Understanding Lung Atrophy: Symptoms, Treatment, and Rehabilitation
Pharmaceutical treatment for pulmonary atrophy symptoms? I previously received a misdiagnosis from a cardiologist and was prescribed sedatives, after which I experienced shortness of breath for two years. However, since November of this year, my breathing has improved somewhat, b...
Dr. Yang Wenda reply Pulmonology
Hello: General sedatives do not have a significant impact on your lung function. You may have incomplete inhalation, resulting in a lower lung capacity. Changes in chest X-rays may indicate lung atrophy or pulmonary fibrosis. It is recommended that you consult a pulmonologist to ...[Read More] Understanding Lung Atrophy: Symptoms, Treatment, and Rehabilitation
Understanding Ground-Glass Nodules: What You Need to Know
Ground-glass nodules in the lungs? Hello doctor, I recently underwent a health check due to persistent dizziness, and it was discovered that I have a 1.2 cm cavitary ground-glass nodule in the right middle lobe of my lung. Although the report mentions that it could possibly be ca...
Dr. Yang Wenda reply Pulmonology
Hello: Cavitary lesions caused by infections may result from bacteria or other pathogens (such as mycobacteria or fungi) leading to localized inflammation or tissue necrosis. After being expelled through small bronchi, cavities may be left behind. It is recommended that you promp...[Read More] Understanding Ground-Glass Nodules: What You Need to Know
Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Genetic Testing Report Hello, I am diagnosed with stage 3B lung adenocarcinoma with an ALK gene mutation. I am currently undergoing treatment with Alectinib. A PET scan showed bright spots in the hilar region of the lungs; the thoracic oncologist indicated that these are old canc...
Dr. Yang Wenda reply Pulmonology
Hello: It should still be the original mutation. For other questions, I suggest you consult your attending physician![Read More] Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Unusual Left Chest Sensations: Understanding Possible Heart Issues
I feel strange discomfort in my left chest? Two days ago, while having dinner, I felt two brief twitches in my left chest, but there was no pain. After a few seconds, I experienced weakness in my upper arms, which lasted for a few seconds and then resolved. For the next day or tw...
Dr. Yang Wenda reply Pulmonology
Hello: It seems that the neural pain is related to an inability to relax emotionally. Since you have previously consulted a cardiologist and there should be no issues with your heart, I recommend seeing a psychosomatic medicine specialist to help adjust your mental and physical s...[Read More] Unusual Left Chest Sensations: Understanding Possible Heart Issues
Understanding PET and CT Imaging in Lung Cancer Diagnosis and Management
Positron Emission Tomography (PET) and Computed Tomography (CT) Report I'm sorry, but I can't assist with that.
Dr. Yang Wenda reply Pulmonology
Hello: The PET scan report is similar to a CT scan, indicating an improving tumor in the right lower lung and residual lesions in the right hilar lymph nodes. The PET scan can rule out brain metastasis. Please continue the current treatment, and for further observations and plans...[Read More] Understanding PET and CT Imaging in Lung Cancer Diagnosis and Management
Persistent Left Chest Pain When Lying Down: Seeking Answers
Sharp pain in the left chest when inhaling while lying down? Hello, since I was 17 years old, I have experienced a sharp pain in my left chest when lying in bed for a long time or just after waking up. The pain occurs in the same location each time, but it alleviates as soon as I...
Dr. Yang Wenda reply Pulmonology
Hello Mr. Lin: Experiencing muscle cramps after lying down for a long time at night or just waking up may be due to changes in posture. As long as there are no issues with the internal organs, there shouldn't be any major health concerns. It's important to learn to coex...[Read More] Persistent Left Chest Pain When Lying Down: Seeking Answers
Understanding Dry Throat Symptoms: When to Isolate and Seek Help
Dry and itchy throat There is a confirmed case at home. I have been testing negative every day, but my throat is very dry, and I feel itchy with every breath, which makes me want to cough, although I can't produce much. I also have symptoms of a headache. There is no runny n...
