CT Scan for Fish Bone Detection: Is Contrast Dye Necessary?
General chest computed tomography (CT) scan? Hello doctor, on February 24th during lunch, I swallowed a fishbone (it was about 1-1.5 cm long, from a white ribbon fish). Three days later, I experienced some chest tightness and sharp pain, but it was very brief. Currently, besides ...
Dr. Huang Yiwen Reply:
Dear Mr. Li: It would be better to use contrast agents, but we can observe the situation first. If it is a medical condition, you can use health insurance. If a low-dose CT scan is needed, it will cost approximately 3,500 to 4,500. Changhua Hospital cares about you.[Read More] CT Scan for Fish Bone Detection: Is Contrast Dye Necessary?
Understanding Chest Discomfort: When to See a Specialist
Chest tightness? I have been experiencing frequent chest tightness on the left side and increased shortness of breath compared to before. I underwent an examination in the cardiology department, and everything appeared normal. During the echocardiogram, it was noted that my heart...
Dr. Zhou Ziguang Reply:
Hello: You may first visit the pulmonary medicine department for consultation.[Read More] Understanding Chest Discomfort: When to See a Specialist
Understanding Chest Discomfort: Is It Lung or Heart Related?
There is a feeling of tightness in the center of the chest? Hello, doctor. For the past two or three days, I've been feeling a bit of tightness in my chest, specifically around the center of my chest and near the xiphoid process. I haven't experienced any shortness of b...
Dr. Wu Yingxun Reply:
Hello: There may be a higher chance of mitral valve prolapse, so please follow up with a cardiologist.[Read More] Understanding Chest Discomfort: Is It Lung or Heart Related?
Understanding Chest X-Ray Reports: Why Final Results Take Time
Regarding the X-ray report? Hello, today I went to a large hospital for a chest X-ray. After the procedure, I immediately reviewed the report with the doctor, who said there were no significant issues. However, the doctor mentioned that the official report would not be available ...
Dr. Huang Yiwen Reply:
Dear Ryan: The on-site examination should be conducted by the pulmonology department. If there are no issues, then there are no issues. If it is not the pulmonology department, we will wait for the radiologist to finalize the report as the final reference. Changhua Hospital cares...[Read More] Understanding Chest X-Ray Reports: Why Final Results Take Time
Post-COVID Cough and Unusual Breathing Sounds: What to Know
COVID-19, abnormal breath sounds? Hello, doctor. I was diagnosed with COVID-19 on December 19 of last year. Initially, I thought it was just a cold, so after my appointment, I went home and did a rapid test, which confirmed I was positive. I immediately informed the clinic where ...
Dr. Huang Yiwen Reply:
Dear Ms. Lin: It is indeed possible that the symptoms you mentioned after COVID-19 are related to changes in the immune system caused by the viral infection, which may trigger wheezing responses. Therefore, your first question should have a chance of being addressed. We recommend...[Read More] Post-COVID Cough and Unusual Breathing Sounds: What to Know
Understanding Lung Atrophy: Symptoms, Treatment, and Rehabilitation
Pharmaceutical treatment for pulmonary atrophy symptoms? I previously received a misdiagnosis from a cardiologist and was prescribed sedatives, after which I experienced shortness of breath for two years. However, since November of this year, my breathing has improved somewhat, b...
Dr. Yang Wenda Reply:
Hello: General sedatives do not have a significant impact on your lung function. You may have incomplete inhalation, resulting in a lower lung capacity. Changes in chest X-rays may indicate lung atrophy or pulmonary fibrosis. It is recommended that you consult a pulmonologist to ...[Read More] Understanding Lung Atrophy: Symptoms, Treatment, and Rehabilitation
Understanding Chest Pain: When to Seek Medical Help
Chest pain issues? Hello doctor, a few days ago, I suddenly experienced pain under my right chest for no apparent reason. It has been persistent for 4 to 5 days. I haven't had any trauma, but pressing on the area causes pain. It also hurts when I take a deep breath, raise my...
