Understanding Swallowing Difficulties: Causes and Initial Evaluations
Dysphagia Hello, doctor. I often feel that drinking water and swallowing food is difficult. I can swallow, but I always feel like I might choke. After chewing, when I'm about to swallow, it often feels like it's stuck. The condition fluctuates, and swallowing doesn'...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be indicative of chronic pharyngitis. It is recommended to undergo laryngoscopy to rule out any masses and to consider medication treatment. Additionally, a gastroenterology consultation for an esophagogastroduodenoscopy may be warranted. Be...[Read More] Understanding Swallowing Difficulties: Causes and Initial Evaluations
Chronic Nasal Swelling and Blood-Scented Mucus: Allergy or Cancer Risk?
Chronic nasal swelling with yellow nasal discharge that has a bloody odor? Hello, Doctor. I would like to ask a few questions. Due to congenital allergies, I often experience symptoms such as sneezing. However, I have noticed that the polyps in my nose have been persistently swol...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description regarding allergic rhinitis, here are several important concepts: The primary triggers are the individual's constitution and environmental allergens and irritants. If one parent has allergic rhinitis, the likelihood of their children developi...[Read More] Chronic Nasal Swelling and Blood-Scented Mucus: Allergy or Cancer Risk?
Understanding Mumps and Salivary Gland Tumors in Children
Mumps or salivary gland tumors About two weeks ago, my 10-year-old daughter told me that she had a lump below her left ear. At that time, it wasn't painful, and we didn't think much of it. A day or two later, she mentioned that the lump had grown larger and was painful ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many types of neck and ear-related swellings, including parotitis, lymphadenopathy, and parotid tumors. It is advisable to consult an otolaryngologist if symptoms persist. Wishing you peace and good health. Sincerely, Dr. Chi Chao-Yun, Head of the Department of O...[Read More] Understanding Mumps and Salivary Gland Tumors in Children
Understanding Salivary Cyst Recurrence After Surgical Removal: Key Insights
Salivary gland cyst Hello, doctor. I would like to ask you a question. I recently had a salivary gland cyst removed, and the wound has healed, with new tissue growing back. I saw discussions online about the possibility of recurrence after the removal of a salivary gland cyst. I ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, according to your description, after the removal of a salivary gland cyst, it is advisable not to continuously bite or rub the area to reduce the risk of recurrence. However, if you keep biting or rubbing it, there is a possibility of recurrence at any time. If symptoms pe...[Read More] Understanding Salivary Cyst Recurrence After Surgical Removal: Key Insights
Throat Issues After Endoscopy: Causes and Next Steps
Throat issues In February of this year, I felt some stomach pain, so I went to Shutian Clinic for an endoscopy. I had been taking a PPI for two weeks, and my stomach pain was almost gone. However, since I had already scheduled the endoscopy, I decided to go through with it. To my...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be indicative of chronic pharyngitis or other lesions in the throat. It is recommended to consult an otolaryngologist for a laryngoscopy examination (to rule out any masses) and to receive medication treatment. In addition to medication, ple...[Read More] Throat Issues After Endoscopy: Causes and Next Steps
Sudden Ear Pulsations: Should You See a Doctor?
Sudden thumping or pounding sounds in the ear? A few days ago, I felt something pulsating near the left side of my neck, close to my shoulder. However, this sensation has disappeared over the past couple of days. I also felt a sensation of something rushing up from my neck to my ...
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 or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Sudden Ear Pulsations: Should You See a Doctor?
Understanding Thyroid Nodules and Cartilage Issues in the Neck
Anterior neck (cartilage and thyroid gland) Hello Doctor: I would like to ask about a solid mass located in front of my left sternocleidomastoid muscle, approximately the size of a ten-dollar coin. It feels like an eraser, and there is no pain whether I press on it or not. An end...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, the neck mass could potentially be a thyroid tumor, thyroid calcification, lymphoid hyperplasia, congenital tumor, malignant tumor, among others. If the symptoms persist and the condition is progressing, it is advisable to consult an otolaryngolo...[Read More] Understanding Thyroid Nodules and Cartilage Issues in the Neck
Understanding Nasal and Throat Issues: Possible Causes and Solutions
Nasal issues? Esophageal reflux? Laryngopharyngeal reflux? Hello, the symptoms have persisted for two months. I have visited two small clinics four times (3 days each) and the second clinic twice (3 days each) without any improvement. Symptoms include: 1. A sour sensation around ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, but not all symptoms may appear. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despite antibio...[Read More] Understanding Nasal and Throat Issues: Possible Causes and Solutions
Understanding the Cool Sensation in Your Throat: Possible Causes
A cool sensation in the throat? Hello Dr. Chi, for the past month, I've been feeling a cool sensation deep in my throat, and my breathing also feels cool, especially after meals. There's no pain in my throat, just this cool feeling. I'm not sure what could be causi...
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 living t...[Read More] Understanding the Cool Sensation in Your Throat: Possible Causes
Understanding Loud Breathing During Sleep: Causes and Solutions
Loud breathing during sleep? Recently, I often hear my own breathing sounds when I am about to wake up. It's not snoring, just my breathing. I searched online for information and found that it could be caused by excessive fatigue. However, I don't feel that I am overwor...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description: during the light sleep phase when you are about to wake up, "hearing your own breathing" makes it difficult to determine whether it is simple snoring or snoring associated with a medical condition. Generally, if it affects your daytime ...[Read More] Understanding Loud Breathing During Sleep: Causes and Solutions
Understanding Tinnitus: When to Seek Further Medical Evaluation
Tinnitus distress? Hello doctor, I have been troubled by tinnitus for two years since I can remember. I am not sure why I have a high-pitched ringing sound 24 hours a day, which is especially noticeable in very quiet places, and I can't distinguish which ear it is coming fro...
