Chest Discomfort After Cleaning: What You Need to Know
I have discomfort in my chest? I feel quite embarrassed to say this. Today, I cleaned the bathroom using bleach and cleaning agents. It seems I may have used too much. The bathroom is also enclosed, and I endured through the cleaning. Afterwards, I felt a lot of chest pain and di...
Dr. Zhou Ziguang reply Pulmonology
Hello: If you have a constitution that is prone to allergic asthma, it may trigger asthma symptoms. If discomfort arises from inhaling fumes or cleaning agents, first move to a well-ventilated area. For acute symptoms, you should go to the emergency department of a general hospit...[Read More] Chest Discomfort After Cleaning: What You Need to Know
Exploring Outpatient Options for Silicosis Management
Is there an outpatient clinic for "pneumoconiosis"? My father has been diagnosed with "pneumoconiosis" (silicosis), and the doctor said there are no aggressive treatment options available; we can only monitor his condition for any deterioration before deciding...
Dr. Zhou Ziguang reply Pulmonology
Hello: Silicosis is caused by the long-term inhalation of silica, leading to lung damage due to its accumulation in the lungs. Currently, there is no specific method for removal; the focus is on minimizing other harmful factors (such as maintaining a healthy lifestyle and avoidin...[Read More] Exploring Outpatient Options for Silicosis Management
Understanding Lung Nodules: What Your Health Check Report Means
The health examination report indicates issues related to pulmonary symptoms? Hello, Doctor. I would like to ask you: I recently received the results of a health check-up conducted by my company, and yesterday I found that the lung examination section mentioned "nodular chan...
Dr. Zhou Ziguang reply Pulmonology
Dear Mr. Jiang: The term "nodular changes" generally refers to an unclear shadow observed on a chest X-ray, which requires further examination to determine whether it is a benign or malignant lesion. There is typically a possibility of malignancy, and it is advisable ...[Read More] Understanding Lung Nodules: What Your Health Check Report Means
Understanding Chest Pain and Discomfort: Next Steps for Diagnosis
Regarding chest pain and chest tightness? I have been experiencing intermittent chest tightness and pain on my left side for a long time. It may be related to a past car accident. I do not have any bad habits like smoking or drinking. Recently, the symptoms have persisted for sev...
Dr. Zhou Ziguang reply Pulmonology
There are many causes of chest pain or discomfort, including cardiac diseases (which can be evaluated with echocardiography and electrocardiogram), esophageal issues (such as gastroesophageal reflux disease and esophagitis), pulmonary diseases, and neuromuscular conditions (such ...[Read More] Understanding Chest Pain and Discomfort: Next Steps for Diagnosis
Long-Term Use of Bronchodilators: Risks and Considerations
Bronchodilator Long-term use of bronchodilators such as Hexoprenaline Sulfate for bronchial constriction may lead to several potential issues. These can include tolerance, where the medication becomes less effective over time, increased heart rate (tachycardia), elevated blood pr...
Dr. Zhou Ziguang reply Pulmonology
Hello, HEXOPRENALINE SULFATE is a medication that acts on the autonomic nervous system and has bronchodilator effects. However, some individuals may experience side effects such as excitement, muscle tremors, and rapid heartbeat, which should be addressed by a physician for medic...[Read More] Long-Term Use of Bronchodilators: Risks and Considerations
Persistent Cough After Cold: Causes and Solutions
Coughing issues? I would like to ask, about a week ago I caught a cold, but now I have been coughing continuously. I have taken medication, but it hasn't improved. Sometimes I cough to the point of feeling nauseous. Most of my phlegm is white, occasionally yellow, and I have...
Dr. Zhou Ziguang reply Pulmonology
Hello: Persistent cough after a cold may be due to increased sensitivity of the respiratory system, post-nasal drip, or other pulmonary diseases. Please consult a pulmonologist for further evaluation. Sincerely, Dr. Chou Tzu-Kuang, Department of Chest Medicine, Health Department.[Read More] Persistent Cough After Cold: Causes and Solutions
Understanding Persistent Throat and Chest Discomfort: Causes and Solutions
Sore throat and chest tightness? In March of this year, I felt like there was always phlegm stuck in my throat, with increased saliva production, but I didn't cough much. The phlegm was white and clear, and somewhat thick. I initially thought it was just a cold and didn'...
