Understanding Lung Nodules: What to Do After a CT Scan
Pulmonary nodules Recently, the company conducted a health check, which included a lung CT scan. Later, the hospital called to inform me that a white spot was detected in my lungs, but they couldn't clearly identify what it was. They suggested that I visit the endocrinology ...
Dr. Hong Yuanbin Reply:
Hello, 1. Theoretically, if there are issues with the lungs, it would indeed be appropriate to consult a pulmonologist. I also do not understand why one would see an endocrinologist unless a thyroid issue is discovered or there is suspicion of an endocrine-related tumor. Howeve...[Read More] Understanding Lung Nodules: What to Do After a CT Scan
Understanding Lung Issues: Insights on X-Ray Findings and Manganese Exposure
Pulmonary issues I have been working in the steel industry, which requires long hours of welding. During the last health check, an X-ray showed abnormalities. The family medicine report indicated a localized shadow in the right lower lung, possible bronchitis, or manganese poison...
Dr. Hong Yuanbin Reply:
Hello, I tend to agree with the second physician's opinion. Indeed, to confirm whether it is manganese poisoning, blood and urine tests are more accurate. Chest X-rays are not very effective in diagnosing manganese poisoning. The presence of shadows or spots in the lungs is ...[Read More] Understanding Lung Issues: Insights on X-Ray Findings and Manganese Exposure
Abdominal Pain, Lung Inflammation, and Fever: Seeking Medical Advice
Abdominal pain, pulmonary inflammation, and high fever issues? Hello Doctor, I apologize for the interruption. I've been experiencing abdominal pain (cramping) for the past two days, and my bowel movements have been very loose. I also have muscle aches, fever (ranging from 3...
Dr. Hong Yuanbin Reply:
Hello: Based on your description of fever, upper abdominal pain, and diarrhea, it is likely that you are experiencing acute gastroenteritis or a gastrointestinal viral infection, possibly caused by consuming contaminated food. The medications you have been prescribed are aimed at...[Read More] Abdominal Pain, Lung Inflammation, and Fever: Seeking Medical Advice
Understanding Elevated White Blood Cell Counts and Related Health Issues
Regarding issues related to elevated white blood cell counts? Hello, Doctor; my friend was hospitalized last January due to a fever (at that time, there were abnormal white blood cell counts). However, after hospitalization, the condition was controlled, and the hospital did not ...
Dr. Lin Wufu Reply:
Hello! To determine whether there is a correlation between your friend's two episodes of fever and elevated white blood cell count, it is essential to assess whether the white blood cell count returned to normal between the two hospitalizations, as well as to consider any ot...[Read More] Understanding Elevated White Blood Cell Counts and Related Health Issues
Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Sjögren's syndrome, articular cartilage Hello, Director Gao! I have several symptoms and I'm unsure if they are related to an autoimmune disease. 1. My dentist informed me that my mouth is very dry. This condition has persisted for at least three years, especially dur...
Dr. Gao Jiankai Reply:
Hello, I apologize for the late response. I believe your symptoms are indeed related to Sjögren's syndrome, including dry eyes, dry mouth, thyroid dysfunction, cough, and generalized body aches, even lower back pain, which may all be associated with Sjögren's syndrome. ...[Read More] Understanding Dry Syndrome and Joint Cartilage Issues: A Guide to Immune Disorders
Understanding Right Lower Chest Pain: Possible Causes and Next Steps
There is a dull pain in the lower right area of the chest, and there is tenderness upon palpation? Hello Dr. Hong, Since May of last year, I have been experiencing a dull pain in the lower right side of my chest (approximately to the right of the xiphoid process) that lasts for...
Dr. Hong Yuanbin Reply:
Hello, the location you described is indeed at the junction of the heart, lungs, stomach, liver, gallbladder, and pancreas. Many diseases need to be considered. According to your description, the chest X-ray is normal, so the most likely issue is gastritis. It is recommended to f...[Read More] Understanding Right Lower Chest Pain: Possible Causes and Next Steps
Can Tuberculosis Patients Undergo Percutaneous Endoscopic Gastrostomy?
Can patients with pulmonary tuberculosis undergo percutaneous endoscopic gastrostomy (PEG) placement? Hello Doctor, my mother is 67 years old and has been diagnosed with tuberculosis in the lungs for the past three months, which has subsequently led to meningitis and abnormal beh...
