Persistent Cough: Understanding Mycoplasma Infection and Treatment Options
Persistent cough Hello Doctor: I have been coughing since mid-August. Initially, I only had a slight fever and sore throat, but the cough has become increasingly severe. I visited two clinics without any improvement, and when I went to a large hospital, an X-ray revealed some inf...
Dr. Wu Yingxun Reply:
Based on the reported symptoms, it appears to be an allergic reaction following a respiratory tract infection, related to exposure to a scrub sponge. The symptoms should gradually improve.[Read More] Persistent Cough: Understanding Mycoplasma Infection and Treatment Options
Understanding Lung Nodules: What You Need to Know About Your Health
Regarding lung issues? My wife participated in a company health check in mid-April and recently received a report stating: "Suspected small nodule in the right upper lung, possibly a granuloma." Since last year's report did not show any abnormalities, we took her t...
Dr. Yang Wenda Reply:
Hello: Pulmonary nodules may be related to infections (usually accompanied by cough symptoms) such as tuberculosis, fungal infections, or residual scarring from pneumonia. They may also indicate early-stage tumors (but growth rate should be monitored, typically every 2-3 months)....[Read More] Understanding Lung Nodules: What You Need to Know About Your Health
Understanding Lung Fibrosis, Calcification, and Acid-Fast Bacilli Testing
Lobar pulmonary fibrosis, calcification, and positive acid-fast bacilli test? I am a nursing student. In middle school, I had pneumonia that led to fibrosis in my right upper lung. However, during a health check-up last August, I noticed an increase in lung markings. I have a his...
Dr. Yang Wenda Reply:
Hello: The previous fibrosis in your right upper lung and the current calcification observed during the physical examination should be considered the same condition, both indicating non-active lesions. Treatment would only be necessary if a tuberculosis culture is positive two mo...[Read More] Understanding Lung Fibrosis, Calcification, and Acid-Fast Bacilli Testing
Can a Child Be Infected Again After Preventive TB Treatment?
If a person who has previously received preventive treatment for tuberculosis (TB) experiences a relapse of the infection, can they still transmit the disease? Hello Doctor: My mother was diagnosed with open pulmonary tuberculosis last year and was cured after six months of treat...
Dr. Zhou Ziguang Reply:
Hello: If a family member has a recurrence of pulmonary tuberculosis and you are still a close contact, there is still a possibility of transmission. Should preventive medication be administered, is it necessary to conduct another examination and assessment, while also paying att...[Read More] Can a Child Be Infected Again After Preventive TB Treatment?
Understanding Medication Side Effects: When to Seek Help for Persistent Symptoms
The pulmonologist diagnosed pneumonia and mentioned that it is a side effect of the medication, recommending intravenous therapy? Hello Dr. Zhou, I really don't know what to do. I visited a pulmonologist on Tuesday evening because I was drooling and had bubbles in my saliva,...
Dr. Zhou Ziguang Reply:
Hello: 1. Please discuss in detail with your physician. 2. If drooling persists, you may request an evaluation by a neurologist.[Read More] Understanding Medication Side Effects: When to Seek Help for Persistent Symptoms
Managing Excessive Salivation and Coughing After Pneumonia Treatment
Pneumonia Hello, I have pneumonia and have been experiencing excessive salivation with bubbles. What should I do? I was hospitalized from April 14 to April 19, and since then I have been taking medication but still have a cough, phlegm, and shortness of breath. After taking medic...
Dr. Zhou Ziguang Reply:
Hello, it may be due to medication side effects or changes in your condition. Please schedule a follow-up appointment for treatment. Wishing you good health, Dr. Chou Tzu-Kuang.[Read More] Managing Excessive Salivation and Coughing After Pneumonia Treatment
Persistent Cough: Understanding Chronic Bronchitis and Its Treatment
Persistent cough? Hello Dr. Huang! I would like to consult you regarding my persistent cough. Since March 2016, after being infected with a cold from a family member, I have been experiencing a continuous cough for over a month now. I have visited five different clinics without i...
Dr. Huang Yiwen Reply:
Dear Mr. Lin: There are many causes of cough. Usually, a persistent cough is unlikely to be just a simple cold. The most common causes include chronic bronchitis, asthma, post-nasal drip, gastroesophageal reflux, pneumonia, pulmonary tuberculosis, and lung tumors. However, consid...[Read More] Persistent Cough: Understanding Chronic Bronchitis and Its Treatment
Can Pneumonia Lead to Sepsis and Lung Cancer? Understanding the Risks
Can pneumonia lead to sepsis? My mother has been coughing for a long time, and the doctor treated her for tuberculosis. However, after taking medication for more than six months, her cough has not improved. Later, she developed shortness of breath and required an oxygen machine t...
