Other, Pulmonology FAQ - Page 44

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Understanding Chest Pain: Causes, Symptoms, and When to Seek Help

There is some pain in the chest? Hello Doctor, I've been experiencing some chest discomfort for the past two weeks, and there was a moment when the pain was so severe that I could barely breathe. Could this be related to smoking? Recently, I've also been feeling very fa...


Dr. Qu Changke Reply:
Hello, A-Zhen: There are many causes of chest pain, including conditions related to the heart, lungs, and esophagus, among others. A thorough examination is necessary to determine the cause. Therefore, I recommend that you visit an outpatient clinic.

[Read More] Understanding Chest Pain: Causes, Symptoms, and When to Seek Help


Coughing Up Blood with White Particles: Possible Causes and Advice

Hemoptysis with the presence of white spots in the blood? I would like to ask the doctor about a foreign spouse I know. Recently, they returned to Vietnam to visit family and discovered that their mother was coughing up blood, and it was not just blood streaks; the amount was sig...


Dr. Zhou Ziguang Reply:
Hello: There are many causes of hemoptysis, including the possibility of tuberculosis and lung cancer. A diagnosis by a physician is necessary for further management. Sincerely, Dr. Chou Tzu-Kuang, Director of Radiology.

[Read More] Coughing Up Blood with White Particles: Possible Causes and Advice


Understanding Coughing During Pregnancy: When to Seek Medical Help

Coughing can cause discomfort in the chest cavity? Hello Doctor: My wife is over three months pregnant and has been coughing due to a cold for nearly a month. The cough is quite severe, and at times there are traces of blood and discomfort in her chest. There have been several ni...


Dr. Qu Changke Reply:
Hello, Xiaoming: A chest ultrasound may not be very helpful for your wife; however, considering a sputum test could be beneficial. Additionally, there are many causes of coughing, such as bronchitis, asthma, gastroesophageal reflux disease (GERD), among others. It is essential to...

[Read More] Understanding Coughing During Pregnancy: When to Seek Medical Help


Understanding Symptoms of Lung Diseases: A Guide for Concerned Families

Could you please specify the suspected pulmonary diseases? Hello Doctor: My father is nearly sixty years old, and he has recently exhibited the following symptoms: (1) About 3 to 4 months ago, he started coughing persistently every night, leading to chronic sleep deprivation. He ...


Dr. Yang Wenda Reply:
Hello Xiaomi, Your father currently has several issues to address: 1. After a confirmed diagnosis of tuberculosis, he needs to adhere to the medication regimen for 6 to 9 months, and most cases can be cured. 2. During the medication period, it is important to monitor for any si...

[Read More] Understanding Symptoms of Lung Diseases: A Guide for Concerned Families


Could Your Breathing Issues Be Asthma Symptoms? Expert Insights

Is this a symptom of asthma? Hello, Doctor. I would like to ask about a recent issue I've been experiencing. I often suddenly feel short of breath, as if I can't get enough air, especially in the early morning, evening, and when I'm about to catch a cold. These epi...


Dr. Yang Wenda Reply:
Hello Apple: Asthma patients often have an allergic constitution (such as atopic dermatitis or allergic rhinitis) and are prone to attacks in the early morning and at midnight (coughing, wheezing, or shortness of breath). Attacks can also occur after exercise or during a cold, bu...

[Read More] Could Your Breathing Issues Be Asthma Symptoms? Expert Insights


Can Asthma Be Cured? Understanding Long-Term Management and Risks

Can asthma be cured? Is asthma curable, doctor? Recently, I was talking to a friend whose parents have no history of asthma. Her mother works out vigorously at the gym every day, and her father rides a bicycle for 10 kilometers daily. I believe that without a certain level of lun...


Dr. Yang Wenda Reply:
Hello, Da Fei: Asthma may be caused by genetic factors or acquired disorders. As long as asthma is well-controlled, there should not be significant issues with marriage and having children. For further information on related topics, you can visit the Taiwan Asthma Consultation Co...

[Read More] Can Asthma Be Cured? Understanding Long-Term Management and Risks


Persistent Cough and Phlegm: Seeking Solutions for Ongoing Symptoms

Coughing for several days? Hello, Dr. Jian. My surname is Yu. I have a female colleague who had a cold last week. When I accompanied her to see the doctor, the physician mentioned that she had a lot of phlegm while listening to her back. My colleague has a history of allergic rhi...


Dr. Jian Linzhen Reply:
There are many causes of coughing, but if the cough lasts more than three weeks or if there is a fever exceeding 38 degrees Celsius for three days, it is recommended to visit a pulmonologist for a chest X-ray to rule out tuberculosis or pneumonia. Based on your colleague's s...

