Understanding High EBV-IGA Levels: What You Need to Know
Elevated EBV-IgA index? Dear Sir, I recently had a health check-up and my EBV-IgA index was found to be 2.5, which exceeds the standard range. I have no bad habits and no family history of illness, and I feel fine. I underwent an endoscopy, and the doctor stated that there were ...
Dr. Ji Zhaoyun Reply:
Hello, 1. Generally, it can be monitored once a year. 2. As you mentioned, it is an endoscopic examination, not a biopsy; visual assessment can estimate malignancy, but it is certainly not absolute. 3. If there are significant concerns, you can discuss with your physician whether...[Read More] Understanding High EBV-IGA Levels: What You Need to Know
Understanding Unpleasant Odors and Nasal Congestion in Allergic Rhinitis
Nasal congestion and the perception of foul odors? Hello Doctor, I have recently noticed a strange smell from time to time, accompanied by unilateral nasal congestion and post-nasal drip symptoms. I have a history of allergic rhinitis. Could this smell be caused by my allergies, ...
Dr. Zheng Jueyi Reply:
Hello: A persistent unusual odor may commonly be related to infections, such as sinusitis or fungal infections. If it continues without improvement, it is advisable to visit an otolaryngologist for examination and treatment. Wishing you safety and health. Sincerely, Dr. Cheng Jue...[Read More] Understanding Unpleasant Odors and Nasal Congestion in Allergic Rhinitis
White Bump Near Lip Piercing: Causes and When to See an ENT
There is a white tissue protruding next to the inside of the lip ring? A few days ago, I noticed that there was suddenly a white growth on the inside of my lip near my lip ring, as if something had been pushed out. It is only on the left side, while the right side looks normal. I...
Dr. Zheng Jueyi Reply:
Hello: Commonly, granulomas are caused by inflammation. If discomfort persists, it is recommended to visit an otolaryngologist for examination. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of H...[Read More] White Bump Near Lip Piercing: Causes and When to See an ENT
Understanding Fluctuating Swelling of the Left Jaw Lymph Node
The unilateral submandibular triangular lymph nodes may vary in size, appearing intermittently enlarged or reduced? Hello Doctor: I have noticed that the lymph nodes in my left lower jaw have been swelling for the past four months. However, they tend to subside after a few days, ...
Dr. Zheng Jueyi Reply:
Hello, the recurrent swelling may be caused by repeated inflammation of the lymph nodes or submandibular gland stones. If the discomfort persists, it is recommended to visit an otolaryngologist for examination and confirmation. Wishing you peace and health. Sincerely, Dr. Cheng J...[Read More] Understanding Fluctuating Swelling of the Left Jaw Lymph Node
Understanding Lymphadenopathy in the Submandibular Triangle
Submandibular lymph node swelling? I was supposed to get a root canal on my lower right molars, but due to home quarantine, I couldn't go to the dentist for a while. As a result, my gums around the teeth became swollen. The next day, I noticed a round, movable lump in the su...
Dr. Zheng Jueyi Reply:
Hello, it is common for lymphadenopathy to occur after a dental infection. It is recommended to use antibiotics or anti-inflammatory medications for treatment, which may take about a week to see improvement in swelling. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, ...[Read More] Understanding Lymphadenopathy in the Submandibular Triangle
Understanding Ear Congestion: Causes, Symptoms, and Solutions
Ear fullness sensation Hello Doctor: When I ride in a car on mountain roads, I experience a sensation of fullness in both ears (decreased hearing), which returns to normal within about an hour. Occasionally, while taking the MRT, I suddenly experience tinnitus (less frequent). At...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) ...[Read More] Understanding Ear Congestion: Causes, Symptoms, and Solutions
Understanding Ear Congestion and Sounds: Causes and Solutions
Ear popping sound? One day, I suddenly noticed a feeling of fullness in my left ear, accompanied by tinnitus that lasted about five seconds and a slight decrease in hearing. When I slept on my side, it felt like there was fluid flowing into both ears, but the external auditory ca...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, hiking, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis medi...[Read More] Understanding Ear Congestion and Sounds: Causes and Solutions
Understanding Ear Congestion and Eustachian Tube Issues: Causes and Solutions
Ear fullness and Eustachian tube dysfunction? Hello, Doctor: When I was a child, I sometimes experienced sudden ear congestion (with reduced hearing) while traveling on mountain roads, which could take several minutes to recover. When taking the bus or MRT, I occasionally experie...
