Understanding Sudden Breathing Difficulties and Throat Spasms
Feeling of insufficient breath, sudden sensation of spasms from the larynx to the trachea? Since middle school, I have occasionally experienced a sudden feeling of not being able to get enough air, requiring me to take a deep breath through my mouth. Usually, this resolves the is...
Dr. Huang Yiwen Reply:
Dear Shaqima: Based on your description, it seems to be a type of allergy, possibly related to variant asthma. I recommend undergoing relevant allergen testing. Sometimes, certain environmental factors or food allergies can trigger symptoms even without direct contact. It’s best ...[Read More] Understanding Sudden Breathing Difficulties and Throat Spasms
Navigating Critical Care: A Father's Battle with Pneumonia and Ventilation
Dad is intubated in the intensive care unit? Hello, doctor. My father went to the emergency room in early March due to physical discomfort, which was diagnosed as a urinary tract infection (after chest X-ray and CT scan) leading to fever and sepsis (with a white blood cell count ...
Dr. Huang Yiwen Reply:
Dear Ms. Tsai: It is advisable to perform a tracheostomy if you cannot be weaned off the ventilator in the short term. Keeping a chopstick in your mouth continuously is quite uncomfortable. After the tracheostomy, you can still train to wean off the ventilator. If it is truly imp...[Read More] Navigating Critical Care: A Father's Battle with Pneumonia and Ventilation
Traveling with Pleural Effusion: Important Tips for Air Travel
What precautions should be taken when traveling abroad with pleural effusion? Hello Director Huang, My mother is planning to fly to Japan in April. Considering she currently has about 300cc of pleural effusion, are there any recommendations or precautions regarding high altitud...
Dr. Huang Yiwen Reply:
Dear A-Fei: The side effects of general immunosuppressants are usually mild, as indicated in the package insert. However, if you experience any of the following symptoms, please seek medical attention promptly: difficulty breathing, severe abdominal or back pain, fever, numbness ...[Read More] Traveling with Pleural Effusion: Important Tips for Air Travel
Persistent Cough: Seeking Solutions for Ongoing Symptoms
Persistent cough that does not resolve? The patient was diagnosed with a fever around February 1, lasting for three days. After taking medication for one week, there was slight improvement, but the cough persisted. On February 8, the patient took a traditional Chinese medicine (T...
Dr. Zhou Ziguang Reply:
Hello: You can go to the thoracic medicine outpatient clinic for a chest X-ray and pulmonary function re-evaluation. Dr. Wu Ying-Hsun (acting).[Read More] Persistent Cough: Seeking Solutions for Ongoing Symptoms
Understanding Tuberculosis Recurrence: Symptoms, Testing, and Follow-Up Care
Pulmonary tuberculosis may relapse after treatment? Hello Doctor: Thirteen years ago, I was diagnosed with asymptomatic pulmonary tuberculosis and completed a two-year treatment course as directed by my physician. I did not have any follow-up afterward. In January and February of...
Dr. Huang Yiwen Reply:
Dear Peipei: Regarding your questions, 1. Abdominal tuberculosis indeed requires a pathological and microbiological diagnosis for confirmation. 2. It is recommended that TB patients undergo a chest X-ray (CXR) annually for monitoring. 3. Currently, the diagnosis cannot be confirm...[Read More] Understanding Tuberculosis Recurrence: Symptoms, Testing, and Follow-Up Care
Understanding Chronic Cough: When to Seek Medical Attention for Your Mom
Itchy throat and cough? The definition of a persistent cough is typically a cough that lasts for more than eight weeks in adults. In your mother's case, if she has been coughing three to four times each morning for the past two weeks, it may not yet meet the clinical definit...
Dr. Huang Yiwen Reply:
Dear ERIC: A cough lasting for three weeks without improvement can be classified as a chronic cough. Further evaluation is necessary, and it is recommended to consult a pulmonologist for a chest X-ray (CXR) examination. Changhua Hospital cares about your health.[Read More] Understanding Chronic Cough: When to Seek Medical Attention for Your Mom
Understanding Pulmonary Fibrosis: Discrepancies in Lung Health Reports
Pulmonary fibrosis In mid-January, my labor health examination report indicated mild fibrosis in my upper lung, but I later received my military health examination report from December of last year stating that my lungs were normal. Is it possible to have different results in suc...
Dr. Zhou Ziguang Reply:
Hello: The chest X-ray may exhibit slight variations due to the angle of exposure and the settings used. Different physicians may also report slightly different findings on the same X-ray, especially regarding shadows that are not significant, uncertain, or of limited clinical re...[Read More] Understanding Pulmonary Fibrosis: Discrepancies in Lung Health Reports
Understanding Lung Atrophy: Causes, Treatments, and Rehabilitation Options
Lung atrophy Hello, this month's low-dose computed tomography (CT) scan shows lung atrophy. What are the possible causes of atrophy? Are there any treatment or rehabilitation options available? Thank you for your response. Low-dose CT of the chest without contrast enhancem...
Dr. Huang Yiwen Reply:
Dear Health: Lung atelectasis is incomplete expansion, generally due to the degeneration of the ciliated epithelium in the trachea or is often a result of previous infections. As long as there is no mucus accumulation, no special treatment is necessary. You can perform deep breat...[Read More] Understanding Lung Atrophy: Causes, Treatments, and Rehabilitation Options
Understanding Central Chest Discomfort: Is It Acid Reflux?
Central chest tightness and pain? Hello, about two days ago I felt a tightness in the center of my chest, and the area between my stomach and chest felt uncomfortable. The tightness has since subsided, but I still experience some pain in the area between my stomach and chest. I a...
Dr. Huang Yiwen Reply:
Dear Xiao Lin: Based on your description, it seems appropriate to start with medications for gastroesophageal reflux. If there is no improvement, we can proceed with an endoscopy. Changhua Hospital cares about you.[Read More] Understanding Central Chest Discomfort: Is It Acid Reflux?
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?
Duration, Causes, and Treatments for Pleural Effusion and Kidney Inflammation
Pleural effusion and kidney inflammation treatment duration, causes, and treatment methods. Thank you, doctor? Hello, doctor! I have a few questions I would like to ask. I have a classmate who is the same age as me and is experiencing health issues. Out of curiosity, I want to in...
Dr. Jian Shuntian Reply:
Hello: 1. Fever may indicate pneumonia with pleural effusion. Treatment duration: uncomplicated pneumonia with pleural effusion is typically 7-14 days; complicated pneumonia with pleural effusion may require 14-28 days or even 42 days. 2. It is important to identify the underlyin...[Read More] Duration, Causes, and Treatments for Pleural Effusion and Kidney Inflammation
Asthma Treatment: Can Inhalers Cause Tongue Sores and Numbness?
Asthma with tongue ulceration? The patient used the inhaler for the first time last night, taking one puff each, and has been using it for about four to five days. Initially, there was some improvement in the cough, but yesterday morning, the cough worsened unexpectedly. Addition...
Dr. Huang Yiwen Reply:
Dear Ms. Huang: Both Pulmicort and Symbicort contain steroids and bronchodilators, so it is important to rinse your mouth after use to avoid the risk of oral thrush. Occasionally, these medications can irritate the vocal cords, which may explain the atypical side effects you de...[Read More] Asthma Treatment: Can Inhalers Cause Tongue Sores and Numbness?
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 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
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 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
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