Trachea, Pulmonology FAQ - Page 6

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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 UARS and Flow Limitation in Post-Surgery Sleep Disorders

Please provide the content you would like me to translate? Hello Doctor, the patient has difficulty using CPAP due to significant side effects. After undergoing surgery (surgical treatment), the AHI has decreased by approximately 80%, but there is still a notable presence of UARS...


Dr. Zhang Ziyan Reply:
Hello, after consulting with experts, it is believed that a reduction in AHI is significant, and that flow rate may not fully represent the severity of obstructive breathing but rather the flow amount. Zhang Ziyan, Changhua Hospital.

[Read More] Understanding UARS and Flow Limitation in Post-Surgery Sleep Disorders


Understanding Pneumothorax Risks During Intubation: A Family's Concern

Please provide the content you would like me to translate into English? However, I was very certain that my family member's lungs were not compromised before intubation. The strange thing is that shortly after the intubation, complications arose. Is it possible that there we...


Dr. Zhou Ziguang Reply:
Hello, the procedure of placing an endotracheal tube generally rarely causes pneumothorax. As for whether there was pre-existing pneumothorax or if it occurred after connecting to a ventilator, it cannot be easily determined in clinical practice.

[Read More] Understanding Pneumothorax Risks During Intubation: A Family's Concern


Understanding Tracheal Intubation Risks in Patients with Lung Issues

Regarding intubation? Regarding my family member, they have had chronic lung issues and often cough. At the end of October this year, they were hospitalized due to a lung infection. During their stay, they tried four different antibiotics with no effect, which resulted in respira...


Dr. Zhou Ziguang Reply:
Hello, as mentioned, it may be necessary to intubate and use a ventilator due to respiratory failure. However, a small percentage of patients on a ventilator may develop a pneumothorax. It is unlikely that the endotracheal tube "punctured" the lung. The specific situati...

[Read More] Understanding Tracheal Intubation Risks in Patients with Lung Issues


Understanding Suspected Tuberculosis Infection: Key Questions and Answers

Suspected pulmonary tuberculosis infection? Dear Doctor: My friend has been coughing for several days with frequent phlegm and sometimes experiences itching in the trachea. After seeking medical attention and undergoing tests, the sputum culture came back positive, and the CT sca...


Dr. Zhou Ziguang Reply:
Hello: 1. Pulmonary infection with tuberculosis bacteria may not be detectable if there are no bacteria in the sputum. Generally, in such cases, clinicians make a comprehensive judgment, diagnosis, and treatment based on symptoms, medical history, other imaging studies (CT or che...

[Read More] Understanding Suspected Tuberculosis Infection: Key Questions and Answers


Can CT Scans Detect Foreign Objects in the Trachea and Bronchi?

Tracheal issues Can a CT scan detect the presence of foreign bodies in the trachea or bronchi?


Dr. Yang Wenda Reply:
Hello, here is a brief response: The presence of a foreign body in the bronchus typically follows a significant event of inhaling a solid object, leading to severe and uncontrollable coughing. A CT scan can only detect foreign bodies in the larger airways and main branches; small...

[Read More] Can CT Scans Detect Foreign Objects in the Trachea and Bronchi?


Sudden Breathing Difficulties: Understanding Symptoms and Emergency Responses

Sudden inability to breathe? Hello, I would like to describe my mother's symptoms. It started with a cough, and after seeing a doctor and taking medication, she continued to cough. Then she went to a pharmacy and bought a Japanese cough medicine, which she took for about two...


Dr. Yang Wenda Reply:
Hello: 1. It is difficult to diagnose diseases based solely on verbal descriptions; it is more reliable to leave the assessment to clinical physicians. 2. Burping and experiencing smoother breathing indicates that gastric distension is affecting ventilation. It is important to mo...

[Read More] Sudden Breathing Difficulties: Understanding Symptoms and Emergency Responses


Understanding Increased Lung Shadows: What Could It Mean?

