Cough, Pulmonology FAQ - Page 3

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Understanding Spontaneous vs. Traumatic Pneumothorax: Key Differences Explained

The definitions of spontaneous pneumothorax and traumatic pneumothorax are as follows: Spontaneous pneumothorax refers to the accumulation of air in the pleural space without any obvious external cause, often occurring in otherwise healthy individuals, typically due to the ruptu...


Dr. Shen Bochan Reply:
Hello, based on your description, in the case of the first pneumothorax, if there was no external object piercing the alveoli, the cause of the pneumothorax would likely be due to pre-existing unhealthy alveoli. A sudden impact could cause uneven stress on the surface of the alve...

[Read More] Understanding Spontaneous vs. Traumatic Pneumothorax: Key Differences Explained


Managing Coughing Up Blood Clots After Tracheostomy: A Guide for Caregivers

Tracheostomy with hemoptysis? My father is 62 years old and has undergone a tracheostomy for about 1-2 years. Since the end of last year, he has been coughing up blood, which lasted for a month. Recently, it has started again, but this time it is more severe, with blood clots pos...


Dr. Wu Yingxun Reply:
Hello: It is recommended to have a chest X-ray or CT scan evaluated by a pulmonology outpatient clinic to check for any issues or lesions in the trachea before proceeding with further management.

[Read More] Managing Coughing Up Blood Clots After Tracheostomy: A Guide for Caregivers


Understanding Blood-Streaked Sputum in Long-Term Smokers: What to Know

Long-term smoking with a small amount of blood in the sputum? Hello Dr. Kuo, I am asking on behalf of my father. He is currently 59 years old and has been a long-term smoker, smoking two packs every three days. About a year ago, he began experiencing chronic cough and sputum prod...


Dr. Guo Hongyi Reply:
Hello: Dear public, coughing after smoking is a common occurrence. It is recommended to quit smoking. Quitting smoking may involve medication assistance, but it also requires personal willingness and willpower; others can only offer advice. There are many causes for coughing up b...

[Read More] Understanding Blood-Streaked Sputum in Long-Term Smokers: What to Know


Concerns About Blood in Sputum: A Long-Term Smoker's Health Risks

My father is a long-term smoker and has issues with phlegm? Good morning, Director Huang. I apologize for disturbing you during your busy schedule, but I have a question I hope you can answer quickly. My father is a long-time smoker and has been experiencing chronic coughing and ...


Dr. Huang Yiwen Reply:
Dear Ah Wei, I hope this message finds you well. As a long-time smoker, regardless of whether you have any symptoms, it is advisable to undergo a low-dose computed tomography (CT) scan since lung cancer is currently the leading type of cancer. The government offers subsidies fo...

[Read More] Concerns About Blood in Sputum: A Long-Term Smoker's Health Risks


Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?

Persistent mild dry cough with slight shortness of breath? Hello Doctor: Due to family members exhibiting cold symptoms, I began experiencing throat discomfort in mid-October. On October 17, I visited an ENT specialist after my family members had already shown symptoms. After thr...


Dr. Yang Wenda Reply:
Hello: If respiratory symptoms persist, it is recommended to visit the thoracic medicine clinic for a chest X-ray for further evaluation!

[Read More] Persistent Mild Cough and Shortness of Breath: When to Seek Chest Specialist?


Feeling of Throat Obstruction After Choking: When to Seek Further Care?

Choking on the trachea? Hello, I choked while eating last night and now I feel like there's a foreign body in my throat that I can't cough out, but it feels like it's moving. After visiting an ENT clinic, the doctor used a nasopharyngoscope and said there was no fo...


Dr. Guo Hongyi Reply:
Hello, if there is a foreign object in the trachea, most people will cough. However, if you are feeling very uncomfortable, you should seek medical attention.

[Read More] Feeling of Throat Obstruction After Choking: When to Seek Further Care?


Understanding Palpitations, Coughing, and Vomiting: A Chest Medicine Perspective

Wheezing, coughing, vomiting, and incontinence? Hello, Director Yang. I had a stent placed in October 2013. About five months later, I began experiencing occasional missed beats, accompanied by vomiting (usually without anything in my stomach, but in rare cases, severe vomiting c...


