wenda reply Pulmonology
Hello: Chest X-ray findings can vary greatly. For example, a tall and slender person may appear to have emphysema or chronic pulmonary infiltrates, which could be associated with a history of chronic bronchitis, bronchiectasis, or exposure to dust in the work environment. It is r...

[Read More] Understanding Emphysema and Chronic Lung Infiltration: Key Insights


Can I Dive or Skydive After Heart Surgery and Pneumothorax?

Diving or skydiving activities? Hello, doctor. I underwent surgery for a ventricular septal defect when I was 3 years old and had surgery for a spontaneous pneumothorax at 16. I am currently 26 years old and can participate in various sports like a normal person without any disco...


Dr. Yang Wenda reply Pulmonology
Hello: Skydiving may not pose any issues, but diving is generally less suitable for patients with pneumothorax. It is advisable to first undergo a CT scan to assess whether there are any remaining small air bubbles in the lungs (which could rupture due to pressure). If there are ...

[Read More] Can I Dive or Skydive After Heart Surgery and Pneumothorax?


Understanding Recurring Pneumothorax: Symptoms, Risks, and Recovery

Pneumothorax occurred twice? Hello Doctor, I have a history of pneumothorax twice in 2015, once on the left side and once on the right side, both requiring thoracoscopic surgery and pleural adhesion treatment. Last September, I experienced a slight recurrence of air in my right c...


Dr. Yang Wenda reply Pulmonology
Hello: Having undergone pleurodesis can reduce the risk of recurrent pneumothorax, but it does not guarantee that it will not occur again. If you experience severe chest pain or have difficulty breathing, it is advisable to have a follow-up chest X-ray to rule out the possibility...

[Read More] Understanding Recurring Pneumothorax: Symptoms, Risks, and Recovery


Left Chest Discomfort: Itching, Pain, and Numbness Explained

There is a slight tightness and itching in the left chest? Recently, I had some discomfort and saw a cardiologist, but there were no issues found. However, I still feel discomfort in my left chest. Sometimes, I experience itching below the chest (around the ribs), and occasionall...


Dr. Yang Wenda reply Pulmonology
Hello: You have already seen a cardiologist, and given your young age, the likelihood of heart disease is very low. It is recommended to exercise more, stretch your muscles, and ensure adequate sleep, which should lead to improvement!

[Read More] Left Chest Discomfort: Itching, Pain, and Numbness Explained


Cough Management During Tracheostomy Decannulation Training

Tracheostomy tube decannulation training - Coughing issues? Hello doctor, my grandmother was undergoing tracheostomy tube weaning training today, but she coughs roughly every 15-25 minutes, and each time it is quite severe, lasting about 5-10 seconds. It has been four hours now, ...


Dr. Yang Wenda reply Pulmonology
Hello: If the cough is due to excessive phlegm, it can only rely on caregivers to enhance chest physiotherapy and suctioning. If there is not much phlegm and the airways are just more sensitive, cough suppressants can be used to reduce cough sensitivity. Family members should pri...

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Understanding Sudden Right Chest Pain: Causes and Concerns

Sharp and dull pain in the right chest? Hello Doctor: Recently, I have experienced two episodes of sudden chest discomfort and sharp pain in my right chest. Both times, the discomfort started suddenly and usually lasted for more than an hour. The first episode occurred in the off...


Dr. Yang Wenda reply Pulmonology
Hello: It is primarily similar to neuropathic pain, and there should be no pulmonary disease. Avoiding excessive emotional stress can be helpful!

[Read More] Understanding Sudden Right Chest Pain: Causes and Concerns


Understanding Tuberculosis Transmission Risks in Family Caregivers

Transmission of Tuberculosis (TB) Hello doctor, my grandfather was suspected of having tuberculosis today and has been moved to an isolation ward. My father visits him every day without wearing a mask and has helped wipe away the phlegm my grandfather coughed up. Now my father ha...


Dr. Yang Wenda reply Pulmonology
Hello: 1. Please do not worry too much until the doctor confirms that your grandfather has tuberculosis. Additionally, it is recommended to wear a mask (N95) when entering the negative pressure isolation room. 2. The symptoms of tuberculosis can be assessed using the seven-point ...

[Read More] Understanding Tuberculosis Transmission Risks in Family Caregivers


Understanding Pleural Effusion: Causes, Risks, and Management in Elderly Patients

Pleural effusion Hello doctor, my grandfather is in his 80s and has a history of hypertension, diabetes, asthma, poor lung function, oxygen deficiency, and excessive phlegm (he used to smoke). He has been hospitalized for about 15 days. Today, the doctor explained that he may hav...


Dr. Yang Wenda reply Pulmonology
Hello: It's best to consult the attending physician to better understand the overall condition and treatment direction for grandpa.

[Read More] Understanding Pleural Effusion: Causes, Risks, and Management in Elderly Patients


Understanding Chest Tightness, Chronic Laryngitis, and Cough Symptoms

Chest tightness & chronic laryngitis & cough Hello doctor, I have been experiencing this issue for about six months. It started after a common cold that took a long time (over two months) to recover from. Since then, I have been left with the following symptoms: 1. My thr...


Dr. Yang Wenda reply Pulmonology
Hello: Currently, there are no significant abnormalities in the Western medical examination results. It is recommended to consult with a Traditional Chinese Medicine practitioner to see if there are any medications or lifestyle adjustments that can be made.

[Read More] Understanding Chest Tightness, Chronic Laryngitis, and Cough Symptoms


Could Back Pain and Coughing Indicate Lung Cancer? A Patient's Concern

Experiencing back pain for two months, along with a recent onset of a dry cough, could raise concerns about various conditions, including lung cancer. However, these symptoms can also be associated with other medical issues. It is important to consult a healthcare professional fo...


Dr. Yang Wenda reply Pulmonology
Hello: Your age, recent X-ray examination, and history of exposure to carcinogens are not significant. You currently belong to a low-risk group for lung cancer. As for the pain in your upper back, you have already consulted with a rehabilitation specialist. Please follow the phys...

[Read More] Could Back Pain and Coughing Indicate Lung Cancer? A Patient's Concern


Understanding Shortness of Breath: Causes and Symptoms Explained

Shortness of breath? The doctor would like to ask about recent symptoms of suddenly feeling unable to breathe, experiencing shortness of breath that requires taking a deep breath to alleviate. There is no chest tightness, but currently, there is some phlegm in the throat that can...


Dr. Yang Wenda reply Pulmonology
Hello: Unstable weather can also cause similar symptoms. If the symptoms persist, it is still recommended to visit a pulmonology clinic for evaluation and to undergo a chest X-ray. Best wishes!

[Read More] Understanding Shortness of Breath: Causes and Symptoms Explained


Understanding Left Chest Pain: Causes and When to Seek Help

Left chest pain? Hello, doctor. I am currently a student. During high school, I had an electrocardiogram (ECG) done, and no abnormalities were found at that time. I experienced a pain during my freshman year; it occurred suddenly while I was at home in the evening. The pain was i...


Dr. Yang Wenda reply Pulmonology
Hello: Young individuals experiencing chest pain should visit a thoracic specialist for a chest X-ray to rule out pulmonary diseases and assess for any potential heart issues!

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


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