Struggling to Breathe: Understanding Respiratory Issues After Cleaning with Bleach
Breathing requires significant effort to intake air? Hello, doctor: Recently, I have been experiencing a sensation of needing to exert a lot of effort to breathe, which started after using undiluted bleach for cleaning. After feeling unwell while scrubbing the toilet, I quickly o...
Dr. Yang Wenda Reply:
Hello: The intermittent symptoms should not indicate any significant damage to the trachea or lungs; with some time for adjustment, it should improve! For autonomic nervous system dysregulation and anxiety disorders, it is recommended to have regular follow-ups at a psychosomatic...[Read More] Struggling to Breathe: Understanding Respiratory Issues After Cleaning with Bleach
Should Surgery Be Immediate for Lung Abscess Caused by Salmonella?
Should a lung abscess be treated with immediate surgery? Hello doctor, I would like to ask a question. How does a lung abscess form in the lungs due to a Salmonella infection, and if a CT scan reveals that some lung lobe tissue has necrosed, should the patient undergo immediate s...
Dr. Chen Junwei Reply:
It is advisable for you to further discuss the aforementioned condition with the patient's attending physician. Wishing you good health![Read More] Should Surgery Be Immediate for Lung Abscess Caused by Salmonella?
Understanding Choking Hazards: Symptoms and Management of Aspiration
Questions related to choking? If you accidentally choke while drinking water and cough, it's important to be aware of the potential risks. If a foreign object, such as a piece of glass, were to enter the lungs, it could lead to symptoms such as fever, cough, or difficulty br...
Dr. Chen Junwei Reply:
Typically, if someone experiences choking, they should first consult an otolaryngologist to check for any structural abnormalities. If functional deterioration is found, a referral to a rehabilitation specialist may be appropriate. If the sensation of food being stuck is felt bel...[Read More] Understanding Choking Hazards: Symptoms and Management of Aspiration
Understanding Spontaneous Pneumothorax Symptoms and Air Travel Concerns
Symptoms of spontaneous pneumothorax and related issues with flying? Hello, Doctor. I am currently nineteen years old (height 170 cm, weight 50 kg). I experienced my first spontaneous pneumothorax in May of last year and was hospitalized for oxygen therapy, after which I was disc...
Dr. Jian Shuntian Reply:
Hello: (1) You may visit a pulmonologist for a follow-up chest X-ray (CXR). If symptoms persist, a chest computed tomography (CT) scan may be considered to check for mediastinal emphysema and the presence of bullae in the lungs. (2) Currently, there is no strong data regarding th...[Read More] Understanding Spontaneous Pneumothorax Symptoms and Air Travel Concerns
Concerns About Cryptococcus and Pneumonia: Expert Insights
Questions related to cryptococcosis and pneumonia? Dear Dr. Huang Yi-Wen, Last May, while I was organizing my mother's rental place, I found a drying rack covered with white substances and powdery material. Without thinking much, I wiped it down with a wet tissue, but some ...
Dr. Huang Yiwen Reply:
Dear Yuan Yuan, Cryptococcus neoformans is typically an opportunistic infection. In immunocompetent individuals, inhalation of environmental cryptococci usually results in asymptomatic or self-limiting pulmonary disease. However, in immunocompromised individuals, it can lead to ...[Read More] Concerns About Cryptococcus and Pneumonia: Expert Insights
Is It Asthma? Understanding Throat Noises and Chest Tightness
Is this considered asthma? Hello Doctor, I have two questions. 1. Recently, I sometimes yawn, and when I inhale deeply, my throat makes a wheezing sound. Last night, I woke up in the middle of the night, and I also noticed a noise in my throat while inhaling, which is somewhat ...
Dr. Yang Wenda Reply:
Hello: The sounds from phlegm or laryngeal secretions are different from asthma; asthma typically presents with wheezing and shortness of breath.[Read More] Is It Asthma? Understanding Throat Noises and Chest Tightness
Understanding Choking on Water: Risks and When to Seek Medical Help
Choking on water issue? Hello, Doctor. I think I choked on water while drinking, but since I still had water in my mouth, I held my breath and swallowed the water before breathing again. After that, I only coughed two or three times, and my breathing is normal now. I don't f...
