Dr. Zhou Ziguang reply Pulmonology Question - Page 10

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Understanding Chest Pain: Is It Related to Heart Issues?

Sternal pain In recent days, I have been experiencing persistent pain in the bones of my left chest. I usually sleep on my side, and it is very painful when I turn over. It also hurts significantly when touched. A few years ago, I had palpitations and consulted a cardiologist, wh...


Dr. Zhou Ziguang reply Pulmonology
Hello: If there is pain upon touch, it is more likely to be muscle pain. It is advisable to visit an orthopedic specialist for evaluation, where the physician can diagnose and differentiate from other possible conditions.

[Read More] Understanding Chest Pain: Is It Related to Heart Issues?


How Long Should You Wait Between Lung Health Checkups?

The duration from Stage 1 to Stage 2 typically varies depending on the specific condition or disease being referenced. Please provide more context for a more accurate answer? Hello Dr. Zhou, During a health check-up at a hospital in Yilan, I voluntarily underwent a low-dose 64-s...


Dr. Zhou Ziguang reply Pulmonology
Hello, the reasonable follow-up for pulmonary nodules via computed tomography is every 3 months. If there is a tendency for enlargement, surgical resection is recommended. Considering disease progression, the amount of radiation exposure is relatively less important. Best wishes ...

[Read More] How Long Should You Wait Between Lung Health Checkups?


Can Women with Spontaneous Pneumothorax Safely Become Pregnant?

Can female patients with pneumothorax conceive and give birth in the future? Hello, doctor. My daughter experienced her first spontaneous pneumothorax in her right lung when she was 16 years old, which was treated with chest tube insertion and did not require surgery. This April,...


Dr. Zhou Ziguang reply Pulmonology
Hello, pneumothorax in women generally does not affect pregnancy and childbirth. Best wishes for health, Dr. Wu Ying-Hsun (on behalf).

[Read More] Can Women with Spontaneous Pneumothorax Safely Become Pregnant?


Understanding Left Chest Pain: When to Seek Medical Attention

[Concern] Dull pain in the left chest? Recently, I have occasionally felt a tight sensation in the lower left side of my chest. Given my age, I am unsure if I should be concerned. Although this is a new symptom, it mostly occurs when I am lying down, so I initially thought it was...


Dr. Zhou Ziguang reply Pulmonology
Hello: If you experience palpitations, you may first visit a cardiology clinic. Thank you!

[Read More] Understanding Left Chest Pain: When to Seek Medical Attention


Understanding Irregularities in Lung X-rays: What You Need to Know

X-ray lung issues Hello Doctor: I recently had a physical examination, and the report indicated that there is an irregular, non-transparent area in the lower right lung. Could you please explain what this might indicate and what precautions I should take in my daily life?


Dr. Zhou Ziguang reply Pulmonology
Hello: There is an unclear shadow in the right lower lung; please follow up with the pulmonology department for further evaluation.

[Read More] Understanding Irregularities in Lung X-rays: What You Need to Know


Understanding Shortness of Breath: Causes and Solutions

Shortness of breath Recently, I often feel the need to take deep breaths, and sometimes I feel like I can't catch my breath. I haven't had a cold, but I do have a cough with green phlegm. I frequently feel tired and sleepy, and sometimes I also experience a tightness or...


Dr. Zhou Ziguang reply Pulmonology
Hello: Please visit the pulmonary medicine department for evaluation and treatment.

[Read More] Understanding Shortness of Breath: Causes and Solutions


Understanding Shoulder Blade Pain: Causes and When to Seek Further Tests

Pain in the upper back around the scapula? Hello Doctor, I have been experiencing severe pain in my shoulders, back, and lower back for the past few months. Previously, I had swelling in the middle of my left back, so I went to see a doctor who took X-rays and said it was due to ...


Dr. Zhou Ziguang reply Pulmonology
Hello: Any examination has its limitations. If a chest X-ray does not show any obvious issues, musculoskeletal problems should be prioritized as a consideration for chest pain.

