Understanding Blood-Streaked Phlegm: Causes and Concerns in ENT
Hemoptysis with sputum? Hello, doctor. In early April, I noticed blood-tinged mucus when I coughed up phlegm from my nasal cavity. I later went to a clinic where an endoscopy was performed, and the doctor found slight bleeding, so I was referred to a hospital for further examinat...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa, which can be caused by forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal ...[Read More] Understanding Blood-Streaked Phlegm: Causes and Concerns in ENT
Exploring New Treatments for Persistent Smell Disorders
Olfactory issues Two years ago, I had a severe cold (or allergy), and although I recovered, I lost my sense of smell. After treatment from a physician at Taichung Veterans General Hospital, there has been no improvement until now. Are there any new treatment options available?
Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many possible causes for olfactory dysfunction. Depending on the situation, examinations such as nasal endoscopy, computed tomography (CT), olfactory testing (which should have specialized equipment at Taichung Veterans General Hospital), and olfactory nerve asse...[Read More] Exploring New Treatments for Persistent Smell Disorders
Understanding Lymph Node Issues in the Neck: When to Seek Help
Cervical lymphatic issues Medical history: History of nasopharyngeal lymphadenopathy excision, chronic hypertrophic rhinitis, and mild chronic urticaria dating back six months. Initially, I noticed a prominent swollen and painful mass on the right posterior neck, without any acco...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, if you have recurrent swollen lymph nodes in the neck or other neck masses, it is advisable to consult an otolaryngologist. Wishing you good health and safety.[Read More] Understanding Lymph Node Issues in the Neck: When to Seek Help
Unusual Sounds in Left Ear During Laughter: Possible Causes and Solutions
When engaging in lively conversation and laughter, there may be a sound in the left ear that resembles the vibration of earwax or the sound of insect wings fluttering? Hello, Doctor! I would like to ask you a question. Recently, while having a pleasant conversation with others, I...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issue you mentioned is most likely related to poor Eustachian tube function. However, other conditions such as external ear canal inflammation, otitis media, middle ear effusion, and auditory nerve degeneration could also be contributing factors. It is advisable to con...[Read More] Unusual Sounds in Left Ear During Laughter: Possible Causes and Solutions
Understanding Ear Issues: Tinnitus and Unusual Sounds Explained
Ear problems Hello, Doctor. About two years ago, due to work-related reasons, I accidentally blew compressed air into my ear while using an air compressor to clean dust. At that moment, I suddenly lost my hearing, but it returned to normal after a few seconds. Subsequently, I exp...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issue you mentioned is most likely related to Eustachian tube dysfunction. However, other conditions such as external ear canal inflammation, otitis media, middle ear effusion, and auditory nerve degeneration could also be contributing factors. It is advisable to consu...[Read More] Understanding Ear Issues: Tinnitus and Unusual Sounds Explained
Understanding the Sensation of a Foreign Body in the Throat
Foreign body sensation in the throat? Hello, doctor. A few days ago, I was playing with a child who asked me to carry him. He jumped on my back, and while I held onto his legs, his hands wrapped around my neck. After that, I felt discomfort in my throat; drinking water gives me a...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, muscle strains, cartilage dislocations, and mucosal damage are all possible conditions. If symptoms persist, it is advisable to consult an otolaryngologist. Wishing you peace and good health.[Read More] Understanding the Sensation of a Foreign Body in the Throat
Understanding Lymphadenitis: Symptoms, Treatment, and When to Seek Help
Lymphadenitis I would like to ask the doctor about some symptoms I've been experiencing. Two weeks ago, I noticed a lump on the right side of my jaw and neck that hurts when pressed. My throat also hurts, and I have two sores on my tongue that are more painful than usual mou...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is most likely that you are experiencing pharyngitis, tonsillitis, and oral ulcers accompanied by cervical lymphadenopathy. Treatment typically involves the use of medications, and antibiotics may be necessary if the lymphadenopathy continues ...[Read More] Understanding Lymphadenitis: Symptoms, Treatment, and When to Seek Help
Understanding Tonsil Issues: When to Consult an ENT Specialist
Tonsil issues consultation Hello Doctor, two days ago I visited an otolaryngologist because I was experiencing discomfort in my throat. The doctor diagnosed me with allergic rhinitis and said my tonsils looked fine. They prescribed medication that has alleviated the pain. However...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, regarding the issue you mentioned, it could possibly be a cyst of the minor salivary glands, a granuloma, or other benign or malignant masses. If the symptoms persist, it is advisable to consult an otolaryngologist. Wishing you peace and good health. Sincerely, Dr. Chi Cha...[Read More] Understanding Tonsil Issues: When to Consult an ENT Specialist
Understanding Vocal Cord Nodules: When to Seek ENT Care
Vocal cord issues Hello Doctor, I experienced severe pain at the junction of my throat and esophagus in early March, so I went to a clinic for an endoscopy. The doctor also examined my throat and the report indicated that there is a 2mm nodule on my left vocal cord. Due to the pn...
