Severe Left Chest Pain: Causes, Symptoms, and When to Seek Help
Severe pain in the left chest? Hello Doctor: I suddenly experienced severe pain in my left chest last night, which felt like a sharp and stabbing pain that radiated to my back. The symptoms have persisted until now; it hurts when I lie down, it hurts with deep breaths, and I cann...
Dr. Yang Wenda Reply:
Hello: Your symptoms require you to first visit a pulmonologist for a chest X-ray to rule out pulmonary diseases (such as pneumothorax, pleural effusion, etc.) before we can speculate whether it is neuropathic pain.[Read More] Severe Left Chest Pain: Causes, Symptoms, and When to Seek Help
Understanding Iatrogenic Pneumothorax from Acupuncture: Risks and Recovery
Iatrogenic pneumothorax caused by acupuncture? 1. Regarding iatrogenic pneumothorax caused by acupuncture, is there a high possibility of recurrence after recovery? 2. After being hospitalized and receiving oxygen therapy for two days, I was discharged, but I still have symptoms...
Dr. Yang Wenda Reply:
Hello: 1. The chance of recurrence is very low, unless you already have small bubbles in your lungs (which is more common in tall and thin individuals, and can be more easily seen on a CT scan), in which case there is a possibility of recurrence. 2. The chest pain symptoms should...[Read More] Understanding Iatrogenic Pneumothorax from Acupuncture: Risks and Recovery
Understanding Ground-Glass Nodules: Risks and Next Steps After LDCT
Low-dose computed tomography reveals ground-glass lung nodules? Hello, doctor. I have been smoke-free for over six months now, after smoking for 10 years at a rate of one pack a day. In January of this year, I had a cough and underwent a low-dose computed tomography (LDCT) scan. ...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest that you return to the hospital where the examination was conducted and discuss future treatment options with your attending physician. Thank you.[Read More] Understanding Ground-Glass Nodules: Risks and Next Steps After LDCT
Chest Pain and Throat Discomfort: When to See a Specialist?
Sharp pain in the chest, sore throat, and phlegm? Hello Doctor: I would like to ask about a recent sudden increase in phlegm in my throat, along with a tight sensation. When I press near my lower jaw while swallowing saliva, it hurts, and I also experience sharp pain when pressin...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are more indicative of an upper respiratory infection. I recommend that you visit a pulmonology clinic for further evaluation. Thank you.[Read More] Chest Pain and Throat Discomfort: When to See a Specialist?
Managing Rapid Heartbeat After Omicron: Tips for Recovery at Home
Omicron-induced tachycardia? I am a confirmed COVID-19 patient, and it has been about ten days since my diagnosis. When I lie down and relax, my heart rate is around 60-80 beats per minute, but when I get up to drink water or sit, my heart rate spikes to about 120, then gradually...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your condition may be a post-viral syndrome resulting from a coronavirus infection. Currently, some hospitals have established integrated outpatient clinics for COVID-19. It is recommended that you seek medical consultation. Thank you.[Read More] Managing Rapid Heartbeat After Omicron: Tips for Recovery at Home
Understanding Chronic Cough and Asthma: Symptoms, Diagnosis, and Treatment
Chronic cough and asthma that have been troubling for a long time? Hello Doctor: I have been coughing since mid-February of this year, and it has been over two months. My symptoms include an itchy throat and trachea, coughing, and a lot of phlegm (all white and transparent foam)....
Dr. Yang Wenda Reply:
Hello: The treatment provided by your physician is appropriate, but there may still be other factors that are not well controlled, such as dietary aspects. Western medicine may not emphasize this as much, while traditional Chinese medicine will consider your constitution and prov...[Read More] Understanding Chronic Cough and Asthma: Symptoms, Diagnosis, and Treatment
Understanding Chest Pain and Low Blood Oxygen After COVID-19 Vaccination
Chest pain, low blood oxygen levels? Hello, doctor! I was diagnosed with Covid-19 around June last year, but I did not have any significant chest pain symptoms at that time. However, after receiving the BNT vaccine in November, I began to experience occasional chest pain. After g...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms may be related to heart or lung issues. As for whether there is a connection to the vaccine, it would require further evaluation of relevant medical reports. I recommend that you first visit a cardiology or pulmonology clinic for as...[Read More] Understanding Chest Pain and Low Blood Oxygen After COVID-19 Vaccination
Managing ALK-Positive Lung Adenocarcinoma: Dosage and Symptoms Explained
Issues with medication for lung adenocarcinoma? Hello Doctor: I was recently diagnosed with stage 3B lung adenocarcinoma with an ALK gene mutation. I am currently undergoing treatment with Alectinib. Initially, while waiting for the health insurance approval for the medication, t...
Dr. Wang Lanfeng Reply:
Hello: The initial recommended dosage of Anlisat is indeed 600 mg, taken in the morning and evening. Perhaps your attending physician has other considerations. It is advisable to discuss your treatment situation with your attending physician. Thank you.[Read More] Managing ALK-Positive Lung Adenocarcinoma: Dosage and Symptoms Explained
Understanding Lung Nodules: Insights from Recent CT Scan Findings
Pulmonary nodule issues? CT of the whole abdomen scanning from the diaphragmatic dome to the pubic symphysis with and without IV contrast injection plus coronal section MPR images shows: - Three hypervascular tumors in the right lobe of the liver, with a maximal size of about 3....
