Managing Breathing Issues Linked to Gastroesophageal Reflux Disease
Gastroesophageal reflux can occasionally cause breathing difficulties? Hello, doctor. I have gastroesophageal reflux disease (GERD) and have undergone an endoscopy and been on medication for over four months (under the care of a hepatobiliary and gastroenterology specialist). How...
Dr. Yang Wenda reply Pulmonology
Hello: If there is a good response to bronchodilators, it may indicate airway hyperreactivity. It is recommended to consult a pulmonologist to evaluate for asthma.[Read More] Managing Breathing Issues Linked to Gastroesophageal Reflux Disease
Chest Pain and Left Hand Tingling: Understanding Possible Causes
Simultaneous pain in the heart and the back of the left hand? Hello, doctor. I would like to ask about occasional sharp pain in my heart and the back of my left hand (near the thumb joint) that occurs simultaneously. The location of the pain has not changed, and it lasts about 5-...
Dr. Yang Wenda reply Pulmonology
Hello: Your age is not typically associated with a high risk of heart disease, and since you do not experience any symptoms during regular activities or exercise, heart disease can likely be ruled out. If the occasional tingling in your thumb joint is bothersome, you may consider...[Read More] Chest Pain and Left Hand Tingling: Understanding Possible Causes
Understanding Persistent Breathing Difficulties: Causes and Solutions
Shortness of breath? For many years, I have felt a tightness in my chest and have to exert extra effort to breathe. I often need to take a deep breath after several normal breaths to feel that I have enough oxygen, and this occurs at any time, including during sleep. Sometimes, I...
Dr. Yang Wenda reply Pulmonology
Hello: Bronchoscopy was not helpful. You may consider seeing a neurologist or a psychiatrist to improve your sleep condition. Lung function is normal, and using asthma medication has not shown improvement; it does not seem like asthma. Adjusting your lifestyle, avoiding excessive...[Read More] Understanding Persistent Breathing Difficulties: Causes and Solutions
Understanding Asthma: Do I Need Bronchodilators for Persistent Cough?
I am unsure whether I have asthma and uncertain if I should continue using the bronchodilator? Hello Doctor, I have had allergic rhinitis since childhood, and I have been coughing for three years. During this time, I have seen several pulmonologists due to reasons such as attendi...
Dr. Yang Wenda reply Pulmonology
Hello: When asthma is not exacerbated, lung function can be normal. Typically, regular daily use of inhaled long-acting bronchodilators combined with corticosteroids should improve symptoms. In cases of allergic bronchitis, the use of bronchodilators should also lead to improveme...[Read More] Understanding Asthma: Do I Need Bronchodilators for Persistent Cough?
Is It Asthma? Understanding Chest Tightness and Breathing Issues
Asthma or? Hello, doctor. I would like to ask if experiencing chest tightness, shortness of breath, and occasional coughing at night when very tired, which improves with the use of a bronchodilator or after a good sleep, can be considered an asthma attack? Or is it simply due to ...
Dr. Yang Wenda reply Pulmonology
Hello: Is your chest tightness or fatigue related to asthma, or should you ask your primary care physician or asthma management specialist to evaluate your asthma control? Excessive fatigue can sometimes trigger asthma, so it's important to manage your lifestyle appropriatel...[Read More] Is It Asthma? Understanding Chest Tightness and Breathing Issues
Understanding Symptoms: Is It Allergic Rhinitis or Something Else?
Could you please tell me what this disease is, doctor? Initially, there was an ear infection, and after taking medication, the only remaining symptom is post-nasal drip. Despite multiple visits to the doctor, it hasn't improved. Recently, I've been experiencing an itchy...
Dr. Yang Wenda reply Pulmonology
Hello: Your symptoms include post-nasal drip and increased nasal secretions, which suggest allergic rhinitis related to your constitution. Improvement of symptoms may not be rapid, so please be patient and continue to follow up for treatment at the otolaryngology clinic![Read More] Understanding Symptoms: Is It Allergic Rhinitis or Something Else?
Why Do I Feel Chest Tightness When Excited or During Masturbation?
When feeling excited, there may be a sensation of tightness in the chest? Feeling a sense of tightness or unusual breathing while watching adult films or during masturbation can be attributed to several factors. This may include heightened arousal leading to increased heart rate ...
