Understanding Chest Pain: Causes and Remedies for Muscle Strain
Sharp pain in the center of the chest? Hello Doctor, about a month ago during weight training, I worked on my chest muscles and experienced a prickling sensation in the center of my chest for several days afterward. This condition has persisted for a month now, and I haven't...
Dr. Yang Wenda Reply:
Hello: Based on your description, it seems more likely that you have a strain at the junction of the ribs and sternum involving the muscles or soft tissues. I recommend applying heat, and if necessary, using topical analgesics or pain relief patches.[Read More] Understanding Chest Pain: Causes and Remedies for Muscle Strain
Understanding Positive Urine Protein and Hematuria: Should You Be Concerned?
Urinary occult blood and urinary protein? Doctor, I had a health check-up two years ago, and at that time, the tests showed positive results for urine protein and urine occult blood. However, I didn't notice it then. Now that I've found the previous report, I see that t...
Dr. Zhou Ziguang Reply:
Hello: It is recommended to follow up with another urine test and discuss the results with your physician.[Read More] Understanding Positive Urine Protein and Hematuria: Should You Be Concerned?
Persistent Cough: When to Seek Further Evaluation for Lung Issues
The cough has not improved? Hello Doctor: I have been coughing for nearly a month. Due to a family history of lung cancer, I underwent a low-dose CT scan two weeks ago for follow-up, and the results were normal. However, my cough has not improved. I have taken cough suppressants,...
Dr. Zhou Ziguang Reply:
Hello: The above issues require evaluation and treatment by a physician. Please visit a pulmonology clinic.[Read More] Persistent Cough: When to Seek Further Evaluation for Lung Issues
Understanding Intercostal Muscle Strain: When to Worry About Rib Fractures
Intercostal muscle strain I was in a car accident before, and I've been experiencing pain in my ribs when I breathe. When I went for a check-up, the doctor said it was a strain. However, after two weeks, the pain is still there, and I can't rest properly. Could it be a ...
Dr. Zhou Ziguang Reply:
Hello: You may consider discussing with your physician whether to obtain a chest X-ray to confirm the presence of any fractures.[Read More] Understanding Intercostal Muscle Strain: When to Worry About Rib Fractures
Persistent Cough: Seeking Solutions for Unresolved Symptoms
Persistent cough that does not resolve? Hello Dr. Yang! I have been experiencing a sore throat and cough since December 26, 2016. I have seen a clinic doctor three times; the sore throat has improved, but the cough has not. On February 13 and March 4, 2017, I visited the chest me...
Dr. Yang Wenda Reply:
Hello: Your condition appears to be related to bronchial hypersensitivity (reactive allergy), particularly in response to temperature changes. It is recommended that you undergo pulmonary function tests to rule out the possibility of asthma. Traditional Chinese medicine may requi...[Read More] Persistent Cough: Seeking Solutions for Unresolved Symptoms
Post-Thoracoscopic Surgery: Managing Rib Pain and Wound Care Concerns
Post-operative pain in the rib area and wound issues after pneumothorax surgery? I underwent a thoracoscopic partial resection of the right upper lobe and pleural adhesion surgery for pneumothorax on June 16 of this year. Recently, I have been experiencing pain in the area of my ...
Dr. Yang Wenda Reply:
Hello: Post-operative wound pain may persist for a period of time, and the duration varies from person to person. If the pain is severe, you may ask your physician to prescribe pain relief medication for backup. For larger wounds, if the adhesive bandage is exuding fluid, replace...[Read More] Post-Thoracoscopic Surgery: Managing Rib Pain and Wound Care Concerns
Managing Tuberculosis Medication Side Effects in Elderly Patients
Tuberculosis Medications Hello, my grandfather is 80 years old. Last month, he tested positive for sputum culture while undergoing treatment for a stent placement in the hospital. However, another hospital tested his sputum and found it negative. He has been on isolation medicati...
Dr. Zhou Ziguang Reply:
Hello: If you are experiencing medication side effects, it is recommended to consult with a pulmonologist or visit our hospital to discuss whether a medication adjustment is necessary.[Read More] Managing Tuberculosis Medication Side Effects in Elderly Patients
Understanding Chest Pain and Weakness: Key Insights for Patients
Chest pain and weakness? Hello, doctor. Thank you for taking the time to answer my questions. After my last inquiry regarding cold symptoms leading to hemoptysis, I have recovered over the past two weeks. However, I have been experiencing chronic asthmatic cough symptoms for a mo...
