Understanding Chest Pain During Deep Breathing: Causes and Next Steps
Experiencing sharp pain in the chest during deep breathing with the pain only occurring while breathing and not when pressing on the area, with a clear and fixed point of pain? Hello Doctor, I have been troubled by this issue for a long time and am increasingly worried, so I am h...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your chest pain symptoms are indeed more consistent with myofascial pain or costochondritis, and you have undergone a series of examinations with no significant abnormalities found. Since myofascial pain is often caused by poor posture, stress, a...[Read More] Understanding Chest Pain During Deep Breathing: Causes and Next Steps
Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Genetic Testing Report Hello, I am diagnosed with stage 3B lung adenocarcinoma with an ALK gene mutation. I am currently undergoing treatment with Alectinib. A PET scan showed bright spots in the hilar region of the lungs; the thoracic oncologist indicated that these are old canc...
Dr. Yang Wenda Reply:
Hello: It should still be the original mutation. For other questions, I suggest you consult your attending physician![Read More] Understanding Your ALK Gene Test Results in Lung Adenocarcinoma
Understanding Heart Palpitations and Lung Obstruction Symptoms
Palpitations and pulmonary obstruction? I have pulmonary obstruction, but I get breathless and in severe pain before I even reach the second floor. I feel my heart is tired and I'm gasping for air, experiencing weakness in my heart. I am more easily short of breath, have che...
Dr. Wang Lanfeng Reply:
Hello: You have a problem with pulmonary obstruction. Based on your description, your current condition is relatively severe. Since diseases of the heart and lungs often affect each other, it is recommended that you first visit a pulmonology clinic for evaluation. After a complet...[Read More] Understanding Heart Palpitations and Lung Obstruction Symptoms
Persistent Dry Cough for 2 Months: When to Seek Further Medical Help?
Dry cough for 2 months? I have been experiencing a dry cough for almost two months. A month ago, I visited a doctor who said it was caused by allergies, but I have occasionally had nasal congestion. Each time I cough, the phlegm is white and only a small amount. Sometimes I cough...
Dr. Wang Lanfeng Reply:
Hello: There are many potential causes of chronic cough, which may include respiratory diseases, gastrointestinal disorders, or even side effects from medications. It is recommended that you visit a pulmonology clinic at a hospital to clarify your condition. Thank you.[Read More] Persistent Dry Cough for 2 Months: When to Seek Further Medical Help?
Understanding Your Chest CT Report: Key Insights and Next Steps
Chest CT Report I have been experiencing some random sharp pains in my right chest, particularly noticeable when drinking hot soup or bending over to work. I consulted a pulmonologist, and after an X-ray, the doctor suspected a nodule approximately 0.7 cm in size, while other are...
Dr. Wang Zhengde Reply:
Hello, Ah-Chung: Based on the findings from the attached CT scan and chest X-ray reports, there are some specific observations (1. reticular opacities and/or subpleural nodules in the right middle lobe, lingula of the left upper lobe, posterior right lower lobe, and left lower lo...[Read More] Understanding Your Chest CT Report: Key Insights and Next Steps
Understanding Asthma: Medication Changes and Breathing Difficulties
Asthma issues Hello Doctor: Two years ago, I had a severe cough and consulted a pulmonologist who diagnosed me with asthma. My treatment was well-controlled for a while, but about six months ago, my primary physician stopped seeing patients, and I sought medication from another d...
Dr. Wang Lanfeng Reply:
Hello: The treatment for asthma is typically adjusted based on your symptoms and the results of pulmonary function tests. It is advisable to discuss the appropriate treatment options with your primary care physician. Thank you.[Read More] Understanding Asthma: Medication Changes and Breathing Difficulties
Understanding CT and PET Scan Results in Stage IIIB Lung Adenocarcinoma
CT Scan Report I was diagnosed with stage IIIB lung adenocarcinoma in March of this year and am currently undergoing treatment with Anlotinib. I have a few questions regarding my condition: 1. This is my first PET scan, and the report shows increased uptake in the hilar region o...