Dr. Yang Wenda reply Pulmonology
Hello: When a person is in an excited state, the adrenal glands secrete more adrenaline, which typically results in an increased heart rate. Some individuals may also experience faster breathing, which is considered a normal physiological response. If there are no symptoms of diz...[Read More] Why Do I Feel Chest Tightness When Excited or During Masturbation?
Assessing TB Infection Risk After Brief Exposure with N95 Mask
Questions about tuberculosis? Hello Doctor, I previously interned at a hospital, and during my internship, I observed a bronchoscopy through a glass window. Later, it was discovered that the patient had tuberculosis, and I had brief contact with him for about 5 minutes. During th...
Dr. Yang Wenda reply Pulmonology
Hello: Based on your clear description of the contact process, there is no risk of infection at all, so please rest assured.[Read More] Assessing TB Infection Risk After Brief Exposure with N95 Mask
Understanding Weaning from Ventilation: A Guide for Families
Spontaneous breathing Hello, my father was sent to Chung Shan Hospital for emergency treatment after collapsing at home. After a period of treatment in the intensive care unit, his heart rate and blood pressure stabilized, but he remains in a coma with weak spontaneous breathing ...
Dr. Yang Wenda reply Pulmonology
Hello: The condition of your father and the ability to remove the tube (typically, for patients who are unconscious and unable to effectively cough up secretions, it is not recommended to remove the tube, as they are more likely to experience hypoxia due to ineffective clearance ...[Read More] Understanding Weaning from Ventilation: A Guide for Families
Understanding Intermittent Left Chest Pain: Causes and Concerns
Left chest tenderness upon palpation? Hello, Doctor. I would like to ask about a recent issue I've been experiencing. Occasionally, I feel a dull pain near my heart on the left side of my chest, close to the ribcage. This discomfort varies throughout the day; sometimes it hu...
Dr. Yang Wenda reply Pulmonology
Hello: In the past six months, relevant examinations have not revealed any significant abnormalities, so there should be no obvious cardiopulmonary diseases. It is recommended to have a chest X-ray annually. It is advised not to press on the chest to test for improvement in chest...[Read More] Understanding Intermittent Left Chest Pain: Causes and Concerns
Understanding Right Chest Pain: Causes, Symptoms, and When to Seek Help
Right chest pain? Waking up with pain in the right chest (slightly lower on the right side) and experiencing occasional discomfort when taking deep breaths, stretching, bending, or arching the back—could this be due to poor sleeping posture? Is this a strain of the chest muscles,...
Dr. Yang Wenda reply Pulmonology
Hello: It feels more like muscle soreness (more noticeable during stretching). It is recommended not to maintain one position for too long, engage in moderate exercise, and remember to warm up before exercising![Read More] Understanding Right Chest Pain: Causes, Symptoms, and When to Seek Help
Persistent Cold Symptoms: When to Seek Chest Specialist Care?
The symptoms of the cold improved with medication, but they persisted after the medication was finished? Hello, Doctor. I have been experiencing cold symptoms for a long time. In mid-August 2021, I had nasal congestion (more severe on the left side), post-nasal drip, and the mucu...
Dr. Yang Wenda reply Pulmonology
Hello: 1. Your symptoms resemble allergic rhinitis combined with post-nasal drip, which may be related to your constitution. You may need to use long-term antihistamines or combine them with a corticosteroid nasal spray. If you stop the medication, the symptoms are likely to recu...[Read More] Persistent Cold Symptoms: When to Seek Chest Specialist Care?
Feeling a Tightness in the Chest: Possible Causes and When to Seek Help
It feels like there is a lump in my chest? Hello doctor, for the past couple of days, I have been feeling like there is something stuck in my chest that I need to cough out, which has resulted in a cough. However, my body temperature is normal (around 36.3-36.4°C), and I do not h...
Dr. Yang Wenda reply Pulmonology
Hello: Cold weather or increased life stress can both contribute to such feelings. If you are concerned, you can visit a pulmonologist for a chest X-ray to rule out any active lung diseases.[Read More] Feeling a Tightness in the Chest: Possible Causes and When to Seek Help
Effective Remedies for Cough and Phlegm Relief in Lung Cancer Patients Post-Chemotherapy
What methods can be used to alleviate symptoms of persistent cough and difficulty expectorating phlegm in lung cancer patients after chemotherapy? Dear Doctor, My father needs to undergo an annual health check-up due to his work requirements. Unfortunately, this year's resu...
