Can Allergies Trigger Asthma Symptoms in Teens? Expert Insights
Hello, Dr. Yang? Hello, Dr. Yang. I would like to ask about my younger brother (14 years old). He has nasal allergies, and sometimes his eyes itch, which leads to dark circles under his eyes. Recently, for some reason, he has been experiencing nasal congestion, frequent sneezing,...
Dr. Yang Wenda Reply:
Hello, Xiao Wei: Your brother's symptoms resemble allergic rhinitis combined with nasal congestion and itchy eyes. Due to the nasal blockage, he has to breathe through his mouth. If there is no increased respiratory rate or wheezing sounds (like a cat's meow or a whistl...[Read More] Can Allergies Trigger Asthma Symptoms in Teens? Expert Insights
Impact of Copier Emissions on Lung Health: Risks and Prevention
The impact of photocopiers on lung health? Hello, Doctor: I am an office worker in an administrative position, and there is a photocopier next to my desk. I have to print documents from morning until evening every day. I have heard that photocopying can produce a lot of toner and...
Dr. Zhou Ziguang Reply:
Hello Steve, 1. Currently, there seems to be no definitive evidence that photocopiers cause lung cancer. 2. As for toner or other volatile substances that may be present during the copying process, there could be concerns regarding respiratory sensitivity. It may be advisable ...[Read More] Impact of Copier Emissions on Lung Health: Risks and Prevention
Understanding Pneumonia Treatment and Management in Elderly Patients
Regarding pneumonia? Hello Doctor, Patient Status: 80 years old, male, with a history of diabetes managed with insulin, poor kidney function, currently residing in a respiratory care center, and has a tracheostomy. He has been hospitalized for nearly two months, initially admit...
Dr. Zhou Ziguang Reply:
Hello Jason, 1. The treatment for uncomplicated pneumonia typically lasts about 1-2 weeks, but in cases of severe pneumonia, treatment may extend to 6-8 weeks. There is no defined maximum duration, as it depends on the clinical condition, and there is also a possibility of recu...[Read More] Understanding Pneumonia Treatment and Management in Elderly Patients
Understanding the Final Stages of Pneumonia in Elderly Patients with Tracheostomy
Elderly patients with pneumonia who have long-term tracheostomy may ultimately face several complications that can lead to death. These complications can include respiratory failure, recurrent infections, aspiration pneumonia, and other comorbidities such as heart disease or chro...
Dr. Yang Wenda Reply:
Hello EDDY: Here are my personal insights for your reference: 1. All elderly individuals may potentially face acute conditions such as acute myocardial infarction, arrhythmias, and strokes due to vascular sclerosis and narrowing. 2. Long-term bed rest and the use of ventilators c...[Read More] Understanding the Final Stages of Pneumonia in Elderly Patients with Tracheostomy
Understanding Long-Term Tracheostomy in Elderly Pneumonia Patients: What to Expect
Long-term tracheostomy in elderly patients with pneumonia... ultimately..? I would like to ask about the long-term effects of a tracheostomy and mechanical ventilation in elderly patients with pneumonia, specifically regarding the potential outcomes. Here is the background of the...
Dr. Ke Zhengchang Reply:
Long-term care for patients with tracheostomy using ventilators can be challenging. Elderly individuals often have pre-existing health conditions and compromised immune systems, making them more susceptible to infections. Common complications for bedridden patients include pneumo...[Read More] Understanding Long-Term Tracheostomy in Elderly Pneumonia Patients: What to Expect
Understanding Chest X-Ray Findings: Granulomas and Health Implications
Health Check Report: Abnormal X-ray Findings Hello Dr. Yang, I received my health check report from last month today, and it indicates a suspected granuloma near the left hilum on the chest X-ray. Is this the same as the fibrotic granuloma that other users have inquired about? Do...
Dr. Yang Wenda Reply:
Hello Aaron: A granuloma is also a type of lung tumor, classified as a benign tumor, but it usually requires a pathological biopsy report to confirm it. The interpreting physician may suggest follow-up in 3-6 months based on indirect evidence leaning towards "benign," s...[Read More] Understanding Chest X-Ray Findings: Granulomas and Health Implications
Persistent Cough and Chest Pain: When to Seek Medical Attention?
Persistent cough and chest pain? Hello Doctor: I started experiencing persistent coughing every night between 11 PM and 1 AM about a week ago, which is more pronounced when lying down compared to other positions. I feel an unbearable itch in my throat around the area between my c...
