Understanding the Discomfort Between Throat and Chest: When to Seek Help
There is a sensation of something stuck between the throat and chest? Hello, doctor: Recently, I visited an otolaryngologist due to a sensation of tightness and a feeling of something stuck between my throat and chest. After examination, I was diagnosed with throat inflammation a...
Dr. Chen Taicheng Reply:
If you are currently not experiencing any swallowing pain or chest pain, you may observe your condition. However, if you continue to have related symptoms or discomfort, please follow up with a gastroenterologist, as it is indeed possible that you have gastroesophageal reflux dis...[Read More] Understanding the Discomfort Between Throat and Chest: When to Seek Help
Understanding Complex Migraine Symptoms and Their Management
The chief complaint is migraine? Hello, Doctor. I apologize for writing this as I have multiple symptoms. My migraines are accompanied by tinnitus, and the pain can last for several days. Sometimes, I experience a heavy sensation in my head that causes it to droop forward. Occasi...
Dr. Chen Taicheng Reply:
● There are many causes of headaches, with common types including migraines and tension-type headaches. Migraines are characterized by moderate to severe pain that can last from 4 to 72 hours, often unilateral, and may be accompanied by pulsating pain, nausea, vomiting, and exace...[Read More] Understanding Complex Migraine Symptoms and Their Management
Understanding Persistent Cough and Black Sputum: When to Seek Further Evaluation
Continuing from the previous article's question? Hello Doctor, I am the questioner with ID <a href="https://adoctor.tw/article/124564">#124564</a>. Thank you for your detailed explanation in the previous article. However, I realize that I did not descri...
Dr. Chen Taicheng Reply:
● You don't need to worry too much about X-rays; having a few dozen in a year is still within a tolerable range. The radiation dose from a single X-ray is very low (about 0.02 millisieverts), which is more than 50 times lower than the annual acceptable radiation dose of 1 mi...[Read More] Understanding Persistent Cough and Black Sputum: When to Seek Further Evaluation
Understanding Brown Phlegm: Causes, Concerns, and Next Steps
The sputum is brown? Hello Doctor, I apologize for this question, but I'm not sure where to ask it. I have been experiencing phlegm production for a long time, and sometimes it is brown in color. When I wake up in the morning and brush my teeth, the phlegm is often black or ...
Dr. Chen Taicheng Reply:
● First, determine if there is a tendency to bleed easily or if there are any periodontal issues (for example, if the gums bleed easily when brushing teeth); also check for conditions like allergic rhinitis or asthma that may cause frequent nose blowing or forceful coughing, whic...[Read More] Understanding Brown Phlegm: Causes, Concerns, and Next Steps
Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help
Iron deficiency anemia with splenomegaly? Hello Doctor, I was informed during a recent company health check that I have splenomegaly measuring 9 centimeters. I had a medical history of iron deficiency anemia four years ago, for which I received iron supplements until my levels re...
Dr. Chen Pengsheng Reply:
Dear Ms. Wei, The symptoms you described could have many possible causes, and iron deficiency anemia is one of them. I recommend that you bring your test results to see a physician for a detailed discussion. If it is iron deficiency anemia, effective treatment should be availab...[Read More] Understanding Splenomegaly in Iron Deficiency Anemia: When to Seek Help
Chest Tightness and Acidic Stomach: Understanding Your Symptoms
Chest tightness during breathing and frequent acid sensation in the stomach? Hello doctor, I have been feeling a lot of acidity in my stomach for some time now and often feel nauseous. When I wake up in the morning, I think it’s because I’m hungry, which is why my stomach feels a...
Dr. Chen Taicheng Reply:
Considering your age, gastrointestinal issues should be the primary focus, such as gastroesophageal reflux disease (GERD), dyspepsia, and peptic ulcers. Respiratory problems may also be related to gastrointestinal issues. It is recommended to seek further evaluation and treatment...[Read More] Chest Tightness and Acidic Stomach: Understanding Your Symptoms
Understanding Chest Pain: Esophageal Issues and Endoscopy Insights
Chest pain, esophageal issues, endoscopy? Hello, Doctor. I accidentally swallowed a fish bone on the evening of April 26. I visited the ENT department on the afternoon of April 27, where the doctor noted only throat inflammation and could not see the fish bone. He advised that if...