Dr. Huang Yiwen Reply:
Dear Xiao Ke: The hilar mediastinal lymph nodes were noted in the CT scan from March. Therefore, the subsequent PET scan likely shows the previously identified areas lighting up, which may be interpreted differently due to their locations. Essentially, this indicates the presence...[Read More] Understanding CT and PET Scan Results in Stage IIIB Lung Adenocarcinoma
Are Herbal Cigarettes Safe? Understanding the Risks and Health Concerns
Is herbal smoking harmful? Recently, my family has been exposed to herbal cigarettes, which they emphasize do not contain nicotine or other carcinogens, claiming they are non-addictive and pose no issues. However, I believe that burning any substance produces particulate matter, ...
Dr. Wang Lanfeng Reply:
Hello: Regardless of the tobacco components, burning them can produce harmful substances, and long-term inhalation into the lungs may pose health risks. It is recommended to adhere to the principle of not using tobacco. Thank you.[Read More] Are Herbal Cigarettes Safe? Understanding the Risks and Health Concerns
Understanding PET and CT Reports for Lung Cancer Management
Positron Emission Tomography (PET) and Computed Tomography (CT) Report Here is the translation of the provided medical content: The following is the chest computed tomography report from September: **Computed Tomography of Chest With and Without Enhancement Shows:** **Techniqu...
Dr. Huang Yiwen Reply:
Dear Koko: 1. According to the attached report, there is no deterioration, and we cannot determine the drug resistance issue based on the absence of deterioration; continuous observation is necessary. 2. The current report is indeed accurate. 3. An MRI of the brain is more pr...[Read More] Understanding PET and CT Reports for Lung Cancer Management
Post-COVID Coughing Spells: Understanding Symptoms and When to Seek Help
Sudden persistent cough and weight loss after diagnosis? Hello, I would like to inquire about my current condition. It has been approximately three weeks since I tested positive and recovered. Currently, I experience severe coughing fits for about half an hour, usually one or two...
Dr. Wang Lanfeng Reply:
Hello: After a COVID-19 infection, some patients do experience the symptoms you described. Some patients may improve after a period of time, while others may have symptoms that persist for a longer duration. If your symptoms continue, it is recommended that you visit a pulmonolog...[Read More] Post-COVID Coughing Spells: Understanding Symptoms and When to Seek Help
Sudden Breathing Difficulties: Understanding Causes and Solutions
Sudden shortness of breath? I'm sorry, doctor. Since this past Monday, I've suddenly felt a sensation of breathlessness. Sometimes I have to take deep breaths to relieve the discomfort, but I don't have a cough or significant wheezing, and it doesn't affect my...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are non-specific manifestations, making it difficult to determine the underlying cause. If your symptoms persist, you may want to visit a pulmonology clinic for further evaluation. Thank you.[Read More] Sudden Breathing Difficulties: Understanding Causes and Solutions
Monitoring Lung Nodules: When to Worry and Treatment Options
Lung nodule follow-up Hello Doctor: Eight years ago, my mother was found to have three pulmonary nodules during a chest X-ray screening. One of them increased from 0.4 cm to 0.8 cm during a follow-up CT scan six months later. Due to the rapid growth, the physician recommended sur...
Dr. Wang Lanfeng Reply:
Hello: Since your mother has already undergone surgery for early-stage lung cancer, and there are currently signs of proliferation in other lung nodules, it is recommended that you return to her original treating physician for a follow-up consultation to discuss the most appropri...[Read More] Monitoring Lung Nodules: When to Worry and Treatment Options
Sudden Throat Itch and Cough: Understanding Symptoms and Risks
Sudden throat itch and cough? Hello Doctor, I work as a contracted staff member in a hospital, which carries a certain risk of viral infections. I am a patient with a chronic illness (Type 2 diabetes) and have been on medication with regular follow-ups. So far, I have not been di...
