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Understanding Frequent Nosebleeds: Causes and Solutions for Your Sister

Nosebleed Hello: My sister has had habitual nosebleeds since she was young. She has seen a doctor who said it is due to thin nasal membranes. However, when she has a nosebleed, it lasts for half an hour to an hour, and each time there are different sizes of blood clots. Sometimes...


Dr. Cai Zhenggu reply Otolaryngology
Hello, sister: The common cause of nosebleeds in children is allergic rhinitis, which leads to nasal itching and frequent nose picking, resulting in the rupture of small blood vessels. The treatment method must first address the symptoms of allergic rhinitis.

[Read More] Understanding Frequent Nosebleeds: Causes and Solutions for Your Sister


Understanding Mucolytics: Should You Change Your ENT Specialist?

Thank you for your response? Thank you, Dr. Tsai. I have received your response. The ENT doctor my daughter visited mentioned that the medication contains an expectorant, which will help expel mucus along with the waste. Is that correct? Should I consider switching to another cli...


Dr. Cai Zhenggu reply Otolaryngology
Hello, Mrs. Huang: 1. Yes. 2. I recommend that you visit my clinic. My clinic hours are Tuesday mornings and Friday afternoons.

[Read More] Understanding Mucolytics: Should You Change Your ENT Specialist?


Understanding Adenovirus and Tonsillitis in Children: Key Insights

Viral infection. Tonsillar suppuration? Three days ago, my daughter went to the emergency room due to a high fever. The doctor diagnosed her with adenovirus and tonsillar suppuration. After that, I took her to a pediatric otolaryngologist. The doctor said that my daughter's ...


Dr. Cai Zhenggu reply Otolaryngology
Hello, Mrs. Huang: The virus will not be expelled through the rectum, nor will it be eliminated from the body.

[Read More] Understanding Adenovirus and Tonsillitis in Children: Key Insights


Is Using Menthol Stick Safe for Sinus Issues and Headaches?

Apply mint stick? Thank you for your inquiry. Your mother suffers from nasal issues and chronic migraines, which may indeed be related to her allergic predisposition. When she experiences headaches, she prefers to apply a menthol stick to her forehead and the area above her upper...


Dr. Cai Zhenggu reply Otolaryngology
Hello Mr. Ku: 1. Possibly related 2. Can 3. Will not

[Read More] Is Using Menthol Stick Safe for Sinus Issues and Headaches?


Effective Treatments for Chronic Allergic Rhinitis Symptoms

Suffering from long-term nasal congestion, sneezing, and runny nose? Hello: I have suffered from allergic rhinitis since childhood, which I inherited from my grandmother. My symptoms have been getting worse each year, with winter being more severe than summer. However, in recent ...


Dr. Cai Zhenggu reply Otolaryngology
Hello Shing: In addition to surgery, your condition can be treated with a nasal spray, which has shown good results. I recommend that you start using the nasal spray. Our hospital does not offer cryotherapy.

[Read More] Effective Treatments for Chronic Allergic Rhinitis Symptoms


Understanding Cholesteatoma: Surgery, Risks, and Dietary Tips

May I ask the doctor? 1. Is surgery the only way to completely eradicate a cholesteatoma? 2. After surgery, are there any potential complications or specific considerations to be aware of? 3. How does a cholesteatoma form? 4. Are there any dietary considerations to keep in ...


Dr. Cai Zhenggu reply Otolaryngology
Hello Junjay: 1. Yes 2. It may cause facial nerve paralysis 3. Invasion of squamous cells from the external auditory canal into the middle ear cavity 4. It is not related to diet.

[Read More] Understanding Cholesteatoma: Surgery, Risks, and Dietary Tips


Intermittent Ear Pain: Possible Causes and Solutions Explained

Intermittent stabbing pain in the inner ear? Intermittent sharp pain in the inner ear, occurring in both ears for about 1 to 2 seconds several times a day, could be indicative of several potential issues. Possible causes may include eustachian tube dysfunction, temporomandibular ...


Dr. Cai Zhenggu reply Otolaryngology
Hello, it could be a facial nerve disorder. The facial nerve is responsible for sensation in the face and ear, so it may be an issue related to the facial nerve.

