Chest, Internal Medicine FAQ - Page 23

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Excessive Phlegm: Causes, Concerns, and When to Seek Help

Excessive phlegm? Hello Doctor: Since last year, I have been experiencing excessive phlegm production. Previously, I would only have this issue when I had a cold, but now I have phlegm almost every day. I can hear a rattling sound in my lungs (accompanied by my breathing). Is thi...


Dr. Ke Zhengchang Reply:
Hello: A cough with excessive phlegm is generally indicative of acute bronchitis. If there are blood-streaked phlegm, it may suggest rupture of microvessels in the bronchi, bacterial infection, or even tuberculosis. It is recommended to visit a pulmonology clinic for a chest X-ra...

[Read More] Excessive Phlegm: Causes, Concerns, and When to Seek Help


How to Cough Up Sputum When You Have No Phlegm?

How to cough up phlegm? Hello, doctor. I recently had a chest X-ray (frontal view) taken at a health center, and it was found to show non-cavitary pulmonary tuberculosis. I then went to another hospital's pulmonology department for a follow-up examination (posterior view), b...


Dr. Ke Zhengchang Reply:
Hello: The diagnosis of pulmonary tuberculosis requires not only a chest X-ray but also sputum tests and clinical symptoms (such as cough, fever, and weight loss). If there are no symptoms, the changes observed in the X-ray can be monitored without medication, or medication may b...

[Read More] How to Cough Up Sputum When You Have No Phlegm?


Understanding Chest Tightness: Causes and Solutions for Persistent Symptoms

Chest tightness? Hello, Doctor: Recently, I have been suffering from a prolonged cold that hasn't improved. My symptoms include sore throat, cough, phlegm, occasional headaches, and nasal congestion. The most distressing symptom is a heavy feeling in my chest. I have visited...


Dr. Xie Weiming Reply:
Hello: Based on the description above, it seems to be an allergic cough, possibly indicating asthma, which could explain the persistent cough and chest tightness. Some asthma medications may cause an increased heart rate. It is recommended to consult a pulmonologist for further e...

[Read More] Understanding Chest Tightness: Causes and Solutions for Persistent Symptoms


Understanding Kidney Pain and Acid Reflux: When to Seek Medical Help

Please ask your two questions regarding the kidneys and stomach? Hello Dr. Yang, I would like to ask you about some recent symptoms I've been experiencing. Initially, I had shoulder pain, which then progressed to chest discomfort, and now I am noticing significant pain in th...


Dr. Yang Jun Reply:
Hello: In response to your question... the symptoms described in your message are less likely related to the kidneys and may be caused by the neuromuscular system. It is advisable to consult with a rehabilitation specialist or an orthopedic doctor for an examination. As for the p...

[Read More] Understanding Kidney Pain and Acid Reflux: When to Seek Medical Help


Understanding Gray-White Lung X-Ray: Causes of Breathing Difficulties and Edema

The X-ray of the lungs shows a grayish-white appearance? Hello: My grandfather has fainted due to difficulty breathing and is currently in the intensive care unit. He was discharged last week after the TB bacterial load reached a non-infectious level, but why did he suddenly expe...


Dr. Zhao Chongliang Reply:
Hello! Based on your description, your grandfather's chest X-ray appears to show signs of either cardiogenic pulmonary edema or non-cardiogenic pulmonary edema, such as renal-related pulmonary edema or acute respiratory distress syndrome (ARDS). Cardiogenic or renal-related ...

[Read More] Understanding Gray-White Lung X-Ray: Causes of Breathing Difficulties and Edema


Understanding Unexplained Pain: Possible Causes and Concerns

Pain Doctor: For the past four months, due to an irregular lifestyle and frequent late nights, I have experienced unknown pain radiating from the right side down to the right chest. What disease could this be? Is it a precursor to liver disease? Recently, even after sleeping for ...


Dr. Chen Qingbin Reply:
Lack of sleep can lead to various discomforting symptoms. It's advisable to first adjust your sleep patterns before consulting a physician.

[Read More] Understanding Unexplained Pain: Possible Causes and Concerns


Understanding Gastrointestinal Issues: Insights on Pain and Surgery

Health Consultation 1. I have been experiencing stomach pain since I gave birth, which has lasted for 4 years. I have had an endoscopy done once a year, but the report has not come out yet. What could be the cause of this? I have also done a stool test that showed trace blood, an...