Dr. Yang Wenda Reply:
Hello Sam: Based on your respiratory history, including a history of pneumothorax, allergic rhinitis, and chest pain (possibly neuropathic pain), if your symptoms are not too severe, you may choose to monitor your condition. It is advisable to drink plenty of warm water and avoid...[Read More] Persistent Cough and Chest Pain: When to Seek Medical Attention?
Understanding Small Nodules in the Lower Lobes of the Lungs
Small nodules in the lower lobes of both lungs? Hello Doctor: My mother is 80 years old, and during this year's health check-up, a small nodule was found in her right lower lung lobe. I also have a small nodule in my left lower lung lobe. What does this mean, and how should ...
Dr. Yang Wenda Reply:
Hello, HC2211: The presence of small nodules in the lung lobes may indicate either a benign tumor or an early-stage malignant tumor. Typically, further evaluation with a computed tomography (CT) scan is required, and if necessary, a fine-needle aspiration or biopsy may be perform...[Read More] Understanding Small Nodules in the Lower Lobes of the Lungs
Understanding Increased Lung Markings: Symptoms and Follow-Up Care
Increased lung markings refer to the appearance of more prominent or denser vascular and bronchial structures on a chest X-ray or CT scan. This can indicate various conditions, such as pulmonary edema, interstitial lung disease, or chronic bronch Dr. Chou, I apologize for the int...
Dr. Zhou Ziguang Reply:
Hello RICO, 1. Symptoms may not always be present, but it is essential for a physician to assess the likelihood of certain conditions. If there is a suspicion of a condition that requires prompt attention, additional tests such as a CT scan may be ordered, considering potential...[Read More] Understanding Increased Lung Markings: Symptoms and Follow-Up Care
Understanding Hemoptysis: Causes and Management After Tuberculosis
Hemoptysis My brother had tuberculosis three years ago and was cured after six months of medication. However, over the past year, he has experienced hemoptysis, sometimes coughing up blood once a month and other times every two weeks. He often feels a tickle in his throat at nigh...
Dr. Yang Wenda Reply:
Hello Andy: After the cure of pulmonary tuberculosis, the blood vessels in the areas of fibrosis (scarring) may be more prone to rupture and cause hemoptysis, especially after consuming rich foods such as fried foods, alcoholic beverages, or spicy dishes. If follow-up chest X-ray...[Read More] Understanding Hemoptysis: Causes and Management After Tuberculosis
Exploring Treatment Options for Stage III Lung Adenocarcinoma
Could you please provide more context or specify your question regarding the chest medicine department or Dr. Ke? A 30-year-old male with stage III lung adenocarcinoma who is inoperable and has not responded to targeted therapy. Aside from chemotherapy, are there any other treatm...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, if oral targeted therapy is ineffective, it is recommended to proceed with chemotherapy (first-line chemotherapy, such as Gemcitabine + Cisplatin). If that is also ineffective, second-line chemotherapy options (such as Paclitaxel or Irinotecan) c...[Read More] Exploring Treatment Options for Stage III Lung Adenocarcinoma
Understanding Asthma: Symptoms, Diagnosis, and Treatment Options
Asthma issues? Dear Doctor, I experienced severe asthma symptoms during high school and college, particularly at night after drinking cold water immediately following exercise. However, I never had any daytime episodes, and vigorous exercise did not trigger any symptoms. During...
Dr. Yang Wenda Reply:
Hello Sam: Your symptoms and good response to bronchodilators strongly support a diagnosis of asthma. However, the inhaled corticosteroids have caused inflammation of your vocal cords, leading to your discomfort. The short-acting bronchodilators have a relatively brief duration o...[Read More] Understanding Asthma: Symptoms, Diagnosis, and Treatment Options
Understanding Chest Pain: Anxiety, Inflammation, and Medication Effects
Chest pain Hello Doctor: A few days ago, I visited a large hospital for a check-up, and I had a chest X-ray taken. The diagnosis showed no issues, but the doctor mentioned that I have costochondritis, which is related to stress and anxiety (because I am preparing for a civil serv...
Dr. Zhou Ziguang Reply:
Hello, 1. Xanax has sedative and hypnotic effects; not taking it should not be related to the ongoing chest pain. 2. You have been assessed by a physician and diagnosed with costochondritis, and have been prescribed Solaxin and Panadol. These medications are intended to allevi...[Read More] Understanding Chest Pain: Anxiety, Inflammation, and Medication Effects
Understanding Chest Pain: Is Stress the Culprit Behind Your Symptoms?
