Understanding Lung Issues: Insights on Tracheostomy and Fibrosis
Pulmonary disease issues Hello, Dr. Jian: 1. I underwent a tracheostomy in the intensive care unit of a teaching hospital during the New Year holiday in 2003 due to an emergency. I was on a ventilator for a whole month, then transferred to another ventilator unit where I stayed ...
Dr. Jian Linzhen Reply:
1. Some tracheostomy stomas may heal spontaneously while others may not, and they do not require suturing. 2. Suspect tracheoesophageal fistula. 3. Pulmonary fibrosis leads to decreased lung function. 4. Surgical resection is not necessary, but rehabilitation should be cont...[Read More] Understanding Lung Issues: Insights on Tracheostomy and Fibrosis
Understanding Persistent Cough: Causes and Management Strategies
Coughing Hello, doctor! I've been coughing for a long time, and I'm not quite sure why. It feels like there's air trapped inside, and I really want to cough it out (there's no phlegm). After coughing once or twice, I feel the urge to cough again after a while,...
Dr. Jian Linzhen Reply:
Coughing for more than three weeks should prompt a chest X-ray to rule out pulmonary parenchymal disease. The most common causes of chronic cough, in order of prevalence, are post-nasal drip, smoking, and asthma. It is recommended to visit a pulmonology clinic for evaluation.[Read More] Understanding Persistent Cough: Causes and Management Strategies
Understanding Persistent Cough and Wheezing: When to Seek Help
Wheezing in the lungs? Hello Dr. Yang, I had a slight cold before and went to a small clinic. After taking the medication, I felt somewhat better, so I thought I didn't need to go back. However, it's been a month and I'm still not well enough to return for a second...
Dr. Yang Wenda Reply:
Hello, Xiao Yang: There are many reasons why a cough may persist after a cold. I recommend that you consult a pulmonologist for a chest X-ray and a physical examination to check for conditions such as asthma. Additionally, it would be advisable to limit the intake of cold and raw...[Read More] Understanding Persistent Cough and Wheezing: When to Seek Help
Coughing and Chest Pain: What to Do When Symptoms Persist
Chest pain when coughing? My boyfriend has been coughing due to long-term smoking, and about four months ago, he started experiencing pain in his left chest whenever he coughs, and sometimes he has difficulty breathing. Pressing on his chest provides some relief. He has undergone...
Dr. Zhang Zhengda Reply:
Dear Little Sweetie: Coughing accompanied by chest pain and even wheezing sounds quite serious. There are many conditions that could cause these symptoms, and it may be related to smoking. Please consult a pulmonologist for a thorough examination, as conditions such as bronchitis...[Read More] Coughing and Chest Pain: What to Do When Symptoms Persist
Understanding Lung Function Tests and Asthma Treatment in Taiwan
I have a question to ask? Hello, doctor: At the end of last year, I was hospitalized due to asthma triggered by a cold. During my hospitalization, I underwent pulmonary function tests. However, I was curious why I had to inhale the same substance multiple times before blowing int...
Dr. Yang Wenda Reply:
Hello Xiaofang: The substance you inhaled during the examination and the injection you received afterward are best clarified by your original attending physician. My personal speculation is that the substance you inhaled for the first time may have been a bronchial provocation ag...[Read More] Understanding Lung Function Tests and Asthma Treatment in Taiwan
Understanding Unmentioned Asthma: Key Insights from Pulmonology
excuse me? Hello, doctor: Could you please explain what is meant by "unmentioned asthma"?
Dr. Yang Wenda Reply:
Hello Xiaofang: Your symptoms may resemble asthma, but they are not as severe as an acute asthma attack. To determine if you truly have asthma, further pulmonary function tests are necessary. The issues you mentioned are simply translations of the International Classification of ...[Read More] Understanding Unmentioned Asthma: Key Insights from Pulmonology
Inhalation of Bleach and Hydrogen Peroxide: Urgent Medical Advice Needed
Inhalation of mixed bleach solution~~~Urgent Dear Dr. Yang, I used a mixture of bleach (sodium hypochlorite) and regular hydrogen peroxide while cleaning, and I did not dilute them, resulting in a concentrated solution. Afterwards, I experienced some dizziness. Upon researching ...
