Is Allergic Bronchitis Considered Asthma? Understanding Your Symptoms
Is bronchial allergy considered asthma? I have been coughing for almost two months, often experiencing a scratchy throat and cough, and recently I've also had difficulty breathing and feeling short of breath. I went to the hospital for pulmonary function tests and a bronchia...
Dr. Zhou Ziguang Reply:
Hello, excessive airway responsiveness is commonly seen in patients with asthma, but other conditions such as chronic obstructive pulmonary disease (COPD) can also present with excessive airway responsiveness. However, airway obstruction caused by asthma is often reversible, whil...[Read More] Is Allergic Bronchitis Considered Asthma? Understanding Your Symptoms
Understanding Lung Cancer Risks: Family History and Screening Guidelines
Coughing issues? Hello Doctor: I apologize for bothering you again. You mentioned that if there are two or more family members with lung cancer, regular CT scans should be performed. Does this refer to direct relatives only, or do collateral relatives count as well? My uncle and ...
Dr. Yang Wenda Reply:
Both uncles and maternal uncles are considered to have a blood relationship, but it is possible that they both smoke (the strongest risk factor). Blood tests for cancer markers can be informative, but they are not very accurate, especially for early-stage cancers, where the resul...[Read More] Understanding Lung Cancer Risks: Family History and Screening Guidelines
Is Chest Tightness While Running a Sign of Pneumothorax?
Experiencing chest tightness while running could be a sign of pneumothorax? Hello, Dr. Huang. I usually don't exercise much, and when I do, it's mostly activities like shooting hoops or playing badminton, which don't make me breathless. Recently, I've started ...
Dr. Huang Ruiming Reply:
Dear Xiao Zhi: Spontaneous pneumothorax typically occurs in young, tall, and slender males. If you experience chest tightness and difficulty breathing during exercise, I recommend that you visit the thoracic medicine clinic for further diagnosis. Thank you for your inquiry! Dr. H...[Read More] Is Chest Tightness While Running a Sign of Pneumothorax?
Can Chest X-Rays Detect Bone Issues in Thoracic Medicine?
X-ray issues...!!! Can chest X-rays reveal issues with the bones in the thoracic cavity?
Dr. Huang Ruiming Reply:
If there are issues with the ribs, a chest X-ray may not always reveal everything. It is essential to consider clinical symptoms such as chest pain, any history of cancer in other organs, and certain blood tests. Sometimes, advanced technology like computed tomography (CT) scans ...[Read More] Can Chest X-Rays Detect Bone Issues in Thoracic Medicine?
Understanding Tuberculosis: Common Questions and Testing Options
Questions related to tuberculosis (TB)? I have a few questions to ask the doctor: 1. I have had a sensation of a foreign body in my throat, located at the bottom of my neck, for a long time. However, I underwent a skin test on August 1, and the final result was 5mm. Does this mea...
Dr. Huang Yiwen Reply:
DEAR Ruru: A TT of 5 mm generally does not require further testing. If you want to check for latent infection, there are two blood tests available: 1. QUANTIFERON, and 2. T-SPOT, which are based on the antigen-antibody principle. These tests are only available at Chang Gung Memor...[Read More] Understanding Tuberculosis: Common Questions and Testing Options
Understanding the Risk of Tuberculosis Transmission in Shared Spaces
Transmission of Tuberculosis (TB) Hello, doctor. A few days ago, my Japanese parents went to see a pulmonologist due to a cough that lasted for a week. They were wearing masks at the time, and there was another patient in the room who seemed to be undergoing treatment for tubercu...
Dr. Zhou Ziguang Reply:
Hello, the current targets for contact tracing by the Centers for Disease Control are individuals who have been exposed to the index case for 8 hours or have a cumulative exposure of over 40 hours. Based on the situation you described, where both parties were wearing masks, the l...[Read More] Understanding the Risk of Tuberculosis Transmission in Shared Spaces
Understanding Persistent Cough: When to Seek Specialized Medical Help
Chronic cough condition? Dear Dr. Yang, I would like to consult you regarding a cough issue. My mother has been experiencing intermittent coughing for over half a month, occasionally producing a small amount of phlegm. Initially, her cough was quite severe, so we visited a nearb...
