Post-Crash Chest Pain: Should You See a Pulmonologist or Internist?
After a car accident..? Yesterday, I fell off my motorcycle after an emergency brake while carrying a passenger on the back seat. Both of us fell to the ground, and the person on the back landed on top of me. I have some abrasions on my body and face, and I felt pain in my chest ...
Dr. Jian Shuntian Reply:
Hello, direct or indirect impact to the chest can potentially cause bleeding within the thoracic cavity or pleura. Please visit a thoracic specialist for a chest X-ray to confirm and receive further treatment. Thank you. This response is respectfully provided by Dr. Jian Shun-Tia...[Read More] Post-Crash Chest Pain: Should You See a Pulmonologist or Internist?
Understanding Frequent Hiccups: Causes and Solutions for Relief
Frequent hiccups? Hello Dr. Yang: I often experience hiccups, sometimes after meals and sometimes just randomly throughout the day. The hiccups I get during the day don't feel like the typical post-meal fullness; instead, I feel a buildup of gas in my stomach that needs to b...
Dr. Yang Zhiyun Reply:
Hello, hiccups are often caused by gastric distension, diaphragm irritation, metabolic abnormalities, or neurological issues. In your case, they are likely due to gastric distension and excessive gas, which is the most common cause and usually does not require special treatment. ...[Read More] Understanding Frequent Hiccups: Causes and Solutions for Relief
Addressing Early Stage Lung Adenocarcinoma Concerns and Symptoms
Consultation regarding early-stage lung adenocarcinoma-related questions? Dear Dr. Huang, My mother was diagnosed with early-stage lung cancer last year, and the doctor removed one-third of her right lung along with the lymph nodes around the bronchi. The doctor advised against ...
Dr. Huang Yiwen Reply:
I apologize for the delayed response due to my overseas conference. 1. There are differing opinions on whether adjuvant therapy is necessary after surgery for early-stage lung cancer, but it is important to know your aunt's cancer staging and histological type (e.g., adeno...[Read More] Addressing Early Stage Lung Adenocarcinoma Concerns and Symptoms
Understanding Lung Tumors: Treatment Options for Elderly Patients
Regarding lung tumors? Hello, my grandmother is nearly 90 years old, weighs 48 kg, and is able to take care of herself. She requires a cane to walk due to knee joint degeneration. She has been experiencing a long-term cough and has only been receiving cough and expectorant medica...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, if a 90-year-old patient has lung cancer, the first step is to identify the type of cancer cells and determine the stage of the lung cancer. If it is stage I or II, radiation therapy or surgical resection may be considered (provided that cardiac ...[Read More] Understanding Lung Tumors: Treatment Options for Elderly Patients
Chronic Cough: Causes, Symptoms, and Treatment Options
Persistent cough Hello Doctor, I would like to ask you about my mother's persistent cough. I can hear her coughing during the day and especially at night when it becomes more severe (with phlegm, and sometimes she coughs continuously for a long time). This condition seems to...
Dr. Zhou Ziguang Reply:
Hello, there are many causes of chronic cough, such as bronchiectasis, tuberculosis, chronic bronchitis, psychogenic factors, and asthma, among others. I recommend that you visit a pulmonology department for further evaluation, including a chest X-ray. Thank you for your understa...[Read More] Chronic Cough: Causes, Symptoms, and Treatment Options
Conflicting Opinions on Aspergilloma Management: What Should Patients Do?
Pulmonary Aspergilloma (Part II) Dr. Zhou, we have received two completely different opinions; one suggests immediate intervention, while the other recommends observation for a year. We are quite troubled! The thoracic surgeon's admission note states "Lung tumor, suspec...
Dr. Zhou Ziguang Reply:
Hello, 1. According to your statement, if it is indeed a pulmonary fungal ball, it typically arises in a pre-existing lung cavity where the fungus subsequently grows. Generally, it can coexist with patients who have normal immune function without the need for antifungal treatme...[Read More] Conflicting Opinions on Aspergilloma Management: What Should Patients Do?
Understanding Calcified Lung Nodules: What You Need to Know
Calcified pulmonary nodules Hello! Last April, I accidentally discovered a white spot in my right lower lung while having a cold. After evaluations including sputum tests and pulmonary function tests by two pulmonologists, the first doctor did not provide a clear explanation but ...
