Dr. Yang Wenda reply Pulmonology Question - Page 35

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Finding the Right Specialist for Chest Pain and Blood in Saliva

I'm not sure where the problem lies? Recently, I have been waking up in the morning with blood-tinged saliva, and sometimes I experience pain in the center of my chest, although the pain subsides quickly. I visited a pulmonologist and had an X-ray, which showed no significan...


Dr. Yang Wenda reply Pulmonology
Hello TCY: The blood-streaked sputum you are experiencing may be caused by the rupture of microvessels in any part of the upper respiratory tract (oral cavity), nasal cavity, or lower respiratory tract (lungs and trachea). You may want to check for blood at the junction of your g...

[Read More] Finding the Right Specialist for Chest Pain and Blood in Saliva


Understanding Chest Tightness and Abdominal Distension: Causes and Solutions

Chest tightness and abdominal bloating? Hello doctor, I have recently been experiencing sudden chest tightness and abdominal bloating. When I take deep breaths, my chest feels strange, and I sometimes feel my heart racing and have difficulty breathing. I can't sleep at night...


Dr. Yang Wenda reply Pulmonology
Dear Mr. Sun, When lying flat during sleep, the diaphragm, which is located between the thoracic and abdominal cavities, moves upward. This can inhibit the expansion of the thoracic cavity during inhalation, leading to a sensation of chest tightness. This condition becomes more ...

[Read More] Understanding Chest Tightness and Abdominal Distension: Causes and Solutions


Understanding Coughing: When to See a Pulmonologist

Coughing Hello, Doctor. Recently, whenever I speak, I feel a sharp pain and cough, which has been ongoing for about two weeks, but I have no other related symptoms. I'm not sure what this could be. If I need to see a doctor, should I consult a pulmonologist or another specia...


Dr. Yang Wenda reply Pulmonology
Hello Mary: Your symptoms are more indicative of increased respiratory epithelial reactivity, which may worsen when speaking, taking deep breaths, or encountering cold air. It is still recommended that you visit a pulmonologist for an X-ray examination to rule out any pulmonary p...

[Read More] Understanding Coughing: When to See a Pulmonologist


Understanding Palpitations: Causes, Diagnosis, and Treatment Options

Palpitations? Doctor, I went for a check-up in the past few days. The doctor said I have palpitations, but isn't this symptom usually associated with older age groups? I also had an X-ray and an electrocardiogram (ECG), and the doctor said both were normal. However, the doct...


Dr. Yang Wenda reply Pulmonology
Hello, Student Chen: Palpitations are a subjective feeling of "rapid heartbeats," but if the heart rate is within the normal range (60-100 beats per minute), and there are no significant abnormalities in the X-ray and electrocardiogram, it is likely due to heightened au...

[Read More] Understanding Palpitations: Causes, Diagnosis, and Treatment Options


Understanding Sudden Shortness of Breath: Causes and Concerns

Shortness of breath? I previously experienced sudden shortness of breath, pale complexion, cold sweats, and then my vision went black, leading to dizziness... It became severe enough that I fainted... It was very uncomfortable. So far, I have had three episodes, and the symptoms ...


Dr. Yang Wenda reply Pulmonology
Hello, Since your family does not have a history of heart disease and your symptoms are not persistent, it is less likely that you have organic heart disease; however, paroxysmal arrhythmia cannot be ruled out (please see a cardiologist). Another possible cause to consider is a...

[Read More] Understanding Sudden Shortness of Breath: Causes and Concerns


Understanding Shortness of Breath: Causes, Risks, and Treatment Options

Shortness of breath Hello! A long time ago, I occasionally experienced shortness of breath, feeling as if my heart had stopped beating, and I couldn't catch my breath for two seconds. However, in the past three months, these episodes have become frequent, sometimes accompani...


Dr. Yang Wenda reply Pulmonology
Hello, Here are brief answers to your questions: 1. Low blood pressure is part of your original constitution. If you haven't experienced dizziness (due to cerebral hypoxia) before, it is unlikely that this would lead to cardiac hypoxia (which can typically be observed on...

[Read More] Understanding Shortness of Breath: Causes, Risks, and Treatment Options


Understanding Asthma Symptoms and Chronic Cough: A Patient's Guide

Asthma with chronic cough? Hello Dr. Yang, (1) I am planning to go bungee jumping next month, but during high school, I was randomly selected for a screening that indicated possible asthma symptoms (though I did not follow up with further testing). Additionally, I have a long-te...


