Dr. Zhou Ziguang reply Pulmonology Question - Page 8

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Understanding Intercostal Muscle Strain: When to Worry About Rib Fractures

Intercostal muscle strain I was in a car accident before, and I've been experiencing pain in my ribs when I breathe. When I went for a check-up, the doctor said it was a strain. However, after two weeks, the pain is still there, and I can't rest properly. Could it be a ...


Dr. Zhou Ziguang reply Pulmonology
Hello: You may consider discussing with your physician whether to obtain a chest X-ray to confirm the presence of any fractures.

[Read More] Understanding Intercostal Muscle Strain: When to Worry About Rib Fractures


Risk of Contracting Tuberculosis During Patient Interaction

Questions about pulmonary tuberculosis? I am currently interning at a hospital, and I just learned that my patient has been coughing at home for two months due to tuberculosis. During my assignment, I had removed my mask to chat with her for about 30 minutes, maintaining a distan...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. The definition of a general contact is someone who has been in contact for more than 8 hours within the infectious period or has accumulated over 40 hours of contact. 2. Close contact without protection with a patient who has infectious pulmonary tuberculosis still carr...

[Read More] Risk of Contracting Tuberculosis During Patient Interaction


Understanding Mild Chest Pain: When to Seek Medical Advice

Mild pain on the left side of the chest, slightly towards the right? I occasionally experience a slight pain in the lower right area of my left chest, which seems to be related to psychological factors since it’s not very painful—just a minor discomfort that goes away after a whi...


Dr. Zhou Ziguang reply Pulmonology
Hello: A physician's evaluation is required for further assessment.

[Read More] Understanding Mild Chest Pain: When to Seek Medical Advice


Managing Tuberculosis Medication Side Effects in Elderly Patients

Tuberculosis Medications Hello, my grandfather is 80 years old. Last month, he tested positive for sputum culture while undergoing treatment for a stent placement in the hospital. However, another hospital tested his sputum and found it negative. He has been on isolation medicati...


Dr. Zhou Ziguang reply Pulmonology
Hello: If you are experiencing medication side effects, it is recommended to consult with a pulmonologist or visit our hospital to discuss whether a medication adjustment is necessary.

[Read More] Managing Tuberculosis Medication Side Effects in Elderly Patients


Exploring Rapid TB Testing Options with MGIT 960 for Timely Diagnosis

Regarding sputum culture testing using the MGIT 960 system? My father was diagnosed with suspected tuberculosis at the end of May, but he has not yet been confirmed as having the disease since the sputum culture results are still pending. When he returned home for rest at the end...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. For patients suspected of having tuberculosis who experience side effects from medication, it is advisable to discuss subsequent management or medication adjustments with their physician, or they may seek consultation at our hospital. 2. If cultures have been incubated ...

[Read More] Exploring Rapid TB Testing Options with MGIT 960 for Timely Diagnosis


Understanding Brief Chest Pain: Causes and Solutions

Issues in the lower left and right chest areas? Hello Doctor: I have been experiencing pain in my left chest and slightly below my right chest for the past few days. Sometimes the pain is in different locations, but it only lasts for a few seconds each time. What could be the rea...


Dr. Zhou Ziguang reply Pulmonology
Hello: It is commonly associated with neuromyofascial pain, but it is still necessary to consult a physician for diagnosis and treatment.

[Read More] Understanding Brief Chest Pain: Causes and Solutions


Understanding Cough, Chest Pain, and Lung Nodules: Key Concerns

Recent concerns about cough, chest pain, and pulmonary nodules? Due to a family history of lung cancer (grandmother) and experiencing some respiratory symptoms earlier this year, I paid out of pocket for a low-dose CT scan, which revealed a 0.45 cm lung nodule. At that time, the ...


Dr. Zhou Ziguang reply Pulmonology
1. If the nodule is malignant, it may increase in size after six months. If it does increase, a biopsy may need to be considered. If you are still concerned about the 0.45 cm nodule, you can discuss with a thoracic surgeon the possibility of an earlier biopsy. 2. Coughing is usua...