Dr. Yang Wenda Reply:
Hello: The chest X-ray shows no abnormalities in the lungs, and the cough is not persistent. It is suspected that the main issue lies in the arrhythmia and temporary cardiac backflow obstruction, leading to chest tightness and cough. During the ECG, it happened to capture a momen...

[Read More] Understanding Palpitations, Coughing, and Vomiting: A Chest Medicine Perspective


Understanding Your X-Ray Report: Insights on Lung and Heart Health

X-ray report issues? Persistent cough that does not improve, with a sensation of multiple needle-like pains in the lungs after coughing. X-ray results show: no active lung lesions, borderline heart size, mild tortuous aorta, and mild spondylosis at the thoracolumbar spine. Clinic...


Dr. Wang Zhengde Reply:
Hello Lisa: Based on your statement, it is believed that you have already visited the hospital for medical care and received relevant examinations and treatments. It is recommended that you return to your original attending physician's clinic for continued follow-up. Due to ...

[Read More] Understanding Your X-Ray Report: Insights on Lung and Heart Health


Intermittent Chest Tightness and Lung Sounds When Lying Down

Intermittent chest tightness and the sensation of sounds in the lungs when lying down? Hello doctor, I was diagnosed with COVID-19 three months ago. After recovering, I occasionally experience shortness of breath and chest tightness, but I do not have a cough. I visited a family ...


Dr. Guo Hongyi Reply:
Hello, thank you for your message. We recommend that you visit the pulmonology outpatient clinic for relevant examinations such as a chest X-ray and pulmonary function tests. This will help clarify whether the issue is physiological or related to autonomic nervous system conditio...

[Read More] Intermittent Chest Tightness and Lung Sounds When Lying Down


Understanding Shortness of Breath: Causes and Concerns

Dyspnea I'm sorry, doctor. Since the beginning of September (last week), I've been experiencing some shortness of breath. Sometimes I need to take deep breaths or yawn to get enough air, but this does not affect my sleep, and there are no accompanying symptoms like coug...


Dr. Shen Bochan Reply:
Hello, based on the symptoms you described, it is not sufficient for me to make a diagnosis. I recommend that you visit a nearby medical facility for a basic examination to rule out any life-threatening physiological issues. After that, appropriate treatment can be addressed for ...

[Read More] Understanding Shortness of Breath: Causes and Concerns


Monitoring Lung Nodules and Local Fibrosis: Key Insights and Follow-Up

Follow-up on pulmonary nodules and localized fibrosis? Dear Director, I hope you are well. I previously consulted you on this platform on September 7, 2021, regarding my health check in October 2020, which showed pulmonary nodules and localized fibrosis on a low-dose CT scan (the...


Dr. Yang Wenda Reply:
Hello: Congratulations on your recent CT report showing that the 3mm nodule has not increased in size and is no longer visible. It is likely that it was just an inflammatory lesion that has been absorbed. Local pleural thickening usually does not change significantly or disappear...

[Read More] Monitoring Lung Nodules and Local Fibrosis: Key Insights and Follow-Up


Health Risks of Long-Term Exposure to Factory Emissions: A Guide

Factory smoke and oil fume issues? Hello Doctor, my parents are currently 50 years old and have been working in a CNC factory for 30 years, inhaling industrial oil mist and exhaust gases. Although the factory has ventilation, I would like to ask the doctor a few questions: 1. Doe...


Dr. Guo Hongyi Reply:
Hello: The public is aware that air pollution in the environment and workplace can indeed increase risks, but the risk associated with airborne contaminants in the workplace cannot currently be quantified. Generally, regular occupational health examinations are conducted for norm...

[Read More] Health Risks of Long-Term Exposure to Factory Emissions: A Guide


Persistent Cough with Phlegm: When to Seek Further Medical Evaluation?

Persistent cough with phlegm unresolved? Hello, Doctor: Since being diagnosed in early June, I have been experiencing a persistent cough with phlegm. However, in early July, the symptoms suddenly worsened, and I began to experience an itchy throat at night, which led to coughing....


Dr. Guo Hongyi Reply:
Dear public, if you feel unwell, it is recommended that you go directly to the hospital for examination and treatment.

[Read More] Persistent Cough with Phlegm: When to Seek Further Medical Evaluation?


Is It Normal to Experience Coughing and Chest Discomfort After Inhaler Use?

