Understanding Tuberculosis Treatment in Young Children: Risks and Concerns
Pediatric pulmonary tuberculosis infection Hello, Doctor! My father was diagnosed with open pulmonary tuberculosis in June of this year, and he has been cured for a month now. He has been taking his medication regularly and attending follow-up appointments. The doctor mentioned t...
Dr. Jian Shuntian Reply:
A child over 1 year old has a 2 cm positive tuberculin skin test, which is considered strongly positive, indicating a significant risk of developing tuberculosis. It is recommended that the child undergo 270 days of preventive treatment with isoniazid (INH). The likelihood of sid...[Read More] Understanding Tuberculosis Treatment in Young Children: Risks and Concerns
Understanding Chest Pain: Causes and Concerns for Hypertension Patients
Chest pain I have a history of hypertension and recently started taking medication for gastroesophageal reflux disease (GERD). One night, while sitting, I began to experience chest pain that felt more pronounced when I slouched, but it subsided when I stood or lay straight. What ...
Dr. Jian Shuntian Reply:
If it is a stomach issue, please visit a gastroenterologist for further examination.[Read More] Understanding Chest Pain: Causes and Concerns for Hypertension Patients
Understanding Left Chest Pain: Causes and Concerns for Patients
Left chest pain? Hello doctor, I have been experiencing sharp pain in my left chest for three consecutive days, occurring once or twice a day, and lasting no more than 5 seconds each time. I have no history of heart-related diseases. The last episode of sharp pain also occurred i...
Dr. Jian Shuntian Reply:
Hello: If you have related concerns, please first visit the pulmonology outpatient clinic.[Read More] Understanding Left Chest Pain: Causes and Concerns for Patients
Breathing Difficulties and Chest Tightness During Meals: Causes and Solutions
Chest tightness and difficulty breathing while eating? Hello Doctor: Recently, I suddenly experienced difficulty breathing while eating. I tried walking around and taking deep breaths, but it only worsened, leading to dizziness and numbness in my hands, feet, and face. I felt a s...
Dr. Jian Shuntian Reply:
Hello: Please first visit the pulmonary medicine outpatient clinic. If a referral is needed, the pulmonologist will assess the situation and refer you to the appropriate specialty.[Read More] Breathing Difficulties and Chest Tightness During Meals: Causes and Solutions
Persistent Nasal Congestion and Breathing Issues After Cold
Difficulty breathing and nasal congestion? Hello, doctor: I have had a cold for about three weeks with no improvement. In the first week, I experienced a sore throat and cough. In the second week, I had persistent nasal congestion throughout the day, phlegm in my throat, dry coug...
Dr. Wang Zhengde Reply:
Hello: During the pandemic, if you experience symptoms such as sore throat, cough, nasal congestion, and diarrhea, you should suspect the possibility of a COVID-19 infection. It is recommended to wear a mask and seek medical attention promptly, while providing your physician with...[Read More] Persistent Nasal Congestion and Breathing Issues After Cold
Understanding Brief Chest Pain: When to Seek Medical Advice
Chest pain? Hello, I sometimes experience a brief pain on the inner side of my right chest that lasts for just 1 or 2 seconds. If I don't pay attention to it, it seems to go away and feels normal, but if I think about it, the pain returns intermittently. Sometimes there are ...
Dr. Zhang Ziyan Reply:
Hello, if the chest pain is intermittent and not persistent, there may not be too much to worry about. However, if it becomes persistent or worsens, it would be advisable to consider consulting a pulmonologist. Please follow the guidance of your treating physician for further det...[Read More] Understanding Brief Chest Pain: When to Seek Medical Advice
Understanding Chest Tightness and Shortness of Breath: Causes and Concerns
Often feel chest tightness and shortness of breath? Hello, Director Jian. For the past six months, I have frequently experienced shortness of breath and chest tightness. I had an electrocardiogram in January of this year, and the doctor said everything was normal. An X-ray during...
