Intermittent Blood in Sputum: Causes and When to Seek Help
Occasional blood in the sputum? At the end of August, I started to have some brownish sputum, sometimes with a few blood spots. I consulted an ENT specialist who performed an endoscopy and found that my throat and nasopharynx were normal. A week later, I began to experience a sor...
Dr. Zhou Ziguang Reply:
Hello: 1. A follow-up chest X-ray can be performed; if hemoptysis persists, a bronchoscopy may be considered. Please consult a pulmonologist. 2. If the focus is solely on the lungs, a low-dose computed tomography (CT) scan can be done (but it will be out-of-pocket). The downside ...[Read More] Intermittent Blood in Sputum: Causes and When to Seek Help
Should Motorcycle Riders Consider Low-Dose CT Screening for Lung Cancer?
Do motorcycle riders need low-dose computed tomography screening? I have been riding a motorcycle to work for 7 years, and I have never smoked or consumed betel nut. I drink alcohol, but it's less than 250cc a year and with an alcohol content of less than 5%. I almost always...
Dr. Yang Wenda Reply:
Hello: The motorcycle community does not smoke as severely as the rumors suggest, with claims of daily consumption of 400 cigarettes. Current research does not support the recommendation for regular low-dose computed tomography (CT) scans for this group. If you do not smoke, cons...[Read More] Should Motorcycle Riders Consider Low-Dose CT Screening for Lung Cancer?
Understanding Chest Pain and Weakness: Key Insights for Patients
Chest pain and weakness? Hello, doctor. Thank you for taking the time to answer my questions. After my last inquiry regarding cold symptoms leading to hemoptysis, I have recovered over the past two weeks. However, I have been experiencing chronic asthmatic cough symptoms for a mo...
Dr. Yang Wenda Reply:
Hello: Here is a brief response: 1. First, confirm whether you have asthma. If diagnosed with asthma, the main treatment medications are inhaled corticosteroids and inhaled bronchodilators! 2. Theophylline may have some gastrointestinal side effects; if you do not notice signific...[Read More] Understanding Chest Pain and Weakness: Key Insights for Patients
Understanding Coughing Up Blood: When to Seek Medical Attention
Evaluation for Hemoptysis Hello Doctor, I usually have bronchial issues and often experience coughing for one to two months, especially when I stay up late and my immune system is compromised. A doctor has diagnosed me with asthma symptoms. Two weeks ago, I had cold symptoms, inc...
Dr. Wu Yingxun Reply:
Hello: Severe coughing may result in blood-tinged sputum. The sensitivity of low-dose computed tomography (CT) is better than that of a chest X-ray. It is recommended to undergo low-dose CT to check for any subtle changes.[Read More] Understanding Coughing Up Blood: When to Seek Medical Attention
Understanding Lung Adenocarcinoma: Risks and Screening for Non-Smokers
Regarding lung adenocarcinoma? Hello, doctor. I would like to ask about my mother, who is in her 50s. She undergoes annual health check-ups and regularly gets chest X-rays. Her overall health is good, her diet is normal, and she does not smoke. There is no family history of lung ...
Dr. Yang Wenda Reply:
Hello: The causes of cancer are still not clearly understood, with both environmental and genetic factors playing a role. It is recommended to have regular X-ray examinations annually, and considering low-dose computed tomography (CT) scans of the lungs every 2-3 years is also ad...[Read More] Understanding Lung Adenocarcinoma: Risks and Screening for Non-Smokers
Understanding Persistent Chest Pain: Causes and When to Seek Further Testing
I have been experiencing chest pain for three weeks? Thank you, doctor, for taking the time to explain my situation. I had a low-dose computed tomography (LDCT) scan last June, which showed no issues. However, since the Lunar New Year this year, I have been experiencing intermitt...
Dr. Zhang Ziyan Reply:
Hello, Xiao Rong. If there were no significant issues in the previous LDCT and there was no mention of the need for regular follow-up, based on the symptoms mentioned, the likelihood of developing a new tumor is relatively low. It may be worth considering a consultation with a ca...[Read More] Understanding Persistent Chest Pain: Causes and When to Seek Further Testing
Is Further Testing Necessary After a Normal Chest X-Ray at 20?
Chest X-ray Hello, since I am 20 years old and my X-ray results are normal with no other symptoms, is there a need for further examination?
Dr. Yang Wenda Reply:
Hello: If you have persistent symptoms, it is necessary to see a physician for evaluation. For older individuals with a long history of smoking or a family history of cancer, even if the X-ray results are normal, it may be advisable to consider self-paying for a low-dose computed...[Read More] Is Further Testing Necessary After a Normal Chest X-Ray at 20?
