Understanding Mediastinal Lymph Node Enlargement: When to Follow Up?
Mediastinal lymphadenopathy Doctor: Hello, here is the recent report from the low-dose lung CT scan: High Resolution Computed Tomography (HRCT) of the Lung Clinical Information: chronic cough with sticky sputum, NIFTP HRCT of Chest. This study was performed without contrast enhan...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest discussing future management options with the attending physician at the hospital where the examination was performed. Thank you.[Read More] Understanding Mediastinal Lymph Node Enlargement: When to Follow Up?
Understanding Chronic Yellow Sputum: Causes and Treatment Options
What are the causes of chronic yellow sputum? Hello, doctor. Five years ago, my asthma recurred after I started working in a factory. Prior to that, I hadn't used any medication or experienced symptoms for 10 years. Since then, I have been coughing up yellow sputum daily, bu...
Dr. Yang Wenda Reply:
Hello: Bronchiectasis is a condition where the ciliary function of the bronchial walls is impaired, leading to the accumulation of small amounts of mucus that can form mucus plugs. The goal is to manage and reduce the amount of mucus, but it may not be possible to eliminate it co...[Read More] Understanding Chronic Yellow Sputum: Causes and Treatment Options
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
Chronic Cough with White Foamy Sputum: Understanding Your Symptoms
Chronic cough with white foamy sputum, no cough at night? Hello, Doctor. I have been experiencing intermittent coughing for about two years (3-4 coughs each time), with periods of no coughing lasting a few months. However, in the past six months, the coughing has resumed. During ...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, you frequently experienced pneumonia due to colds during your childhood, which may have led to bronchiectasis from recurrent inflammation in your lungs, resulting in chronic cough. Additionally, you mentioned that you often experience coughing sy...[Read More] Chronic Cough with White Foamy Sputum: Understanding Your Symptoms
Understanding Bronchial Enlargement: Should You Be Concerned?
Bronchial dilation indicates what? Today, I went to the orthopedic department for an X-ray. The doctor looked at the X-ray and asked me if I often cough. I replied that I usually do not. I asked the doctor why he inquired about that. He mentioned that he noticed the bronchi appea...
Dr. Huang Yiwen Reply:
Dear May: This adjective is generally used less frequently. It is possible that there is some bronchiectasis, which may appear slightly enlarged, but it is difficult to determine if this is the case based on the description. Please follow up with the pulmonology department at Cha...[Read More] Understanding Bronchial Enlargement: Should You Be Concerned?
Managing Massive Hemoptysis in Patients with Bronchiectasis: A Case Study
Bronchiectasis with hemoptysis? On October 1st, during the Mid-Autumn Festival, my mother suddenly coughed up blood and then went into shock. She was taken to the emergency room, where treatment stopped the bleeding after two days. However, the doctor misdiagnosed her and prescri...
Dr. Jian Shuntian Reply:
Hello: If the bleeding originates from the left lower lung, surgical intervention is recommended. Please consult with a pulmonologist and a thoracic surgeon.[Read More] Managing Massive Hemoptysis in Patients with Bronchiectasis: A Case Study
Understanding Bronchiectasis: When to Seek Treatment and Medication Use
Bronchiectasis Hello, doctor! I've been experiencing a lot of phlegm, coughing up blood, and a cough. I returned to the doctor, who prescribed antibiotics and steroids. Isn't it enough to just take antibiotics? Why were steroids also prescribed? It's difficult to d...
Dr. Yang Wenda Reply:
Hello: The physician prescribes medication for a reason. It is recommended that you take the medication as prescribed, in the correct dosage and at the scheduled times. After completing the course, report any reactions to your physician to determine if any adjustments to the medi...[Read More] Understanding Bronchiectasis: When to Seek Treatment and Medication Use
Managing Bronchiectasis: Medication, Symptoms, and Lifestyle Tips
Bronchiectasis Hello, doctor. I would like to ask if I can stop taking erythromycin, inhaling nebulized medications, and taking pancreatic enzymes after five months. Will there be any risk of antibiotic resistance? I plan to seek medical attention if I experience thick phlegm or ...
Dr. Yang Wenda Reply:
Hello: It is sufficient to regularly consult a single pulmonologist. Exercise can include slow walking and intermittent brisk walking. As long as you can eat and sleep well, there is a chance for weight gain. If you are sensitive to cold, you may seek an evaluation from a traditi...[Read More] Managing Bronchiectasis: Medication, Symptoms, and Lifestyle Tips
Managing Bronchiectasis: Understanding Long-Term Antibiotic Use and Side Effects
Bronchiectasis I have bronchiectasis and have been coughing up blood along with phlegm. The doctor prescribed erythromycin for a year, and I'm unsure if I really need to take it for that long. For the past six months, I've been experiencing recurrent hemoptysis, and lat...
Dr. Yang Wenda Reply:
Hello: It is recommended to take it for one year based on a European research report. In the study, the treatment group that received treatment for one year showed a reduction in the frequency of episodes. However, there are no research reports on treatment durations of 3 months ...[Read More] Managing Bronchiectasis: Understanding Long-Term Antibiotic Use and Side Effects
Understanding Lung Nodules and Breathing Issues: A Guide for Patients
Lung issues Hello Doctor, In the CT scan report from my physical examination, lung nodules were found in the right middle and lower lobes, along with mild bronchiectasis. The X-ray report indicated pulmonary infiltration and aortic sclerosis. I have also been experiencing chest...
