Understanding COPD Exacerbation: A Case Study of Severe Symptoms and ICU Care
Chronic Obstructive Pulmonary Disease (COPD) exacerbation The father is 74 years old and was admitted for observation and treatment on March 27 due to chest tightness and shortness of breath without fever (diagnosed with COPD) after an outpatient visit at a hospital in the Yuanli...
Dr. Yang Wenda Reply:
Chronic obstructive pulmonary disease complicated by pneumonia often leads to respiratory failure in patients. Currently, transporting patients on a ventilator poses risks, so it is advisable to discuss with the attending physician whether transfer to another facility is necessar...[Read More] Understanding COPD Exacerbation: A Case Study of Severe Symptoms and ICU Care
Understanding PEEP Adjustments and Patient Management in ARDS
Please provide more context or specific information regarding "ARDS" so I can assist you better? Dear Dr. Ke, I have heard that you are not only an excellent physician but also possess great medical ethics. Thank you very much! I would like to ask you again: The pati...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, the patient's critical period has passed, but the decrease in lung capacity and fibrosis following lung injury may take several months to recover. The use of corticosteroids has some therapeutic effect, but the dosage and duration should sti...[Read More] Understanding PEEP Adjustments and Patient Management in ARDS
Understanding Throat Foreign Body Sensation: Causes and Solutions
Sensation of a foreign body in the throat? Hello Doctor, I currently have a sensation of a foreign body in my throat, along with pressure and strong halitosis, which is very distressing for me. I have a sensitive throat, and my first reaction to any foreign sensation is to gag. I...
Dr. Yang Wenda Reply:
Hello, if the gastroscopy does not reveal any significant abnormalities (such as ulcers or esophagitis), the likelihood of gastrointestinal issues is low. It is recommended to consult an otolaryngologist. Make sure to brush your teeth and rinse your mouth after each meal. If you ...[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions
Understanding ARDS in Pneumonia: Key Questions for Patient Care
Acute Hello Dr. Ke, I would like to ask about my father, a 72-year-old male, who is suffering from pneumonia complicated by ARDS. His current condition is as follows: the cause of pneumonia is unknown, with reports indicating the presence of Gram-positive bacteria. He is being t...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, your father's condition is quite severe, with pneumonia complicated by ARDS, poor gas exchange, and a generally unfavorable prognosis. Once the lungs progress to fibrosis, the chance of survival and weaning off the ventilator is only 10-20%....[Read More] Understanding ARDS in Pneumonia: Key Questions for Patient Care
Differences Between Traditional and Thoracoscopic Surgery for Esophageal Cancer
Esophageal cancer Hello: The patient's esophageal cancer is diagnosed as stage I, and only surgery is required without chemotherapy. Therefore, I would like to ask about the differences between traditional surgery and thoracoscopic surgery for esophageal cancer.
Dr. Yang Wenda Reply:
Hello, Xiao Lin: Regarding your question, my expertise in pulmonary medicine may not provide you with sufficient information. I recommend consulting a thoracic surgeon or a general surgeon at "Taiwan e-Hospital" for your inquiries. I apologize! Best wishes![Read More] Differences Between Traditional and Thoracoscopic Surgery for Esophageal Cancer
Does Burning Grapefruit Peel Harm Lung Health?
Does smoking cause harm to the lungs? Hello Doctor: My mother has a habit of burning dried pomelo peels to repel mosquitoes while doing laundry. Every time she burns the peels, a lot of smoke is produced, and I end up inhaling the irritating smoke while washing clothes. I have to...
Dr. Qu Changke Reply:
Hello: Any type of smoke can damage the bronchial mucosa, and the specific harm can vary depending on its composition. Generally, it is not recommended to smoke any kind of substance, as individual responses can differ and the long-term effects are uncertain. However, when damage...[Read More] Does Burning Grapefruit Peel Harm Lung Health?
Chest Pain and Blood Taste While Exercising: Causes and Solutions
Chest pain during exercise accompanied by a metallic taste in the mouth can be concerning. It may indicate a serious condition, such as a cardiovascular issue or respiratory problem. It is important to seek medical attention immediately for a thorough evaluation and diagnosis? I ...