Dr. Yang Wenda Reply:
Hello: Here is a brief response: 1. First, confirm whether you have asthma. If diagnosed with asthma, the main treatment medications are inhaled corticosteroids and inhaled bronchodilators! 2. Theophylline may have some gastrointestinal side effects; if you do not notice signific...[Read More] Understanding Chest Pain and Weakness: Key Insights for Patients
Managing Persistent Bronchitis Symptoms After a Cold: What to Do Next?
Bronchitis Hello Doctor, I previously had a cold combined with bronchitis. I didn't have a fever, but I saw a doctor and took medication. The cold symptoms improved in about 1 to 2 weeks, but the bronchial issues have not resolved. I cough about 2 to 3 times a day. I have ha...
Dr. Yang Wenda Reply:
Hello: Initially, it was acute bronchitis, and the X-ray examination has ruled out the possibility of pneumonia or tuberculosis. Subsequently, the residual symptoms of airway hyperresponsiveness can only be managed with medication, or one may consider traditional Chinese medicine...[Read More] Managing Persistent Bronchitis Symptoms After a Cold: What to Do Next?
Can Chicken Essence Help Recovery from Pneumonia After Surgery?
Can chicken essence be consumed when having pneumonia? My brother, who is 63 years old, is currently suffering from atypical pneumonia following oral surgery. He has been on antibiotics for 21 days and has undergone a tracheostomy. He has returned home and needs to suction phlegm...
Dr. Zhang Ziyan Reply:
Hello Ms. Li, regarding pneumonia, there are no absolute contraindications against consuming chicken essence, bird's nest, or cordyceps; however, it is important to consider the individual conditions of other patients, such as cardiac function, renal function, and blood suga...[Read More] Can Chicken Essence Help Recovery from Pneumonia After Surgery?
Understanding Chest Discomfort: Causes and Solutions for Your Symptoms
Chest Inquiry Hello Dr. Huang, I have been experiencing some discomfort in my chest lately. It's hard to describe, but it feels like I'm very short of breath after exercising. My chest often feels tight and uncomfortable, and there have been several instances of sudde...
Dr. Huang Yiwen Reply:
Dear Mr. Chang: I believe that psychological issues should be considered only after ruling out any problems with other organs. You can start by getting an X-ray and undergoing an endoscopy to determine the next steps in addressing your concerns. Changhua Hospital cares about you.[Read More] Understanding Chest Discomfort: Causes and Solutions for Your Symptoms
Persistent Cough with Choking Sensation: When to Seek Further Evaluation?
Persistent cough that feels somewhat like choking when coughing? The mother is 58 years old. Due to concerns about her uncle being suspected of having tuberculosis, she also needs to be monitored. The doctor at the chest hospital mentioned that the mother currently has no issues,...
Dr. Yang Wenda Reply:
Hello: Your question can be briefly answered as follows. A chest X-ray is used to assess whether there are any abnormal shadows or nodules in the lungs. If abnormalities are found, further diagnostic tests may be arranged to confirm the diagnosis (such as tuberculosis, lung cance...[Read More] Persistent Cough with Choking Sensation: When to Seek Further Evaluation?
Understanding Cough, Chest Pain, and Lung Nodules: Key Concerns
Recent concerns about cough, chest pain, and pulmonary nodules? Due to a family history of lung cancer (grandmother) and experiencing some respiratory symptoms earlier this year, I paid out of pocket for a low-dose CT scan, which revealed a 0.45 cm lung nodule. At that time, the ...
Dr. Zhou Ziguang Reply:
1. If the nodule is malignant, it may increase in size after six months. If it does increase, a biopsy may need to be considered. If you are still concerned about the 0.45 cm nodule, you can discuss with a thoracic surgeon the possibility of an earlier biopsy. 2. Coughing is usua...[Read More] Understanding Cough, Chest Pain, and Lung Nodules: Key Concerns
Understanding Flu Symptoms: Chest Pain and Abdominal Issues Explained
Influenza, chest, and abdominal issues? Hello doctor, a few days ago I went to the clinic and was diagnosed with influenza. I was prescribed medication, including antibiotics. After that, my fever subsided, and my body aches improved. My cough and runny nose also got better, but ...
