Unexplained Coughing Up Blood and Chest Pain: Seeking Answers
Hemoptysis and chest pain of unknown origin? Hello Dr. Yang, I have a 15-year smoking history but have quit smoking. I currently have several symptoms that I would like to consult with you about. 1. Chest Pain: Since mid-September, I have experienced slight discomfort and pain ...
Dr. Yang Wenda Reply:
Hello: I believe the relevant examinations you have undergone are sufficient. The conclusion is that there is mild bronchiectasis or bronchitis, and the hemoptysis caused by either condition may be due to microvascular rupture, typically resulting from severe coughing or inadvert...[Read More] Unexplained Coughing Up Blood and Chest Pain: Seeking Answers
Understanding Hemoptysis: Causes of Coughing Blood and Chest Pain
Coughing up blood, chest pain, chest tightness, and phlegm? Hello Dr. Zhou: Four years ago, I underwent a biopsy for a lung nodule, which turned out to be fine! Since then, I have often had phlegm in my throat, and sometimes I feel chest tightness and difficulty breathing. Althou...
Dr. Zhou Ziguang Reply:
Hello, 1. If the nodule has not changed over the past four years and a biopsy has been performed, the likelihood of it being benign is highest. 2. If the computed tomography shows bronchiectasis, this condition may present with symptoms such as hemoptysis and sputum production...[Read More] Understanding Hemoptysis: Causes of Coughing Blood and Chest Pain
Understanding Bronchiectasis: Management and Life Expectancy Insights
Bronchiectasis Hello doctor, seven years ago I was hospitalized due to a viral infection and received a week of steroid treatment. After being discharged, I developed pneumonia and have been experiencing monthly colds ever since. Last year, I had pneumonia for the third time, and...
Dr. Yang Wenda Reply:
Hello Sandy: Localized bronchiectasis does not affect lung function or survival. It is more common to experience a prolonged cough with sputum following a viral infection, and occasional hemoptysis may occur (it is recommended to avoid spicy, fried, or herbal foods). Currently, y...[Read More] Understanding Bronchiectasis: Management and Life Expectancy Insights
Understanding Lung Issues: Exploring Possible Causes Beyond Inflammation
Lung issues Hello Doctor: Recently, I received my health check-up report and found an abnormality in the left lower lobe of my lung. The outpatient physician explained that it was pneumonia and prescribed medication for me. After a month, I returned for another X-ray, but there w...
Dr. Zhou Ziguang Reply:
Hello: Based on the described condition, it is not possible to determine a more likely diagnosis. Pneumonia, bronchiectasis, malignant diseases, or other chronic inflammatory conditions cannot be ruled out. Please consult with a pulmonologist for further discussion.[Read More] Understanding Lung Issues: Exploring Possible Causes Beyond Inflammation
Managing Bronchiectasis: Resources and Support in Kaohsiung
Bronchiectasis Hello, Doctor! I was diagnosed with bronchiectasis in 2012. During this time, I have frequently experienced coughing and occasional sputum production. In the past three months, my symptoms of bronchiectasis have worsened, with frequent chest tightness, coughing up ...
Dr. Zhou Ziguang Reply:
Hello: Bronchiectasis is a chronic condition characterized by symptoms such as excessive sputum production and wheezing. It is advisable to perform techniques like chest percussion to help with mucus clearance. In the event of an acute exacerbation (such as fever or increased pro...[Read More] Managing Bronchiectasis: Resources and Support in Kaohsiung
Chronic Respiratory Infections: Seeking Answers for Persistent Symptoms
Tricky issue? Hello, Dr. Huang. During my military service, I had a cold and did not seek medical attention due to my duties, which eventually led to a severe case of tonsillitis. For the next two to three years, I frequently experienced tonsillitis or suppuration. After that, ev...
Dr. Huang Yiwen Reply:
Dear BEE: I apologize for the delayed response. Based on your medical history, it appears to resemble bronchiectasis, which is a condition that can be congenital or acquired, leading to recurrent infections that cause the local bronchial mucosa to lose its ciliary function. This ...[Read More] Chronic Respiratory Infections: Seeking Answers for Persistent Symptoms
Managing Chronic Cough and White Phlegm in Bronchiectasis Patients
Bronchiectasis with frequent coughing and white sputum? Hello Dr. Yang, my mother has been diagnosed with bronchiectasis and has been coughing for over five years. Recently, her condition has worsened. She has been following your advice to drink warm water, practice deep breathin...
