Consultation on Potential Medication Conflicts for ENT Patients
Consultation Inquiry Hello Dr. Chen, today I visited a neurologist. The doctor prescribed the following medications: 1. G55 Aceclofenac 100mg (Brand name: Tonec) - Clinical use: anti-inflammatory and analgesic. 2. 951 Alprazolam 0.5mg (Brand name: Kinax) - Clinical use: for anx...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, the medications prescribed by the neurology department do not conflict with my prescription, and there are no overlapping ingredients. However, I would like to know if you take one Alprazolam tablet each time? Sincerely, Dr. Chien-Chih Chen, Physician at Tao...[Read More] Consultation on Potential Medication Conflicts for ENT Patients
Understanding Salivary Gland Tumors and Nasopharyngeal Cancer Risks
Salivary gland (parotid gland) tumors and nasopharyngeal carcinoma? Hello Dr. Chen, thank you for your sincere response to my previous question regarding the EB virus. Today, I went for a follow-up appointment with the otolaryngology department. Last year, my EB test result was i...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, regarding your EB test, you may follow the recommendations of your attending physician. As for your father, it is advised to have at least one examination of the nasopharynx; the physician can use either a mirror or an endoscope for this. Sincerely, Dr. Chen...[Read More] Understanding Salivary Gland Tumors and Nasopharyngeal Cancer Risks
Managing Alprazolam with Neurology Medications: What You Need to Know
Reply to the doctor? Yes, Doctor. The medication Alprazolam is to be taken once in the morning and once at night. Is there any issue with that? So, I am currently taking the neurology medication in the morning and at night, and then taking the medication you prescribed before bed...
Dr. Chen Jianzhi reply Otolaryngology
Dear Ting: It's nothing much, I just want to understand how physicians outside prescribe this medication. It turns out it's the same as in our hospital! Thank you for providing the information! Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, Department of...[Read More] Managing Alprazolam with Neurology Medications: What You Need to Know
How to Relieve a Stuck Sensation in Your Throat After Eating Dumplings
I'm sorry, but I need specific content to translate. Please provide the text you would Hello Dr. Chen, I noticed a strange sensation in my throat after eating dumplings. It seems like a small piece of the dumpling skin is stuck to my throat mucosa. What should I do? Should I...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, it seems that you are more likely to have burned your throat with the hot dumplings. If it is a burn, it should heal within 1 to 2 days. Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic Univer...[Read More] How to Relieve a Stuck Sensation in Your Throat After Eating Dumplings
Neck Examination for Chronic Throat Issues: What Tests to Consider?
Neck examination Hello Dr. Chen, Since experiencing Eustachian tube dysfunction leading to chronic pharyngitis, I have had tightness and occasional pain in the nerves behind my ear and in my neck. After taking the prescriptions you provided, I have noticed improvements in most ...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, there is another examination that may be helpful for you. A cervical X-ray can rule out cervical bone spurs or other bony lesions. This examination can be done immediately in an outpatient setting, and you can view the report right away. What do you think? S...[Read More] Neck Examination for Chronic Throat Issues: What Tests to Consider?
