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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
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.
Mycoplasma pneumonia prominent symptoms
Mycoplasma pneumoniae is most commonly responsible for lung infections, which we also refer to as mycoplasma pneumonia. The incubation period for mycoplasma pneumonia generally ranges from one to three weeks. The onset of the disease is quite varied, typically beginning gradually. Most patients primarily exhibit symptoms of low fever and fatigue, but a small proportion may experience a sudden onset of high fever, which can persist for an extended period. Additionally, the most pronounced symptom is a dry cough, characterized by intense coughing with little to no phlegm and long duration, sometimes lasting over a month. Moreover, some patients may also experience a sore throat and blood-streaked sputum. A very few patients, in addition to respiratory symptoms, may exhibit extrapulmonary symptoms primarily presenting as measles-like rashes. Very rarely, complications such as pericarditis, myocarditis, and meningitis may occur, manifesting corresponding symptoms, although these cases are generally very rare.
Can asthma be cured completely?
We often refer to asthma as bronchial asthma, which, whether it is cough variant asthma, allergic asthma, or caused by other factors, has not yet a cure found to date. It is now generally believed that bronchial asthma can be controlled, which means that as long as patients with bronchial asthma receive standardized treatment in reputable hospitals, most can be controlled and will not suffer from recurrent attacks. So far, there is no cure found, and all advertisements using Traditional Chinese Medicine or ancient secret remedies or any other means claiming that asthma can be cured are false. These are not to be trusted, and many asthma patients often suffer because they take some medications containing oral corticosteroids under these false beliefs. While these might control asthma in the short term, they are detrimental to the long-term management of asthma, and prolonged use of such non-standard corticosteroid treatments can lead to many adverse reactions, such as drug-induced Cushing's syndrome and medication-induced diabetes, among others.
Is tuberculosis easily contagious?
Whether tuberculosis (TB) is easily transmitted primarily depends on the source of infection, which refers to the TB patients and the amount of Mycobacterium tuberculosis in their sputum. If TB bacilli can be detected in their sputum, and the quantity is substantial, then their infectiousness is indeed higher. However, if the TB patient has undergone treatment, or if there are only a few TB bacilli in their sputum, or none at all, then their infectiousness may not be as significant. The second factor is the mode of transmission, which mainly occurs through the respiratory tract. If TB patients can be isolated timely, or if they wear masks, and their sputum is properly managed, for example by wrapping the sputum in paper and burning it, then they are less likely to transmit the disease to others. TB generally involves susceptibility issues; even if someone has been vaccinated with BCG or the TB vaccine, they can still be reinfected. Therefore, controlling these three transmission pathways is essential to minimize the risk of contracting TB.
How to treat chronic bronchitis?
How to treat chronic bronchitis, first of all we need to know that chronic bronchitis can be divided into two phases, one is the remission phase, the other is the acute exacerbation phase. Since most patients are in the remission phase most of the time, that is, their symptoms of cough and expectoration are relatively stable, more or less the same every day, with no significant change in the amount and nature of the sputum, no purulent sputum, no significant increase in sputum, and no fever or other symptoms of infection. In such cases, the first step in treating chronic bronchitis patients is to target some possible causes of their condition, such as smokers must quit smoking. Most chronic bronchitis patients experience some relief in cough and expectoration after quitting smoking. Furthermore, some patients' chronic bronchitis may be due to exposure to dust or irritant gases. It is crucial to avoid contact with these harmful gases as much as possible. In addition, patients in a stable condition should engage in physical exercise, enhance their physical fitness, and prevent colds. Some chronic bronchitis patients who frequently suffer from respiratory infections can consider using immunomodulators or some traditional Chinese medicine to regulate immunity and enhance resistance. Additionally, since chronic bronchitis can acutely exacerbate, which means the patient’s condition has changed, their cough and expectoration frequency may increase, the amount of sputum may increase, or there may be some purulent sputum, or fever and other symptoms. In such cases, the primary treatment may still be infection control, commonly using antimicrobial drugs, often referred to as anti-inflammatory drugs. The types of anti-inflammatory drugs are numerous, the most common ones include penicillin, erythromycin, levofloxacin, amoxicillin, and some cephalosporins. In such cases, it is necessary to choose medication under the guidance of a doctor. Additionally, in these situations where the patient’s cough and expectoration are worsened, and sputum increases, medications for cough suppression and expectoration, commonly known as expectorants and cough relievers, are also needed. There are some proprietary Chinese medicines, such as licorice preparations, and Western medicines such as bromhexine and ambroxol as well. Moreover, a very small portion of patients may experience wheezing, meaning some patients might also have symptoms like chest tightness and shortness of breath. In such cases, it would be necessary to use bronchodilators under the guidance of a doctor, such as theophylline or doxophylline, and these medications must be used under medical supervision.
Can pneumonia heal by itself?
Pneumonia is generally not self-healing; only a few pneumonia cases caused by specific pathogens, which lead to milder infections, can heal by themselves, such as pneumonia caused by Mycoplasma pneumoniae, which is self-limiting and can heal. However, most cases of pneumonia require standard treatment, such as pneumonia caused by Streptococcus pneumoniae and infections caused by Staphylococcus aureus. Therefore, if diagnosed with pneumonia, it is essential to seek immediate medical attention at a hospital. Relying on self-healing is unrealistic since self-healing cases are rare, and most pneumonia cases require standard treatment to recover.