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Managing Pleural Effusion and Tuberculosis Treatment Challenges

The pleural effusion test indicated a pleural tuberculosis index of 84? 1. The pleural effusion test showed a pleural tuberculosis index of 841. Is it necessary to take the CDC medication for 6 to 9 months? 2. The patient has a history of gastric ulcer and gastroesophageal reflux...

Dr. Yang Zhiyun reply Pulmonology
Hello, the general treatment for tuberculous pleurisy lasts for 6 to 9 months. If symptoms such as gastrointestinal discomfort, stomach pain, or vomiting occur after medication, liver function should be checked for abnormalities. Antiemetics and gastric medications may be adminis...

Understanding Frequent Hiccups: Causes and Solutions for Relief

Frequent hiccups? Hello Dr. Yang: I often experience hiccups, sometimes after meals and sometimes just randomly throughout the day. The hiccups I get during the day don't feel like the typical post-meal fullness; instead, I feel a buildup of gas in my stomach that needs to b...

Dr. Yang Zhiyun reply Pulmonology
Hello, hiccups are often caused by gastric distension, diaphragm irritation, metabolic abnormalities, or neurological issues. In your case, they are likely due to gastric distension and excessive gas, which is the most common cause and usually does not require special treatment. ...

Understanding Pleural Thickening and Fibrosis: Causes and Treatment Options

Thickening and fibrosis of the pleura? Hello doctor, I recently had a health check-up, and today's report indicated that there is thickening and fibrosis of the right pleura, highlighted in red. I have never smoked, but I had a prolonged cough recently and did not see a doct...

Dr. Yang Zhiyun reply Pulmonology
Hello, based on your described X-ray findings, they may be due to old pulmonary tuberculosis or an unknown cause. If there are no changes in the X-ray comparison, it is likely a benign lesion. However, if there are changes, further investigation is necessary. These changes may no...

Understanding Chest Pain: Is It a Heart Issue or Something Else?

Suspected heart problems? Hello: If there is pain when pressing about a fist's distance below the left nipple (around the second to last rib), and it also hurts when coughing or sneezing, as well as during deep inhalation, brisk walking, or light jogging, what could this iss...

Dr. Yang Zhiyun reply Pulmonology
Hello, the causes of thoracic pain include rib fractures, fasciitis, tumors, and so on. Additionally, pleural involvement should also be considered. Other diseases are less likely. You may visit a thoracic medicine clinic for further examination. Thank you. Sincerely, Dr. Yang Ch...

Understanding Lung Nodules: What to Do After Acute Pneumonia Recovery

I'm here to help! Please go ahead and ask your question Hello Doctor: My father was recently hospitalized for acute pneumonia and is currently recovering at home. He has been returning for follow-up visits and has had X-rays for monitoring. During the most recent CT scan, a ...

Dr. Yang Zhiyun reply Pulmonology
Hello, Xiao Zhen. You may discuss with your physician whether further examinations are necessary, depending on the condition of the lesion and the patient's overall health status. Without clarity on these two aspects, I cannot provide a personal opinion. The examinations for...

Understanding Chest Pain: Causes and Symptoms for Shift Workers

Chest pain? Hello, Dr. Yang. I work as a printing operator and have to switch between morning and evening shifts. Recently, I've been experiencing unexplained chest pain, especially noticeable when I take deep breaths. What could this symptom be? I apologize for the disturba...

Dr. Yang Zhiyun reply Pulmonology
Respiratory pain is often associated with discomfort that arises during breathing movements, most commonly due to musculoskeletal strain such as muscle or fascia pull. Other potential causes, such as pleural lesions, may also present similar pain. It is recommended to consult a p...

Pain Under Left Nipple: Which Specialist to Consult?

excuse me? If you experience pain when lightly pressing below the left nipple and feel a sensation of pressure or a foreign object in that area during physical activity, it is advisable to see a specialist in breast health or a general surgeon. They can evaluate your symptoms and...

Dr. Yang Zhiyun reply Pulmonology
Based on your description, it seems more like a musculoskeletal issue related to the thoracic region, but other possibilities cannot be ruled out. Please first consult a pulmonologist for evaluation.

Break Free from Blushing: Innovative Surgery for Social Anxiety

Sympathetic nerve block procedure Hello Doctor: Please take a moment to read this article! Spain has invented a surgery to treat shyness and blushing. This report comes from our correspondent in Spain, Zhang Jinjian, dated July 15, 2008. Source: People's Daily - "Life T...

Dr. Yang Zhiyun reply Pulmonology
Regarding your question, it does not pertain to thoracic diseases. The surgery for hyperhidrosis has been established for many years, but to determine if your issue is suitable for sympathectomy, please consult a neurologist or a thoracic surgeon. Thank you!

Do You Need to Remove Your Shirt for an ECG? Costs of Cardiac Tests Explained

Inquiry If you are going to have an electrocardiogram (ECG or EKG), do you need to take off your shirt? Or can you keep your shirt on? Sorry, I'm asking for a female friend. Also, how much does a pulmonary function test typically cost? Do tests like the ECG and X-ray require...

Dr. Yang Zhiyun reply Pulmonology
Hello: An electrocardiogram (ECG) examination requires the removal of the upper garment. If the physician deems it necessary, both the ECG and X-ray examinations will be covered by health insurance. Sincerely, Dr. Yang Chih-yun, Specialist in Pulmonary Medicine.

Understanding Chest Discomfort: When to Seek Medical Help

Abnormalities in the thoracic cavity or lungs? Sometimes I feel a bit of difficulty breathing or a sense of tightness in my chest, and I'm not sure what the problem is. If I need to go to the hospital for an examination, which department should I see? Will I need to get an X...

Dr. Yang Zhiyun reply Pulmonology
Hello: Based on your symptoms, issues related to the heart, lungs, musculoskeletal system, and mental stress could all be potential causes. It may be necessary to seek medical evaluation for differential diagnosis, and additional tests such as a chest X-ray, electrocardiogram (EC...

Chest Pain and Blood Taste While Exercising: Causes and Solutions

Chest pain during exercise accompanied by a metallic taste in the mouth can be concerning. It may indicate a serious condition, such as a cardiovascular issue or respiratory problem. It is important to seek medical attention immediately for a thorough evaluation and diagnosis? I ...

Dr. Yang Zhiyun reply Pulmonology
Hello: Further medical examination is required to rule out other diseases. The most likely cause is muscle pain, but there is also a possibility of pneumothorax or pulmonary contusion with bleeding, among other issues. Sincerely, Dr. Yang Zhi-yun, Specialist in Thoracic Medicine.

Understanding Altitude Sickness: Symptoms, Prevention, and Treatment

Suspected altitude sickness? Symptoms: While traveling to high mountains, experiencing intense heartbeats, shortness of breath, nausea, cold extremities, cyanosis of the lips, and headaches during brisk walking or vigorous exercise. Occurrence: First episode: While watching th...

Dr. Yang Zhiyun reply Pulmonology
Hello: Your symptoms could be indicative of acute mountain sickness (AMS). It is difficult to determine how long you have been at that altitude based on your first experience, as acute mountain sickness has a characteristic delay in onset after reaching high altitude, typically r...