Understanding Shortness of Breath: Causes and Solutions
Difficulty breathing? Breathing is difficult, and I need to take a deep breath to feel a little better. When I encounter cold air, I automatically stop breathing, and I constantly feel like I have a burp that won't come out.
Dr. Jian Shuntian Reply:
It may be a problem related to the tracheobronchial system; other factors such as psychological issues should also be considered. Please visit a pulmonology clinic for evaluation.[Read More] Understanding Shortness of Breath: Causes and Solutions
Understanding Chest Pain During Coughing After Thoracoscopic Surgery
Chest pain when coughing? Hello, doctor. I underwent thoracoscopic surgery for pneumothorax on both sides in April this year. This week, I caught a cold, and today I experienced pain above my right clavicle after coughing twice in a row, but the pain subsided afterward. Could thi...
Dr. Zhou Ziguang Reply:
Hello, based on the description, it may be a localized muscle strain. Given the history of pneumothorax, it is still recommended to seek medical attention for follow-up X-rays to rule out the possibility of pneumothorax and other conditions. Wishing you good health, Dr. Chou Tzu-...[Read More] Understanding Chest Pain During Coughing After Thoracoscopic Surgery
Concerns About Recurring Symptoms After Tuberculosis Treatment
The issue of pulmonary tuberculosis? Dear Doctor, I have been undergoing treatment for pulmonary tuberculosis for 11 weeks, which includes two months of a four-drug regimen and then two months with three drugs after removing PZA. From the first sputum test until a month ago, al...
Dr. Huang Yiwen Reply:
Dear Ms. Chen: You are undergoing standard treatment for tuberculosis, which includes a four-drug intensive phase followed by a three-drug continuation phase. You have been on treatment for 11 weeks, but you mentioned that all sputum tests have been negative. This raises the ques...[Read More] Concerns About Recurring Symptoms After Tuberculosis Treatment
Post-Surgery Cough and Steroid Rash: Understanding Symptoms After Mediastinal Lymph Node Removal
Underwent radical lymphadenectomy for sarcoma in the mediastinum? I would like to ask Dr. Jian! My husband had a physical examination in mid-October, which indicated that there was something in his chest cavity. We went to a nearby large hospital for further examination and found...
Dr. Jian Shuntian Reply:
Hello, 1. Coughing can have many causes. It may be due to a sarcoid-like condition or other reasons, so it is necessary to consult a pulmonologist for an examination. You may seek another pulmonologist for a second opinion. 2. The use of corticosteroids can lead to skin sympt...[Read More] Post-Surgery Cough and Steroid Rash: Understanding Symptoms After Mediastinal Lymph Node Removal
Understanding Chest Pain: When to See a Specialist for Relief
Chest tightness or pain? I often experience chest pain, sometimes it feels like mild chest tightness, and at other times the pain is more intense. I visited a cardiologist and had an echocardiogram, which revealed mitral valve prolapse and autonomic nervous system dysfunction. I ...
Dr. Yang Wenda Reply:
Hello: It is recommended that you continue to follow up with a cardiologist. You may ask your physician to prepare a few days' supply of pain relievers and muscle relaxants for you. Additionally, lifestyle changes are necessary to avoid excessive stress or impatience. Limit ...[Read More] Understanding Chest Pain: When to See a Specialist for Relief
Understanding Post-Thoracoscopic Surgery Pain: Is It Normal?
What are the side effects after mucosal resection during thoracic surgery? Hello, Doctor. I have a question. In March of this year, I experienced a spontaneous pneumothorax and underwent thoracoscopic surgery, where some tissue was removed. I was hospitalized for four days and th...
Dr. Zhou Ziguang Reply:
Hello, after chest surgery, there may sometimes be a condition similar to neuropathic pain near the incision site. If follow-up X-rays show no significant pneumothorax, you may consult a neurologist to discuss this issue.[Read More] Understanding Post-Thoracoscopic Surgery Pain: Is It Normal?
Understanding Recurrence of Pneumothorax After Surgery: What to Do?
Recurrent pneumothorax after surgery? Hello Doctor, about three months ago I underwent surgery for bilateral spontaneous pneumothorax, which included lung tissue resection. However, in the past week, I have experienced another pneumothorax on the left side. It is painful when I b...
