Throat Irritation and Blood-Streaked Phlegm: What to Do?
Itchy throat, with phlegm containing streaks of blood and occasional blood clots? Hello doctor, this morning I woke up with a slight discomfort in my throat and occasional dry cough. I've never experienced this before. After drinking some hot beverages, I felt a bit better, ...
Dr. Zhou Ziguang Reply:
Hello: Please visit the pulmonology or otolaryngology department for evaluation and treatment by a physician.[Read More] Throat Irritation and Blood-Streaked Phlegm: What to Do?
Understanding Lung Nodules: Importance of Follow-Up CT Scans
Computed Tomography (CT) Scan for Pulmonary Nodules Hello, Doctor. In May 2021, I had a CT scan. Summary: All information from the patient. Past medical history: Hypertension - , Diabetes Mellitus - , Coronary Artery Disease - , Asthma - , Surgical history - Personal history: Bet...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest discussing future management options with the attending physician at the hospital where the examination was performed. Thank you.[Read More] Understanding Lung Nodules: Importance of Follow-Up CT Scans
Understanding Left Chest Pain: When to Seek Further Medical Advice
Left chest pain Hello Doctor, Current situation: There is pain when pressing on the lower edge of the left chest bone, lying down before sleep causes pain, and coughing also induces pain. Cause of pain: Three weeks ago, I fell to the left side while riding a motorcycle. Man...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms do indeed seem more consistent with a muscle or ligament strain. Sometimes, these symptoms can persist for a longer duration. If your symptoms do not improve, it is advisable to return to a rehabilitation or orthopedic clinic for fu...[Read More] Understanding Left Chest Pain: When to Seek Further Medical Advice
Understanding Mild Lung Opacity: Causes and Concerns for Patients
Mild pulmonary opacity? In mid-November, I experienced gastritis and gastroesophageal reflux, along with bronchitis and a cold. My weight dropped from 53 kg to around 48-49 kg in a short period. My family, who have been coughing for a long time, suggested that I might have pneumo...
Dr. Wang Zhengde Reply:
Hello Mei Mei, due to the limited information that can be provided through online consultations, I can only answer some of your questions. Compared to a chest X-ray, a computed tomography (CT) scan has a higher sensitivity and can reveal more details, which may include issues tha...[Read More] Understanding Mild Lung Opacity: Causes and Concerns for Patients
Understanding Hemoptysis After Lung Adenocarcinoma Surgery: What to Know
Pulmonary adenocarcinoma with hemoptysis? Your question: Hello, I am a stage 3B lung adenocarcinoma patient currently undergoing treatment with Anlotinib. I had surgery on November 3rd, and it has been almost two months since the operation. Recently, I have noticed a small amount...
Dr. Huang Yiwen Reply:
Dear Xiao Ke: Taking Alectinib is appropriate for cases of ALK-positive lung adenocarcinoma. After surgery, having just completed a CT scan with no signs of deterioration suggests that it is likely not a progression of the disease. It could be caused by a cough leading to minor p...[Read More] Understanding Hemoptysis After Lung Adenocarcinoma Surgery: What to Know
Understanding Hemoptysis in Lung Adenocarcinoma Patients Post-Surgery
Pulmonary adenocarcinoma with hemoptysis? Hello, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with Alectinib. I had surgery on November 3rd, and it has been almost two months since the operation. Recently, I have noticed a small amount of bl...
Dr. Zhou Ziguang Reply:
Hello: If there are no signs of deterioration on the CT scan, it is still possible that the microvascular structures near the trachea may be more prone to bleeding. Please discuss this with your physician and seek medical attention for evaluation and treatment.[Read More] Understanding Hemoptysis in Lung Adenocarcinoma Patients Post-Surgery
Persistent Cough for a Month: Understanding Allergies and Asthma Symptoms
Sudden cough lasting for one month? I have a history of nasal allergies. Last month, one night I suddenly felt an itch in my throat, and since then I've been coughing intermittently. I have never experienced these symptoms before. The cough is accompanied by a severe wheezin...