Understanding Chest X-Ray Results: Are You Really in the Clear?
Chest X-ray Hello, I had a chest X-ray at the end of August, and the results showed no abnormalities. Does this mean everything is okay? Recently, I came across this news article about lung cancer in young adults, and it made me a bit anxious, especially since I don't have a...
Dr. Yang Wenda Reply:
Hello: Chest X-rays are a quick and convenient tool for the initial screening of pulmonary parenchymal density. If a lesion is smaller than 1 centimeter, it may be difficult to detect, or there may be functional changes (such as bronchoconstriction due to an asthma attack) where ...[Read More] Understanding Chest X-Ray Results: Are You Really in the Clear?
Understanding Chest Pain and Persistent Cough After a Cold
Pain with deep breathing? Hello Doctor: Last month, after having a cold, I have been experiencing a persistent itchy throat and dry cough for the past month. I have taken both Western and Chinese medicine, which have slightly alleviated the cough, but I still have a dry cough. Wh...
Dr. Jian Shuntian Reply:
Hello: The presence of significant pain points makes the likelihood of lung issues lower. Low-dose computed tomography is used for screening early lung tumors; however, at 26 years old, and without a family history, it is currently not recommended. Nevertheless, if the persistent...[Read More] Understanding Chest Pain and Persistent Cough After a Cold
Post-Pneumonia Complications: Navigating Medical Consultations and Care
Regarding some sequelae after having pneumonia, please ask? Hello Doctor, my mother was hospitalized for a week last August due to pneumonia caused by a delayed visit to the doctor after catching a cold. After recovering, she lost nearly 10 kg and has been experiencing recurrent ...
Dr. Huang Yiwen Reply:
Dear Lisa: From the clinical symptoms observed in your mother, it appears somewhat similar to tuberculosis; however, myocarditis cannot be ruled out. The examinations should not be very difficult and can include blood tests, sputum analysis, and high-resolution computed tomograph...[Read More] Post-Pneumonia Complications: Navigating Medical Consultations and Care
Understanding CT Scan Results: Evaluating Lung Tumors and Biopsy Risks
A chest CT scan revealed several tumors approximately four centimeters in size? Hello Doctor: My father was suddenly hospitalized on October 8, 2016, due to a high fever and respiratory distress with wheezing. After a chest CT scan, a dark spot was found on the right side of his ...
Dr. Huang Yiwen Reply:
DEAR JESSICA: Currently, you are on anticoagulants, and you need to stop them for at least a week before the examination. A tuberculoma is a possibility, but four centimeters is somewhat large. It would be best to find old films for comparison, as this may eliminate the need for ...[Read More] Understanding CT Scan Results: Evaluating Lung Tumors and Biopsy Risks
Understanding Lung Issues: What to Do About Suspicious Findings
Pulmonary issues? Hello Dr. Jian, A year ago, during a health check-up, I underwent a chest X-ray and a low-dose computed tomography (CT) scan. The report indicated suspected pulmonary tuberculosis (I have not experienced any cough or symptoms). I have been followed up in the ou...
Dr. Jian Shuntian Reply:
(1) The three small nodules later connected are likely not tumors; they could be pulmonary tuberculosis. A biopsy and bronchoscopy can be performed. If these two procedures are not done, or if they are done without conclusive results, a trial treatment for tuberculosis can be con...[Read More] Understanding Lung Issues: What to Do About Suspicious Findings
Persistent Phlegm in Throat After Quitting Smoking: Is It Normal?
Throat phlegm obstruction issue? Hello doctor, thank you for your response. I have recently had a cold and coughed for a month and a half before the cough subsided. Although there has been some improvement, I am still worried about lung issues, especially since I have been smokin...
Dr. Huang Yiwen Reply:
Dear Mr. Chen: Based on your questions, it seems that both the chest X-ray and low-dose computed tomography (LDCT) have been performed without any issues. Your symptoms appear to be more indicative of post-nasal drip. Please follow up with the Ear, Nose, and Throat (ENT) departme...[Read More] Persistent Phlegm in Throat After Quitting Smoking: Is It Normal?
How Long Should You Wait Between Lung Health Checkups?
The duration from Stage 1 to Stage 2 typically varies depending on the specific condition or disease being referenced. Please provide more context for a more accurate answer? Hello Dr. Zhou, During a health check-up at a hospital in Yilan, I voluntarily underwent a low-dose 64-s...