Dr. Zhou Ziguang Reply:
Although the recurrence rate is not high, there is still a possibility, and pneumothorax carries certain risks. It is recommended to promptly visit a thoracic specialist for re-evaluation.[Read More] Understanding Recurrence of Pneumothorax After Surgery: What to Do?
Understanding Black Spots in the Lungs: What You Need to Know
The phenomenon of black spots in the lungs? My mother is about 70 years old. Due to the weather getting colder, she felt soreness in her upper body when getting up from a bed with a cooling mat, so we first visited a nearby orthopedic clinic. The orthopedic doctor took X-rays and...
Dr. Zhang Ziyan Reply:
Hello, it is indeed difficult to determine whether cancer is present based solely on symptoms, as both possibilities exist. As mentioned online, in practice, medications are often used to rule out infections that could cause similar imaging results, followed by further imaging st...[Read More] Understanding Black Spots in the Lungs: What You Need to Know
Understanding Diaphragmatic Abnormalities: Causes, Concerns, and Treatment Options
Diaphragmatic abnormality Hello, Dr. Zhou. In mid-October, I underwent a medical examination for work purposes, and the X-ray showed an abnormal elevation of my right diaphragm, as well as a left lung that appears higher than the right. However, since I did not personally collect...
Dr. Zhou Ziguang Reply:
Hello: Diaphragmatic abnormalities are caused by phrenic nerve paralysis, but other abnormalities must still be ruled out, such as partial lung collapse, lesions near the diaphragm, hepatomegaly, or other causes of phrenic nerve dysfunction. It is still recommended to seek medica...[Read More] Understanding Diaphragmatic Abnormalities: Causes, Concerns, and Treatment Options
Persistent Coughing: Could It Be Lung Cancer Despite Normal Tests?
Regarding the recent issue of persistent coughing that cannot be resolved? Hello, I have a smoking habit and a history of tuberculosis. Recently, I have been coughing persistently, and after undergoing tests, black spots were found in my lungs. A biopsy indicated no issues, but d...
Dr. Zhang Ziyan Reply:
Hello, due to the ongoing progression of the pulmonary imaging findings (black spots?), even though the biopsy report is normal, the possibility of malignancy cannot be ruled out. The actual situation should be primarily assessed by the treating physician. Please continue to moni...[Read More] Persistent Coughing: Could It Be Lung Cancer Despite Normal Tests?
Post-Surgery Concerns After Spontaneous Pneumothorax: What to Expect
Pneumothorax just underwent surgery? I would like to ask, I underwent surgery for a spontaneous pneumothorax about a week ago. Initially, it was unilateral, but since I had an episode on the other side a few years ago without surgery or tube insertion, they decided to operate on ...
Dr. Wang Zhenjie Reply:
It is recommended that you return to the original hospital for treatment.[Read More] Post-Surgery Concerns After Spontaneous Pneumothorax: What to Expect
Chronic Cough: Causes, Symptoms, and When to Seek Help
Persistent cough that does not improve? I have been coughing for a year. Sometimes the phlegm is clear, and other times it is yellow. Occasionally, I experience wheezing, but not always. It seems that certain fruits exacerbate the cough. I went to a clinic for an X-ray, and the d...
Dr. Wang Zhenjie Reply:
It is recommended that you schedule an appointment for further examination and evaluation.[Read More] Chronic Cough: Causes, Symptoms, and When to Seek Help
Understanding Chest Pain: Causes and Concerns for Your Health
Chest pain in the front and back? Hello doctor, I have been experiencing unexplained chest pain since mid-October. Initially, the pain was only in the middle and on the sides of my chest, but recently it has also started to occur in my back. What could be the issue? Additionally,...
Dr. Wu Yingxun Reply:
Hello: There are many causes of chest pain, including issues related to the lungs, chest wall, heart, and mediastinum. After conducting a chest X-ray (CXR), CT scan, or other invasive examinations, if no problems are found, it may be attributed to nerve or muscle pain. Based on t...[Read More] Understanding Chest Pain: Causes and Concerns for Your Health
Understanding Unexplained Chest Pain: Causes and Concerns
Chest pain Hello doctor, I've been experiencing unexplained chest pain for the past two to three weeks. Initially, the pain was on the right side, but it has now shifted to the left side and is also intermittent. Recently, I've noticed that my back is hurting as well, a...