Dr. Ji Zhaoyun reply Otolaryngology
Based on the resolution provided by the photo, it appears to be a unilateral vocal cord mass (commonly vocal cord nodules or polyps, which usually present bilaterally). Although some inflammatory cysts or polyps can also be unilateral, unilateral vocal cord masses warrant more at...[Read More] Understanding Vocal Cord Nodules: When to Seek ENT Care
Understanding a Growth Near the Uvula: When to Seek Treatment
There is a protrusion next to the uvula? Hello Doctor, I recently noticed a protrusion next to my uvula (on the left side). I was a bit worried, so I went to the hospital. The doctor I consulted said that this area requires general anesthesia for surgery and advised me to observe...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many possible causes for a lump in the oral cavity, and a definitive diagnosis relies on a biopsy and pathological examination. As you mentioned, "a protrusion was found next to the uvula (on the left side)." If your gag reflex is not strong, this area ...[Read More] Understanding a Growth Near the Uvula: When to Seek Treatment
Can Vocal Cord Edema Heal with Rest and Hydration After 12 Days?
Will vocal cord edema heal on its own after 12 days of medication, along with self-imposed voice rest and hydration? Do not lie down for at least three hours after dinner, as it can easily lead to gastroesophageal reflux. This can also cause damage to the vocal cords due to stoma...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be due to vocal cord edema and chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy (to rule out the presence of any masses) and to consider pharmacological treatment. In addition to medication, please pay atte...[Read More] Can Vocal Cord Edema Heal with Rest and Hydration After 12 Days?
Unilateral Sore Throat and Ear Pain: Possible Causes and Solutions
Unilateral sore throat and ear pain issues? Two nights ago, after eating ice cream, I experienced unilateral ear pain and unilateral throat pain the next morning. The throat only hurts when swallowing saliva, and the ear pain resembles symptoms of otitis media. I have been taking...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the issues you mentioned could potentially be due to one of the following four causes: 1) Acute tonsillitis causing referred ear pain. 2) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (colds) or sinusitis, and in severe cas...[Read More] Unilateral Sore Throat and Ear Pain: Possible Causes and Solutions
Understanding Tongue Bumps: Could It Be a Viral Wart?
There is a growth on the tongue? Hello doctor, I would like to ask about a raised lesion at the back of my tongue. I feel a strange sensation when swallowing saliva, as if there is something there. Could this be a viral wart? (I am currently undergoing treatment for genital warts...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many reasons for a protruding lump on the tongue, including benign and malignant tumors, viral lesions, small salivary gland cysts, lymphoid hyperplasia, and more. It is advisable to consult an otolaryngologist for an actual examination. Wishing you safety and go...[Read More] Understanding Tongue Bumps: Could It Be a Viral Wart?
Hard Lump at the Junction of Neck and Base of Skull: What to Do?
