Dr. Cai Hongyan reply Otolaryngology Question - Page 2

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Understanding Your Symptoms: Sneezing and Blood in Nasal Discharge

I am unsure if I have sinusitis and hope to get some answers? Dear Dr. Tsai, I would like to ask why I experience frequent sneezing (3 to 6 times) every morning upon waking up. Additionally, there is a bloody smell, and when I clean my nose with tissue, I notice streaks of bloo...


Dr. Cai Hongyan reply Otolaryngology
Hello, 1. The presence of blood streaks upon waking is due to the rupture of small blood vessels in the anterior nasal region. 2. If bleeding persists throughout the day, it is advisable to consult an otolaryngologist to check for the possibility of a tumor.

[Read More] Understanding Your Symptoms: Sneezing and Blood in Nasal Discharge


Understanding Lymphadenitis: Causes, Symptoms, and Treatment Options

Lymphatic tuberculosis Hello Dr. Tsai, My father has been experiencing fever for two consecutive weeks since mid-September, but the fever only lasts for one day before subsiding. Later, we noticed a swelling under his ear that became red, swollen, and painful, and it increased ...


Dr. Cai Hongyan reply Otolaryngology
Hello! 1. Due to the presence of lymph nodes in the parotid gland, any lymphatic-related diseases should be considered. 2. In theory, a biopsy will determine the direction of treatment; if there is still a persistent high fever, other causes should be considered. 3. Trust in Chun...

[Read More] Understanding Lymphadenitis: Causes, Symptoms, and Treatment Options


Why Brushing Teeth Makes Me Feel Nauseous: Understanding the Causes

Vomiting while brushing teeth? Hello, I would like to ask why I feel like vomiting every time I brush my teeth, and sometimes I actually do vomit. Additionally, I often have phlegm in my throat accompanied by frequent coughing. Some people say it could be smoker's cough. I o...


Dr. Cai Hongyan reply Otolaryngology
Hello! 1. If you experience less vomiting while brushing your teeth, it may be due to the toothbrush going too deep, triggering a gag reflex. 2. It is recommended not to brush too deeply, or consider changing your toothpaste or toothbrush.

[Read More] Why Brushing Teeth Makes Me Feel Nauseous: Understanding the Causes


Understanding Dizziness: Causes, Symptoms, and Treatment Options

Dizziness Last month, I experienced severe dizziness for several days, and the doctor said it was due to inner ear imbalance. Recently, when I lie down on my right side before sleeping, I feel dizzy, and I also have a slight dizziness upon waking up in the morning. What type of d...


Dr. Cai Hongyan reply Otolaryngology
Hello, there are many types of dizziness. It is recommended to undergo a comprehensive balance function assessment to determine the results. It is advised to take medication properly for two months, and you should recover.

[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options


Understanding Bumps on the Back of Your Tongue and Bad Breath

There are small bumps at the back of the tongue? What could the small bumps at the back of my tongue be? Also, could the bad odor in my mouth and breath be caused by this symptom?


Dr. Cai Hongyan reply Otolaryngology
1. The tissue at the back of the tongue is likely just hyperplastic lymphoid tissue. 2. This should not be related.

[Read More] Understanding Bumps on the Back of Your Tongue and Bad Breath


Understanding Sinusitis: Symptoms, Treatments, and When to Consider Surgery

Sinusitis Hello Doctor: I have a history of nasal allergies, and this year I've started experiencing thick, purulent nasal discharge and severe post-nasal drip. I visited a doctor who diagnosed me with acute rhinitis, hypertrophic sinusitis, and hypertrophic rhinitis. Howeve...


Dr. Cai Hongyan reply Otolaryngology
Headache, purulent nasal discharge, and post-nasal drip can all be symptoms of sinusitis. It is advisable to visit a hospital for an examination. Currently, sinusitis surgery is performed using endoscopy, which does not involve any external incisions.

[Read More] Understanding Sinusitis: Symptoms, Treatments, and When to Consider Surgery


Understanding Allergic Rhinitis: Symptoms, Causes, and Treatment Options

Nasal allergies Hello, doctor. I have a question. My nose is very prone to allergies, and I often have a runny nose, which can become severe and sometimes even causes itching in my eyes! I always experience these symptoms when I wake up in the morning or when I am exposed to cold...


