Understanding Lung Shadows on X-rays: When to Seek Further Evaluation
The X-ray report shows shadows in the lungs? Hello! Previously, I had neck pain for over two months and went to a general rehabilitation clinic for an examination. The orthopedic doctor arranged for an X-ray and assessed that there were no issues with my neck. However, he mention...
Dr. Zhang Ziyan Reply:
Hello Ms. Lee, it is recommended that you bring your old X-rays from the clinic to a larger hospital for comparison. It would be best to also include your gynecological cancer treatment records, as having detailed background information will lead to the most accurate assessment. ...[Read More] Understanding Lung Shadows on X-rays: When to Seek Further Evaluation
Understanding Abnormal LDCT Results: Common Concerns and Follow-Up
Questions regarding abnormal findings in LDCT screening? Hello Doctor, I would like to ask about my LDCT report from my health check-up, which shows the following two abnormalities: recommended follow-up in 3 months. *Mild fibrosis in both lung apices with irregular pleural inter...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your LDCT report shows some nonspecific changes that generally only require observation and follow-up. As for the cause, it may be due to past chronic inflammation. In principle, these changes may not necessarily resolve, but they should not caus...[Read More] Understanding Abnormal LDCT Results: Common Concerns and Follow-Up
Exposure to Bleach Fumes: Symptoms and When to Seek Medical Help
Inhaled fumes from bleach? While cleaning the bathroom in the evening, I accidentally mixed bleach with other cleaning agents, resulting in inhalation of excessive irritating gases. I immediately rinsed off the cleaning agents with cold water, but I experienced symptoms such as c...
Dr. Zhang Ziyan Reply:
Hello Ms. Wan, the actual situation depends on the composition of the cleaning agent that was mixed with the bleach (brand, product name). Please consult a toxicology department. Additionally, if you continue to experience wheezing, difficulty breathing, or if your symptoms worse...[Read More] Exposure to Bleach Fumes: Symptoms and When to Seek Medical Help
Improving Breathing After Tracheostomy: Treatment Options Explored
Inability to breathe independently after tracheostomy? Dear Doctor: The patient has been unable to breathe independently for over three months after tracheostomy, and no other causes have been identified. Are there any better treatment options available?
Dr. Jian Shuntian Reply:
Hello: This issue is very complex and requires further discussion with a pulmonologist, as problems with the heart, lungs, nutrition, and nervous system can all have an impact.[Read More] Improving Breathing After Tracheostomy: Treatment Options Explored
Discomfort Between Left Collarbone and Chest: Causes and Solutions
Between the left clavicle and the upper left chest? Recently, I have been experiencing a feeling of pressure and slight tingling in the area between my left clavicle and the upper left side of my chest. This discomfort extends to my left arm, and at times, I also feel tightness o...
Dr. Lu Mingzhi Reply:
Hello: Discomfort in the left chest may be related to abnormalities in the heart, lungs, or neuromuscular system. It is recommended that you schedule relevant examinations with a cardiologist or pulmonologist.[Read More] Discomfort Between Left Collarbone and Chest: Causes and Solutions
Understanding Breathing Difficulties in Young Adults: When to Seek Help
Abnormal breathing? Hello doctor, I am currently 18 years old, 176 cm tall, and weigh 50 kg. I have allergic rhinitis and have recently been experiencing issues with shortness of breath. It’s not that I can’t get air, but I often feel the need to take deep breaths. When singing, ...
Dr. Zhang Ziyan Reply:
Hello, based on the description, you can sing, but you may experience some shortness of breath or occasional palpitations, and both the electrocardiogram and auscultation are normal. These symptoms are often related to academic stress and are not a cause for major concern. Howeve...[Read More] Understanding Breathing Difficulties in Young Adults: When to Seek Help
Understanding Your Low Dose Lung CT Report: Key Insights and Next Steps
Lung LDCT Report Hello Doctor: Due to a recent family member being diagnosed with lung cancer, close relatives over the age of 40 have undergone LDCT screening. One of the reports is as follows: Finding: (Completion time of the examination is displayed on the images) Low Dose L...