Dr. Yang Wenda Reply:
Hello Kiki, under normal short-term use of cleaning products such as bleach, there may only be a pungent irritating smell, and inhalation can lead to temporary chest tightness or coughing, but it will not result in poisoning or complications such as bronchitis or pulmonary edema ...[Read More] Inhalation of Bleach and Hydrogen Peroxide: Urgent Medical Advice Needed
Understanding the Significance of Asthma Status in Medical Records
What is the significance of status asthmaticus? Hello Dr. Yang, I would like to ask about a diagnosis in my medical record that states "asthma without mention of status asthmaticus." What does this mean? Does it indicate that my asthma is not currently exacerbated? Howe...
Dr. Yang Wenda Reply:
Hello, A-Fu: You have a history of asthma and experienced an acute exacerbation with difficulty breathing, prompting you to visit the emergency department. The physician, of course, issued a diagnostic certificate based on your condition. Asthma exacerbation status refers to a si...[Read More] Understanding the Significance of Asthma Status in Medical Records
Effective Ways to Alleviate Asthma Cough Beyond Medication
In addition to medication, what other methods can help manage asthma and reduce persistent coughing? My mother has asthma and has been coughing severely lately. She has seen a doctor and taken medication, but her cough is still very serious. Are there any methods to help alleviat...
Dr. Jian Linzhen Reply:
Coughing is a protective mechanism, and it is inappropriate to forcibly suppress it with medication. Chronic cough lasting more than three weeks should be evaluated with a chest X-ray to rule out any underlying pulmonary pathology. For asthma patients, persistent coughing often i...[Read More] Effective Ways to Alleviate Asthma Cough Beyond Medication
Understanding the Link Between Masturbation and Asthma Attacks
Causes of asthma Hello, Doctor. I have had asthma since I was one and a half years old. I was hospitalized several times during elementary school due to asthma attacks. Now that I am nineteen, my condition has improved significantly over the past few years. I rarely experience as...
Dr. Jian Linzhen Reply:
Based on your symptoms, it appears to be typical asthma. The most common triggers for asthma include dust mites, while other triggers can include indoor and outdoor air pollutants, changes in environmental temperature or humidity, exercise, cold air, and intense emotional fluctua...[Read More] Understanding the Link Between Masturbation and Asthma Attacks
Understanding Hiccups: Causes and Solutions for Chest Discomfort
Hiccup Hello Dr. Ke, I would like to ask for your guidance regarding some issues I have been experiencing for many years: 1. I feel an uncomfortable sensation in my chest when I rotate my upper body. 2. I often feel the urge to burp but cannot, and it feels like something is...
Dr. Ke Zhengchang Reply:
Hello: It is recommended to visit a major hospital for pulmonary function tests, chest X-rays, and gastrointestinal examinations (gastroscopy and upper gastrointestinal imaging) to confirm whether there is gastroesophageal reflux disease associated with asthma, so that appropriat...[Read More] Understanding Hiccups: Causes and Solutions for Chest Discomfort
Understanding Allergies and Asthma: Symptoms and Treatment Options
Allergy? Asthma? Hello Doctor: This situation has troubled me for a long time, as I have had this issue since childhood. When I was younger, the problem was not very noticeable, so I did not pay much attention to it. I often cough during climate changes, especially from autumn to...
Dr. Jian Linzhen Reply:
The most common symptoms of asthma include wheezing and chest tightness. Sometimes, patients may experience a feeling of breathlessness and difficulty breathing. Coughing is also a frequent symptom of asthma and may be the only symptom during an asthma attack. Here are five types...[Read More] Understanding Allergies and Asthma: Symptoms and Treatment Options
Understanding Asthma: Key Questions About Diagnosis and Treatment
Could you please clarify your question regarding asthma? 1. Is asthma diagnosed through pulmonary function tests? If I had to blow several times during the test and the nurse only said the last attempt was acceptable, but I was already fatigued by that point, could this affect th...
Dr. Yang Wenda Reply:
Hello Day: Here are brief responses to your concerns: (1) Pulmonary function tests should be conducted with standard procedures, which may require multiple attempts. Even if you feel fatigued by the end, there should be data from your tests that can be referenced by your physicia...[Read More] Understanding Asthma: Key Questions About Diagnosis and Treatment
Managing Asthma: Dietary and Lifestyle Tips for Better Control
Asthma Hello, Dr. Jian! I have been experiencing symptoms of allergic rhinitis for many years, but whenever the weather gets cooler or when I have severe cold symptoms, I also develop asthma. Last night, as I was falling asleep, I suddenly experienced a mucus blockage that nearly...