Dr. Cai Hongyan reply Otolaryngology
Itchy eyes, phlegm in the throat, and nasal allergies with post-nasal drip are related, and they are not typical symptoms of sinusitis. However, it is still advisable to come to the hospital for a detailed examination. You can have blood tests for allergens done at our outpatient...

[Read More] Understanding Allergic Rhinitis: Symptoms, Causes, and Treatment Options


Understanding Nasal Septum Deviation and Cosmetic Surgery Options

Nasal septum My nose appears slightly crooked to the left from the outside, and I can see a bit of bone on the right side of the nasal bridge. Is this what is referred to as a deviated septum? My right side tends to get congested more easily, but it's not severe. However, th...


Dr. Cai Hongyan reply Otolaryngology
Yes, I can address issues with the nasal septum, but for rhinoplasty, you will need to consult with a plastic surgeon. This can be done at our facility as well.

[Read More] Understanding Nasal Septum Deviation and Cosmetic Surgery Options


Unusual Growth on Tongue: What You Need to Know About It

Strange growths on the tongue? I have a small growth on the tip of my tongue that resembles a mushroom; it looks like a small white ball connected by a blood vessel. I went to see a doctor, but they didn't explain what it was and just cut it off. I'm unsure if this will...


Dr. Cai Hongyan reply Otolaryngology
It's okay, but it should be performed in a major hospital where a pathology report can be obtained.

[Read More] Unusual Growth on Tongue: What You Need to Know About It


Understanding Recurrent Ear Fluid: Causes and Treatment Options

Recurrent fluid accumulation in the inner ear? Hello Dr. Tsai, For several months, I have been receiving treatment at various hospitals in Taichung for fluid accumulation (bubbles) in both ears, which has been difficult to resolve and is quite distressing. 1. Sometimes I have ...


Dr. Cai Hongyan reply Otolaryngology
If there is bilateral middle ear effusion and continuous antibiotic treatment is ineffective, it is recommended to perform a tympanostomy tube insertion. Since your nasopharyngeal biopsy is okay, it is likely not nasopharyngeal carcinoma, so I think you can proceed with the tube ...

[Read More] Understanding Recurrent Ear Fluid: Causes and Treatment Options


Understanding Recurrent Hemoptysis: Causes and Concerns in ENT

Recurrent hemoptysis? My mother is 54 years old and has been experiencing recurrent hemoptysis for about seven to eight years. However, it has become more frequent in the past two years, which has caused us great concern. The episodes typically occur after eating certain foods or...


Dr. Cai Hongyan reply Otolaryngology
You should see a pulmonologist or an otolaryngologist. If the otolaryngologist rules out a tumor, then it is likely an internal medicine issue.

[Read More] Understanding Recurrent Hemoptysis: Causes and Concerns in ENT


Understanding Severe Nasal Congestion: Treatment Options and Laser Surgery

Nasal congestion! Hello, Doctor: Recently, I have been experiencing severe nasal congestion, making it almost impossible for me to breathe, but I do not have a runny nose. After visiting the hospital today, the doctor mentioned that there is some thickening of tissue inside my no...


Dr. Cai Hongyan reply Otolaryngology
1. If there is persistent nasal congestion, laser treatment can be performed, and it is covered by health insurance. 2. The laser procedure takes about 15 minutes to complete, and it is generally not painful. Our hospital also offers a new minimally invasive technique for inferio...

[Read More] Understanding Severe Nasal Congestion: Treatment Options and Laser Surgery


Understanding Chronic Hypertrophic Rhinitis: Treatment Options and Questions to Ask Your Doctor

Chronic hypertrophic rhinitis Hello Doctor: I often experience nasal congestion, but I haven't paid much attention to it. At the end of February this year, I suddenly developed a high fever for unknown reasons and went to the emergency room twice in one day. The doctor order...


Dr. Cai Hongyan reply Otolaryngology
1. It is recommended that you undergo laser surgery to improve your nasal congestion, which is covered by health insurance. 2. There are generally three types of surgical procedures: electrocautery, radiofrequency ablation, and minimally invasive reduction of the inferior turbina...

[Read More] Understanding Chronic Hypertrophic Rhinitis: Treatment Options and Questions to Ask Your Doctor


Persistent Throat Mucus: Causes, Symptoms, and Treatment Options

Frequent phlegm in the throat? I have persistent phlegm in my throat that I can't seem to cough up, and it doesn't feel like cold symptoms. I previously visited a doctor who mentioned that my tonsils are enlarged, which makes me more susceptible to colds. Older generati...


