Dr. Yang Wenda reply Pulmonology Question - Page 32

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Understanding Left Rib Discomfort: Gastrointestinal or Pulmonary Issues?

Left rib issues? Hello doctor, I have been experiencing a tightness, pressure, bloating, and discomfort in my lower rib area and extending to my waist almost every day. This started over a year ago after I developed irritable bowel syndrome. In July of this year, I went to a pulm...


Dr. Yang Wenda reply Pulmonology
Hello AVI: 1. If a pneumothorax was present on the initial X-ray, a follow-up X-ray is necessary to check for absorption and improvement. 2. Your symptoms may also be related to irritable bowel syndrome, which can be associated with stress or poor autonomic nervous system regulat...

[Read More] Understanding Left Rib Discomfort: Gastrointestinal or Pulmonary Issues?


Chest Tightness and Pain After Exercise: Causes and Solutions

Chest tightness and pain while breathing after exercise? After each workout (running), I experience a tight pain in my chest (likely around the trachea) when taking deep breaths, which can trigger coughing and even nausea. It's quite uncomfortable, and I can only breathe in ...


Dr. Yang Wenda reply Pulmonology
Hello Mandy: Your issue may be related to a sensitive trachea. Generally, gradually increasing your exercise intensity should help you adapt over time. It is recommended to progressively increase your activity level, and if you experience chest pain, take a moderate rest before c...

[Read More] Chest Tightness and Pain After Exercise: Causes and Solutions


Understanding Chest Pain: Causes and When to Seek Help

Regarding lung pain? Hello! The medical condition described is as follows: About a month ago, I had a cold and consumed a considerable amount of cold beer. That night, in addition to a hangover headache, I experienced significant pain in the right side of my chest. The next day, ...


Dr. Yang Wenda reply Pulmonology
Hello: Given your age and the recent X-ray examination showing no abnormalities, neuropathic pain remains the most likely diagnosis. It is recommended that you relax, avoid cold water and raw fruits and vegetables (including radishes, napa cabbage, bitter melon, and bamboo shoots...

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


Understanding Chest Discomfort After Minor Impacts: Causes and Concerns

Often, even a slight impact to the chest can cause discomfort? Hello Doctor: I would like to ask about my chest. When I play with friends, sometimes I might get lightly punched or poked in the chest, and afterward, I feel a sense of tightness and difficulty with breathing for a w...


Dr. Yang Wenda reply Pulmonology
Hello David: 1. Based on your height and weight, you appear to be a bit underweight, with a thinner layer of muscle, which may make you more sensitive to external physical stimuli. 2. Your chest X-ray is normal, so there should be no significant cardiopulmonary diseases. 3. Moder...

[Read More] Understanding Chest Discomfort After Minor Impacts: Causes and Concerns


Understanding Chest Pain: Concerns About X-Ray Radiation and Symptoms

Please, doctor? I have been experiencing abdominal pain along with a pressure sensation, pain, and tightness in my lower back to rib area, as well as an indescribable feeling of discomfort. I have been unable to find the cause and have consulted gastroenterology, obstetrics and g...


Dr. Yang Wenda reply Pulmonology
Dear Ms. W, Here is a brief response: 1. Unnecessary checks should be minimized; it is best to consult different specialties within the same hospital to avoid situations where there are no X-rays available for reference. 2. The radiation dose from these X-rays is not excessive....

[Read More] Understanding Chest Pain: Concerns About X-Ray Radiation and Symptoms


Understanding Lung Cancer Risks: Family History and Screening Guidelines

Coughing issues? Hello Doctor: I apologize for bothering you again. You mentioned that if there are two or more family members with lung cancer, regular CT scans should be performed. Does this refer to direct relatives only, or do collateral relatives count as well? My uncle and ...


Dr. Yang Wenda reply Pulmonology
Both uncles and maternal uncles are considered to have a blood relationship, but it is possible that they both smoke (the strongest risk factor). Blood tests for cancer markers can be informative, but they are not very accurate, especially for early-stage cancers, where the resul...

[Read More] Understanding Lung Cancer Risks: Family History and Screening Guidelines


Understanding Cough: Tests and Concerns for Lung Health

Cough examination Hello Doctor: I have been experiencing a persistent cough and some phlegm in my throat. Besides getting a chest X-ray at the pulmonology department, what blood tests can I undergo to feel more at ease? How long does it typically take for lung cancer to develop f...


