Dr. Zhou Ziguang reply Pulmonology Question - Page 17

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Chest Tightness, Throat Discomfort, and Headaches: What to Know

Chest tightness accompanied by throat discomfort and headache (dizziness)? Hello Doctor: I have been feeling a tightness in my chest and a constriction in my throat (more pronounced in the pharyngeal area) over the past few days. I also experience headaches (dizziness) and have l...


Dr. Zhou Ziguang reply Pulmonology
Hello, if there are no symptoms such as asthma or cold sweats, the most common cause is still a viral infection of the upper respiratory tract. However, with symptoms like chest tightness and nausea, conditions such as pneumothorax or gastrointestinal diseases cannot be ruled out...

[Read More] Chest Tightness, Throat Discomfort, and Headaches: What to Know


Chronic Cough: Causes, Symptoms, and Treatment Options

Persistent cough Hello Doctor, I would like to ask you about my mother's persistent cough. I can hear her coughing during the day and especially at night when it becomes more severe (with phlegm, and sometimes she coughs continuously for a long time). This condition seems to...


Dr. Zhou Ziguang reply Pulmonology
Hello, there are many causes of chronic cough, such as bronchiectasis, tuberculosis, chronic bronchitis, psychogenic factors, and asthma, among others. I recommend that you visit a pulmonology department for further evaluation, including a chest X-ray. Thank you for your understa...

[Read More] Chronic Cough: Causes, Symptoms, and Treatment Options


Conflicting Opinions on Aspergilloma Management: What Should Patients Do?

Pulmonary Aspergilloma (Part II) Dr. Zhou, we have received two completely different opinions; one suggests immediate intervention, while the other recommends observation for a year. We are quite troubled! The thoracic surgeon's admission note states "Lung tumor, suspec...


Dr. Zhou Ziguang reply Pulmonology
Hello, 1. According to your statement, if it is indeed a pulmonary fungal ball, it typically arises in a pre-existing lung cavity where the fungus subsequently grows. Generally, it can coexist with patients who have normal immune function without the need for antifungal treatme...

[Read More] Conflicting Opinions on Aspergilloma Management: What Should Patients Do?


Seeking Guidance on Comprehensive Health Check for Father's Breathing Issues

I previously consulted Dr. Zhou about my father's breathing difficulties? Hello Dr. Chou! After consulting with you last time, my father was later referred to the gastroenterology department. The doctor diagnosed him and prescribed medication for Helicobacter pylori, but he ...


Dr. Zhou Ziguang reply Pulmonology
Hello Ms. Wang, 1. Please have your father first visit the Rheumatology and Immunology Department for a diagnostic evaluation. 2. If the results are normal, he can then follow up with the Pulmonary Medicine Department at a medical center, particularly with a specialist in slee...

[Read More] Seeking Guidance on Comprehensive Health Check for Father's Breathing Issues


Understanding Pulmonary Fungal Balls: Diagnosis and Treatment Options

Pulmonary Aspergillosis Dr. Zhou, thank you for your response. The doctor has explained the situation to me, and he suspects it is a fungal ball! If that is the case, do I need to address it? Can a biopsy be done first? If removal is necessary, what methods are available? My doct...


Dr. Zhou Ziguang reply Pulmonology
Hello, 1. As you described, a fungal ball is commonly found in previously healed pulmonary tuberculosis cavities and may sometimes cause symptoms such as hemoptysis. If there is recurrent or significant hemoptysis, surgical removal is necessary. The surgical approach (tradition...

[Read More] Understanding Pulmonary Fungal Balls: Diagnosis and Treatment Options


Understanding Calcified Lung Nodules: What You Need to Know

Calcified pulmonary nodules Hello! Last April, I accidentally discovered a white spot in my right lower lung while having a cold. After evaluations including sputum tests and pulmonary function tests by two pulmonologists, the first doctor did not provide a clear explanation but ...


Dr. Zhou Ziguang reply Pulmonology
Hello, the term "calcified and fibrotic lesions" generally refers to old changes left behind due to factors such as inflammation or trauma. Calcification is usually a benign scar, but if there are changes during follow-up (such as an increase of 1 cm), it does not confo...

[Read More] Understanding Calcified Lung Nodules: What You Need to Know


Seeking Recommendations for Thoracic Specialists in Taipei

Please ask your question? Dear Dr. Zhou, Thank you for your response! May I ask which hospital you are affiliated with? Or could you recommend a physician in Taipei who would be suitable for my father's consultation? The doctors we have seen previously have all said there a...