Dr. Jian Shuntian Reply:
Hello: Based on the description, it seems more like muscular pain. Please consult a pulmonologist. Thank you.[Read More] Understanding Chest Pain: When to Seek Medical Help
Intermittent Chest Pain: Understanding Causes and Symptoms
Intermittent chest tightness or discomfort? Hello Doctor, I experience episodes of uncomfortable chest tightness and pain every once in a while, usually occurring at night while resting. This happens about two to three times a year, with intervals sometimes exceeding six months, ...
Dr. Zhou Ziguang Reply:
Hello: There are many causes of chest pain. If you have already consulted a pulmonologist, other factors (such as gastroesophageal reflux disease) should also be considered. You may want to see a pulmonologist again (the X-ray was done last year), or consult a gastroenterologist ...[Read More] Intermittent Chest Pain: Understanding Causes and Symptoms
Understanding Right Chest Pain: Causes and When to Seek Help
Right chest pain? 1. The pain is located in the lower right chest area and feels somewhat like a cramp during deep breathing, but it resolves after 1-2 days of rest. I experienced a similar condition last month. 2. This time, there is also soreness in the pectoralis major area (a...
Dr. Huang Yiwen Reply:
Dear C: There are many causes of chest pain. First, we should rule out cardiac and thoracic causes before considering neuromuscular origins. Changhua Hospital is concerned about you.[Read More] Understanding Right Chest Pain: Causes and When to Seek Help
Navigating Medical Care for Inhaled Foreign Objects in Taiwan
Foreign body aspiration into the nasal cavity? In March 2018, I accidentally inhaled a male cone from a Podocarpus tree while passing underneath it. This caused an immediate and severe coughing fit. The male cone, measuring only 0.4 cm, could not be removed and has since fragment...
Dr. Huang Yiwen Reply:
Dear Biology Teacher: The question you raised is indeed a bit challenging. The pulmonology department can assist with bronchial washing for some examinations, but it is still recommended to visit the toxicology department first to see if there are any relevant concerns from the C...[Read More] Navigating Medical Care for Inhaled Foreign Objects in Taiwan
Understanding Post-Pneumonia Chest Pain: Insights from a Pulmonologist
Hello, Director? Hello, Director Huang. I was hospitalized for pneumonia in December and was discharged after completing the antibiotic treatment. The pulmonology department referred me to cardiology for evaluation due to a heart murmur. I went for a follow-up appointment with th...
Dr. Huang Yiwen Reply:
Dear a86915398: There is indeed no need to take antibiotics since there are no longer any pneumonia symptoms, and taking antibiotics now for the symptoms left over from December would be pointless. The main symptoms of pneumonia are still cough and fever. If you are only experien...[Read More] Understanding Post-Pneumonia Chest Pain: Insights from a Pulmonologist
Understanding Tuberculosis Transmission and Risks in Family Members
Questions related to pulmonary tuberculosis? Hello, Doctor! My father was diagnosed with open pulmonary tuberculosis in 2020 and was hospitalized for nearly a year for treatment. After that, both my mother and my daughter tested positive and received preventive medication. I, mys...
Dr. Huang Yiwen Reply:
Dear Megan: In 2020, your father had tuberculosis, so it is most likely that he was the source of transmission. Tuberculosis is primarily transmitted within households. Currently, the incidence rate in Taiwan has decreased to 31 per 100,000. The chance of contracting it from outs...[Read More] Understanding Tuberculosis Transmission and Risks in Family Members
Understanding Chest Pain After a Car Accident: Causes and Next Steps
Hello, Director Huang. I have been experiencing pain after a recent car accident? On January 28, I went to the emergency room after a car accident. Besides external bruises, I experienced left-sided chest pain rated around 2 to 4 out of 10. The pain felt like it was on the surfac...
Dr. Huang Yiwen Reply:
Dear Mr. Chen: Based on your description, in addition to the impact, it is likely related to your history of pneumothorax and severe scoliosis (which may be causing respiratory limitations and pain). If there is no improvement, I recommend scheduling a CT scan to rule out other c...[Read More] Understanding Chest Pain After a Car Accident: Causes and Next Steps
Can Lung Atrophy Lead to Breathing Failure and Death?
