Persistent Coughing: Is It Asthma Triggered by Cold Weather or Food?
Cough? Asthma? Recently, whenever the weather gets cold or I eat oranges or spicy food, I start coughing uncontrollably. Even adding pepper to scallion pancakes triggers this reaction, and I cough so hard that it feels like my trachea is about to come out, producing a terrible so...
Dr. Zhuang Ziyi reply Pulmonology
Hello: Based on the symptoms, it appears to be more like sensitive airways, which can exhibit asthma-like symptoms when exposed to certain triggers. If the allergen test is positive, serum IgE levels are elevated, and there is reversible airway obstruction in lung function tests,...[Read More] Persistent Coughing: Is It Asthma Triggered by Cold Weather or Food?
Understanding Tracheostomy Care and Nutrition for Comatose Patients
excuse me? The 23-year-old female patient has been in a coma for five months following a car accident. She is currently receiving nasogastric feeding and has a tracheostomy (not requiring a ventilator; she can breathe independently with a humidification bottle and is otherwise re...
Dr. Zhuang Ziyi reply Pulmonology
1. Conditions for tracheostomy tube removal training: The patient must be conscious and have the ability to cough up secretions. The method for removal training involves occluding the tracheostomy tube with a plug and observing for more than 24 hours for any signs of sputum produ...[Read More] Understanding Tracheostomy Care and Nutrition for Comatose Patients
Understanding Painless Bronchoscopy for Lung Tumor Biopsy: Costs and Accuracy
Lung tumor Doctor: I would like to know about painless bronchoscopy for biopsy. Is it performed in the same way as a regular bronchoscopy, entering through the nose for the biopsy? Is the cost considered out-of-pocket? There is a 7 cm tumor that has not been biopsied yet. The doc...
Dr. Zhuang Ziyi reply Pulmonology
Hello: 1. A painless bronchoscopy refers to the use of short-acting anesthetics to alleviate the discomfort experienced by patients during the bronchoscopy procedure, and there is no absolute relationship between whether the bronchoscope is inserted through the nasal cavity or th...[Read More] Understanding Painless Bronchoscopy for Lung Tumor Biopsy: Costs and Accuracy
Understanding Chest Pain and Breathing Issues After Sports Injury
Sports impact Hello: I had a strong collision in the chest during a basketball game yesterday, and I immediately felt short of breath, needing to take deep breaths to get air, which lasted for several minutes before gradually easing. Later, when I went back to play, I felt discom...
Dr. Zhuang Ziyi reply Pulmonology
Hello, for the muscle contusion caused by chest impact, please visit the thoracic surgery outpatient clinic to have a chest X-ray to confirm that there are no fractures or pneumothorax. Sincerely, Dr. Zhuang Ziyi, Internal Medicine.[Read More] Understanding Chest Pain and Breathing Issues After Sports Injury
Is Dizziness a Sign of Lung Cancer Metastasis to the Brain?
Lung cancer metastasis Hello Dr. Chuang, I would like to ask a question. My mother is in the advanced stage of lung cancer, and she has recently been experiencing dizziness. Could this be a sign of lung cancer metastasizing to the brain? I am very worried and look forward to your...
Dr. Zhuang Ziyi reply Pulmonology
Hello Claire: Regarding your mother's case as a patient with advanced lung cancer, even in the absence of central nervous system symptoms (such as headache, vomiting, hypertension, or increased chest pressure), there is still a 30% chance of metastasis to the chest. It is re...[Read More] Is Dizziness a Sign of Lung Cancer Metastasis to the Brain?
Understanding Tracheal Scarring: Causes, Symptoms, and Treatment Options
Tracheal stenosis I would like to inquire about my health. I have undergone two health check-ups, and both reports indicated that I have tracheal scarring. My job is primarily office work, and I do not ride a motorcycle; I only drive. However, I do have chronic rhinitis, although...
Dr. Zhuang Ziyi reply Pulmonology
The diagnostic criteria and causes of "tracheal scarring" cannot be determined based on the provided information. Please consult the pulmonology department of the original medical examination facility for further inquiries.[Read More] Understanding Tracheal Scarring: Causes, Symptoms, and Treatment Options
Understanding Chest Pain: Causes, Concerns, and Diagnosis
Chest pain? Initially, I experienced chest tightness and pain, which disappeared after a few days. Then, I started to feel a strange sensation in my back, which was somewhat painful but not quite; it felt like someone was pressing a wooden stick against my back. I have a mild cou...
Dr. Zhuang Ziyi reply Pulmonology
Hello: 1. Nasal allergies and post-nasal drip can lead to coughing, and prolonged coughing can cause contraction of the chest muscles, resulting in muscle pain. 2. The likelihood of developing lung cancer before the age of 30 is very low, unless you have been smoking for over 15 ...[Read More] Understanding Chest Pain: Causes, Concerns, and Diagnosis
Understanding Lung Tumors: Benign vs. Malignant Ratios in Elderly Patients
Lung tumor An 80-year-old male has been found to have a lung tumor with no symptoms. A CT scan has already been performed. What is the ratio of benign to malignant tumors in this case?