Dr. Zhou Ziguang reply Pulmonology
Hello, 1. I am currently employed at the Chest Hospital of the Department of Health, Executive Yuan, located in Tainan, which is quite far from Taipei. There are several medical centers in Taipei (such as Veterans General Hospital, National Taiwan University Hospital, Taipei Me...

[Read More] Seeking Recommendations for Thoracic Specialists in Taipei


Chronic Throat Inflammation and Breathing Difficulties: Seeking Solutions

Throat inflammation and difficulty breathing? Dear Dr. Zhou, I would like to consult on behalf of my father. He is 56 years old and has a significant smoking addiction. Since October of last year, he has been experiencing a dry and painful throat, chest tightness, and difficulty...


Dr. Zhou Ziguang reply Pulmonology
Hello, 1. If you are experiencing a dry throat and discomfort while sleeping, it may be due to mouth breathing or the presence of sleep-related breathing disorders. It is advisable to consult with another pulmonologist, particularly one who specializes in sleep apnea at a medic...

[Read More] Chronic Throat Inflammation and Breathing Difficulties: Seeking Solutions


Understanding the Use of Albumin in Leukemia Patients with Pneumonia

Leukemia complicated by pneumonia? My father has leukemia complicated by pneumonia, and he has been on intubation treatment for 21 days. I would like to ask if a physician recommended administering albumin; is it beneficial, and could it harm him?


Dr. Zhou Ziguang reply Pulmonology
Hello, if the respiratory failure is not only caused by pneumonia but also accompanied by low serum albumin levels, administering albumin may help improve the respiratory condition and is in accordance with health insurance regulations. Thank you for your response, Dr. Chou Tzu-K...

[Read More] Understanding the Use of Albumin in Leukemia Patients with Pneumonia


Can You Dive After Recovering from Pulmonary Tuberculosis?

Can a person dive after recovering from tuberculosis? Hello Doctor, two years ago I was diagnosed with moderate cavitary pulmonary tuberculosis, and at that time, there was a cavity in my right upper lobe measuring less than 1.5 cm, while my left lung only showed mild nodular inf...


Dr. Zhou Ziguang reply Pulmonology
Hello, if a patient has recovered from tuberculosis and there is no significant impairment in lung function (which can be assessed through pulmonary function tests), they should be able to engage in general diving activities. Thank you for your response, Dr. Chou Tzu-Kuang, Direc...

[Read More] Can You Dive After Recovering from Pulmonary Tuberculosis?


Understanding Right Chest and Back Pain: Causes and Solutions

There is a feeling of tightness and pain in the right side of the chest and the right side of the back! Hello, doctor! My symptoms are as follows: I do not experience pain in my right chest, but there is slight pain in my right back when pressed lightly. The specific location is ...


Dr. Zhou Ziguang reply Pulmonology
Hello, Xiao Zhi. You are experiencing right chest pain with tenderness and sharpness. Initially, we would suspect that the pain may be caused by nerve or muscle issues (such as poor posture, etc.). Other possible causes include spinal nerve disorders, gastroesophageal reflux dise...

[Read More] Understanding Right Chest and Back Pain: Causes and Solutions


Can Blood Donation Be Safe for Those with a History of Tuberculosis?

Pulmonary tuberculosis Hello Dr. Chou: I have a friend who has previously been infected with tuberculosis. Based on the principle of donating blood to save a life, they are very eager to donate blood. However, their current condition requires annual follow-up. If they donate bloo...


Dr. Zhou Ziguang reply Pulmonology
Hello, Xiao Xi. If you have completed treatment and currently have no active tuberculosis, you are comparable to individuals without tuberculosis. If your health condition meets the criteria set by the blood donation center, you may proceed to donate blood. Thank you for your inq...

[Read More] Can Blood Donation Be Safe for Those with a History of Tuberculosis?


Understanding Chronic Chest Discomfort and Coughing: A Patient's Journey

Chronic chest tightness and cough? Hello Doctor: About three years ago, I started experiencing chest tightness, located in the center of my chest where there is a protruding area. It feels uncomfortable when I walk with my chest out, and the tightness becomes more pronounced when...


Dr. Zhou Ziguang reply Pulmonology
Hello Chris, 1. Based on the examination by the pulmonology and cardiology departments, it seems that the issue is more related to muscle or fascia injury. However, as mentioned by your online friend, if you experience discomfort after eating, it is important to consider the pos...

[Read More] Understanding Chronic Chest Discomfort and Coughing: A Patient's Journey


Understanding Lung Lobe Atrophy: Causes, Connections, and Treatment Options

Lobar atelectasis Hello, last month my pulmonary function test report indicated "left lower lobe atelectasis with elevation of the left diaphragm, moderate scoliosis." What could be the possible causes of lung lobe atelectasis? Is it related to scoliosis or my long-term...


