Understanding Breathing Difficulties: Causes and Solutions for Chest Pressure
After inhaling, there is a feeling of pressure and blockage, as if I haven't taken a full breath? Hello, doctor. Around March or April of last year, I suddenly experienced some difficulty in breathing. It felt like there was pressure blocking the back of my nasal passages af...
Dr. Jian Shuntian Reply:
Hello: It may still be due to anxiety, but other causes cannot be ruled out, such as asthma or nasal allergies. Please consult a pulmonologist or an otolaryngologist for further evaluation.[Read More] Understanding Breathing Difficulties: Causes and Solutions for Chest Pressure
Shortness of Breath and Chest Pain: When to See a Doctor?
Chest pain and shortness of breath while walking? Hello Doctor, around the end of last year, I started experiencing shortness of breath while walking, and recently it has become particularly severe. I feel very breathless when walking from the first floor to the third floor, and ...
Dr. Jian Shuntian Reply:
Hello: Please go to the hospital's pulmonary department immediately. Thank you. Jian Shun Tian.[Read More] Shortness of Breath and Chest Pain: When to See a Doctor?
Understanding Allergic Asthma: Symptoms, Diagnosis, and Management
Allergy, asthma, immunoglobulin? Hello, I have a history of allergies and have undergone tests at the hospital (pulmonary function tests, X-rays, and blood tests). Both the pulmonary function tests and X-rays showed no issues, but my blood allergy levels are very high. Am I class...
Dr. Huang Yiwen Reply:
Dear Vivian: The allergy index in your blood is very high, which suggests allergic asthma. However, classification depends on clinical symptoms and lung function, so we may need more information to further assess the severity. Changhua Hospital is concerned about you.[Read More] Understanding Allergic Asthma: Symptoms, Diagnosis, and Management
Managing Allergic Rhinitis and Chest Discomfort: When to See a Pulmonologist
Having nasal allergies? If you have allergic rhinitis but are also experiencing chest discomfort, occasional shortness of breath, or a feeling of labored breathing, it may be advisable to consult a pulmonologist. Since dust mites have been identified as an allergen, it is importa...
Dr. Huang Yiwen Reply:
Dear [Name]: If you have allergic rhinitis and asthma, along with allergens and clinical symptoms, it is recommended that you return to the pulmonology department for further examination and treatment. Changhua Hospital cares about you.[Read More] Managing Allergic Rhinitis and Chest Discomfort: When to See a Pulmonologist
Understanding Sleep-Related Breathing Difficulties: Causes and Concerns
Dyspnea Since last week, I have been experiencing difficulty breathing before going to sleep, along with dizziness and chest tightness. I can also clearly feel my heartbeat. I don't dare to smoke anymore, and these symptoms occur every time just as I lie down to sleep. The n...
Dr. Huang Yiwen Reply:
Dear William: Based on your description, it is somewhat difficult to diagnose. However, considering the possibility of asthma, I recommend that you come to the outpatient clinic for further examination. Changhua Hospital cares about you.[Read More] Understanding Sleep-Related Breathing Difficulties: Causes and Concerns
Understanding the Link Between Allergic Rhinitis and Asthma in Children
Asthma issues? Hello, Doctor: If someone has allergic rhinitis, is there a higher likelihood of developing asthma? Recently, my child has been experiencing wheezing and coughing during sleep, often taking a while to calm down. I sometimes have him use the inhaler prescribed by th...
Dr. Huang Yiwen Reply:
Dear Zoe: Based on your description, it seems you may have asthma. Indeed, blood tests and standard pulmonary function tests may not always provide clear answers. You can come to the hospital to undergo impulse oscillometry (IOS), which will be more accurate. If you have symptoms...[Read More] Understanding the Link Between Allergic Rhinitis and Asthma in Children
Understanding Your Child's Wheezing and Coughing: When to Seek Help
Shortness of breath and tightness in the chest? Hello Doctor: My child previously experienced frequent coughing and wheezing, which led us to seek medical attention at the hospital. The doctor prescribed bronchodilators, inhaled corticosteroids, and a nebulizer solution for us. T...
