Nasal Endoscopy Examination
Hello Doctor,
Recently I've been experiencing tinnitus, so I went to a large hospital to see a doctor and had a hearing test done.
The tinnitus is at a high frequency, and the doctor mentioned that my left ear shows some signs of aging.
During my first visit a few days ago, I also underwent a nasal endoscopy, which appeared normal.
The doctor prescribed some medication to help me sleep better, but the issue persists.
Often at night, when it's very quiet, I hear a loud humming sound.
Four days later, I switched to another large hospital where I had another endoscopy and hearing test.
The doctor noted some redness and swelling in my nasopharynx (after the endoscopy) and prescribed some medication for me.
When I returned for a follow-up two weeks later, I asked the doctor about it, and he mentioned that a cold could also cause some redness and swelling in the nasopharynx.
He advised me to return for a follow-up visit to monitor for any abnormalities, particularly concerning nasopharyngeal cancer.
I'm quite worried after hearing this, especially since it was only a few days between the two visits and now there's redness in my nasopharynx.
I've felt a bit under the weather lately, as I think I might have a slight cold.
I'm reaching out because I'm concerned and would appreciate your guidance regarding the nasopharyngeal redness that developed so quickly.
Thank you for your help.
A Bin, 30~39 year old female. Ask Date: 2013/04/25
Dr. Zheng Jueyi reply Otolaryngology
Hi Ah Bin: The nasopharynx is primarily composed of lymphoid tissue, and viral infections can lead to inflammation and redness in this area.
It is advisable to wait until the infection improves before conducting a follow-up examination.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2013/04/25
More Info
It's understandable to feel concerned about your health, especially when experiencing symptoms like tinnitus (ringing in the ears) and nasal issues. Based on your description, it seems that you've already taken proactive steps by consulting with healthcare professionals and undergoing necessary examinations, including hearing tests and nasal endoscopy.
Tinnitus can be a complex symptom with various underlying causes. In your case, the doctor noted some age-related changes in your left ear, which is common as people age. However, tinnitus can also be influenced by other factors, including stress, exposure to loud noises, earwax buildup, and even nasal or throat conditions. The fact that you are experiencing a persistent ringing sound, particularly at night when it's quiet, can be frustrating and concerning.
The nasal endoscopy you underwent revealed some redness and swelling in the nasopharynx. This could be indicative of inflammation, which might be due to a recent upper respiratory infection or allergies. It's not uncommon for viral infections, such as the common cold, to cause temporary inflammation in the nasal passages and throat, leading to symptoms like nasal congestion and throat discomfort. The doctor’s suggestion that this could be related to a recent cold is plausible, as viral infections often lead to transient changes in the mucosal lining of the nasal and throat areas.
Your concern about the possibility of nasopharyngeal cancer, especially given the recent findings, is understandable, particularly if there is a family history of such conditions. However, it’s important to remember that many cases of nasal and throat inflammation are benign and resolve with time and appropriate treatment. The medications prescribed by your doctor are likely aimed at reducing inflammation and alleviating your symptoms.
In terms of follow-up, it’s crucial to keep your scheduled appointments and communicate any new or worsening symptoms to your healthcare provider. If the redness and swelling persist or if you develop additional symptoms such as significant pain, difficulty swallowing, or changes in your voice, it would be wise to seek further evaluation.
Regarding your anxiety about the rapid onset of symptoms, it’s important to recognize that the body can react quickly to infections or irritants. The inflammation you’re experiencing may not necessarily indicate a serious condition but rather a response to a common illness.
In summary, while it’s natural to worry about your health, especially with symptoms like tinnitus and nasal inflammation, the majority of cases are manageable and treatable. Continue to follow your doctor's advice, take any prescribed medications, and monitor your symptoms. If you have persistent concerns, don’t hesitate to seek a second opinion or further testing to ensure peace of mind. Your health is paramount, and staying informed and proactive is the best approach.
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