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Wang Xiang Yu
Pulmonology
About me
Loudi Central Hospital, Department of Respiratory Medicine, attending physician, has been engaged in clinical work in respiratory medicine for many years, and has rich clinical experience in the diagnosis and treatment of respiratory system diseases.
Proficient in diseases
Specializes in common respiratory diseases such as upper respiratory tract infections, pneumonia, chronic bronchitis, emphysema, and tuberculosis.
Voices
Is bronchial asthma curable?
Bronchial asthma is treatable, although so far we have not found a cure for bronchial asthma, bronchial asthma can be well controlled in most patients if treated in a standard way at regular hospitals, preventing recurrent asthma attacks. However, if the treatment of bronchial asthma is unstandardized, or if one relies on folk remedies or traditional secret recipes and does not receive standardized treatment at a regular hospital, it may lead to recurrent asthma attacks and extremely poor prognosis.
Symptoms of bronchiectasis
Bronchiectasis exhibits many symptoms, but the most common are chronic cough and sputum production. The amount of sputum in bronchiectasis can vary greatly from person to person, and to some extent, it can reflect the severity of the condition. Some patients may have significant coughing and sputum production, with sputum amounts reaching over one hundred milliliters per day. In others, the condition may be more stable, with only a few milliliters of sputum per day. Additionally, patients with bronchiectasis may experience hemoptysis, which often recurs and can manifest as blood-streaked sputum, minor bleeding, or sudden severe bleeding. Significant bleeding can be particularly dangerous, potentially leading to death within minutes. Bronchiectasis can also cause recurrent lung infections and chronic long-term infection, which may be accompanied by fever, fatigue, loss of appetite, weight loss, anemia, and other symptoms.
What department does pneumonia go to?
What department should I go to for pneumonia? Pneumonia, as the name suggests, is a lung disease, which is to say it is a disease of our respiratory system. Therefore, the most appropriate department to visit would be the Department of Respiratory Medicine. If the patient's condition is relatively stable, they can visit the outpatient Respiratory Medicine department. Of course, there are a small number of patients whose condition is very critical, and in such cases, they must first visit the Department of Emergency Medicine. The doctors in Emergency Medicine will decide based on the patient's condition whether their next step should be to go to Respiratory Medicine, be admitted for in-hospital treatment, remain in the emergency for observation, or need to be admitted to the ICU for further emergency treatment.
Is it okay to take Chinese medicine for bronchial asthma?
Bronchial asthma can be treated with traditional Chinese medicine, but it is definitely not feasible to treat bronchial asthma only with Chinese medicine without Western medicine. Modern medicine still primarily uses Western medicine, which is the mainstream. Traditional Chinese medicine serves as an auxiliary treatment. Bronchial asthma is a recurrent disease that needs standardized treatment to be controlled. Currently, many unscrupulous businesses are exploiting the banner of traditional Chinese medicine or some ancestral secret formulas to provide non-standard treatments to patients with bronchial asthma, which may contain corticosteroids. Long-term oral intake of their herbal medicines might control bronchial asthma in the short term, but such long-term treatments are definitely non-standard and will lead to future difficulties in controlling the asthma. Therefore, patients with bronchial asthma must receive standardized Western medical treatment and can use traditional Chinese medicine as an auxiliary treatment, but it must be provided by a formal hospital.
Is chronic bronchitis treatable?