[Read More] Intermittent Ear Pain: Possible Causes and Solutions Explained


Understanding Lymph Node Swelling: Is It Lymphoma or Just Inflammation?

Lymphadenopathy I previously experienced tonsillitis and noticed swollen lymph nodes when palpating the area below my earlobes and along my jawline. This has been ongoing for over a month. About a month ago, I had soreness, and I consulted an otolaryngologist. The doctor only per...


Dr. Cai Zhenggu reply Otolaryngology
Hello Popo: It could possibly be lymphoma. A biopsy is necessary for diagnosis; blood tests cannot determine this. The biopsy will involve an incision of about 3 centimeters. Endoscopic examination cannot be performed.

[Read More] Understanding Lymph Node Swelling: Is It Lymphoma or Just Inflammation?


Hard Lump in Throat: Understanding Salivary Gland Inflammation

There is a hard lump in the throat? I found a hard lump on the left side of my throat that does not move and is not painful. It swells when I eat, but it is still not painful, and I am very worried. The last time I saw a doctor at a clinic, he said it was a salivary gland inflamm...


Dr. Cai Zhenggu reply Otolaryngology
Hello, Xiao Xian: Drink plenty of water these days. Along with taking antibiotics, once the inflammation improves, the symptoms will lessen!

[Read More] Hard Lump in Throat: Understanding Salivary Gland Inflammation


Understanding Speech Therapy in ENT: Treatment Options and Duration

Regarding speech therapy? First of all, thank you, Dr. Tsai, for your previous response. I'm not sure if you remember me; I had asked you about the issue of not having a "grown-up" voice. Additionally, I have some more questions: 1. Do all otolaryngology departme...


Dr. Cai Zhenggu reply Otolaryngology
Hello, funny: Our hospital has a speech therapist. Please visit the ENT department to be referred to the speech therapist for an assessment of your current voice condition in order to establish your issues.

[Read More] Understanding Speech Therapy in ENT: Treatment Options and Duration


Can Voice Changes Help Adults Sound More Mature? Exploring Options

The voice hasn't "matured." I am 24 years old, but people often say that my voice sounds like a child's, and some even say it sounds like a girl's. This has caused me significant difficulties in my interpersonal relationships and has made me hesitant to s...


Dr. Cai Zhenggu reply Otolaryngology
Hello! Speech therapy can be used to correct your voice. Health insurance provides coverage for this.

[Read More] Can Voice Changes Help Adults Sound More Mature? Exploring Options


Understanding Sore Throat: Causes, Symptoms, and Treatment Options

Sore throat Hello Dr. Tsai: I would like to ask you about a sudden pain in my left throat that started a couple of days ago. It feels swollen and painful when I swallow saliva, as if something is stuck. The sharp pain becomes more pronounced when I yawn, to the point where it mak...


Dr. Cai Zhenggu reply Otolaryngology
Hello ViVi: Based on your description, it seems to be acute pharyngitis and otitis externa. I have consultations at Nantou Hospital every Wednesday morning.

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


Impact of Tonsillectomy on Health and Vocal Cords: What You Need to Know

Does tonsillectomy have any effects on the body? Does it affect the vocal cords? Hello, Dr. Tsai: I often experience colds, sore throat, cough, and enlarged tonsils. Would it be better to have my tonsils removed? Which specialty clinic should I visit for a tonsillectomy?


Dr. Cai Zhenggu reply Otolaryngology
Hello Mr. Chia-Ming: If you experience recurrent tonsillitis more than five times a year, it is advisable to consider a tonsillectomy. You should consult an otolaryngologist for the procedure.

[Read More] Impact of Tonsillectomy on Health and Vocal Cords: What You Need to Know


Understanding Sore Throat and Hoarseness: When to See an ENT Specialist

Sore throat and hoarseness? Dear Dr. Tsai: If I have a sore throat and hoarseness, could it be due to vocal cord nodules? I experience pain when I gently press on the neck and throat area. I am currently undergoing treatment with traditional Chinese medicine. Would it be better t...


