Other, Pulmonology FAQ - Page 20

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Unexplained Right Chest Pulsations: Causes and Concerns

Involuntary twitching of the right chest? Hello, Doctor: For more than the past six months, I have been experiencing an involuntary pulsating sensation in the inner part of my right chest, similar to a heartbeat, but more rapid, which causes discomfort. When it becomes severe, it...


Dr. Yang Wenda Reply:
Hello: There are two scenarios that can cause a sensation of palpitations: one is a genuinely fast heart rate, and the other is palpitations. Your situation seems to lean towards the latter, as the electrocardiogram and 24-hour monitoring did not show significant tachycardia or a...

[Read More] Unexplained Right Chest Pulsations: Causes and Concerns


Understanding Family History and Lung Adenocarcinoma Risk Factors

Questions about lung adenocarcinoma? I have several questions for the doctor. 1. What is the definition of family medical history? If there is only one case of a relative having a condition and no one else in the family has it, does this still fall under the medical definition ...


Dr. Yang Wenda Reply:
1. The cause of cancer remains unclear, but the primary culprit is carcinogens, especially smoking. If a second-degree relative has lung cancer, there has been exposure to secondhand smoke, or there has been long-term exposure to other carcinogens in the workplace, and the indivi...

[Read More] Understanding Family History and Lung Adenocarcinoma Risk Factors


Impact of Pneumocystis Pneumonia on Lung Fibrosis and Function in Patients

In individuals with pulmonary fibrosis, an infection with Pneumocystis pneumonia can lead to exacerbation of pulmonary fibrosis or further loss of lung function? Hello Doctor: My grandmother was diagnosed with severe pulmonary fibrosis earlier this year, and in mid-August, she wa...


Dr. Jian Shuntian Reply:
Hello: 1. After an infection, lung function may deteriorate or be lost, with the possibility of partial recovery. If there is lung damage, it cannot return to completely normal levels, and observation is required for at least three months. Currently, due to the deterioration of...

[Read More] Impact of Pneumocystis Pneumonia on Lung Fibrosis and Function in Patients


Persistent Cough and Chest Pain: Seeking Solutions Beyond X-rays

Persistent cough that does not resolve? Hello, Dr. Yang. I do not have a smoking habit, but during a business trip in March of this year, I smoked a few packs while socializing with colleagues and supervisors. Since then, I have experienced intermittent coughing and chest and bac...


Dr. Yang Wenda Reply:
Hello: Based on several imaging examinations confirming no significant pulmonary parenchymal lesions, you may consider Traditional Chinese Medicine for adjustments and treatment according to your constitution!

[Read More] Persistent Cough and Chest Pain: Seeking Solutions Beyond X-rays


Repeated Pneumonia Hospitalizations: Unraveling the Mystery Behind My Symptoms

I have been hospitalized for pneumonia three times in a row, and the doctors are puzzled, as all tests have come back normal? Hello, Doctor. I initially experienced severe shortness of breath and a high fever. On December 5, 2018, I went to the emergency room and was diagnosed wi...


Dr. Yang Wenda Reply:
Hello: After successful treatment of pneumonia, if the X-ray appears normal (without significant fibrosis), there should be no obvious sequelae. Recurrent pneumonia, in the absence of immunodeficiency (such as diabetes, autoimmune diseases, HIV, etc.), may be due to bodily imbala...

[Read More] Repeated Pneumonia Hospitalizations: Unraveling the Mystery Behind My Symptoms


Understanding Left Lower Lung Nodules: Insights and Next Steps

Left lower lung nodule? Dear Dr. Chen, In late March of this year, I underwent a chest X-ray and blood tests, including tumor marker tests, at Cathay Health Checkup. The report in mid-April indicated "significant vascular shadow in the left hilum, possibly a mass lesion,&qu...


Dr. Chen Junwei Reply:
If you have any concerns regarding your medical condition, it is advisable to discuss them with your attending physician, who will provide a detailed explanation. Wishing you good health.

[Read More] Understanding Left Lower Lung Nodules: Insights and Next Steps


Understanding Tightness Around the Collarbone: Asthma or Other Causes?

