Struggling with Breathing: When to Seek Further Medical Help?
Often, I have to breathe through my mouth and take deep breaths to feel comfortable? I previously visited a pulmonologist who performed a chest X-ray and prescribed a bronchodilator. However, after using it for a month, I have not experienced any improvement. My symptoms include ...
Dr. Jian Shuntian Reply:
Hello: Please consult a pulmonologist. If no issues are found, then see a cardiologist and a psychiatrist, as sometimes it can be caused by stress. Thank you. Jian Shun-Tian.[Read More] Struggling with Breathing: When to Seek Further Medical Help?
Chronic Cough: Exploring Causes Beyond Allergies and Infections
Tracheal and bronchial foreign bodies Hello, doctor. I had a cold at the beginning of April, and while the symptoms of the cold have resolved, I have been experiencing a persistent cough for over three months now. The previous cold symptoms are gone, but I feel an itchiness in my...
Dr. Huang Yiwen Reply:
DEAR DINO: After undergoing numerous tests and seeing various doctors, the only issue identified is an allergy. Additionally, the results from the 64-slice CT scan have not yet come in, which may require further examination of IgE and eosinophil levels. If the environmental condi...[Read More] Chronic Cough: Exploring Causes Beyond Allergies and Infections
Concerns About Breathing Difficulties: A Guide to Chest Health Issues
People who are concerned about their health? Hello, doctor! Well, sometimes after work at the factory, I come home and cook, and if I can't finish my meal, I freeze it for the next meal. I also eat very hot soup and tend to eat until I'm very full. In June of this year,...
Dr. Yang Wenda Reply:
Hello: Since I haven't seen your X-ray, I'm not sure if there are any other issues. It seems that you may not have taken a deep enough breath during the imaging, as the lungs appear somewhat opaque. There should not be any problems. I recommend that you regularly follow...[Read More] Concerns About Breathing Difficulties: A Guide to Chest Health Issues
Understanding Shoulder Blade Pain: Causes and When to Seek Further Tests
Pain in the upper back around the scapula? Hello Doctor, I have been experiencing severe pain in my shoulders, back, and lower back for the past few months. Previously, I had swelling in the middle of my left back, so I went to see a doctor who took X-rays and said it was due to ...
Dr. Zhou Ziguang Reply:
Hello: Any examination has its limitations. If a chest X-ray does not show any obvious issues, musculoskeletal problems should be prioritized as a consideration for chest pain.[Read More] Understanding Shoulder Blade Pain: Causes and When to Seek Further Tests
Persistent Chest Pain: When to Seek Further Medical Evaluation
Chest tightness or pain? Hello, I have been experiencing chest tightness and pain for two months. I went to the hospital and saw a thoracic surgeon, and an X-ray showed no abnormalities, but the pain persists. It hurts when I exert myself, but it doesn't hurt when I'm a...
Dr. Yang Wenda Reply:
Hello: If a chest X-ray shows no abnormalities, it indicates that there are no significant issues with the lungs, pleura (such as pneumothorax or pleural effusion), or ribs. It is more likely to be muscle pain (usually with tenderness upon palpation) or costochondritis (which may...[Read More] Persistent Chest Pain: When to Seek Further Medical Evaluation
Understanding Lung Cavities: Concerns About Treatment and Diagnosis
Pulmonary cavity Hello Doctor: Previously, I inquired about my mother's issue with coughing up blood. Today, we received the report results, which indicate that there is a cavity in her lungs, and the sputum culture shows the presence of Pseudomonas aeruginosa. I forgot to a...
Dr. Yang Wenda Reply:
Hello: In cases of lung inflammation or the presence of cavities (which is different from pneumothorax or hemothorax), it is possible for two or more pathogenic bacteria to coexist. If there is no significant improvement in the lesions after antibiotic treatment for Pseudomonas a...[Read More] Understanding Lung Cavities: Concerns About Treatment and Diagnosis
Can a Child Be Infected Again After Preventive TB Treatment?
If a person who has previously received preventive treatment for tuberculosis (TB) experiences a relapse of the infection, can they still transmit the disease? Hello Doctor: My mother was diagnosed with open pulmonary tuberculosis last year and was cured after six months of treat...