Dr. Huang Yiwen Reply:
Dear Xiao Xi: A common cold typically does not cause a cough that lasts this long. Based on your description, it seems to be a cough triggered by an acute asthma attack. Simply treating the cough will not be effective; it is necessary to address the asthma itself. Improvement in ...[Read More] Persistent Cough for a Month: Understanding Allergies and Asthma Symptoms
Understanding Mediastinal Lymph Node Enlargement: When to Follow Up?
Mediastinal lymphadenopathy Doctor: Hello, here is the recent report from the low-dose lung CT scan: High Resolution Computed Tomography (HRCT) of the Lung Clinical Information: chronic cough with sticky sputum, NIFTP HRCT of Chest. This study was performed without contrast enhan...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest discussing future management options with the attending physician at the hospital where the examination was performed. Thank you.[Read More] Understanding Mediastinal Lymph Node Enlargement: When to Follow Up?
Persistent Dry Cough for 2 Months: When to Seek Further Medical Help?
Dry cough for 2 months? I have been experiencing a dry cough for almost two months. A month ago, I visited a doctor who said it was caused by allergies, but I have occasionally had nasal congestion. Each time I cough, the phlegm is white and only a small amount. Sometimes I cough...
Dr. Wang Lanfeng Reply:
Hello: There are many potential causes of chronic cough, which may include respiratory diseases, gastrointestinal disorders, or even side effects from medications. It is recommended that you visit a pulmonology clinic at a hospital to clarify your condition. Thank you.[Read More] Persistent Dry Cough for 2 Months: When to Seek Further Medical Help?
Understanding Asthma: Medication Changes and Breathing Difficulties
Asthma issues Hello Doctor: Two years ago, I had a severe cough and consulted a pulmonologist who diagnosed me with asthma. My treatment was well-controlled for a while, but about six months ago, my primary physician stopped seeing patients, and I sought medication from another d...
Dr. Wang Lanfeng Reply:
Hello: The treatment for asthma is typically adjusted based on your symptoms and the results of pulmonary function tests. It is advisable to discuss the appropriate treatment options with your primary care physician. Thank you.[Read More] Understanding Asthma: Medication Changes and Breathing Difficulties
Post-COVID Coughing Spells: Understanding Symptoms and When to Seek Help
Sudden persistent cough and weight loss after diagnosis? Hello, I would like to inquire about my current condition. It has been approximately three weeks since I tested positive and recovered. Currently, I experience severe coughing fits for about half an hour, usually one or two...
Dr. Wang Lanfeng Reply:
Hello: After a COVID-19 infection, some patients do experience the symptoms you described. Some patients may improve after a period of time, while others may have symptoms that persist for a longer duration. If your symptoms continue, it is recommended that you visit a pulmonolog...[Read More] Post-COVID Coughing Spells: Understanding Symptoms and When to Seek Help
Sudden Breathing Difficulties: Understanding Causes and Solutions
Sudden shortness of breath? I'm sorry, doctor. Since this past Monday, I've suddenly felt a sensation of breathlessness. Sometimes I have to take deep breaths to relieve the discomfort, but I don't have a cough or significant wheezing, and it doesn't affect my...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are non-specific manifestations, making it difficult to determine the underlying cause. If your symptoms persist, you may want to visit a pulmonology clinic for further evaluation. Thank you.[Read More] Sudden Breathing Difficulties: Understanding Causes and Solutions
Chest Pain When Exhaling: Possible Causes and Concerns
Experiencing chest pain while exhaling? Hello, doctor. I have asthma and bronchial sensitivity issues. Sometimes I cough during an episode, but I haven't coughed recently. However, I've noticed that when I exhale forcefully, I feel a tight, painful sensation between my ...
Dr. Huang Yiwen Reply:
Dear Nini: Based on your description, it seems to be a small bronchial obstruction related to your asthma, which can be improved with bronchodilators. Changhua Hospital cares about you.[Read More] Chest Pain When Exhaling: Possible Causes and Concerns
Sudden Throat Itch and Cough: Understanding Symptoms and Risks
Sudden throat itch and cough? Hello Doctor, I work as a contracted staff member in a hospital, which carries a certain risk of viral infections. I am a patient with a chronic illness (Type 2 diabetes) and have been on medication with regular follow-ups. So far, I have not been di...
