Chest, Pulmonology FAQ - Page 22

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Understanding Unexplained Chest Pain: When to Seek Medical Help

Intermittent sharp pain on both sides of the chest? Hello! I am a full-time mom. In February of this year, I underwent gallbladder removal surgery due to gallstones. Since then, I have been experiencing chest pain that varies in location; sometimes it occurs on the left side, som...


Dr. Zhou Ziguang Reply:
Hello: You may first discuss with a neurologist.

[Read More] Understanding Unexplained Chest Pain: When to Seek Medical Help


Understanding Intermittent Chest Pain: Causes and When to Seek Help

Sharp pain in the center of the chest? Hello Doctor: I started experiencing severe pain in the center of my chest one day at the end of May. It was a sharp pain that made it very uncomfortable to take a deep breath, and I was afraid to move because of the intensity of the pain. I...


Dr. Jian Shuntian Reply:
Hello: Based on your description, there could be many potential causes: costochondritis, thoracic radiculitis, fasciitis, mediastinal issues, cardiac problems, etc. Please visit the thoracic department at the hospital for an examination, and then consult with the thoracic special...

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Understanding Left Upper Chest Pain: When to Seek Medical Help

Sharp pain in the upper left chest? Hello! I have a stabbing pain in my upper left chest. It used to occur occasionally, but in the past two weeks, it has become more frequent, sometimes radiating to my left arm and back. I have seen a cardiologist and had an electrocardiogram an...


Dr. Tao Ruiming Reply:
Hello: Chest pain or tightness caused by anxiety, panic, and stress often presents as a vague discomfort in the bilateral chest area, making it difficult to pinpoint a specific location. The most common complaint from patients is, "I can't catch my breath; I have to for...

[Read More] Understanding Left Upper Chest Pain: When to Seek Medical Help


Understanding Lung Health: Evaluating an 86-Year-Old's Chest X-Ray Findings

Grandmother's health check report? Dear Dr. Yang, My grandmother, who is 86 years old, has the following findings from her health check-up report: Both lungs show clear vascular markings. In the left lower lobe, near the hilum, there is a soft tissue mass measuring approxim...


Dr. Yang Wenda Reply:
Hello: To determine whether it is a malignant tumor, a pathological report from a tissue biopsy is required. For older patients, a biopsy (puncture) may be less distressing.

[Read More] Understanding Lung Health: Evaluating an 86-Year-Old's Chest X-Ray Findings


Understanding Chest Pain: When to Seek Medical Attention

Chest pain Hello, I apologize for the length of my message. I had severe asthma as a child, which prevented me from participating in physical education classes. However, after my twenties, I rarely experienced attacks and can now run. My asthma has been monitored by doctors, who ...


Dr. Yang Wenda Reply:
Hello: Your chest pain, along with the shooting pain in different parts of your body and shortness of breath, seems to be less related and more indicative of neuropathic pain. It would be advisable to consult with a family medicine physician or a neurologist for further evaluatio...

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Unexplained Chest Pain: Seeking Answers After Multiple Doctor Visits

Chest pain with multiple medical visits and no identified cause? Hello Doctor, at the end of last year, I frequently experienced pain in my heart area accompanied by palpitations, and the pain intensified when I inhaled. I went to Chang Gung Memorial Hospital for a check-up, wher...


Dr. Yang Wenda Reply:
Hello: Detailed examinations of the heart and X-rays showed no abnormalities, which should rule out heart and lung diseases. Given your age, it is possible that you are experiencing neuralgia, which is often related to high stress, anxiety, and an inability to relax. It is recomm...

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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


Persistent Chest and Abdominal Pain with Hiccups After Eating

There is a mark near the lower abdomen of the chest, accompanied by burping after eating? I have diabetes and have been experiencing pain in the area just below my chest and above my abdomen before bedtime for some time. I often have trouble sleeping. I visited a doctor and after...


Dr. Jian Shuntian Reply:
Hello: It is possible that there are issues with the stomach or esophagus, and cardiac problems cannot be ruled out. You may first consult a gastroenterologist; if there are no issues found, you can then see a cardiologist. Alternatively, you may choose to see a cardiologist firs...

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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...

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Understanding Your Chest X-Ray Report: Normal Findings Explained

Confusion regarding X-ray report content? I went to the hospital for a chest X-ray examination as part of my internship requirements (I did not undergo a full health check). I informed the doctor that the X-ray was needed for my internship, and the doctor ordered the X-ray based ...


Dr. Jian Shuntian Reply:
Hello: According to this report, the chest X-ray shows no issues, indicating that there is no infectious disease; however, the actual diagnosis report does not state that there is no infectious disease. If your training facility requires a statement confirming the absence of infe...

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Understanding Chest Pain: Is It a Heart or Thoracic Issue?

Chest pain Hello, doctor. My mother has been experiencing pain in the center of her chest when pressed, and occasionally feels a sharp pain while moving. Could this be related to her heart or an issue in the thoracic cavity?


Dr. Jian Shuntian Reply:
Hello: Generally, tenderness is related to chest wall or muscle issues, but it is still necessary to consult a pulmonologist for an examination, and then ask the pulmonologist if a referral to a cardiologist is needed.

[Read More] Understanding Chest Pain: Is It a Heart or Thoracic Issue?