Dr. Zhang Ziyan Reply:
Hello Alex, there is thickening of the pleura at both lung apices, with suspicion of left lower lung fibrosis +/- pulmonary nodules (series 4 image 67). There are no significant changes in the pleura. It is recommended to follow up. Best regards from the Department of Pulmonary M...[Read More] Understanding Your Low Dose Lung CT Report: Key Insights and Next Steps
Understanding the Risks of Ignoring Lung Nodule Follow-ups
Pulmonary nodules are not being monitored regularly? Hello Doctor, the following is a chest CT report from June 2019. I read online that lung nodules are mostly benign, so I did not follow the doctor's advice to have a follow-up once a year. Until this year, I started to fee...
Dr. Huang Yiwen Reply:
Dear Rui: Hello, the CT report indicates that there are nodules in both lower lung lobes (size not specified) and mild fibrotic changes. Additionally, there are lymph nodes in the mediastinum and axilla, while the rest appears normal. It is personally recommended that you should ...[Read More] Understanding the Risks of Ignoring Lung Nodule Follow-ups
Understanding Chest Pain Below the Breasts: Causes and Solutions
Pain below the chest? Hello doctor, I would like to ask about the pain I have been experiencing under my breasts when wearing a bra, as well as when bending over without one. This has been ongoing for about a month. What could be the cause?
Dr. Lu Mingzhi Reply:
Hello: The causes of chest pain may be related to issues with the heart, lungs, or neuromuscular problems. If changing positions causes discomfort or exacerbates the pain, it may be associated with neuromuscular issues. It is still recommended to consult a pulmonologist to arrang...[Read More] Understanding Chest Pain Below the Breasts: Causes and Solutions
Managing Spontaneous Pneumothorax: Recovery Tips and Precautions
Pneumothorax recovery? Hello, Doctor. I had a spontaneous pneumothorax on October 14, with a size of approximately 2 cm. I was hospitalized for two days of oxygen therapy and was discharged. On October 20, during a follow-up visit, the doctor mentioned that it had expanded to 4 c...
Dr. Zhang Ziyan Reply:
Hello Mr. En, if the extent of the pneumothorax increases, it can potentially lead to life-threatening situations, such as tension pneumothorax. Therefore, it is a significant concern. If symptoms begin to worsen, please seek emergency medical care and inform them of your history...[Read More] Managing Spontaneous Pneumothorax: Recovery Tips and Precautions
Chronic Cough with White Foamy Sputum: Understanding Your Symptoms
Chronic cough with white foamy sputum, no cough at night? Hello, Doctor. I have been experiencing intermittent coughing for about two years (3-4 coughs each time), with periods of no coughing lasting a few months. However, in the past six months, the coughing has resumed. During ...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, you frequently experienced pneumonia due to colds during your childhood, which may have led to bronchiectasis from recurrent inflammation in your lungs, resulting in chronic cough. Additionally, you mentioned that you often experience coughing sy...[Read More] Chronic Cough with White Foamy Sputum: Understanding Your Symptoms
Can Food Particles Accidentally Enter the Lungs During Eating?
Is it possible for small food particles to directly enter the lungs? Hello, Doctor. I ate too quickly, and it feels like some ground meat might have gone into my lungs because my lungs feel strange. I'm not sure if that's possible. After choking, I coughed forcefully se...
Dr. Yang Wenda Reply:
Hello: When choking while eating, small particles may sometimes enter the airway, but the trachea still has cilia movement and mucus clearance functions to expel the foreign matter, which can then be swallowed into the stomach. If there is severe coughing or a fever, it is recomm...[Read More] Can Food Particles Accidentally Enter the Lungs During Eating?
Persistent Cough After COVID Vaccine: Causes and Concerns
Persistent cough On the 22nd, after receiving the AZ vaccine, I developed a high fever and began to feel a burning sensation in my lungs, followed by persistent coughing. Two days later, the fever subsided, but I continued to cough, which seemed to become more frequent and was mo...
Dr. Yang Wenda Reply:
Hello: It is recommended to observe for another 2-3 days and drink plenty of water. If there is a recurrence of fever (temperature > 38.3 degrees Celsius) or an increase in cough with sputum production, please visit a pulmonologist for further evaluation.[Read More] Persistent Cough After COVID Vaccine: Causes and Concerns
Understanding Lung Fibrosis and Nodules: Key Insights for Patients
Please provide information on pulmonary fibrosis and pulmonary nodules? Hello, Doctor: I would like to ask the following questions and would greatly appreciate your clarification. Result: Y Finding: Low dose chest CT without IV contrast administration: - The low dose protocol...