Dr. Jian Shuntian Reply:
Hello: Based on the described symptoms, it appears to be asthma and asthma attacks. Please consult a pulmonologist or a pediatric pulmonology specialist.[Read More] Understanding Your Child's Wheezing and Coughing: When to Seek Help
Difficulty Breathing While Lying Down: Causes and Solutions
Difficulty breathing while lying down? Hello Doctor: For the past month or two, I have been experiencing difficulty breathing whenever I lie down, as if someone is choking my throat. The symptoms are more pronounced when I lie on my side or just after getting up, and it is very u...
Dr. Yang Wenda Reply:
Hello: Given your age, absence of asthma, and normal 24-hour ECG, cardiovascular and pulmonary diseases can be temporarily ruled out. Please pay attention to any signs of insomnia or excessive stress. You may consider consulting a psychiatrist. If you are overweight, you can enha...[Read More] Difficulty Breathing While Lying Down: Causes and Solutions
Managing Chest Discomfort with Allergies: When to Seek Help
Having nasal allergies? Recently, I visited the allergy clinic and discovered some allergens. The doctor advised me to regularly wash my bed linens and covers, but I still experience discomfort in my chest. Although I was prescribed a nasal spray, its effectiveness seems limited....
Dr. Yang Wenda Reply:
Hello: It is recommended that you see a pulmonologist and arrange for a pulmonary function test (spirometry) to check for any asthma symptoms![Read More] Managing Chest Discomfort with Allergies: When to Seek Help
Understanding Chest Pain: Causes, Diagnosis, and Treatment Options
Causes of Chest Pain Hello Dr. Wu, this year I have been experiencing chest tightness and pain in various locations, sometimes accompanied by a cold sensation, similar to the pain of a bruise when pressed. When I visited Fu Jen University for a check-up, the doctor indicated that...
Dr. Wu Yingxun Reply:
Hello: Multiple hospitals have ruled out asthma, yet there is still chest tightness and pain. It may be worth checking for gastroesophageal reflux disease (GERD).[Read More] Understanding Chest Pain: Causes, Diagnosis, and Treatment Options
Understanding Mild Gas Exchange Dysfunction: Symptoms, Tests, and Next Steps
Mild gas exchange dysfunction? Hello, Doctor. I have been experiencing severe dry cough since around 2008, with each episode lasting 1-2 months. I visited an ENT specialist and took medication, but it was ineffective. Since the symptoms would resolve on their own, I did not seek ...
Dr. Yang Wenda Reply:
Hello: 1. The X-ray did not indicate fibrosis, and with normal Total Lung Capacity (TLC), there should be no ventilation issues caused by fibrosis. The echocardiogram showed no signs of pulmonary hypertension, so there are currently no concerns regarding the aforementioned issues...[Read More] Understanding Mild Gas Exchange Dysfunction: Symptoms, Tests, and Next Steps
Understanding Wheezing During Inhalation: Is It Asthma?
Wheezing sound during inhalation? Hello Doctor: Recently, I've been experiencing a wheezing sound when inhaling, but not when exhaling. Additionally, I feel pain in the middle of my chest when I take a deep breath. I often have phlegm, especially when I'm emotionally ex...
Dr. Huang Yiwen Reply:
Dear Ms. Li: Yes, this is your asthma attack. The chest pain is due to airway obstruction. The weather and your emotions that you mentioned are also triggers. Each episode may not present the same way. If you experience wheezing during both inhalation and exhalation, that indicat...[Read More] Understanding Wheezing During Inhalation: Is It Asthma?
Breathing Difficulties with No Clear Diagnosis: Seeking the Right Specialist
Difficulty breathing, with no findings upon examination? Hello, Doctor. On December 15th, during a phone call around noon, I suddenly felt like I couldn't breathe, as if someone was choking me. Since then, I have been experiencing shortness of breath and rapid breathing. (It...
Dr. Yang Wenda Reply:
Hello: It is recommended to see an otolaryngologist to check for any inflammation or post-nasal drip. If there are symptoms of stomach pain or acid reflux, after consulting the otolaryngologist, consider seeing a cardiologist to check for any arrhythmias.[Read More] Breathing Difficulties with No Clear Diagnosis: Seeking the Right Specialist
Understanding Nighttime Breathing Issues After Pneumothorax Surgery
Occasionally, I experience some difficulty breathing at night, but it is not painful? Last month I had surgery for a pneumothorax, and now at night when I lie down, I feel a sensation of something in my throat. Sometimes I also experience sudden palpitations and difficulty breath...