Dr. Zhou Ziguang reply Pulmonology
1. Left lower lung atelectasis can have many potential causes, with common ones being bronchial stenosis, obstruction by foreign bodies, or tumors. It is necessary to consult a thoracic specialist for further evaluation immediately. 2. Elevation of the diaphragm may be due to r...

[Read More] Understanding Lung Lobe Atrophy: Causes, Connections, and Treatment Options


Does Cold Weather Affect Spontaneous Pneumothorax?

Cold environments can have an impact on pneumothorax? Hello, my son is 20 years old and has a history of spontaneous pneumothorax, for which he has undergone surgery. He is now required to travel to Harbin, China, for a teaching activity. Will the cold climate have any impact on ...


Dr. Zhou Ziguang reply Pulmonology
Hello, generally speaking, temperature does not have a significant impact on pneumothorax. However, cold weather may trigger exacerbations of pre-existing respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). Therefore, individuals with these con...

[Read More] Does Cold Weather Affect Spontaneous Pneumothorax?


Understanding Latent Tuberculosis: Symptoms, Treatment, and Transmission Risks

Non-open pulmonary tuberculosis After several days of antibiotic injections, the fluid accumulation has not improved, and my brother is still in pain! He underwent a pleural biopsy, which initially indicated that he has non-open pulmonary tuberculosis. Today, he had a bronchoscop...


Dr. Zhou Ziguang reply Pulmonology
Hello, Ah-Jhe. 1. The pleural biopsy has been determined to be tuberculous pleuritis. A bronchoscopy should be performed to investigate the possibility of pulmonary or bronchial tuberculosis or other diseases, as well as to collect respiratory specimens for culture. 2. If Myco...

[Read More] Understanding Latent Tuberculosis: Symptoms, Treatment, and Transmission Risks


Understanding Pleural Effusion: Causes, Concerns, and Treatment Options

Pneumonia? My brother (21 years old, with no significant medical history) reported dizziness and severe headache during the week of October 20th and visited a clinic where he was prescribed acetaminophen. On the morning of October 26th, he experienced chest pain for 3-4 days and ...


Dr. Zhou Ziguang reply Pulmonology
Hello, A-Zhe. The common causes of pleural effusion in Taiwan include tuberculous pleuritis, pneumonia-related effusion, heart disease, kidney disease, cancer, and hypoalbuminemia. Generally, the initial step is to perform a thoracentesis to analyze the pleural fluid, and biochem...

[Read More] Understanding Pleural Effusion: Causes, Concerns, and Treatment Options


Why You Experience Dry Cough at Night: Causes and Solutions

Occasionally experiencing a dry cough at night while sleeping? As the topic suggests, when you are about to fall asleep at night, you experience an itchy throat and a dry cough that affects your sleep. What could be the cause of this? Thank you.


Dr. Zhou Ziguang reply Pulmonology
Hello, the common causes of throat itching and a soft cough are numerous, such as post-nasal drip, chronic pharyngitis, and gastroesophageal reflux disease (GERD). If the discomfort worsens when lying down, cardiac issues should also be considered. Please consult a pulmonologist....

[Read More] Why You Experience Dry Cough at Night: Causes and Solutions


Impact of Copier Emissions on Lung Health: Risks and Prevention

The impact of photocopiers on lung health? Hello, Doctor: I am an office worker in an administrative position, and there is a photocopier next to my desk. I have to print documents from morning until evening every day. I have heard that photocopying can produce a lot of toner and...


Dr. Zhou Ziguang reply Pulmonology
Hello Steve, 1. Currently, there seems to be no definitive evidence that photocopiers cause lung cancer. 2. As for toner or other volatile substances that may be present during the copying process, there could be concerns regarding respiratory sensitivity. It may be advisable ...

[Read More] Impact of Copier Emissions on Lung Health: Risks and Prevention


Understanding Pneumonia Treatment and Management in Elderly Patients

Regarding pneumonia? Hello Doctor, Patient Status: 80 years old, male, with a history of diabetes managed with insulin, poor kidney function, currently residing in a respiratory care center, and has a tracheostomy. He has been hospitalized for nearly two months, initially admit...


Dr. Zhou Ziguang reply Pulmonology
Hello Jason, 1. The treatment for uncomplicated pneumonia typically lasts about 1-2 weeks, but in cases of severe pneumonia, treatment may extend to 6-8 weeks. There is no defined maximum duration, as it depends on the clinical condition, and there is also a possibility of recu...

[Read More] Understanding Pneumonia Treatment and Management in Elderly Patients


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