Understanding Left Chest Pain: Causes, Concerns, and Next Steps
Left chest pain? Dear Doctor, I have been experiencing persistent left-sided chest pain (which feels like pressure) for the past year. The pain worsens with coughing and tilting my head back. I had a chest X-ray in January 2018, which was normal (I have had three X-rays during th...
Dr. Zhou Ziguang Reply:
Hello: 1. If the chest X-ray and low-dose computed tomography (LDCT) do not show any lesions sufficient to explain the chest pain, you may first consult with an orthopedic or cardiology specialist. 2. The LDCT report from June 2016 indicates infiltration; the follow-up interval s...[Read More] Understanding Left Chest Pain: Causes, Concerns, and Next Steps
Understanding Chest Pain: Differentiating Between Costochondritis and Other Conditions
Mediastinal tumor? Lung cancer? Costochondritis? I was born in 1984 and have been working in an office for six years. I have been troubled by chronic nasal allergies, but I generally do not have any major health issues. I play basketball regularly, averaging about 3-4 times a wee...
Dr. Yang Wenda Reply:
Hello: After spending so much time describing your painful experiences, I can understand your anxiety and suffering. I would like to provide some preliminary responses and suggestions regarding your final question, point 13: 1. What is wrong with me? Based on your symptoms, the...[Read More] Understanding Chest Pain: Differentiating Between Costochondritis and Other Conditions
Understanding Spontaneous Pneumothorax: Causes, Symptoms, and Treatment
Chest pain due to pneumothorax? Hello, doctor. I am a high school student experiencing left-sided chest pain. The hospital examination revealed a pneumothorax, with a chest X-ray showing normal findings but a 2 cm area compressing the lung by 3.5 cm. The doctor recommended a drai...
Dr. Yang Wenda Reply:
Hello: First, alleviate the symptoms (oxygen therapy or chest tube drainage). Follow up with X-rays; if there is no absorption or improvement after two weeks, consider surgery. A chest CT scan can also be referenced. If there are still other subpleural blebs in the lungs (unruptu...[Read More] Understanding Spontaneous Pneumothorax: Causes, Symptoms, and Treatment
Understanding High Cancer Markers: Is It Lung Cancer or Something Else?
Elevated cancer markers? Hello Doctor: My mother experienced massive hemoptysis ten years ago and was hospitalized, where she was diagnosed with bronchiectasis. She underwent surgery to remove part of her lung and was found to have pulmonary tuberculosis, which she completed trea...
Dr. Wu Yingxun Reply:
Hello: Monitor the CT scan to see if there is any enlargement, and then perform a biopsy.[Read More] Understanding High Cancer Markers: Is It Lung Cancer or Something Else?
Understanding Subpleural Lung Infiltrates: Causes and Follow-Up Care
Pulmonary infiltration Hello Doctor, I underwent a full-body MRI check-up last August due to discomfort, and there were some areas that needed follow-up. One finding was a 1.3 cm subpleural pulmonary infiltration in the right lower lobe, which was suggested to possibly be due to ...
Dr. Chen Junwei Reply:
A 1.3 cm subpleural pulmonary infiltrate is likely just a remnant from a past inflammation and should not be directly related to the current symptoms. It is recommended to first follow up with a pulmonology clinic to assess whether further evaluation (such as a CT scan) is necess...[Read More] Understanding Subpleural Lung Infiltrates: Causes and Follow-Up Care
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?
Persistent Cough for Over Two Months: Seeking Solutions and Insights
Coughing for over two months? Hello Doctor: I have been coughing for the past few months, and sometimes I feel a tightness in my chest. I have undergone a chest X-ray and a low-dose CT scan, both of which showed no abnormalities. I suspect it might be a gastrointestinal issue, so...
Dr. Zhou Ziguang Reply:
Hello: Please visit the pulmonology department and discuss your condition with the physician.[Read More] Persistent Cough for Over Two Months: Seeking Solutions and Insights
Is It Coughing? Understanding Throat Clearing and Health Risks
Is this considered a cough? Is the action of slowly sucking phlegm out of my throat considered coughing? A few months ago, I had an X-ray done, and there were no issues. Previously, I had been forcefully coughing up blood-tinged sputum, and once I had blood-tinged foam. Recently,...
Dr. Wu Yingxun Reply:
Hello: 1. I regret it and am afraid, so I will quit smoking. After quitting, my physical condition will improve. 2. Is there post-nasal drip? A chest X-ray (CXR) should be done to check for any issues. Coughing forcefully may cause bleeding; a CT scan should be performed if neces...[Read More] Is It Coughing? Understanding Throat Clearing and Health Risks
Understanding the Need for PET Scans in Unclear Chest Imaging Results
Positron Emission Tomography (PET) My mother is 54 years old and was diagnosed with stage I breast cancer four years ago. In recent years, her follow-up examinations have shown no abnormalities. However, during a check-up earlier this month, a shadow was detected on her chest X-r...
Dr. Yang Wenda Reply:
Hello: If you want to examine shadows in the breast or lungs, a CT scan is appropriate. Positron emission tomography (PET) can help determine whether the shadow is more likely to be a metastatic tumor rather than a benign inflammatory lesion. PET can also assess areas outside the...[Read More] Understanding the Need for PET Scans in Unclear Chest Imaging Results
Chronic Dry Cough: Understanding Symptoms and Concerns After Quitting Smoking
Persistent dry cough without phlegm? I have been experiencing a dry cough and itchy throat without phlegm for a year. Before quitting smoking, I would cough and feel chest tightness, but that is no longer the case. Initially, after quitting smoking, I had some black phlegm, but n...