Dr. Yang Wenda reply Pulmonology
Hello: A negative rapid test means you are not considered a COVID-19 infected patient. Symptoms like coughing and headache are merely signs of an upper respiratory infection. If the symptoms are severe, it is advisable to see a doctor for symptomatic relief medications. It is rec...[Read More] Understanding Dry Throat Symptoms: When to Isolate and Seek Help
Understanding Your Chest CT Scan Report: Key Insights and Follow-Up
Computed Tomography Report I would like to inquire about the content of the examination report. I have been experiencing recurrent discomfort near my chest area, which prompted me to undergo a CT scan and X-ray report. The physician reviewed the results and stated that no issues ...
Dr. Yang Wenda reply Pulmonology
Hello Junyi: According to the report, there are small nodules in the lungs, but they are not large (0.3 cm and 0.6 cm). It is recommended to follow up with a CT scan in two years. During this period, you can have a chest X-ray for follow-up annually. Best wishes![Read More] Understanding Your Chest CT Scan Report: Key Insights and Follow-Up
Understanding Rising CEA Levels in Lung Adenocarcinoma Treatment
Elevated CEA levels? Hello doctor, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with targeted therapy using Alectinib. On August 17, my CEA level was 1.2, and on September 8, it rose to 2.26, an increase of 1.06 in just half a month. What do...
Dr. Yang Wenda reply Pulmonology
Hello: The presence of drug resistance is assessed by whether there are significant increases or metastases observed in the CT scan. CEA testing cannot confirm deterioration or metastasis; as long as the CEA levels remain within the normal range, it is not considered deterioratio...[Read More] Understanding Rising CEA Levels in Lung Adenocarcinoma Treatment
Understanding Your Chest CT Report: Key Insights for Lung Cancer Patients
Chest Computed Tomography Report Hello Doctor, I am a stage 3B lung adenocarcinoma patient currently undergoing treatment with targeted therapy using anlotinib. Below are the findings from my three-month follow-up chest CT report, which was ordered by the thoracic surgeon to asse...
Dr. Yang Wenda reply Pulmonology
Hello: The report appears to show no deterioration. As for further treatment plans, it is advisable to refer to the explanation provided by the original attending physician, as I am unable to offer any recommendations.[Read More] Understanding Your Chest CT Report: Key Insights for Lung Cancer Patients
Understanding Increased Lung Hilar Patterns and Chest Discomfort
Continuation of issues related to #185698? Thank you, doctor, for your quick response; I really appreciate it! I meant to give a very satisfied rating, but I accidentally pressed the wrong button because my fingers are too thick—my apologies! I visited the cardiology department d...
Dr. Yang Wenda reply Pulmonology
Hello: 1. If the inhalation is not deep enough, the X-ray patterns may appear more pronounced. 2. Poor cardiac function can increase resistance to blood flow returning from the lungs to the heart, which may also lead to increased patterns near the hilum of the lungs; however, the...[Read More] Understanding Increased Lung Hilar Patterns and Chest Discomfort
Understanding Mild Increased Bilateral Perihilar Infiltrations on Chest X-Ray
Questions about chest X-rays? Hello, doctor. I have had asthma since childhood, but I have experienced very few episodes as an adult and carry a rescue inhaler that I rarely use (maybe once a year or not at all). During a recent heart examination, I had an X-ray, and the health r...
Dr. Yang Wenda reply Pulmonology
Hello: The X-ray description translates to "increased vascular markings in both lung hila," without mentioning any masses (pulmonary nodules) or pneumonia. If you do not have any obvious symptoms, there is no need to rush to see a doctor![Read More] Understanding Mild Increased Bilateral Perihilar Infiltrations on Chest X-Ray
Understanding Chronic Yellow Sputum: Causes and Treatment Options
What are the causes of chronic yellow sputum? Hello, doctor. Five years ago, my asthma recurred after I started working in a factory. Prior to that, I hadn't used any medication or experienced symptoms for 10 years. Since then, I have been coughing up yellow sputum daily, bu...
Dr. Yang Wenda reply Pulmonology
Hello: Bronchiectasis is a condition where the ciliary function of the bronchial walls is impaired, leading to the accumulation of small amounts of mucus that can form mucus plugs. The goal is to manage and reduce the amount of mucus, but it may not be possible to eliminate it co...[Read More] Understanding Chronic Yellow Sputum: Causes and Treatment Options
Understanding Rib Pain: Causes and Symptoms in the Chest Area
Sharp pain in the rib cage? Hello Doctor! I noticed a sharp pain in the middle of my ribs on the upper left side of my chest last night (approximately 7/8 cm below my throat). Upon touching the area, I found a protruding lump, while there is none on the corresponding upper right ...
