Understanding Chest X-Ray Results: Are You Really in the Clear?
Chest X-ray Hello, I had a chest X-ray at the end of August, and the results showed no abnormalities. Does this mean everything is okay? Recently, I came across this news article about lung cancer in young adults, and it made me a bit anxious, especially since I don't have a...
Dr. Yang Wenda reply Pulmonology
Hello: Chest X-rays are a quick and convenient tool for the initial screening of pulmonary parenchymal density. If a lesion is smaller than 1 centimeter, it may be difficult to detect, or there may be functional changes (such as bronchoconstriction due to an asthma attack) where ...[Read More] Understanding Chest X-Ray Results: Are You Really in the Clear?
Sudden Chest Pain and Indentation: Is It Serious?
I suddenly noticed a slight indentation in my chest between the ribs that wasn't there before? Hello doctor, since last week I've been experiencing some pain in my right chest while breathing, and today I still feel a tightness in my chest and discomfort. I also suddenl...
Dr. Yang Wenda reply Pulmonology
Hello: A single intercostal retraction usually does not indicate any significant pathology. If the chest pain persists, it is advisable to consider getting a chest X-ray. If the lungs appear normal, the likelihood of neuralgia increases. Best wishes![Read More] Sudden Chest Pain and Indentation: Is It Serious?
Understanding Emphysema: Diagnosis Discrepancies and Lifestyle Impact
Emphysema Hello, doctor. I have a history of asthma and I smoke. Recently, after exercising, I experienced shortness of breath for a few days. I went to Hospital A's emergency department, where an X-ray showed normal results. The next day, I visited Hospital B for an outpati...
Dr. Yang Wenda reply Pulmonology
Hello: For individuals who smoke long-term, or those with a tall and slender physique, or during an asthma attack, bronchoconstriction can prevent the complete exhalation of air, leading to hyperinflation (appearing darker on a chest X-ray). The physician indicated that normal fi...[Read More] Understanding Emphysema: Diagnosis Discrepancies and Lifestyle Impact
Understanding Shortness of Breath: Causes and Solutions
Shortness of breath Hello doctor, a few weeks ago my breathing was loud, and after a few days it started to become increasingly difficult. I need to take deep breaths to feel comfortable, otherwise my chest feels tight. It's hard to sleep at night because my breathing someti...
Dr. Yang Wenda reply Pulmonology
Hello: If you have a history of acute respiratory failure and are currently experiencing shortness of breath (including tightness, wheezing, or difficulty in taking a deep breath), it is advisable to visit a pulmonologist for examination or evaluation for your safety. Best wishes...[Read More] Understanding Shortness of Breath: Causes and Solutions
Understanding Lung Cancer Symptoms: Chest Pain and Its Differentiation
I would like to inquire about lung cancer? Hello, doctor. I would like to inquire about the more prominent symptoms of lung cancer, such as chest pain. How can we differentiate whether the chest pain is related to lung cancer? For the past 2-3 days, I have experienced sudden shar...
Dr. Yang Wenda reply Pulmonology
Hello: As long as the chest X-ray does not reveal any tumors, lung cancer should not be considered at this stage. We should prioritize treating gastroesophageal reflux disease (GERD) instead![Read More] Understanding Lung Cancer Symptoms: Chest Pain and Its Differentiation
Understanding Shortness of Breath: Causes and Solutions
Regarding the issue of difficulty breathing? Hello, doctor. Sometimes I experience difficulty breathing, and I have to exert effort to breathe. Additionally, I feel some pain in the area between my chest when I breathe. What should I do?
Dr. Yang Wenda reply Pulmonology
Hello: It is recommended that you visit a pulmonology clinic. After having a chest X-ray, the physician will evaluate your condition and provide further recommendations.[Read More] Understanding Shortness of Breath: Causes and Solutions
Can Balloon Blowing Help or Harm Those with Pneumothorax?
Inflating a balloon? Is it true that people with pneumothorax can blow up balloons as a form of maintenance, but some users say that blowing up balloons can lead to pneumothorax? Can individuals with pneumothorax blow up balloons? If so, can it be used as a regular maintenance me...
Dr. Yang Wenda reply Pulmonology
Hello: Medical literature does not mention that blowing up balloons can improve or prevent the occurrence of pneumothorax, so it is advised not to do it! Best wishes![Read More] Can Balloon Blowing Help or Harm Those with Pneumothorax?
