Understanding Chronic Wet Cough: Diagnosis and Treatment Options
Chronic wet cough Hello Doctor, I have suffered from colds since childhood and have frequently visited clinics for respiratory diseases. For the past five years, after catching a cold, I have experienced a persistent wet cough (clear mucus with slight foaming) that lasts from one...
Dr. Lu Mingzhi Reply:
Hello: The typical symptoms of asthma include prolonged intermittent cough with phlegm, shortness of breath, wheezing, and chest tightness (especially worsening at night or in the early morning). However, not every asthma patient exhibits these typical symptoms. Although pulmonar...[Read More] Understanding Chronic Wet Cough: Diagnosis and Treatment Options
Understanding Right Rib Pain and Chest Tightness: Possible Causes and Concerns
Dull pain below the right rib cage, tightness in the chest, and a history of mild throat irritation? Dear Dr. Wang Lanfu, Since mid-last month, I have been experiencing a dull pain under my right rib cage, along with a mild itch and pain in my throat (coughing without phlegm). R...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms do not currently appear to be indicative of pulmonary obstruction or pneumonia. I recommend that you visit a pulmonology clinic for further evaluation. Thank you.[Read More] Understanding Right Rib Pain and Chest Tightness: Possible Causes and Concerns
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
Why Do I Feel Chest Tightness When Excited or During Masturbation?
When feeling excited, there may be a sensation of tightness in the chest? Feeling a sense of tightness or unusual breathing while watching adult films or during masturbation can be attributed to several factors. This may include heightened arousal leading to increased heart rate ...
Dr. Yang Wenda Reply:
Hello: When a person is in an excited state, the adrenal glands secrete more adrenaline, which typically results in an increased heart rate. Some individuals may also experience faster breathing, which is considered a normal physiological response. If there are no symptoms of diz...[Read More] Why Do I Feel Chest Tightness When Excited or During Masturbation?
Understanding Chest Discomfort: Causes and When to Seek Help
Chest tightness or pain? Since I developed two lumps under my armpit, I've been very worried that something might be wrong. Later, I started having trouble sleeping, and then I experienced chest tightness and pain on the left side, along with a loss of appetite. I also had m...
Dr. Tao Ruiming Reply:
Hello: Anxiety, panic, and stress can cause 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!"...[Read More] Understanding Chest Discomfort: Causes and When to Seek Help
Understanding Chest Pain: Causes and Concerns for Patients
Chest pain, bilateral rib pain, and tenderness upon palpation of the bones beneath the breasts? Dear Deputy Director, Since tomorrow is New Year's Eve, my husband won't let me visit the pulmonology department, so I'm reaching out to you for help! I hope you can pr...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, some of your symptoms are more indicative of fibromyalgia, and you have undergone a series of tests that did not reveal any other abnormalities. It is recommended that you quit smoking and maintain a regular lifestyle. Please observe your conditi...[Read More] Understanding Chest Pain: Causes and Concerns for Patients
Should We Take My Father to the ER for Worsening COPD and Lung Cancer?
My father has been getting worse after his recent follow-up visit and hospitalization. Should we go to the emergency room? My father was diagnosed with COPD five years ago, and his lung function has been declining since then. Last year, he was also diagnosed with lung adenocarcin...
Dr. Zhang Ziyan Reply:
Hello Mr. Tsai, regarding your question about whether to go to the emergency room for hospitalization, let me start with the conclusion: it depends on what you expect the emergency hospitalization to accomplish. During the Lunar New Year period, examinations, medications, and oxy...[Read More] Should We Take My Father to the ER for Worsening COPD and Lung Cancer?
Breathing Difficulties: Which Specialist Should You Consult?
Dyspnea I am a senior student who has less than a month left before the university entrance exam. Recently, I often feel like something is choking my neck, making it hard to breathe, along with slight chest tightness, dizziness, and symptoms of hypoxia. I also frequently experien...
Dr. Zhang Ziyan Reply:
Hello Ms. Yan, based on the description of your symptoms, it is often the case that physiological conditions are triggered by emotional stress. I recommend that you first consult a general internist to rule out any vital sign issues, and then consider seeking care from a psychoso...[Read More] Breathing Difficulties: Which Specialist Should You Consult?
Understanding Elevated Cyfra21-1 Levels: When to Seek Further Medical Evaluation
Cyfra 21-1 Hello doctor, recently during the company health check, my Cyfra21-1 level was elevated at 5.9, whereas in previous years it was around 1.x. I have previously experienced chest tightness and pain, and I have visited three hospitals where I underwent X-rays, but no abno...
Dr. Wang Lanfeng Reply:
Hello: Cyfra21-1 is a tumor marker found in the blood, and its test values can be influenced by many factors, leading to a higher rate of false positives. Generally, tumor markers are used to monitor the condition of cancer patients after treatment and are not suitable for early ...[Read More] Understanding Elevated Cyfra21-1 Levels: When to Seek Further Medical Evaluation
Understanding Left Upper Chest Pain: Causes and Next Steps
Left upper chest stabbing pain? Hello Doctor: Six months ago, I visited a cardiologist due to palpitations and chest tightness. At that time, I underwent an electrocardiogram (ECG) and a 24-hour Holter monitor, both of which showed no issues. The doctor prescribed antiarrhythmic ...
Dr. Tao Ruiming Reply:
Hello: Based on initial assessment, it appears that most of the discomfort is due to non-pathological musculoskeletal pain in the chest. It is recommended to first conduct a simple chest X-ray for clarification.[Read More] Understanding Left Upper Chest Pain: Causes and Next Steps
Understanding Chest Pain and Discomfort After COVID Vaccination
Chest tightness and sharp pain in the chest? Hello Doctor, about a month ago I received the BNT vaccine. A week later, I started experiencing chest tightness and occasional sharp pain near the xiphoid process. I visited two hospitals where I underwent an electrocardiogram, X-ray,...