Dr. Yang Wenda reply Pulmonology
Hello Ms. Chen: You have been experiencing respiratory symptoms for a long time! As a general principle, you should first consult a pulmonologist, who will conduct a thorough assessment based on their expertise. The radiation exposure from a CT scan is significantly higher than t...

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Persistent Cough for Two Months: Possible Causes and Solutions

Coughing for a long time? I have been coughing for two months. It started with a sore throat, and I was coughing up green phlegm. After seeing a doctor, the uncomfortable symptoms improved, and the phlegm lost its color. However, the cough has not resolved; I tend to cough more w...


Dr. Yang Wenda reply Pulmonology
There are many causes of chronic cough. If you have already seen an otolaryngologist and ruled out diseases related to that specialty, you may want to consult a gastroenterologist if you have gastroesophageal reflux or chronic stomach pain. Most importantly, you should schedule a...

[Read More] Persistent Cough for Two Months: Possible Causes and Solutions


Understanding Persistent Cough: When to Seek Specialized Medical Help

Chronic cough condition? Dear Dr. Yang, I would like to consult you regarding a cough issue. My mother has been experiencing intermittent coughing for over half a month, occasionally producing a small amount of phlegm. Initially, her cough was quite severe, so we visited a nearb...


Dr. Yang Wenda reply Pulmonology
If a cough persists for more than two weeks, it is advisable to visit a pulmonology clinic for a chest X-ray to rule out other lung diseases that may be a concern. Best wishes!

[Read More] Understanding Persistent Cough: When to Seek Specialized Medical Help


Understanding Unclear Lung Shadows: Tuberculosis Concerns and Recovery

There is an indistinct shadow in the right lower chest? Hello, I would like to ask about a health check I had abroad in October, where an X-ray showed unclear small shadows. At that time, the doctor could not determine if it was tuberculosis, so I returned in January for a blood ...


Dr. Yang Wenda reply Pulmonology
A positive tuberculin skin test indicates a past infection with the tuberculosis bacteria. Most infection sites are very small and difficult to detect via X-ray. Over one-third of the world's population has been infected, but fortunately, only about 10% of those infected wil...

[Read More] Understanding Unclear Lung Shadows: Tuberculosis Concerns and Recovery


Understanding Calcification in the Sixth Rib: What You Need to Know

There is a calcification point on the sixth rib? In the internal health check conducted by the company, aside from a bone density of -1.6, there is a calcification point on the sixth rib. What could this potentially indicate? The company will conduct a follow-up examination; is t...


Dr. Yang Wenda reply Pulmonology
Hello Ms. Deng: The presence of calcification points in the ribs may be a normal imaging phenomenon of bone islands within the ribs. If there is no pain, abnormal enlargement, or erosion leading to defects in the ribs, there is no need for excessive concern. You can compare it wi...

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Managing Chronic Cough and White Phlegm in Bronchiectasis Patients

Bronchiectasis with frequent coughing and white sputum? Hello Dr. Yang, my mother has been diagnosed with bronchiectasis and has been coughing for over five years. Recently, her condition has worsened. She has been following your advice to drink warm water, practice deep breathin...


Dr. Yang Wenda reply Pulmonology
If you do not have a specific physician in mind, you may consider visiting the Traditional Chinese Medicine Department at Taichung Hospital and consult with Director Yang, who is qualified in both Traditional Chinese Medicine and Western Medicine. Best wishes!

[Read More] Managing Chronic Cough and White Phlegm in Bronchiectasis Patients


Struggling to Clear Phlegm: Managing Chronic Cough in Bronchiectasis

Coughing up phlegm that cannot be expelled? Hello Dr. Yang: My mother has bronchiectasis and a chronic cough. She is 58 years old and has recently reported that her symptoms have worsened. She feels that she has phlegm that she cannot seem to cough up, and her coughing has become...


Dr. Yang Wenda reply Pulmonology
Hello Ms. Yang: Chronic cough is an inevitable symptom of bronchiectasis, and significant improvement in a short period is difficult to achieve. Additionally, due to unstable weather conditions, the cough symptoms may worsen. It is recommended to return for a follow-up visit with...

[Read More] Struggling to Clear Phlegm: Managing Chronic Cough in Bronchiectasis


Are Cold Foods and Cooling Fruits Harmful to Your Health?