Dr. Wu Yingxun Reply:
Hello: There are many causes of chest pain, including issues related to the lungs, chest wall, heart, and mediastinum. After conducting a chest X-ray (CXR), CT scan, or other invasive examinations, if no problems are found, it may be attributed to nerve or muscle pain. Based on t...[Read More] Understanding Unexplained Chest Pain: Causes and Concerns
Understanding Chest Discomfort Upon Waking: Causes and Concerns
Feeling a tightness in the chest upon waking up? Hello doctor, I apologize for bothering you, but I would like to ask a question. Sometimes when I wake up, I feel discomfort near my left chest, and I can feel my heartbeat very prominently, along with a feeling of tightness. I ten...
Dr. Yang Wenda Reply:
Hello: It is recommended that you see a cardiologist. If the electrocardiogram (ECG) shows no arrhythmias, there is likely no significant issue.[Read More] Understanding Chest Discomfort Upon Waking: Causes and Concerns
Managing Tracheostomy Care: Tips for Weaning Off Ventilation
Tracheostomy machine - Respiratory management Hello, doctor! My mother had a stroke previously and is currently using a tracheostomy ventilator for breathing. She is now attempting to breathe on her own from 9 AM to 9 PM each day (4 breaths) with the following settings: I:E ratio...
Dr. Huang Ruiming Reply:
Hello: I can sense that you are very concerned about your mother's issues. Unfortunately, I cannot address each question here in detail. I recommend that you visit the outpatient clinic to consult with a physician for an accurate assessment. Thank you.[Read More] Managing Tracheostomy Care: Tips for Weaning Off Ventilation
Understanding a 7cm Diaphragmatic Tumor: Lung Cancer Stage and Prognosis
A 7-centimeter diaphragmatic tumor? Hello doctor, my grandfather has tuberculosis. During treatment, an X-ray revealed a tumor on the diaphragm. Now that the tuberculosis treatment is complete, a follow-up X-ray shows that the tumor has grown to 7 centimeters, and he is currently...
Dr. Yang Wenda Reply:
Hello: The staging of lung cancer follows certain standards, such as the location of lymph node metastasis, whether there are metastases to organs outside the lungs (such as bones, liver, brain, or adrenal glands), or if there are metastases to the left lung or pleural effusion, ...[Read More] Understanding a 7cm Diaphragmatic Tumor: Lung Cancer Stage and Prognosis
Is It Asthma? Understanding Symptoms and Concerns for Teens
I'm not sure if it's asthma? My brother is 15 years old. Last Sunday, he had an asthma attack. Since we play wind instruments, our teacher said it was because of the cold weather and that he didn't wear enough clothing. However, I think that's unlikely because...
Dr. Huang Ruiming Reply:
Dear online friend, The symptoms of asthma typically include coughing, shortness of breath, and chest tightness. Since your brother is only 15 years old, it is likely that there may be a family history of the condition. Therefore, I recommend visiting an outpatient clinic for p...[Read More] Is It Asthma? Understanding Symptoms and Concerns for Teens
Does Breast Pain Indicate Breast Cancer Risk?
Does breast cancer cause pain? Recently, I've been experiencing sharp pain in my right chest. Could this be a sign of breast cancer?
Dr. Wu Yingxun Reply:
A breast surgical examination should be conducted to determine if there are any abnormalities. Chest pain is often related to neuropathic pain, but it is important to rule out other issues related to the lungs, heart, and breasts.[Read More] Does Breast Pain Indicate Breast Cancer Risk?
Understanding Suspected Tuberculosis Infection: Key Questions and Answers
Suspected pulmonary tuberculosis infection? Dear Doctor: My friend has been coughing for several days with frequent phlegm and sometimes experiences itching in the trachea. After seeking medical attention and undergoing tests, the sputum culture came back positive, and the CT sca...
Dr. Zhou Ziguang Reply:
Hello: 1. Pulmonary infection with tuberculosis bacteria may not be detectable if there are no bacteria in the sputum. Generally, in such cases, clinicians make a comprehensive judgment, diagnosis, and treatment based on symptoms, medical history, other imaging studies (CT or che...[Read More] Understanding Suspected Tuberculosis Infection: Key Questions and Answers