Dr. Chen Taicheng Reply:
● It has been approximately 2 weeks. If there were a severe esophageal or gastrointestinal perforation, the symptoms would be quite serious; currently, there are no such signs, so you can be somewhat reassured. Generally, if a fishbone is present in the digestive tract, it should...[Read More] Understanding Chest Pain: Esophageal Issues and Endoscopy Insights
Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Suspected Antiphospholipid Syndrome Hello, doctor. At the beginning of January this year, I suddenly experienced sharp chest pain, followed by numbness in my limbs. After that, I had many symptoms, such as sudden body jerks that would wake me up when I was about to fall asleep, i...
Dr. Chen Taicheng Reply:
● Antiphospholipid syndrome is typically diagnosed due to venous and arterial thrombosis or recurrent miscarriages in women of childbearing age. It is an autoimmune disease characterized by the presence of "antiphospholipid antibodies" in the blood, which cause blood to...[Read More] Understanding Suspected Antiphospholipid Syndrome: Symptoms and Insights
Understanding Breathing Difficulties: When to Seek Medical Help
Shortness of breath? Hello Doctor, I currently have the following conditions: 1. Occasionally, I need to slightly open my mouth and take a deep breath to feel a sense of lung expansion (I usually do not have significant stress or anxiety). 2. I find myself yawning more frequently...
Dr. Chen Taicheng Reply:
● Considering your age, the likelihood of severe cardiopulmonary abnormalities is low. The sensations of chest tightness and difficulty breathing should first rule out atopic conditions (such as asthma, allergic rhinitis, atopic dermatitis) that may cause respiratory discomfort. ...[Read More] Understanding Breathing Difficulties: When to Seek Medical Help
Understanding Intermittent Chest Pain: When to Seek Medical Help
Chest pain? I have been experiencing sharp pain in the upper right chest area near the ribs for over a month. However, it doesn't hurt every day; it only occurs occasionally in a specific location. Pressing on the area with my fingers also causes some sharp pain. Additionall...
Dr. Chen Taicheng Reply:
● If there is a fixed pain point, it is likely musculoskeletal in nature, possibly due to cartilage or fascia inflammation. It is advisable to visit a pulmonologist or a family medicine physician for an X-ray to rule out any fractures or pulmonary issues. ● Other potential causes...[Read More] Understanding Intermittent Chest Pain: When to Seek Medical Help
Which Medical Specialty Should I Consult for Chest Pain?
Which department should I see? I often experience chest pain, ranging from the upper inner left chest to the upper inner right chest. Yesterday at noon, while trying to take a nap, I suddenly felt intense pain in the center of my chest halfway through lying down. It hurt whether ...
Dr. Chen Taicheng Reply:
● Many specialties have ruled out related issues. If the pain occurs primarily when lying down, consider problems such as gastroesophageal reflux disease (GERD), esophageal ulcers, or pancreatitis. It is advisable to consult a gastroenterologist or a family medicine physician for...[Read More] Which Medical Specialty Should I Consult for Chest Pain?
Which Specialist to Consult for Right Chest and Back Pain?
You should see a specialist in internal medicine or a cardiologist, as the symptoms you are experiencing could be related to various conditions affecting the chest and back? Hello, I am a 40-year-old female. Recently, I have been experiencing occasional pain from my right breast ...
Dr. Ye Qianyu Reply:
Hello, Ms. Chen! Thank you for your inquiry! Please observe the area you described for any rashes; if present, please visit a dermatologist for evaluation. If there are no rashes, please consult an orthopedic or rehabilitation specialist. Additionally, please check for any lumps ...[Read More] Which Specialist to Consult for Right Chest and Back Pain?
Understanding Unexplained Abdominal Pain: Causes and Next Steps
Intermittent referred pain in the abdomen? Hello Doctor, my boyfriend (28 years old) has been experiencing intermittent radiating abdominal pain (similar to an electric shock) since March of last year. The pain does not occur when pressure is applied, and it has persisted for ove...
Dr. Wu Fangcan Reply:
Based on your statement, it is recommended to consult a neurologist or neurosurgeon for an examination. Thank you.[Read More] Understanding Unexplained Abdominal Pain: Causes and Next Steps
Understanding Left Chest and Upper Back Pain: Causes and When to See a Doctor
Pain in the left anterior chest and upper back? In recent days, I have experienced pain when pressing below the underwire of my left bra, along with pain in the upper left back. There are no lumps or swelling. What could be the cause? Which department should I visit for medical c...
