Understanding Chest Pain: Causes and Rehabilitation for Mid-Chest Discomfort
Pain in the center of the chest? In the center of my chest, approximately where CPR compressions are applied, I experience pain when stretching or yawning. It also hurts when I lift my chin, and sometimes I hear a cracking sound similar to that of cracking knuckles. I never had t...
Dr. Huang Ruiming Reply:
Hello: The area you mentioned, where the sternum and xiphoid process meet, is likely experiencing pain due to a strain from improper movement (this area connects to the pectoralis major muscle). The sound you hear may be related to degenerative arthritis and cartilage calcificati...[Read More] Understanding Chest Pain: Causes and Rehabilitation for Mid-Chest Discomfort
Chest Pain After Car Accident: Understanding Possible Causes and Remedies
Chest pain after a car accident? Dr. Ke would like to ask a question regarding a friend who, after a car accident, discovered a painful spot just above the right chest. The pain worsens when laughing or coughing. He has seen an orthopedic doctor who stated that there are no issue...
Dr. Ke Zhengchang Reply:
Hello: Based on your description, if there are no fractures, pneumothorax, or hemothorax on the X-ray after the car accident, muscle contusion or tendon strain is most likely. Generally, with adequate rest and treatment with anti-inflammatory pain relievers for 1 to 2 weeks, impr...[Read More] Chest Pain After Car Accident: Understanding Possible Causes and Remedies
Post-Pneumothorax Symptoms: Understanding Recovery and Breathing Issues
Symptoms after a pneumothorax? Doctor: Hello, I was hospitalized in mid-August this year for pneumothorax and underwent intubation treatment. The tube was removed six days later, and I was discharged the following day. However, it has been about a month and a half since then, and...
Dr. Liu Longyu Reply:
Hello Mr. Liu: 1. After treatment for pneumothorax with tube insertion, it indicates that there is no air leakage from the lung surface into the chest wall. The site of the chest tube insertion and the pleura will require time to heal. Occasionally, there may be pain due to nerv...[Read More] Post-Pneumothorax Symptoms: Understanding Recovery and Breathing Issues
Understanding Chest Pain: When to Seek Medical Attention
Chest pain Hello Dr. Zhou, last night before bed, while using the computer, I experienced a rapid progression of discomfort in my chest to a feeling of compressed pain within just a few minutes. After lying in bed for about 10 minutes, the chest pain eased, and my breathing retur...
Dr. Zhou Ziguang Reply:
Hello, based on the symptoms you described, there are many common causes of chest pain, including musculoskeletal pain, esophageal issues, heart problems, lung conditions, and pleural diseases. It is advisable to first visit a thoracic specialist for a chest X-ray. If no abnormal...[Read More] Understanding Chest Pain: When to Seek Medical Attention
Understanding Hemothorax: Causes, Treatment, and Nursing Care for Elderly Patients
Pleural effusion and fluid in the thoracic cavity? Hello! My grandmother is 88 years old and has been in a serious car accident. She has three fractured ribs on the left side, with each rib fractured in three places, and there is fluid in the chest cavity. What is a "連珈胸&quo...
Dr. Tao Ruiming Reply:
Flail chest is a life-threatening condition! It commonly occurs due to chest wall contusions, leading to fractures of the sternum and multiple rib fractures at two or more locations, resulting in the flail segment moving in the opposite direction. This phenomenon, known as "...[Read More] Understanding Hemothorax: Causes, Treatment, and Nursing Care for Elderly Patients
Understanding Pleural Effusion: Causes and Concerns of Blood-tinged Fluid
Pulmonary edema I would like to ask the doctor about my father, who is 61 years old. At the beginning of June, he experienced symptoms of fever and cold. After taking medication for a few days at a clinic without improvement, he went to the emergency room one night in mid-June be...
Dr. Tao Ruiming Reply:
1. Confirm that during thoracentesis for pleural effusion, there was no significant microvascular rupture. 2. A pleural effusion is classified as a hemothorax when the hematocrit of the pleural effusion is greater than half of that of the blood. When the hematocrit of the pleural...[Read More] Understanding Pleural Effusion: Causes and Concerns of Blood-tinged Fluid
Can Damaged Alveoli from Asthma or Emphysema Heal Over Time?
Could you please provide more details about the issue of alveolar repair? Hello, doctor: May I ask if, due to severe asthma or emphysema, the rupture of alveoli can be repaired and restored to their original state in a patient's lifetime according to modern medicine? If so, ...
Dr. Yang Wenda Reply:
Hello: Alveolar rupture leads to air escaping from the alveoli into the pleural cavity, a condition known as pneumothorax. Inhaling high concentrations of oxygen or inserting a chest tube for drainage can help remove the air trapped in the pleural cavity, allowing the lungs to re...[Read More] Can Damaged Alveoli from Asthma or Emphysema Heal Over Time?
Chest Tightness, Throat Discomfort, and Headaches: What to Know
Chest tightness accompanied by throat discomfort and headache (dizziness)? Hello Doctor: I have been feeling a tightness in my chest and a constriction in my throat (more pronounced in the pharyngeal area) over the past few days. I also experience headaches (dizziness) and have l...
Dr. Zhou Ziguang Reply:
Hello, if there are no symptoms such as asthma or cold sweats, the most common cause is still a viral infection of the upper respiratory tract. However, with symptoms like chest tightness and nausea, conditions such as pneumothorax or gastrointestinal diseases cannot be ruled out...[Read More] Chest Tightness, Throat Discomfort, and Headaches: What to Know
Seeking Recommendations for Thoracic Specialists in Taipei
Please ask your question? Dear Dr. Zhou, Thank you for your response! May I ask which hospital you are affiliated with? Or could you recommend a physician in Taipei who would be suitable for my father's consultation? The doctors we have seen previously have all said there a...