Dr. Zhou Ziguang Reply:
Hello, the term "calcified and fibrotic lesions" generally refers to old changes left behind due to factors such as inflammation or trauma. Calcification is usually a benign scar, but if there are changes during follow-up (such as an increase of 1 cm), it does not confo...[Read More] Understanding Calcified Lung Nodules: What You Need to Know
Chronic Throat Inflammation and Breathing Difficulties: Seeking Solutions
Throat inflammation and difficulty breathing? Dear Dr. Zhou, I would like to consult on behalf of my father. He is 56 years old and has a significant smoking addiction. Since October of last year, he has been experiencing a dry and painful throat, chest tightness, and difficulty...
Dr. Zhou Ziguang Reply:
Hello, 1. If you are experiencing a dry throat and discomfort while sleeping, it may be due to mouth breathing or the presence of sleep-related breathing disorders. It is advisable to consult with another pulmonologist, particularly one who specializes in sleep apnea at a medic...[Read More] Chronic Throat Inflammation and Breathing Difficulties: Seeking Solutions
Is Pleural Effusion Hereditary? Understanding Family Health Risks
Will pleural effusion be hereditary? Both my mother and I have experienced brief episodes of chest pain and sometimes sudden, unexplained pain. My situation (21 years old) seems to have started after a severe cough from a cold (around December), and the pain is primarily on the l...
Dr. Jian Shuntian Reply:
Hello, pleural effusion is not hereditary. For chest pain issues, please visit the thoracic medicine clinic for further examination. Thank you. Sincerely, Dr. Jian Shun-Tian, Chief of Thoracic Medicine.[Read More] Is Pleural Effusion Hereditary? Understanding Family Health Risks
Exploring Alternative Treatments for Chronic Breathing Issues After Smoking
I'm sorry, but I need specific content to translate My father smoked for 30 years and although he has quit, he has been experiencing shortness of breath for the past two years when walking 200 meters, going up and down stairs, taking a shower, and especially at night when he...
Dr. Yang Wenda Reply:
Hello Vera: Your father has a long history of smoking, which may have led to chronic obstructive pulmonary disease (COPD), specifically chronic bronchitis and emphysema, resulting in significant lung function impairment. In addition to medication, Chang Gung Memorial Hospital off...[Read More] Exploring Alternative Treatments for Chronic Breathing Issues After Smoking
Key Considerations for Managing Pleural Inflammation Recovery
What should be noted about pleuritis? Hello, doctor. I previously visited due to pain in the lower right chest, and the doctor diagnosed me with viral pleuritis caused by a filtered virus. I was told that I should recover in about 5 to 7 days, and no medication was prescribed (on...
Dr. Yang Wenda Reply:
Hello, Xiao Liang: It can sometimes be difficult to diagnose whether pleuritis is caused by a filtrable virus. It is recommended to take another X-ray soon (especially if the previous X-ray indicated pleural effusion) to monitor for improvement. If the chest pain is severe, it is...[Read More] Key Considerations for Managing Pleural Inflammation Recovery
Sudden Chest Pain While Breathing: Causes and Solutions
Sometimes there is a sudden sharp pain when breathing? Sometimes, there is a sudden sharp pain while breathing, and it takes a few minutes of holding the breath before gradually resuming normal breathing to recover. What could be the actual cause?
Dr. Yang Wenda Reply:
Hello, Xiaoye: Your symptoms are more indicative of neuropathic pain (nerve pain in the intercostal nerves below the ribs or the nerves on the pleura). However, to rule out any other lung conditions, it is still recommended to visit a thoracic specialist for a chest X-ray. A busy...[Read More] Sudden Chest Pain While Breathing: Causes and Solutions
Understanding Chest Pain: Is It a Heart Issue or Something Else?
Suspected heart problems? Hello: If there is pain when pressing about a fist's distance below the left nipple (around the second to last rib), and it also hurts when coughing or sneezing, as well as during deep inhalation, brisk walking, or light jogging, what could this iss...
Dr. Yang Zhiyun Reply:
Hello, the causes of thoracic pain include rib fractures, fasciitis, tumors, and so on. Additionally, pleural involvement should also be considered. Other diseases are less likely. You may visit a thoracic medicine clinic for further examination. Thank you. Sincerely, Dr. Yang Ch...[Read More] Understanding Chest Pain: Is It a Heart Issue or Something Else?
Understanding Right Chest and Back Pain: Causes and Solutions
There is a feeling of tightness and pain in the right side of the chest and the right side of the back! Hello, doctor! My symptoms are as follows: I do not experience pain in my right chest, but there is slight pain in my right back when pressed lightly. The specific location is ...