Dr. Yang Wenda Reply:
Hello: If a patient continues to experience wheezing after six months of tuberculosis treatment, it is possible that extensive lesions in both lungs were present at the time of diagnosis. Even after treatment, fibrosis may remain and affect lung function. Additionally, there may ...[Read More] Can Pneumonia Lead to Sepsis and Lung Cancer? Understanding the Risks
Is There a Link Between Left Lung X-Ray Abnormalities and Rapid Heartbeat?
Is there a relationship between abnormalities in the upper left lung X-ray and a rapid heartbeat? My mother is 65 years old (non-smoker, non-drinker, with a light diet, and no family history). A year ago, an X-ray revealed mild pneumonia in the lower right lung, which was treated...
Dr. Zhou Ziguang Reply:
Hello: 1. There is a pre-existing mitral valve prolapse, which may cause chest discomfort symptoms; further evaluation by a cardiologist is recommended. 2. The abnormality in the left upper lung cannot be determined from the text; a follow-up examination at the original hospital ...[Read More] Is There a Link Between Left Lung X-Ray Abnormalities and Rapid Heartbeat?
Persistent X-ray Findings in Pneumonia: Bacterial Pathogen Insights
X-ray findings of pneumonia? Which pathogens show prolonged X-ray findings even after the symptoms of pneumonia have improved, compared to other pathogens? Thank you.
Dr. Zhou Ziguang Reply:
Hello: The X-ray findings are related to the pathogens and the patient's immune status, and cannot be generalized. Certain specific pathogens may present more typical imaging characteristics, but this is not absolute.[Read More] Persistent X-ray Findings in Pneumonia: Bacterial Pathogen Insights
Mild Fibrosis in Upper Lobes: Is It Related to Previous Lung Injury?
Mild fibrosis in the upper lobe? Hello Dr. Yang, I would like to ask about my recent health check-up due to work-related requirements. It was noted that there is mild fibrosis in both upper lung lobes. I would like to know if this is related to my previous lung injury from a cold...
Dr. Yang Wenda Reply:
Hello: Pulmonary fibrosis is mostly a result of previous lung injury or inflammation (sometimes after a prolonged cough without an X-ray, one may not realize there is pneumonia). After healing, fibrotic scars may remain, but if the affected area is small, it typically does not si...[Read More] Mild Fibrosis in Upper Lobes: Is It Related to Previous Lung Injury?
Understanding Pneumonia Triggered by Influenza: Recovery Insights
Influenza-induced pneumonia? Hello Dr. Yang, my wife was hospitalized due to pneumonia caused by influenza type A. Initially, she experienced unstable heart rate and blood pressure, leading to acute sepsis. Fortunately, the hospital promptly used dialysis to normalize her blood l...
Dr. Yang Wenda Reply:
Hello: Some sedatives do not have antagonists to reverse their effects; the only option is to wait for the drug to be metabolized over time, allowing the blood concentration to gradually decrease and mental clarity to improve. Currently, vital signs are stable, which is encouragi...[Read More] Understanding Pneumonia Triggered by Influenza: Recovery Insights
Understanding Nighttime Cough: Causes and Concerns for Over a Month
Coughing at night for more than a month? Hello, doctor! I have been experiencing a cough for over a month now, which usually occurs at night while I am sleeping, especially when lying flat. I hardly cough during the day, and I do not have any chest pain. The color of the phlegm i...
Dr. Huang Yiwen Reply:
Dear Zhih-Lun: Based on the symptoms you described, it seems more like an allergic cough. You might want to wash all your bedding and pillows, and avoid having clutter around your bed. After these measures, if there is still no improvement, you can come to the hospital for allerg...[Read More] Understanding Nighttime Cough: Causes and Concerns for Over a Month
Persistent Cough and Weakness: Exploring Alternatives to Sputum Tests
I have been coughing continuously, and recently my body has been feeling increasingly weak? Hello doctor, I've been coughing since early December and it's now early February. At first, I thought it was just a cold, so I didn't seek medical attention. A few days bef...