Pulmonary shadowing Hello Dr. Huang: A few days ago, my father underwent a health check-up, and an X-ray revealed an increased shadow in the lower area adjacent to the right hilum, raising suspicion for a possible lesion. The imaging findings are non-specific, and follow-up is re...


Dr. Huang Yiwen Reply:
Ms. Hsiao-Ju: Regarding the issue you mentioned, it may be an accumulation of shadows formed by the right hilum, blood vessels, trachea, and lymphatics. However, to be on the safe side, please follow up at the thoracic clinic. Thank you. Huang Yi-Wen

[Read More] Understanding Increased Lung Shadows: What Could It Mean?


Chest Tightness and Pain After Exercise: Causes and Solutions

Chest tightness and pain while breathing after exercise? After each workout (running), I experience a tight pain in my chest (likely around the trachea) when taking deep breaths, which can trigger coughing and even nausea. It's quite uncomfortable, and I can only breathe in ...


Dr. Yang Wenda Reply:
Hello Mandy: Your issue may be related to a sensitive trachea. Generally, gradually increasing your exercise intensity should help you adapt over time. It is recommended to progressively increase your activity level, and if you experience chest pain, take a moderate rest before c...

[Read More] Chest Tightness and Pain After Exercise: Causes and Solutions


Chronic Left Upper Back Pain and Cough: Possible Causes Explained

Persistent pain in the upper left back? Six months ago, I started experiencing pain in the upper left back, and recently I've noticed a cough that seems to have a foul odor resembling decaying food coming from my trachea.


Dr. Yang Wenda Reply:
Mr. Liu's upper back pain is primarily due to inflammation or fatigue of the muscle tissue (such as maintaining a single posture for an extended period). A small portion of the causes may be related to pulmonary diseases. To clarify any connection with the lungs, it is neces...

[Read More] Chronic Left Upper Back Pain and Cough: Possible Causes Explained


Why Elevating the Bed is Crucial for Suctioning Intubated Patients

Why is it necessary to elevate the head of the bed before suctioning a patient with an endotracheal tube? 1. When suctioning a patient with an endotracheal tube, it is essential to elevate the head of the bed. This position helps to reduce the risk of aspiration and facilitates b...


Dr. Ke Zhengchang Reply:
Hello: 1. Patients with endotracheal intubation are prone to vomiting during suctioning; elevating the head of the bed can help prevent aspiration pneumonia. 2. For patients with an endotracheal tube who also have a nasogastric tube, elevate the head of the bed to 45-60 degrees t...

[Read More] Why Elevating the Bed is Crucial for Suctioning Intubated Patients


Understanding Tracheostomy Concerns in Diabetic Patients in ICU

Concerns about tracheostomy? Hello, the patient’s grandfather has been in the intensive care unit for over four months due to diabetes-related amputations. His mental state fluctuates between good and bad. Recently, the doctors have been suggesting a tracheostomy because there ar...


Dr. Chen Jaming Reply:
In general, if a patient on a ventilator requires intubation for more than two weeks without the possibility of extubation, tracheostomy is recommended. Compared to intubation, the benefits of tracheostomy include increased oral comfort for the patient and a reduction in the risk...

[Read More] Understanding Tracheostomy Concerns in Diabetic Patients in ICU


Addressing Early Stage Lung Adenocarcinoma Concerns and Symptoms

Consultation regarding early-stage lung adenocarcinoma-related questions? Dear Dr. Huang, My mother was diagnosed with early-stage lung cancer last year, and the doctor removed one-third of her right lung along with the lymph nodes around the bronchi. The doctor advised against ...


Dr. Huang Yiwen Reply:
I apologize for the delayed response due to my overseas conference. 1. There are differing opinions on whether adjuvant therapy is necessary after surgery for early-stage lung cancer, but it is important to know your aunt's cancer staging and histological type (e.g., adeno...

[Read More] Addressing Early Stage Lung Adenocarcinoma Concerns and Symptoms


Understanding Chest Discomfort: Common Causes and Concerns

The chest area? What are the possible conditions for discomfort in the chest area? (I have been coughing for over a month.)


