Understanding Intermittent Chest Tightness and Cough: Causes and Solutions
Persistent intermittent chest tightness, shortness of breath, and coughing? Hello, doctor. I have been experiencing chest tightness for five years. The symptoms occur irregularly, possibly every two to three months, lasting for about three to four days, during which I feel unable...
Dr. Yang Wenda Reply:
Hello: The intermittent cough and chest tightness seem less likely to be due to any significant lung or tracheal pathology. It may be related to irregular exercise habits or the temperature of food and fruits consumed. It is recommended to establish a regular exercise routine and...[Read More] Understanding Intermittent Chest Tightness and Cough: Causes and Solutions
Understanding the Progression of Lung Cancer Metastasis: Key Insights
The progression of lung cancer metastasis occurs through several stages. Initially, cancer cells may invade nearby lung tissue. From there, they can enter the bloodstream or lymphatic system, allowing them to spread to other parts of the body. Common Hello, Doctor. Currently, the...
Dr. Shen Bochan Reply:
Hello: It is recommended to seek consultation for diagnosis. The progression of cancer varies significantly among individuals. The size of a nodule is not a definitive indicator of metastasis; there are cases where small malignant lung tumors have already metastasized. I understa...[Read More] Understanding the Progression of Lung Cancer Metastasis: Key Insights
Rib Pain from Coughing: When to See a Doctor for Your Symptoms
Coughing to the point of rib pain? Tracheal mucus? Hello doctor, I have been experiencing pain in my right rib cage for the past few days. I now feel significant pain when taking deep breaths, turning over, or raising my arms. There is noticeable tenderness between two ribs at th...
Dr. Zhang Ziyan Reply:
Hello, typically, ribs require a significant amount of external force to fracture, making rib fractures relatively uncommon. They are more likely to occur in individuals with osteoporosis or those with rheumatologic conditions who have been on long-term corticosteroid therapy. Re...[Read More] Rib Pain from Coughing: When to See a Doctor for Your Symptoms
Persistent Coughing: Seeking Answers from Pulmonology Experts
Coughing issues? Hello Doctor: I have been coughing continuously since early December (for about a month now). I have visited various clinics and taken medications, but there has been little improvement. I also consulted a pulmonologist and had an X-ray, which showed no issues. A...
Dr. Yang Wenda Reply:
Hello: Most people will feel an itchy cough when pressing below the throat. I have not encountered any cases of hair entering the trachea; if that were the case, there would likely be persistent and unbearable coughing. Your cough is probably intermittent and may be related to si...[Read More] Persistent Coughing: Seeking Answers from Pulmonology Experts
Managing Coughing Up Blood Clots After Tracheostomy: A Guide for Caregivers
Tracheostomy with hemoptysis? My father is 62 years old and has undergone a tracheostomy for about 1-2 years. Since the end of last year, he has been coughing up blood, which lasted for a month. Recently, it has started again, but this time it is more severe, with blood clots pos...
Dr. Wu Yingxun Reply:
Hello: It is recommended to have a chest X-ray or CT scan evaluated by a pulmonology outpatient clinic to check for any issues or lesions in the trachea before proceeding with further management.[Read More] Managing Coughing Up Blood Clots After Tracheostomy: A Guide for Caregivers
Feeling of Throat Obstruction After Choking: When to Seek Further Care?
Choking on the trachea? Hello, I choked while eating last night and now I feel like there's a foreign body in my throat that I can't cough out, but it feels like it's moving. After visiting an ENT clinic, the doctor used a nasopharyngoscope and said there was no fo...
Dr. Guo Hongyi Reply:
Hello, if there is a foreign object in the trachea, most people will cough. However, if you are feeling very uncomfortable, you should seek medical attention.[Read More] Feeling of Throat Obstruction After Choking: When to Seek Further Care?
Is Your Cough and Fever a Sign of Lung Inflammation?
Having a slight fever after choking? Hello, doctor. Last Thursday, I accidentally inhaled some black rice into my trachea and started coughing at that moment, but I'm not sure if I coughed it out. Since last Friday until today, Wednesday, my temperature has been around 37.5 ...