Dr. Zhou Ziguang reply Pulmonology
Hello: Based solely on the described symptoms, it is difficult to make an accurate diagnosis; generally, coughs can be attributed to bronchial or pulmonary issues, but discomfort in the throat may also be caused by post-nasal drip or chronic irritation from gastroesophageal reflu...[Read More] Understanding Persistent Throat and Chest Discomfort: Causes and Solutions
Understanding Cyfar21-1 Index in Non-Small Cell Lung Cancer Screening
Non-small cell lung cancer (NSCLC) Dear Doctor, I had a health check-up and my CYFRA 21-1 level for non-small cell lung cancer was 3.07, which is close to the normal value of 3.3. Should I undergo further testing? What does a high value signify? Am I considered to be in a high-ri...
Dr. Zhou Ziguang reply Pulmonology
Hello: Tumor marker tests are currently only used as a reference for clinical diagnosis and should be interpreted in conjunction with other clinical examinations (such as chest X-rays). Further discussion with your pulmonologist is necessary. Sincerely, Dr. Chou Tzu-Kuang, Attend...[Read More] Understanding Cyfar21-1 Index in Non-Small Cell Lung Cancer Screening
Understanding the Connection Between Pneumothorax and Pectus Excavatum
What is the relationship between pneumothorax and pectus excavatum? I have a friend who has pectus excavatum and developed a spontaneous pneumothorax, requiring hospitalization and chest tube drainage. After discharge, he has been experiencing chest tightness and persistent pain ...
Dr. Zhou Ziguang reply Pulmonology
Hello: Spontaneous pneumothorax is typically managed initially with chest tube insertion; if this is ineffective, surgical intervention may be required. Surgical treatment often yields quicker and better results, and generally, the prognosis is favorable. As for the other symptom...[Read More] Understanding the Connection Between Pneumothorax and Pectus Excavatum
Understanding Chest Tightness: Causes and Solutions for Relief
Chest tightness issue? Hello Doctor: I rarely exercise and often use the computer, so I frequently experience body aches and chest tightness. Recently, the chest tightness has become more severe, and I feel pain when I massage the area right in the center of my chest. Additionall...
Dr. Zhou Ziguang reply Pulmonology
Hello: There are many possible causes of chest tightness, with more common ones including cardiac issues, neuromuscular problems (such as exertion, poor posture, coughing, etc.), and gastrointestinal issues (such as gastroesophageal reflux). You may visit a pulmonology clinic for...[Read More] Understanding Chest Tightness: Causes and Solutions for Relief
Persistent Cough: Seeking Answers for a Four-Month Struggle
Regarding the issue of persistent coughing? Hello Dr. Zhou, I would like to ask you about a problem related to the thoracic cavity. Here’s the situation: my father has been coughing for almost four months now. However, he has not been able to get better despite visiting several h...
Dr. Zhou Ziguang reply Pulmonology
Hello: There are many causes of chronic cough that require differential diagnosis; common ones include chronic bronchitis, bronchiectasis, tuberculosis, and cancer. Additionally, non-pulmonary diseases may also be responsible, such as rhinitis with post-nasal drip, side effects f...[Read More] Persistent Cough: Seeking Answers for a Four-Month Struggle
Persistent Cough for Over a Month: What Should I Do?
If you have been coughing for nearly a month and a half, it is important to consult a healthcare professional for a proper evaluation. Persistent cough can be a symptom of various underlying conditions, such as respiratory infections, allergies, asthma, or other chronic lung dise...
Dr. Zhou Ziguang reply Pulmonology
Hello: Generally, a cold does not cause a cough that lasts this long; if you have been coughing for a month and a half, you should see a pulmonologist for further evaluation (a chest X-ray should be performed). Dr. Chou Tzu-Kuang, Attending Physician, Department of Internal Medic...[Read More] Persistent Cough for Over a Month: What Should I Do?
Impact of Secondhand Smoke on Infants from Caregivers' Clothing
Babies and the Clothing of Smokers? If an infant is cared for by a smoker who never smokes in front of the baby, will the smoker's tobacco-scented breath and body odor still have a significant impact on the infant?
Dr. Zhou Ziguang reply Pulmonology
Hello: There is currently no formal literature indicating that the odor from smokers significantly affects others; however, if a person has just extinguished a cigarette and then comes into contact with others (even if they are not smoking in front of them), there may still be re...[Read More] Impact of Secondhand Smoke on Infants from Caregivers' Clothing
Understanding Deep Breathing: Comfort, Symptoms, and Lung Function Insights
Could you please provide more details or specify your question? 1. Is it possible for a normal person to feel discomfort from prolonged deep breathing? What symptoms might occur? 2. When a normal person reaches the peak of a deep breath, do they typically feel a sense of comfort ...