Dr. Wang Lanfeng Reply:
Hello: If you experience respiratory symptoms but test negative for COVID-19 with a rapid test, it is recommended that you seek medical attention if the symptoms persist. A physician can determine whether a COVID-19 PCR test is necessary. Regarding the chest pain issue you mentio...[Read More] Sudden Throat Itch and Cough: Understanding Symptoms and Risks
Persistent Coughing: When X-rays Show Clear Lungs, What's Next?
Persistent cough without resolution, chest X-ray shows clear lungs? Hello, doctor! My mother has been experiencing a dry cough for over two months. Although she felt better after taking medication, the cough returned two to three weeks later. Initially, she had a chest X-ray, whi...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your mother's symptoms are nonspecific, making it difficult to determine the underlying cause. If her symptoms persist, it would be advisable to visit a pulmonology outpatient clinic. Thank you.[Read More] Persistent Coughing: When X-rays Show Clear Lungs, What's Next?
Post-Recovery Cough and Chest Pain: When to See a Specialist?
I have recovered from the diagnosis, but I am experiencing a cough and chest pain? Hello, doctor. I was diagnosed about two weeks ago, but I still have some issues. During the infection, I had a severe cough and experienced occasional chest pain or tightness, along with phlegm in...
Dr. Wang Lanfeng Reply:
Hello: After a COVID-19 infection, some patients do experience the symptoms you described. Some patients may improve after a period of time, while others may have symptoms that persist for a longer duration. If your symptoms continue, it is advisable to visit a pulmonology clinic...[Read More] Post-Recovery Cough and Chest Pain: When to See a Specialist?
Can I See a General Practitioner for Chest Pain?
Can I see a general internist for chest pain? Dear Director Wang, I have been experiencing sharp pain in my left chest when I take deep breaths, cough, hiccup, assume certain positions, or lie on my stomach. I have been taking acetaminophen for a week, but there has been no impr...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are non-specific manifestations. You may first visit a family medicine clinic for evaluation. Thank you.[Read More] Can I See a General Practitioner for Chest Pain?
Understanding Dry Throat Symptoms: When to Isolate and Seek Help
Dry and itchy throat There is a confirmed case at home. I have been testing negative every day, but my throat is very dry, and I feel itchy with every breath, which makes me want to cough, although I can't produce much. I also have symptoms of a headache. There is no runny n...
Dr. Yang Wenda Reply:
Hello: A negative rapid test means you are not considered a COVID-19 infected patient. Symptoms like coughing and headache are merely signs of an upper respiratory infection. If the symptoms are severe, it is advisable to see a doctor for symptomatic relief medications. It is rec...[Read More] Understanding Dry Throat Symptoms: When to Isolate and Seek Help
Understanding Chest Symptoms: Coughing, Wheezing, and Heart Palpitations
Wheezing, crepitations, sputum production? Dear Vice President Wang, I have been experiencing the symptoms described for nine years, but they have recently worsened over the past month. The symptoms occur with any physical activity, such as climbing stairs, brisk walking, or dur...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, you already have issues with coronary artery obstruction, along with gastroesophageal reflux disease. Therefore, the symptoms you mentioned could potentially arise from these conditions. To determine which specific disease is causing your symptom...[Read More] Understanding Chest Symptoms: Coughing, Wheezing, and Heart Palpitations
Chest Discomfort After Choking on Water: When to Seek Medical Attention?
Experiencing chest tightness after choking on water? Waking up in the middle of the night after choking on water, and continuing to feel chest pain and tightness until the morning, without any cough or other symptoms, raises some concerns. Since you do not have a thermometer at h...
Dr. Wang Lanfeng Reply:
Hello: Generally speaking, if water accidentally enters the trachea, as long as the amount is not too large, it is usually absorbed by the body's tissues. However, it can also potentially lead to pneumonia. It is advisable to continue monitoring the situation. If you experie...[Read More] Chest Discomfort After Choking on Water: When to Seek Medical Attention?