Dr. Wang Zhengde Reply:
Dear Ms. Yuan, Based on your description, it is possible that a foreign object has aspirated into your lungs. While generally healthy adults should be able to cough out foreign objects, if you are experiencing fever or persistent coughing, I recommend that you visit a nearby hos...[Read More] Is Your Cough and Fever a Sign of Lung Inflammation?
Choking on Food: Signs of Aspiration and When to Seek Help
Choking on food and unsure if it was coughed out? Hello doctor, yesterday I choked on some Job's tears while eating, and I had a severe coughing fit at the time, but I'm not sure if I coughed it out. Today, I feel a tightness in my chest and have a persistent urge to co...
Dr. Huang Yiwen Reply:
Dear Yu: It cannot be ruled out that food may be lodged in the trachea based on clinical symptoms. If there is no improvement, it is advisable to consult a pulmonologist for a bronchoscopy. Changhua Hospital cares about you.[Read More] Choking on Food: Signs of Aspiration and When to Seek Help
Consultation on Tracheal Medications for Lung Health Concerns
Tracheal-related medication consultation? Dr. Wu, your response is as follows: Have you undergone pulmonary function tests to assess lung capacity? If there is obstructive lung disease, inhalers can be used instead of oral medications. My reply: I have had pulmonary function test...
Dr. Wu Yingxun Reply:
Hello: If everything is normal and there is no improvement after taking the medication, you should stop taking it.[Read More] Consultation on Tracheal Medications for Lung Health Concerns
Challenges in Changing Tracheostomy Tubes: A Case Study
Issues with Changing Tracheostomy Tubes Hello Dr. Zhou, Background of the issue: My 65-year-old mother has a tracheostomy tube that needs to be replaced in about a month. After a consultation with the ENT department at Hospital C, an endoscopy revealed that there is dry secretio...
Dr. Zhou Ziguang Reply:
Hello: The question involves the patient's actual condition and the existing equipment at the hospital, which requires clinical evaluation. Please discuss the follow-up treatment plan with the original physician.[Read More] Challenges in Changing Tracheostomy Tubes: A Case Study
Can a Cold Affect LDCT Results? Important Considerations for Patients
Is it safe to undergo LDCT while having a cold? Hello, doctor. I have been experiencing a long-term cough with blood, and I have scheduled a low-dose computed tomography (LDCT) scan for next Monday, May 22. However, I currently have a cold and a sore throat. Will having a cold af...
Dr. Zhou Ziguang Reply:
Hello: Generally, low-dose computed tomography (LDCT) is used for lung cancer screening. If there are acute symptoms, there may be pneumonia or other pulmonary infiltrates, which could present additional abnormal shadows on the imaging. However, if the purpose is to perform a che...[Read More] Can a Cold Affect LDCT Results? Important Considerations for Patients
Understanding Sudden Breathing Difficulties and Throat Spasms
Feeling of insufficient breath, sudden sensation of spasms from the larynx to the trachea? Since middle school, I have occasionally experienced a sudden feeling of not being able to get enough air, requiring me to take a deep breath through my mouth. Usually, this resolves the is...
Dr. Huang Yiwen Reply:
Dear Shaqima: Based on your description, it seems to be a type of allergy, possibly related to variant asthma. I recommend undergoing relevant allergen testing. Sometimes, certain environmental factors or food allergies can trigger symptoms even without direct contact. It’s best ...[Read More] Understanding Sudden Breathing Difficulties and Throat Spasms
Understanding Lung Atrophy: Causes, Treatments, and Rehabilitation Options
Lung atrophy Hello, this month's low-dose computed tomography (CT) scan shows lung atrophy. What are the possible causes of atrophy? Are there any treatment or rehabilitation options available? Thank you for your response. Low-dose CT of the chest without contrast enhancem...