Dr. Jian Shuntian Reply:
Hello: 1. Based on the description, it is most likely caused by asthma or stress. Please visit a pulmonologist for an examination. 2. To check for early-stage lung cancer, a low-dose computed tomography (CT) scan can be performed.[Read More] Understanding Chest Tightness and Shortness of Breath: Causes and Concerns
Understanding Chest Pain: When to Seek Medical Attention for Symptoms
Chest pain? I have been experiencing a sharp pain in the upper right side of my chest, near the inner middle, for the past couple of days. There is also a slight pain in the left chest, close to the inner middle, but the right side is more pronounced. This morning, I woke up in t...
Dr. Jian Shuntian Reply:
Hello: Please see the pulmonology outpatient clinic first.[Read More] Understanding Chest Pain: When to Seek Medical Attention for Symptoms
Persistent Dry Cough and Itchy Throat: When to See a Pulmonologist?
Dry cough, itching in the upper palate, itchy tongue, itchy esophagus, and itchy stomach; it feels like the entire throat is very itchy? Hello doctor, I have been experiencing a dry cough for over a month. During this time, I visited both an obstetrician-gynecologist and an ear, ...
Dr. Zhang Youzheng Reply:
Hello: 1. Symptoms such as a dry cough, itching in the upper palate, itching of the tongue, itching in the esophagus, and itching in the stomach suggest that your throat feels very itchy. The possible conditions for these symptoms are: (1) a viral infection or (2) an allergic rea...[Read More] Persistent Dry Cough and Itchy Throat: When to See a Pulmonologist?
Understanding Sudden Chest Pain: Is It Intercostal Neuralgia?
Sudden onset of discomfort? Hello Doctor, I suddenly felt a dull aching pain on the right side of my chest (near the center) before going to bed at night. This sensation extended to my upper back on the right side and even to my waist (the discomfort in my right chest was less no...
Dr. Jian Shuntian Reply:
Hello: It could be neuropathic pain, possibly related to prolonged sitting and the menstrual cycle. It is recommended to visit a thoracic clinic for examination. Thank you.[Read More] Understanding Sudden Chest Pain: Is It Intercostal Neuralgia?
Concerns About Chest Discomfort After Years of Smoking: A Guide
I have been smoking for about 10 years and would like to have my chest examined due to discomfort? Hello, Doctor. I am currently 24 years old and have been smoking since middle school. I have tried using Champix (varenicline) to quit smoking multiple times, but I ended up relapsi...
Dr. Yang Wenda Reply:
Hello: 1. I haven't heard of any issues with drug resistance; most cases are due to individual and environmental factors that make it difficult to adhere to treatment. 2. If you experience deep headaches when coughing or straining, you should consult a neurologist. 3. For ea...[Read More] Concerns About Chest Discomfort After Years of Smoking: A Guide
Understanding Chest Tightness and Breathing Difficulties: Causes and Solutions
Chest tightness and difficulty breathing? Hello doctor, I would like to ask about some symptoms I've been experiencing. A few days ago, I felt a lot of bloating in my stomach, which later turned into a feeling of tightness in my chest. I have to take deep breaths, and I can ...
Dr. Yang Wenda Reply:
Hello: Most people are unable to relax or do not get enough rest, which leads to some physical symptoms caused by nerve tension. It is recommended to get adequate rest and engage in moderate exercise, as this can help alleviate these symptoms.[Read More] Understanding Chest Tightness and Breathing Difficulties: Causes and Solutions
Understanding Chest Tightness and X-Ray Findings: What You Need to Know
Chest tightness; X-ray report? Hello, doctor. I would like to ask two questions: 1. Recently, I often feel chest tightness and need to increase my breathing rate or take deep breaths to feel like I have enough oxygen, but I do not have a cough. Does this count as an asthma atta...
Dr. Yang Wenda Reply:
Hello: 1. If you are an asthma patient, ensure that you are using your inhaled bronchodilators and corticosteroids daily. If you experience increased wheezing or respiratory rate, you may consider returning to the pulmonology clinic for evaluation. 2. X-rays may show hyperinflati...[Read More] Understanding Chest Tightness and X-Ray Findings: What You Need to Know
Is There a High Risk of Lung Cancer After Tuberculosis Recovery?
Is the likelihood of tuberculosis progressing to lung cancer high? Hello Doctor, I am a tuberculosis patient and I have two months left in my treatment regimen. I have read many articles online that suggest that after tuberculosis is cured, it can lead to chronic lung damage and ...
