Should I go to a major hospital?
I have written several times and have also consulted the allergy department.
I have been taking medication and using a nasal spray, but I still feel very uncomfortable.
My mouth is cracked, and I am breathing through my mouth; my nose is not functioning properly for breathing.
I am unsure whether I should continue seeing the allergy department or if I should see an otolaryngologist for my nasal allergies, or if I need to go to a medical center.
I have noticed that I have been diagnosed with tonsillitis by different doctors within the past ten days, and the diagnoses are consistent.
Since I have already seen both the otolaryngology and allergy departments, what should I do now?
bu, 40~49 year old female. Ask Date: 2021/04/18
Dr. Zheng Jueyi reply Otolaryngology
Hello: If you continue to feel unwell, you may consult your original ENT or rheumatology and immunology physician to determine if a referral to another specialty is necessary to find the cause, or to be referred to a medical center for further examination.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2021/04/18
More Info
When dealing with persistent ENT (ear, nose, and throat) issues, especially when symptoms are not improving despite treatment, it is crucial to consider a few factors before deciding on the next steps. Given your situation, where you have already consulted multiple specialists and received similar diagnoses, it may be beneficial to seek further evaluation at a major hospital or a specialized medical center.
Understanding Your Symptoms
From your description, it sounds like you are experiencing significant discomfort related to your nasal passages and possibly your throat. Symptoms such as a cracked mouth, reliance on mouth breathing, and the feeling that your nasal passages are not functioning properly can indicate underlying issues that may not be adequately addressed by general treatments. Persistent symptoms like these can be indicative of conditions such as chronic rhinosinusitis, allergic rhinitis, or even structural abnormalities in the nasal passages.
Importance of Comprehensive Evaluation
Visiting a major hospital or a specialized ENT clinic can provide you with a more comprehensive evaluation. Major hospitals often have access to advanced diagnostic tools and specialists who can perform detailed examinations, including imaging studies like CT scans or MRIs, which may not be available in smaller clinics. These tools can help identify any anatomical issues, chronic infections, or other conditions that may be contributing to your symptoms.
Considerations for Referral
1. Specialization: If you have already seen general practitioners and specialists in the field of immunology or allergy, it may be time to consult an ENT specialist who focuses specifically on nasal and sinus disorders. They can offer targeted treatments that may not have been considered previously.
2. Multidisciplinary Approach: Major hospitals often have multidisciplinary teams that can address complex cases. This means that if your symptoms are related to allergies, infections, or even gastroesophageal reflux (which can affect throat symptoms), you may receive coordinated care from various specialists.
3. Treatment Options: A specialized ENT clinic can provide a range of treatment options, including advanced medications, allergy testing, and possibly surgical interventions if necessary. If your condition is chronic, they may also offer long-term management strategies that can significantly improve your quality of life.
Next Steps
Given that you have already seen multiple doctors without satisfactory results, I recommend the following steps:
- Seek a Referral to an ENT Specialist: If you haven’t already, ask your primary care physician for a referral to a specialized ENT clinic or a major hospital. Ensure that the specialist has experience with chronic nasal and sinus issues.
- Prepare for Your Appointment: Document all your symptoms, previous treatments, and any medications you have tried. This information will be valuable for the specialist to understand your history and tailor their approach.
- Consider Allergy Testing: If allergies have not been thoroughly evaluated, ask the ENT specialist about the possibility of allergy testing to identify any triggers that may be exacerbating your symptoms.
- Follow-Up: After your appointment, ensure that you have a clear follow-up plan. If the specialist recommends further tests or treatments, make sure you understand the next steps and how to manage your symptoms in the meantime.
Conclusion
Persistent ENT issues can be frustrating and debilitating. Seeking care from a major hospital or specialized ENT clinic can provide you with a more thorough evaluation and potentially lead to more effective treatment options. Don’t hesitate to advocate for your health and seek the care you need to improve your quality of life.
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