Regarding chest pain issues? Hello Doctor: I would like to ask, during my junior high school years, I experienced severe shortness of breath and drank cold water rapidly, which has led to lingering symptoms. For about 5-6 years now, I have been breathing heavily (taking deep brea...
Dr. Zhou Ziguang Reply:
Hello, Dada. When experiencing high levels of stress, it can lead to various psychosomatic symptoms. However, it is essential to rule out other possibilities, such as esophagitis, pleuritis, and cardiac issues. It is recommended to consult a thoracic specialist for further examin...[Read More] Understanding Chest Pain: Is Stress the Culprit Behind Your Symptoms?
Understanding Chest Pain: Causes and Symptoms for Shift Workers
Chest pain? Hello, Dr. Yang. I work as a printing operator and have to switch between morning and evening shifts. Recently, I've been experiencing unexplained chest pain, especially noticeable when I take deep breaths. What could this symptom be? I apologize for the disturba...
Dr. Yang Zhiyun Reply:
Respiratory pain is often associated with discomfort that arises during breathing movements, most commonly due to musculoskeletal strain such as muscle or fascia pull. Other potential causes, such as pleural lesions, may also present similar pain. It is recommended to consult a p...[Read More] Understanding Chest Pain: Causes and Symptoms for Shift Workers
Understanding Coughing: When to See a Pulmonologist
Coughing Hello, Doctor. Recently, whenever I speak, I feel a sharp pain and cough, which has been ongoing for about two weeks, but I have no other related symptoms. I'm not sure what this could be. If I need to see a doctor, should I consult a pulmonologist or another specia...
Dr. Yang Wenda Reply:
Hello Mary: Your symptoms are more indicative of increased respiratory epithelial reactivity, which may worsen when speaking, taking deep breaths, or encountering cold air. It is still recommended that you visit a pulmonologist for an X-ray examination to rule out any pulmonary p...[Read More] Understanding Coughing: When to See a Pulmonologist
Pain Under Left Nipple: Which Specialist to Consult?
excuse me? If you experience pain when lightly pressing below the left nipple and feel a sensation of pressure or a foreign object in that area during physical activity, it is advisable to see a specialist in breast health or a general surgeon. They can evaluate your symptoms and...
Dr. Yang Zhiyun Reply:
Based on your description, it seems more like a musculoskeletal issue related to the thoracic region, but other possibilities cannot be ruled out. Please first consult a pulmonologist for evaluation.[Read More] Pain Under Left Nipple: Which Specialist to Consult?
Understanding Sudden Shortness of Breath: Causes and Concerns
Shortness of breath? I previously experienced sudden shortness of breath, pale complexion, cold sweats, and then my vision went black, leading to dizziness... It became severe enough that I fainted... It was very uncomfortable. So far, I have had three episodes, and the symptoms ...
Dr. Yang Wenda Reply:
Hello, Since your family does not have a history of heart disease and your symptoms are not persistent, it is less likely that you have organic heart disease; however, paroxysmal arrhythmia cannot be ruled out (please see a cardiologist). Another possible cause to consider is a...[Read More] Understanding Sudden Shortness of Breath: Causes and Concerns
Break Free from Blushing: Innovative Surgery for Social Anxiety
Sympathetic nerve block procedure Hello Doctor: Please take a moment to read this article! Spain has invented a surgery to treat shyness and blushing. This report comes from our correspondent in Spain, Zhang Jinjian, dated July 15, 2008. Source: People's Daily - "Life T...
Dr. Yang Zhiyun Reply:
Regarding your question, it does not pertain to thoracic diseases. The surgery for hyperhidrosis has been established for many years, but to determine if your issue is suitable for sympathectomy, please consult a neurologist or a thoracic surgeon. Thank you![Read More] Break Free from Blushing: Innovative Surgery for Social Anxiety
Understanding Shortness of Breath: Causes, Risks, and Treatment Options
Shortness of breath Hello! A long time ago, I occasionally experienced shortness of breath, feeling as if my heart had stopped beating, and I couldn't catch my breath for two seconds. However, in the past three months, these episodes have become frequent, sometimes accompani...
Dr. Yang Wenda Reply:
Hello, Here are brief answers to your questions: 1. Low blood pressure is part of your original constitution. If you haven't experienced dizziness (due to cerebral hypoxia) before, it is unlikely that this would lead to cardiac hypoxia (which can typically be observed on...[Read More] Understanding Shortness of Breath: Causes, Risks, and Treatment Options