Will lung atrophy gradually lead to death due to respiratory failure? I previously received a misdiagnosis from a cardiologist and was prescribed sedatives, after which I experienced significant chest tightness and difficulty breathing. I had to exert a lot of effort to breathe, ...
Dr. Huang Yiwen Reply:
Dear Vivian: The right lung has three lobes, while the left lung has two lobes. Lung atrophy refers to partial collapse. The human body has compensatory mechanisms, so it will not gradually deteriorate. If you are still concerned, please visit the thoracic medicine outpatient cli...[Read More] Can Lung Atrophy Lead to Breathing Failure and Death?
Understanding Chest X-Ray Shadows: Should You Be Concerned?
The chest X-ray shows an opacity? Hello, my family member recently had a health check-up, and before receiving the report, we were notified that there were shadows on the X-ray, and an outpatient appointment has already been scheduled. Is this situation considered urgent? I am co...
Dr. Huang Yiwen Reply:
Dear Mr. Shen: The X-ray shows shadows that need to be evaluated based on their location, size, and comparison with previous X-rays. Since you already have an appointment, please wait for further examination. It should not be an emergency situation, but you still need to follow u...[Read More] Understanding Chest X-Ray Shadows: Should You Be Concerned?
Understanding Left Chest Pain: When to Seek Medical Attention
Left chest pain? A few days ago, I felt some pain near my heart on the left side of my chest. For the past two days, I've experienced pain on both sides, but when I press on the painful area, I don't feel much discomfort. Doctor, could this indicate a problem with my he...
Dr. Huang Yiwen Reply:
Dear Anonymous: There are many causes of chest pain. The key factors to consider are whether there is referred pain, whether there is cold sweating, the frequency of the pain, and so on. Therefore, it can be somewhat difficult to determine based solely on description. It is advis...[Read More] Understanding Left Chest Pain: When to Seek Medical Attention
Understanding Thymus Remnants: Implications for Chronic Cough and Health
Please let me know your questions regarding the examination report? Hello Dr. Huang, I have been experiencing a persistent cough and often feel phlegm in my throat. I have seen many doctors at various clinics and taken numerous medications without improvement. Eventually, I went ...
Dr. Huang Yiwen Reply:
Dear Feng: The remnant of the thymus has no clinical significance. Your symptoms are likely due to an allergic reaction, which includes all respiratory issues. The chest pain is caused by chest tightness. Changhua Hospital is concerned about you.[Read More] Understanding Thymus Remnants: Implications for Chronic Cough and Health
Understanding Increased Lung Markings in Chest X-Ray Reports
Chest X-ray report - Increased pulmonary markings? Hello Dr. Huang, I recently received a chest X-ray report with the following findings. Are there any specific issues I should be concerned about? It mentions increased lung markings; could this be related to the cough and sputum ...
Dr. Huang Yiwen Reply:
Dear Xiao Zhu: The increased lung markings on the chest X-ray report do not have any significant clinical implications. This phenomenon can occur simply due to whether the lungs were fully inflated or not during the imaging. Some cases of bronchitis may also be related to this fi...[Read More] Understanding Increased Lung Markings in Chest X-Ray Reports
Right Chest Pain When Breathing: Causes and Concerns
Chest tightness and pain on the right side during inhalation? Hello, Doctor: This morning around 10 AM, I suddenly felt a tightness in my right chest while breathing, which then became increasingly painful (most painful during inhalation). It felt like a very strong bruise. The d...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are nonspecific and there are no test results available for assessment. Currently, it is not possible to determine the cause. If your symptoms persist, it is recommended that you consult a pulmonologist for a detailed evaluation. Th...[Read More] Right Chest Pain When Breathing: Causes and Concerns
Understanding Shortness of Breath: When to Seek Chest Medicine Help
Shortness of breath? Hello, recently I have been experiencing occasional difficulty in breathing, requiring deep breaths, and the symptoms have been becoming more frequent. At the moment, I do not feel short of breath, and my oxygen saturation levels are normal. I would like to s...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are nonspecific and there are no test results available for assessment. At this point, it is not possible to determine the underlying cause. If your symptoms persist, I recommend that you consult a pulmonologist for a detailed evalu...[Read More] Understanding Shortness of Breath: When to Seek Chest Medicine Help