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the inquiry about whether patients with tuberculosis can undergo percutaneous endoscopic gastrostomy (PEG) surgery, the response is as follows: 1. Transmission of tuberculosis: (1) Historically, there have been theories regarding transmission through ...[Read More] Can Tuberculosis Patients Undergo Percutaneous Endoscopic Gastrostomy?
Understanding Intermittent Left Rib Cramps: Causes and When to Seek Help
Left lower rib cage Hello doctor, this afternoon I have been experiencing intermittent twitching in the area under my left rib cage. It is not painful, but it feels uncomfortable during the twitching, which lasts only a few seconds. I'm not sure if this is related to my lung...
Dr. Hong Yuanbin Reply:
Hello, based on your symptoms, it is most likely a muscle strain. I recommend resting and applying heat, which should help alleviate the discomfort. If the pain persists, it is advisable to consult a family medicine specialist for an X-ray to check for any issues with the bones o...[Read More] Understanding Intermittent Left Rib Cramps: Causes and When to Seek Help
Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits
Pneumonia Hello, doctor... My mother is 60 years old! She initially sought treatment at a clinic for a urinary tract infection but only received injections and medication without improvement for about ten days. She then started experiencing high fevers around 39 to 40 degrees Cel...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that your mother's condition may have worsened. If she is feeling very unwell, it is advisable to seek emergency care. Regarding her lung condition, it appears to be quite complex and may involve atypical pathogens or inflammation c...[Read More] Managing Persistent Lung Inflammation: Tips for Care Before Hospital Visits
Chest Tightness and Mid-Back Pain: Understanding Symptoms and Causes
Chest tightness and mid-back pain? Symptoms: Chest tightness and pain, mid-back pain, which is relieved for about 2 hours after running, but then the pain returns. Duration: Six months or even longer. Examination: 1. Chest X-ray normal, compared with last year's film from Au...
Dr. Hong Yuanbin Reply:
Based on your description, it seems less likely to be caused by a tumor. If the rheumatology and immunology department has already evaluated you, there is a higher chance of inflammation in the bones or muscles. It is recommended that you consult an orthopedic specialist or a fam...[Read More] Chest Tightness and Mid-Back Pain: Understanding Symptoms and Causes
Can Inhaled Sand and Gravel Be Broken Down by the Body?
Can inhaled sand and dust be broken down? Hello, doctor. Yesterday, while riding my bike, I passed by a gravel pit and inhaled some gravel. I didn't think much of it at first, but then I realized that gravel is essentially small stones. Given how hard gravel is, can the huma...
Dr. Hong Yuanbin Reply:
Hello, your question can be answered in two parts. First, regarding the sand and gravel from quarries, even if they are very fine particles, they are still relatively large compared to the alveoli in our lungs, so they typically do not reach the alveoli. They are usually intercep...[Read More] Can Inhaled Sand and Gravel Be Broken Down by the Body?
Persistent Cough for Two Weeks: What Could Be the Cause?
Hello doctor, I have been coughing continuously for two weeks? Hello doctor, I have been coughing for two weeks now. Each time I cough, it's just a single cough and there is no phlegm. My nasal discharge is also white. What could be the reason? Is there a problem with my lun...
Dr. Hong Yuanbin Reply:
Hello, regarding your question, I would like to clarify: did you have no coughing at all two weeks ago? If you have had a long-term history of coughing, we may need to consider chronic rhinitis, gastroesophageal reflux disease (GERD), or other chronic conditions. Based on your de...[Read More] Persistent Cough for Two Weeks: What Could Be the Cause?
Understanding Intermittent Cough: When to Worry About Lung Cancer
Lung issues Hello Doctor, I would like to ask you a question. I had a complete physical examination last July, which included a chest CT scan, and the results showed no significant abnormalities in my lungs. However, I have been experiencing intermittent coughing for more than a ...
Dr. Hong Yuanbin Reply:
Hello: Lung cancer indeed does not develop in such a short period of time. The only concern is that any examination has its limitations; a CT scan may not detect very small or early-stage lung cancer. However, based on your symptoms, it may not necessarily be lung cancer. Conditi...[Read More] Understanding Intermittent Cough: When to Worry About Lung Cancer
Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Chest pain associated with sarcoma? Hello Doctor: Last October, I experienced prolonged unexplained fever (38 degrees Celsius) and visited the infectious disease department multiple times for examinations. During this period, I also had night sweats, weight loss (3 kg in one mont...
