Should You See a Doctor After a Hard Chest Impact?
I was hit in the chest? Hello Doctor: Yesterday, while playing with friends, I was accidentally slapped hard on the left side of my chest. Although it was unintentional, I am concerned whether this could cause a pneumothorax due to the force of the impact. At the moment, I only f...
Dr. Zhou Ziguang reply Pulmonology
Hello: If there is no chest pain and no difficulty breathing, the likelihood of a pneumothorax is relatively low. However, confirmation still requires a chest X-ray examination.[Read More] Should You See a Doctor After a Hard Chest Impact?
Chronic Cough: Symptoms, Concerns, and Diagnosis During Pregnancy
Chronic cough Hello, doctor. I have been experiencing a persistent dry cough for 3-4 years, often feeling the need to clear my throat. Sometimes, I feel a bit of difficulty breathing. In recent months, I have occasionally felt pain on the left side of my chest, which feels more l...
Dr. Zhou Ziguang reply Pulmonology
Hello: It is recommended to consult a pulmonologist for discussion with the physician.[Read More] Chronic Cough: Symptoms, Concerns, and Diagnosis During Pregnancy
Understanding Chest Discomfort: Causes and Solutions for Long-Term Relief
Chest tightness or pain? Hello Doctor, I have been experiencing persistent chest tightness and discomfort due to prolonged sitting since last year. When I lie down for a while, I feel much better, but if I continue to sit for a long time, the tightness returns. At the end of July...
Dr. Zhou Ziguang reply Pulmonology
Hello: 1. If the symptoms occur after prolonged sitting, consider reviewing and adjusting your posture at that time. 2. It is still advisable to consult a physician to discuss your condition.[Read More] Understanding Chest Discomfort: Causes and Solutions for Long-Term Relief
How to Differentiate Between Anxiety-Induced Chest Pain and Pneumothorax
Chest tightness or pain? Hello Doctor: I have anxiety and panic disorder, so I occasionally experience symptoms such as chest tightness, chest pain, and hyperventilation. However, I have heard that pneumothorax can also cause chest pain and is an emergency condition. I would like...
Dr. Zhou Ziguang reply Pulmonology
Hello: For the diagnosis and treatment of your condition, it is advisable to consult a pulmonologist for proper evaluation and management. It is not appropriate to provide fragmented responses here; please seek medical attention.[Read More] How to Differentiate Between Anxiety-Induced Chest Pain and Pneumothorax
Can Asymptomatic Tuberculosis Be Transmitted to Others?
Transmission of Tuberculosis (TB) Recently, a chest X-ray revealed a white shadow in the left upper lobe, and the doctor suspects it may be tuberculosis. However, there are no symptoms such as cough, sputum production, or chest pain. Is this contagious to others?
Dr. Zhou Ziguang reply Pulmonology
Hello: If tuberculosis is confirmed and the sputum test shows the presence of Mycobacterium tuberculosis, the patient is still infectious; however, if there is no significant cough, the infectiousness is lower.[Read More] Can Asymptomatic Tuberculosis Be Transmitted to Others?
Understanding Chest Pain During Coughing: Possible Causes and Concerns
Coughing with chest pain? Hello Doctor: Two weeks ago, I choked on water and coughed quite forcefully. I noticed that when I coughed hard, I experienced pain in my left chest (there is no pain when I am not coughing). A few days later, I visited a pulmonologist and had an X-ray t...
Dr. Zhou Ziguang reply Pulmonology
Hello: As mentioned, although most of the symptoms are still consistent with myofascial pain syndrome, pneumothorax cannot be ruled out. Please consult a pulmonologist for further evaluation.[Read More] Understanding Chest Pain During Coughing: Possible Causes and Concerns
Decreased Urine Output After Pneumonia Treatment: What to Do?
Decreased urine output after taking medication? Hello, the patient has a history of diabetes, kidney issues, and hypertension, all of which have been well-controlled for a long time. Recently, due to recurrent fever, a chest examination revealed mild pneumonia. After taking the m...