Dr. Huang Yiwen Reply:
Dear Yi: Congratulations on quitting smoking! This is a great achievement. Your current condition seems more like post-nasal drip or an allergic reaction. If you are concerned about cancer, you can arrange for a low-dose CT scan at Changhua Hospital. They care about you.[Read More] Chronic Dry Cough: Understanding Symptoms and Concerns After Quitting Smoking
Persistent Cough for Five Months: Seeking Answers After 20 Doctor Visits
I have been coughing for five months and have seen over 20 doctors, yet it still hasn't improved? Hello Doctor: I have been coughing since early March and have seen a doctor for the first time. I have continued to see doctors for examinations, and I have seen more than 20 do...
Dr. Wu Yingxun Reply:
Hello: At the age of 24, the likelihood of developing lung adenocarcinoma is low. Symptoms of gastroesophageal reflux disease (GERD) can also be one of the causes of chronic cough. It is important to consider whether the cough is related to occupational exposure. Pulmonary functi...[Read More] Persistent Cough for Five Months: Seeking Answers After 20 Doctor Visits
Persistent Cough: When to Seek Further Evaluation for Lung Issues
The cough has not improved? Hello Doctor: I have been coughing for nearly a month. Due to a family history of lung cancer, I underwent a low-dose CT scan two weeks ago for follow-up, and the results were normal. However, my cough has not improved. I have taken cough suppressants,...
Dr. Zhou Ziguang Reply:
Hello: The above issues require evaluation and treatment by a physician. Please visit a pulmonology clinic.[Read More] Persistent Cough: When to Seek Further Evaluation for Lung Issues
Understanding Lung Nodules: Key Questions and Expert Insights
Management of pulmonary nodules? Dear Doctor, I had a chest CT scan on May 1st, which showed a 0.7 cm nodule in my right lung. I have several questions: 1. I was suffering from a severe cold with yellow-green sputum. Would this affect the interpretation of the CT scan? 2. Chang...
Dr. Yang Wenda Reply:
Hello: 1. The relationship between a cold with yellow phlegm and nodules is minimal. 2. It is recommended to follow up in three months. 3. Smoking may lead to emphysema, but it varies by individual constitution; your imaging results are not significant, and your emphysema should ...[Read More] Understanding Lung Nodules: Key Questions and Expert Insights
Understanding Cough, Chest Pain, and Lung Nodules: Key Concerns
Recent concerns about cough, chest pain, and pulmonary nodules? Due to a family history of lung cancer (grandmother) and experiencing some respiratory symptoms earlier this year, I paid out of pocket for a low-dose CT scan, which revealed a 0.45 cm lung nodule. At that time, the ...
Dr. Zhou Ziguang Reply:
1. If the nodule is malignant, it may increase in size after six months. If it does increase, a biopsy may need to be considered. If you are still concerned about the 0.45 cm nodule, you can discuss with a thoracic surgeon the possibility of an earlier biopsy. 2. Coughing is usua...[Read More] Understanding Cough, Chest Pain, and Lung Nodules: Key Concerns
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 Bacterial Infections and Treatment in Respiratory Health
Bacterial and pleural infiltration..? Hello Doctor, I would like to ask a few questions... I developed yellow, foul-smelling nasal discharge due to a cold, and after seeing a doctor, it did not improve. It progressed to an upper and lower respiratory tract infection, with sinusit...
Dr. Yang Wenda Reply:
Hello: It is common for normal nasal cavities and respiratory tracts to coexist with commensal bacteria, so the presence of bacteria in cultures does not necessarily indicate an infection or disease. However, based on your description, this condition may involve sinusitis and a m...[Read More] Understanding Bacterial Infections and Treatment in Respiratory Health
Understanding Throat Tightness and Chest Discomfort: Causes and Solutions
Throat tightness, chest tightness, and tension in the back of the neck and occipital region? Recently, while eating snacks and laughing, I felt something foreign enter my throat and get stuck at the Adam's apple. My voice changed, and I started to cough violently after only ...
Dr. Huang Ruiming Reply:
Dear Mr. Anxu, Regarding the issue you raised about multiple symptoms, including a sensation of a foreign body in the throat, it is advisable to come to the outpatient clinic for an examination. Thank you for your concern. Sincerely, Hualien Hospital, Ministry of Health and...[Read More] Understanding Throat Tightness and Chest Discomfort: Causes and Solutions
Understanding Throat Tightness and Chest Discomfort: Causes and Solutions
Throat tightness, chest tightness, and tension in the upper back and chest cavity? Recently, while eating snacks and laughing, I felt something foreign enter my throat and get stuck at the level of the Adam's apple. My voice changed, and I started to cough violently after on...
Dr. Huang Yiwen Reply:
Dear Mr. Luo: Thank you very much for your support of the Taiwan e-Hospital. The purpose of this platform is to help the public clarify doubts or provide preliminary advice. Of course, the medical field is quite complex, and some questions may not be answered satisfactorily or ma...[Read More] Understanding Throat Tightness and Chest Discomfort: Causes and Solutions
Understanding Lung Nodules: Should You Be Concerned About Size Changes?
Pulmonary nodule enlargement? Hello Doctor, I had a health check-up at Taipei Kang Ning Hospital last December, and there were about six nodules in my lungs, two of which were larger GGO (ground-glass opacities) with the hospital report indicating sizes of 0.55 and 0.5. In April ...
Dr. Yang Wenda Reply:
Hello: The changes are indeed minimal and within the measurement error range, unlike the behavior of tumor cells. It is recommended to follow the physician's advice for annual CT scans. If you are still concerned, a follow-up chest X-ray after six months can also be consider...[Read More] Understanding Lung Nodules: Should You Be Concerned About Size Changes?