There is a hard lump at the junction of the lower back of the head and the right side of the neck? Hello Doctor: I have recently noticed a hard lump at the junction of the back of my neck and the base of my skull on the right side. It hurts when I press on it or move my neck. My ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is possible that you may be experiencing cervical lymphadenopathy or inflammation, a lipoma or other benign subcutaneous tumors, inflammation of the neck muscles, or malignant lesions, among other conditions. It is advisable to consult an otol...[Read More] Hard Lump at the Junction of Neck and Base of Skull: What to Do?
Understanding Neck Fine Needle Aspiration: Pain and Nerve Concerns
Fine needle aspiration of the neck? There is a small hard lump under my right ear. After undergoing ultrasound-guided fine needle aspiration on March 6, I experienced pain and swelling after returning home. On March 8, my neck still hurts, and when I turn my head to the left, it ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, according to your description, the likelihood of nerve injury from ultrasound-guided fine needle aspiration is very low. However, if the condition is still progressing, it is advisable to consult an otolaryngologist to rule out infections or hematomas. Wishing you peace an...[Read More] Understanding Neck Fine Needle Aspiration: Pain and Nerve Concerns
Persistent Sore Throat After Cold: Causes and Remedies
Sore throat persisting after a cold? Hello, doctor. A while ago, I had a mild cold, and since then, I've been experiencing symptoms such as sore throat, fatigue, cough, and muscle aches. I've been monitoring my temperature daily, and I haven't had a fever. Since th...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy examination (to rule out any masses) and to consider medication treatment. In addition to medication, please pay attention to the following daily life pre...[Read More] Persistent Sore Throat After Cold: Causes and Remedies
Understanding Painless Bumps Under the Tongue: ENT Insights
Under the tongue Small, painless, and non-itchy nodules that do not bleed when pressed firmly with a finger.
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be due to chronic inflammation, viral infection, ulcers, papillomas, malignant lesions, or other pathologies. It is recommended to seek medical evaluation. If necessary, an outpatient biopsy can be performed for pathological examination. Dai...[Read More] Understanding Painless Bumps Under the Tongue: ENT Insights
Understanding Ear Pulsations: Causes and Concerns for Tinnitus Sufferers
Tinnitus with a pulsating sound in the ear? Hello, doctor. For the past ten days, whenever I exert my mouth, pucker my lips, or smile (using the muscles on the left side of my mouth), I hear a thumping sound in my left ear (similar to a jackhammer or the bubbling sound of boiling...
Dr. Ji Zhaoyun reply Otolaryngology
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, bending over, or experiencing a rapid decrease in body weight. 2) ...[Read More] Understanding Ear Pulsations: Causes and Concerns for Tinnitus Sufferers
Understanding Nocturnal Tongue Movements: When to See an ENT Specialist
Tongue thrusting? Hello, doctor: At night while I sleep, my tongue rapidly moves up and down, making a quick sound, and this lasts for about 4 to 5 seconds before stopping. It only occurs during sleep, and once when I went to bed later, my daughter heard it too. This has been hap...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is recommended to seek medical evaluation through procedures such as nasopharyngoscopy and polysomnography to first confirm: 1) whether there are any abnormal tongue movements or other neurological issues, and 2) if there is any hypoxia associ...[Read More] Understanding Nocturnal Tongue Movements: When to See an ENT Specialist
Persistent One-Sided Throat Pain: Possible ENT Issues Explained
Sore throat I have had a sore throat for a week (I've been taking medication for a week, including two packets of red medicine that I was told to take when my throat hurts, but it still hurts after taking them). The strange thing is that the pain is only on one side, the rig...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the conditions you mentioned could possibly be chronic pharyngitis, tonsillitis, tonsillar masses, cervical lymphadenitis, or other diseases. It is recommended to seek medical attention for a laryngoscopy (to rule out the presence of masses) and medication treatment. In ad...[Read More] Persistent One-Sided Throat Pain: Possible ENT Issues Explained