Understanding Neck X-rays: What They Reveal and Additional Tests
Reply to the doctor? Doctor, when you mentioned the cervical X-ray examination, does it include the entire neck, including both sides of the throat? Can this examination rule out cervical bone spurs or other bony lesions, as well as other neck diseases and the presence of masses?...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, There are indeed many medical examinations, some of which carry certain risks. For instance, X-rays can cause cellular damage, blood tests require the sacrifice of a few cc of blood, and a single CT scan is equivalent to receiving 70 to 200 chest X-rays. Even if a...[Read More] Understanding Neck X-rays: What They Reveal and Additional Tests
Understanding EB Virus, Nasopharyngeal Cancer, and Ear Tumor Concerns
EB virus is associated with nasopharyngeal carcinoma and tumors located behind the earlobe? Hello Dr. Chen, First of all, thank you for your professional and attentive response. Here are my questions: 1. Last year during my health check-up, my Epstein-Barr virus (EBV) test was...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Based on your literal question, I have carefully read and provide the following response: 1. Individuals who have been infected with the Epstein-Barr virus (EBV) will have a lifelong positive result for EB IgG; however, EB IgA does not follow this pattern. Most p...[Read More] Understanding EB Virus, Nasopharyngeal Cancer, and Ear Tumor Concerns
Effective Remedies for Eustachian Tube Issues After Sinusitis
Ear problems? Hello Dr. Chen, I visited you on March 30th for sinusitis, and the mucus has been clogging my Eustachian tube. It has improved a bit since then, as I can now clear it by pinching my nose and blowing. Sometimes it opens up, but I would like to know if there are any m...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, I understand your condition and medical history. Your issue will only completely resolve once your chronic rhinitis improves. If you continue to experience Eustachian tube dysfunction, it indicates that your chronic rhinitis has not yet resolved. Chronic rhinitis ...[Read More] Effective Remedies for Eustachian Tube Issues After Sinusitis
Exploring Neuroregulation Therapy for Chronic Pharyngitis Treatment
Please provide the content you would like me to translate into English? Dr. Chen, thank you! I would like to ask you about my diagnosis of chronic pharyngitis. I have been taking medication for a long time and have also received injections from a neurologist. Although I feel some...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, I am not familiar with the corresponding neuroregulatory therapy and cannot confirm or deny its efficacy for chronic pharyngitis, so I am unable to answer your question. I sincerely apologize for this. As for other treatments, I will keep an eye out for better opt...[Read More] Exploring Neuroregulation Therapy for Chronic Pharyngitis Treatment
Should I Consult an ENT Specialist for Ongoing Blurry Vision?
excuse me? Dear Dr. Chen, About two months ago, I noticed that my left eye's vision became blurry, but there was no pain. On March 15, I went to an ophthalmologist for a comprehensive examination (including glaucoma-related tests, optical coherence tomography of the retina,...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal question, I am not sure what your issue is. Would you mind bringing your brain MRI and head CT images to my clinic? I can take a look for you. My clinic hours are Tuesday and Thursday mornings, or Wednesday afternoons. Thank you. Dr. Ch...[Read More] Should I Consult an ENT Specialist for Ongoing Blurry Vision?
Grateful for Your Support in Managing Chronic Throat Inflammation
Thank you for your response? Dr. Chen, thank you once again for your detailed responses to my questions and your enthusiasm. For now, I will diligently continue to take the prescription you provided, hoping to cure this stubborn chronic pharyngitis soon. Thank you!
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Hello, currently research on chronic pharyngitis is in full swing. It is crucial to gather experiences from patients and discuss them with colleagues both domestically and internationally. I will do my best to acquire new knowledge and assist you, aiming to allevi...[Read More] Grateful for Your Support in Managing Chronic Throat Inflammation
Clarifying Prescription for Chronic Pharyngitis: A Patient's Inquiry
Reply to the doctor? Dr. Chen, you mentioned that the prescription you gave me includes special medications for treating chronic pharyngitis. Is this prescription correct? (Genesafe tablets, Mekin tablets, Wellpin gastrointestinal medication) I apologize for the confusion, but I ...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Yes, that is correct. The prescription is based on your medical examination and condition. Eustachian tube dysfunction is just one of the many symptoms of chronic pharyngitis, similar to neck pain or salivary gland swelling. Sincerely, Dr. Chien-Chih Chen P...[Read More] Clarifying Prescription for Chronic Pharyngitis: A Patient's Inquiry
Concerns About a Child Ingesting Objects: What Parents Should Know
Children inserting objects into their nostrils? My daughter is four years old. On the evening of March 26th, she inserted a plastic bead about one centimeter in size into her nostril. My husband and I took her to the emergency room. The doctor used a nasal endoscope and was able ...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Swallowing a plastic bead can indeed be a tricky situation. Since X-rays have difficulty visualizing it, locating the bead can be quite challenging. If it cannot be found via endoscopy, the situation becomes even more complicated. If it has passed into the stomach...[Read More] Concerns About a Child Ingesting Objects: What Parents Should Know
How to Handle a Lost Object Stuck in the Nose: ENT Guidance
Inserting foreign objects into the nostrils? If I still don't see any signs of the plastic bead, what should I do? Should I see an ENT specialist, a gastroenterologist, a pulmonologist, or... I'm really worried. I'm sorry to bother you.