Dr. Zhao Chongliang Reply:
The results of an upper gastrointestinal endoscopy can typically be discussed directly with the performing physician, without the need to wait for a report. The presence of occult blood in the stool indicates that there may be bleeding somewhere in the gastrointestinal tract or t...

[Read More] Understanding Gastrointestinal Issues: Insights on Pain and Surgery


Understanding Throat Nodules: Treatment Options and Causes Explained

Could you please provide more details or specify your question? Hello doctor, my father is 49 years old and has developed small nodules in his throat, experiencing palpitations and chest tightness. He has lost 6 kilograms. 1. I would like to ask if the small nodules in his thro...


Dr. Yang Hongzhi Reply:
The likelihood of needing surgery for small nodules in the throat is generally low. Medication usually has limited effectiveness. Whether treatment is necessary should be discussed further with a physician. If it is a thyroid nodule, a biopsy is typically required to determine th...

[Read More] Understanding Throat Nodules: Treatment Options and Causes Explained


Understanding Unexplained Abdominal and Chest Pain: Causes and Concerns

Unexplained pain Hello, doctor. I have a question. I often experience stomach pain, and recently it has been quite severe. It hurts when I eat, it hurts when I don't eat, and it also hurts when I press on it. What could be the cause? Additionally, sometimes I feel pain in my...


Dr. Li Huixiong Reply:
Based on your age and the symptoms you described, it is possible that you have a peptic ulcer. I recommend that you undergo an upper gastrointestinal endoscopy.

[Read More] Understanding Unexplained Abdominal and Chest Pain: Causes and Concerns


Understanding Left Back Pain: When to See a Doctor and Which Specialist?

excuse me? Hello doctor, I have a slight pain in the middle of my left back. It doesn't hurt as much when I take a deep breath, but it's difficult to breathe when I sit up straight. I've never experienced this before. Should I see a doctor? If so, which specialty s...


Dr. Zhao Chongliang Reply:
We usually categorize back pain into upper, middle, and lower regions, and I'm not sure which segment you are referring to. Back pain is often considered the "original sin" of bipedalism in humans, as the vertebrae and intervertebral discs of most vertebrate animal...

[Read More] Understanding Left Back Pain: When to See a Doctor and Which Specialist?


Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis

Unexplained pain? The area near the spine on the back (close to the shoulder blade), the lower edge of the ribs on the front chest, the thoracic cavity near the armpit, as well as the arms and fingers (especially the ring and little fingers) have been experiencing unexplained pai...


Dr. Zhao Chongliang Reply:
Due to pain near the lower rib cage and around the temples, it does not seem to originate from the spine or joints. If this has been persistent and there is no fever, it may be indicative of myofascial pain syndrome. A common condition is myofascial rheumatism (also known as fibr...

[Read More] Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis


Understanding Skin Bumps: Are They Linked to Liver Health?

I'm sorry, but I need more context to provide an accurate translation. Could you please provide additional information or clarify your request? Hello Dr. Zhao, I have recently developed some bumps on my forehead, and there's just a small one on my right cheek. I read i...


Dr. Zhao Chongliang Reply:
The liver is a detoxifying organ, so poor liver function can lead to the circulation of toxic substances in the bloodstream. The skin contains many tiny blood vessels, and when harmful substances circulate in the blood, they can cause various changes in the skin, such as roughnes...

[Read More] Understanding Skin Bumps: Are They Linked to Liver Health?


Overcoming Chronic Fatigue and Chest Discomfort: A Guide to Relief

Generalized fatigue and chest tightness? I have been feeling fatigued and weak for three months, and walking is exhausting (my weight is normal). I exercise 4-5 times a month and experience chest tightness along with occasional tinnitus. Drinking coffee to boost my energy results...


Dr. Lin Benpei Reply:
1. You need to adjust your lifestyle rhythm and relieve mental stress; engaging in aerobic exercise can be beneficial. 2. If there is improvement, it should be maintained consistently. 3. If there is no improvement, further treatment in relevant specialties should be pursued.

[Read More] Overcoming Chronic Fatigue and Chest Discomfort: A Guide to Relief


Understanding Mild Chest Pain During Exhalation: When to Seek Help

Mild chest pain during exhalation? During exhalation, there is a slight pain around the left chest area near the left nipple (at the horizontal level) and at the center of the chest, which becomes more noticeable after light movement. This has been ongoing for more than a day. Al...