Dr. Yang Wenda Reply:
If a cough persists for more than two weeks, it is advisable to visit a pulmonology clinic for a chest X-ray to rule out other lung diseases that may be a concern. Best wishes![Read More] Understanding Persistent Cough: When to Seek Specialized Medical Help
Understanding a 2.2 cm Lung Tumor: Causes of Chest and Back Pain
Pulmonary tumor measuring 2.2 centimeters? Hello Doctor, my mother has been suffering from unexplained chest pain and back pain (her arm cannot be fully extended) as well as esophageal pain for over a month. She has seen many doctors, some of whom said the esophageal pain is due ...
Dr. Huang Yiwen Reply:
Dear: Hello, why do we have to wait a week for the biopsy? It seems a bit long. As for what has been described, it is all possible. If it is urgent, a PET scan can be done first, but since this is not the standard procedure, it may require out-of-pocket expenses. Additional tumor...[Read More] Understanding a 2.2 cm Lung Tumor: Causes of Chest and Back Pain
Understanding Tuberculosis: Necrotizing vs. Non-Necrotizing Pathology
Infected with tuberculosis? Is tuberculosis the same in both pulmonary and extrapulmonary pathology? Why do some people refer to it as "necrotizing and non-necrotizing," while others say "caseous and non-caseous"? Which one is correct? Thank you.
Dr. Huang Ruiming Reply:
Hello! The pathological changes in both pulmonary and extrapulmonary tuberculosis are the same. They are characterized by caseous necrosis. Thank you for your question! Wishing you a happy New Year. Sincerely, Dr. Huang Ruiming, Hualien Hospital.[Read More] Understanding Tuberculosis: Necrotizing vs. Non-Necrotizing Pathology
Flu and Pneumonia: Treatment Duration, Complications, and Concerns
Influenza, pneumonia, treatment duration, and complications? Hello Doctor: My family member, a 46-year-old male, is experiencing a 40-degree fever due to influenza, along with pneumonia. After screening, there is evidence of pulmonary infiltration, and his white blood cell count ...
Dr. Jian Shuntian Reply:
Due to the complexity of the condition, a complete understanding may not be possible, and only simple questions can be addressed. Further discussions with the attending physician may be necessary. (1) The use of antibiotics is partially metabolized by the kidneys, depending on th...[Read More] Flu and Pneumonia: Treatment Duration, Complications, and Concerns
Understanding Lung Nodules: Causes and Advanced Diagnostic Options
Lung examination Hello Doctor: My father has been suffering from a persistent cough for 1 to 2 months without improvement. A CT scan revealed a 0.4 cm white spot at the left lung base, along with slight collapse symptoms. A bronchoscopy was arranged for further evaluation, but th...
Dr. Zhou Ziguang Reply:
Hello, there are many possible causes. Common ones include fibrosis (scarring from previous inflammation), ongoing inflammation (such as pneumonia or tuberculosis), and malignant tumors. Further examination is necessary; for a definitive answer, a lung biopsy may be required. Tha...[Read More] Understanding Lung Nodules: Causes and Advanced Diagnostic Options
Understanding Gastrointestinal Causes of Chest Pain: Key Locations Explained
Chest pain issues? Chest pain caused by gastrointestinal issues typically occurs in the central part of the chest, often along the line connecting the breasts. Thank you!
Dr. Huang Yiwen Reply:
Dear LaLa: I apologize for the late response. I was out of the country for a conference, which delayed my reply regarding the chest pain caused by gastrointestinal issues. The most common symptom of gastroesophageal reflux disease (GERD) is a burning sensation in the chest. Other...[Read More] Understanding Gastrointestinal Causes of Chest Pain: Key Locations Explained
Understanding Tuberculosis Testing: X-rays, Interferon, and More
Tuberculosis Screening Currently, the tests for tuberculosis (TB) include chest X-rays, tuberculin skin tests (TST), and other more accurate out-of-pocket tests. One such test is the Interferon Gamma Release Assay (IGRA), which is a blood test that detects the immune response to ...
Dr. Jian Shuntian Reply:
Hello, no test is 100% accurate, so it is necessary to consider all examinations to make a judgment on whether preventive medication is needed. The physician will explain the benefits and risks, but the final decision rests with the parents. Preventive treatment will only be admi...[Read More] Understanding Tuberculosis Testing: X-rays, Interferon, and More
Managing Chronic Cough and White Phlegm in Bronchiectasis Patients
Bronchiectasis with frequent coughing and white sputum? Hello Dr. Yang, my mother has been diagnosed with bronchiectasis and has been coughing for over five years. Recently, her condition has worsened. She has been following your advice to drink warm water, practice deep breathin...
