Understanding Persistent Breathing Difficulties: Causes and Solutions
Shortness of breath? For many years, I have felt a tightness in my chest and have to exert extra effort to breathe. I often need to take a deep breath after several normal breaths to feel that I have enough oxygen, and this occurs at any time, including during sleep. Sometimes, I...
Dr. Yang Wenda Reply:
Hello: Bronchoscopy was not helpful. You may consider seeing a neurologist or a psychiatrist to improve your sleep condition. Lung function is normal, and using asthma medication has not shown improvement; it does not seem like asthma. Adjusting your lifestyle, avoiding excessive...[Read More] Understanding Persistent Breathing Difficulties: Causes and Solutions
Understanding Asthma: Do I Need Bronchodilators for Persistent Cough?
I am unsure whether I have asthma and uncertain if I should continue using the bronchodilator? Hello Doctor, I have had allergic rhinitis since childhood, and I have been coughing for three years. During this time, I have seen several pulmonologists due to reasons such as attendi...
Dr. Yang Wenda Reply:
Hello: When asthma is not exacerbated, lung function can be normal. Typically, regular daily use of inhaled long-acting bronchodilators combined with corticosteroids should improve symptoms. In cases of allergic bronchitis, the use of bronchodilators should also lead to improveme...[Read More] Understanding Asthma: Do I Need Bronchodilators for Persistent Cough?
Is It Asthma? Understanding Chest Tightness and Breathing Issues
Asthma or? Hello, doctor. I would like to ask if experiencing chest tightness, shortness of breath, and occasional coughing at night when very tired, which improves with the use of a bronchodilator or after a good sleep, can be considered an asthma attack? Or is it simply due to ...
Dr. Yang Wenda Reply:
Hello: Is your chest tightness or fatigue related to asthma, or should you ask your primary care physician or asthma management specialist to evaluate your asthma control? Excessive fatigue can sometimes trigger asthma, so it's important to manage your lifestyle appropriatel...[Read More] Is It Asthma? Understanding Chest Tightness and Breathing Issues
Understanding Low Oxygen Levels: Causes and Management in Respiratory Health
Hypoxemia Hello doctor, around October last year, I started coughing up yellow sputum in the mornings. I went to the hospital, and the sputum test indicated a Klebsiella pneumoniae (KP) infection. I took Cravit for several weeks, but there was no improvement. In December, a low-d...
Dr. Huang Yiwen Reply:
Dear EVAN: 1. Continuous KP infection is quite unusual, as clinically there should be symptoms such as fever, productive cough, and abnormal white blood cell counts. Please confirm with the hospital whether bronchiectasis has been diagnosed, and if so, consider using postural dr...[Read More] Understanding Low Oxygen Levels: Causes and Management in Respiratory Health
Understanding Aortic Curvature and Lung Expansion Issues in Chest Health
Curvature of the aorta and mild linear expansion insufficiency of both lower lungs? Hello! Based on my recent health check results, the chest X-ray shows a curvature of the thoracic aorta and mild linear expansion insufficiency in both lower lungs. I have also noticed that I ofte...
Dr. Huang Yiwen Reply:
Dear Mr. Chuang: The curvature of the thoracic aorta is a normal phenomenon that changes with age. Bilateral lower lung expansion deficiency can affect sputum production and lead to increased phlegm (bronchiectasis), but it has less correlation with wheezing unless the expansio...[Read More] Understanding Aortic Curvature and Lung Expansion Issues in Chest Health
Persistent Hiccups Leading to Breathing Difficulties: What You Should Know
Persistent hiccups leading to difficulty breathing? Hello Doctor, Since I was young, I have occasionally experienced difficulty breathing. I have read many articles suggesting that it could be due to gastroesophageal reflux disease (GERD) or bronchitis, but I do not have persis...
Dr. Wang Zhengde Reply:
Hello Xiaoya: Given your age, the long-term symptoms of bronchial itching and coughing may actually be manifestations of asthma. Additionally, the symptom of burping is somewhat difficult to assess in terms of its exact nature (burp or hiccup?), and it could potentially be a sign...[Read More] Persistent Hiccups Leading to Breathing Difficulties: What You Should Know
Understanding Chest Numbness: Causes and When to Seek Help
Numbness in the chest? Hello Doctor: Recently, I have been experiencing some numbness in my chest (lasting no more than five minutes, with the sensation occurring in various areas, including the right side, left side, and center). I had a similar episode at the end of last year, ...