Tightness in the clavicle? Hello doctor, a few years ago I asked you about the discomfort I felt in my collarbone area. For the past few years, I have been regularly seeing a pulmonologist every three months. The doctor mentioned that I have a small lung capacity and mild asthma,...


Dr. Huang Yiwen Reply:
Dear Wenwen: Based on your description, it seems to be related to respiratory allergies. The so-called post-nasal drip is also associated with allergies. When you return to the clinic, you can undergo pulmonary function tests and blood allergy index tests. Currently, using nasal ...

[Read More] Understanding Tightness Around the Collarbone: Asthma or Other Causes?


Understanding Chest Tightness and Throat Sensation: Causes and Solutions

Chest tightness + sensation of a foreign body in the throat? Hello, I would like to ask a question. I have been experiencing chest tightness and a sensation of a foreign body in my throat for over six months. Initially, the symptoms were less noticeable, so I didn't pay much...


Dr. Chen Junwei Reply:
According to the latest statistics from the Ministry of Health and Welfare, the prevalence of gastroesophageal reflux disease (GERD) in Taiwan is as high as 20%, meaning that 1 in 5 people experiences issues related to GERD. Why do modern individuals commonly face such gastrointe...

[Read More] Understanding Chest Tightness and Throat Sensation: Causes and Solutions


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


Understanding Abdominal Discomfort: Insights from Gastroenterology

Abdominal discomfort and pain issues? Hello, doctor. About four months ago, I experienced pain in the liver area and unusual anxiety. Prior to that, I was hospitalized for acute gastroenteritis about six months ago, and during blood tests, the doctor found elevated liver enzymes....


Dr. Yang Wenda Reply:
Hello: Your symptoms are more indicative of neuropathic pain. Adequate sleep, moderate exercise, and stress relief should gradually improve your condition. Try not to focus on whether any organ has a significant pathological change! Best wishes!

[Read More] Understanding Abdominal Discomfort: Insights from Gastroenterology


Early Stage Lung Adenocarcinoma: Treatment Options and Recommendations

Stage I lung adenocarcinoma My grandmother, born in 1931, underwent a single-port thoracoscopic surgery on the right upper lobe last month. Last week, the pathology report confirmed that the doctor diagnosed her with early-stage lung cancer, stage I. The physician recommended tak...


Dr. Yang Wenda Reply:
Hello: It is recommended to discuss with your grandmother's primary care physician.

[Read More] Early Stage Lung Adenocarcinoma: Treatment Options and Recommendations


Persistent Cough: Understanding Symptoms and Seeking Effective Treatment

Persistent cough? Hello, doctor. I would like to ask about my condition. I have been suffering from a cold since before the Lunar New Year, and it hasn't completely resolved yet. To summarize my symptoms, I initially had a cough and nasal congestion, with yellowish-green phl...


Dr. Wu Yingxun Reply:
Hello: A consultation with the pulmonology department will be conducted to reassess for conditions such as asthma and gastroesophageal reflux disease (GERD).

[Read More] Persistent Cough: Understanding Symptoms and Seeking Effective Treatment


Why Did I Develop Lung Fibrosis at 18 Without Smoking?

Doctor, I am 18 years old and do not smoke. Why was I diagnosed with pulmonary fibrosis? Hello Doctor: I have been experiencing stomach pain, and during the examination, I was unexpectedly found to have pulmonary fibrosis. The doctor mentioned that it might be scarring left from ...


Dr. Yang Wenda Reply:
Hello: Lung inflammation can sometimes result in mild fibrosis, similar to how some people may have small scars from injuries on their limbs during childhood. Generally, because the affected area is small, it does not impact lung function, so there is no need to worry!

[Read More] Why Did I Develop Lung Fibrosis at 18 Without Smoking?


Unexpected Lung Fibrosis in an 18-Year-Old: Causes and Concerns

An 18-year-old child, who has never smoked, has been diagnosed with pulmonary fibrosis based on X-ray examination? Hello Doctor: My child often experiences sudden pain in the stomach and chest. One day, we took him to the hospital, where an X-ray revealed pulmonary fibrosis. The ...


Dr. Zhou Ziguang Reply:
Hello: If you had pneumonia (lung infection) during childhood, there is a possibility of developing fibrosis. Please discuss the severity with your physician.