[Read More] Understanding Cough, Chest Pain, and Lung Nodules: Key Concerns


Understanding the Link Between Pneumothorax and Lung Cancer Risks

Questions about pneumothorax and lung cancer? Hello Doctor, I will be turning 25 this year. About seven years ago, I experienced a spontaneous pneumothorax, which was treated successfully after a week of hospitalization. I often feel a slight stabbing pain in my chest, but it is ...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. Pneumothorax is not a common risk factor for lung cancer; smoking is the most significant risk factor. 2. If there is an increase in sputum volume or a change in color, please consult a pulmonologist.

[Read More] Understanding the Link Between Pneumothorax and Lung Cancer Risks


Preventing Tuberculosis Transmission in Family Visits to Hospitalized Patients

A family member has tuberculosis (TB)? The doctor informed us that my grandmother was hospitalized due to illness, initially in a regular ward and later transferred to the intensive care unit. She was suspected of having tuberculosis, and it was recently confirmed. I would like t...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. If the visitor has appropriate protection (for example, wearing an N95 mask), the chance of transmission is very low. General tuberculosis (TB) contacts refer to individuals who live with the patient or have been in contact with the patient for 8 hours or more in a day ...

[Read More] Preventing Tuberculosis Transmission in Family Visits to Hospitalized Patients


Understanding Left Chest Discomfort: A Comprehensive Guide to Symptoms and Solutions

Discomfort in the upper left side of the body? A few months ago, I experienced rapid heartbeat and chest tightness, which led to a feeling of heat throughout my body. I went to the emergency room at midnight, where I had an electrocardiogram and chest X-ray, both of which were no...


Dr. Zhou Ziguang reply Pulmonology
Hello: You can visit the pulmonology and cardiology departments to clarify whether there are any heart or thoracic issues. If both are normal, you may consider consulting a psychosomatic medicine specialist to explore if there are recent stress-related factors.

[Read More] Understanding Left Chest Discomfort: A Comprehensive Guide to Symptoms and Solutions


Post-Pneumothorax Surgery: Understanding Chest Pain and Discomfort

Post-pneumothorax surgery Hello, doctor. I underwent a total of four surgeries for pneumothorax before 2012, and I have not experienced any recurrence. However, after resting for a year in 2012, I started exercising, such as cycling and jogging. After these activities, I experien...


Dr. Zhou Ziguang reply Pulmonology
Hello: Please visit the thoracic surgery department.

[Read More] Post-Pneumothorax Surgery: Understanding Chest Pain and Discomfort


Understanding Right Chest Pain: Causes and When to Seek Help

Right chest pain? Hello, I used to experience sudden cramping sensations from my right chest to my right shoulder, which would worsen with deep breaths, but it wasn't frequent. Recently, this same condition has occurred again and has become a bit more frequent (up to twice a...


Dr. Zhou Ziguang reply Pulmonology
Hello: Based on what has been described, the cause is most likely neuromuscular pain, but please seek medical evaluation and treatment from a pulmonologist.

[Read More] Understanding Right Chest Pain: Causes and When to Seek Help


Understanding Sleep-Related Breathing Difficulties and Their Causes

Difficulty breathing during sleep? Experiencing difficulty breathing during sleep with nasal congestion, and waking up with a thick, yellowish saliva on the tongue, which feels like it extends down to the esophagus, raises concerns. It's unclear what the issue might be, and ...


Dr. Zhou Ziguang reply Pulmonology
If you have nasal congestion, you can first visit an otolaryngologist. If you also experience snoring, you may need to consult a pulmonologist at a medical center.

[Read More] Understanding Sleep-Related Breathing Difficulties and Their Causes


Understanding Recurrent Chest Tightness: Possible Pneumothorax Symptoms

Periodic chest cramps sensation, pneumothorax? Symptoms: Discomfort and a feeling of tightness and cramping in the left chest, nausea (feeling like I will vomit if I take another breath, but also feeling a strong urge to breathe), numbness in the left jaw, and severe dizziness th...


