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 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 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?
Understanding Asthma Diagnosis and Military Service Health Checks
Asthma Military Service Physical Examination Hello Dr. Yang, I have been experiencing a persistent cough since early August. I have visited an ENT specialist multiple times and have taken medication, but my condition did not improve. It wasn't until early November that I we...
Dr. Yang Wenda Reply:
Hello: The use of bronchodilators for asthma will improve symptoms and lung function. It is recommended to continue the medication. In case of an acute attack, it is advised to visit the emergency department or be hospitalized. These records can be referenced for future military ...[Read More] Understanding Asthma Diagnosis and Military Service Health Checks
Understanding Noisy Breathing: Possible Causes and Solutions
Audible breathing? Hello, about a month ago, I started experiencing a sound of obstruction while breathing, but I do not have difficulty breathing. Occasionally, I cough up clear, foamy sputum that resembles mucus. I feel the sound of my breathing is located between my collarbone...
Dr. Jian Shuntian Reply:
Hello: It is necessary to examine the trachea and bronchi for mucus or foreign body inflammation. Please consult a pulmonologist for further evaluation. Allergies, such as rhinitis, may be related to the current symptoms.[Read More] Understanding Noisy Breathing: Possible Causes and Solutions
Persistent Cough After Cold: Understanding Chronic Cough Causes
Persistent cough that has not resolved? I have been smoking for a while. Since I caught a cold at the beginning of this year, I have been coughing continuously, and I cough when I speak as well. I visited an ENT specialist and a general clinic, and they said it was post-nasal dri...
Dr. Yang Wenda Reply:
Hello: 1. It is recommended to see a pulmonologist to assess for asthma. 2. It is advised to quit smoking.[Read More] Persistent Cough After Cold: Understanding Chronic Cough Causes
Is It Asthma or Autonomic Nervous System Dysfunction?
Is it an issue with the autonomic nervous system or asthma? Hello doctor, I am 19 years old, 172 cm tall, and weigh 64 kg, with no family history of illness. One night, I suddenly experienced palpitations (around 110 bpm) and shortness of breath. After the doctor prescribed antia...
Dr. Jian Shuntian Reply:
Hello: Please check with the gastroenterology department for gastroesophageal reflux disease (GERD) and with the otolaryngology department for allergic rhinitis.[Read More] Is It Asthma or Autonomic Nervous System Dysfunction?
Understanding Persistent Chest Pain: When to Seek Further Medical Advice
Please inquire about chest pain issues? Hello Doctor, the chest pain is located just below the clavicle, and there is some tenderness upon palpation. It has been intermittent for about three weeks. I initially thought it was due to gastroesophageal reflux disease (GERD) and consu...
Dr. Jian Shuntian Reply:
Hello: It sounds a bit like fasciitis or chondritis. If the examinations by the pulmonology, cardiology, and gastroenterology departments show no issues, please consult an orthopedic or rehabilitation specialist.[Read More] Understanding Persistent Chest Pain: When to Seek Further Medical Advice
Concerns About Lung Nodules Detected in Right Upper Lung X-Ray
A pulmonary nodule is observed in the right upper lung on the chest X-ray? Hello, Doctor. I had a routine health check-up at the hospital on October 15th, and the report indicated that an X-ray examination revealed a pulmonary nodule or vascular shadow in the right upper lung. Si...
Dr. Zhang Ziyan Reply:
Hello, the X-ray has revealed a pulmonary nodule or vascular shadow in the right upper lung. Typically, these vascular shadows are located closer to the hilum (the central area of the lung), and there is a significant chance that it is a vascular shadow. Pulmonary nodules usually...[Read More] Concerns About Lung Nodules Detected in Right Upper Lung X-Ray
Managing Acute Asthma: Can You Work in a Cleanroom Environment?
Acute asthma attack Hello, Dr. Jian. I was recently hospitalized for a week due to acute asthma. Since last year, I have been experiencing recurrent episodes approximately every one to two months. I often have excessive phlegm and cough, and sometimes I struggle to breathe and ca...
Dr. Jian Shuntian Reply:
Hello: Theoretically, clean rooms have no direct relationship with asthma attacks, unless there are other chemical substances present in the clean room that could trigger asthma or latex allergies. It appears that asthma is poorly controlled, and it is advisable to consult a pulm...[Read More] Managing Acute Asthma: Can You Work in a Cleanroom Environment?
Chronic Chest Tightness and Post-Meal Phlegm: What You Need to Know
Chronic chest tightness with phlegm after meals? Hello doctor, I have been experiencing long-term chest tightness, which worsens to include pain in my back and throat. However, this condition does not occur every day; it tends to happen more often after prolonged sitting or lying...
Dr. Yang Wenda Reply:
Hello: It is recommended to see a pulmonologist for a chest X-ray evaluation.[Read More] Chronic Chest Tightness and Post-Meal Phlegm: What You Need to Know
Understanding Latent Tuberculosis: Testing and Symptoms Explained
The incubation period of pulmonary tuberculosis? A family member has just been diagnosed with tuberculosis, but the report on whether it is active or not has not yet come out. I would like to ask the doctor: We currently have no symptoms (or perhaps we do but are not aware of the...