Dr. Wu Yingxun Reply:
Hello: Severe coughing can lead to chest pain and abdominal pain. If there are concerns about pneumonia, a chest X-ray can be performed to rule it out. Additionally, antibiotics can also cause diarrhea, which should improve after discontinuing the medication.[Read More] Understanding Flu Symptoms: Chest Pain and Abdominal Issues Explained
Seeking Transfer for Advanced Treatment of Pneumonia and Suspected Tuberculosis
Can I transfer to another hospital for treatment by Director Yang for tuberculosis and pulmonary inflammation? Thank you? Dear Director Yang, My grandfather is 89 years old. He was hospitalized on May 4 due to a fever, and tests indicated pneumonia with an inflammatory marker of...
Dr. Yang Wenda Reply:
Hello: Pneumonia and pulmonary tuberculosis cannot be distinguished from X-ray images, and the presence of pulmonary edema further complicates the differentiation between inflammation and fluid accumulation. This is also why it is challenging for clinicians to make a definitive d...[Read More] Seeking Transfer for Advanced Treatment of Pneumonia and Suspected Tuberculosis
Preventing Tuberculosis Transmission in Family Visits to Hospitalized Patients
A family member has tuberculosis (TB)? The doctor informed us that my grandmother was hospitalized due to illness, initially in a regular ward and later transferred to the intensive care unit. She was suspected of having tuberculosis, and it was recently confirmed. I would like t...
Dr. Zhou Ziguang Reply:
Hello: 1. If the visitor has appropriate protection (for example, wearing an N95 mask), the chance of transmission is very low. General tuberculosis (TB) contacts refer to individuals who live with the patient or have been in contact with the patient for 8 hours or more in a day ...[Read More] Preventing Tuberculosis Transmission in Family Visits to Hospitalized Patients
Understanding Treatment for Lung Cancer and Related Symptoms
Lung issues Hello doctor, my father was diagnosed with stage III lung adenocarcinoma last year. He has already undergone surgery and completed six rounds of chemotherapy. However, the day after his last chemotherapy session, he suddenly started experiencing dizziness and a loss o...
Dr. Jian Shuntian Reply:
It is possible that the high calcium levels were discovered during a clinical blood test, and this may not necessarily be related to the dizziness. For further details, please consult the attending physician. Thank you. Sincerely, Jian Shun Tian.[Read More] Understanding Treatment for Lung Cancer and Related Symptoms
Understanding Coughing Up Blood: When to Seek Medical Attention
Evaluation for Hemoptysis Hello Doctor, I usually have bronchial issues and often experience coughing for one to two months, especially when I stay up late and my immune system is compromised. A doctor has diagnosed me with asthma symptoms. Two weeks ago, I had cold symptoms, inc...
Dr. Wu Yingxun Reply:
Hello: Severe coughing may result in blood-tinged sputum. The sensitivity of low-dose computed tomography (CT) is better than that of a chest X-ray. It is recommended to undergo low-dose CT to check for any subtle changes.[Read More] Understanding Coughing Up Blood: When to Seek Medical Attention
Understanding Left Chest Discomfort: A Comprehensive Guide to Symptoms and Solutions
Discomfort in the upper left side of the body? A few months ago, I experienced rapid heartbeat and chest tightness, which led to a feeling of heat throughout my body. I went to the emergency room at midnight, where I had an electrocardiogram and chest X-ray, both of which were no...
Dr. Zhou Ziguang Reply:
Hello: You can visit the pulmonology and cardiology departments to clarify whether there are any heart or thoracic issues. If both are normal, you may consider consulting a psychosomatic medicine specialist to explore if there are recent stress-related factors.[Read More] Understanding Left Chest Discomfort: A Comprehensive Guide to Symptoms and Solutions
Persistent Cough and Chest Pain During Pregnancy: What to Do?
I have been pregnant and have had a persistent cold for over a month, with a cough that won't go away. I am also coughing up small amounts of blood and experiencing pain in my chest and back? I am currently 19 weeks pregnant. At first, I thought I had a cold, so I went to th...
Dr. Chen Junwei Reply:
The current cough has been evaluated by several physicians, and given the improvement in symptoms, it is recommended to continue symptomatic treatment. Chronic pharyngitis or mild bronchitis can easily cause slight hemoptysis due to persistent coughing; however, if there is any w...[Read More] Persistent Cough and Chest Pain During Pregnancy: What to Do?