Dr. Jian Shuntian Reply:
Hello: Recurrence of pneumothorax is primarily characterized by chest pain and shortness of breath. If you experience difficulty breathing at night, it is advisable to consult a pulmonologist to check for issues such as asthma or bronchitis.[Read More] Understanding Nighttime Breathing Issues After Pneumothorax Surgery
Understanding Asthma Diagnosis and Military Service Health Checks
Asthma Military Service Physical Examination Hello Dr. Yang, I have been experiencing a persistent cough since early August. I have visited an ENT specialist multiple times and have taken medication, but my condition did not improve. It wasn't until early November that I we...
Dr. Yang Wenda Reply:
Hello: The use of bronchodilators for asthma will improve symptoms and lung function. It is recommended to continue the medication. In case of an acute attack, it is advised to visit the emergency department or be hospitalized. These records can be referenced for future military ...[Read More] Understanding Asthma Diagnosis and Military Service Health Checks
Persistent Cough After Cold: Understanding Chronic Cough Causes
Persistent cough that has not resolved? I have been smoking for a while. Since I caught a cold at the beginning of this year, I have been coughing continuously, and I cough when I speak as well. I visited an ENT specialist and a general clinic, and they said it was post-nasal dri...
Dr. Yang Wenda Reply:
Hello: 1. It is recommended to see a pulmonologist to assess for asthma. 2. It is advised to quit smoking.[Read More] Persistent Cough After Cold: Understanding Chronic Cough Causes
Is It Asthma or Autonomic Nervous System Dysfunction?
Is it an issue with the autonomic nervous system or asthma? Hello doctor, I am 19 years old, 172 cm tall, and weigh 64 kg, with no family history of illness. One night, I suddenly experienced palpitations (around 110 bpm) and shortness of breath. After the doctor prescribed antia...
Dr. Jian Shuntian Reply:
Hello: Please check with the gastroenterology department for gastroesophageal reflux disease (GERD) and with the otolaryngology department for allergic rhinitis.[Read More] Is It Asthma or Autonomic Nervous System Dysfunction?
Managing Acute Asthma: Can You Work in a Cleanroom Environment?
Acute asthma attack Hello, Dr. Jian. I was recently hospitalized for a week due to acute asthma. Since last year, I have been experiencing recurrent episodes approximately every one to two months. I often have excessive phlegm and cough, and sometimes I struggle to breathe and ca...
Dr. Jian Shuntian Reply:
Hello: Theoretically, clean rooms have no direct relationship with asthma attacks, unless there are other chemical substances present in the clean room that could trigger asthma or latex allergies. It appears that asthma is poorly controlled, and it is advisable to consult a pulm...[Read More] Managing Acute Asthma: Can You Work in a Cleanroom Environment?
Understanding Latent Tuberculosis: Testing and Symptoms Explained
The incubation period of pulmonary tuberculosis? A family member has just been diagnosed with tuberculosis, but the report on whether it is active or not has not yet come out. I would like to ask the doctor: We currently have no symptoms (or perhaps we do but are not aware of the...
Dr. Jian Shuntian Reply:
Hello: 1. It is recommended to visit a hospital with a pulmonology department for a chest X-ray. 2. To determine if there is a latent infection, a blood test is needed; a positive result along with a chest X-ray showing no tuberculosis lesions is required. Currently, the examinat...[Read More] Understanding Latent Tuberculosis: Testing and Symptoms Explained
Understanding the Impact of Inhalers on Chest Discomfort: A Patient's Inquiry
Please ask some questions about bronchodilators? Hello Dr. Yang, A family member started using a bronchodilator inhaler about two to three years ago due to coughing (approximately 1-2 times daily, often lasting for several minutes). After stabilizing the symptoms, the dosage wa...
Dr. Yang Wenda Reply:
Hello: You are using a bronchodilator, and there has been improvement, which is more indicative of asthma symptoms. The normal dosage is to inhale two puffs in the morning and evening. During the summer, if symptoms improve, some may reduce it to one puff in the morning and eveni...[Read More] Understanding the Impact of Inhalers on Chest Discomfort: A Patient's Inquiry