Understanding Your Cough: Possible Causes and When to Seek Help
Doctor, please help me! Thank you! (The content is quite long... I hope you understand, doctor.) Hello, doctor! I have previously undergone an endoscopy, which diagnosed me with mild gastroesophageal reflux disease (GERD). However, since one night at the end of June, I experience...
Dr. Huang Yiwen Reply:
Dear Ting-er: Based on your description, I still believe it is related to gastroesophageal reflux disease (GERD). Given your age, the likelihood of malignancy is relatively low, especially since you have already undergone an X-ray. Now, let's discuss gastroesophageal reflux....[Read More] Understanding Your Cough: Possible Causes and When to Seek Help
Understanding Chest Pain and Throat Discomfort: Is It GERD?
Pain radiating from the back to the lateral side of the chest? Hello, recently I have been experiencing occasional acid reflux, along with pain radiating from the back of my throat to the outer side of my chest, and I also have symptoms of dizziness. Are these signs of gastroesop...
Dr. Jian Shuntian Reply:
Based on the symptoms described, it is likely gastroesophageal reflux disease (GERD). Please visit a gastroenterologist for an evaluation, and you may need to undergo an endoscopy.[Read More] Understanding Chest Pain and Throat Discomfort: Is It GERD?
Understanding Nighttime Chest Pain and Discomfort in Older Adults
Dad has been frequently waking up in the middle of the night due to upper body pain? Your father, who is 60 years old and has a history of smoking and alcohol use, has been experiencing pain in his upper arms that radiates to his chest during the night. The pain feels like it ori...
Dr. Zhang Ziyan Reply:
Hello, based on the symptom description, if a cardiologist has ruled out myocardial infarction, the next step may involve considering some sleep-related breathing issues (sleep medicine specialty). Other conditions to exclude include obstructive pulmonary disease caused by smokin...[Read More] Understanding Nighttime Chest Pain and Discomfort in Older Adults
Understanding Chest Discomfort: Causes and Concerns for Patients
Left chest tightness with some pain upon pressure? Hello doctor, I have angina, but recently I've been experiencing a runny nose, nasal congestion, and excessive phlegm. I also have persistent tightness in my left chest, and pressing on a specific point in that area causes p...
Dr. Zhang Ziyan Reply:
Hello, it is recommended to quit smoking and undergo further outpatient examination and treatment, as there may be issues related to bronchitis or soft tissue inflammation. Please refer to your treating physician for detailed information. Changhua Hospital cares about you.[Read More] Understanding Chest Discomfort: Causes and Concerns for Patients
Understanding Right Chest Rib Pain and Associated Gastric Discomfort
Right chest rib pain, with accompanying stomach cramps? Hello Dr. Yang, I would like to ask about the pain I experience in my right chest rib area, which extends from my armpit to the upper abdomen. I also have stomach pain (pressing on the ribs is painful, and sometimes I cough)...
Dr. Yang Wenda Reply:
Hello Mr. Tsai: Your pain under the right rib cage may have three possible causes: 1. Neuralgia (usually intermittent sharp pain), which is likely related to stress and busyness; it is difficult to improve without changing work habits. 2. Muscle pain (related to coughing forceful...[Read More] Understanding Right Chest Rib Pain and Associated Gastric Discomfort
Persistent Cough and Sore Throat: Is It Bronchitis or GERD?
I have had a cough and sore throat for a month? I had influenza type A a month ago, and my cough and sore throat have not improved at all over the past month. My voice is also hoarse. I visited an otolaryngologist who performed a laryngoscopy and found nothing abnormal, and they ...
Dr. Zhou Ziguang Reply:
Hello, to confirm gastroesophageal reflux disease (GERD), you can visit a gastroenterologist and consider undergoing an endoscopy. Wishing you good health, Dr. Chou-Tzu-Kuang.[Read More] Persistent Cough and Sore Throat: Is It Bronchitis or GERD?
Understanding Chronic Intermittent Cough: Causes and Treatment Options
Chronic intermittent cough? Hello, Dr. Zhou. I have been experiencing intermittent coughing for a year. I always feel like I can't clear my left lung, and my left throat is itchy. Whenever it itches, I feel the urge to cough. Occasionally, I have some clear phlegm, which is ...