Dr. Jian Shuntian Reply:
Hello: 1. It is recommended to visit a hospital with a pulmonology department for a chest X-ray. 2. To determine if there is a latent infection, a blood test is needed; a positive result along with a chest X-ray showing no tuberculosis lesions is required. Currently, the examinat...[Read More] Understanding Latent Tuberculosis: Testing and Symptoms Explained
Should I Get an LDCT Scan for Chest Pain and Discomfort?
Is a low-dose computed tomography (LDCT) scan necessary? Hello Doctor: I am 34 years old and have no family history of lung cancer. This year, I have experienced intermittent chest tightness, chest pain, tenderness on the sides of the sternum, occasional mild coughing, and a pers...
Dr. Huang Yiwen Reply:
Dear Sonic: Do you have a history of smoking? Based on your description, a Low-Dose Computed Tomography (LDCT) scan does not seem to be the first recommended option. It would be advisable to first conduct pulmonary function tests and autonomic nervous system evaluations, as the s...[Read More] Should I Get an LDCT Scan for Chest Pain and Discomfort?
Managing Massive Hemoptysis in Patients with Bronchiectasis: A Case Study
Bronchiectasis with hemoptysis? On October 1st, during the Mid-Autumn Festival, my mother suddenly coughed up blood and then went into shock. She was taken to the emergency room, where treatment stopped the bleeding after two days. However, the doctor misdiagnosed her and prescri...
Dr. Jian Shuntian Reply:
Hello: If the bleeding originates from the left lower lung, surgical intervention is recommended. Please consult with a pulmonologist and a thoracic surgeon.[Read More] Managing Massive Hemoptysis in Patients with Bronchiectasis: A Case Study
Understanding Chronic Cough: Insights on Post-Smoking Symptoms
Chronic cough My father is about 48 years old and has a smoking history of 30 years. He quit smoking over three years ago. For the past four to five years, he has occasionally coughed, with a maximum of about ten coughs in a day. According to my mother, his coughing symptoms have...
Dr. Yang Wenda Reply:
Hello: It may be related to the lungs, and an X-ray is needed to rule out significant lung diseases. If necessary, a pulmonary function test can also be arranged to check for obstructive lung diseases. It is recommended to see a pulmonologist![Read More] Understanding Chronic Cough: Insights on Post-Smoking Symptoms
Understanding the Impact of Inhalers on Chest Discomfort: A Patient's Inquiry
Please ask some questions about bronchodilators? Hello Dr. Yang, A family member started using a bronchodilator inhaler about two to three years ago due to coughing (approximately 1-2 times daily, often lasting for several minutes). After stabilizing the symptoms, the dosage wa...
Dr. Yang Wenda Reply:
Hello: You are using a bronchodilator, and there has been improvement, which is more indicative of asthma symptoms. The normal dosage is to inhale two puffs in the morning and evening. During the summer, if symptoms improve, some may reduce it to one puff in the morning and eveni...[Read More] Understanding the Impact of Inhalers on Chest Discomfort: A Patient's Inquiry
Understanding Bronchiectasis: When to Seek Treatment and Medication Use
Bronchiectasis Hello, doctor! I've been experiencing a lot of phlegm, coughing up blood, and a cough. I returned to the doctor, who prescribed antibiotics and steroids. Isn't it enough to just take antibiotics? Why were steroids also prescribed? It's difficult to d...
Dr. Yang Wenda Reply:
Hello: The physician prescribes medication for a reason. It is recommended that you take the medication as prescribed, in the correct dosage and at the scheduled times. After completing the course, report any reactions to your physician to determine if any adjustments to the medi...[Read More] Understanding Bronchiectasis: When to Seek Treatment and Medication Use
Understanding Choking: Symptoms and When to Seek Help
Regarding choking? Hello Dr. Wu, I have a situation. A few days ago, I drank beef noodle soup in the evening and added some chili, which caused my throat to become sensitive. Since then, I have been feeling that my breathing is not smooth, and I can feel my breathing rate at all ...
Dr. Wu Yingxun Reply:
Hello: Please first have a chest X-ray and then perform pulmonary function tests.[Read More] Understanding Choking: Symptoms and When to Seek Help
Understanding Mild Prominent Lung Markings on X-rays: Causes and Concerns
Regarding the presentation of mild prominence on X-rays and subsequent issues? Hello, Doctor. Recently, I visited the pulmonology department due to a persistent cough (which lasted about a week) and had an X-ray taken. The doctor reviewed the results and mentioned that there were...
Dr. Wu Yingxun Reply:
Hello: It should be an imaging description rather than a pathology report, generally referring to vascular imaging or monitoring for infiltrative inflammation.[Read More] Understanding Mild Prominent Lung Markings on X-rays: Causes and Concerns