Dr. Zhuang Ziyi reply Pulmonology
Hello: I am unable to provide you with an answer regarding your concerns, as there are no examination reports or medical history available. I recommend that you consult your mother's attending physician for a clearer understanding. Wishing you good health.[Read More] Understanding Lung Tumors: Benign vs. Malignant Ratios in Elderly Patients
Chest Pain: When to See a Pulmonologist or Get a Breast Exam?
Chest pain I have been experiencing persistent chest pain lately. Should I see a pulmonologist or get a breast examination? The pain comes and goes, and it's quite concerning... Please advise me on what to do.
Dr. Zhuang Ziyi reply Pulmonology
Hello: I recommend that you see a pulmonologist or a cardiologist. Wishing you good health.[Read More] Chest Pain: When to See a Pulmonologist or Get a Breast Exam?
Managing Lymphangioleiomyomatosis: Symptoms, Treatments, and Concerns
Pulmonary Lymphangioleiomyomatosis Hello doctor, I have been suffering from this condition for 4 years. I am currently using inhaled medications such as AsthmaMed and oral bronchodilators, along with corticosteroids, progesterone, and allergy medications. Additionally, I am on 24...
Dr. Zhuang Ziyi reply Pulmonology
Hello: 1. Based on the symptoms, it is likely sinusitis, and you may consider consulting an otolaryngologist. If the sputum tests show no issues, it does not appear to be due to disease progression. 2. This condition is a rare disease, with domestic cases likely not exceeding one...[Read More] Managing Lymphangioleiomyomatosis: Symptoms, Treatments, and Concerns
Post-Tracheostomy Care: Addressing Wound Healing and Future Risks
What special considerations should be taken after the wound of a tracheostomy patient has healed? Hello, thank you for your previous response. My mother has had her tracheostomy tube removed for over three months now, and she is recovering well. However, the healing wound on her ...
Dr. Zhuang Ziyi reply Pulmonology
Hello: 1. The tracheostomy wound will gradually heal on its own over time, and it is generally covered with a scarf for both aesthetic and practical purposes. 2. It may not necessarily be a complication of the tracheostomy. Older patients often have reduced elasticity in the ...[Read More] Post-Tracheostomy Care: Addressing Wound Healing and Future Risks
Understanding Clear Yellow Phlegm: Causes and Concerns in Chest Health
Clear, pale yellow sputum? I apologize, but I would like to ask a question. Recently, I have been feeling that my chest is often producing phlegm, which is slightly transparent and light yellow. I don't feel the urge to cough, but I do lightly cough to expel it, and it seems...
Dr. Zhuang Ziyi reply Pulmonology
Hello: Based on the symptoms you described, a possible cause could be chronic bronchitis induced by smoking. The typical symptoms of nicotine withdrawal syndrome include fatigue, difficulty concentrating, and weight gain, among others. I recommend that you visit a medical facilit...[Read More] Understanding Clear Yellow Phlegm: Causes and Concerns in Chest Health
Understanding Stage IV Cancer: Survival and Chemotherapy Options for the Elderly
Stage IV cancer My grandfather is 84 years old and has stage 4 cancer, which is malignant. I am unsure how long he can survive with chemotherapy.
Dr. Zhuang Ziyi reply Pulmonology
Hello: Your statement is unclear, and I cannot provide a response.[Read More] Understanding Stage IV Cancer: Survival and Chemotherapy Options for the Elderly
Managing Persistent Cough After Tracheostomy: Concerns and Solutions
Persistent coughing after tracheostomy? Hello, my mother underwent a tracheostomy in mid-October, and since then she has been experiencing persistent coughing with phlegm. I understand that tracheostomy patients often have increased secretions, but does this mean they will contin...
Dr. Zhuang Ziyi reply Pulmonology
Hello, both normal individuals and patients produce secretions in the respiratory tract daily. The ciliary movement of the respiratory epithelial cells transports these secretions towards the trachea and vocal cords, ultimately leading to them being coughed out or swallowed into ...[Read More] Managing Persistent Cough After Tracheostomy: Concerns and Solutions
Understanding Tracheostomy: Managing Mucus and Breathing Difficulties in Elderly Patients
Tracheostomy My grandfather is 92 years old and was recently admitted to the intensive care unit due to choking on food. The doctors have informed us that they are unable to suction out the mucus from his lungs, and he is also having difficulty breathing on his own. He has been o...
Dr. Zhuang Ziyi reply Pulmonology
Reply: Hello, 1. In healthy individuals, the respiratory tract produces a certain amount of mucus daily, which is propelled upward from the deep lung areas to the trachea and even the vocal cords by the cilia on the surface of the respiratory epithelial cells. This mucus can ...[Read More] Understanding Tracheostomy: Managing Mucus and Breathing Difficulties in Elderly Patients
Understanding White Spots on Lung X-rays: What You Need to Know
The chest X-ray shows white spots in the lungs? Hello doctor, my mother recently underwent a full health check-up at the hospital, and the X-ray results showed white spots in her lungs. The doctor mentioned that it could possibly be a tumor and advised her to return for a follow-...
Dr. Zhuang Ziyi reply Pulmonology
Hello: The chest X-ray shows that there are white spots in the lungs, and there are many possible diagnoses. The most likely conditions include calcified nodules left by tuberculosis, chronic pulmonary infections, benign tumors, and malignant tumors, among others. The definitive ...[Read More] Understanding White Spots on Lung X-rays: What You Need to Know