Dr. Yang Wenda Reply:
Hello: Boiled water is relatively cleaner compared to creek water or broth, and it is less likely to cause pneumonia. Some elderly individuals, before removing their nasogastric tube, start by drinking a little boiled water orally, as aspirating water is less likely to lead to pn...[Read More] Understanding Choking on Water: Risks and When to Seek Medical Help
Can Beer and Betel Nut Aid Pneumothorax Recovery? Exploring the Myths
There is no scientific evidence to support the idea that beer or betel nut can aid in the recovery from pneumothorax. Pneumothorax is a medical condition that requires appropriate treatment, and it is important to consult a healthcare professional for proper management? Hello doc...
Dr. Wu Yingxun Reply:
Hello: There is no such theory; we still need to monitor the chest X-ray to see if there is any improvement.[Read More] Can Beer and Betel Nut Aid Pneumothorax Recovery? Exploring the Myths
Breathing Dirty Air: Understanding Chest Tightness and Lung Health
Inhaling polluted air can cause chest tightness? Hello, doctor. Whenever I inhale polluted air, I start to feel a tightness in my chest, whether it's from vehicle exhaust, incense smoke at temples, or cigarette smoke. When I experience this chest tightness and then drink wat...
Dr. Yang Wenda Reply:
Hello: Having asthma as a child may indicate a predisposition to bronchial hyperreactivity that could still be present. It is recommended to visit a pulmonologist for pulmonary function tests to assess for bronchial hypersensitivity. Additionally, it is advisable to wear a mask t...[Read More] Breathing Dirty Air: Understanding Chest Tightness and Lung Health
Can Lung LDCT Replace Chest X-Ray for Health Screenings?
Can lung LDCT replace chest X-ray? Hello, the chest X-ray included in the health check-up package can be omitted if your wife is undergoing a lung LDCT (Low-Dose Computed Tomography) scan. The LDCT is more sensitive and provides a detailed assessment of the lungs compared to a st...
Dr. Zhou Ziguang Reply:
Hello: LDCT, while significantly reducing radiation exposure compared to traditional CT scans, still has a higher radiation dose than a chest X-ray. However, it provides much clearer images of the lungs than a chest X-ray. For individuals in high-risk groups for lung cancer, LDCT...[Read More] Can Lung LDCT Replace Chest X-Ray for Health Screenings?
Understanding Mild Fibrotic Changes and Pleural Thickening in Lung Health
Bilateral upper lobe fibrosis with pleural thickening at both apices? Hello Dr. Yang, I have received my chest X-ray results from my health check-up, which indicate no definite active pulmonary infiltration or consolidation in this study. However, there are mild fibrotic change...
Dr. Yang Wenda Reply:
Hello: Based on the description, it seems more like a scar left from a previous inflammatory lesion. It should be monitored once a year.[Read More] Understanding Mild Fibrotic Changes and Pleural Thickening in Lung Health
Understanding Thoracentesis: Risks and Procedures for Pleural Effusion Drainage
The fluid drained from pleural effusion is extracted from the pleural space surrounding the lungs. Unfortunately, I cannot provide images, but you can find diagrams of the pleural cavity and pleural effusion in medical textbooks or reputable medical websites? 1. As per the title,...
Dr. Zhou Ziguang Reply:
Hello: 1. Pleural effusion cannot be aspirated with a needle; the correct term is pleural cavity effusion. 2. The pleural cavity is the space between the lung and the chest wall, which normally contains only a thin layer of fluid that is not visible to the naked eye. When fluid a...[Read More] Understanding Thoracentesis: Risks and Procedures for Pleural Effusion Drainage
Persistent Dry Cough for Over Six Months: Causes and Concerns
Cough lasting more than six months? My mother is 53 years old and has been experiencing a dry cough since the beginning of this year, which seems to be getting worse. She has seen an ENT specialist and a pulmonologist at the National Taiwan University Hospital in Yunlin and at Ch...
Dr. Chen Junwei Reply:
It is recommended to discuss your condition further with your attending physician to determine if additional relevant tests are necessary. Wishing you good health.[Read More] Persistent Dry Cough for Over Six Months: Causes and Concerns
Understanding Mycoplasma Pneumonia: Persistent Cough and Treatment Options
Mycoplasma pneumonia, cough issues cannot be resolved! Hello Doctor, I was diagnosed with Mycoplasma pneumonia, bronchial type, around the end of June 2018. At that time, I received medication treatment, and blood tests confirmed the diagnosis, but my cough issue has not been res...