Dr. Yang Wenda Reply:
If you do not have a specific physician in mind, you may consider visiting the Traditional Chinese Medicine Department at Taichung Hospital and consult with Director Yang, who is qualified in both Traditional Chinese Medicine and Western Medicine. Best wishes![Read More] Managing Chronic Cough and White Phlegm in Bronchiectasis Patients
Struggling to Clear Phlegm: Managing Chronic Cough in Bronchiectasis
Coughing up phlegm that cannot be expelled? Hello Dr. Yang: My mother has bronchiectasis and a chronic cough. She is 58 years old and has recently reported that her symptoms have worsened. She feels that she has phlegm that she cannot seem to cough up, and her coughing has become...
Dr. Yang Wenda Reply:
Hello Ms. Yang: Chronic cough is an inevitable symptom of bronchiectasis, and significant improvement in a short period is difficult to achieve. Additionally, due to unstable weather conditions, the cough symptoms may worsen. It is recommended to return for a follow-up visit with...[Read More] Struggling to Clear Phlegm: Managing Chronic Cough in Bronchiectasis
Understanding Bronchiectasis: Chronic Cough and White Sputum Explained
Bronchiectasis with frequent coughing and white sputum? Hello Dr. Yang: I am the family member of the patient who consulted you on July 23rd. Ms. Yang's mother is feeling much better now, but her chronic condition has not improved; she often coughs (which has been ongoing fo...
Dr. Yang Wenda Reply:
Hello: Bronchiectasis is a condition characterized by the dilation of the bronchial structures, leading to impaired function of the bronchial mucosa and ciliary movement. This condition makes the airways more sensitive to external stimuli, resulting in a tendency to cough up sput...[Read More] Understanding Bronchiectasis: Chronic Cough and White Sputum Explained
Understanding Persistent Body Heat and Weakness Without Fever
Generalized warmth (without fever) and overall weakness? Hello Doctor, Patient: Female, 58 years old. No fever but experiencing generalized warmth and weakness. Medical History: The patient's temperature has fluctuated between 36°C and 37.5°C over the past two weeks, wit...
Dr. Yang Wenda Reply:
Dear Ms. Yang, The patient has experienced coughing, yellow sputum, fever, and fatigue, which suggest a lower respiratory tract infection (involving the bronchi and lungs). The chest X-ray shows no significant infiltrates, indicating that it may simply be a case of bronchiectasi...[Read More] Understanding Persistent Body Heat and Weakness Without Fever
Understanding DLCO in Autoimmune Conditions and Breathlessness Management
Please provide the content you would like me to translate into English? Hello Doctor, thank you for your previous response. I have a question I would like to ask because I have autoimmune issues (not clearly diagnosed, but I have a history of intestinal vasculitis and positive AN...
Dr. Yang Wenda Reply:
Hello, If there are autoimmune rheumatic diseases, it is necessary to consult a rheumatologist for a proper diagnosis. If not well controlled, it may lead to pulmonary fibrosis, which can affect DLCO (usually in the late stages, after middle age). As long as pulmonary function ...[Read More] Understanding DLCO in Autoimmune Conditions and Breathlessness Management
Managing Chronic Bronchitis: Tips for Improving Lung Health and Comfort
Chronic bronchitis Hello, doctor. Due to autoimmune issues, I have been taking corticosteroids and immunosuppressants for over two months, but my immune system has become very weak, and I keep catching colds. I previously had pneumonia, which was treated, but since then, whenever...
Dr. Zhou Ziguang Reply:
Hello, 1. If there are abnormalities in the right lower lung on the chest X-ray, further evaluation is recommended to confirm the condition, such as checking for bronchiectasis or other abnormalities. 2. Due to the presence of an autoimmune disease, if you experience nocturnal...[Read More] Managing Chronic Bronchitis: Tips for Improving Lung Health and Comfort
Managing Bronchiectasis: Solutions for Persistent Breathing Issues
Bronchiectasis Dear Dr. Chou, I am a patient with a 30-year history of bronchiectasis (more severe on the left side) and also suffer from nasal allergies. In the past, I would cough up yellow sputum daily and experience asthma attacks from time to time. However, over the past ye...
Dr. Zhou Ziguang Reply:
Hello, in patients with bronchiectasis, the condition may gradually worsen with age. If the use of bronchodilators does not improve symptoms and there are recurrent bronchospasms, inhaled corticosteroids may be added as indicated. These typically do not have significant long-term...[Read More] Managing Bronchiectasis: Solutions for Persistent Breathing Issues
Chronic Cough: Causes, Symptoms, and Treatment Options
Persistent cough Hello Doctor, I would like to ask you about my mother's persistent cough. I can hear her coughing during the day and especially at night when it becomes more severe (with phlegm, and sometimes she coughs continuously for a long time). This condition seems to...