Dr. Zhou Ziguang reply Pulmonology
Hello: 1. Rapid and excessive deep breathing over a short period of time (often triggered by psychological factors) may lead to a significant decrease in carbon dioxide levels in the blood, resulting in respiratory alkalosis and discomfort. 2. Another possible cause of discomfort...[Read More] Understanding Deep Breathing: Comfort, Symptoms, and Lung Function Insights
Severe Chest Pain: Understanding Recurring Symptoms and Causes
Approximately three to four times a year, I experience sudden and severe pain in the center of my chest? Hello, doctor. About three years ago, I began experiencing sudden, severe pain in the center of my chest and difficulty breathing, occurring approximately three to four times ...
Dr. Zhou Ziguang reply Pulmonology
Hello: There are many common causes of chest pain, such as cardiac issues, gastrointestinal diseases, and pleural disorders. It is recommended to undergo examinations such as a chest X-ray and an electrocardiogram (ECG). You may first visit a pulmonology department. Sincerely, Ch...[Read More] Severe Chest Pain: Understanding Recurring Symptoms and Causes
Understanding Intermittent Back Pain: Possible Causes and Insights
Back pain issues Dear Dr. Chou, From November 7 to 15, I experienced intermittent mild spasms near the left shoulder blade area of my back, which then shifted to the right side of my back. What could be the possible issue? (I have not engaged in any activities that require the u...
Dr. Zhou Ziguang reply Pulmonology
Hello: The main complaint suggests a neuromuscular issue, which may still be caused by certain poor postures. Additionally, the X-ray was taken three years ago; it would be advisable to follow up with a chest X-ray and spinal X-ray to rule out other possibilities. Best wishes. Dr...[Read More] Understanding Intermittent Back Pain: Possible Causes and Insights
Understanding Lung Nodules and Their Connection to Thyroid Cancer
Lung nodules & thyroid cancer 1. What are the causes of pulmonary nodules? 2. Is it possible for papillary thyroid carcinoma to metastasize to the lungs? Is there a relationship between pulmonary nodules and papillary thyroid carcinoma?
Dr. Zhou Ziguang reply Pulmonology
Hello: 1. A pulmonary nodule is a mass seen on a chest X-ray, which may be cancerous or benign, and requires further evaluation. 2. Papillary thyroid carcinoma can metastasize to the lungs; if a patient with thyroid cancer presents with a new pulmonary nodule, it is often due to ...[Read More] Understanding Lung Nodules and Their Connection to Thyroid Cancer
Understanding Chest Pain: Symptoms, Causes, and When to Seek Help
There is some pain in the chest? Hello: Recently, I have been experiencing some chest pain and occasional dizziness. Could this be a precursor to any diseases? Thank you!
Dr. Zhou Ziguang reply Pulmonology
Hello: There are many possible causes of chest pain, such as muscle strain, neuralgia, pleuritis, etc. A physician needs to conduct an examination for differential diagnosis; it cannot be determined solely from the description provided. Please consult a pulmonologist. Dr. Chou Tz...[Read More] Understanding Chest Pain: Symptoms, Causes, and When to Seek Help
Understanding Chest Pain: Is It Serious or Just a Cold?
My chest? Doctor, I have a cold that has lasted for several months and hasn't improved. Recently, I've noticed occasional sharp pain in the center of my chest when I breathe. Could it be tuberculosis? Also, when I perform pushing movements with my arms, I hear a wheezin...
Dr. Zhou Ziguang reply Pulmonology
Hello: A common cold does not last for several months. If respiratory symptoms have persisted for months, it is recommended to undergo a chest X-ray examination. Please consult a pulmonologist for differential diagnosis (such as tuberculosis, asthma, or other conditions). Dr. Cho...[Read More] Understanding Chest Pain: Is It Serious or Just a Cold?
Understanding Pulmonary Fibrosis: Symptoms, Concerns, and Care Options
Pulmonary fibrosis Dear Dr. Zhou, I am writing to seek your guidance regarding my mother, who is nearing her fifties and is over seventy-five years old. Three years ago, she was diagnosed with pulmonary fibrosis at a military hospital. Since then, her condition has gradually wor...
Dr. Zhou Ziguang reply Pulmonology
Hello: Pulmonary fibrosis is a progressive disease characterized by the scarring of lung tissue, with many causes remaining unknown. Some cases are triggered by specific medications (such as certain antiarrhythmic drugs). Symptoms include shortness of breath, indicating declining...[Read More] Understanding Pulmonary Fibrosis: Symptoms, Concerns, and Care Options