Dr. Yang Wenda Reply:
Hello: If myocarditis is ruled out during the cardiology examination, there is no need to worry about vaccine side effects. Mitral valve prolapse is more likely to cause symptoms such as chest tightness and chest pain. Additionally, anxiety about vaccine side effects can exacerba...[Read More] Understanding Chest Pain and Discomfort After COVID Vaccination
Understanding Deep Breathing Issues: Possible Causes and Solutions
Deep inhalation? Hello. I have been experiencing deep and labored breathing (not fast), and if I don't take deep breaths, I feel like I can't get enough air. The upper part of my throat feels dry and painful. This sensation is more pronounced during exercise, and I do n...
Dr. Yang Wenda Reply:
Hello: During exercise, breathing is usually deep, but if you are focused on the activity and do not feel discomfort, your cardiopulmonary function should be fine. Your main symptom is chest tightness, which can be considered in four parts: 1. Check for nasal congestion; if prese...[Read More] Understanding Deep Breathing Issues: Possible Causes and Solutions
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 Left Chest and Lower Back Pain: Possible Causes and Solutions
Pain in the left chest and lower back? Hello, doctor. I usually have a habit of exercising every day, but recently, whenever I exercise (without increasing the intensity, and even reducing it), I experience pain on the outer left side of my chest (near the ribs) and in my left lo...
Dr. Yang Wenda Reply:
Hello: It seems that the discomfort in these two areas may not be related. For gastrointestinal issues, please first consult a gastroenterologist. For the pain on the left side of the chest, you should see a pulmonologist for an X-ray. If there are no lung problems, it may be mus...[Read More] Understanding Left Chest and Lower Back Pain: Possible Causes and Solutions
Understanding Chest Pain After Vaccination: When to Seek Further Evaluation
Chest pain? Hello Doctor, I received my first dose of the AZ vaccine on September 22nd. On September 30th, I started experiencing occasional sharp pains in my chest lasting 1 to 2 seconds. Later, it became more intermittent, not very frequent, but I do feel a slight pressure in m...
Dr. Zhou Ziguang Reply:
Hello: You have already been evaluated. After consultation with the physician, if you still have questions, you will need to seek further evaluation for the physician's assessment.[Read More] Understanding Chest Pain After Vaccination: When to Seek Further Evaluation
Understanding Chest Tightness and Upper Left Back Pain: Causes and Solutions
Chest tightness and pain in the upper left back? Hello, doctor. I'm not sure if it's related to my menstrual period or something else, but I've been feeling a persistent tightness in my chest and pain in my upper left back for the past few days. Once I adjust my po...
Dr. Jian Shuntian Reply:
Hello: Based on the description, it could be a muscle or fascia issue. Please check for any abnormalities in the lungs or thoracic cavity by visiting a pulmonology clinic. Additionally, if there is a possibility of congenital airway narrowing or asthma, please also consult a pulm...[Read More] Understanding Chest Tightness and Upper Left Back Pain: Causes and Solutions
Understanding Chest Discomfort: When to See a Pulmonologist
Chest tightness, difficulty breathing, cold sweats, numbness in the hands, and pain in the upper back and shoulders? One night, I suddenly experienced chest tightness, rapid heartbeat, and difficulty breathing, feeling like I was about to faint. I went to the emergency room, but ...
Dr. Wu Yingxun Reply:
Hello: Please have a check-up with the pulmonology and cardiology departments (including X-ray, pulmonary function tests, echocardiogram, and 24-hour Holter monitoring). If there are no issues, it may be a case of autonomic nervous system dysfunction.[Read More] Understanding Chest Discomfort: When to See a Pulmonologist
Understanding Chest Tightness and Dizziness: Possible Causes and Concerns
Chest tightness, a sensation of constriction in the neck, and dizziness? These episodes have been occurring for over three weeks. I have hypertension and right ventricular conduction disorder. I'm wondering if the dizziness could be caused by carotid artery embolism, and if ...
Dr. Zhou Ziguang Reply:
Hello: Please visit the cardiology department, and consider arranging a carotid ultrasound examination.[Read More] Understanding Chest Tightness and Dizziness: Possible Causes and Concerns
Persistent Breathing Difficulties: Seeking Answers After 18 Months
Shortness of breath lasting for one and a half years? Hello, Since I developed symptoms of shortness of breath after a fever last May, I have been experiencing a tight feeling in my neck and a sensation of exertion (even when relaxed). The tightest area extends from my neck up ...
Dr. Yang Wenda Reply:
Hello: 1. Based on the X-ray and CT scan, you likely do not have any pulmonary parenchymal disease. 2. Since you have not experienced improvement with the use of bronchodilators (asthma medication), it is unlikely that you have asthma; please do not dwell on this diagnosis. 3. Th...[Read More] Persistent Breathing Difficulties: Seeking Answers After 18 Months
Understanding Phlegm Issues: Navigating Chest and Gastro Problems
Issues with phlegm? Hello, Dr. Yang. I have been experiencing chest tightness since last year and went to the hospital for a check-up. The doctor said I have pulmonary infiltration. After taking medication, I have had persistent phlegm in my throat. Later, the doctor diagnosed me...
Dr. Yang Wenda Reply:
Hello: If there are no obvious stomach pains or symptoms of acid reflux, you may not need to see a gastroenterologist. If you experience the aforementioned symptoms, a gastroscopy is recommended. For post-nasal drip or allergic rhinitis, you can consult an otolaryngologist. If th...[Read More] Understanding Phlegm Issues: Navigating Chest and Gastro Problems