Dr. Chen Taicheng Reply:
● Considering your age, the likelihood of cardiovascular diseases or severe pulmonary conditions is low. The pain in your left chest and upper back is more likely to be musculoskeletal or gastrointestinal in nature. ● Excerpting from my previous article, which addresses issues si...[Read More] Understanding Left Chest and Upper Back Pain: Causes and When to See a Doctor
Understanding Throat Discomfort and Neck Tension: A Patient's Journey
Sensation of a foreign body in the throat with tightness in the back of the neck? Hello Doctor: I tend to be overly anxious and have a history of gastrointestinal bloating, constipation, headaches, and chest tightness due to spinal and cervical misalignments. Long-term use of Wes...
Dr. Chen Taicheng Reply:
● It is important to determine what you may have choked on to rule out any issues with obstruction in the esophagus or trachea; however, since you have undergone a CT scan of the throat, it should initially rule out foreign body issues in the larynx. You may want to consult an ot...[Read More] Understanding Throat Discomfort and Neck Tension: A Patient's Journey
Understanding Blood in Phlegm: Causes and When to Seek Help
Sputum with blood clots? Hello, Doctor. I don't have a cold, but I feel like there's some phlegm in my throat today. After coughing it up, I noticed there were blood clots, about the size of a pinky nail and black in color. Should I be concerned about this? Additionally...
Dr. Zhang Hongwei Reply:
If symptoms persist, you should consult a pulmonologist and undergo a chest X-ray.[Read More] Understanding Blood in Phlegm: Causes and When to Seek Help
Understanding Upper Back Pain: Causes, Symptoms, and Diagnostic Tests
Frequent upper back pain? Hello, I would like to ask... I often experience pain in my upper back and feel the urge to stretch my chest and twist my waist. The specific area of pain is in the upper back, around the rib cage, similar to the "gāo huāng" point, with a sensa...
Dr. Zhang Hongwei Reply:
It is still necessary to visit a hospital and consult a physician for a physical examination in order to make an accurate differential diagnosis.[Read More] Understanding Upper Back Pain: Causes, Symptoms, and Diagnostic Tests
Persistent Bloating: Understanding Gastrointestinal Issues and Solutions
Bloating for several days? I have been experiencing bloating for about five days now, which has caused me to lose my appetite and have trouble sleeping. The bloating is located in the area below my chest and above my navel. During my recent visit to the doctor, I was diagnosed wi...
Dr. Chen Taicheng Reply:
Considering your age and condition, it is likely that you are experiencing gastrointestinal issues, which may include dyspepsia, gastritis, gastroesophageal reflux disease (GERD), or peptic ulcers. Generally, gastrointestinal problems tend to improve gradually; however, if sympto...[Read More] Persistent Bloating: Understanding Gastrointestinal Issues and Solutions
Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey
Causes of sore throat and issues related to insomnia? Hello Doctor: In February, I had a cold and felt unwell, so I went to a clinic to see a doctor and took some medication. My throat still felt a bit uncomfortable; initially, I thought it was due to a fishbone, but after examin...
Dr. Chen Taicheng Reply:
● There is a strict definition for contacts of tuberculosis: individuals who have been in contact with an index case (such as a colleague with pulmonary tuberculosis) for more than 8 hours in a single day, or a cumulative total of over 40 hours during the infectious period. If th...[Read More] Understanding Sore Throat Causes and Sleep Issues: A Patient's Journey
Understanding Chest Pain: When to Seek Medical Attention
Chest issues Hello, recently when I eat, I feel a bit of pain in the area just above the right chest, about two centimeters away from the esophagus. It hurts a little when I press it firmly. Swallowing saliva and deep breathing are fine. I'm not sure which specialty I should...
Dr. Chen Taicheng Reply:
If the pain occurs only when eating, esophageal issues should be considered first, such as the possibility of esophageal ulcers or lesions (especially if there is gastroesophageal reflux, or if there is a tendency to consume spicy, irritating foods, or alcohol that can damage the...[Read More] Understanding Chest Pain: When to Seek Medical Attention