Dr. Jian Linzhen Reply:
Hello: Due to your allergic constitution, including nasal allergies and respiratory allergies, and the risk of near-syncope during sleep, you are considered to be in a high-risk group for asthma. It is recommended that you visit a pulmonology clinic for further detailed follow-up...[Read More] Managing Asthma: Dietary and Lifestyle Tips for Better Control
Chronic Cough in My Mom: What Specialist Should We Consult?
Please provide more details about your mother's condition so I can assist you better? My mother has been coughing for many years, and it is not due to a cold. When she coughs, it lasts for several minutes as she tries to expel the phlegm from her throat. She has gone to the ...
Dr. Yang Wenda Reply:
Dear Mr. Chiu: Your mother has been coughing for many years, and if her chest X-ray is normal, it essentially rules out more than 90% of pulmonary diseases. Other causes of chronic cough include: 1. Allergic bronchitis or asthma, for which pulmonary function tests may be consider...[Read More] Chronic Cough in My Mom: What Specialist Should We Consult?
Does Asthma Cause Dizziness During Attacks? Understanding the Connection
Asthma Dear Doctor: When asthma attacks occur, regardless of whether they are mild or severe, can they cause dizziness? I experience dizziness whenever I feel unwell, and I wonder if this is related to my asthma.
Dr. Xu Jialin Reply:
During an asthma attack, there may be instances of hyperventilation or hypoxia, both of which can lead to dizziness. However, there are many potential causes of dizziness, including anemia, autonomic nervous system dysfunction, and inner ear balance disorders, among others. There...[Read More] Does Asthma Cause Dizziness During Attacks? Understanding the Connection
Persistent Coughing: Understanding Acute Bronchitis Symptoms and Concerns
Persistent cough? Hello Dr. Jiang: My mother has been coughing for over 10 days now, and she has phlegm that is white. She has seen a doctor and had an X-ray done, but the doctor said it is acute bronchitis. However, I looked up the symptoms of acute bronchitis online, which incl...
Dr. Jiang Rongren Reply:
If there is a cough with sputum and fever, respiratory infection should still be considered. If there is only a cough, many conditions can present similarly (such as bronchitis, tumors, asthma, tuberculosis, and other infections that may not necessarily cause fever). It is recomm...[Read More] Persistent Coughing: Understanding Acute Bronchitis Symptoms and Concerns
Understanding Chest Pain: Is It Serious or Just a Cold?
My chest? Doctor, I have a cold that has lasted for several months and hasn't improved. Recently, I've noticed occasional sharp pain in the center of my chest when I breathe. Could it be tuberculosis? Also, when I perform pushing movements with my arms, I hear a wheezin...
Dr. Zhou Ziguang Reply:
Hello: A common cold does not last for several months. If respiratory symptoms have persisted for months, it is recommended to undergo a chest X-ray examination. Please consult a pulmonologist for differential diagnosis (such as tuberculosis, asthma, or other conditions). Dr. Cho...[Read More] Understanding Chest Pain: Is It Serious or Just a Cold?
Medication Concerns: Can I Continue Finasteride While Taking New Prescriptions?
Medication issues? Today I had an X-ray, and the doctor suspects I have tuberculosis, so he prescribed me BromHEXINE HCL (Bisolvou) for mucus relief, Procaterol HCL Hemihydrate (Meptin-Mini 25mcg) for asthma relief, and Acetaminophen (500mg PANADOL) for pain relief. I would like ...
Dr. Zhang Zhengda Reply:
Dear Sir/Madam: The examination may still be ongoing, and tuberculosis medication has not been prescribed. The aforementioned medication is not related to Boska. You are welcome to contact Dr. Chang.[Read More] Medication Concerns: Can I Continue Finasteride While Taking New Prescriptions?
Chest Tightness and Throat Discomfort: Understanding Your Symptoms
Chest tightness and a strange sensation in the throat? As a child, I experienced asthma during colds, but I haven't had any issues for over a decade. Now at 26 years old, I have a smoking habit (for 6 years). Until recently, I was doing well, but due to a foot injury, I'...
Dr. Yang Wenda Reply:
Hello, Xiao P: Your condition does not resemble an asthma attack, nor does it seem to be a terminal illness. It appears more like chronic pharyngitis or increased airway sensitivity. I recommend that you visit a pulmonology clinic for a chest X-ray to confirm whether there are an...[Read More] Chest Tightness and Throat Discomfort: Understanding Your Symptoms