Dr. Yang Zhiyun Reply:
Hello: Further medical examination is required to rule out other diseases. The most likely cause is muscle pain, but there is also a possibility of pneumothorax or pulmonary contusion with bleeding, among other issues. Sincerely, Dr. Yang Zhi-yun, Specialist in Thoracic Medicine.[Read More] Chest Pain and Blood Taste While Exercising: Causes and Solutions
Understanding Left Upper Lung Fibrosis: Symptoms and Long-Term Effects
excuse me? Hello: My mother has been diagnosed with fibrosis in the upper left lung. The doctor mentioned that it is just a scar and does not require treatment or medication. Additionally, I would like to ask if there are any potential complications associated with fibrosis in th...
Dr. Yang Wenda Reply:
Hello, QQ: Fibrosis represents inactive lesions, which are usually remnants of past inflammatory responses in that area. Once healed, they leave behind traces, similar to scars on the skin from previous injuries that do not require medication. This type of fibrosis does not requi...[Read More] Understanding Left Upper Lung Fibrosis: Symptoms and Long-Term Effects
Navigating End-Stage Pulmonary Fibrosis: Options and Care for Your Loved One
Could you please provide more details about the issue of pulmonary fibrosis? My grandmother is currently 78 years old and resides in Chiayi. Two weeks ago, she went to the hospital's emergency department due to shortness of breath. Since the emergency room did not have suita...
Dr. Yang Wenda Reply:
Hello, Yezi: I can understand your attentiveness and filial piety from your detailed description. Here are simple answers to your questions: (1) Severe pulmonary fibrosis significantly lowers the chances of successfully weaning off the ventilator. Even if the first attempt is suc...[Read More] Navigating End-Stage Pulmonary Fibrosis: Options and Care for Your Loved One
Managing Recurring Pneumothorax: Treatment Options After Surgery
Left thoracic cavity Hello, Doctor: I experienced a left-sided pneumothorax in August this year, which was a spontaneous pneumothorax. I underwent conservative treatment with a drainage tube, but unfortunately, it recurred in October. This indicates that my chances of a third rec...
Dr. Ke Zhengchang Reply:
Hello: After experiencing a recurrence of pneumothorax and undergoing thoracoscopic surgery, it is recommended that you return to the original hospital for another chest CT scan to determine how many blebs may potentially rupture and cause pneumothorax again. This information wil...[Read More] Managing Recurring Pneumothorax: Treatment Options After Surgery
Understanding Tuberculosis in the Pericardium: Symptoms and Diagnosis Timeline
Extrapulmonary tuberculosis issues? Hello, doctor. Two days ago, my grandmother underwent surgery to drain pericardial effusion. Relatives mentioned that there was 400 cc of effusion, and its color was dark. They also need to perform a culture for tuberculosis bacteria, but they ...
Dr. Qu Changke Reply:
Hello: Dr. Qu is no longer serving at this hospital; I am another physician in the Department of Thoracic Medicine, Dr. Chen. Regarding pericardial effusion, the two most common causes are malignant tumor metastasis and tuberculosis. If tuberculosis is suspected to be the cause o...[Read More] Understanding Tuberculosis in the Pericardium: Symptoms and Diagnosis Timeline
Managing Asthma Concerns Before Surgery: What You Need to Know
Anesthesia for Asthma Dear Doctor, My husband was diagnosed with white patches in his throat by an ENT specialist a month ago, and he needs to undergo surgery for removal and biopsy. However, on the day of the surgery, the anesthesiologist canceled the procedure due to my husban...
Dr. Yang Wenda Reply:
Hello Ms. Yang: As long as your asthma is well-controlled with oral or inhaled medications (without significant asthma symptoms or nighttime attacks that prevent sleep), you can proceed with treatments from other specialties (including surgery). If you have no objections to the s...[Read More] Managing Asthma Concerns Before Surgery: What You Need to Know
Understanding Extrapulmonary Tuberculosis: Severity and Treatment Options
Extrapulmonary tuberculosis I would like to ask a question on behalf of my grandmother. She has been hospitalized since September 7 and has been diagnosed with extrapulmonary tuberculosis, which the doctor said is located around the heart. Previously, she also had a problem with ...
Dr. Qu Changke Reply:
Nick: Extrapulmonary tuberculosis refers to tuberculosis infections that occur outside the lungs. Based on your description, your grandmother likely has pericardial tuberculosis, which has led to pericardial effusion. Tuberculosis infections generally require treatment for at lea...[Read More] Understanding Extrapulmonary Tuberculosis: Severity and Treatment Options
Morning Phlegm: Understanding Causes and Solutions for Chest Health
I cough up thick phlegm every morning upon waking up? Hello Dr. Yang, I do not have a cough, but every morning after waking up, I cough up thick phlegm. This has been happening for a month, and I do not feel unwell otherwise. Could you please advise what kind of condition this mi...