Dr. Tao Ruiming Reply:
Hello: Anxiety, panic, and stress can lead to chest pain, tightness, or a tingling sensation, often felt bilaterally across the chest without a specific location. The most common complaint from patients is, "I can't catch my breath; I have to force myself to breathe!&qu...[Read More] Understanding Chest Numbness: Causes and When to Seek Help
Persistent Cough and Shortness of Breath: What You Need to Know
Coughing / Slightly wheezing I would like to ask the doctor about my cough, which has lasted for almost a week. Every time I cough, it is very severe, and I feel like there is something stuck in my throat when I swallow saliva. Since yesterday, I have also been experiencing some ...
Dr. Lu Mingzhi Reply:
Hello: Do you have a history of asthma? Have you experienced any fever or runny nose? It is also advisable to consider undergoing COVID-19 testing. We recommend that you visit our outpatient clinic for a detailed evaluation and examination by a physician.[Read More] Persistent Cough and Shortness of Breath: What You Need to Know
Feeling a Tightness in the Chest: Possible Causes and When to Seek Help
It feels like there is a lump in my chest? Hello doctor, for the past couple of days, I have been feeling like there is something stuck in my chest that I need to cough out, which has resulted in a cough. However, my body temperature is normal (around 36.3-36.4°C), and I do not h...
Dr. Yang Wenda Reply:
Hello: Cold weather or increased life stress can both contribute to such feelings. If you are concerned, you can visit a pulmonologist for a chest X-ray to rule out any active lung diseases.[Read More] Feeling a Tightness in the Chest: Possible Causes and When to Seek Help
Understanding Shortness of Breath and Chest Discomfort: Causes and Solutions
Difficulty breathing can cause wheezing, a feeling of tightness in the chest, and sharp pain in the heart? There is no family history of asthma or similar conditions. Recently, I have started to feel that I need to take deep breaths to feel like I'm getting enough air, and t...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, there is currently insufficient information to determine the cause of your condition. It is recommended that you visit a pulmonology clinic for further evaluation. Thank you.[Read More] Understanding Shortness of Breath and Chest Discomfort: Causes and Solutions
Understanding Persistent Throat and Chest Discomfort: Possible Causes
Itchy trachea, difficulty breathing, and tightness near the clavicle? I have been experiencing a dry and itchy throat since May of this year. After seeing a doctor and taking medication, it improved for a while, but soon the itching returned. Recently, I have started to feel a lo...
Dr. Wang Zhengde Reply:
Hello: Based on your age and symptom description, it is highly likely that you have asthma. Asthma is an allergic airway disease that can vary in severity, with mild symptoms that may resolve on their own, and severe cases that can lead to respiratory failure or death. Online con...[Read More] Understanding Persistent Throat and Chest Discomfort: Possible Causes
Chronic Cough After Giant Cell Tumor Surgery: When to Get a CT Scan?
Coughing for three months: is it appropriate to perform a CT scan? Giant cell tumor of bone? I previously had a giant cell tumor of bone, which was found on my lumbar spine. Not long after, I underwent surgery with a neurosurgeon in February to remove it. Currently, I am using de...
Dr. Zhang Ziyan Reply:
Hello Mr. Mi, there are many questions: 1. Regarding the main issue: Is it possible to get a CT scan after coughing for three months? If you are paying out of pocket, it depends on whether you want to spend the money and expose yourself to radiation; if you want insurance cover...[Read More] Chronic Cough After Giant Cell Tumor Surgery: When to Get a CT Scan?
The Necessity of Switching to Long-Term Asthma Management Medications
The necessity of switching from Ruanwa to a more effective inhaler? Previously, I was diagnosed with allergic asthma due to a wheezing cough. I have been using Ruanwa (Montelukast) and Quyi Le (Budesonide) along with a short-acting bronchodilator as needed. This has been going on...
Dr. Zhang Ziyan Reply:
Hello Yuan, as described, if there are no symptoms during the day and night, we should compare lung function before and after to see if there is a significant difference. If there is not much difference, I personally tend to maintain the original medication regimen. Runwa is a re...[Read More] The Necessity of Switching to Long-Term Asthma Management Medications
Understanding Afternoon Breathlessness: Causes and Solutions for Students
Shortness of breath? For the past month, since the beginning of my freshman year in a new environment, I have been experiencing difficulty breathing in the classroom during the afternoons. This occurs sometimes for the entire afternoon and sometimes just for over an hour. I find ...