Dr. Zheng Jueyi Reply:
Hello, common issues related to Eustachian tube dysfunction may arise. If the hearing test and tympanometry from the ENT examination are normal, it may be advisable to consult a neurologist to check for other neurological function-related problems. Wishing you safety and health. ...[Read More] Understanding Ear Congestion and Eustachian Tube Issues: Causes and Solutions
Persistent Sore Throat and Fever: When to Seek Further Medical Help
Tonsillitis has not improved after three days of medication, with recurrent fever? On April 13, I felt discomfort in my throat. By April 15, the discomfort turned into pain, so I visited an ENT specialist. The doctor prescribed antibiotics and antipyretics, but after taking them ...
Dr. Ji Zhaoyun Reply:
Hello, based on your situation, I recommend visiting a hospital. If necessary, you may require inpatient treatment. Wishing you peace and good health.[Read More] Persistent Sore Throat and Fever: When to Seek Further Medical Help
Managing Throat Pain After Vocal Cord Paralysis and Hyaluronic Acid Injection
Vocal cord paralysis treated with hyaluronic acid injection? Hello, I have left-sided vocal cord paralysis. I underwent a hyaluronic acid injection yesterday and now I have a sore throat, but the doctor did not prescribe any anti-inflammatory or pain relief medication. I also hav...
Dr. Li Jiaxuan Reply:
Please use your voice carefully and avoid excessive throat clearing. Wishing you safety and well-being.[Read More] Managing Throat Pain After Vocal Cord Paralysis and Hyaluronic Acid Injection
Understanding Coughing with Blood Taste: Causes and Concerns
Coughing up blood? Hello Dr. Lee: I have a history of bronchial allergies, and I tend to cough during seasonal changes! However, it is usually a dry cough without other symptoms. Recently (for about 1-2 months), my cough has been persistent (sometimes severe, sometimes mild), and...
Dr. Li Jiaxuan Reply:
There are many causes of cough, including allergic cough, bronchitis, or concerns about potential growths. Please visit an otolaryngology clinic for an examination. If necessary, a low-dose lung CT scan can also be performed. Wishing you good health.[Read More] Understanding Coughing with Blood Taste: Causes and Concerns
Understanding Post-Repair Ear Drum Discomfort and Pain Management
After a ruptured eardrum has healed? About a year ago, I had a ruptured eardrum. After it healed, I still often feel discomfort, pressure, or intermittent pain. Different doctors have examined me and said that it has healed, and occasional discomfort is normal. However, recently ...
Dr. Li Jiaxuan Reply:
Healing takes about one to two months for the eardrum to become thicker and more resilient. During this period, it is advised to avoid excessive stimulation of the eardrum. Wishing you well.[Read More] Understanding Post-Repair Ear Drum Discomfort and Pain Management
Understanding Post-Operative Symptoms After Nasal Wing Nerve Resection
Postoperative symptoms following alar nerve resection surgery? I am involved in the fields of communication, efficiency research, and causal experiments. On November 2nd, I underwent a nasal wing nerve resection surgery at Tzu Chi Hospital in Taichung. I would like to write a rep...
Dr. Li Jiaxuan Reply:
1. Are the symptoms of wind, soreness, dryness, and pain due to the fact that the micro-incisions have not yet healed? Is it caused by slight swelling of the wounds? 2. How long does one typically have to endure these symptoms before they resolve? Generally, it takes about 3 to...[Read More] Understanding Post-Operative Symptoms After Nasal Wing Nerve Resection
Understanding High-Pitched Sounds and Sensitivity in Your Ears
Is sensitivity to higher-pitched sounds and an increased sensitivity to louder noises indicative of hearing problems? Hello, Doctor. I have some questions regarding my ears. 1. About two years ago, I started hearing some faint, high-pitched sounds at night. These sounds do not ...