Accidentally Choked: What to Do If You Inhale a Capsule
Accidentally choked? Hello Doctor: Around 5 PM, I took a lutein capsule with water, but I accidentally swallowed it too quickly (I wasn't talking or joking at the time) and slightly choked, causing a bit of water to go up my nose. However, I'm not sure if I swallowed th...
Dr. Yang Wenda reply Pulmonology
Hello: Typically, when a foreign object is aspirated into the trachea, there should be a forceful cough at the moment, followed by a persistent cough (which is an attempt to expel the foreign object from the airway). If there is a continuous cough or if it is accompanied by a fev...[Read More] Accidentally Choked: What to Do If You Inhale a Capsule
Could Swelling and Hoarseness Indicate Mediastinitis or Tumors?
Edema and hoarseness—could these symptoms be indicative of mediastinitis? Hello Dr. Yang, I have recently been experiencing some health issues and would like to ask if these symptoms are related to mediastinitis or a mediastinal tumor. Over the past month, I have noticed severe ...
Dr. Yang Wenda reply Pulmonology
Hello: Mediastinitis is usually associated with severe chest pain and is extremely rare in clinical practice. It is recommended that you see a thoracic specialist for relevant examinations arranged by a physician![Read More] Could Swelling and Hoarseness Indicate Mediastinitis or Tumors?
Understanding Chest X-Ray Results: Is It Pneumonia?
Chest X-ray issues? Hello, Doctor. Could you please take a look at my mother's X-ray? http://ppt.cc/THUim I would like to ask if this is pneumonia. She is currently hospitalized and receiving penicillin through an IV, along with saline solution, but she has been in the hospi...
Dr. Yang Wenda reply Pulmonology
Hello: It is not possible to diagnose a disease solely based on X-rays; it is more appropriate to wait for treatment and then have a follow-up X-ray for the attending physician to explain.[Read More] Understanding Chest X-Ray Results: Is It Pneumonia?
Understanding Dizziness, Breathing Difficulties, and Diarrhea Symptoms
Dizziness, shortness of breath, diarrhea? Hello Doctor, about one or two weeks ago, I suddenly experienced dizziness and instability when I got out of bed one day. After a while, it improved, so I didn't pay much attention to it. However, starting the next day, I began to ha...
Dr. Yang Wenda reply Pulmonology
Hello: It is recommended to see an otolaryngologist and a gastroenterologist for the relevant examinations arranged by the physicians from these two specialties![Read More] Understanding Dizziness, Breathing Difficulties, and Diarrhea Symptoms
Understanding the Risks of Tuberculosis Treatment in Elderly Patients
Regarding tuberculosis, thank you Dr. Yang for your response? Thank you, Dr. Yang, for taking the time to respond amidst your busy schedule. My grandfather, who was originally in the isolation ward, was transferred to a general ward last Wednesday, the 19th, after starting medica...
Dr. Yang Wenda reply Pulmonology
Hello: Thank you for your reply! There are indeed many cases of pulmonary tuberculosis associated with hemoptysis, and the additional anti-tuberculosis medications are not related to the bleeding (no specific anti-tuberculosis medication has been mentioned to carry a risk of blee...[Read More] Understanding the Risks of Tuberculosis Treatment in Elderly Patients
Why Do I Forget to Breathe? Understanding Breathing Control Issues
Forget to breathe? Hello doctor, I often forget to breathe while studying, kissing, or watching videos, and I only force myself to take a deep breath when I feel out of breath. I understand that breathing is controlled by the respiratory control center and is supposed to be an un...
Dr. Yang Wenda reply Pulmonology
Hello: Breathing is a natural reflex controlled by the body. If you sometimes experience chest tightness and feel the need to take a deep breath, it may be related to stress. It is recommended to ensure adequate rest, engage in moderate exercise, and slow down your pace of life, ...[Read More] Why Do I Forget to Breathe? Understanding Breathing Control Issues
Understanding Tuberculosis Culture Results: Misdiagnosis and Treatment Options
Regarding the culture of Mycobacterium tuberculosis? Hello Doctor, my grandfather is 89 years old. In August of this year, he was taken to the emergency room due to health issues and later transferred to the intensive care unit. After being discharged, he gradually regained his h...