Dr. Zhang Ziyan Reply:
Hello, based on the description, if your mood is generally fine, it could primarily be an allergy issue, with a slight possibility of asthma. If the situation does not improve, you may consider visiting a pulmonology department to check for allergens and lung function issues. Cha...[Read More] Understanding Afternoon Breathlessness: Causes and Solutions for Students
Understanding Wheezing: Causes and Concerns for Your Health
Sudden wheezing? Hello Dr. Chang, I have been experiencing issues with nasal allergies for a long time. Recently, I have noticed a wheezing sound when I exhale, which seems to have started with the colder weather. However, this sound only occurs during forceful exhalation and not...
Dr. Zhang Ziyan Reply:
Hello Mr. T, as you mentioned, there may be a suspicion of allergies or even the possibility of an asthma attack. It is recommended that you consult with a pulmonologist or visit the emergency department. Regarding lung cancer, the likelihood is relatively low considering your ag...[Read More] Understanding Wheezing: Causes and Concerns for Your Health
Can You Get the BNT Vaccine If You're Allergic to Bronchodilators?
Vaccination Issues I have a history of allergy to bronchodilators and experience palpitations. Is it safe for me to receive the BNT vaccine?
Dr. Zhang Ziyan Reply:
Hello, Ms. Ting. Currently, the vaccine does not contain any bronchodilator components. However, after receiving the BNT vaccine, please monitor for symptoms of myocarditis or pericarditis within two weeks (such as sudden onset and persistent chest pain, shortness of breath, or p...[Read More] Can You Get the BNT Vaccine If You're Allergic to Bronchodilators?
Post-Exercise Chest Discomfort and Breathing Issues: What to Know
Discomfort in the chest and difficulty breathing after exercise? Hello, doctor. I have maintained a habit of exercising for 30 minutes every day. However, in the past few months, I have been experiencing dizziness, chest tightness, and sharp chest pain after exercising, and the f...
Dr. Jian Shuntian Reply:
Hello: 1. For the thoracic area, you may consult a pulmonologist to check for exercise-induced asthma. 2. Regarding the heart, it is necessary to seek medical attention to determine if there are any arrhythmias or hypertrophic cardiomyopathy. 3. Dizziness after exercise and its r...[Read More] Post-Exercise Chest Discomfort and Breathing Issues: What to Know
Understanding Breathing Difficulties After Vaccination: What You Need to Know
Dyspnea Hello Doctor: Since receiving the vaccine on September 6, I have been experiencing symptoms of shortness of breath that have persisted until now (October 15). The episode on September 14 was particularly severe, but after going to the emergency room, blood tests and X-ray...
Dr. Zhang Ziyan Reply:
Hello Mr. Rui, currently the cardiology and neurology departments have ruled out their respective potential issues. The fluctuations in blood oxygen levels may be due to the machine starting to measure and not yet capturing a stable waveform. It is indeed important to focus on th...[Read More] Understanding Breathing Difficulties After Vaccination: What You Need to Know
Can Food Particles Accidentally Enter the Lungs During Eating?
Is it possible for small food particles to directly enter the lungs? Hello, Doctor. I ate too quickly, and it feels like some ground meat might have gone into my lungs because my lungs feel strange. I'm not sure if that's possible. After choking, I coughed forcefully se...
Dr. Yang Wenda Reply:
Hello: When choking while eating, small particles may sometimes enter the airway, but the trachea still has cilia movement and mucus clearance functions to expel the foreign matter, which can then be swallowed into the stomach. If there is severe coughing or a fever, it is recomm...[Read More] Can Food Particles Accidentally Enter the Lungs During Eating?
Understanding Asthma and Heart Disease: Symptoms, Treatment, and Concerns
Hello, I would like to ask if it's asthma, heart disease, or both? Hello, I would like to ask about my previous asthma issues. Sometimes I used medication and felt better, but other times I didn't use it. This year, after being exposed to secondhand smoke, I experienced...
Dr. Yang Wenda Reply:
Hello: As you age and your surrounding environment changes, the symptoms of asthma may feel differently controlled. It is recommended to regularly visit a pulmonology clinic to adjust your medications, and to have your primary physician assess for any coexisting heart conditions.[Read More] Understanding Asthma and Heart Disease: Symptoms, Treatment, and Concerns