Dr. Zhou Ziguang Reply:
Hello: 1. There are many causes of chronic cough. In addition to issues related to the lungs and bronchitis, it may also be due to post-nasal drip, gastroesophageal reflux disease (GERD), asthma, and other possibilities that require further differential diagnosis. 2. For the pulm...[Read More] Understanding Chronic Intermittent Cough: Causes and Treatment Options
Understanding Left Chest Pain: Causes and When to Seek Help
Pain near the left chest area, close to the ribs? Hello doctor, I have been experiencing pain in my left chest for about six months. Initially, it was a mild discomfort, and after seeing a doctor, I was diagnosed with gastroesophageal reflux disease (GERD). However, in the past w...
Dr. Huang Yiwen Reply:
Dear Xiao Jia: First, we need to know what tests you have undergone. Esophageal reflux is quite vague because a diagnosis requires an endoscopy, and its symptoms typically include a burning sensation in the chest. Based on your description, mild pleural effusion or mild pneumotho...[Read More] Understanding Left Chest Pain: Causes and When to Seek Help
Sudden Breathing Difficulties: Understanding Symptoms and Emergency Responses
Sudden inability to breathe? Hello, I would like to describe my mother's symptoms. It started with a cough, and after seeing a doctor and taking medication, she continued to cough. Then she went to a pharmacy and bought a Japanese cough medicine, which she took for about two...
Dr. Yang Wenda Reply:
Hello: 1. It is difficult to diagnose diseases based solely on verbal descriptions; it is more reliable to leave the assessment to clinical physicians. 2. Burping and experiencing smoother breathing indicates that gastric distension is affecting ventilation. It is important to mo...[Read More] Sudden Breathing Difficulties: Understanding Symptoms and Emergency Responses
Understanding Right Lower Chest Discomfort: Causes and Concerns
Discomfort in the central area of the right lower chest? Hello, Doctor. I have the following symptoms and would appreciate your insights. For the past week, I have been feeling a persistent tightness in the lower right center of my chest. I have previously experienced chest pain ...
Dr. Yang Wenda Reply:
Hello AIW: Here are a few suggestions for your consideration: 1. First, take a chest X-ray to ensure there are no lesions in the lungs. 2. Treat gastroesophageal reflux disease (GERD) (usually requires an endoscopy report before long-term use of proton pump inhibitors for 3-6 ...[Read More] Understanding Right Lower Chest Discomfort: Causes and Concerns
Understanding Chest Discomfort: Causes and When to Seek Help
Chest tightness? Hello, I experienced a feeling of tightness in my chest while sleeping at night, somewhat like a cramp, and also a sensation similar to the pressure of swallowing a stone. However, it was not very intense and disappeared shortly after. The location is approximate...
Dr. Yang Wenda Reply:
Hello Mr. K: Based on your symptom description, there is a preliminary suspicion of heart disease (angina) or gastroesophageal reflux disease (GERD) if you are experiencing symptoms such as acid reflux or upper abdominal pain. It is recommended that you visit a cardiology clinic ...[Read More] Understanding Chest Discomfort: Causes and When to Seek Help
Managing Pleural Effusion and Tuberculosis Treatment Challenges
The pleural effusion test indicated a pleural tuberculosis index of 84? 1. The pleural effusion test showed a pleural tuberculosis index of 841. Is it necessary to take the CDC medication for 6 to 9 months? 2. The patient has a history of gastric ulcer and gastroesophageal reflux...
Dr. Yang Zhiyun Reply:
Hello, the general treatment for tuberculous pleurisy lasts for 6 to 9 months. If symptoms such as gastrointestinal discomfort, stomach pain, or vomiting occur after medication, liver function should be checked for abnormalities. Antiemetics and gastric medications may be adminis...[Read More] Managing Pleural Effusion and Tuberculosis Treatment Challenges
Understanding Gastrointestinal Causes of Chest Pain: Key Locations Explained
Chest pain issues? Chest pain caused by gastrointestinal issues typically occurs in the central part of the chest, often along the line connecting the breasts. Thank you!
Dr. Huang Yiwen Reply:
Dear LaLa: I apologize for the late response. I was out of the country for a conference, which delayed my reply regarding the chest pain caused by gastrointestinal issues. The most common symptom of gastroesophageal reflux disease (GERD) is a burning sensation in the chest. Other...[Read More] Understanding Gastrointestinal Causes of Chest Pain: Key Locations Explained
Difficulty Breathing When Lying Down: Causes and Solutions
Difficulty breathing when lying down? Hello doctor, recently when I lie down at night to sleep, I experience shortness of breath, as if there is a trapped gas in my abdomen that I can't expel, making it difficult to fall asleep. I would like to ask the doctor if there are an...
