ENT Concerns: Ear, Nose, and Throat Health Issues

Please ask!

Hello, Doctor: I had an examination with a physician at Chang Gung Memorial Hospital.
Since the lesion is less than one centimeter and there were no abnormalities in the nasopharyngeal examination, the doctor recommended that I continue to be monitored (every three to six months).
Additionally, the doctor examined my ears (where images were visible on the spot).
Are the cervical lymph nodes related to the ears as well? Lastly, I would like to ask about my friend who frequently experiences nosebleeds due to having thinner nasal membranes.
What can be done to improve this condition? Thank you for your repeated suggestions and responses, which have helped alleviate my concerns.
Thank you!

Lai, 10~19 year old female. Ask Date: 2009/10/29

Dr. Chen Jianzhi reply Otolaryngology

Dear Inquirer,
Regarding your question, there is indeed a connection between the ears and the cervical lymph nodes, so an examination of the ears will certainly be included in the physical assessment.
If you are experiencing nosebleeds due to nasal allergies, it is essential to address the nasal allergies first.
I recommend that you visit a nearby otolaryngology clinic for further evaluation.
Sincerely,
Dr.
Chien-Chih Chen,
Physician at Taoyuan Hospital, Department of Health,
Lecturer at Fu Jen Catholic University

Reply Date: 2009/10/29

More Info

Hello! Thank you for your detailed inquiry regarding your ear, nose, and throat (ENT) health issues. It seems that you have been experiencing a range of symptoms that may be interconnected, and I appreciate your proactive approach in seeking medical advice.

From your description, it appears that you have undergone various examinations, including checks for your ears, nasal passages, and throat, which have not revealed any significant abnormalities. This is a positive sign, as it suggests that serious conditions such as tumors or severe infections have been ruled out. However, the symptoms you are experiencing, such as ear pain, a feeling of fullness in the ear, and tinnitus (ringing in the ears), can often be attributed to dysfunction of the Eustachian tube, which connects the middle ear to the back of the nose. This dysfunction can lead to pressure imbalances, resulting in the sensations you described.

The relationship between the neck lymph nodes and ear health is indeed significant. Lymph nodes can become reactive due to infections or inflammation in nearby areas, including the ears and throat. If there is any ongoing inflammation or infection, it can lead to swelling of the lymph nodes, which may cause discomfort or pain. It is essential to monitor these lymph nodes, especially if they change in size or become painful.

Regarding your friend's frequent nosebleeds due to thin nasal membranes, this is a common issue. The nasal mucosa can become dry and fragile, leading to bleeding. To improve this condition, several strategies can be employed:
1. Humidification: Using a humidifier in living spaces can help maintain moisture in the air, which can prevent the nasal membranes from drying out.

2. Saline Nasal Sprays: Regular use of saline sprays can keep the nasal passages moist and help prevent bleeding.

3. Avoiding Irritants: It is crucial to avoid irritants such as smoke, strong odors, and allergens that can exacerbate nasal dryness.

4. Hydration: Encouraging adequate fluid intake can help keep the mucous membranes hydrated.

5. Nasal Ointments: Applying a thin layer of petroleum jelly or specialized nasal ointments inside the nostrils can provide a protective barrier against dryness.

If your friend continues to experience frequent nosebleeds despite these measures, it may be advisable for them to consult an ENT specialist for further evaluation. In some cases, cauterization of the bleeding vessels may be necessary, especially if the bleeding is recurrent and significant.

In conclusion, while your symptoms may not indicate any severe underlying issues, it is essential to continue monitoring your health and follow up with your healthcare provider as recommended. If you notice any changes in your symptoms or if new symptoms arise, do not hesitate to seek medical attention. Thank you for your questions, and I hope this information helps clarify your concerns regarding your ENT health!

Similar Q&A

Understanding Ear, Nose, and Throat Issues: When to Seek Help

Hello Dr. Cheng, I had a comprehensive health check-up at Ho Shin on June 16, which included general examinations as well as colonoscopy and gastroscopy. During this check-up, it was noted that there is a cyst in the nasopharyngeal area, which was examined using a laryngoscope. I...

Dr. Zheng Jueyi reply Otolaryngology
Dear Yang Yang, Hello, if a nasopharyngoscopy has ruled out nasopharyngeal tumors, common causes of tinnitus or aural fullness may be due to Eustachian tube dysfunction. If hearing is normal, you can observe the situation; however, if there are hearing abnormalities, you should ...

Understanding Ear, Nose, Throat, and Oral Health Issues: Symptoms and Concerns

Hello Doctor, I have a history of allergic rhinitis and vocal cord atrophy. Since April, I have occasionally experienced a sensation of heat in my left ear, followed by persistent tinnitus in the left ear. Occasionally, I also experience reduced hearing in the left ear, pain in t...

Dr. Zheng Jueyi reply Otolaryngology
Hello, if you are experiencing pain, you can first use acetaminophen to manage it, as it generally has a lower risk of causing allergic reactions. Additionally, it is advisable to drink plenty of water and avoid consuming irritating spicy foods. Since there are no typical symptom...

Understanding Ear and Nasal Issues: Symptoms, Concerns, and Treatments

I previously had a problem with nasal congestion, which was quite uncomfortable. I rolled up a tissue into a cone shape to try to suck out the mucus deep in my nose. While I did manage to clear some mucus, some of it seemed to flow back, and then I started to hear a water-like so...

Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issues you mentioned may be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing the nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis media...

Understanding Ear Congestion and Chronic Throat Issues: A Comprehensive Guide

Hello, doctor. Regarding the topic, my current symptoms are as follows: Ears: Every morning, I experience a feeling of fullness in my ears, and I can hear an echo of my own voice. I can even hear my own breathing. This has been ongoing for quite some time. Initially, it occurre...

Dr. Ye Dawei reply Otolaryngology
Miss, I recommend that you visit an outpatient clinic for a hearing test and an endoscopic examination. The sleeping position is unrelated to the phone calls. As for whether the symptoms are related, we will only know after the examinations. I suggest maintaining a regular lifest...