Dr. Yang Wenda Reply:
If you do not have a specific physician in mind, you may consider visiting the Traditional Chinese Medicine Department at Taichung Hospital and consult with Director Yang, who is qualified in both Traditional Chinese Medicine and Western Medicine. Best wishes![Read More] Managing Chronic Cough and White Phlegm in Bronchiectasis Patients
Should You Wait Six Months to Monitor a 0.5 cm Lung Tumor?
A 0.5 cm tumor was found on the CT scan? Hello, doctor. I underwent a health check-up and had a test for the lung cancer tumor marker Cyfra 21-1, which resulted in a value of 5.8 (with a reference range of <3.3). I later had a CT scan that revealed a 0.5 cm tumor in my lung, b...
Dr. Huang Yiwen Reply:
Dear emilycarry: Your concerns are valid; it can be unsettling to monitor abnormal data without further investigation. However, the situation you mentioned is indeed a blind spot in pulmonology. It may also be important to know if there is a history of smoking, any other chronic ...[Read More] Should You Wait Six Months to Monitor a 0.5 cm Lung Tumor?
Struggling to Clear Phlegm: Managing Chronic Cough in Bronchiectasis
Coughing up phlegm that cannot be expelled? Hello Dr. Yang: My mother has bronchiectasis and a chronic cough. She is 58 years old and has recently reported that her symptoms have worsened. She feels that she has phlegm that she cannot seem to cough up, and her coughing has become...
Dr. Yang Wenda Reply:
Hello Ms. Yang: Chronic cough is an inevitable symptom of bronchiectasis, and significant improvement in a short period is difficult to achieve. Additionally, due to unstable weather conditions, the cough symptoms may worsen. It is recommended to return for a follow-up visit with...[Read More] Struggling to Clear Phlegm: Managing Chronic Cough in Bronchiectasis
Understanding Bronchiectasis: Chronic Cough and White Sputum Explained
Bronchiectasis with frequent coughing and white sputum? Hello Dr. Yang: I am the family member of the patient who consulted you on July 23rd. Ms. Yang's mother is feeling much better now, but her chronic condition has not improved; she often coughs (which has been ongoing fo...
Dr. Yang Wenda Reply:
Hello: Bronchiectasis is a condition characterized by the dilation of the bronchial structures, leading to impaired function of the bronchial mucosa and ciliary movement. This condition makes the airways more sensitive to external stimuli, resulting in a tendency to cough up sput...[Read More] Understanding Bronchiectasis: Chronic Cough and White Sputum Explained
Understanding Persistent Body Heat and Weakness Without Fever
Generalized warmth (without fever) and overall weakness? Hello Doctor, Patient: Female, 58 years old. No fever but experiencing generalized warmth and weakness. Medical History: The patient's temperature has fluctuated between 36°C and 37.5°C over the past two weeks, wit...
Dr. Yang Wenda Reply:
Dear Ms. Yang, The patient has experienced coughing, yellow sputum, fever, and fatigue, which suggest a lower respiratory tract infection (involving the bronchi and lungs). The chest X-ray shows no significant infiltrates, indicating that it may simply be a case of bronchiectasi...[Read More] Understanding Persistent Body Heat and Weakness Without Fever
Understanding Increased Lung Markings: Chronic vs. Acute Bronchitis
Increased pulmonary markings? Recently, I participated in a general health examination for workers, and during the chest X-ray, it was noted that there was an increase in lung markings. Nine months ago, I had a health check at another hospital, and the chest X-ray showed no abnor...
Dr. Huang Yiwen Reply:
Dear Qiang Qiang: I apologize for the late response to your question, as I just returned from abroad. The term "increased lung markings" does not necessarily imply a comparison with previous X-rays. Lung markings refer to the visualization of blood vessels and small bro...[Read More] Understanding Increased Lung Markings: Chronic vs. Acute Bronchitis
Home Care for Tuberculosis: Prevention Tips to Avoid Infection
Home Care for Tuberculosis and How to Prevent Transmission Yesterday, my father-in-law was diagnosed with pulmonary tuberculosis. Due to his advanced age (79 years) and limited mobility, he was unable to be admitted to the hospital promptly when the physician recommended it. In p...
Dr. Tao Ruiming Reply:
1. Home care: After 14 days of medication, the infectiousness of the patient significantly decreases. 2. Home care: Ensure proper ventilation and avoid keeping doors and windows tightly closed. If the patient has a cough or sneezes, they should cover their mouth and nose. It is ...[Read More] Home Care for Tuberculosis: Prevention Tips to Avoid Infection