Cold foods refer to cooling fruits and vegetables? Are cold foods, specifically cold-natured fruits and vegetables such as melons, radishes, cabbage, bamboo shoots, tomatoes, bananas, pears, and coconuts, not recommended for regular consumption?


Dr. Yang Wenda reply Pulmonology
Hello: After the symptoms improve, you can start consuming small amounts after 4 weeks, but do not exceed the recommended amount. Best wishes!

[Read More] Are Cold Foods and Cooling Fruits Harmful to Your Health?


Understanding Bronchiectasis: Chronic Cough and White Sputum Explained

Bronchiectasis with frequent coughing and white sputum? Hello Dr. Yang: I am the family member of the patient who consulted you on July 23rd. Ms. Yang's mother is feeling much better now, but her chronic condition has not improved; she often coughs (which has been ongoing fo...


Dr. Yang Wenda reply Pulmonology
Hello: Bronchiectasis is a condition characterized by the dilation of the bronchial structures, leading to impaired function of the bronchial mucosa and ciliary movement. This condition makes the airways more sensitive to external stimuli, resulting in a tendency to cough up sput...

[Read More] Understanding Bronchiectasis: Chronic Cough and White Sputum Explained


Understanding Persistent Body Heat and Weakness Without Fever

Generalized warmth (without fever) and overall weakness? Hello Doctor, Patient: Female, 58 years old. No fever but experiencing generalized warmth and weakness. Medical History: The patient's temperature has fluctuated between 36°C and 37.5°C over the past two weeks, wit...


Dr. Yang Wenda reply Pulmonology
Dear Ms. Yang, The patient has experienced coughing, yellow sputum, fever, and fatigue, which suggest a lower respiratory tract infection (involving the bronchi and lungs). The chest X-ray shows no significant infiltrates, indicating that it may simply be a case of bronchiectasi...

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Chronic Left Upper Back Pain and Cough: Possible Causes Explained

Persistent pain in the upper left back? Six months ago, I started experiencing pain in the upper left back, and recently I've noticed a cough that seems to have a foul odor resembling decaying food coming from my trachea.


Dr. Yang Wenda reply Pulmonology
Mr. Liu's upper back pain is primarily due to inflammation or fatigue of the muscle tissue (such as maintaining a single posture for an extended period). A small portion of the causes may be related to pulmonary diseases. To clarify any connection with the lungs, it is neces...

[Read More] Chronic Left Upper Back Pain and Cough: Possible Causes Explained


Understanding Pleural Effusion: Is It a Serious Concern?

Pneumonia I have a severe cough due to a cold, but an X-ray showed no pneumonia. However, the doctor told me I have pleuritis. Is this a serious issue?


Dr. Yang Wenda reply Pulmonology
Hello, The X-ray shows pleuritis, indicated by whiteness in the lower left or lower right lung base, suggesting the possibility of pleural effusion (commonly referred to as pleuritis). To confirm the presence of pleuritis, an ultrasound is needed to determine if there is fluid ...

[Read More] Understanding Pleural Effusion: Is It a Serious Concern?


Understanding DLCO in Autoimmune Conditions and Breathlessness Management

Please provide the content you would like me to translate into English? Hello Doctor, thank you for your previous response. I have a question I would like to ask because I have autoimmune issues (not clearly diagnosed, but I have a history of intestinal vasculitis and positive AN...


Dr. Yang Wenda reply Pulmonology
Hello, If there are autoimmune rheumatic diseases, it is necessary to consult a rheumatologist for a proper diagnosis. If not well controlled, it may lead to pulmonary fibrosis, which can affect DLCO (usually in the late stages, after middle age). As long as pulmonary function ...

[Read More] Understanding DLCO in Autoimmune Conditions and Breathlessness Management


Understanding Lung Function Tests: What Your Results Mean for Asthma and Interstitial Lung Disease

Pulmonary function test Hello, doctor. I have been experiencing chronic cough for over a month, mostly occurring at night, and sometimes I wake up suddenly due to coughing. Initially, the doctor suspected asthma because my IgE level is 200 and ECP is 50, along with occasional whe...


Dr. Yang Wenda reply Pulmonology
Hello: The bronchial provocation test is negative, which almost rules out asthma. The DLCO value is still considered normal after correction, but it does not resemble what would be expected for an 18-year-old. Forget about it! The "fatty fish" is of limited help to you ...

[Read More] Understanding Lung Function Tests: What Your Results Mean for Asthma and Interstitial Lung Disease


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