Dr. Zeng Guosen Reply:
1. Sarcomatoid carcinoma is not a common disease, and it is recommended to seek medical attention at a medical center. 2. Bringing all relevant medical records can help the physician quickly understand your condition. Thank you for your inquiry.[Read More] Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Understanding Elevated White Blood Cell Count and Its Health Implications
Increasing white blood cell count, hypertension, anemia..? I have been diagnosed with hypertension and frequently experience palpitations, anemia, shortness of breath, chest tightness, chest pain, headaches, and hypoglycemia. Additionally, I experience left shoulder pain during e...
Dr. Hong Yuanbin Reply:
Hello, it is important to first understand if you have been ill a few days prior to the blood test, with the most common illnesses being a cold or gastroenteritis. If so, it is likely due to an acute infection, and usually, your results will return to normal after a few days. If ...[Read More] Understanding Elevated White Blood Cell Count and Its Health Implications
Understanding Thyroid Tumors: Insights on Surgery and Follow-Up Care
Thyroid tumor Hello, doctor. I have a nodule on my right side that has been monitored and aspirated, both results indicating it is benign. I found it bothersome, so I opted for surgical intervention. The doctor performed a unilateral total thyroidectomy to remove the tumor (nodul...
Dr. Xiao Yongxun Reply:
Dear Ms. Shine: 1. If a thyroid nodule appears hard and is accompanied by cervical lymphadenopathy, malignant transformation should be considered. If a long-standing goiter suddenly enlarges rapidly, accompanied by localized skin redness and fever, differentiated thyroid carcino...[Read More] Understanding Thyroid Tumors: Insights on Surgery and Follow-Up Care
Understanding Chest Pain: Causes and Solutions for Discomfort
Chest issues I have pain in my left arm when I exert force, swing it, or when my shoulder retracts towards my ribcage and sternum. I have had an X-ray, and the doctor said my bones are normal, and there are no shadows in my lungs. What could be the issue? This has been ongoing fo...
Dr. Hong Yuanbin Reply:
Hello, regarding the symptoms you described, they are likely due to a muscle strain near the shoulder. The causes, as you mentioned, could be related to weight training or poor posture. It is recommended to allow the affected area to rest and apply heat to help alleviate the symp...[Read More] Understanding Chest Pain: Causes and Solutions for Discomfort
Understanding Post-Cold Cough: Causes, Treatments, and When to Seek Help
Post-cold cough rebound? Hello, doctor. I caught a cold around the end of February and recovered after a week, but I have been coughing continuously since then. Around March 10th, the cough became very severe, preventing me from sleeping at night. Following my family's advic...
Dr. Xie Rongyuan Reply:
Hello: If the cough persists and does not improve, a chest X-ray is recommended to determine the cause. If a bacterial infection is not confirmed, the use of antibiotics is not advised. Thank you for your message![Read More] Understanding Post-Cold Cough: Causes, Treatments, and When to Seek Help
Understanding Upper Back Pain After a Cold: Causes and Solutions
I have a severe pain in the upper left back due to a cold? I caught a cold yesterday, and when I woke up from my nap at noon, I noticed that my upper back hurts a lot. What could be the cause? When I turn my head to the right and look up, it doesn't hurt, but when I turn my ...
Dr. Li Zhiyao Reply:
Hello: Since you mentioned that deep breathing also causes pain, to rule out any issues with the lungs and pleura, I recommend that you consult a pulmonologist for an examination.[Read More] Understanding Upper Back Pain After a Cold: Causes and Solutions
Should I Get Additional Tests for My Chest Discomfort?
Should additional tests be performed? Hello, Doctor: I have a very sensitive itching sensation on the right side of my chest (at the lower edge of my breastbone). It feels like an internal itch, and sometimes it triggers coughing; I also occasionally feel itchy when taking deep b...
Dr. Zeng Guosen Reply:
Please cherish our online medical resources. When asking the same question, please specify only one physician or nutritionist. Hello, the issue you are inquiring about is indeed related to pulmonology; it is recommended that you seek a second opinion at another hospital.[Read More] Should I Get Additional Tests for My Chest Discomfort?