Dr. Zhou Ziguang Reply:
Hello, 1. I am currently employed at the Chest Hospital of the Department of Health, Executive Yuan, located in Tainan, which is quite far from Taipei. There are several medical centers in Taipei (such as Veterans General Hospital, National Taiwan University Hospital, Taipei Me...[Read More] Seeking Recommendations for Thoracic Specialists in Taipei
Does Cold Weather Affect Spontaneous Pneumothorax?
Cold environments can have an impact on pneumothorax? Hello, my son is 20 years old and has a history of spontaneous pneumothorax, for which he has undergone surgery. He is now required to travel to Harbin, China, for a teaching activity. Will the cold climate have any impact on ...
Dr. Zhou Ziguang Reply:
Hello, generally speaking, temperature does not have a significant impact on pneumothorax. However, cold weather may trigger exacerbations of pre-existing respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). Therefore, individuals with these con...[Read More] Does Cold Weather Affect Spontaneous Pneumothorax?
Understanding Pleural Effusion: Causes, Concerns, and Treatment Options
Pneumonia? My brother (21 years old, with no significant medical history) reported dizziness and severe headache during the week of October 20th and visited a clinic where he was prescribed acetaminophen. On the morning of October 26th, he experienced chest pain for 3-4 days and ...
Dr. Zhou Ziguang Reply:
Hello, A-Zhe. The common causes of pleural effusion in Taiwan include tuberculous pleuritis, pneumonia-related effusion, heart disease, kidney disease, cancer, and hypoalbuminemia. Generally, the initial step is to perform a thoracentesis to analyze the pleural fluid, and biochem...[Read More] Understanding Pleural Effusion: Causes, Concerns, and Treatment Options
Understanding Hidden Asthma: Differences from Typical Asthma Symptoms
Latent asthma Hello, doctor. I would like to ask you about something. When I was a child, a doctor mentioned that I had "latent asthma," but I didn't quite understand what that meant. How does it differ from regular asthma? Is this term actually used? I only know t...
Dr. Yang Wenda Reply:
Dyspnea refers to "difficulty in breathing," which can be caused by various factors including chronic lung diseases, pneumonia, pneumothorax, as well as heart diseases and anemia. Symptoms often worsen during physical activity. "Asthma," correctly termed "...[Read More] Understanding Hidden Asthma: Differences from Typical Asthma Symptoms
Chest Pain After Cold: Is It Normal or Time to See a Doctor?
Chest pain after a cold? I have a sensitive trachea, and I’ve been coughing due to a cold for the past two weeks. After recovering from the cold, I noticed pain in the right side of my chest. I feel discomfort when I laugh or sneeze, and getting up quickly also causes pain. I’m n...
Dr. Yang Wenda Reply:
Hello, Monster: If you are experiencing chest pain from coughing, it is advisable to consult a pulmonologist for a chest X-ray to check for pneumothorax or a fractured rib. Taking some medication may also help alleviate your symptoms. Wishing you well![Read More] Chest Pain After Cold: Is It Normal or Time to See a Doctor?
Persistent Cough and Chest Pain: When to Seek Medical Attention?
Persistent cough and chest pain? Hello Doctor: I started experiencing persistent coughing every night between 11 PM and 1 AM about a week ago, which is more pronounced when lying down compared to other positions. I feel an unbearable itch in my throat around the area between my c...
Dr. Yang Wenda Reply:
Hello Sam: Based on your respiratory history, including a history of pneumothorax, allergic rhinitis, and chest pain (possibly neuropathic pain), if your symptoms are not too severe, you may choose to monitor your condition. It is advisable to drink plenty of warm water and avoid...[Read More] Persistent Cough and Chest Pain: When to Seek Medical Attention?
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
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 Shortness of Breath and Chest Discomfort: What to Do?
Shortness of breath, chest tightness, and stabbing pain in the stomach? When I work a bit faster, I feel shortness of breath and tightness in my chest. I also experience sharp pain in my stomach, and my inhalations are very shallow. It feels like I can't get enough air and I...
Dr. Qu Changke Reply:
Hello, Dr. Qu is no longer serving at this hospital. I am Dr. Chen from the Department of Pulmonary Medicine. Your condition has many possibilities, such as asthma or pneumothorax. I recommend that you go to the hospital to see a pulmonologist as soon as possible.[Read More] Understanding Shortness of Breath and Chest Discomfort: What to Do?
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
Understanding Right Chest Pain: Causes and When to Seek Help
Chest pain Hello, Doctor: I have been experiencing pain in my right chest for a month, especially when I bend down. The pain becomes more pronounced when I exert pressure on my chest, as if something is pressing down. When I am not exerting pressure, I feel a dull ache in my ches...
Dr. Yang Wenda Reply:
Hello Chu, there are many causes of chest pain. In younger patients, common causes include pneumothorax (which can be diagnosed with an X-ray) or neuropathy (where the X-ray appears normal). I recommend that you first get an X-ray. If the X-ray is normal, you can take some pain r...[Read More] Understanding Right Chest Pain: Causes and When to Seek Help
Understanding Chest Pressure: Symptoms and Possible Causes
There is a feeling of pressure and tightness in the chest? Dear Doctor: Recently, for the past day or two, I have been experiencing a feeling of tightness and pressure in my left chest upon waking up in the morning, along with a sensation of insufficient airflow when breathing. A...
Dr. Zhou Ziguang Reply:
Hello: The sensation of tightness in the left chest along with difficulty breathing can have many potential causes, including muscle strain, pneumothorax, esophagitis, or cardiac issues. Please consult a pulmonologist for further evaluation. Sincerely, Dr. Chou Tzu-Kuang, Directo...[Read More] Understanding Chest Pressure: Symptoms and Possible Causes