Dr. Yang Wenda Reply:
Hello, Xiao Bao: Typically, sputum is produced due to secretion or inflammation of the bronchial mucosa. It may also be caused by sinusitis or post-nasal drip (which you may feel or notice an unusual odor in the nasal cavity). Additionally, exposure to air pollution, inhalation o...[Read More] Morning Phlegm: Understanding Causes and Solutions for Chest Health
Understanding Pulmonary Dust Accumulation: Causes, Treatment, and Prevention
Pulmonary dust accumulation Hello: I have been coughing for a month without improvement; it is a dry cough. Yesterday, I went to a large hospital for a consultation and had an X-ray. The doctor mentioned that there is some dust in my lungs and is concerned about a possible bacter...
Dr. Zhou Ziguang Reply:
Hello: 1. Based on the attached medication, the physician likely suspects partial infiltration on the chest X-ray and is considering pneumonia, hence the use of the antibiotic Moxifloxacin. 2. If there are other tracheal issues, please discuss with a pulmonologist. 3. If the ...[Read More] Understanding Pulmonary Dust Accumulation: Causes, Treatment, and Prevention
Understanding Your Breathing Issues: Possible Causes and Solutions
I don't even know what illness I have? Hello Dr. Yang: I have been experiencing difficulty breathing for several years. Two years ago, I was diagnosed with asthma, so I didn't pay much attention to it. However, in the past few days, my condition has worsened significant...
Dr. Yang Wenda Reply:
Hello, Ms. Zhang: You have a past diagnosis of asthma, so it is recommended that you visit a pulmonology clinic. As for the other symptoms, it is not immediately possible to determine which organ may be involved. However, for dizziness and a feeling of ear fullness, you may want ...[Read More] Understanding Your Breathing Issues: Possible Causes and Solutions
Is Long-Term Use of Nasal Irrigation Safe for Sinusitis?
Issues with nasal irrigators? Doctor: Hello, I would like to ask if it is safe to use a nasal irrigator long-term. I have recently been experiencing mild sinusitis and otitis media. One doctor suggested that I buy a nasal irrigator, but another doctor warned that using it might p...
Dr. Wu Wenqiu Reply:
Hello Ting: A nasal irrigator can provide long-term benefits for allergic rhinitis, but it must be used correctly to achieve these effects and reduce allergens. I usually advise patients to tilt their heads downward and hold their breath while the saline solution is being introdu...[Read More] Is Long-Term Use of Nasal Irrigation Safe for Sinusitis?
Understanding Shortness of Breath: Causes and Solutions for Relief
Shortness of breath? Hello Doctor, I have been experiencing shortness of breath lately. Normally, breathing is automatic, but recently I’ve noticed that I have to consciously control my breathing. It has been quite bothersome throughout the day, and I’m not sure why this is happe...
Dr. Qu Changke Reply:
Hello, Avi: I would recommend that you visit the mental health clinic. Perhaps your symptoms will improve once your sleep condition gets better. Thank you![Read More] Understanding Shortness of Breath: Causes and Solutions for Relief
Understanding Tuberculosis: Hospitalization Needs and Appetite Issues
Pulmonary tuberculosis 1. Do patients with pulmonary tuberculosis need to be hospitalized? 2. Is there a possibility of experiencing loss of appetite?
Dr. Zhou Ziguang Reply:
Hello: 1. Isolation is generally necessary when there is a need to adjust medications due to side effects or for other diagnostic reasons that require hospitalization. 2. Some patients may experience a loss of appetite due to anti-tuberculosis medications, and in severe cases, me...[Read More] Understanding Tuberculosis: Hospitalization Needs and Appetite Issues
Understanding an 18cm Lung Bubble: Risks and Treatment Options
There is an approximately 18-centimeter bubble in the lung? Hello, my boyfriend has a bubble in his lung that is about 18 centimeters in size, which was discovered approximately five years ago. It has remained the same size since then, and he does not experience any discomfort. H...
Dr. Zhou Ziguang Reply:
Hello: The greatest risk lies in the possibility of pneumothorax. Therefore, individuals in high-risk occupations (such as aviation, diving, etc.) or those engaged in more intense activities (such as athletes) may face a greater risk of pneumothorax. Additionally, if the presence...[Read More] Understanding an 18cm Lung Bubble: Risks and Treatment Options