Dr. Li Jiaxuan Reply:
Physiological tinnitus often occurs in young individuals with insufficient sleep or in the elderly population. Based on your description, you may be experiencing auditory sensitivity or Eustachian tube dysfunction. However, there is also a significant proportion of pathological t...[Read More] Understanding High-Pitched Sounds and Sensitivity in Your Ears
Understanding Auditory Hallucinations and Hearing Issues in Seniors
Auditory abnormalities, hearing issues, hallucinations? Dr. Lee, This post is regarding a consultation for a family elder. The elder is a 76-year-old female. Six months ago, she reported that she could always hear a pleasant sound resembling wind chimes, which sometimes lasts f...
Dr. Li Jiaxuan Reply:
It is likely a form of tinnitus or pulsatile tinnitus, which is mostly a normal physiological degeneration but may also have pathological possibilities. It is recommended to visit an otolaryngology clinic for hearing and EEG examinations. Wishing you good health.[Read More] Understanding Auditory Hallucinations and Hearing Issues in Seniors
Understanding Oral Wall Lumps: When to Seek Medical Attention
There is a lump on the inner lining of the mouth? Hello, doctor. About two weeks ago, I noticed a lump on the right side of my oral cavity near the pterygomandibular ligament. The front of the lump feels like it has a groove resembling a scar, but I don't recall any injury. ...
Dr. Li Jiaxuan Reply:
The mucosa in the image shows signs of ulceration, but if there are hard lesions present, it is recommended to consult an oral surgeon or an otolaryngologist. Wishing you good health.[Read More] Understanding Oral Wall Lumps: When to Seek Medical Attention
Understanding Movable Lumps Under the Jaw: Causes and Concerns
There is a movable, soft lump in the left lower jaw when tilting the head down, but it is not painful? Hello Doctor, I recently noticed a soft, movable lump near the left lower jaw close to the chin. It feels like a bone, is not painful, and seems to be more noticeable when I low...
Dr. Li Jiaxuan Reply:
Based on your described location, it may be related to the salivary glands or submandibular lymph nodes. For the cause of the swelling, please visit an otolaryngology clinic for an ultrasound examination. Wishing you good health.[Read More] Understanding Movable Lumps Under the Jaw: Causes and Concerns
Post-Tonsillectomy Complications: Understanding Swelling and Breathing Issues
Tonsillectomy Doctor, I recently underwent a tonsillectomy due to chronic tonsillitis and was discharged after two days in the hospital. My surgical site is still swollen, and the uvula may have been affected during the procedure, resulting in a white swollen area. Over the past ...
Dr. Li Jiaxuan Reply:
Based on your description, the wound is currently quite swollen and has not fully healed. The swelling is expected to persist for about another 10 days after discharge. It is recommended to elevate your pillow a bit to help alleviate the swelling. Wishing you a safe recovery.[Read More] Post-Tonsillectomy Complications: Understanding Swelling and Breathing Issues
Understanding Sudden Dizziness: Causes, Prevention, and Medical Advice
Sudden dizziness Hello Dr. Zheng, I suddenly experienced dizziness upon waking up yesterday (April 8), which was the first time I felt such severe dizziness that I was unable to stand. Since I am currently abroad, I did not seek medical attention at that time. I felt strange upon...
Dr. Zheng Jueyi Reply:
Hello: There are many causes of dizziness, and based on your description, it may be related to cardiovascular or central causes of dizziness. If the discomfort persists, it is recommended to consult a neurologist or cardiologist. Wishing you safety and health. Sincerely, Dr. Chen...[Read More] Understanding Sudden Dizziness: Causes, Prevention, and Medical Advice
Understanding Hearing Issues: Tinnitus and Ear Discomfort Explained
Hearing problems Hello, Dr. Chi. The day before yesterday, I stayed in a store for about an hour, and the ambient noise inside was a very high-frequency sound that made me feel a bit dizzy. After I came out, I experienced tinnitus in my right ear, and sounds seemed muffled, with ...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could 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 your nose or bending over. 2) Sudden sensorineural hearing loss: This has a s...[Read More] Understanding Hearing Issues: Tinnitus and Ear Discomfort Explained