Dr. Zhou Ziguang Reply:
Hello: If a family member has a recurrence of pulmonary tuberculosis and you are still a close contact, there is still a possibility of transmission. Should preventive medication be administered, is it necessary to conduct another examination and assessment, while also paying att...[Read More] Can a Child Be Infected Again After Preventive TB Treatment?
Concerns About a 3cm Tumor in the Left Lung Lobe: What to Know
There is a tumor approximately 3 centimeters in size in the left lung lobe? Hello Doctor: Recently, my mother has been experiencing a cough due to a cold for about a month. Her condition has been fluctuating, and in the past two weeks, she has been coughing up phlegm with blood s...
Dr. Yang Wenda Reply:
A 2-3 cm nodule or mass in the lungs may be indicative of inflammation (such as pulmonary tuberculosis or fungal infection), but it could also be a lung tumor (benign or malignant, which can only be distinguished through pathology reports). The attending physician will arrange fo...[Read More] Concerns About a 3cm Tumor in the Left Lung Lobe: What to Know
Understanding Mucus Consistency: What Does 'Pearl-Like Sputum' Indicate?
Phlegm resembling tapioca pearls? Hello: --- Explanation --- 1. I have been smoking for about ten years. 2. I usually do not cough, but I experience shortness of breath. 3. Recently, I often cough up phlegm that resembles tapioca pearls (the shape of the pearls in bubble tea). 4....
Dr. Yang Wenda Reply:
Hello: 1. The viscosity and color of sputum can change depending on whether there is inflammation in the lungs or the degree of air pollution inhaled. Essentially, sputum is the body's method of expelling abnormal secretions from the lungs or clearing foreign substances fr...[Read More] Understanding Mucus Consistency: What Does 'Pearl-Like Sputum' Indicate?
Calcium Nodules in Lungs: Understanding TB Risks Without Symptoms
X-ray findings show calcified nodules in the hilar region, which may indicate pulmonary tuberculosis. However, if there are no signs of coughing, is it possible to transmit the infection to others? I sometimes come into contact with dust at work, and even though I wear a mask, I ...
Dr. Yang Wenda Reply:
Hello: Calcified nodules indicate a previous lung inflammation (which may have manifested as a cough or fever years ago, without an X-ray taken). After healing, the tissue at the site of the original inflammation undergoes fibrosis and calcification as a repair process, similar t...[Read More] Calcium Nodules in Lungs: Understanding TB Risks Without Symptoms
Understanding Cough and Nasal Congestion: Possible Causes and Solutions
Cough and nasal congestion? Doctor, I have been experiencing nasal allergy issues for the past few years, with frequent itching and sneezing. However, since last winter, I have been dealing with daily nasal congestion, itching, and sneezing. In the past two months, I have also st...
Dr. Zhou Ziguang Reply:
Hello: If you have allergic rhinitis or sinusitis, you may want to consult an otolaryngologist or a pulmonologist for further evaluation.[Read More] Understanding Cough and Nasal Congestion: Possible Causes and Solutions
Understanding Lung X-Ray Results: When to Seek Further Medical Advice
Pulmonary X-ray issues? I would like to ask the doctor, our school had a chest X-ray last month (to check for pulmonary tuberculosis), and today we received the examination report ------------------------------ Examination Item: Abdominal X-ray (one view) Result: Suspected round ...
Dr. Zhou Ziguang Reply:
Hello: The circular artifact on the X-ray may be a foreign object on clothing, but please consult a pulmonologist for confirmation.[Read More] Understanding Lung X-Ray Results: When to Seek Further Medical Advice
Understanding Tightness in the Chest: Causes and Solutions for Your Symptoms
The trachea feels tight, but there is no sensation of shortness of breath? Hello doctor, I haven't worked outside for seven years due to a serious illness; I underwent a liver transplant. I started working on March 15, and on the 19th, I suddenly felt tightness between my co...
Dr. Huang Yiwen Reply:
Dear Hui-Wen: The trachea is located in the middle of the clavicle. Since the examination has already revealed insufficient lung capacity that can be improved with bronchodilators, it is recommended to use a long-acting bronchodilator for maintenance. It is more reasonable to add...[Read More] Understanding Tightness in the Chest: Causes and Solutions for Your Symptoms
Understanding Pleural Effusion in the Upper Lobes: Causes and Concerns
Bilateral pleural effusion in the upper lung lobes? Pleural effusion in both upper lung lobes refers to the accumulation of fluid in the pleural space surrounding the lungs. The severity of this condition can vary depending on the amount of fluid and the underlying cause. It is n...