[Read More] Understanding Shoulder Blade Pain: Causes and When to Seek Further Tests


Managing Spontaneous Pneumothorax in Patients with Tuberculosis

Severe coughing due to pulmonary tuberculosis can lead to pneumothorax? Hello Doctor: My brother, who is being treated for tuberculosis at home, experienced severe coughing one morning that led to respiratory distress and was rushed to the hospital for emergency care. The doctor ...


Dr. Zhou Ziguang reply Pulmonology
Hello: In cases of pneumothorax requiring mechanical ventilation, a chest tube is typically placed. If there is still no improvement, surgery may be considered, but the risks of the procedure need to be evaluated. Please discuss the severity of any prior tuberculosis with the pat...

[Read More] Managing Spontaneous Pneumothorax in Patients with Tuberculosis


Should I Seek a Second Opinion for Lung X-Ray Findings?

Should I consult other doctors? Hello Doctor: This year, the X-ray report from the employee health check, conducted in a smoke-free environment without dust exposure, showed an abnormality in the left hilum of the lung. After a follow-up appointment with the pulmonologist, the do...


Dr. Zhou Ziguang reply Pulmonology
Hello: Other hospitals may provide similar statements. If you want to confirm, a CT scan can be performed (but it involves higher radiation exposure).

[Read More] Should I Seek a Second Opinion for Lung X-Ray Findings?


How to Obtain an Asthma Diagnosis Certificate from Public Hospitals

Asthma assessment? Hello, Doctor: I urgently need a diagnosis certificate for asthma from a public hospital or teaching hospital. I was diagnosed with asthma at a private clinic when I was about ten years old, and I underwent treatment for approximately three years. After the tre...


Dr. Zhou Ziguang reply Pulmonology
Hello: The diagnosis certificate must be issued based on the actual condition and determined by the physician after the consultation; it cannot be issued based on the patient's self-diagnosis.

[Read More] How to Obtain an Asthma Diagnosis Certificate from Public Hospitals


Chest Discomfort: Should You See a Cardiologist or Pulmonologist?

Chest tightness? You are experiencing symptoms of left chest tightness, lack of appetite, weakness in your hands, and excessive sleepiness, but you do not have a cough or shortness of breath. Should I see a cardiologist or a pulmonologist for an examination?


Dr. Zhou Ziguang reply Pulmonology
Hello: You may first visit a cardiology clinic.

[Read More] Chest Discomfort: Should You See a Cardiologist or Pulmonologist?


Understanding Shoulder Pain in Lung Cancer Patients: A Case Study

Shoulder pain? Hello, I would like to ask the doctor about my father. He was diagnosed with stage III lung cancer and underwent surgery and chemotherapy in 2013. After completing the treatment, he has been under continuous follow-up, with X-rays every two months and CT scans ever...


Dr. Zhou Ziguang reply Pulmonology
Hello: All imaging examinations have limitations in their ability to detect lesions below a certain size, which may not be clearly visible. Therefore, regular follow-up is necessary to detect any issues as early as possible for appropriate management.

[Read More] Understanding Shoulder Pain in Lung Cancer Patients: A Case Study


Understanding Nasal Congestion and Breathing Difficulties: A Patient's Journey

Nasal congestion and difficulty breathing? Since middle school, I have been experiencing a sensation of fullness in both ears, as if there is a membrane blocking them. During the summer, I often have allergies in the mornings around 8 or 9 o'clock, leading to multiple sneeze...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. Please first visit an otolaryngology clinic. 2. If you still experience difficulty breathing, you may consult a pulmonologist.