Dr. Zhou Ziguang Reply:
Hello, Xiao Zhi. You are experiencing right chest pain with tenderness and sharpness. Initially, we would suspect that the pain may be caused by nerve or muscle issues (such as poor posture, etc.). Other possible causes include spinal nerve disorders, gastroesophageal reflux dise...[Read More] Understanding Right Chest and Back Pain: Causes and Solutions
Understanding Chest X-Ray Shadows: Next Steps for Diagnosis
There is an opacity on the chest X-ray? On December 8th, a health check was performed, and an X-ray showed a shadow in the left chest. During the outpatient visit, the doctor suspected it might be a blood vessel and recommended a chest CT scan. The scan results did not show any o...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, if the results of the chest CT scan show no significant lesions and the report only mentions suspected vascular issues, generally speaking, if both a radiologist and a pulmonologist at a regional level have the same opinion, then any abnormality ...[Read More] Understanding Chest X-Ray Shadows: Next Steps for Diagnosis
Understanding Lung Nodules: What to Do After Acute Pneumonia Recovery
I'm here to help! Please go ahead and ask your question Hello Doctor: My father was recently hospitalized for acute pneumonia and is currently recovering at home. He has been returning for follow-up visits and has had X-rays for monitoring. During the most recent CT scan, a ...
Dr. Yang Zhiyun Reply:
Hello, Xiao Zhen. You may discuss with your physician whether further examinations are necessary, depending on the condition of the lesion and the patient's overall health status. Without clarity on these two aspects, I cannot provide a personal opinion. The examinations for...[Read More] Understanding Lung Nodules: What to Do After Acute Pneumonia Recovery
Understanding Chronic Chest Discomfort and Coughing: A Patient's Journey
Chronic chest tightness and cough? Hello Doctor: About three years ago, I started experiencing chest tightness, located in the center of my chest where there is a protruding area. It feels uncomfortable when I walk with my chest out, and the tightness becomes more pronounced when...
Dr. Zhou Ziguang Reply:
Hello Chris, 1. Based on the examination by the pulmonology and cardiology departments, it seems that the issue is more related to muscle or fascia injury. However, as mentioned by your online friend, if you experience discomfort after eating, it is important to consider the pos...[Read More] Understanding Chronic Chest Discomfort and Coughing: A Patient's Journey
Understanding Latent Tuberculosis: Symptoms, Treatment, and Transmission Risks
Non-open pulmonary tuberculosis After several days of antibiotic injections, the fluid accumulation has not improved, and my brother is still in pain! He underwent a pleural biopsy, which initially indicated that he has non-open pulmonary tuberculosis. Today, he had a bronchoscop...
Dr. Zhou Ziguang Reply:
Hello, Ah-Jhe. 1. The pleural biopsy has been determined to be tuberculous pleuritis. A bronchoscopy should be performed to investigate the possibility of pulmonary or bronchial tuberculosis or other diseases, as well as to collect respiratory specimens for culture. 2. If Myco...[Read More] Understanding Latent Tuberculosis: Symptoms, Treatment, and Transmission Risks
Managing Persistent Cough in Lung Cancer Patients: Key Considerations
Could you please provide more details about the persistent cough issue? Thank you? Dear Dr. Jian, My mother was diagnosed with early-stage lung adenocarcinoma after surgery last year. Recently, due to the cold weather and significant temperature fluctuations between day and nigh...
Dr. Jian Shuntian Reply:
Hello, Ah-Ching. 1. Please consult a pulmonologist to determine whether the cough is due to asthma, a viral infection, or a bacterial infection. 2. In theory, it is acceptable to receive the flu vaccine without a fever; however, since your child has been coughing, receiving th...[Read More] Managing Persistent Cough in Lung Cancer Patients: Key Considerations
Understanding Pleural Effusion: Causes, Concerns, and Treatment Options
Pneumonia? My brother (21 years old, with no significant medical history) reported dizziness and severe headache during the week of October 20th and visited a clinic where he was prescribed acetaminophen. On the morning of October 26th, he experienced chest pain for 3-4 days and ...
Dr. Zhou Ziguang Reply:
Hello, A-Zhe. The common causes of pleural effusion in Taiwan include tuberculous pleuritis, pneumonia-related effusion, heart disease, kidney disease, cancer, and hypoalbuminemia. Generally, the initial step is to perform a thoracentesis to analyze the pleural fluid, and biochem...[Read More] Understanding Pleural Effusion: Causes, Concerns, and Treatment Options