Unusual Chest Sounds During Exhalation: Causes and Concerns

There is a sound in the chest when exhaling forcefully? Hello, recently when I exert myself while exhaling, or during activities like coughing or laughing hard, I hear a sound from my left chest that resembles a "bloop" sound, similar to a flatulence noise, accompanied ...


Dr. Jian Shuntian Reply:
Hello: It should be considered abnormal, and there may be suspicion of mucus in the airway or an obstruction. Please discuss with your pulmonologist and attending physician whether a bronchoscopy or a computed tomography (CT) scan is necessary.

[Read More] Unusual Chest Sounds During Exhalation: Causes and Concerns


Understanding the Sensation of a Foreign Object in the Chest

Sometimes there is a sensation of something being lodged in the chest? I suddenly feel a sensation of something lodged in my chest, followed by a significant pressure in the middle of my chest that lasts for a while and then goes away, only to return after some time. I've ex...


Dr. Jian Shuntian Reply:
Hello: It could be an esophageal issue, such as gastroesophageal reflux disease (GERD); it may also be a cardiac problem. Please first visit a pulmonologist for a chest X-ray. If there are no issues, you can then see a cardiologist and a gastroenterologist to evaluate the heart a...

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Is Pneumonia Related to COVID-19? Understanding Lung and Urinary Infections

Is pneumonia related to COVID-19? On July 20, the rapid test was negative, and the chest X-ray showed mild inflammation in the lungs and mild inflammation in the urinary tract. Is there a connection between the lungs, urinary tract, and COVID-19? Is lung inflammation contagious? ...


Dr. Yang Wenda Reply:
Hello: The X-ray shows mild pneumonia, but it may not necessarily indicate true pneumonia. The chance of transmitting it to others is quite low. The urinary tract infection is likely unrelated to COVID-19. It is recommended to consult a gastroenterologist to manage gastroesophage...

[Read More] Is Pneumonia Related to COVID-19? Understanding Lung and Urinary Infections


Symptoms of Lung Metastasis from Giant Cell Tumors: What to Watch For

If a giant cell tumor of bone metastasizes to the lungs, it may present with symptoms such as persistent cough, chest pain, shortness of breath, and hemoptysis (coughing up blood). In some cases, patients may also experience fatigue, weight loss, or other systemic symptoms? I hav...


Dr. Jian Shuntian Reply:
Hello: If there are possible lung metastases, there may be no symptoms, or there could be coughing and chest pain. You can visit the pulmonology outpatient clinic. If necessary, a chest CT scan may be performed. There are many causes of chest pain and coughing, so please consult ...

[Read More] Symptoms of Lung Metastasis from Giant Cell Tumors: What to Watch For


Left Chest Pain and Anxiety: Understanding Your Symptoms

Sharp pain at a point in the mid-left area, occasional tightness in the left chest? I apologize for the inconvenience, but I have been feeling very anxious lately due to some issues, and I have also been experiencing insomnia for a while. In the past few days, whenever I feel ten...


Dr. Jian Shuntian Reply:
Hello: A sharp pain at a certain point is usually muscular or related to myofascial pain syndrome, but mitral valve prolapse cannot be ruled out. Please first visit a pulmonology clinic, and if there are no issues, you may also consider seeing a cardiologist.

[Read More] Left Chest Pain and Anxiety: Understanding Your Symptoms


Understanding Chest Pain: Causes and When to Seek Medical Help

Chest pain/Chest discomfort Hello, Doctor! I experienced intermittent chest pain between 00:00 and 03:20. The location is approximately in the middle of the line connecting both nipples, at the inward curve of the sternum. The pain feels like being crushed repeatedly by a machine...


Dr. Jian Shuntian Reply:
Hello: It could be gastroesophageal reflux or a heart issue. You may first visit the thoracic medicine clinic for an examination. If there are no issues, then proceed to see a cardiologist and a gastroenterologist. Thank you.

[Read More] Understanding Chest Pain: Causes and When to Seek Medical Help


Understanding Chest Tightness and Anxiety in Young Women: Causes and Solutions

Chest tightness and discomfort? Hello, doctor. I am a 20-year-old female with no history of asthma, but I do have mitral valve prolapse with regurgitation. Recently, over the past few months, I have been experiencing frequent chest tightness that requires me to take deep breaths....


Dr. Yang Wenda Reply:
Hello: These symptoms are still related to mitral valve prolapse, and it is recommended to consult with a psychiatrist and a cardiologist.

[Read More] Understanding Chest Tightness and Anxiety in Young Women: Causes and Solutions


Persistent Chest Tightness After COVID-19: Causes and Next Steps

Persistent chest tightness and inability to take deep breaths after pneumonia discharge? Since developing chest tightness after contracting COVID-19 on May 23, the symptoms have persisted for two months even after discharge. During this period, follow-up visits included chest X-r...


Dr. Yang Wenda Reply:
Hello: It appears that the lung tissue has not been significantly affected. It is recommended to engage in regular exercise and to use sleep medications to assist with sleep, ensuring at least seven hours of sleep each night. Limit the intake of cold foods and learn to relax (mos...

[Read More] Persistent Chest Tightness After COVID-19: Causes and Next Steps


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