Pulmonary fibrosis, Pulmonology FAQ

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Understanding Lung Fibrosis: Symptoms, Treatment, and Monitoring

Pulmonary fibrosis Regular X-ray examinations show an increase in lung markings, while another hospital reported lung infiltration without mentioning lung markings. Can lung markings and lung infiltration improve, or could they progress to pulmonary fibrosis? Currently, there are...


Dr. Wu Yingxun Reply:
Hello: 1. Essentially, pulmonary infiltration indicates the presence of inflammation, which may be symptomatic. Increased lung markings may suggest denser vascularity (clinically asymptomatic), and the interpretation of both can sometimes be subjective; a computed tomography (CT)...

[Read More] Understanding Lung Fibrosis: Symptoms, Treatment, and Monitoring


Understanding Pulmonary Fibrosis: Discrepancies in Lung Health Reports

Pulmonary fibrosis In mid-January, my labor health examination report indicated mild fibrosis in my upper lung, but I later received my military health examination report from December of last year stating that my lungs were normal. Is it possible to have different results in suc...


Dr. Zhou Ziguang Reply:
Hello: The chest X-ray may exhibit slight variations due to the angle of exposure and the settings used. Different physicians may also report slightly different findings on the same X-ray, especially regarding shadows that are not significant, uncertain, or of limited clinical re...

[Read More] Understanding Pulmonary Fibrosis: Discrepancies in Lung Health Reports


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 Fibrosis: What You Need to Know After Abnormal X-Ray Results

Pulmonary fibrosis issues? Hello, doctor. About a week ago, my father's annual health check-up report from his company came out, and the chest X-ray showed abnormalities, indicating "bilateral pulmonary fibrosis." It was recommended that he see a pulmonologist for ...


Dr. Yang Wenda Reply:
Hello: Based on your description, there is only an increase in lung markings (which may also just be an increase in vascular markings). Since there are no abnormalities noted during auscultation, there should not be any significant issues. It is recommended to repeat the chest X-...

[Read More] Understanding Lung Fibrosis: What You Need to Know After Abnormal X-Ray Results


Does Vaccination Cause Lung Lobe Fibrosis? Exploring the Connection

Fibrosis of the upper lobe of the lung? Is there a possibility that vaccination could cause pulmonary lobar fibrosis?


Dr. Zhang Ziyan Reply:
Hello Mr. Yu, according to the introduction of COVID-19 vaccines by the Ministry of Health and Welfare's Centers for Disease Control, the common vaccines in Taiwan do not have pulmonary fibrosis as a side effect. However, if one contracts COVID-19, there is a possibility of ...

[Read More] Does Vaccination Cause Lung Lobe Fibrosis? Exploring the Connection


Persistent Chest Tightness After COVID-19: Causes and Next Steps

Persistent chest tightness and inability to take deep breaths after pneumonia discharge? Since developing chest tightness after contracting COVID-19 on May 23, the symptoms have persisted for two months even after discharge. During this period, follow-up visits included chest X-r...


Dr. Yang Wenda Reply:
Hello: It appears that the lung tissue has not been significantly affected. It is recommended to engage in regular exercise and to use sleep medications to assist with sleep, ensuring at least seven hours of sleep each night. Limit the intake of cold foods and learn to relax (mos...

[Read More] Persistent Chest Tightness After COVID-19: Causes and Next Steps


Understanding Lung Fibrosis and Chronic Infiltration: Key Insights for Patients

Medical terminology inquiry? Hello, Doctor. Thank you for your assistance. 1. About two years ago, during my first employee health check, the report mentioned "fibrosis after bilateral upper lung inflammation." At that time, the doctor advised me to just monitor the s...


Dr. Huang Yiwen Reply:
Dear Mr. Hong, Regarding your first question, pulmonary fibrosis can be understood as scarring that occurs after an injury, which may be a result of previous infections. Monitoring is sufficient in this case. For your second question, gastroesophageal reflux disease (GERD) can ...

[Read More] Understanding Lung Fibrosis and Chronic Infiltration: Key Insights for Patients


Understanding Mild Gas Exchange Dysfunction: Symptoms, Tests, and Next Steps

Mild gas exchange dysfunction? Hello, Doctor. I have been experiencing severe dry cough since around 2008, with each episode lasting 1-2 months. I visited an ENT specialist and took medication, but it was ineffective. Since the symptoms would resolve on their own, I did not seek ...


Dr. Yang Wenda Reply:
Hello: 1. The X-ray did not indicate fibrosis, and with normal Total Lung Capacity (TLC), there should be no ventilation issues caused by fibrosis. The echocardiogram showed no signs of pulmonary hypertension, so there are currently no concerns regarding the aforementioned issues...

[Read More] Understanding Mild Gas Exchange Dysfunction: Symptoms, Tests, and Next Steps


How Long for Strong Antibiotics to Work on Lung Infections?

The effectiveness of the strongest antibiotics for treating severe pneumonia caused by abdominal bacterial infections can vary depending on several factors, including the specific bacteria involved, the patient's overall health, and the presence of any underlying conditions....


Dr. Huang Yiwen Reply:
Dear Lin: Postoperative lung adenocarcinoma complicated by pulmonary infection and pleural effusion is indeed challenging to manage. Generally, we assess the effectiveness of medications, taking into account not only the types of drugs selected but also the patient's immune ...

[Read More] How Long for Strong Antibiotics to Work on Lung Infections?


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

Chest pain? A few days ago, I was hit in the chest. Initially, it hurt when I breathed, but after a week, that pain went away. Now, I experience intermittent chest pain that seems to radiate. Is it possible that this could be pulmonary fibrosis? How long might it take to heal? If...