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, it should be Gastroenterology. This is a response from Dr. Chien-Chih Chen, a physician at Taoyuan Hospital, Department of Health, and a lecturer at Fu Jen Catholic University.[Read More] How to Handle a Lost Object Stuck in the Nose: ENT Guidance
Understanding Salivary Glands and Chronic Pharyngitis: Your ENT Questions Answered
Consultation Inquiry Hello, Dr. Chen. I saw you today for my appointment, and you mentioned that what I felt on my chin was a salivary gland. I forgot to ask if everyone can feel it, or is it because of inflammation? If there is inflammation, do I need to take medication? Additio...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Hello, the salivary glands are palpable in everyone, especially in women, individuals with a lean physique, or those experiencing inflammation. Your condition is due to chronic pharyngitis leading to inflammation of the salivary glands, which may cause localized s...[Read More] Understanding Salivary Glands and Chronic Pharyngitis: Your ENT Questions Answered
ENT Consultation: Clarifying Your Concerns Before Your Appointment
Please provide the content you would like me to translate into English? Hello Dr. Chen, I apologize for the confusion caused by my unclear description. I have already scheduled an appointment for next week. I will ask you to examine me then. Thank you.
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Hello. When the time comes, please share your medical history with me again. If you are worried about forgetting your concerns during the consultation due to nervousness, you can write down all your symptoms on a piece of paper and hand it to me. This way, I will...[Read More] ENT Consultation: Clarifying Your Concerns Before Your Appointment
Understanding Ear Issues: Could Sinusitis Be the Culprit?
Ear problems? Recently, I've been experiencing strange sounds in my ears, similar to the discomfort felt when taking an elevator to a high floor, like in Taipei 101. I find that yawning helps, but my ears still feel muffled, and no matter how much I yawn, it doesn't imp...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, your issue may be caused by thick mucus from sinusitis affecting the Eustachian tube during treatment. If you have a follow-up appointment, please let me know, and I will check your nasopharynx and tympanic membrane to see if this is the underlying problem. ...[Read More] Understanding Ear Issues: Could Sinusitis Be the Culprit?
Understanding Ear and Jaw Discomfort: Insights from ENT Specialists
Please provide the content you would like me to translate into English? Hello, Doctor. Regarding your question, here is my response: At the end of January, I experienced unusual sensations in the nerves behind my left ear extending to the area near my jaw. The next day, I noticed...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, thank you for your response. I now understand. Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, Lecturer at Fu Jen Catholic University.[Read More] Understanding Ear and Jaw Discomfort: Insights from ENT Specialists
Understanding Ear and Sinus Issues: A Guide to ENT Consultations
Ear problems? I will go to the provincial hospital tomorrow morning for an examination because there are still two weeks until my next follow-up for sinusitis... It's too long, so I have already made an appointment.
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, I will assist you at that time. Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Understanding Ear and Sinus Issues: A Guide to ENT Consultations
Understanding Jaw Pain and Discomfort: Causes and Treatments
Reply regarding the sides of the jaw? I have swelling and soreness on both sides of my jaw, which then spreads to my earlobes, neck, and shoulders, causing discomfort. My mouth feels slightly sore. Occasionally, I experience an inexplicable itch from above my shoulders to both si...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal description, it is still unclear what the exact issue is. However, it can be confirmed that it is likely not a major problem, as significant issues are typically not alleviated by pain medication alone, especially concerning your conc...[Read More] Understanding Jaw Pain and Discomfort: Causes and Treatments