Dr. Yang Wenda reply Pulmonology
Hello Monica: Patients with asthma often have allergic rhinitis, a history of atopic dermatitis in childhood, or a family history of allergic rhinitis or asthma. When asthma patients are not experiencing an attack (such as nighttime cough or wheezing with associated wheezing soun...

[Read More] Understanding Asthma Symptoms and Chronic Cough: A Patient's Guide


Understanding COPD Exacerbation: A Case Study of Severe Symptoms and ICU Care

Chronic Obstructive Pulmonary Disease (COPD) exacerbation The father is 74 years old and was admitted for observation and treatment on March 27 due to chest tightness and shortness of breath without fever (diagnosed with COPD) after an outpatient visit at a hospital in the Yuanli...


Dr. Yang Wenda reply Pulmonology
Chronic obstructive pulmonary disease complicated by pneumonia often leads to respiratory failure in patients. Currently, transporting patients on a ventilator poses risks, so it is advisable to discuss with the attending physician whether transfer to another facility is necessar...

[Read More] Understanding COPD Exacerbation: A Case Study of Severe Symptoms and ICU Care


Understanding Throat Foreign Body Sensation: Causes and Solutions

Sensation of a foreign body in the throat? Hello Doctor, I currently have a sensation of a foreign body in my throat, along with pressure and strong halitosis, which is very distressing for me. I have a sensitive throat, and my first reaction to any foreign sensation is to gag. I...


Dr. Yang Wenda reply Pulmonology
Hello, if the gastroscopy does not reveal any significant abnormalities (such as ulcers or esophagitis), the likelihood of gastrointestinal issues is low. It is recommended to consult an otolaryngologist. Make sure to brush your teeth and rinse your mouth after each meal. If you ...

[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions


Do All Lung Cancer Patients Experience Coughing Symptoms?

Regarding lung cancer issues? Hello Dr. Yang, may I ask if coughing is always a symptom of lung cancer, or is it not necessarily the case?


Dr. Yang Wenda reply Pulmonology
Hello, Student Chen: Early-stage lung cancer typically does not present any symptoms, and a persistent cough does not necessarily indicate lung cancer. However, if a cough lasts for more than three weeks without improvement, it is advisable to get a chest X-ray. If there is a str...

[Read More] Do All Lung Cancer Patients Experience Coughing Symptoms?


Differences Between Traditional and Thoracoscopic Surgery for Esophageal Cancer

Esophageal cancer Hello: The patient's esophageal cancer is diagnosed as stage I, and only surgery is required without chemotherapy. Therefore, I would like to ask about the differences between traditional surgery and thoracoscopic surgery for esophageal cancer.


Dr. Yang Wenda reply Pulmonology
Hello, Xiao Lin: Regarding your question, my expertise in pulmonary medicine may not provide you with sufficient information. I recommend consulting a thoracic surgeon or a general surgeon at "Taiwan e-Hospital" for your inquiries. I apologize! Best wishes!

[Read More] Differences Between Traditional and Thoracoscopic Surgery for Esophageal Cancer


Understanding Left Chest Pain: Causes and When to Seek Help

Left chest Hello Doctor: I occasionally experience sharp pain in the area just slightly above my left breast, but not directly on it, especially noticeable with certain movements. This has not happened before, but it has become more frequent over the past year. Could you please e...


Dr. Yang Wenda reply Pulmonology
Hello, Yajun: There are many causes of chest pain. Intermittent chest pain, aside from cardiac diseases, may also indicate issues related to the lungs or pleura. Given your age, it is unlikely that you have heart disease aside from congenital heart conditions. Most lung-related d...

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


Managing Pleural Effusion After Acute Myocardial Infarction: Key Considerations

Pleural effusion Hello Doctor: My grandfather was admitted to the intensive care unit at Hsinchu Dongyuan Hospital due to an acute myocardial infarction (he was intubated during his stay in the ICU). He has been in the regular ward for over 20 days since being transferred from th...


Dr. Yang Wenda reply Pulmonology
Hello Guo Guo: Your father coughs when lying down, which may be related to heart instability. If he has digestive issues, please ask the doctor to prescribe some enzyme supplements or gas-relief medications, which should help. What dietary considerations should be taken into acco...

[Read More] Managing Pleural Effusion After Acute Myocardial Infarction: Key Considerations


Understanding Chest Tightness and Breathing Issues After Duodenal Ulcer Treatment

Chest tightness and shortness of breath? Hello doctor, I had an upper gastrointestinal endoscopy at Mackay Memorial Hospital at the end of last year, which revealed a duodenal ulcer and Helicobacter pylori infection. The doctor prescribed a week-long course of antibiotics to erad...