Dr. Yang Wenda Reply:
Hello: Trust your pulmonologist and have regular follow-up chest X-rays every year. If you experience a cough lasting more than two weeks or significant weight loss, return to the pulmonologist for further evaluation. In my personal experience, there is no clear correlation; some...[Read More] Is There a High Risk of Lung Cancer After Tuberculosis Recovery?
Understanding Left Chest Tightness: Causes and When to Seek Help
Tightness in the left chest? Hello doctor, I have just started feeling a tightness in the lower part of my left chest over the past few days. This sensation occurs only in certain sitting positions; changing my posture alleviates the tightness. There is no pain, so I am wondering...
Dr. Yang Wenda Reply:
Hello: Most people are unable to relax or do not get enough rest, which leads to some physical symptoms caused by nerve tension. It is recommended to get adequate rest and engage in moderate exercise to improve these symptoms.[Read More] Understanding Left Chest Tightness: Causes and When to Seek Help
Shortness of Breath and Vision Changes After Climbing Stairs: What to Know
Unable to breathe, experiencing black and white vision? Hello doctor, I live on the 6th floor, and usually, I experience a little shortness of breath when climbing stairs, but I have no other issues. However, recently due to the pandemic, I have been going out less. Last Thursday...
Dr. Yang Wenda Reply:
Hello: It may be related to the high humidity on rainy days or poor ventilation. If there is no weight gain, it could be due to a decrease in activity or exercise levels. It is recommended to take the stairs to the fourth floor and rest briefly before continuing to the fifth or s...[Read More] Shortness of Breath and Vision Changes After Climbing Stairs: What to Know
Left Chest Pain: Understanding Occasional Sharp Discomfort and Heart Concerns
Localized, intermittent sharp pain in the left side of the chest? Hello doctor, I occasionally experience a sharp pain in my left chest. I'm not sure if I should describe it as sharp, stabbing, or a dull ache; it feels like being pinched and then released. In the past, it wo...
Dr. Jian Shuntian Reply:
Hello: Please visit the cardiology outpatient clinic. If there are no issues with the heart (such as mitral valve prolapse), then proceed to the pulmonology outpatient clinic.[Read More] Left Chest Pain: Understanding Occasional Sharp Discomfort and Heart Concerns
Understanding Unexplained Right Chest Pain: When to Seek Medical Help
There is a painful spot on my right chest that feels strange? Hello Doctor, I started experiencing sudden pain in my right chest two nights ago. At first, I thought stretching might help relieve it, but then I figured it was just fatigue and went to sleep. However, since last nig...
Dr. Lu Mingzhi Reply:
Hello: You can first visit the pulmonology or cardiology department for evaluation.[Read More] Understanding Unexplained Right Chest Pain: When to Seek Medical Help
Sharp Pain in Left Chest During Deep Breathing: Causes and Concerns
Experiencing sharp pain in the left chest during deep breathing? Last night while sleeping, I experienced a sharp pain in my left chest that became particularly noticeable with deep breaths. I had similar symptoms when I was younger, but they usually lasted only a few minutes. Ho...
Dr. Lu Mingzhi Reply:
Hello: You may consult a cardiologist to assess for any cardiac conditions, and you can also arrange for a chest X-ray to evaluate for any pulmonary issues.[Read More] Sharp Pain in Left Chest During Deep Breathing: Causes and Concerns
Managing Persistent Cough in Elderly Patients After Stroke: Expert Advice
Coughing issues Hello Doctor: My elder at home is 79 years old and has been on medication since suffering a stroke two years ago, including Liziana and Strocain. However, he has been experiencing a persistent cough since the stroke. The doctor prescribed cough suppressants and ex...
Dr. Huang Yiwen Reply:
Dear j-bear 22: Elderly individuals who have had a stroke may experience impaired central control of cough and sputum clearance, making them more susceptible to sputum accumulation, which can irritate the bronchi and trigger coughing. In such cases, medication can provide only te...[Read More] Managing Persistent Cough in Elderly Patients After Stroke: Expert Advice