[Read More] Persistent Cough and Phlegm: Seeking Solutions for Ongoing Symptoms


Persistent Cough and Itchy Throat: Seeking the Right Specialist

Cough and throat itchiness for one to two years? A year or two ago, I had a cold that led to a persistent cough, and since then, my throat has been slightly itchy. The phlegm is white, and it's been quite bothersome. Recently, with the cold front and the drop in temperature,...


Dr. Cai Fushun Reply:
According to the symptoms described in the letter, coughing that worsens with changes in weather temperature is mostly caused by allergies, such as allergic asthma and allergic rhinitis. In particular, allergic rhinitis can sometimes lead to post-nasal drip and a scratchy throat....

[Read More] Persistent Cough and Itchy Throat: Seeking the Right Specialist


Persistent Cough After Cold: When to Seek Further Medical Evaluation?

Could you please provide more context or specify your question about coughing? Hello, Doctor. Last October, I caught a cold, and after about a week, I recovered but was left with a persistent cough. By early December, I noticed that the cough had lasted too long, so I visited a p...


Dr. Qu Changke Reply:
Hello TPE52: The diagnosis of a disease must be based on a comprehensive assessment that includes medical history, physical examination, and laboratory tests (such as blood tests, X-rays, etc.). Additionally, X-rays must be reviewed in person for accurate interpretation. Therefor...

[Read More] Persistent Cough After Cold: When to Seek Further Medical Evaluation?


Understanding Painless Bronchoscopy for Lung Tumor Biopsy: Costs and Accuracy

Lung tumor Doctor: I would like to know about painless bronchoscopy for biopsy. Is it performed in the same way as a regular bronchoscopy, entering through the nose for the biopsy? Is the cost considered out-of-pocket? There is a 7 cm tumor that has not been biopsied yet. The doc...


Dr. Zhuang Ziyi Reply:
Hello: 1. A painless bronchoscopy refers to the use of short-acting anesthetics to alleviate the discomfort experienced by patients during the bronchoscopy procedure, and there is no absolute relationship between whether the bronchoscope is inserted through the nasal cavity or th...

[Read More] Understanding Painless Bronchoscopy for Lung Tumor Biopsy: Costs and Accuracy


Understanding Bronchial Abscess: Treatment Options and Surgical Considerations

Bronchial abscess My brother is studying in mainland China and has recently been experiencing coughing. After a doctor's diagnosis, it was found that there are abscesses in his bronchi, and each time he has an episode, the abscesses become larger. The recommendation from the...


Dr. Yang Wenda Reply:
Hello Gene: The translation of medical terms used in Mainland China differs slightly from that in Taiwan. As far as I recall, we do not use the term "bronchial abscess." Based on the literal meaning, it seems to refer to three types of conditions: (1) Bronchogenic cyst,...

[Read More] Understanding Bronchial Abscess: Treatment Options and Surgical Considerations


Understanding Pleural Effusion: Causes and Treatment for Elderly Patients

Pleural effusion Grandma is 90 years old and has mild dementia, degenerative arthritis, a BUN of 32.7, a creatinine level of 2.29, and a uric acid level of 11.0. Last year, she was hospitalized for 10 days at Shou-Ji Medical Center due to intestinal obstruction and diverticulosis...


Dr. Qu Changke Reply:
Hello Xiaowei: Your grandmother is likely experiencing pleural effusion (sometimes referred to by doctors as pulmonary edema, but the correct term is pleural effusion). There are many causes of pleural effusion, including malignant tumors, pneumonia, heart failure, kidney failure...

[Read More] Understanding Pleural Effusion: Causes and Treatment for Elderly Patients


Understanding Pulmonary Fibrous Granulomas: Risks and Treatment Options

Pulmonary fibrous hamartoma Hello Dr. Zhou, Four years ago, I was diagnosed with pulmonary tuberculosis and have since recovered after treatment. Recently, after undergoing blood tests and a chest X-ray, it was found that there is a fibrous granuloma in the upper left lung. Addi...


Dr. Zhou Ziguang Reply:
Hello: 1. General fibrous granuloma is a change left by previous inflammation or injury. It should be compared with the original X-ray to confirm whether it is indeed an old lesion; otherwise, further intervention may be necessary. Please discuss this with the original treating...

