Understanding the Links Between Emphysema, Lung Nodules, and Blood Pressure Spikes
Is there a connection between emphysema, pulmonary nodules, latent tuberculosis, and waking up at night with high blood pressure? Hello Dr. Chen, I just had a CT scan, and the result shows Moderate Bilateral Centrilobular Emphysema (I am currently abroad). I would like to ask you...
Dr. Chen Junwei Reply:
Hello: Allow me to answer your questions in a simple bullet-point format. 1. Is moderate significantly more severe than mild? (I do not smoke, but I have used strong chemical solvents to clean stubborn adhesives.) Answer: From an imaging perspective, moderate is indeed more ...[Read More] Understanding the Links Between Emphysema, Lung Nodules, and Blood Pressure Spikes
Should You Isolate If Suspected of Tuberculosis?
If tuberculosis (TB) is suspected, should isolation be implemented? Dear Doctor: After my father underwent a health check at the nursing home, the facility indicated that he is suspected of having tuberculosis. They are preparing to conduct further sputum tests. I would like to a...
Dr. Yang Wenda Reply:
Hello: To protect other residents, individuals suspected of having tuberculosis should be temporarily isolated until tuberculosis is ruled out or until they have been on tuberculosis medication for two weeks, after which the risk of transmission can be considered eliminated befor...[Read More] Should You Isolate If Suspected of Tuberculosis?
Is IV Treatment Necessary for Early-Stage Tuberculosis in Taiwan?
Is it necessary to receive intravenous treatment for tuberculosis? Hello, I would like to inquire about a friend of mine who found a small shadow during a check-up, but he appears to be just like a normal person. He went on a business trip to mainland China and sought treatment t...
Dr. Yang Wenda Reply:
Hello: Without seeing the patient's X-ray, I cannot make a diagnosis. Currently, there are no diseases in clinical practice that require intravenous therapy for three months. Please have him return to his home country to consult a pulmonologist![Read More] Is IV Treatment Necessary for Early-Stage Tuberculosis in Taiwan?
Managing Medication for Latent Tuberculosis: Concerns with Priftin and Isoniazid
Medication issues Hello, doctor. I would like to ask you about the two medications, Priftin and Isoniazid, which are used for latent tuberculosis. I have a total of 9 pills to take at once, but I can't swallow that many, so I split them into two doses. In the first dose, I t...
Dr. Yang Wenda Reply:
Hello: The impact won't be too significant; basically, just make sure to take it on the same day! Keep it up![Read More] Managing Medication for Latent Tuberculosis: Concerns with Priftin and Isoniazid
Understanding Tuberculosis Diagnosis and Treatment: Your Questions Answered
Diagnosis of pulmonary tuberculosis? Hello, I submitted my first sputum sample for testing on October 27 (actually, I had no sputum, just saliva; should saliva not be used for testing if there is no sputum?). I submitted samples again on October 31 and November 2. The staining re...
Dr. Yang Wenda Reply:
Hello: We respect the physician's diagnosis and treatment regarding your condition. If there is a case review, two experts will further validate your diagnosis. Please do not worry! If you have difficulty communicating or asking questions to your attending physician, you may...[Read More] Understanding Tuberculosis Diagnosis and Treatment: Your Questions Answered
Understanding COPD Medications: Risks for Non-COPD Patients
What are the medication issues related to chronic obstructive pulmonary disease (COPD)? Hello, Director. My elder family member had a long-term smoking habit in their youth, which they have quit for many years. However, they were diagnosed with tuberculosis over twenty years ago ...
Dr. Yang Wenda Reply:
1. The presence or absence of chronic obstructive pulmonary disease (COPD) is still more reliably assessed through pulmonary function tests, depending on whether the elderly patient can complete the examination. 2. Bronchodilators (commonly referred to as medications related to...[Read More] Understanding COPD Medications: Risks for Non-COPD Patients
Chronic Cough: Understanding Persistent Symptoms and Seeking Solutions
Chronic cough, persistent cough that does not resolve? Hello, Doctor: (The following content is a bit long; thank you for your patience!) This year, I have once again relapsed with my chronic issue: coughing. I remember being frequently ill since the first grade of elementary sch...