Dr. Zhou Ziguang Reply:
Hello, the reasonable follow-up for pulmonary nodules via computed tomography is every 3 months. If there is a tendency for enlargement, surgical resection is recommended. Considering disease progression, the amount of radiation exposure is relatively less important. Best wishes ...[Read More] How Long Should You Wait Between Lung Health Checkups?
Understanding Blood-Streaked Sputum: Causes and Concerns
Sputum with blood streaks? Hello doctor, after New Year's Day this year, I noticed blood-streaked phlegm, but I didn't have a cough. It improved for a while, but recently the blood streaks have returned. I had an X-ray at a large hospital on January 30, and the doctor s...
Dr. Jian Shuntian Reply:
Hello: There are many causes for hemoptysis. It is essential to first ensure that there are no issues with the oral cavity and nasal passages. If the chest X-ray is normal and there are no problems in the oral cavity and nasal passages, then a bronchoscopy and chest computed tomo...[Read More] Understanding Blood-Streaked Sputum: Causes and Concerns
Can Bronchitis Cause Chest Cavity Itching? Understanding Your Symptoms
Can bronchitis cause itching in the chest? Dear Doctor: I previously had a cold with bronchitis, and an X-ray showed no pneumonia. However, I have a very sensitive itching sensation inside my right chest cavity (not on the surface), and pressing on it can trigger a cough. Sometim...
Dr. Jian Shuntian Reply:
Hello: In cases of severe tracheobronchitis or bronchitis, one may experience coughing and a sensation of itchiness behind the sternum, but coughing triggered by pressure on the chest or breast is relatively uncommon. If the chest X-ray shows no abnormalities, you may seek a seco...[Read More] Can Bronchitis Cause Chest Cavity Itching? Understanding Your Symptoms
Unexplained Coughing Up Blood and Chest Pain: Seeking Answers
Hemoptysis and chest pain of unknown origin? Hello Dr. Yang, I have a 15-year smoking history but have quit smoking. I currently have several symptoms that I would like to consult with you about. 1. Chest Pain: Since mid-September, I have experienced slight discomfort and pain ...
Dr. Yang Wenda Reply:
Hello: I believe the relevant examinations you have undergone are sufficient. The conclusion is that there is mild bronchiectasis or bronchitis, and the hemoptysis caused by either condition may be due to microvascular rupture, typically resulting from severe coughing or inadvert...[Read More] Unexplained Coughing Up Blood and Chest Pain: Seeking Answers
Understanding Hemoptysis: Causes of Coughing Blood and Chest Pain
Coughing up blood, chest pain, chest tightness, and phlegm? Hello Dr. Zhou: Four years ago, I underwent a biopsy for a lung nodule, which turned out to be fine! Since then, I have often had phlegm in my throat, and sometimes I feel chest tightness and difficulty breathing. Althou...
Dr. Zhou Ziguang Reply:
Hello, 1. If the nodule has not changed over the past four years and a biopsy has been performed, the likelihood of it being benign is highest. 2. If the computed tomography shows bronchiectasis, this condition may present with symptoms such as hemoptysis and sputum production...[Read More] Understanding Hemoptysis: Causes of Coughing Blood and Chest Pain
Is MRI a Viable Option for Lung Cancer Screening Besides CT?
In addition to CT scans, is MRI feasible for lung cancer screening? Hello, Dr. Huang. This is Ms. Lin. I have a follow-up question. I had a mammogram in July, an X-ray for a cough in August, and two more X-rays in November. Now I am scheduled for a CT scan and I'm concerned ...
Dr. Huang Yiwen Reply:
Dear Miss Lin: Based on your description, the screening is aimed at reducing radiation exposure. Currently, low-dose high-resolution computed tomography (CT) is used, which has less radiation and provides clear images (but requires out-of-pocket payment). Magnetic resonance imagi...[Read More] Is MRI a Viable Option for Lung Cancer Screening Besides CT?
What Further Tests Should I Consider for Chest Discomfort?
What should be checked? Hello Doctor: I have a very sensitive itching sensation on the right side of my chest (below the breast along the sternum). It feels like an internal itch, and sometimes it triggers a cough; I also experience itching when taking deep breaths. I visited a p...
Dr. Huang Yiwen Reply:
Dear Miss Lin: Your issue is indeed quite rare. Currently, the most concerning condition in the general environment is lung cancer. Early-stage lung cancer cannot be diagnosed through X-rays. If you are worried, you can opt for a low-dose computed tomography (CT) scan, which can ...[Read More] What Further Tests Should I Consider for Chest Discomfort?