Dr. Li Huixiong Reply:
There are many causes of chest pain, which can be benign or may indicate the onset of a serious condition. Given your age, it could be related to a muscular issue, but cardiac problems cannot be ruled out. It is advisable to seek a preliminary evaluation from a familiar internist...

[Read More] Understanding Mild Chest Pain During Exhalation: When to Seek Help


The Impact of Cold Foods on Your Body: Understanding Health Risks

Cold items Hello, Doctor: I would like to ask: the human body prefers a warm environment. If one frequently consumes cold foods and drinks, which organs in the body could be adversely affected? (I know about the stomach.) Also, with summer approaching... Last year, I developed a ...


Dr. Zhao Chongliang Reply:
Skin conditions related to cold include (1) winter itch (winter eczema), (2) palmoplantar keratoderma (Keratodermia Tylodes Palmaris Progressiva), (3) atopic dermatitis, and (4) cold urticaria. These conditions are often triggered by exposure to cold and dryness, commonly present...

[Read More] The Impact of Cold Foods on Your Body: Understanding Health Risks


Should I Get a Second Opinion on My Heart and Muscle Pain?

Do I need to have a re-examination? Last Saturday, I experienced pain in the left side of my chest that radiated to my back and the back of my head. I had shortness of breath that was rapid, and prolonged breathing caused pain. Additionally, I had a headache, which left me feelin...


Dr. Zhao Chongliang Reply:
I apologize, but due to typographical errors and omissions in the text, the meaning cannot be fully understood. Common causes of left chest pain include angina, mitral valve prolapse, pneumothorax, and musculoskeletal pain. Mitral valve prolapse often presents with non-specific c...

[Read More] Should I Get a Second Opinion on My Heart and Muscle Pain?


Understanding Steroid Use for Asthma: Dosage, Side Effects, and Diagnosis

Corticosteroids Doctor, I had a check-up at the hospital a year ago due to chest tightness and asthma symptoms. The bronchial provocation test was positive (with a 26% decrease in FEV1). The doctor mentioned that I have suspected asthma. However, since I did not have any episodes...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, your symptoms and lung function suggest asthma. The standard treatment during an acute exacerbation is to take oral steroids for one week (6 tablets per day). Once your symptoms improve, you can switch to inhaled corticosteroids. Rinsing your mou...

[Read More] Understanding Steroid Use for Asthma: Dosage, Side Effects, and Diagnosis


Understanding Chest Pain and Discomfort: Causes and Solutions

Chest pain and chest tightness? Hello... I often feel pain and tightness in the upper central part of my chest, and there is phlegm above my trachea. I had an ultrasound, electrocardiogram, and stress echocardiogram last year, all of which were normal. At the same time, I experie...


Dr. Li Huixiong Reply:
Hello: Based on your condition, your body seems to be quite robust. If you are still concerned, I recommend undergoing gastrointestinal examinations, such as an esophagogastroduodenoscopy (EGD) and a colonoscopy.

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


Severe Pain Under Right Arm: Possible Causes and Solutions

I am experiencing severe pain in my right forearm? I have been experiencing severe pain in the area of my right arm extending to my chest for the past month. The pain worsens when I exert force, and I also have difficulty turning over while sleeping. What could be the issue? Than...


Dr. Yang Hongzhi Reply:
It is likely to be neuromuscular pain; however, other causes cannot be ruled out. If the symptoms persist, medical attention should be sought.

[Read More] Severe Pain Under Right Arm: Possible Causes and Solutions


Understanding Chest Pain and Swallowing Difficulties in Kidney Patients

Chest tightness/pain and abnormal swallowing sensation? 1. I am a patient with horseshoe kidney, where my left kidney is connected to the right kidney. The symptoms I experience include hematuria, proteinuria, and stabbing pain in the left abdomen. After examination, I was diagno...


Dr. Yang Jun Reply:
Hello: In response to your question, the text describes that since last winter solstice, there have been three episodes of fainting accompanied by convulsions, which may indicate symptoms of epilepsy. It is essential to have a neurologist arrange for an electroencephalogram (EEG)...

[Read More] Understanding Chest Pain and Swallowing Difficulties in Kidney Patients


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