Understanding Left Chest Pain: Causes and When to Seek Help
There is a stabbing pain in the lower middle part of the left chest? Recently, I've been experiencing sharp pain in the lower middle area of my left chest when taking deep breaths or laughing hard. Sometimes, when I stretch or change positions, I also feel sudden sharp pain....
Dr. Huang Yiwen Reply:
Dear Joan: Chest pain generally requires an actual differential diagnosis at the hospital. Your description needs to rule out the possibility of pneumothorax. Of course, the most likely cause is still nerve pain due to poor posture. Changhua Hospital is concerned about you.[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Understanding Lung Fibrosis and Chronic Infiltration: Key Insights for Patients
Medical terminology inquiry? Hello, Doctor. Thank you for your assistance. 1. About two years ago, during my first employee health check, the report mentioned "fibrosis after bilateral upper lung inflammation." At that time, the doctor advised me to just monitor the s...
Dr. Huang Yiwen Reply:
Dear Mr. Hong, Regarding your first question, pulmonary fibrosis can be understood as scarring that occurs after an injury, which may be a result of previous infections. Monitoring is sufficient in this case. For your second question, gastroesophageal reflux disease (GERD) can ...[Read More] Understanding Lung Fibrosis and Chronic Infiltration: Key Insights for Patients
Understanding Mild Gas Exchange Dysfunction: Symptoms, Tests, and Next Steps
Mild gas exchange dysfunction? Hello, Doctor. I have been experiencing severe dry cough since around 2008, with each episode lasting 1-2 months. I visited an ENT specialist and took medication, but it was ineffective. Since the symptoms would resolve on their own, I did not seek ...
Dr. Yang Wenda Reply:
Hello: 1. The X-ray did not indicate fibrosis, and with normal Total Lung Capacity (TLC), there should be no ventilation issues caused by fibrosis. The echocardiogram showed no signs of pulmonary hypertension, so there are currently no concerns regarding the aforementioned issues...[Read More] Understanding Mild Gas Exchange Dysfunction: Symptoms, Tests, and Next Steps
Understanding Wheezing During Inhalation: Is It Asthma?
Wheezing sound during inhalation? Hello Doctor: Recently, I've been experiencing a wheezing sound when inhaling, but not when exhaling. Additionally, I feel pain in the middle of my chest when I take a deep breath. I often have phlegm, especially when I'm emotionally ex...
Dr. Huang Yiwen Reply:
Dear Ms. Li: Yes, this is your asthma attack. The chest pain is due to airway obstruction. The weather and your emotions that you mentioned are also triggers. Each episode may not present the same way. If you experience wheezing during both inhalation and exhalation, that indicat...[Read More] Understanding Wheezing During Inhalation: Is It Asthma?
Side Effects of Flixotide Evohaler: What You Need to Know
Side effects of using budesonide inhalation aerosol? Hello, doctor. Two weeks ago, I caught a cold and started experiencing nighttime coughing without any significant sputum. Due to the increased frequency of the nighttime cough, I visited the chest clinic for an examination. Aus...
Dr. Huang Yiwen Reply:
Dear Lethe: The active ingredient in Fixotide Evohaler is a corticosteroid. Generally, the side effects you mentioned are quite rare, but some individuals may experience slight excitement. Antihistamines can cause drowsiness, and combining them with Xanax may lead to increased sl...[Read More] Side Effects of Flixotide Evohaler: What You Need to Know
Understanding Persistent Chest Discomfort: Causes and Concerns
Chronic chest tightness? Hello Doctor, I previously experienced chest tightness for several consecutive months, but it suddenly improved for a while. Recently, however, the chest tightness has returned intermittently, sometimes accompanied by sudden sharp pains and dizziness. I a...
Dr. Zhang Ziyan Reply:
Hello, if you continue to experience symptoms of chest discomfort, it is recommended that you visit a pulmonology clinic for further evaluation. Changhua Hospital cares about you.[Read More] Understanding Persistent Chest Discomfort: Causes and Concerns
Understanding Left Rib Pain: Causes and Concerns for Your Health
There is a sharp pain in the lower left rib area? Hello doctor, I occasionally experience sharp pain under my left rib cage. It's a bit difficult for me to describe the pain; sometimes it lasts nearly a minute, while other times it just hurts briefly. I've also experien...