Dr. Zhou Ziguang Reply:
Hello, there are many causes of chronic cough, such as bronchiectasis, tuberculosis, chronic bronchitis, psychogenic factors, and asthma, among others. I recommend that you visit a pulmonology department for further evaluation, including a chest X-ray. Thank you for your understa...[Read More] Chronic Cough: Causes, Symptoms, and Treatment Options
Understanding Chest Discomfort: Common Causes and Concerns
The chest area? What are the possible conditions for discomfort in the chest area? (I have been coughing for over a month.)
Dr. Yang Wenda Reply:
Hello, Xiao Sa: A cough lasting for more than a month may indicate various tracheal and pulmonary diseases (such as bronchitis, bronchiectasis, asthma, respiratory allergies, tuberculosis, etc.). It is advisable to visit a pulmonology clinic for a chest X-ray, and then consult a ...[Read More] Understanding Chest Discomfort: Common Causes and Concerns
Complications After Tuberculosis Recovery: Understanding Persistent Coughing
Can complications arise after recovering from pulmonary tuberculosis? Hello, doctors! I was first diagnosed with open pulmonary tuberculosis in 1999. Due to certain factors, my treatment took nearly two years to complete, and my attending physician officially informed me that I h...
Dr. Zhou Ziguang Reply:
Hello, 1. Typically, patients who have been cured of pulmonary tuberculosis may have some residual pulmonary fibrosis, and some may develop bronchiectasis. These patients are prone to common bacterial infections and may experience symptoms such as coughing, with a small percent...[Read More] Complications After Tuberculosis Recovery: Understanding Persistent Coughing
Can Pulmonary Fibrosis Be Reversed? Insights and Treatment Options
Can pulmonary fibrosis be reversed? Hello, thank you for taking the time to answer my questions. I have been tracking and treating pulmonary fibrosis for 5 years, and I have been suffering from cough and wheezing... Moreover, my condition has been gradually worsening, with suspec...
Dr. Lin Zhuorui Reply:
Hello: Our hospital did not treat Ms. Cao. If you would like to see a traditional Chinese medicine practitioner, please consult a qualified practitioner from an accredited traditional Chinese medicine program. Wishing you good health.[Read More] Can Pulmonary Fibrosis Be Reversed? Insights and Treatment Options
Is Coughing Up Blood Normal with a Cold? Expert Insights
Coughing up blood? Hello doctor, my mother coughed up a small amount of blood today, but it's not a lot and it doesn't happen every time she coughs. I want to take her to the hospital, but she insists on not going, and I'm still very worried. She does have a cold; ...
Dr. Yang Wenda Reply:
Hello, coughing up blood is primarily caused by damage to the bronchial mucosa, leading to the rupture of microvessels. The most common cause is bronchitis, but it can also be due to bronchiectasis, pulmonary tuberculosis, or lung tumors. It is advisable to visit a hospital for a...[Read More] Is Coughing Up Blood Normal with a Cold? Expert Insights
Understanding Yellow Sputum in Bronchiectasis: When to Worry?
Yellow sputum in bronchiectasis? Dear Director Yang, I have been suffering from bronchiectasis for over 30 years and I produce a significant amount of yellow sputum daily. However, I do not experience fever unless I have a cold. Most doctors prescribe antibiotics as soon as they...
Dr. Yang Wenda Reply:
Hello MoMo: The yellow color of sputum may be caused by a bacterial infection, or it could be due to sputum remaining in the bronchi for too long (such as 6-8 hours), which can also cause discoloration. If there is a bacterial infection, it is more likely to be accompanied by a w...[Read More] Understanding Yellow Sputum in Bronchiectasis: When to Worry?
Understanding Bronchiectasis: Key Questions and Answers for Patients
A patient with bronchiectasis inquires? 1. For patients with bronchiectasis, the daily sputum production can range from approximately 30 cc to 100 cc, but this can vary widely depending on the severity of the condition. 2. Yellow sputum may indicate a bacterial infection, sugges...
Dr. Li Shiwei Reply:
Reply: Hello, 1. The amount of sputum in patients with bronchiectasis varies from person to person and is related to the extent and location of the bronchiectasis, as well as the presence of infection. 2. An increase in sputum volume or a change to a yellow color often indica...[Read More] Understanding Bronchiectasis: Key Questions and Answers for Patients