[Read More] Understanding Pulmonary Fibrous Granulomas: Risks and Treatment Options


Understanding Asthma Symptoms: Seasonal Triggers and Breathing Difficulties

Symptoms of asthma Doctor: There is no family history of asthma at home. However, I often feel short of breath with seasonal changes. There have been a few occasions when I drank alcohol and experienced difficulty breathing, wheezing, and chest pain. I used a bronchodilator, whic...


Dr. Yang Wenda Reply:
Hello, Furong: Even without a family history, asthma can still be triggered by air pollution or other allergens. If you experience wheezing and find relief with bronchodilators, it resembles bronchial symptoms. I recommend visiting a major hospital's pulmonary department for...

[Read More] Understanding Asthma Symptoms: Seasonal Triggers and Breathing Difficulties


Should You Consult a Pulmonologist for Chest Tightness and Pain?

Pulmonology My mother has been feeling unwell for a month, initially thinking it was a cold. However, after taking medication, her condition did not improve. She often feels tightness in her chest and experiences shortness of breath, along with intermittent headaches. Concerned a...


Dr. Qu Changke Reply:
Hello A-Jiang: Regarding your question, I recommend visiting the pulmonary medicine outpatient clinic for further evaluation and examination.

[Read More] Should You Consult a Pulmonologist for Chest Tightness and Pain?


Exploring Lung Tumor Diagnosis: Beyond Bronchoscopy for 7cm Growth

The lung tumor is 7 centimeters in size? Doctor: My father was recently diagnosed with a 7 cm lung tumor. He has decided not to go to the hospital for further examinations after hearing the news. His blood tests came back normal, and he rarely coughs. Overall, he seems to be doin...


Dr. Qu Changke Reply:
Hello Weiwei: The methods for obtaining tissue samples for pathological examination of lung tumors primarily include bronchoscopic biopsy, ultrasound-guided percutaneous biopsy, and CT-guided percutaneous biopsy. However, bronchoscopic examination is essential for staging.

[Read More] Exploring Lung Tumor Diagnosis: Beyond Bronchoscopy for 7cm Growth


Am I Experiencing Asthma, COPD, or Another Lung Condition?

Am I suffering from asthma, another condition, or emphysema? In the past week, I have frequently experienced chest tightness with a bit of pain, and I feel like I can't fully inhale, especially when sitting down or driving; it feels like my breathing is not smooth. I have a ...


Dr. Qu Changke Reply:
Dear Sam, Many diseases can manifest as chest tightness and shortness of breath, such as issues related to the heart and lungs. Therefore, it is not possible to make a judgment based on your description alone. I recommend that you come in for a consultation.

[Read More] Am I Experiencing Asthma, COPD, or Another Lung Condition?


Is Dizziness a Sign of Lung Cancer Metastasis to the Brain?

Lung cancer metastasis Hello Dr. Chuang, I would like to ask a question. My mother is in the advanced stage of lung cancer, and she has recently been experiencing dizziness. Could this be a sign of lung cancer metastasizing to the brain? I am very worried and look forward to your...


Dr. Zhuang Ziyi Reply:
Hello Claire: Regarding your mother's case as a patient with advanced lung cancer, even in the absence of central nervous system symptoms (such as headache, vomiting, hypertension, or increased chest pressure), there is still a 30% chance of metastasis to the chest. It is re...

[Read More] Is Dizziness a Sign of Lung Cancer Metastasis to the Brain?


Understanding Chest Pain: When to See a Pulmonologist

Thoracic cavity Three months ago, I experienced tightness in my chest and difficulty breathing, which worsened. After three weeks, it happened again, and two weeks later, it occurred once more. Now it seems to happen almost daily, making breathing uncomfortable. I find myself nee...


Dr. Qu Changke Reply:
Hello, regarding the issue of chest pain, it can manifest from mild conditions (such as muscle pain) to severe conditions (such as pulmonary embolism or myocardial infarction). Therefore, it is recommended that you first schedule an appointment with a pulmonologist for further ev...

[Read More] Understanding Chest Pain: When to See a Pulmonologist


Understanding Tuberculosis: Diagnosis and Next Steps for Patients

Pulmonary tuberculosis Hello Doctor: I went to Mackay Memorial Hospital for an examination in early November, and the X-ray showed abnormalities. The doctor prescribed a week of antibiotics for me, and after a week, the X-ray showed no changes (the findings were the same as the X...


Dr. Zhou Ziguang Reply:
Hello: A positive sputum culture is mostly indicative of Mycobacterium tuberculosis, which would suggest open pulmonary tuberculosis. However, a portion may be non-tuberculous mycobacteria, which requires further identification of the species. Traditional methods take about a mon...

[Read More] Understanding Tuberculosis: Diagnosis and Next Steps for Patients


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