Other, Pulmonology FAQ - Page 6

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Understanding a 0.6cm Lung Nodule: What You Need to Know

Pulmonary nodule measuring 0.6 cm? Hello, doctor! Recently, a health check at my company revealed a shadow in my lungs, and a CT scan at a major hospital confirmed a 0.6 cm nodule in my right lung. The doctor suggested that I observe it for three months and then have another CT s...


Dr. Jian Shuntian Reply:
Hello: The described 0.6 cm nodule could be benign or an early-stage lung cancer. Please follow up with a CT scan in 3 months and discuss the details further with your attending physician.

[Read More] Understanding a 0.6cm Lung Nodule: What You Need to Know


Persistent Cough: Seeking Solutions for Ongoing Symptoms

Persistent cough that does not resolve? The patient was diagnosed with a fever around February 1, lasting for three days. After taking medication for one week, there was slight improvement, but the cough persisted. On February 8, the patient took a traditional Chinese medicine (T...


Dr. Zhou Ziguang Reply:
Hello: You can go to the thoracic medicine outpatient clinic for a chest X-ray and pulmonary function re-evaluation. Dr. Wu Ying-Hsun (acting).

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


Understanding Chronic Cough: When to Seek Medical Attention for Your Mom

Itchy throat and cough? The definition of a persistent cough is typically a cough that lasts for more than eight weeks in adults. In your mother's case, if she has been coughing three to four times each morning for the past two weeks, it may not yet meet the clinical definit...


Dr. Huang Yiwen Reply:
Dear ERIC: A cough lasting for three weeks without improvement can be classified as a chronic cough. Further evaluation is necessary, and it is recommended to consult a pulmonologist for a chest X-ray (CXR) examination. Changhua Hospital cares about your health.

[Read More] Understanding Chronic Cough: When to Seek Medical Attention for Your Mom


Understanding Tuberculosis Transmission and Treatment Risks in Families

Tuberculosis-related issues? Hello, Doctor! My father was diagnosed with open pulmonary tuberculosis in 2020 and was hospitalized for nearly a year for treatment. After that, both my mother and my daughter tested positive and received preventive medication. I, myself, tested nega...


Dr. Huang Yiwen Reply:
Dear Megan: Thank you for your inquiry. 1. You had a nodular shadow in the past, which suggests that you may have had an infection that is currently in a dormant state as a granuloma. Although preventive medication was administered, it may not have completely eradicated the inf...

[Read More] Understanding Tuberculosis Transmission and Treatment Risks in Families


Understanding Post-Surgery Chemotherapy for Lung Squamous Cell Carcinoma

Staging of Lung Cancer Pathology Report Hello Doctor, I have reviewed my father's pathology report after his left lung pneumonectomy. Since he underwent neoadjuvant therapy (chemotherapy + immunotherapy) prior to surgery, the post-operative staging indicates T0N1. The thorac...


Dr. Huang Yiwen Reply:
Dear Mark: 1. Preoperatively, you have received neoadjuvant therapy. Postoperatively, the staging is T0N1, so you can just be monitored. 2. Currently, the adjuvant chemotherapy after surgery consists of Vinorelbine and Carboplatin for 4 cycles. Changhua Hospital is concerned abou...

[Read More] Understanding Post-Surgery Chemotherapy for Lung Squamous Cell Carcinoma


Asthma Treatment: Can Inhalers Cause Tongue Sores and Numbness?

Asthma with tongue ulceration? The patient used the inhaler for the first time last night, taking one puff each, and has been using it for about four to five days. Initially, there was some improvement in the cough, but yesterday morning, the cough worsened unexpectedly. Addition...


Dr. Huang Yiwen Reply:
Dear Ms. Huang: Both Pulmicort and Symbicort contain steroids and bronchodilators, so it is important to rinse your mouth after use to avoid the risk of oral thrush. Occasionally, these medications can irritate the vocal cords, which may explain the atypical side effects you de...

[Read More] Asthma Treatment: Can Inhalers Cause Tongue Sores and Numbness?


Understanding Low-Dose CT Results: Lung Collapse and Fibrotic Bands Explained

Low-dose computed tomography results? Hello, doctor. Two years ago, I underwent a low-dose computed tomography (CT) scan, which showed no visible lung nodules, but there were areas of atelectasis or fibrotic bands in the right middle lobe, left lower lobe, and lingula. No obvious...