Dr. Yang Wenda Reply:
Hello, Lin: 1. If the bloating is caused by dietary factors, it is recommended not to eat before bedtime. 2. If there is an issue with being overweight, it is advisable to find ways to reduce weight. 3. If gastroesophageal reflux disease (GERD) is suspected, it is best to eat sma...[Read More] Difficulty Breathing When Lying Down: Causes and Solutions
Understanding Chest Pain: When to Seek Medical Attention
Chest pain Hello Dr. Zhou, last night before bed, while using the computer, I experienced a rapid progression of discomfort in my chest to a feeling of compressed pain within just a few minutes. After lying in bed for about 10 minutes, the chest pain eased, and my breathing retur...
Dr. Zhou Ziguang Reply:
Hello, based on the symptoms you described, there are many common causes of chest pain, including musculoskeletal pain, esophageal issues, heart problems, lung conditions, and pleural diseases. It is advisable to first visit a thoracic specialist for a chest X-ray. If no abnormal...[Read More] Understanding Chest Pain: When to Seek Medical Attention
Understanding Chronic Chest Discomfort and Coughing: A Patient's Journey
Chronic chest tightness and cough? Hello Doctor: About three years ago, I started experiencing chest tightness, located in the center of my chest where there is a protruding area. It feels uncomfortable when I walk with my chest out, and the tightness becomes more pronounced when...
Dr. Zhou Ziguang Reply:
Hello Chris, 1. Based on the examination by the pulmonology and cardiology departments, it seems that the issue is more related to muscle or fascia injury. However, as mentioned by your online friend, if you experience discomfort after eating, it is important to consider the pos...[Read More] Understanding Chronic Chest Discomfort and Coughing: A Patient's Journey
Understanding Chest Pain: Causes and When to Seek Medical Attention
Chest pain Hello Doctor: Recently, I have been experiencing unusual pain, especially when eating hot food, as it passes through my chest cavity. It feels like a burning sensation, particularly noticeable in the center of my chest. This discomfort is not due to the food being too ...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, there is a high possibility of gastroesophageal reflux disease (GERD). It is recommended to undergo a chest X-ray and an upper gastrointestinal endoscopy for confirmation. If this condition is confirmed, it can be managed with medication and diet...[Read More] Understanding Chest Pain: Causes and When to Seek Medical Attention
Why You Experience Dry Cough at Night: Causes and Solutions
Occasionally experiencing a dry cough at night while sleeping? As the topic suggests, when you are about to fall asleep at night, you experience an itchy throat and a dry cough that affects your sleep. What could be the cause of this? Thank you.
Dr. Zhou Ziguang Reply:
Hello, the common causes of throat itching and a soft cough are numerous, such as post-nasal drip, chronic pharyngitis, and gastroesophageal reflux disease (GERD). If the discomfort worsens when lying down, cardiac issues should also be considered. Please consult a pulmonologist....[Read More] Why You Experience Dry Cough at Night: Causes and Solutions
Complications After Tuberculosis Recovery: Understanding Persistent Coughing
Can complications arise after recovering from pulmonary tuberculosis? Hello, doctors! I was first diagnosed with open pulmonary tuberculosis in 1999. Due to certain factors, my treatment took nearly two years to complete, and my attending physician officially informed me that I h...
Dr. Zhou Ziguang Reply:
Hello, 1. Typically, patients who have been cured of pulmonary tuberculosis may have some residual pulmonary fibrosis, and some may develop bronchiectasis. These patients are prone to common bacterial infections and may experience symptoms such as coughing, with a small percent...[Read More] Complications After Tuberculosis Recovery: Understanding Persistent Coughing
Understanding Chest Pain When Breathing: Causes and Solutions
Chest pain with breathing? Hello, doctor. My symptoms are: I experience chest pain when breathing, and the pain worsens when swallowing, bending down, or lying down. (The chest pain started after lunch on July 13 and has continued until now.) My questions are: Is there an immedia...
Dr. Yang Wenda Reply:
There are many causes of chest pain. It is recommended that you first see a pulmonologist for a chest X-ray to rule out any lung issues. Then, the physician will assess whether you have gastroesophageal reflux disease (GERD) to determine if an endoscopy is necessary. If both the ...[Read More] Understanding Chest Pain When Breathing: Causes and Solutions