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest that you consult with the hospital where the examination was performed for more suitable advice. Thank you.[Read More] Understanding Lung Nodules: Insights from Recent CT Scan Findings
Do Cardiologists Thoroughly Review Chest X-Rays for Lung Health?
Some issues related to X-ray reports? Hello, doctor. I would like to ask whether doctors from any specialty examine all aspects of an X-ray. Recently, I had a chest X-ray due to some heart-related issues, and the doctor informed me that the results were normal. Does this mean tha...
Dr. Wang Lanfeng Reply:
Hello: Most chest X-rays are interpreted and reported by a radiologist, and your treating physician will explain the findings to you based on the report. Generally, if the chest X-ray report is normal, there is no need to visit a pulmonology clinic unless you have symptoms relate...[Read More] Do Cardiologists Thoroughly Review Chest X-Rays for Lung Health?
Feeling Choked After Drinking: Concerns About Lung Health
Choking on a drink? Hello, doctor. I just drank some juice that contained a transparent, gelatinous substance, and I accidentally inhaled it, feeling like there is a foreign object in my lungs. Afterward, I drank water but still don't feel like the foreign object was cleared...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, it is indeed possible that the discomfort is caused by choking; however, this does not necessarily mean that a foreign object has entered the trachea. Generally speaking, even if food enters the trachea, as long as the volume of the aspirated foo...[Read More] Feeling Choked After Drinking: Concerns About Lung Health
Chest Pain and Left Hand Tingling: Understanding Possible Causes
Simultaneous pain in the heart and the back of the left hand? Hello, doctor. I would like to ask about occasional sharp pain in my heart and the back of my left hand (near the thumb joint) that occurs simultaneously. The location of the pain has not changed, and it lasts about 5-...
Dr. Yang Wenda Reply:
Hello: Your age is not typically associated with a high risk of heart disease, and since you do not experience any symptoms during regular activities or exercise, heart disease can likely be ruled out. If the occasional tingling in your thumb joint is bothersome, you may consider...[Read More] Chest Pain and Left Hand Tingling: Understanding Possible Causes
Understanding Left Lower Chest Pain: Causes and Concerns
There is a subtle pain in the lower left chest? Waking up with pain under the left rib cage, unable to pinpoint the exact location upon pressing, and experiencing mild pain when breathing deeply at times. Stretching seems to alleviate the discomfort somewhat, but sitting for exte...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are more indicative of pain caused by fasciitis. It is advisable to monitor the situation, and if the symptoms persist, I recommend visiting a pulmonology outpatient clinic. Thank you.[Read More] Understanding Left Lower Chest Pain: Causes and Concerns
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 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 Rib Pain: Causes and Concerns in Chest Health
Rib issues Hello Doctor: Recently, I have been experiencing occasional pain in my ribs, which becomes tender when pressed. However, it usually resolves on its own if I don't press on it or after the pain subsides. I would like to know what might be causing this. Additionally...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, some of your symptoms seem to be related to musculoskeletal issues causing pain, but they could also be due to a pulmonary condition, especially since your symptoms worsen after smoking. I recommend that you quit smoking and maintain a regular da...[Read More] Understanding Rib Pain: Causes and Concerns in Chest Health
Understanding Multiple Small Nodules on Chest CT: What to Do Next?
Multiple small white spots on chest CT? Hello Doctor, I had a chest X-ray in February last year, and the doctor noted some suspicious small white spots. I then consulted a thoracic surgeon, who arranged for a CT scan in August. The CT results showed several small white spots in m...
Dr. Jian Shuntian Reply:
Hello: A follow-up chest CT scan is required, as chest X-rays typically cannot detect these small nodules. Thank you. Best regards.[Read More] Understanding Multiple Small Nodules on Chest CT: What to Do Next?
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
Understanding a 0.35 cm Lung Nodule: Diagnosis and Follow-Up Care
0.35 cm pulmonary nodule Hello, the physician noted that the chest X-ray showed an abnormality, leading to further examination at Kaohsiung Medical University Hospital, where another X-ray was taken. The doctor explained that there is a 0.35 cm nodule in the lung, which was asses...
Dr. Wang Lanfeng Reply:
Hello: Generally speaking, due to the numerous blood vessels and airway structures in the lungs, it is difficult for a chest X-ray to clearly distinguish nodules smaller than 0.5 centimeters. This may be a misunderstanding in communication. If you still have questions, it is reco...[Read More] Understanding a 0.35 cm Lung Nodule: Diagnosis and Follow-Up Care
Understanding Chest X-Ray Findings: Implications and Next Steps
Chest X-ray report issues? Today, I was hospitalized and had an X-ray taken. The report is as follows: Chest 1 view PA: Thoracoscoliosis with convexity to the right is noted. Increased lung markings in both lower lobes are present. Bilateral costophrenic angles are clearly iden...
Dr. Wang Lanfeng Reply:
Hello: Since we cannot view the original X-ray and chest CT scan images, it is advisable for you to consult the original examining hospital. Thank you.[Read More] Understanding Chest X-Ray Findings: Implications and Next Steps