Dr. Yang Wenda Reply:
Hello: The first area of fibrosis appears as a band-like structure, which typically does not change much, resembling a small scar in the lung tissue, so there is less cause for concern. The second area is a small nodule measuring 3mm, which requires closer monitoring to see if it...[Read More] Understanding Lung Fibrosis and Nodules: Key Insights for Patients
Understanding Chest Tightness and Upper Left Back Pain: Causes and Solutions
Chest tightness and pain in the upper left back? Hello, doctor. I'm not sure if it's related to my menstrual period or something else, but I've been feeling a persistent tightness in my chest and pain in my upper left back for the past few days. Once I adjust my po...
Dr. Jian Shuntian Reply:
Hello: Based on the description, it could be a muscle or fascia issue. Please check for any abnormalities in the lungs or thoracic cavity by visiting a pulmonology clinic. Additionally, if there is a possibility of congenital airway narrowing or asthma, please also consult a pulm...[Read More] Understanding Chest Tightness and Upper Left Back Pain: Causes and Solutions
Understanding Chest Discomfort: When to See a Pulmonologist
Chest tightness, difficulty breathing, cold sweats, numbness in the hands, and pain in the upper back and shoulders? One night, I suddenly experienced chest tightness, rapid heartbeat, and difficulty breathing, feeling like I was about to faint. I went to the emergency room, but ...
Dr. Wu Yingxun Reply:
Hello: Please have a check-up with the pulmonology and cardiology departments (including X-ray, pulmonary function tests, echocardiogram, and 24-hour Holter monitoring). If there are no issues, it may be a case of autonomic nervous system dysfunction.[Read More] Understanding Chest Discomfort: When to See a Pulmonologist
Understanding Mild Lung Infiltration: Causes and Next Steps for Patients
Pulmonary infiltration My mother has been coughing three to four times a day for about 4-5 months. A few days ago, she visited a pulmonologist and had a chest X-ray, which the doctor said was normal. It was suggested that it might be gastroesophageal reflux disease (GERD). Howeve...
Dr. Yang Wenda Reply:
Hello: A CT report indicating mild infiltration usually suggests that there is no severe lung disease. It is sufficient to adjust cough medications or use traditional Chinese medicine for recovery, and cough symptoms should gradually improve.[Read More] Understanding Mild Lung Infiltration: Causes and Next Steps for Patients
Understanding Rib Pain: When to Seek Medical Attention
Pain below the ribs? Hello, doctor. I had pain on the left side near my back a while ago, which usually occurs at night. Recently, I've been experiencing mild pain below both sides of my rib cage. I spend long hours sitting at the computer. I had a check-up at the end of las...
Dr. Jian Shuntian Reply:
Hello: It has been six months; it is recommended to undergo re-examination.[Read More] Understanding Rib Pain: When to Seek Medical Attention
Understanding Lung CT Scans: Concerns About Nodules and Radiation Exposure
Pulmonary CT scan Hello, Chief Physician! Today I reviewed my report, and the nodule from two years ago has not changed, but there is one more nodule in another location. The internist suspects it is an infection and has advised a follow-up CT scan in three months. I am feeling v...
Dr. Jian Shuntian Reply:
Hello: 1. Low-dose chest computed tomography (CT) can be considered; currently, there are no specific methods to reduce radiation exposure, but increasing the intake of antioxidant-rich foods may help. 2. A lung CT scan does expose the breasts to radiation, which can still have a...[Read More] Understanding Lung CT Scans: Concerns About Nodules and Radiation Exposure
Understanding Left Chest Discomfort: Causes and When to Seek Help
Discomfort in the left chest? Recently, I've been experiencing a tight sensation in my left chest that usually lasts for only two to three seconds, or sometimes just one second, similar to the feeling of a skipped heartbeat when startled. I have consulted a cardiologist, but...
Dr. Zhou Ziguang Reply:
Hello: Please visit the Department of Pulmonary Medicine or the Department of Thoracic Surgery.[Read More] Understanding Left Chest Discomfort: Causes and When to Seek Help