Chronic bronchitis exists, but before treating it, we must first have a correct understanding of the disease. Chronic bronchitis is a long-term illness that can have a slow onset and may last for decades, with the possibility of acute exacerbations throughout one's life. Moreover, there is no cure for chronic bronchitis yet. Currently, the treatment for patients with chronic bronchitis mainly depends on the stage of the disease and its symptoms. Most of the time, patients are in the remission phase. The primary treatment during this phase involves addressing risk factors. For instance, patients who smoke must quit smoking, as most patients experience significant relief from cough and phlegm after quitting. Additionally, patients with a history of dust exposure or harmful gas exposure should avoid further contact as much as possible. Furthermore, when the condition is stable, patients may engage in physical exercise to improve their physical condition and prevent colds. A small number of patients may experience respiratory infections and repeated aggravations, in which case, consider using immunomodulators or traditional Chinese medicine as adjunctive therapies. Patients with chronic bronchitis may experience acute exacerbations of their condition, meaning an increase in cough and phlegm, or the appearance of purulent sputum that is difficult to expectorate. In these cases, the main treatment method is still anti-infection therapy. Commonly used anti-infection medications include quinolones, macrolides, and cephalosporins. Some patients may experience frequent and severe cough and phlegm, and have difficulty expectorating the mucus. In such cases, mucolytic and cough suppressant medications are required for symptomatic treatment, commonly using drugs such as ambroxol, bromhexine, and eucalyptus menthol. A few patients may also experience wheezing, known as asthmatic bronchitis, which may require the use of anti-asthmatic medications such as aminophylline and various nebulized medications. (Note: The use of specific medications should be under the guidance of a doctor.)
What department should tuberculosis patients visit?
For tuberculosis, you can visit the Department of Infectious Diseases. Infectious diseases or respiratory medicine are suitable options, and if a hospital doesn't have these specialized departments, you can consider visiting the Center for Disease Control. In smaller hospitals, below the secondary level, where such specific departments may not be available, you might also consider seeing the Department of General Internal Medicine. General Internal Medicine or typical internal medicine departments can also handle this. However, our first recommendation would still be the Respiratory Medicine Department. Some hospitals combine Infectious Diseases with other related departments, making them the preferred choice for tuberculosis patients as these departments likely have the most experience in treating such diseases.
Pneumothorax should be registered under which department?
What department should you register for pneumothorax? If pneumothorax occurs suddenly, the condition is generally severe with significant breathing difficulties. In such cases, we recommend prioritizing a visit to the emergency department. Once the emergency department receives the patient, they will immediately request a consultation with a thoracic surgeon or a respiratory specialist. If the patient requires surgery, such as thoracic closed drainage or other procedures, it is usually handled by a thoracic surgeon; if the patient only requires conservative treatment, they will likely be transferred to the respiratory department; if the patient's condition is critical, they might be admitted to the ICU.
Is Mycoplasma pneumoniae contagious?
Mycoplasma pneumoniae is infectious. In fact, we need to understand what Mycoplasma pneumoniae is: it is a relatively small microorganism that can live independently, positioned between bacteria and viruses. Mycoplasma pneumoniae is spread through the respiratory tract—normal people can become infected by inhaling secretions expelled through coughing, sneezing, laughing, or talking loudly by someone who has Mycoplasma pneumoniae pneumonia. Transmission mainly occurs via the respiratory route. Clinically, it is common to find sequential or simultaneous occurrences of Mycoplasma pneumoniae among inhabitants of a dormitory or members of a household. Mycoplasma pneumoniae pneumonia is widespread globally, and most cases are sporadic, with regional outbreaks happening approximately every three to six years. These outbreaks can last for a long time, sometimes over a year.
What department should I go to for a cold?
Colds are generally divided into common colds and influenza. For a common cold, one can visit the department of respiratory medicine; if this department is unavailable, one may alternatively visit the general internal medicine department. This disease can also be treated at community hospitals under the general practice department. Additionally, influenza is a contagious disease, so it is typically advised to seek treatment at a fever clinic or a clinic specializing in infectious diseases. If these options are not available, it is recommended to go to a hospital that can treat influenza.
Does tuberculosis get inherited?
Is tuberculosis hereditary? Tuberculosis is not a hereditary disease; it is an infectious disease. Infectious diseases and hereditary diseases are two completely different concepts. Tuberculosis is generally infectious, which means that in a family, if parents are infected, they can easily transmit the tuberculosis bacteria to their children or others around them. Therefore, many people might mistakenly believe that tuberculosis is hereditary. However, this is not the case; tuberculosis is transmitted through the tuberculosis bacteria.