Dr. Huang Yiwen Reply:
Dear Sam: Coughing for three weeks and testing sputum is a basic concept in tuberculosis screening. Since your boyfriend is also a pulmonary tuberculosis patient, you should definitely get tested. The first sputum sample in the morning is generally more accurate, but it doesn...[Read More] Persistent Cough and Weakness: Exploring Alternatives to Sputum Tests
Unexplained Lung Abnormalities: Seeking Answers for a 70-Year-Old Patient
Lung abnormalities have been present for over two months, and the cause is still unknown? Hello, doctor. My mother is 70 years old and has recently shown abnormalities in her lungs. The situation is as follows: 1. A few years ago, she had pulmonary tuberculosis in her right upp...
Dr. Jian Shuntian Reply:
Hello: Without imaging data, it is difficult to determine which condition is more likely. Based on your description, diagnosis may not be easy; a 7 cm increase in size over 9 months raises concerns for a tumor that cannot be ruled out. A bronchoscopy should be performed to check ...[Read More] Unexplained Lung Abnormalities: Seeking Answers for a 70-Year-Old Patient
Understanding Persistent Cough: Causes, Concerns, and Next Steps
Coughing for over a month? Hello doctor, I have been experiencing a persistent cough for over a month, although it is not severe. About two weeks ago, I coughed up green phlegm, so I went to a clinic and took two different types of antibiotics. The first antibiotic did not improv...
Dr. Jian Shuntian Reply:
Hello: Please consult a pulmonologist for a chest X-ray to check for inflammation or other issues. Lung cancer may not always be visible on a chest X-ray; if there is a history of smoking or a family history of lung cancer, you may consider paying out-of-pocket for a low-dose che...[Read More] Understanding Persistent Cough: Causes, Concerns, and Next Steps
Understanding Yellow-Green Phlegm: Causes and When to Seek Help
Yellow-green sputum Hello doctor, I have had a mild cough for the past month, and for about two weeks, I've been producing yellowish phlegm. On the morning of January 19th, the first phlegm I coughed up was green, so I immediately went to see a doctor. I recently traveled ab...
Dr. Zhang Ziyan Reply:
Hello, to rule out pneumonia, a chest X-ray (CXR) is necessary for confirmation, and follow-up CXR is also recommended. However, the diagnosis of lung cancer may require more precise examinations, as CXR can only detect larger and more obvious lung cancers. Please consult with th...[Read More] Understanding Yellow-Green Phlegm: Causes and When to Seek Help
Understanding Bronchiectasis: Symptoms, Risks, and Management Strategies
Bronchiectasis Hello Dr. Yang, I am Sandy, who consulted you about bronchiectasis on November 22. I appreciate your response, but I still have some concerns I would like to discuss. I have been suffering from recurrent pneumonia for the past seven years, which has led to localize...
Dr. Yang Wenda Reply:
Hello: First of all, congratulations on the improvement of your respiratory symptoms. The 20-30 chest X-rays and the bronchiectasis currently do not show any correlation with the incidence of lung cancer, so please do not worry! Inhaling lung irritants or secondhand smoke is some...[Read More] Understanding Bronchiectasis: Symptoms, Risks, and Management Strategies
Can Bronchitis Cause Chest Cavity Itching? Understanding Your Symptoms
Can bronchitis cause itching in the chest? Dear Doctor: I previously had a cold with bronchitis, and an X-ray showed no pneumonia. However, I have a very sensitive itching sensation inside my right chest cavity (not on the surface), and pressing on it can trigger a cough. Sometim...
Dr. Jian Shuntian Reply:
Hello: In cases of severe tracheobronchitis or bronchitis, one may experience coughing and a sensation of itchiness behind the sternum, but coughing triggered by pressure on the chest or breast is relatively uncommon. If the chest X-ray shows no abnormalities, you may seek a seco...[Read More] Can Bronchitis Cause Chest Cavity Itching? Understanding Your Symptoms
Understanding Chest Discomfort: Is It Related to Bronchitis?
Bronchitis, itching in the right thoracic cavity? Dear Doctor: I previously had bronchitis due to a cold, and although my X-ray showed no pneumonia, I experience a very sensitive itching sensation inside my right chest cavity (not on the surface). Pressing on it can even trigger ...
Dr. Huang Ruiming Reply:
For allergic bronchitis, if the cough does not improve, it is recommended to visit the pulmonology clinic for a reevaluation. Thank you for your message.[Read More] Understanding Chest Discomfort: Is It Related to Bronchitis?