Dr. Yang Wenda reply Pulmonology
If your chest tightness and shortness of breath have no prior history of asthma, it is more likely to be symptoms caused by gastrointestinal issues. For conditions like duodenal ulcers or gastroesophageal reflux disease (GERD), it is recommended to take proton pump inhibitors for...

[Read More] Understanding Chest Tightness and Breathing Issues After Duodenal Ulcer Treatment


Understanding Left Upper Lung Fibrosis: Symptoms and Long-Term Effects

excuse me? Hello: My mother has been diagnosed with fibrosis in the upper left lung. The doctor mentioned that it is just a scar and does not require treatment or medication. Additionally, I would like to ask if there are any potential complications associated with fibrosis in th...


Dr. Yang Wenda reply Pulmonology
Hello, QQ: Fibrosis represents inactive lesions, which are usually remnants of past inflammatory responses in that area. Once healed, they leave behind traces, similar to scars on the skin from previous injuries that do not require medication. This type of fibrosis does not requi...

[Read More] Understanding Left Upper Lung Fibrosis: Symptoms and Long-Term Effects


Understanding Chest and Back Pain: Is It Normal to Hear Cracking Sounds?

Thoracic bones Hello Doctor: When I lie against the wall to study or watch TV, my chest and lower back are slightly curved for about half an hour. When I try to straighten my chest, I hear a cracking sound from my chest bones, and it feels like there is a pull between the bones a...


Dr. Yang Wenda reply Pulmonology
Hello, Passerby A: Your condition is relatively rare. The clicking sound you hear is likely just the noise from small joint friction. Some individuals may have slight looseness in the joint between the sternum and the costal cartilage, which could be due to a congenital abnormali...

[Read More] Understanding Chest and Back Pain: Is It Normal to Hear Cracking Sounds?


Navigating End-Stage Pulmonary Fibrosis: Options and Care for Your Loved One

Could you please provide more details about the issue of pulmonary fibrosis? My grandmother is currently 78 years old and resides in Chiayi. Two weeks ago, she went to the hospital's emergency department due to shortness of breath. Since the emergency room did not have suita...


Dr. Yang Wenda reply Pulmonology
Hello, Yezi: I can understand your attentiveness and filial piety from your detailed description. Here are simple answers to your questions: (1) Severe pulmonary fibrosis significantly lowers the chances of successfully weaning off the ventilator. Even if the first attempt is suc...

[Read More] Navigating End-Stage Pulmonary Fibrosis: Options and Care for Your Loved One


Managing Asthma Concerns Before Surgery: What You Need to Know

Anesthesia for Asthma Dear Doctor, My husband was diagnosed with white patches in his throat by an ENT specialist a month ago, and he needs to undergo surgery for removal and biopsy. However, on the day of the surgery, the anesthesiologist canceled the procedure due to my husban...


Dr. Yang Wenda reply Pulmonology
Hello Ms. Yang: As long as your asthma is well-controlled with oral or inhaled medications (without significant asthma symptoms or nighttime attacks that prevent sleep), you can proceed with treatments from other specialties (including surgery). If you have no objections to the s...

[Read More] Managing Asthma Concerns Before Surgery: What You Need to Know


Morning Phlegm: Understanding Causes and Solutions for Chest Health

I cough up thick phlegm every morning upon waking up? Hello Dr. Yang, I do not have a cough, but every morning after waking up, I cough up thick phlegm. This has been happening for a month, and I do not feel unwell otherwise. Could you please advise what kind of condition this mi...


Dr. Yang Wenda reply Pulmonology
Hello, Xiao Bao: Typically, sputum is produced due to secretion or inflammation of the bronchial mucosa. It may also be caused by sinusitis or post-nasal drip (which you may feel or notice an unusual odor in the nasal cavity). Additionally, exposure to air pollution, inhalation o...

[Read More] Morning Phlegm: Understanding Causes and Solutions for Chest Health


Understanding Your Breathing Issues: Possible Causes and Solutions

I don't even know what illness I have? Hello Dr. Yang: I have been experiencing difficulty breathing for several years. Two years ago, I was diagnosed with asthma, so I didn't pay much attention to it. However, in the past few days, my condition has worsened significant...


Dr. Yang Wenda reply Pulmonology
Hello, Ms. Zhang: You have a past diagnosis of asthma, so it is recommended that you visit a pulmonology clinic. As for the other symptoms, it is not immediately possible to determine which organ may be involved. However, for dizziness and a feeling of ear fullness, you may want ...

[Read More] Understanding Your Breathing Issues: Possible Causes and Solutions


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