Understanding White Granules Coughing: Causes and Remedies
Coughing up white granular substances from the throat? Doctor, I have recently been coughing up small white and slightly grayish particles, and when I crush them, they emit a very unpleasant odor. Previously, I felt something stuck in my throat, and when I visited the clinic, the...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal question, it may be chronic tonsillitis. You can purchase mouthwash and rinse four times a day after meals to see if it improves your symptoms. Sincerely, Dr. Chien-Chih Chen, Physician at Taoyuan Hospital, Department of Health, and Lec...[Read More] Understanding White Granules Coughing: Causes and Remedies
Understanding Recurring Neck Masses: Insights on Kikuchi Disease in Teens
Neck mass Hello, Doctor. My name is Candy. My younger brother started showing symptoms in December of last year. He has a lump on the left side of his neck that resembles half of an egg, which was initially painless and itch-free. After a diagnosis by Western medicine, it was ini...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Regarding your question, there are numerous potential causes for neck masses. The only definitive way to diagnose the condition is through surgical pathology biopsy; imaging studies, fine needle aspiration, or blood tests cannot provide a conclusive diagnosis. The...[Read More] Understanding Recurring Neck Masses: Insights on Kikuchi Disease in Teens
How to Apply for a Disability Certificate for Hearing Loss
Hearing impairment Hello, I would like to ask about my situation. I have complete hearing loss in my right ear, and I want to apply for a disability certificate. What steps should I take to proceed? Do I need to make an appointment for an examination at your hospital directly, or...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, In our hospital, all individuals seeking a hearing test must first register. After completing the initial consultation, it may not be possible to undergo the test immediately, as hearing assessments are quite labor-intensive. Therefore, a follow-up appointment wil...[Read More] How to Apply for a Disability Certificate for Hearing Loss
Understanding ENT Consultations: When is a Biopsy Necessary?
Response Hello, thank you for your detailed response. I will find time to schedule an appointment. Will the doctor definitely arrange for a biopsy, or is it dependent on the situation? Can the biopsy be performed during the consultation, or does it require a separate appointment?...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, surgical biopsy examinations typically require a separate appointment and may necessitate anesthesia or hospitalization, depending on the physician's assessment at that time. Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, Department of H...[Read More] Understanding ENT Consultations: When is a Biopsy Necessary?
Understanding ENT Procedures: When Is a Biopsy Necessary?
Please provide the content you would like Hello: 1. Is a surgical biopsy the same as surgery? Under what circumstances is a biopsy necessary? 2. If a biopsy is not performed, is it impossible to determine whether the lymph nodes are normal? 3. The physician's report indi...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Based on your literal question, surgical pathology specimens are currently the only method to definitively determine whether a lesion is benign or malignant. This method cannot be replaced by physical examinations, imaging studies, or other methods. A normal nasop...[Read More] Understanding ENT Procedures: When Is a Biopsy Necessary?
Understanding ENT Procedures: Biopsy, Diagnosis, and Neck Mass Concerns
Please provide the content you would like me to translate Hello: 1. Surgical pathology specimens are currently the only method to definitively determine whether a lesion is benign or malignant, and they cannot be replaced by physical examinations, imaging studies, or other meth...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Based on your literal question, a puncture examination cannot replace a biopsy. The determination of whether a lesion is benign or malignant still primarily relies on surgical biopsy. This is unrelated to the duration of specimen storage. The timing and complexity...[Read More] Understanding ENT Procedures: Biopsy, Diagnosis, and Neck Mass Concerns
Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Lymph Hello, I previously consulted you about the lymph nodes in my neck. Today, I went back to the hospital for a follow-up, and the doctor examined me and said that the nasopharynx looks clear and there haven't been any significant changes. Since it's been nearly thre...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal question, are you considering undergoing a surgical biopsy? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Are Symmetrical Lymph Nodes Considered Normal in ENT Health?
excuse me? Hello: Normal body organs or tissues are often symmetrical on both sides, and lymph nodes are no exception. → So, are symmetrical lymph nodes on both sides considered normal tissue?
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Based on your literal question, symmetrical lymph nodes on both sides, along with size, texture, color, and other characteristics being similar, should be considered normal organs or tissues. However, many diseases (including tumors) can also present symmetricall...[Read More] Are Symmetrical Lymph Nodes Considered Normal in ENT Health?
Understanding H1N1 Testing and Symptoms: Key Insights for Patients
excuse me? Hello: 1. How is the rapid test for H1N1 conducted, and do general clinics offer this type of testing? 2. Additionally, could you please explain if there are specific symptoms that are always present with H1N1? Thank you.
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, According to your inquiry, the primary method for testing H1N1 is through blood tests. Rapid tests can only differentiate between type A or B influenza, and H1N1 is one of the type A strains. Rapid influenza tests are primarily conducted in hospitals, and may not ...[Read More] Understanding H1N1 Testing and Symptoms: Key Insights for Patients
Understanding Neck Pain and Lymph Nodes: What You Need to Know
Please ask your question? Hello, doctor: For the past couple of days, I've been experiencing slight soreness in my neck when turning it. There is a small lymph node near that area, but it doesn't hurt when I touch it, so I'm unsure if it's related to the lymph...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal description, normal body organs or tissues are often symmetrical on both sides, and lymph nodes are no exception. This is a response from Dr. Chen Jian-Zhi, a physician at Taoyuan Hospital, Department of Health, and a lecturer at Fu Jen...[Read More] Understanding Neck Pain and Lymph Nodes: What You Need to Know
Understanding Dry Nose: Causes and Odor Issues Explained
Nasal dryness My nose has become very dry, and there is an unpleasant odor. Is it possible for a dry nose to produce an odor?