[Read More] Understanding Nasal Congestion and Breathing Difficulties: A Patient's Journey


Managing Asthma Relapses: Tips for Young Adults and Athletes

Asthma exacerbation When I was in kindergarten, I went to see a doctor due to a persistent cough and was diagnosed with asthma. However, I never experienced severe attacks, and the doctor did not prescribe me inhaled medications; I only took oral medications (once before bed). By...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. Please visit a pulmonologist to determine whether the symptoms are caused by asthma or other reasons. 2. If it is asthma, with appropriate management, you can still engage in normal exercise and work.

[Read More] Managing Asthma Relapses: Tips for Young Adults and Athletes


Feeling Breathless? Understanding Throat Swelling and Its Effects

Shortness of breath? In the past few days, I've felt like my throat is somewhat swollen. It doesn't hurt, but I keep taking deep breaths, otherwise I feel like I can't get enough air.


Dr. Zhou Ziguang reply Pulmonology
Hello: You may have upper respiratory tract inflammation or other possibilities, and it is necessary to be evaluated by a physician for diagnosis and treatment. Please seek medical attention.

[Read More] Feeling Breathless? Understanding Throat Swelling and Its Effects


Can You Exercise After Mild Pneumothorax Without Surgery?

What are the effects of not undergoing surgery for a pneumothorax? If someone has a mild pneumothorax and chooses to rest at home without surgery, will they be unable to engage in vigorous activities (such as playing sports, running) or fly on an airplane or swim for the rest of ...


Dr. Zhou Ziguang reply Pulmonology
Hello: In the case of spontaneous pneumothorax, if there are pre-existing small blebs, there is still a risk of developing a larger pneumothorax later. Please discuss this further with your physician.

[Read More] Can You Exercise After Mild Pneumothorax Without Surgery?


Can a Child Be Infected Again After Preventive TB Treatment?

If a person who has previously received preventive treatment for tuberculosis (TB) experiences a relapse of the infection, can they still transmit the disease? Hello Doctor: My mother was diagnosed with open pulmonary tuberculosis last year and was cured after six months of treat...


Dr. Zhou Ziguang reply Pulmonology
Hello: If a family member has a recurrence of pulmonary tuberculosis and you are still a close contact, there is still a possibility of transmission. Should preventive medication be administered, is it necessary to conduct another examination and assessment, while also paying att...

[Read More] Can a Child Be Infected Again After Preventive TB Treatment?


Post-Thoracoscopic Surgery: Is My Rib Cage Asymmetry Normal?

Postoperative care after thoracoscopic surgery for pneumothorax? Hello, doctor. In mid-April, I experienced a spontaneous pneumothorax on the right side and underwent thoracoscopic surgery to remove alveoli and perform local pleurodesis before being discharged. Recently, I notice...


Dr. Zhou Ziguang reply Pulmonology
Possible postoperative conditions should be evaluated by a thoracic surgeon for diagnosis.

[Read More] Post-Thoracoscopic Surgery: Is My Rib Cage Asymmetry Normal?


Caring for Elderly Patients with Tuberculosis: Best Practices and Considerations

How to care for patients with pulmonary tuberculosis? 1. My father-in-law, who is 88 years old, was diagnosed with open pulmonary tuberculosis in mid-April. He was hospitalized at Taipei Veterans General Hospital for two weeks, during which three sets of sputum tests were conduct...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. The condition of sputum produced varies with each set, and the bacterial load may differ. 2. Aside from cases with infectious potential, caregivers should have protective measures and pay special attention to possible side effects of medications; otherwise, general care...

[Read More] Caring for Elderly Patients with Tuberculosis: Best Practices and Considerations


Understanding Sternum Pain: Causes, Symptoms, and When to Seek Help

Sternal pain When stretching the arms backward, there is a sound coming from the chest area. This stretching has been done for several years, but in the past one or two years, there have been occasional episodes of pain. During more severe episodes, the pain lasts for a short per...


Dr. Zhou Ziguang reply Pulmonology
Hello: You can first undergo a standard X-ray (frontal and lateral views) for evaluation.

[Read More] Understanding Sternum Pain: Causes, Symptoms, and When to Seek Help


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