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 flights, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3)...[Read More] Understanding Tinnitus: When to Seek Further Medical Evaluation
Why Do My Ears Make Sounds When I Swallow? Possible Causes Explained
Hearing sounds in the ear when swallowing saliva? I have been experiencing this issue for about six months. It started last July when I woke up one night with this problem. After returning from a trip abroad in October, I visited the ENT department at a hospital, and after examin...
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 or bending over. A rapid decrease in body weight may also contribut...[Read More] Why Do My Ears Make Sounds When I Swallow? Possible Causes Explained
Managing Sinusitis Symptoms: When to Consider Surgery or Medication
What should I do to manage symptoms of sinusitis? Last year, I had a health check-up and was diagnosed with mild sinusitis. However, I only experience nasal discharge after allergies or a cold, and I don't have a runny nose. My nasal passages always feel congested, and while...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, although not all symptoms may appear. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despite an...[Read More] Managing Sinusitis Symptoms: When to Consider Surgery or Medication
Understanding Oral Papillomas: Causes, Concerns, and Treatment Options
Consultation for Oral Papilloma Hello Dr. Chi, I had a surgery for the removal of a benign oral tumor two years ago, with a surface diameter of approximately 0.7 cm. At that time, the surgeon informed me that it was a papilloma and that follow-up visits were unnecessary, as the c...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, oral papillomas are primarily caused by human papillomavirus (HPV) infection and are mostly benign with a low likelihood of malignancy. If an unexplained oral mass is discovered, it is advisable to consult an otolaryngologist for examination. As mentioned in the text, &quo...[Read More] Understanding Oral Papillomas: Causes, Concerns, and Treatment Options
Understanding Small Hard Lumps in the Back of the Neck: When to Seek Treatment
A pea-sized hard lump in the nape of the neck? I have a small hard lump the size of a grain of rice located just below the hairline on the back of my neck, and it has been there for 30 years. It is not painful and has not grown in size. Is this a medical condition, and should I c...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, there are many possible diagnoses for the neck mass, and the treatment options vary accordingly. It is recommended to consult an otolaryngologist for a thorough examination and accurate diagnosis. Wishing you peace and good health. Sincerely, Dr....[Read More] Understanding Small Hard Lumps in the Back of the Neck: When to Seek Treatment
Persistent Throat Discomfort After Fish Bone Incident: When to Seek Help?
My throat feels strange? I had a fishbone stuck in my throat two-thirds of the way, and after that, I had my throat and esophagus examined (via endoscopy), but no fishbone was found. However, I occasionally feel something unusual in my throat. It doesn't hurt when I swallow,...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be due to chronic pharyngitis or a retained fish bone. If symptoms persist, it is recommended to undergo laryngoscopy to rule out any masses and to receive appropriate medical treatment. In addition to medication, please observe the followin...[Read More] Persistent Throat Discomfort After Fish Bone Incident: When to Seek Help?
Understanding Neck Masses: Symptoms, Diagnosis, and Next Steps
Neck mass Hello Dr. Chi, I discovered post-nasal drip four weeks ago, which lasted for a week before stopping. I noticed a lump in the left side of my neck, under the jaw, in the area of the internal jugular lymph nodes. Initially, it was painless, but during this time, I consu...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, according to your description, nasopharyngeal carcinoma is typically diagnosed through nasopharyngeal endoscopy, and if necessary, a biopsy of the nasopharyngeal mass may be performed. However, if the neck tumor continues to progress and does not respond to antibiotics, a ...[Read More] Understanding Neck Masses: Symptoms, Diagnosis, and Next Steps
Understanding the Sensation of a 'Lump' in the Throat: Causes and Solutions
Feeling a lump in the throat? I have a sensation of something stuck in my throat, along with dry mouth, but it doesn't hurt. Sometimes after eating, I feel this sensation and then I vomit. I went to a small clinic, and the doctor said my tonsils are fine and that there’s not...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy to rule out any masses, as well as to consider medication treatment. In addition to medication, please pay attention to the following daily living tips: a...[Read More] Understanding the Sensation of a 'Lump' in the Throat: Causes and Solutions
Understanding Ear Pressure Sounds: Causes and Solutions for Ear Discomfort
There is a strange sound when blowing air into the ear? Hello Doctor, I frequently experience episodes of otitis media and often visit the clinic for follow-ups, but my hearing is normal (I have had my hearing tested at the hospital). Recently, my right ear (the one that hurts th...
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 or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Understanding Ear Pressure Sounds: Causes and Solutions for Ear Discomfort
Understanding Neck Lumps: Possible Causes and Follow-Up Care
Neck issues? Hello, doctor. I have a question: It's been a while, and I'm not sure if I had an ultrasound examination back then. When I reviewed the report, I remember the physician who examined me said, "There are some nodules in the neck, but I'm not sure wh...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, there are many possible causes for neck masses, including lymphadenopathy, congenital cysts, malignant tumors, lipomas, and sebaceous cysts, among others. It is advisable to return for a follow-up and consult with the original diagnosing physician for clarification. Wishin...[Read More] Understanding Neck Lumps: Possible Causes and Follow-Up Care