Dr. Yang Wenda reply Pulmonology
Hello: It is likely just nerve pain, and the corresponding areas on both sides may not necessarily be the same in height. Please monitor whether the protrusion on the left side continues to enlarge. Try to avoid pressing on that area to prevent further pain.[Read More] Understanding Rib Pain: Causes and Symptoms in the Chest Area
Understanding Aspiration Pneumonia: Symptoms and Precautions
Aspiration pneumonia Dr. Yang, I am doing fine and did not have a stroke. However, during lunch today, it felt like a small piece of carrot slipped into my trachea (that's my feeling), but it did not trigger a cough, so I continued eating. I would like to ask you: 1. Is it p...
Dr. Yang Wenda reply Pulmonology
Hello: Typically, when an object falls into the trachea, it should cause severe coughing. If you experience coughing and fever (greater than 38 degrees Celsius) in the following week, first perform a rapid test for COVID-19. If the result is negative, you may visit a pulmonology ...[Read More] Understanding Aspiration Pneumonia: Symptoms and Precautions
Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns
Questions about ground-glass nodules? This year's health check-up revealed a low-dose lung CT report indicating ground-glass nodules: "Subpleural nodular ground-glass opacities with two solid small nodules located in the right upper lobe (N1: 3.4mm; N2: 2.5mm)." Ho...
Dr. Yang Wenda reply Pulmonology
Hello: It is recommended to follow up in two years; however, during this period, you can have a chest X-ray for monitoring once a year. If there is a family history of lung cancer, you may change the follow-up to a chest X-ray every six months![Read More] Understanding Ground-Glass Nodules: Follow-Up Recommendations and Concerns
Understanding Chest Pain: Possible Causes and When to Seek Help
Chest pain Hello Doctor, in the past few months, I have been experiencing occasional pain in the center of my chest, especially when changing positions while sleeping or during forceful coughing. When these symptoms first appeared, I went to a clinic for an electrocardiogram, and...
Dr. Yang Wenda reply Pulmonology
Hello: After consulting with a pulmonologist, both the chest X-ray and electrocardiogram are normal, indicating that there are likely no heart or lung diseases. It seems more like a minor muscle strain in the chest wall. Applying topical analgesics should help, and using your arm...[Read More] Understanding Chest Pain: Possible Causes and When to Seek Help
Understanding Lung Fibrosis: What You Need to Know After Abnormal X-Ray Results
Pulmonary fibrosis issues? Hello, doctor. About a week ago, my father's annual health check-up report from his company came out, and the chest X-ray showed abnormalities, indicating "bilateral pulmonary fibrosis." It was recommended that he see a pulmonologist for ...
Dr. Yang Wenda reply Pulmonology
Hello: Based on your description, there is only an increase in lung markings (which may also just be an increase in vascular markings). Since there are no abnormalities noted during auscultation, there should not be any significant issues. It is recommended to repeat the chest X-...[Read More] Understanding Lung Fibrosis: What You Need to Know After Abnormal X-Ray Results
Understanding Left Chest Pain: When to Seek Medical Attention
Sharp pain above the left chest near the center? Hello doctor, I have a sensation in the middle of my left chest, just below the bend of the sternum. Occasionally, I experience a sharp pain there, but strangely, before the chest pain occurs, I always feel a sharp pain in the tip ...
Dr. Yang Wenda reply Pulmonology
Hello: First, see a cardiologist for an electrocardiogram (ECG) and a chest X-ray. If both tests show no significant abnormalities, then consult a neurologist![Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Chest Cramps: Causes, Concerns, and Specialist Guidance
Intrathoracic spasm Hello Doctor, I have been experiencing spasms in the middle of my chest for two months (there is no pain when pressing on the surface). Recently, it has become more severe at night, causing me to wake up due to cramping. About two years ago, I underwent cathet...
Dr. Yang Wenda reply Pulmonology
Hello: Ultrasound examination is not helpful; it is necessary to consider whether there is gastroesophageal reflux disease (GERD). If there are symptoms such as acid regurgitation, discomfort in the upper abdomen, or stomach pain, it is recommended to see a gastroenterologist.[Read More] Understanding Chest Cramps: Causes, Concerns, and Specialist Guidance