Dr. Cai Zhenggu reply Otolaryngology
Hello Lin: 1. Sore throat is due to pharyngitis. 2. Hoarseness is caused by laryngitis. 3. Consulting an ENT specialist is more effective.

[Read More] Understanding Sore Throat and Hoarseness: When to See an ENT Specialist


Uneven Tonsil Enlargement: Should You Worry About Cancer?

Asymmetrical enlargement of the tonsils? The tonsils are asymmetrically enlarged, with one side appearing to have a slight bruise, but there is no pain in the throat or tonsils, only redness and swelling without heat or pain. Swallowing is normal, and there is a frequent occurren...


Dr. Cai Zhenggu reply Otolaryngology
Hello Popo~~ Based on your description, it doesn't seem like tonsil cancer, but rather chronic pharyngitis caused by post-nasal drip.

[Read More] Uneven Tonsil Enlargement: Should You Worry About Cancer?


Understanding Vocal Nodules: Treatment Options and Voice Training

Throat nodules? Hello, Doctor: I have been teaching for just over a year, and I have developed severe hoarseness and a noticeable sensation of a foreign body in my throat. After a diagnosis from a nearby clinic, I found out that I have developed nodules on my vocal cords. I suspe...


Dr. Cai Zhenggu reply Otolaryngology
Whether or not to undergo surgery is determined by the size of the nodule; only larger nodules require surgery, while smaller ones do not. If surgery is necessary, voice training should be conducted after the procedure. Our department has professional speech therapists who can ar...

[Read More] Understanding Vocal Nodules: Treatment Options and Voice Training


How to Differentiate Between Nasal Polyps and Inferior Turbinates

How to differentiate between nasal polyps and inferior turbinate hypertrophy? My friend has a complication from allergic rhinitis, which has resulted in the growth of polyps in his nose, making it very difficult for him to breathe. However, the doctors he has seen have told him t...


Dr. Cai Zhenggu reply Otolaryngology
Hello Miss Yingying: The distinctions between nasal polyps and inferior turbinates are as follows: 1. Nasal polyps: They appear similar to fatty tissue and have a softer texture. 2. Inferior turbinates: They are dark red in color and have a harder texture.

[Read More] How to Differentiate Between Nasal Polyps and Inferior Turbinates


Understanding Chronic Hypertrophic Rhinitis: Laser Treatment Insights

Chronic hypertrophic rhinitis Hello Doctor, a few days ago in Taichung, I was diagnosed with inferior turbinate hypertrophy by an outpatient physician, and it was confirmed through X-ray. Currently, I am undergoing medication treatment, but I have heard that if the medication is ...


Dr. Cai Zhenggu reply Otolaryngology
Hello, Mr. Hero: The laser procedure takes approximately 3-5 minutes and may result in a small amount of bleeding. The recurrence depends on individual constitution and typically occurs within 3-6 months. If the results after the laser treatment are still unsatisfactory, surgical...

[Read More] Understanding Chronic Hypertrophic Rhinitis: Laser Treatment Insights


Finding a Good ENT Specialist for Nasal Congestion in Kaohsiung

Medical issues? Excuse me, doctor. I currently live in Kaohsiung and I'm having issues with nasal congestion. Could you recommend a good physician here? Thank you!


Dr. Cai Zhenggu reply Otolaryngology
Hello Ah Hong: Director Su Chih-Ying at Kaohsiung Chang Gung Memorial Hospital has excellent skills; I recommend you consult with him.

[Read More] Finding a Good ENT Specialist for Nasal Congestion in Kaohsiung


Understanding Ear Cysts: Symptoms, Treatment, and When to Seek Surgery

Regarding ear diseases? Hello, Doctor: May I ask about a cyst in the ear? I have already visited a general clinic once, but there has been no improvement. I then consulted another clinic, which diagnosed it as a cyst. Currently, my symptoms include ear pain and hearing loss in on...


Dr. Cai Zhenggu reply Otolaryngology
Hello Miss Su-Ling: The inner ear cyst should be surgically removed, and there should be no sequelae. You must go to a hospital for this, as clinics do not perform surgeries.

[Read More] Understanding Ear Cysts: Symptoms, Treatment, and When to Seek Surgery


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