Dr. Yang Wenda Reply:
Hello: The chest X-ray is normal, which rules out pulmonary infections, tuberculosis, and parenchymal lung diseases such as bronchiectasis. However, it does not exclude tracheal hypersensitivity or asthma, especially since your response to bronchodilators is not significant. I am...[Read More] Chronic Cough: Understanding Persistent Symptoms and Seeking Solutions
Understanding High Cancer Markers: Is It Lung Cancer or Something Else?
Elevated cancer markers? Hello Doctor: My mother experienced massive hemoptysis ten years ago and was hospitalized, where she was diagnosed with bronchiectasis. She underwent surgery to remove part of her lung and was found to have pulmonary tuberculosis, which she completed trea...
Dr. Wu Yingxun Reply:
Hello: Monitor the CT scan to see if there is any enlargement, and then perform a biopsy.[Read More] Understanding High Cancer Markers: Is It Lung Cancer or Something Else?
Understanding Subpleural Lung Infiltrates: Causes and Follow-Up Care
Pulmonary infiltration Hello Doctor, I underwent a full-body MRI check-up last August due to discomfort, and there were some areas that needed follow-up. One finding was a 1.3 cm subpleural pulmonary infiltration in the right lower lobe, which was suggested to possibly be due to ...
Dr. Chen Junwei Reply:
A 1.3 cm subpleural pulmonary infiltrate is likely just a remnant from a past inflammation and should not be directly related to the current symptoms. It is recommended to first follow up with a pulmonology clinic to assess whether further evaluation (such as a CT scan) is necess...[Read More] Understanding Subpleural Lung Infiltrates: Causes and Follow-Up Care
Potential Side Effects of COPD Medications in Non-COPD Patients
Taking medications related to chronic obstructive pulmonary disease (COPD) without having the condition? Hello Doctor: My elder family member has been suffering from a chronic cough for about twenty years. They previously had tuberculosis but were cured with medication. After con...
Dr. Zhou Ziguang Reply:
Hello: The subsequent physician believes it is chronic obstructive pulmonary disease (COPD), which involves clinical diagnosis. Please discuss this further with your doctor.[Read More] Potential Side Effects of COPD Medications in Non-COPD Patients
Is It Pneumonia or Tuberculosis? Understanding Cough Symptoms
Could it be pneumonia or tuberculosis? Hello doctor, my mother is 40 years old and has been coughing up phlegm (white) for a while. She has visited a small clinic twice and hasn't shown any improvement. The doctor at the clinic mentioned that it could possibly be pneumonia. ...
Dr. Yang Wenda Reply:
If there is currently no fever, the likelihood of pneumonia is low. It is recommended to see a pulmonologist for a chest X-ray evaluation if the cough persists for more than two weeks.[Read More] Is It Pneumonia or Tuberculosis? Understanding Cough Symptoms
Can Asymptomatic Tuberculosis Be Transmitted to Others?
Transmission of Tuberculosis (TB) Recently, a chest X-ray revealed a white shadow in the left upper lobe, and the doctor suspects it may be tuberculosis. However, there are no symptoms such as cough, sputum production, or chest pain. Is this contagious to others?
Dr. Zhou Ziguang Reply:
Hello: If tuberculosis is confirmed and the sputum test shows the presence of Mycobacterium tuberculosis, the patient is still infectious; however, if there is no significant cough, the infectiousness is lower.[Read More] Can Asymptomatic Tuberculosis Be Transmitted to Others?
Can I Get Infected with Tuberculosis in a Confined Space?
Is it possible to transmit? Hello, doctor. I would like to ask if there is a chance of being infected with tuberculosis after being in the same room with a tuberculosis patient (who has been on medication for about two months) for about 20-30 minutes. The room is located in the b...
Dr. Yang Wenda Reply:
Hello: The patient has been on medication for two months, and the exposure time was less than eight hours, so there should be no concern about the risk of transmission![Read More] Can I Get Infected with Tuberculosis in a Confined Space?
Persistent Cough for Five Months: Seeking Answers After 20 Doctor Visits
I have been coughing for five months and have seen over 20 doctors, yet it still hasn't improved? Hello Doctor: I have been coughing since early March and have seen a doctor for the first time. I have continued to see doctors for examinations, and I have seen more than 20 do...