Dr. Yang Wenda Reply:
Hello, Xiao Sa: A cough lasting for more than a month may indicate various tracheal and pulmonary diseases (such as bronchitis, bronchiectasis, asthma, respiratory allergies, tuberculosis, etc.). It is advisable to visit a pulmonology clinic for a chest X-ray, and then consult a ...

[Read More] Understanding Chest Discomfort: Common Causes and Concerns


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?


Understanding Increased Lung Markings: Causes, Risks, and Prevention

Increased lung markings refer to the presence of more prominent vascular and interstitial patterns observed on a chest X-ray or CT scan. This can indicate various conditions, such as pulmonary edema, The recent health check report indicated that there is an increase in lung marki...


Dr. Zhou Ziguang Reply:
Hello RICO, a normal chest X-ray typically shows the heart and blood vessels, as well as the outlines of the trachea and bronchi. An increase in lung markings refers to areas of increased density in the imaging. It is not possible to determine normalcy from a single X-ray; often,...

[Read More] Understanding Increased Lung Markings: Causes, Risks, and Prevention


Finding the Right Specialist for Chest Pain and Blood in Saliva

I'm not sure where the problem lies? Recently, I have been waking up in the morning with blood-tinged saliva, and sometimes I experience pain in the center of my chest, although the pain subsides quickly. I visited a pulmonologist and had an X-ray, which showed no significan...


Dr. Yang Wenda Reply:
Hello TCY: The blood-streaked sputum you are experiencing may be caused by the rupture of microvessels in any part of the upper respiratory tract (oral cavity), nasal cavity, or lower respiratory tract (lungs and trachea). You may want to check for blood at the junction of your g...

[Read More] Finding the Right Specialist for Chest Pain and Blood in Saliva


Navigating End-Stage Pulmonary Fibrosis: Options and Care for Your Loved One

Could you please provide more details about the issue of pulmonary fibrosis? My grandmother is currently 78 years old and resides in Chiayi. Two weeks ago, she went to the hospital's emergency department due to shortness of breath. Since the emergency room did not have suita...


Dr. Yang Wenda Reply:
Hello, Yezi: I can understand your attentiveness and filial piety from your detailed description. Here are simple answers to your questions: (1) Severe pulmonary fibrosis significantly lowers the chances of successfully weaning off the ventilator. Even if the first attempt is suc...

[Read More] Navigating End-Stage Pulmonary Fibrosis: Options and Care for Your Loved One


Understanding Pulmonary Dust Accumulation: Causes, Treatment, and Prevention

Pulmonary dust accumulation Hello: I have been coughing for a month without improvement; it is a dry cough. Yesterday, I went to a large hospital for a consultation and had an X-ray. The doctor mentioned that there is some dust in my lungs and is concerned about a possible bacter...


Dr. Zhou Ziguang Reply:
Hello: 1. Based on the attached medication, the physician likely suspects partial infiltration on the chest X-ray and is considering pneumonia, hence the use of the antibiotic Moxifloxacin. 2. If there are other tracheal issues, please discuss with a pulmonologist. 3. If the ...

[Read More] Understanding Pulmonary Dust Accumulation: Causes, Treatment, and Prevention


Persistent Coughing: Is It Asthma Triggered by Cold Weather or Food?

Cough? Asthma? Recently, whenever the weather gets cold or I eat oranges or spicy food, I start coughing uncontrollably. Even adding pepper to scallion pancakes triggers this reaction, and I cough so hard that it feels like my trachea is about to come out, producing a terrible so...


Dr. Zhuang Ziyi Reply:
Hello: Based on the symptoms, it appears to be more like sensitive airways, which can exhibit asthma-like symptoms when exposed to certain triggers. If the allergen test is positive, serum IgE levels are elevated, and there is reversible airway obstruction in lung function tests,...

[Read More] Persistent Coughing: Is It Asthma Triggered by Cold Weather or Food?


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