Dr. Zhang Ziyan Reply:
Hello Chia, if the chest pain is not persistent, it is advisable to continue monitoring it. Regarding the vascular tumor, it may need to be followed up according to the previous physician's recommendations. If there are any changes, please consult a pulmonologist or cardiolo...[Read More] Understanding Left Rib Pain: Causes and Concerns for Your Health
Understanding Chest Foreign Body Sensation: Causes and Next Steps
Chest foreign body sensation On December 13, 2020, after vomiting (I remember not having a choking sensation), I felt a cool burning sensation in my left chest, particularly in the lower chest area and about 2-3 cm from the center of my chest. The next day, the cool burning sensa...
Dr. Wu Yingxun Reply:
Hello: You can schedule a computed tomography (CT) scan and a bronchoscopy.[Read More] Understanding Chest Foreign Body Sensation: Causes and Next Steps
Understanding Nodular Densities in Chest X-Ray Reports: What You Need to Know
X-ray report consultation? The X-ray report (Chest A-P View @ Supine) mentions "Nodular densities at LLL and LUL," which indicates the presence of nodular opacities in the left lower lobe (LLL) and left upper lobe (LUL) of the lungs. This suggests that there are nodules...
Dr. Wu Yingxun Reply:
Hello: The physician may be concerned about an old lesion and still recommends a CT scan.[Read More] Understanding Nodular Densities in Chest X-Ray Reports: What You Need to Know
Understanding Respiratory Distress: Common Breathing Issues Explained
Respiratory distress syndrome, respiratory issues? I would like to ask the doctor: 1. Sometimes it feels like I forget how to breathe and have to consciously remind myself to breathe. 2. Hiccups make my breathing feel more comfortable. 3. I feel like I can't get enough air a...
Dr. Wu Yingxun Reply:
Hello: During the follow-up visit for the thoracic examination, please check if there is any drop in blood oxygen levels when walking, and also examine the thyroid.[Read More] Understanding Respiratory Distress: Common Breathing Issues Explained
Understanding Unexplained Chest Pain: Muscle vs. Heart Issues
Unexplained chest pain? Recently, I have experienced a slight stabbing pain deep on the outer side of the areola (only at one point) when taking deep breaths. This occurs mainly at night and usually subsides after a few minutes. Could this be muscle pain or heart pain?
Dr. Jian Shuntian Reply:
Hello: At the age of 14, it is likely that growth is the primary factor. Please consult a pediatrician for confirmation.[Read More] Understanding Unexplained Chest Pain: Muscle vs. Heart Issues
Chest CT Report: Analysis of a 3cm Heterogeneous Mass and Findings
Chest CT examination report Results: The contrast-enhanced chest CT shows: > A heterogeneous mass measuring 3 cm located in the posterior basal segment of the left lower lobe (LLL), adjacent to the descending thoracic aorta, with malignancy not excluded. > Focal fibrosis in...
Dr. Lu Mingzhi Reply:
Hello: The meaning of this written report in Chinese is not very clear. It is recommended that you return to the physician who originally scheduled the examination for a detailed evaluation.[Read More] Chest CT Report: Analysis of a 3cm Heterogeneous Mass and Findings
Breathing Difficulties with No Clear Diagnosis: Seeking the Right Specialist
Difficulty breathing, with no findings upon examination? Hello, Doctor. On December 15th, during a phone call around noon, I suddenly felt like I couldn't breathe, as if someone was choking me. Since then, I have been experiencing shortness of breath and rapid breathing. (It...
Dr. Yang Wenda Reply:
Hello: It is recommended to see an otolaryngologist to check for any inflammation or post-nasal drip. If there are symptoms of stomach pain or acid reflux, after consulting the otolaryngologist, consider seeing a cardiologist to check for any arrhythmias.[Read More] Breathing Difficulties with No Clear Diagnosis: Seeking the Right Specialist
Understanding Chest Pain: When to Worry About Lung Cancer Symptoms
Chest pain with deep breathing? Hello, I have been experiencing chest pain for the past month. Initially, the pain was in the center of my chest, usually lasting for a few seconds and occurring in episodes. It worsens with deep breaths. Later, I also felt pain on the left side of...