Dr. Huang Yiwen Reply:
Dear Health: Lung atelectasis is incomplete expansion, generally due to the degeneration of the ciliated epithelium in the trachea or is often a result of previous infections. As long as there is no mucus accumulation, no special treatment is necessary. You can perform deep breat...[Read More] Understanding Lung Atrophy: Causes, Treatments, and Rehabilitation Options
Understanding Hemoptysis in Lung Adenocarcinoma Patients Post-Surgery
Pulmonary adenocarcinoma with hemoptysis? Hello, I am diagnosed with stage 3B lung adenocarcinoma and currently undergoing treatment with Alectinib. I had surgery on November 3rd, and it has been almost two months since the operation. Recently, I have noticed a small amount of bl...
Dr. Zhou Ziguang Reply:
Hello: If there are no signs of deterioration on the CT scan, it is still possible that the microvascular structures near the trachea may be more prone to bleeding. Please discuss this with your physician and seek medical attention for evaluation and treatment.[Read More] Understanding Hemoptysis in Lung Adenocarcinoma Patients Post-Surgery
Post-Rib Surgery Complications: Managing Pain and Breathing Issues
Postoperative Issues After Rib Surgery Hello, doctor. I recently had a titanium alloy plate removed from my rib. It has been almost three months since the removal, and during this time, I have experienced severe phlegm in my throat. I have consulted with both pulmonology and otol...
Dr. Zhou Ziguang Reply:
Hello: You can visit the thoracic surgery department at a general hospital or return to the hospital where the surgery was performed for further evaluation and treatment by a physician.[Read More] Post-Rib Surgery Complications: Managing Pain and Breathing Issues
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
Chest Discomfort After Choking on Water: When to Seek Medical Attention?
Experiencing chest tightness after choking on water? Waking up in the middle of the night after choking on water, and continuing to feel chest pain and tightness until the morning, without any cough or other symptoms, raises some concerns. Since you do not have a thermometer at h...
Dr. Wang Lanfeng Reply:
Hello: Generally speaking, if water accidentally enters the trachea, as long as the amount is not too large, it is usually absorbed by the body's tissues. However, it can also potentially lead to pneumonia. It is advisable to continue monitoring the situation. If you experie...[Read More] Chest Discomfort After Choking on Water: When to Seek Medical Attention?
Understanding Discomfort in the Trachea: Causes and Solutions
Discomfort in the trachea? Hello doctor, recently I haven't been coughing much, but I feel a tight and painful sensation in my trachea that is quite uncomfortable. Sometimes, even a slight cough makes the pain more pronounced. Could you please tell me what this condition mig...
Dr. Huang Yiwen Reply:
Dear Xiaoyu: Based on the description, it is somewhat difficult to determine, but from experience, it may be a precursor to allergic asthma. It is recommended that you visit the pulmonary department at the hospital for a detailed examination. Changhua Hospital cares about you.[Read More] Understanding Discomfort in the Trachea: Causes and Solutions
Understanding Aspiration Pneumonia: Symptoms and Precautions
Aspiration pneumonia Dr. Yang, I am doing fine and did not have a stroke. However, during lunch today, it felt like a small piece of carrot slipped into my trachea (that's my feeling), but it did not trigger a cough, so I continued eating. I would like to ask you: 1. Is it p...
Dr. Yang Wenda Reply:
Hello: Typically, when an object falls into the trachea, it should cause severe coughing. If you experience coughing and fever (greater than 38 degrees Celsius) in the following week, first perform a rapid test for COVID-19. If the result is negative, you may visit a pulmonology ...[Read More] Understanding Aspiration Pneumonia: Symptoms and Precautions
Understanding Tracheal Foreign Bodies: Symptoms and Management
Suspicion of tracheobronchial foreign body? If a foreign object comes into contact with the trachea, will it always cause severe coughing? (I do not have coughing symptoms, nor do I have a fever; I just feel a sensation of something stuck in my throat, which makes me suspicious.....
Dr. Zhang Ziyan Reply:
Hello Mr. Kirin, based on your age, if there is a foreign object, the cough reflex is usually quite intense; if not, there is no need to worry too much. Typically, it has either been coughed out or has moved into the oral cavity. Changhua Hospital cares about you.[Read More] Understanding Tracheal Foreign Bodies: Symptoms and Management