Dr. Cai Hongyan reply Otolaryngology
1. This is chronic pharyngitis, generally caused by gastroesophageal reflux. 2. If it is chronic throat pain, the tonsils may also be involved; it is recommended to consult an otolaryngologist for evaluation.

[Read More] Persistent Throat Mucus: Causes, Symptoms, and Treatment Options


Understanding Surgery Options for Deviated Septum and Chronic Nasal Congestion

Regarding surgery for a deviated septum? If I have a deviated septum and frequently experience nasal congestion, waking up every morning with sneezing and a runny nose, what kind of surgery should I consider? I have heard about laser treatments. If surgery is necessary, how many ...


Dr. Cai Hongyan reply Otolaryngology
1. First, take medication and use a nasal spray; if ineffective, consider surgery. 2. Laser surgery will recover within 1-2 years, with the benefit of being quick and not requiring hospitalization. 3. For complete improvement, an inpatient surgery for septoplasty along with infer...

[Read More] Understanding Surgery Options for Deviated Septum and Chronic Nasal Congestion


Chronic Cough and Throat Sensation: Understanding Persistent Symptoms

There is a sensation of a foreign body in the throat, and I have been coughing for many years? My father is 53 years old and has been coughing for several years. He describes a persistent sensation of something stuck in his throat, which makes him feel very uncomfortable if he do...


Dr. Cai Hongyan reply Otolaryngology
Your father's symptoms warrant a visit to a specialist (otolaryngologist) for a thorough local examination. If necessary, an endoscopic examination may also be performed to achieve a more definitive diagnosis. Thank you.

[Read More] Chronic Cough and Throat Sensation: Understanding Persistent Symptoms


Understanding Acute Tonsillitis: Symptoms, Diagnosis, and Concerns

Acute tonsillitis On August 15th, in the early morning, I experienced difficulty breathing, a heavy feeling in my chest, and severe pain in my temples. My body temperature was 36.9 degrees Celsius. Upon examination, I found 2 to 3 swollen lymph nodes below my right ear, while the...


Dr. Cai Hongyan reply Otolaryngology
1. Traditional Chinese Medicine (TCM) views pneumonia differently than Western Medicine; a chest X-ray at a major hospital can provide clarity. 2. Lymphadenopathy may be caused by inflammation, and the source of infection needs to be examined by a physician to determine.

[Read More] Understanding Acute Tonsillitis: Symptoms, Diagnosis, and Concerns


Why Does Yawning Cause Tears? Understanding Eye Issues in Infants

Yawning can cause tears to flow? Dr. Tsai: My daughter is over 3 months old. A few days ago, her left eye started to have excessive tearing and mild inflammation, with occasional yellow discharge. After taking her to the ophthalmologist and applying eye drops, her condition impro...


Dr. Cai Hongyan reply Otolaryngology
1. It is normal to tear up when yawning. 2. Consult an ophthalmologist for other related issues.

[Read More] Why Does Yawning Cause Tears? Understanding Eye Issues in Infants


Understanding Persistent Nosebleeds: When to Seek ENT Help

A concerning issue? Hello Doctor: I have been experiencing nosebleeds for the past six months (I did not have this medical history before). It started after a prolonged cold in March of this year (that cold lasted a long time). The symptoms were particularly noticeable for two mo...


Dr. Cai Hongyan reply Otolaryngology
1. A detailed X-ray examination of the head and nasal endoscopy should be performed to check for the possibility of other conditions. It is recommended to have the examination done at a major hospital. 2. It is unlikely to be...

[Read More] Understanding Persistent Nosebleeds: When to Seek ENT Help


Understanding Salivary Gland Tumors: Recurrence and Nerve Impact

Salivary gland tumor! Dear Doctor: I previously had a large salivary gland tumor removed due to pain (approximately the size of an egg). Recently, I accidentally discovered a small growth in the same area. Is it possible that this is a recurrence? Although I am not experiencing a...


Dr. Cai Hongyan reply Otolaryngology
1. It is possible. 2. It is best to perform a CT scan. 3. There is a possibility of injuring the facial nerve, especially in patients like you who are undergoing a repeat surgery.

[Read More] Understanding Salivary Gland Tumors: Recurrence and Nerve Impact


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