Dr. Chen Junwei Reply:
It is advisable to discuss with your attending physician the situation after taking the medication and the appropriateness of using traditional Chinese medicine. Wishing you good health.[Read More] Understanding Mycoplasma Pneumonia: Persistent Cough and Treatment Options
Understanding Bilateral Linear Shadows in the Lungs: What You Need to Know
Linear opacities in the lungs? Hello, doctor. I had a health check-up last month, and the report indicated that I have "bilateral pulmonary interstitial opacities." I am unsure what type of lung disease this falls under. I also have a slight scoliosis in my thoracic and...
Dr. Jian Shuntian Reply:
Based on your description, it is not possible to determine the condition. A chest X-ray is necessary for evaluation. Please obtain the chest X-ray and discuss it with a pulmonologist. Thank you.[Read More] Understanding Bilateral Linear Shadows in the Lungs: What You Need to Know
Understanding Persistent Pleural Effusion: Causes and Concerns
Pleural effusion has been persistent? I consulted with the doctor regarding my father, who had a stent placed on July 17, 2018, and was discharged on July 18. On July 19, he went to the emergency room for evaluation of pleural effusion, where 400-500 cc of fluid was immediately d...
Dr. Jian Shuntian Reply:
Hello: It is not possible to determine the cause of your father's pleural effusion based on your description. Please discuss this in detail with your father's attending physician. Thank you. Sincerely, Jian Shun Tian.[Read More] Understanding Persistent Pleural Effusion: Causes and Concerns
Persistent Cough and Chest Tightness: Seeking the Right Specialist
Coughing and chest tightness? Hello, doctor; I am studying Animal Health at a vocational school. Last September, when I first entered the rabbit barn on the farm, I started coughing after cleaning the barn. I went to see an ENT specialist, and after taking medication for a month ...
Dr. Yang Wenda Reply:
Hello: Your symptoms cannot rule out asthma. I'm not sure if you had allergic rhinitis in your childhood. I recommend that you see a pulmonologist and inform the doctor about the wheezing you experience after exercise. Please ask the doctor to evaluate whether you have asthm...[Read More] Persistent Cough and Chest Tightness: Seeking the Right Specialist
Managing Symptoms After Stopping Tuberculosis Treatment: A Patient's Journey
Symptoms after discontinuing medication for pulmonary bullae and pulmonary tuberculosis? Thank you, Director Jian, for your previous response. I completed six months of tuberculosis medication in early July. On that day, I had a follow-up appointment where I underwent X-rays and ...
Dr. Jian Shuntian Reply:
(1) In the case of chest pain, a CT scan should be able to identify any lesions. (2) Without reviewing the CT scan, it is not possible to make a judgment; you may seek a second opinion from another pulmonologist or thoracic surgeon. (3) Consider performing a bronchoscopy. (4) It ...[Read More] Managing Symptoms After Stopping Tuberculosis Treatment: A Patient's Journey
Preventing High Altitude Pulmonary Edema: Essential Medications and Tips
To prevent the recurrence of high-altitude pulmonary edema (HAPE), it is advisable to carry the following medications: 1. Acetazolamide (Diamox) - This medication can help prevent altitude sickness and reduce the risk of HAPE. 2. Dexamethasone - A corticosteroid that may be used...
Dr. Yang Wenda Reply:
Hello: 1-2. Each person's constitution is different; you should be cautious about your own condition and acclimatize to altitudes of 3000 to 3800 meters several times. 3. It is recommended to visit a travel clinic to prepare relevant medications and consult a physician for u...[Read More] Preventing High Altitude Pulmonary Edema: Essential Medications and Tips
Managing Worsening Symptoms During Tuberculosis Treatment: Key Insights
Worsening during the treatment process of pulmonary tuberculosis (2) Thank you, Director Jian, for your detailed response last time! Since there is no reply function, I have to trouble you again. Thank you, Director Jian. After I mentioned that my condition had worsened, I hurrie...
Dr. Jian Shuntian Reply:
1. After contracting tuberculosis, the lungs may be damaged and become more sensitive, leading to increased coughing due to air pollution and colds. 2. It is not necessary to take tuberculosis medication for a lifetime, and a cold will not trigger tuberculosis. 3. If there ar...[Read More] Managing Worsening Symptoms During Tuberculosis Treatment: Key Insights