Dr. Zhou Ziguang reply Pulmonology
Hello: If you experience any adverse effects from medication or have questions, please return to the clinic to discuss medication adjustments with your physician.[Read More] Decreased Urine Output After Pneumonia Treatment: What to Do?
Persistent Cough for Over Two Months: Seeking Solutions and Insights
Coughing for over two months? Hello Doctor: I have been coughing for the past few months, and sometimes I feel a tightness in my chest. I have undergone a chest X-ray and a low-dose CT scan, both of which showed no abnormalities. I suspect it might be a gastrointestinal issue, so...
Dr. Zhou Ziguang reply Pulmonology
Hello: Please visit the pulmonology department and discuss your condition with the physician.[Read More] Persistent Cough for Over Two Months: Seeking Solutions and Insights
Chest Pain After Pressing: Causes and When to Seek Help
Chest compressions can be painful? Hello Doctor: For the past couple of days, I have been experiencing pain in my left chest area. I'm not sure if I pressed too hard, but today, even lightly touching the upper left chest (about five centimeters below the clavicle) causes sig...
Dr. Zhou Ziguang reply Pulmonology
Hello: Pain upon palpation is more likely indicative of a chest wall contusion or myofascitis, and medical evaluation is still necessary.[Read More] Chest Pain After Pressing: Causes and When to Seek Help
Understanding Aspiration Pneumonia and Secondary Drowning Risks in Children
Drowning and near-drowning incidents in swimming pools can lead to aspiration pneumonia and symptoms of secondary drowning? Hello, Doctor. I would like to ask you about aspiration pneumonia and secondary drowning. I am currently a student and work as a lifeguard at a swimming poo...
Dr. Zhou Ziguang reply Pulmonology
Hello: In theory, aspiration of water, which is not sterile, can potentially lead to pneumonia, coughing, wheezing, and other symptoms. It is advisable to monitor the situation, and if fever or respiratory symptoms develop, seek medical attention.[Read More] Understanding Aspiration Pneumonia and Secondary Drowning Risks in Children
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest tightness and pain? Hello Doctor: A few days ago, on August 19th, I choked a bit while drinking water. At that time, I was coughing very forcefully, and I felt that all the pressure from the cough was directed towards my left chest. During the coughing, I experienced p...
Dr. Zhou Ziguang reply Pulmonology
Hello: Pneumothorax cannot be ruled out; please consult a pulmonologist.[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Coughing and Phlegm: Key Insights for Smokers
Coughing up phlegm? "Uh-huh." I would like to ask if coughing and producing phlegm by making a "hmm hmm" sound from the throat are the same? For example, is making that sound in the morning or after dinner already considered coughing? Given my age and having a...
Dr. Zhou Ziguang reply Pulmonology
Hello: 1. The cough often brings up mucus from the trachea, which is primarily composed of saliva. 2. Please continue to refrain from smoking.[Read More] Understanding Coughing and Phlegm: Key Insights for Smokers
Understanding Hemoptysis: Is Blood-Frothy Cough Always Present?
Presence of blood-tinged froth? Is blood-tinged sputum always coughed up? Is bleeding from the gums or throat always separate from blood-tinged saliva? Last year, I intentionally coughed forcefully and had blood-tinged sputum, but an X-ray showed no issues. So now I want to ask a...
Dr. Zhou Ziguang reply Pulmonology
Hello: Bleeding from the upper respiratory tract (throat and nasal cavity) and the lower respiratory tract (trachea, bronchi, etc.) can result in hemoptysis, which requires evaluation and treatment by a physician.[Read More] Understanding Hemoptysis: Is Blood-Frothy Cough Always Present?