Dr. Huang Yiwen Reply:
Dear Mr. Long: The report from the computed tomography scan indicates old changes consistent with atelectasis, which in medical terms is interpreted as incomplete expansion. This is mostly caused by poor function of the local bronchial wall's fibrous tissue. There is no sign...

[Read More] Understanding Low-Dose CT Results: Lung Collapse and Fibrotic Bands Explained


Understanding Lung Atrophy: Symptoms, Treatment, and Rehabilitation

Pharmaceutical treatment for pulmonary atrophy symptoms? I previously received a misdiagnosis from a cardiologist and was prescribed sedatives, after which I experienced shortness of breath for two years. However, since November of this year, my breathing has improved somewhat, b...


Dr. Yang Wenda Reply:
Hello: General sedatives do not have a significant impact on your lung function. You may have incomplete inhalation, resulting in a lower lung capacity. Changes in chest X-rays may indicate lung atrophy or pulmonary fibrosis. It is recommended that you consult a pulmonologist to ...

[Read More] Understanding Lung Atrophy: Symptoms, Treatment, and Rehabilitation


Understanding Lung Nodules: When to Consider Surgical Removal?

The concerns of pulmonary nodules? Hello, Director Huang. I was diagnosed with stage I nasopharyngeal carcinoma in January 2022. A PET scan showed normal lungs, but during a follow-up CT in December 2022, a 0.8 x 1.3 mm oval non-solid nodule was found in the right lung. A broncho...


Dr. Huang Yiwen Reply:
Dear Xia: It is recommended to proceed with direct excision. Currently, thoracoscopic surgery is very convenient and safe. A 1.3 mm excision would provide more peace of mind. Changhua Hospital cares about you.

[Read More] Understanding Lung Nodules: When to Consider Surgical Removal?


Intermittent Chest Pain: Understanding Causes and Symptoms

Intermittent chest tightness or discomfort? Hello Doctor, I experience episodes of uncomfortable chest tightness and pain every once in a while, usually occurring at night while resting. This happens about two to three times a year, with intervals sometimes exceeding six months, ...


Dr. Zhou Ziguang Reply:
Hello: There are many causes of chest pain. If you have already consulted a pulmonologist, other factors (such as gastroesophageal reflux disease) should also be considered. You may want to see a pulmonologist again (the X-ray was done last year), or consult a gastroenterologist ...

[Read More] Intermittent Chest Pain: Understanding Causes and Symptoms


Understanding Post-Pneumonia Chest Pain: Insights from a Pulmonologist

Hello, Director? Hello, Director Huang. I was hospitalized for pneumonia in December and was discharged after completing the antibiotic treatment. The pulmonology department referred me to cardiology for evaluation due to a heart murmur. I went for a follow-up appointment with th...


Dr. Huang Yiwen Reply:
Dear a86915398: There is indeed no need to take antibiotics since there are no longer any pneumonia symptoms, and taking antibiotics now for the symptoms left over from December would be pointless. The main symptoms of pneumonia are still cough and fever. If you are only experien...

[Read More] Understanding Post-Pneumonia Chest Pain: Insights from a Pulmonologist


Understanding Tuberculosis Transmission and Risks in Family Members

Questions related to pulmonary tuberculosis? Hello, Doctor! My father was diagnosed with open pulmonary tuberculosis in 2020 and was hospitalized for nearly a year for treatment. After that, both my mother and my daughter tested positive and received preventive medication. I, mys...


Dr. Huang Yiwen Reply:
Dear Megan: In 2020, your father had tuberculosis, so it is most likely that he was the source of transmission. Tuberculosis is primarily transmitted within households. Currently, the incidence rate in Taiwan has decreased to 31 per 100,000. The chance of contracting it from outs...

[Read More] Understanding Tuberculosis Transmission and Risks in Family Members


Understanding Chest Pain After a Car Accident: Causes and Next Steps

Hello, Director Huang. I have been experiencing pain after a recent car accident? On January 28, I went to the emergency room after a car accident. Besides external bruises, I experienced left-sided chest pain rated around 2 to 4 out of 10. The pain felt like it was on the surfac...


Dr. Huang Yiwen Reply:
Dear Mr. Chen: Based on your description, in addition to the impact, it is likely related to your history of pneumothorax and severe scoliosis (which may be causing respiratory limitations and pain). If there is no improvement, I recommend scheduling a CT scan to rule out other c...