Dr. Wu Yingxun Reply:
Hello, it should be referred to as pleural thickening in both upper lobes of the lungs. If that is the case, it should not be a concern. It is likely a scar left from old inflammation. Best wishes for your health, Dr. Wu Ying-Hsun.[Read More] Understanding Pleural Effusion in the Upper Lobes: Causes and Concerns
Understanding Cough and Chest Pain: Insights from Pulmonary Medicine
Cough with chest pain? Hello doctor, my mother started coughing around the 20th of last month and now her speech is reduced to a whisper. She is currently speaking with little strength. She has been visiting clinics for treatment and was referred to a larger hospital last week. I...
Dr. Zhou Ziguang Reply:
Hello: Based on what has been mentioned, the most important factor may still be the results of the CT scan, which will help determine if further examinations are necessary. The report should be available in 1-2 days. If you need to see a doctor urgently, you can inquire with the ...[Read More] Understanding Cough and Chest Pain: Insights from Pulmonary Medicine
Can Pneumonia Lead to Sepsis and Lung Cancer? Understanding the Risks
Can pneumonia lead to sepsis? My mother has been coughing for a long time, and the doctor treated her for tuberculosis. However, after taking medication for more than six months, her cough has not improved. Later, she developed shortness of breath and required an oxygen machine t...
Dr. Yang Wenda Reply:
Hello: If a patient continues to experience wheezing after six months of tuberculosis treatment, it is possible that extensive lesions in both lungs were present at the time of diagnosis. Even after treatment, fibrosis may remain and affect lung function. Additionally, there may ...[Read More] Can Pneumonia Lead to Sepsis and Lung Cancer? Understanding the Risks
Understanding Chest Pain: Causes and Concerns for Patients with Arrhythmia
Bilateral chest pain? Hello Doctor, I have a history of arrhythmia and paroxysmal supraventricular tachycardia (which occurs during normal activities). Since yesterday, I have been experiencing chest pain, specifically below both clavicles, which worsens with movement or touch (i...
Dr. Yang Wenda Reply:
Hello: There is no cough, so the lungs are likely fine. It is recommended to follow up with a cardiologist. Best wishes![Read More] Understanding Chest Pain: Causes and Concerns for Patients with Arrhythmia
Understanding Chest Discomfort: Itchy Sensations and Possible Causes
Itchy sensation in the thoracic cavity? Hello Dr. Zhang, Last year, I experienced a recurring itchiness in my right thoracic cavity when breathing. I visited a pulmonologist and underwent a CT scan, which showed no issues with my lungs. However, when I press on my right sternum,...
Dr. Zhang Ziyan Reply:
Hello, if the pulmonologist has conducted examinations and even completed a chest CT scan, substantial issues can likely be ruled out. Pulmonary function tests may provide some additional insights. For detailed information, please consult your treating physician. Changhua Hospita...[Read More] Understanding Chest Discomfort: Itchy Sensations and Possible Causes
Understanding Phlegm Sensation in Lungs While Lying Down
Feeling mucus in the lungs while lying down? Hello doctor, I have always felt a sensation of phlegm in my lungs when lying down, but I usually don't have much of a coughing issue. Breathing is fine when I'm standing, but I experience this sensation only when I'm ly...
Dr. Yang Wenda Reply:
Hello: Your symptoms are more related to changes in body position and resemble post-nasal drip or gastroesophageal reflux (especially if you experience discomfort in the upper abdomen or acid regurgitation). It is recommended that you first consult an otolaryngologist. Best wishe...[Read More] Understanding Phlegm Sensation in Lungs While Lying Down
Improving Lung Health: Tips for Managing Shortness of Breath and Infections
How to improve persistent wheezing in the lungs? Dr. Yang, I am your patient. I have half of my lung remaining, and I experience shortness of breath whenever I catch a cold. Is it safe for me to buy an oxygen tank to increase my oxygen levels? Are there any side effects? Addition...
Dr. Yang Wenda Reply:
Hello: With only half of the lungs remaining, it is even more important to take good care of the remaining lung. Additionally, with asthma, long-term planning is necessary for the use of inhaled corticosteroids and long-acting bronchodilators. A small amount of inhaled corticoste...[Read More] Improving Lung Health: Tips for Managing Shortness of Breath and Infections