Dr. Yang Wenda reply Pulmonology
Hello: The diagnosis of pulmonary tuberculosis does not necessarily require two or three sets of sputum culture and mycobacterial identification results; abnormal infiltrates may also be observed on X-ray. This aspect can be discussed with the attending physician. As for individu...[Read More] Understanding Tuberculosis Culture Results: Misdiagnosis and Treatment Options
Should My Child Get Tested After Contact with a TB Patient?
Do I need to undergo an examination? Hello Doctor, my 11-year-old daughter has visited a tuberculosis patient and hugged them to say goodbye twice. She had no other contact with the patient. Should she go to a medical facility for examination? Thank you for your time in answering...
Dr. Yang Wenda reply Pulmonology
Hello: Contact with an open (infectious) case for a continuous duration of 8 hours or a cumulative time exceeding 40 hours is required to be considered at higher risk of transmission (meeting the definition of a tuberculosis contact). I believe your daughter’s contact time with t...[Read More] Should My Child Get Tested After Contact with a TB Patient?
Understanding Chest Pain After a Car Accident: What to Know
Please help with my mom's question? Hello Doctor: My mother was in a car accident previously. On the day of the accident, she felt fine, but after some time, she started experiencing pain in her chest area. The pain has been ongoing for a while now and is getting worse, almo...
Dr. Yang Wenda reply Pulmonology
Hello: Chest pain after a car accident may be due to contusions or muscle strains in the thoracic region. It is recommended to obtain an X-ray to confirm whether there are any rib fractures or hemothorax. If no significant abnormalities are found, it is more likely to be a muscle...[Read More] Understanding Chest Pain After a Car Accident: What to Know
Assessing Infection Risks in ICU Visits: A Case of Tuberculosis Exposure
Infection risk Hello, Dr. Yang. My father initially received intubation treatment in the emergency department and was later transferred to the intensive care unit (ICU). On the third day in the ICU, he was diagnosed with tuberculosis. During our visit on the first day in the ICU,...
Dr. Yang Wenda reply Pulmonology
Hello: Your father's intubation has a fixed outlet for ventilation, and tuberculosis bacteria will only be expelled through the tracheal outlet during suctioning. Additionally, the contact time was only 90 minutes (according to the Centers for Disease Control's definiti...[Read More] Assessing Infection Risks in ICU Visits: A Case of Tuberculosis Exposure
Understanding Breathing Difficulties: Causes and Solutions
Difficulty breathing Initially, there was a headache and dizziness, followed by fever and chills. After that, the dizziness persisted along with digestive issues. In the past two days, there has been difficulty breathing, a cold, and a cough with some phlegm.
Dr. Yang Wenda reply Pulmonology
Hello: Your symptoms resemble an upper respiratory infection (cold). Please visit a family medicine or pulmonology clinic. Best wishes![Read More] Understanding Breathing Difficulties: Causes and Solutions
Understanding Latent Tuberculosis: Infection Risks and Transmission
The incubation period of pulmonary tuberculosis? If I was in the same space as a tuberculosis patient in July, but I was only notified in September that they had developed tuberculosis in July, is it possible that I was infected during that time? If I was infected, would I contin...
Dr. Yang Wenda reply Pulmonology
Hello: If you have been in contact with a tuberculosis (TB) patient, there is a risk of infection if the exposure time meets the following criteria: (1) continuous contact for 8 hours or cumulative contact totaling 40 hours, with an approximate infection risk of 30%. Currently, t...[Read More] Understanding Latent Tuberculosis: Infection Risks and Transmission
Understanding Chest Pain Near the Heart: Causes and Concerns
Pain near the heart in the left chest? Hello, doctor! Recently, I've been experiencing severe chest pain that occurs quite frequently, about ten times a day. This has only been happening for the past few days; previously, it would occur only once every few months. However, i...
Dr. Yang Wenda reply Pulmonology
Hello: Given your symptoms and age, it is essential to first rule out the possibility of a "pneumothorax" (air leaking out of the lung through a small hole). This requires a chest X-ray. I recommend that you visit a pulmonology clinic for this examination. If the X-ray ...[Read More] Understanding Chest Pain Near the Heart: Causes and Concerns