Dr. Zhou Ziguang reply Pulmonology
You can first visit a cardiologist or a pulmonologist for an examination (it is recommended to see a specialist in the respective field).

[Read More] Understanding Recurrent Chest Tightness: Possible Pneumothorax Symptoms


Managing Spontaneous Pneumothorax: Exercise Guidelines and Breathing Techniques

What should be noted for spontaneous pneumothorax? A few weeks ago, I experienced my first pneumothorax, but I did not require surgery since it was not severe and only needed observation. I would like to ask about information I found online stating that pneumothorax is not associ...


Dr. Zhou Ziguang reply Pulmonology
Hello: 1. It is not recommended to engage in activities that cause rapid changes in atmospheric pressure or intrathoracic pressure, such as diving, skydiving, or activities that involve sudden exertion. 2. If you experience any related discomfort, such as chest pain or shortness ...

[Read More] Managing Spontaneous Pneumothorax: Exercise Guidelines and Breathing Techniques


Post-Surgery Pneumothorax: Can I Play Saxophone Again?

Post-pneumothorax surgery Hello, I am a second-year music student. Three months ago, I had a spontaneous pneumothorax (on the left side) and underwent surgery. I would like to ask if I will be able to play the saxophone in the future, as it requires significant effort to exhale a...


Dr. Zhou Ziguang reply Pulmonology
Hello: It is recommended to discuss with the surgeon who suggested the operation. Additionally, you may ask the physician if there are any other pulmonary abnormalities, such as apical blebs, especially if a chest CT scan has been performed.

[Read More] Post-Surgery Pneumothorax: Can I Play Saxophone Again?


Persistent Coughing for Months: Causes and Solutions Explained

I have been coughing for the past month or two! I have been coughing continuously! However, I don't feel like I have a cold or any other discomfort... I have visited more than four clinics, and neither injections nor medications have been effective. Symptoms: I keep coughing...


Dr. Zhou Ziguang reply Pulmonology
Hello: Please visit the pulmonology department for evaluation by a physician.

[Read More] Persistent Coughing for Months: Causes and Solutions Explained


Understanding Lung Adenocarcinoma: Insights on Diagnosis and Prognosis

The lung biopsy results indicate lung adenocarcinoma. I would like to understand more details? GROSS FINDING: The entire specimen is embedded in 2 blocks. Immunostaining for TTF-1 is performed on block A (HBH). MICROSCOPIC FINDING: Sections show desmoplastic stroma with infiltr...


Dr. Zhou Ziguang reply Pulmonology
Hello: Prognosis is related to the extent of tumor spread and specific biochemical/immunological markers. It is advisable to discuss this in detail with your attending physician to determine the subsequent management plan.

[Read More] Understanding Lung Adenocarcinoma: Insights on Diagnosis and Prognosis


Understanding Chest Pain: Causes and Concerns in Posture-Related Discomfort

Chest pain issues? Hello doctor, I experience chest pain when bending my upper body or lying on my side with one hand supporting my head. The pain also occurs during the process of returning to an upright position, but I do not feel this pain when in a normal posture or walking. ...


Dr. Zhou Ziguang reply Pulmonology
Hello: The most common condition is myofascial pain, but it is still necessary to visit a clinic for evaluation by a physician.

[Read More] Understanding Chest Pain: Causes and Concerns in Posture-Related Discomfort


Understanding Chest Pain: Causes and When to Seek Medical Help

Throat, clavicle, and right chest pain? Today during my lunch break, I practiced with the brass band as a trumpet player. I was out of breath from climbing the stairs, and since I was late, I immediately started playing after setting up my instrument. About half an hour into play...


Dr. Zhou Ziguang reply Pulmonology
Hello: The described condition cannot be accurately assessed; please seek medical attention from a pulmonologist immediately.

[Read More] Understanding Chest Pain: Causes and When to Seek Medical Help


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