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal question, you may have a sinusitis issue. It is recommended that you visit a nearby clinic for an examination. Sincerely, Dr. Chien-Chih Chen, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic Universi...[Read More] Understanding Dry Nose: Causes and Odor Issues Explained
Understanding Throat Lymph Nodes and Their Impact on Mucus Sensation
Please provide the content you would like 1. Do you have any nasal symptoms? A: I have a bit of nasal discharge; I have allergic rhinitis. 2. Can you elaborate on the feeling of phlegm? A: Sometimes I feel phlegm in my throat, but I can't cough it up. I visited a clinic to...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, when there are many small lymph nodes in the throat, if they become inflamed, it can be likened to having many stones in a river, which can easily obstruct the flow of water and even cause stagnation of aquatic plants. Do you understand this? Therefore, expe...[Read More] Understanding Throat Lymph Nodes and Their Impact on Mucus Sensation
Understanding Throat Symptoms: When to Seek ENT Care
Response Hello: 1. Previously, I didn't notice much due to being busier, but in the past few days, the symptoms have become more apparent. 2. Sometimes, I have a bit of phlegm in my throat.
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal question, do you have any nasal symptoms? Could you elaborate on the sensation of phlegm? Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Understanding Throat Symptoms: When to Seek ENT Care
Understanding the Causes of a Scratchy Throat: When to Seek Help
Throat discomfort or sensation of something stuck in the throat? Recently, I have been experiencing a sensation of dryness and a lump in my throat, but sometimes it doesn't occur. I'm not sure what could be the cause.
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on the literal description, it is still unclear what the cause may be. Could you please let me know when the symptoms usually occur? How long do they typically last? Are there any other associated complications? Sincerely, Dr. Chien-Chih Chen, Physicia...[Read More] Understanding the Causes of a Scratchy Throat: When to Seek Help
Understanding Pain Behind the Ear: Possible Causes and Solutions
Pain behind the ear with a noticeable bony protrusion? I've been experiencing a tingling and prickling sensation in my neck, and for the past couple of days, I've noticed a lump near the back of my ear, close to my hairline, which is painful when pressed! The hardness f...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your description, it is possible that the pain is related to the tendon of the sternocleidomastoid muscle. Have you done anything in the past few days that could have caused neck pain? Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, D...[Read More] Understanding Pain Behind the Ear: Possible Causes and Solutions
Understanding Submandibular Issues: What Does a Red Spot Mean?
Sublingual Today, I noticed a small red spot (1mm, bright red) on the left side of my sublingual frenulum. It doesn't hurt and looks like a blood blister... Has the doctor encountered this before?
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Based on your description, it may be traumatic mucositis. Please observe for a few more days to see if it resolves on its own. Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Understanding Submandibular Issues: What Does a Red Spot Mean?
Difficulty Swallowing Food: Causes and When to See a Doctor
Difficulty swallowing food? Doctor, I usually swallow most of my food, but at the end of each bite, there is often a small piece that is difficult to swallow. I need to drink water or take another bite to get it down. I typically eat slowly and don’t eat quickly, but this situati...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your description, if you come to the outpatient clinic, I would recommend an esophagram with barium swallow, as there may be structural or functional abnormalities. Sincerely, Dr. Chien-Chih Chen, Physician at Taoyuan Hospital, Department of Health,...[Read More] Difficulty Swallowing Food: Causes and When to See a Doctor
Understanding Branchial Cleft Cysts: Surgery Risks and Treatment Options
Please inquire about branchial cleft cysts..? Hello Doctor: I am thirty years old and have experienced inflammation and swelling in the left side of my neck three times, resulting in abscess formation that required drainage. The first occurrence was when I was seven years old, an...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer: Hello, based on your literal question, it is necessary to wait for the inflammation and swelling to subside and for the results of the CT scan to determine the condition and whether the surgery may affect the facial nerve. The physicians at Cathay General Hospital ...[Read More] Understanding Branchial Cleft Cysts: Surgery Risks and Treatment Options
Understanding Nasal Drip: Causes, Symptoms, and Treatment Options
Nasal cry (or rhinorrhea)? Hello Doctor: I have been struggling with post-nasal drip for over two years, and it has been persistent without any relief. I have seen many doctors and have tried antibiotics, antihistamines, and nasal sprays, but none have been effective. I have unde...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, Based on your literal question, you may not only have chronic rhinitis and sinusitis (allergic), but you might also be experiencing chronic pharyngitis. Would you consider visiting my clinic for assistance? My clinic hours at Taoyuan Hospital, Department of Health...[Read More] Understanding Nasal Drip: Causes, Symptoms, and Treatment Options
Concerns About HPV Transmission Through Kissing: A Medical Perspective
Kissing - Cauliflower I started dating a new girlfriend 12 months ago, but I found out after we began dating that her previous boyfriend had genital warts, which is why they broke up. I'm very concerned about being infected. 1. Doctor, if she has the HPV virus in her mouth...
Dr. Chen Jianzhi reply Otolaryngology
Dear Inquirer, According to your literal question, kissing, oral sex, vaginal intercourse, or anal sex can all potentially transmit sexually transmitted infections (STIs) such as HIV, syphilis, gonorrhea, and human papillomavirus (HPV), especially if there are wounds on the invo...[Read More] Concerns About HPV Transmission Through Kissing: A Medical Perspective