[Read More] Unexpected Lung Fibrosis in an 18-Year-Old: Causes and Concerns


Effective Strategies to Prevent Pneumonia in Elderly with COPD

How to prevent pneumonia? Dear Director Yang, I have an elderly family member who is nearly ninety years old and suffers from chronic obstructive pulmonary disease (COPD). He experiences severe shortness of breath and currently uses a urinary bag. Due to his difficulty in moving...


Dr. Yang Wenda Reply:
Hello: Older adults generally have weaker immune systems, so it's important to get the flu vaccine annually. A common cause of pneumonia in the elderly is aspiration, so it's essential to assess for any swallowing difficulties. If necessary, consider the use of a nasoga...

[Read More] Effective Strategies to Prevent Pneumonia in Elderly with COPD


Concerns About Choking on Water: Risks of Aspiration Pneumonia

Frequently choked? Hello doctor, I have been frequently choking on water lately. It's not very serious, just a few coughs and then I'm fine, but since it happens often, I'm a bit worried about whether any water might remain in my trachea. If I choke on water and do...


Dr. Zhou Ziguang Reply:
Hello: Water that aspirates into the bronchi/alveoli can mix with bacteria from the oral cavity and other chemicals, increasing the risk of pneumonia.

[Read More] Concerns About Choking on Water: Risks of Aspiration Pneumonia


Understanding Bronchitis: Contagion Risks, Dietary Tips, and Exercise Guidelines

Bronchitis Hello, doctor. I am currently suffering from bronchitis triggered by a cold. I would like to inquire whether bronchitis is easily transmissible to others, as well as some dietary restrictions and recommended foods for bronchitis. Additionally, can I engage in more inte...


Dr. Wu Yingxun Reply:
Hello: 1. Acute bronchitis is not contagious to others. 2. Drink plenty of water; it is generally advised to avoid citrus and pear, which are considered cold fruits, and do not engage in intense exercise. 3. If a cough persists, a chest X-ray and pulmonary function tests should b...

[Read More] Understanding Bronchitis: Contagion Risks, Dietary Tips, and Exercise Guidelines


Swelling on Right Rib Cage: Understanding Possible Causes and Concerns

Swelling in the right costal margin? Hello, doctor. I would like to ask about a recent issue. The area around my right rib cage is more swollen compared to the left side. It doesn't hurt much, but sometimes it feels a bit uncomfortable. A few days ago, I had an X-ray for wor...


Dr. Yang Wenda Reply:
Hello: The rib arches on both sides do not necessarily have to be at the same height. If there is no localized redness or continued enlargement, there should be no issue.

[Read More] Swelling on Right Rib Cage: Understanding Possible Causes and Concerns


Can Tuberculosis Contacts and Latent TB Patients Fly Safely?

Can individuals who have been in contact with tuberculosis (TB) or those with latent tuberculosis infection (LTBI) travel by airplane? 1. Recently, an elderly family member at home was diagnosed with tuberculosis (TB). However, due to my work schedule, I only spend less than five...


Dr. Yang Wenda Reply:
Hello: Many people around the world have been in contact with tuberculosis patients, and they can fly without informing anyone, as they are unlikely to transmit the infection to others. Generally, only those with cumulative exposure time exceeding 40 hours will be listed by healt...

[Read More] Can Tuberculosis Contacts and Latent TB Patients Fly Safely?


Do Hospital Workers in Taiwan Need Annual Chest X-Rays for TB?

Do hospital workers need to undergo annual chest X-ray screening for tuberculosis? Is it not sufficient to first perform a PPD/TST test? In my previous work at a hospital in the United States, I only had to undergo a chest X-ray upon starting my job, and then an annual PPD test, ...


Dr. Jian Shuntian Reply:
Hello: The radiation dose from a chest X-ray is extremely low, and chest X-ray examinations are not only for detecting tuberculosis, lung tumors, or other pulmonary diseases; they remain the primary method for chest imaging. In Taiwan, many individuals may test positive on the PP...

[Read More] Do Hospital Workers in Taiwan Need Annual Chest X-Rays for TB?


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