[Read More] Understanding Chest Pain After a Car Accident: Causes and Next Steps


Understanding Increased Lung Markings in Chest X-Ray Reports

Chest X-ray report - Increased pulmonary markings? Hello Dr. Huang, I recently received a chest X-ray report with the following findings. Are there any specific issues I should be concerned about? It mentions increased lung markings; could this be related to the cough and sputum ...


Dr. Huang Yiwen Reply:
Dear Xiao Zhu: The increased lung markings on the chest X-ray report do not have any significant clinical implications. This phenomenon can occur simply due to whether the lungs were fully inflated or not during the imaging. Some cases of bronchitis may also be related to this fi...

[Read More] Understanding Increased Lung Markings in Chest X-Ray Reports


Understanding Back Pain in Lung Cancer Patients: Causes and Management

Lower back pain? Hello, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with Alectinib. Recently, I have been experiencing lower back pain and discomfort around my buttocks. The pain is not severe, but it can be uncomfortable during movement, a...


Dr. Huang Yiwen Reply:
Dear Xiao Ke: Pain is not necessarily indicative of metastasis; neuromuscular strains can also cause pain. If short-term use of pain relievers does not lead to improvement, a bone scan may be recommended. For now, it is advisable to consult an orthopedic specialist to rule out ot...

[Read More] Understanding Back Pain in Lung Cancer Patients: Causes and Management


Understanding Lung Nodules: Importance of Follow-Up CT Scans

Computed Tomography (CT) Scan for Pulmonary Nodules Hello, Doctor. In May 2021, I had a CT scan. Summary: All information from the patient. Past medical history: Hypertension - , Diabetes Mellitus - , Coronary Artery Disease - , Asthma - , Surgical history - Personal history: Bet...


Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest CT scan images, I am unable to provide appropriate recommendations. I suggest discussing future management options with the attending physician at the hospital where the examination was performed. Thank you.

[Read More] Understanding Lung Nodules: Importance of Follow-Up CT Scans


Understanding Mild Lung Opacity: Causes and Concerns for Patients

Mild pulmonary opacity? In mid-November, I experienced gastritis and gastroesophageal reflux, along with bronchitis and a cold. My weight dropped from 53 kg to around 48-49 kg in a short period. My family, who have been coughing for a long time, suggested that I might have pneumo...


Dr. Wang Zhengde Reply:
Hello Mei Mei, due to the limited information that can be provided through online consultations, I can only answer some of your questions. Compared to a chest X-ray, a computed tomography (CT) scan has a higher sensitivity and can reveal more details, which may include issues tha...

[Read More] Understanding Mild Lung Opacity: Causes and Concerns for Patients


Persistent Cough for a Month: Understanding Allergies and Asthma Symptoms

Sudden cough lasting for one month? I have a history of nasal allergies. Last month, one night I suddenly felt an itch in my throat, and since then I've been coughing intermittently. I have never experienced these symptoms before. The cough is accompanied by a severe wheezin...


Dr. Huang Yiwen Reply:
Dear Xiao Xi: A common cold typically does not cause a cough that lasts this long. Based on your description, it seems to be a cough triggered by an acute asthma attack. Simply treating the cough will not be effective; it is necessary to address the asthma itself. Improvement in ...

[Read More] Persistent Cough for a Month: Understanding Allergies and Asthma Symptoms


Managing Side Effects of Tuberculosis Treatment in Elderly Patients

Complications of tuberculosis medication? Hello Dr. Wang, My father was diagnosed with tuberculosis in September of this year and has been undergoing treatment for three months. During his previous follow-up visits, his liver function tests were completely normal, but this time,...


Dr. Wang Zhengde Reply:
Dear Miss Vicky, It is indeed important to pay special attention to drug-induced hepatitis caused by anti-tuberculosis medications. However, if it occurs, it typically happens early in the course of treatment. In addition to medications, other causes of elevated liver enzymes in...

[Read More] Managing Side Effects of Tuberculosis Treatment in Elderly Patients


Understanding Ground-Glass Nodules: What You Need to Know

Ground-glass nodules in the lungs? Hello doctor, I recently underwent a health check due to persistent dizziness, and it was discovered that I have a 1.2 cm cavitary ground-glass nodule in the right middle lobe of my lung. Although the report mentions that it could possibly be ca...


Dr. Yang Wenda Reply:
Hello: Cavitary lesions caused by infections may result from bacteria or other pathogens (such as mycobacteria or fungi) leading to localized inflammation or tissue necrosis. After being expelled through small bronchi, cavities may be left behind. It is recommended that you promp...

[Read More] Understanding Ground-Glass Nodules: What You Need to Know


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