Dr. Wang Lanfeng Reply:
Hello: If you experience respiratory symptoms but test negative for COVID-19 with a rapid test, it is recommended that you seek medical attention if the symptoms persist. A physician can determine whether a COVID-19 PCR test is necessary. Regarding the chest pain issue you mentio...[Read More] Sudden Throat Itch and Cough: Understanding Symptoms and Risks
Understanding Shortness of Breath and Chest Tightness: Causes and Solutions
Shortness of breath and chest tightness? Hello Doctor: 1. I have shallow breathing and often feel like I can't get enough air. After talking to customers for just a few sentences, I need to take a deep breath. Even when sitting quietly, I frequently find myself needing to ...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms are non-specific manifestations, making it difficult to determine the underlying cause. If your symptoms persist, you may want to visit a pulmonology clinic for further evaluation. Thank you.[Read More] Understanding Shortness of Breath and Chest Tightness: Causes and Solutions
Persistent Coughing: When X-rays Show Clear Lungs, What's Next?
Persistent cough without resolution, chest X-ray shows clear lungs? Hello, doctor! My mother has been experiencing a dry cough for over two months. Although she felt better after taking medication, the cough returned two to three weeks later. Initially, she had a chest X-ray, whi...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your mother's symptoms are nonspecific, making it difficult to determine the underlying cause. If her symptoms persist, it would be advisable to visit a pulmonology outpatient clinic. Thank you.[Read More] Persistent Coughing: When X-rays Show Clear Lungs, What's Next?
Understanding Sudden Breathlessness: Causes and When to Seek Help
Sudden interruption of breathing? Hello Doctor: I am a 32-year-old female. For the past two days, I have been experiencing a sudden sensation of breathlessness (or a feeling of my heart skipping a beat, which is hard to describe...). Each episode lasts about half a second, and so...
Dr. Wang Lanfeng Reply:
Hello: Based on your description, your symptoms seem more like paroxysmal arrhythmia, which typically occurs during periods of fatigue or increased stress. I recommend that you visit a cardiology clinic for further evaluation. Thank you.[Read More] Understanding Sudden Breathlessness: Causes and When to Seek Help
Post-Recovery Cough and Chest Pain: When to See a Specialist?
I have recovered from the diagnosis, but I am experiencing a cough and chest pain? Hello, doctor. I was diagnosed about two weeks ago, but I still have some issues. During the infection, I had a severe cough and experienced occasional chest pain or tightness, along with phlegm in...
Dr. Wang Lanfeng Reply:
Hello: After a COVID-19 infection, some patients do experience the symptoms you described. Some patients may improve after a period of time, while others may have symptoms that persist for a longer duration. If your symptoms continue, it is advisable to visit a pulmonology clinic...[Read More] Post-Recovery Cough and Chest Pain: When to See a Specialist?
Understanding Your Chest X-Ray: What Your Report Really Means
The health insurance quick access chest X-ray report shows a lot of information. The physician reviewed the images and indicated that there are no abnormalities? Hello Doctor: Recently, I have been experiencing pain along the left chest margin that extends to my shoulder. I consu...
Dr. Wang Lanfeng Reply:
Hello: Since I cannot view the original chest X-ray images, I am unable to provide appropriate recommendations. I suggest discussing this matter with the attending physician at the hospital where the examination was conducted. Thank you.[Read More] Understanding Your Chest X-Ray: What Your Report Really Means
Persistent Left Chest Pain When Lying Down: Seeking Answers
Sharp pain in the left chest when inhaling while lying down? Hello, since I was 17 years old, I have experienced a sharp pain in my left chest when lying in bed for a long time or just after waking up. The pain occurs in the same location each time, but it alleviates as soon as I...
Dr. Yang Wenda Reply:
Hello Mr. Lin: Experiencing muscle cramps after lying down for a long time at night or just waking up may be due to changes in posture. As long as there are no issues with the internal organs, there shouldn't be any major health concerns. It's important to learn to coex...[Read More] Persistent Left Chest Pain When Lying Down: Seeking Answers
Understanding Your Chest CT Scan Report: Key Insights and Follow-Up
Computed Tomography Report I would like to inquire about the content of the examination report. I have been experiencing recurrent discomfort near my chest area, which prompted me to undergo a CT scan and X-ray report. The physician reviewed the results and stated that no issues ...
Dr. Yang Wenda Reply:
Hello Junyi: According to the report, there are small nodules in the lungs, but they are not large (0.3 cm and 0.6 cm). It is recommended to follow up with a CT scan in two years. During this period, you can have a chest X-ray for follow-up annually. Best wishes![Read More] Understanding Your Chest CT Scan Report: Key Insights and Follow-Up