Dr. Yang Wenda Reply:
Hello: It is recommended to get a chest X-ray to ensure that there are no issues with the lungs. If the discomfort persists, you may consider seeing a traditional Chinese medicine practitioner.

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


The Link Between Mold and Respiratory Diseases: Risks and Concerns

The association between wall cancer and respiratory diseases? Hello Doctor: My home is over fifty years old, and there has been a longstanding issue with mold on the walls. I have tried repainting, but the results were minimal. I have been coexisting with this mold for eight year...


Dr. Yang Wenda Reply:
Hello: Pulmonary fibrosis can be detected through an X-ray. If there is no asthma or immune deficiency, there should be resistance to fungi. If you are concerned, it would be reassuring to visit a pulmonology clinic for an X-ray. If indoor humidity is too high, a dehumidifier sho...

[Read More] The Link Between Mold and Respiratory Diseases: Risks and Concerns


Impact of Pneumocystis Pneumonia on Lung Fibrosis and Function in Patients

In individuals with pulmonary fibrosis, an infection with Pneumocystis pneumonia can lead to exacerbation of pulmonary fibrosis or further loss of lung function? Hello Doctor: My grandmother was diagnosed with severe pulmonary fibrosis earlier this year, and in mid-August, she wa...


Dr. Jian Shuntian Reply:
Hello: 1. After an infection, lung function may deteriorate or be lost, with the possibility of partial recovery. If there is lung damage, it cannot return to completely normal levels, and observation is required for at least three months. Currently, due to the deterioration of...

[Read More] Impact of Pneumocystis Pneumonia on Lung Fibrosis and Function in Patients


Why Did I Develop Lung Fibrosis at 18 Without Smoking?

Doctor, I am 18 years old and do not smoke. Why was I diagnosed with pulmonary fibrosis? Hello Doctor: I have been experiencing stomach pain, and during the examination, I was unexpectedly found to have pulmonary fibrosis. The doctor mentioned that it might be scarring left from ...


Dr. Yang Wenda Reply:
Hello: Lung inflammation can sometimes result in mild fibrosis, similar to how some people may have small scars from injuries on their limbs during childhood. Generally, because the affected area is small, it does not impact lung function, so there is no need to worry!

[Read More] Why Did I Develop Lung Fibrosis at 18 Without Smoking?


Unexpected Lung Fibrosis in an 18-Year-Old: Causes and Concerns

An 18-year-old child, who has never smoked, has been diagnosed with pulmonary fibrosis based on X-ray examination? Hello Doctor: My child often experiences sudden pain in the stomach and chest. One day, we took him to the hospital, where an X-ray revealed pulmonary fibrosis. The ...


Dr. Zhou Ziguang Reply:
Hello: If you had pneumonia (lung infection) during childhood, there is a possibility of developing fibrosis. Please discuss the severity with your physician.

[Read More] Unexpected Lung Fibrosis in an 18-Year-Old: Causes and Concerns


Managing COPD in Elderly Patients: Key Questions for Better Care

Chronic Obstructive Pulmonary Disease (COPD) Hello Dr. Huang, my grandmother is currently 86 years old and has chronic obstructive pulmonary disease (COPD), stage III asthma, pneumonia, and stage IV chronic kidney disease. Her lung function is at 53%. She was recently hospitalize...


Dr. Huang Yiwen Reply:
DEAR PIG50658: Thank you for your concern for Grandma. If the diagnosis is correct, the current three-in-one medication is the standard treatment. Of course, if you still feel it is not satisfactory, there are two additional oral medications, XANTHIUM and PDE4 inhibitors, that ca...

[Read More] Managing COPD in Elderly Patients: Key Questions for Better Care


Understanding Lung Atrophy: Managing Cough and Mucus in Seniors

Mother has pulmonary atrophy, cough, and sputum production? Hello Dr. Yang, my mother has not been feeling well lately. She mentioned that she has lung atrophy, and recently her phlegm has increased, along with a persistent cough. She has been taking medication for about six mont...


Dr. Yang Wenda Reply:
Hello: Your mother's lungs may have developed pulmonary fibrosis or localized atrophy due to a previous lung infection. The structure and function of the affected area are compromised, making it prone to cough or bacterial infections due to difficulty in clearing mucus. It i...

[Read More] Understanding Lung Atrophy: Managing Cough and Mucus in Seniors


Understanding the Difference Between Restrictive and Obstructive Lung Disorders

Ventilation impairment Hello, I have asthma and mild COPD. Recently, I saw the terms "restrictive ventilatory defect" and "thoracic deformity" on someone else's immunization certificate. I would like to inquire about the difference between restrictive ven...


Dr. Yang Wenda Reply:
Hello: COPD may occur in individuals over 40 years old. Your asthma must have previous medical diagnosis documentation or emergency room visit records as evidence, along with a visit to a pulmonologist for pulmonary function tests (which can differentiate between obstructive or r...

[Read More] Understanding the Difference Between Restrictive and Obstructive Lung Disorders


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 Pulmonary Fibrosis: Types, Causes, and Survival Insights

Pulmonary fibrosis Hello Dr. Wu, thank you for your response. When you mentioned that there are not many cases of this disease, were you referring to idiopathic pulmonary fibrosis? And for the general public, is the lung damage followed by scarring during recovery classified as s...


Dr. Wu Yingxun Reply:
Hello: Essentially, pulmonary fibrosis following lung damage is considered normal and can be monitored.

[Read More] Understanding Pulmonary Fibrosis: Types, Causes, and Survival Insights


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