Dr. Wu Yingxun Reply:
Hello: At the age of 24, the likelihood of developing lung adenocarcinoma is low. Symptoms of gastroesophageal reflux disease (GERD) can also be one of the causes of chronic cough. It is important to consider whether the cough is related to occupational exposure. Pulmonary functi...[Read More] Persistent Cough for Five Months: Seeking Answers After 20 Doctor Visits
Understanding the Connection Between Pleural Effusion and Tuberculosis
Lung issues In the past, someone in the class was diagnosed with tuberculosis, so the health department issued a notice for us to get checked. Last year, my test results were normal, but this year, it was found that there is a "suspected pleural effusion in the left lower lu...
Dr. Wu Yingxun Reply:
Hello: The statement "suspected pleural effusion in the left lower lung" refers to either pulmonary infiltration or pleural effusion, and it may be necessary to perform an ultrasound to check for pleural effusion.[Read More] Understanding the Connection Between Pleural Effusion and Tuberculosis
Managing Tuberculosis While Working Abroad: Treatment Options Explained
Contracted tuberculosis while on assignment? Hello, doctor. I am currently residing in Vietnam for work and return to Taiwan approximately every three months. I have been diagnosed with tuberculosis. Do I need to resign from my job and return to Taiwan for treatment, or can I con...
Dr. Yang Wenda Reply:
Hello: The treatment for tuberculosis is becoming increasingly standardized worldwide. It is recommended that you do not need to resign from your job. Before returning to Taiwan, you can ask a local physician to provide a treatment record and a copy of your chest X-ray. Upon your...[Read More] Managing Tuberculosis While Working Abroad: Treatment Options Explained
Post-Tuberculosis Recovery: Can Sputum Tests Still Show Positive?
After recovering from pulmonary tuberculosis? Hello, I would like to ask if a sputum test can still show a positive result after recovering from tuberculosis. I am considering taking a national exam and am concerned that this might affect my eligibility. Thank you.
Dr. Zhou Ziguang Reply:
Hello: After completing treatment for tuberculosis, regular follow-up is necessary. If sputum tests are positive, it may indicate a relapse of tuberculosis or other non-tuberculous mycobacterial infections, and further identification is required. Regular examinations are still re...[Read More] Post-Tuberculosis Recovery: Can Sputum Tests Still Show Positive?
Risk of Contracting Tuberculosis During Patient Interaction
Questions about pulmonary tuberculosis? I am currently interning at a hospital, and I just learned that my patient has been coughing at home for two months due to tuberculosis. During my assignment, I had removed my mask to chat with her for about 30 minutes, maintaining a distan...
Dr. Zhou Ziguang Reply:
Hello: 1. The definition of a general contact is someone who has been in contact for more than 8 hours within the infectious period or has accumulated over 40 hours of contact. 2. Close contact without protection with a patient who has infectious pulmonary tuberculosis still carr...[Read More] Risk of Contracting Tuberculosis During Patient Interaction
Managing Tuberculosis Medication Side Effects in Elderly Patients
Tuberculosis Medications Hello, my grandfather is 80 years old. Last month, he tested positive for sputum culture while undergoing treatment for a stent placement in the hospital. However, another hospital tested his sputum and found it negative. He has been on isolation medicati...
Dr. Zhou Ziguang Reply:
Hello: If you are experiencing medication side effects, it is recommended to consult with a pulmonologist or visit our hospital to discuss whether a medication adjustment is necessary.[Read More] Managing Tuberculosis Medication Side Effects in Elderly Patients
Exploring Rapid TB Testing Options with MGIT 960 for Timely Diagnosis
Regarding sputum culture testing using the MGIT 960 system? My father was diagnosed with suspected tuberculosis at the end of May, but he has not yet been confirmed as having the disease since the sputum culture results are still pending. When he returned home for rest at the end...
Dr. Zhou Ziguang Reply:
Hello: 1. For patients suspected of having tuberculosis who experience side effects from medication, it is advisable to discuss subsequent management or medication adjustments with their physician, or they may seek consultation at our hospital. 2. If cultures have been incubated ...[Read More] Exploring Rapid TB Testing Options with MGIT 960 for Timely Diagnosis