Dr. Yang Wenda Reply:
Hello: For lung issues, please follow up with the pulmonology department for re-evaluation. A biopsy is necessary to determine whether the condition is benign or malignant; the timing of the biopsy will be discussed with your attending physician. For sleep problems, it is recomme...[Read More] Understanding Lung Nodules and Breathing Issues: A Guide for Patients
Understanding Bronchiectasis: Symptoms, Exercise, and Management
The impact of bronchiectasis? Last year, I had a persistent cough for two months. In January of this year, I underwent X-rays and a CT scan, which revealed mild bronchiectasis. Since January, I often have phlegm in my throat, and I definitely cough after running, producing yellow...
Dr. Chen Junwei Reply:
It is recommended that you discuss the above situation further with your attending physician to determine if any additional examinations are necessary. Thank you, and wishing you good health![Read More] Understanding Bronchiectasis: Symptoms, Exercise, and Management
Understanding Your Chest X-Ray: Emphysema and Bronchial Changes
Lung issues Hello, Doctor: I have a history of bronchiectasis. Could you please help me assess the severity of the following X-ray report? Thank you! Chest: * Emphysematous changes in both lungs with increased markings * Bronchial wall thickening in both lower lungs * No def...
Dr. Yang Wenda Reply:
Hello: It seems to describe bronchiectasis combined with some degree of emphysema. The severity depends on how serious your cough or wheezing symptoms are. If you have respiratory symptoms, it is recommended to follow up with a pulmonology clinic.[Read More] Understanding Your Chest X-Ray: Emphysema and Bronchial Changes
Managing Bronchiectasis in Elderly: Tips for Reducing Hospital Visits
Bronchiectasis Hello doctor, my grandmother has bronchiectasis and, due to her advanced age, is unable to undergo surgical treatment. She is currently receiving medication, but she often ends up in the emergency room and gets hospitalized due to difficulty breathing. Is there any...
Dr. Yang Wenda Reply:
Hello: It's best to consult her attending physician for a clearer understanding of grandma's condition, as I cannot provide online diagnosis or recommendations.[Read More] Managing Bronchiectasis in Elderly: Tips for Reducing Hospital Visits
Chronic Cough: Understanding Persistent Symptoms and Seeking Solutions
Chronic cough, persistent cough that does not resolve? Hello, Doctor: (The following content is a bit long; thank you for your patience!) This year, I have once again relapsed with my chronic issue: coughing. I remember being frequently ill since the first grade of elementary sch...
Dr. Yang Wenda Reply:
Hello: The chest X-ray is normal, which rules out pulmonary infections, tuberculosis, and parenchymal lung diseases such as bronchiectasis. However, it does not exclude tracheal hypersensitivity or asthma, especially since your response to bronchodilators is not significant. I am...[Read More] Chronic Cough: Understanding Persistent Symptoms and Seeking Solutions
Understanding High Cancer Markers: Is It Lung Cancer or Something Else?
Elevated cancer markers? Hello Doctor: My mother experienced massive hemoptysis ten years ago and was hospitalized, where she was diagnosed with bronchiectasis. She underwent surgery to remove part of her lung and was found to have pulmonary tuberculosis, which she completed trea...
Dr. Wu Yingxun Reply:
Hello: Monitor the CT scan to see if there is any enlargement, and then perform a biopsy.[Read More] Understanding High Cancer Markers: Is It Lung Cancer or Something Else?
Understanding Emphysema and Chronic Lung Infiltration: Key Insights
Pulmonary emphysema with bilateral pulmonary infiltrates? Hello, I recently had a medical check-up at a medical center in Kaohsiung. The chest X-rays (frontal and right lateral views) showed: a curved aorta, hyperinflation of the lungs, emphysema with chronic infiltrates in both ...
Dr. Yang Wenda Reply:
Hello: Chest X-ray findings can vary greatly. For example, a tall and slender person may appear to have emphysema or chronic pulmonary infiltrates, which could be associated with a history of chronic bronchitis, bronchiectasis, or exposure to dust in the work environment. It is r...[Read More] Understanding Emphysema and Chronic Lung Infiltration: Key Insights
Persistent Cough After Cold: Is It Just Recovery or Something Serious?
Coughing persists after a cold? Hello doctor, I had a cold about a month and a half ago, and since then I have been experiencing a persistent cough. I smoke, and the cough is dry, occurring only once or twice occasionally (I don’t cough while sleeping). I would like to know if th...
Dr. Chen Junwei Reply:
Generally, upper respiratory tract infections can resolve within 2 to 3 weeks. If a cough persists for more than two weeks, it is recommended to seek further evaluation at a pulmonology clinic.[Read More] Persistent Cough After Cold: Is It Just Recovery or Something Serious?
Can Ginseng and Chicken Essence Help Patients on TB Medication?
Inquiry about supplements while taking tuberculosis medication? Hello, doctor. My father was hospitalized a few months ago due to pleural effusion, and after draining the fluid, he was diagnosed with tuberculosis (tuberculous pleuritis). He started taking the prescribed anti-tube...
Dr. Jian Shuntian Reply:
Ginseng may cause a tendency to cough up blood; however, if there is no hemoptysis or lung cavitary lesions or bronchiectasis, it should be acceptable. Chicken essence should not pose any issues. Sincerely, Jian Shun Tian.[Read More] Can Ginseng and Chicken Essence Help Patients on TB Medication?
Understanding Bronchiectasis: Symptoms, Risks, and Management Strategies
Bronchiectasis Hello Dr. Yang, I am Sandy, who consulted you about bronchiectasis on November 22. I appreciate your response, but I still have some concerns I would like to discuss. I have been suffering from recurrent pneumonia for the past seven years, which has led to localize...
Dr. Yang Wenda Reply:
Hello: First of all, congratulations on the improvement of your respiratory symptoms. The 20-30 chest X-rays and the bronchiectasis currently do not show any correlation with the incidence of lung cancer, so please do not worry! Inhaling lung irritants or secondhand smoke is some...[Read More] Understanding Bronchiectasis: Symptoms, Risks, and Management Strategies