Dr. Yang Wenda reply Pulmonology
Hello: The cough suppressants and expectorants commonly used in pulmonology are quite similar. It is recommended to discuss with your attending physician to adjust the medication that is more suitable for the patient's constitution. If necessary, a consultation with a tradit...[Read More] Effective Remedies for Cough and Phlegm Relief in Lung Cancer Patients Post-Chemotherapy
Understanding Chest Pain and Discomfort After COVID Vaccination
Chest tightness and sharp pain in the chest? Hello Doctor, about a month ago I received the BNT vaccine. A week later, I started experiencing chest tightness and occasional sharp pain near the xiphoid process. I visited two hospitals where I underwent an electrocardiogram, X-ray,...
Dr. Yang Wenda reply Pulmonology
Hello: If myocarditis is ruled out during the cardiology examination, there is no need to worry about vaccine side effects. Mitral valve prolapse is more likely to cause symptoms such as chest tightness and chest pain. Additionally, anxiety about vaccine side effects can exacerba...[Read More] Understanding Chest Pain and Discomfort After COVID Vaccination
Understanding Sudden Chest Pain: Causes and When to Seek Help
Chest pain? Hello, Doctor. I would like to ask about a recent issue where I occasionally experience sudden sharp pain near my heart or chest (while at rest) that lasts for 2-3 seconds. It goes away and then returns after a few seconds. A few months ago, I had an X-ray and echocar...
Dr. Yang Wenda reply Pulmonology
Hello: If recent heart and X-ray examinations are normal, and you experience sudden sharp pain that feels more like nerve pain, it is recommended to manage stress, ensure good sleep quality, and temporarily avoid cold foods, as this may lead to improvement![Read More] Understanding Sudden Chest Pain: Causes and When to Seek Help
Why Sleeping on Your Stomach Causes Breathing Issues: A Medical Insight
Waking up gasping for breath while sleeping on your stomach? I have recently been waking up gasping for air when I sleep on my stomach (about every 10 to 20 minutes), but it seems to be less of an issue when I sleep on my back (only once like this while stomach sleeping). However...
Dr. Yang Wenda reply Pulmonology
Hello: When sleeping on the stomach, the movement of the chest can be less smooth, especially for those who are not accustomed to this position. It is recommended to primarily adopt a supine or lateral sleeping position![Read More] Why Sleeping on Your Stomach Causes Breathing Issues: A Medical Insight
Left Side Rib Pain: Causes and When to Seek Medical Advice
Pain in the left lower rib cage? Hello Doctor, I would like to ask about a pain I am experiencing on the left side of my abdomen (the left side of my stomach). I feel a dull pain when I breathe or take a deep breath, and it is more noticeable during deep inhalation. It feels simi...
Dr. Yang Wenda reply Pulmonology
Hello: If the chest X-ray is normal, common lung diseases such as pneumonia, pleural effusion, or pneumothorax can generally be ruled out. Based on your symptoms, it is possible that you are experiencing neuralgia, which may be related to stress or consuming excessively cold food...[Read More] Left Side Rib Pain: Causes and When to Seek Medical Advice
Understanding Deep Breathing Issues: Possible Causes and Solutions
Deep inhalation? Hello. I have been experiencing deep and labored breathing (not fast), and if I don't take deep breaths, I feel like I can't get enough air. The upper part of my throat feels dry and painful. This sensation is more pronounced during exercise, and I do n...
Dr. Yang Wenda reply Pulmonology
Hello: During exercise, breathing is usually deep, but if you are focused on the activity and do not feel discomfort, your cardiopulmonary function should be fine. Your main symptom is chest tightness, which can be considered in four parts: 1. Check for nasal congestion; if prese...[Read More] Understanding Deep Breathing Issues: Possible Causes and Solutions
Understanding Chest Pain During Exercise: Causes and Concerns
Experiencing sharp chest pain during exercise? Hello doctor, recently when I play basketball, I feel a sharp pain in my left chest, but it goes away after a short rest, and I don't have any issues when I continue playing. Two weeks ago, I had an X-ray and blood tests done, a...
Dr. Yang Wenda reply Pulmonology
Hello: It seems more like a muscle strain. Be sure to warm up before exercising and temporarily avoid intense physical activities![Read More] Understanding Chest Pain During Exercise: Causes and Concerns