Dr. Zhang Ziyan Reply:
According to age, the likelihood of lung cancer is generally very low. However, since there is some pleuritic pain, it is recommended that if the pain persists or worsens, you should visit a pulmonology clinic to rule out some common causes such as pneumothorax or pneumonia. Chan...[Read More] Understanding Chest Pain: When to Worry About Lung Cancer Symptoms
Understanding Lung Nodules: Insights from Chest X-Ray Reports
Health Report Hello Dr. Yang, I had a chest X-ray report during my company health check in 2016 that noted "suspected nodular lesion in the left lower lung, recommended outpatient follow-up." I went to the hospital for follow-up that year, and after the doctor marked it...
Dr. Yang Wenda Reply:
Hello: Due to the angle of the imaging, sometimes the findings are more pronounced and other times less so. Essentially, if the location is similar and there is no significant increase in size, there is no need for concern.[Read More] Understanding Lung Nodules: Insights from Chest X-Ray Reports
Understanding Nighttime Breathing Issues After Pneumothorax Surgery
Occasionally, I experience some difficulty breathing at night, but it is not painful? Last month I had surgery for a pneumothorax, and now at night when I lie down, I feel a sensation of something in my throat. Sometimes I also experience sudden palpitations and difficulty breath...
Dr. Jian Shuntian Reply:
Hello: Recurrence of pneumothorax is primarily characterized by chest pain and shortness of breath. If you experience difficulty breathing at night, it is advisable to consult a pulmonologist to check for issues such as asthma or bronchitis.[Read More] Understanding Nighttime Breathing Issues After Pneumothorax Surgery
Understanding Chest Pain: Is It Related to Mitral Valve Prolapse?
Chest pain? Hello Doctor: In the past few days, I have been experiencing occasional sharp pain in my right chest. Although my menstrual cycle is irregular, I have already had my period this month, but I still feel a sense of fullness and tenderness in my breasts. I was diagnosed ...
Dr. Wu Yingxun Reply:
Hello: You can go to the pulmonology department for an X-ray examination and to the cardiology department for an evaluation, as it may be more indicative of neuropathic pain.[Read More] Understanding Chest Pain: Is It Related to Mitral Valve Prolapse?
Understanding Chest Tightness and Breathing Difficulties: A Patient's Journey
First episode of chest tightness and difficulty breathing? I have a long-term allergy condition (due to sinusitis). On November 16 (Monday), I visited a general clinic for ENT (at that time, I was also experiencing a mild cough, cold, and fever). Starting from November 18 (Wednes...
Dr. Yang Wenda Reply:
Hello: I believe that during the fever phase, it might be a gastrointestinal flu, with symptoms like increased heart rate. Later on, I became very concerned about chest tightness and felt uneasy, which inevitably included some anxiety. I suggest starting with anti-anxiety medicat...[Read More] Understanding Chest Tightness and Breathing Difficulties: A Patient's Journey
Understanding Lung Nodules: Key Questions and Insights
Questions about pulmonary nodules? Hello doctor, my mother recently underwent a labor health examination, and one of the findings from the chest X-ray showed a nodular shadow measuring 8 mm near the left middle lung close to the hilum, with a borderline heart size. I found some m...
Dr. Yang Wenda Reply:
Hello: Sometimes, small nodules close to 1 centimeter can be seen on X-rays. It is recommended to follow up with a pulmonologist. If necessary, the physician will arrange for relevant tests or suggest a date for the next follow-up.[Read More] Understanding Lung Nodules: Key Questions and Insights
Understanding Persistent Cough and Blood in Sputum: Is It Lung Cancer?
I'm not sure what's wrong? In 2016, a family member was diagnosed with squamous lung cancer, despite having no history of smoking. They experienced six months of treatment, but unfortunately, it could not reverse the advanced malignant tumor that had metastasized. That ...
Dr. Huang Yiwen Reply:
Dear Inquirer: If the chest X-ray is normal and you continue to have blood-tinged sputum, it is advisable to consult a pulmonologist for a bronchoscopy. Changhua Hospital cares about you.[Read More] Understanding Persistent Cough and Blood in Sputum: Is It Lung Cancer?