Is it normal to experience worsened sleep, coughing, and a sensation of heartbeat and chest tightness when using a bronchodilator? On July 13 of this year, I was diagnosed and have had a cough for over three weeks, accompanied by wheezing, choking cough, and a sensation of my hea...


Dr. Guo Hongyi Reply:
Dear public, We recommend that you first confirm whether you are using the correct method for inhaling your medication. You can search online for instructional videos on the proper inhalation technique. If you continue to experience discomfort after using the medication correct...

[Read More] Is It Normal to Experience Coughing and Chest Discomfort After Inhaler Use?


Understanding Aspiration Pneumonia: Symptoms and Concerns

Aspiration pneumonia Hello Doctor: After having dinner on August 15, I experienced coughing with phlegm about an hour later, but I did not have severe coughing during the meal. On August 16, I coughed with phlegm occasionally throughout the day, with my body temperature ranging f...


Dr. Cai Zongwei Reply:
Hello: A hospital examination is necessary to determine if there is pneumonia.

[Read More] Understanding Aspiration Pneumonia: Symptoms and Concerns


Training for Tracheostomy Decannulation: Key Considerations for Elderly Patients

How to train for tracheostomy decannulation? My mother suffered a brain hemorrhage from a fall in January of this year. At that time, the doctors assessed that she was in a coma and unable to breathe on her own. After two months of treatment and over five months of care, she can ...


Dr. Guo Hongyi Reply:
Dear public, Tracheostomy training can generally be conducted when vital signs are stable and medical personnel are present. While a productive cough and the presence of sputum may slightly affect the success rate, these factors should not be the sole reason to postpone trainin...

[Read More] Training for Tracheostomy Decannulation: Key Considerations for Elderly Patients


Can Coughing Too Hard Cause Blood in Your Phlegm?

Can coughing too hard cause bleeding? A few days ago, I had a cold with a sore throat and a dry cough. I'm not sure if I coughed too hard, but I coughed up pink phlegm, which seems to be blood-tinged. The first phlegm I coughed up in the morning was pink, but throughout the ...


Dr. Guo Hongyi Reply:
Dear public, Hello: There are many causes of hemoptysis, and it is not possible to provide a response without further evaluation. It is recommended that you visit a nearby pulmonology clinic for a proper assessment. Thank you.

[Read More] Can Coughing Too Hard Cause Blood in Your Phlegm?


Long-Term Inhalation of Industrial Fumes: Health Risks and Checkups

Long-term inhalation of industrial exhaust gases? Hello Doctor, my father is currently 50 years old and has worked in a factory for 30 years, inhaling industrial oil fumes and exhaust gases. Although the factory is ventilated, I would like to ask you some questions: 1. Should he ...


Dr. Huang Yiwen Reply:
Dear Xiao Yi: 1. Basically, if there is a history of occupational exposure, regular low-dose computed tomography (CT) follow-ups are necessary. 2. If you smoke, it could be related to smoker's cough; if not, it may be due to allergies or mild obstructive lung disease. Changh...

[Read More] Long-Term Inhalation of Industrial Fumes: Health Risks and Checkups


Understanding Intermittent Chest Pain: Possible Lung-Related Causes

Chest pain Hello, doctor. I have been experiencing intermittent pain in the middle of my chest recently, with occasional sharp pain lasting 1-2 seconds. Over the past two days, I initially felt a pulling sensation on the outer right side of my chest extending to my armpit, follow...


Dr. Huang Yiwen Reply:
Dear Anonymous: The symptoms you described are more akin to pain from muscle nerve traction. Please be mindful that when engaging in daily activities that require exertion, it's best to perform warm-up exercises. Additionally, this is unrelated to the 0.5 cm nodule. I recomm...

[Read More] Understanding Intermittent Chest Pain: Possible Lung-Related Causes


How to Confirm Bone Metastasis in Lung Adenocarcinoma?

How to confirm if it is bone metastasis from lung adenocarcinoma? Hello Doctor: My mother is 58 years old and has type 2 diabetes (controlled with medication, no insulin required). She was hospitalized for examination from June 24 to July 6. A tumor was found on her thyroid, whic...


Dr. Tao Ruiming Reply:
Hello: There is a type of Bone Scan in nuclear medicine that can help.

[Read More] How to Confirm Bone Metastasis in Lung Adenocarcinoma?


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