Understanding Breathlessness: Anxiety, Panic Attacks, and Chest Discomfort
Shortness of breath? Hello Doctor: I have anxiety and panic disorder, and whenever I experience a panic attack, I often feel chest tightness and difficulty breathing, which leads to hyperventilation. Recently, the weather has been extremely hot, making the air feel stifling. When...
Dr. Zhou Ziguang reply Pulmonology
Hello: Generally, pneumonia will show shadows on a chest X-ray. If the chest X-ray is normal, the likelihood of pneumonia is relatively low. Please discuss this further with your physician.[Read More] Understanding Breathlessness: Anxiety, Panic Attacks, and Chest Discomfort
Understanding Persistent Pain in the Right Chest and Back
There is persistent pain in the right chest and right back? Hello doctor, I have been experiencing pain in my right chest and back when I take deep breaths. The pain in my right back feels similar to a muscle strain, and it hurts when I slightly shrug my shoulders. Could you plea...
Dr. Zhou Ziguang reply Pulmonology
Hello: There are many causes of right chest pain. Based on the description, costochondritis is more likely, but a consultation with a physician is still necessary for proper evaluation.[Read More] Understanding Persistent Pain in the Right Chest and Back
Chronic Cough and Chest Pain: Understanding Your Symptoms and Concerns
Chronic cough and chest pain? Hello, Doctor. I've been experiencing a persistent cough for about four years. It tends to improve on its own after a while, but then it recurs. Sometimes, I feel the urge to clear my throat, but I can't seem to produce anything; it just fe...
Dr. Zhou Ziguang reply Pulmonology
Hello: Based on the information provided, it is necessary to consult a pulmonologist to discuss whether another chest X-ray is needed.[Read More] Chronic Cough and Chest Pain: Understanding Your Symptoms and Concerns
Post-Tuberculosis Recovery: Can Sputum Tests Still Show Positive?
After recovering from pulmonary tuberculosis? Hello, I would like to ask if a sputum test can still show a positive result after recovering from tuberculosis. I am considering taking a national exam and am concerned that this might affect my eligibility. Thank you.
Dr. Zhou Ziguang reply Pulmonology
Hello: After completing treatment for tuberculosis, regular follow-up is necessary. If sputum tests are positive, it may indicate a relapse of tuberculosis or other non-tuberculous mycobacterial infections, and further identification is required. Regular examinations are still re...[Read More] Post-Tuberculosis Recovery: Can Sputum Tests Still Show Positive?
Understanding Positive Urine Protein and Hematuria: Should You Be Concerned?
Urinary occult blood and urinary protein? Doctor, I had a health check-up two years ago, and at that time, the tests showed positive results for urine protein and urine occult blood. However, I didn't notice it then. Now that I've found the previous report, I see that t...
Dr. Zhou Ziguang reply Pulmonology
Hello: It is recommended to follow up with another urine test and discuss the results with your physician.[Read More] Understanding Positive Urine Protein and Hematuria: Should You Be Concerned?
Persistent Cough: When to Seek Further Evaluation for Lung Issues
The cough has not improved? Hello Doctor: I have been coughing for nearly a month. Due to a family history of lung cancer, I underwent a low-dose CT scan two weeks ago for follow-up, and the results were normal. However, my cough has not improved. I have taken cough suppressants,...
Dr. Zhou Ziguang reply Pulmonology
Hello: The above issues require evaluation and treatment by a physician. Please visit a pulmonology clinic.[Read More] Persistent Cough: When to Seek Further Evaluation for Lung Issues
Understanding Chest Discomfort: Causes and When to Seek Help
Chest tightness? Hello Doctor: Last month, one night while I was running, I felt a slight pain in the center of my chest. I had experienced this before, so I didn't pay much attention to it. After finishing my run, I felt a bit uncomfortable, and after walking for a while, I...
Dr. Zhou Ziguang reply Pulmonology
Hello: Please discuss the follow-up management with a pulmonologist or cardiologist.[Read More] Understanding Chest Discomfort: Causes and When to Seek Help