Understanding Neck Lumps: When to Seek Medical Attention
There are two lumps on each side of the Adam's apple in the neck area? Hello Doctor, I am currently on a working holiday in Australia. This morning, when I got up from a position similar to a sit-up, I felt some pain below my Adam's apple. Upon touching the area, I foun...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is most likely that the enlarged cervical lymph nodes will be treated with some medications, and antibiotics may be used if necessary. Other possibilities include thyroid tumors, thyroglossal duct cysts, congenital cysts, malignant lesions, su...[Read More] Understanding Neck Lumps: When to Seek Medical Attention
Why Do My Ears Make Popping Sounds When I Swallow?
Hearing a popping sound in the ears when swallowing saliva? Is it just fatigue or could it be a cold? I sometimes hear a pulsing sound in one ear, but after a good sleep, it seems to be fine. However, when I swallow, I still hear a popping sound in both ears. What is happening to...
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 med...[Read More] Why Do My Ears Make Popping Sounds When I Swallow?
Understanding Inner Ear Circulation Issues and Their Symptoms
Inner ear circulation and symptoms About three years ago, I experienced dizziness while sleeping. I took medication for blood circulation, and after a few minutes, I started to feel better. However, I couldn't get up immediately, and my vision seemed to tilt to the left. Whe...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, dizziness can have numerous potential causes: 1) If accompanied by a dull headache or slight irregular movements -> it may suggest poor blood circulation in the head and neck. 2) If associated with ear fullness, pressure, or hearing loss -> it may indicate sudden sen...[Read More] Understanding Inner Ear Circulation Issues and Their Symptoms
Understanding Earwax Issues: When One Ear Sounds Louder Than the Other
Ear problems Hello, doctor. Today, when I cleaned my left ear, I removed a large amount of earwax. After that, the sounds in my left ear became significantly louder, but I did not experience any pain or discomfort. When I cleaned my right ear, I did not remove anything, but the s...
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 Earwax Issues: When One Ear Sounds Louder Than the Other
Can You Eat Liquid Foods with a Nasogastric Tube in Place?
Can a patient eat liquid food orally after having a nasogastric tube inserted? Due to my father's diagnosis of hypopharyngeal cancer, he has developed wounds in his throat during the course of radiation and chemotherapy (as stated by the attending physician). He is experienc...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, regarding your questions: 1. After the placement of a nasogastric tube, is it possible to consume liquid food orally? In principle, it is possible, but it requires an assessment of feasibility by your attending physician. If there is a risk of aspiration leading to aspir...[Read More] Can You Eat Liquid Foods with a Nasogastric Tube in Place?
Can Patients with Inner Ear Imbalance Dive Safely?
Can a person with vertigo go diving? Hello Doctor, I am a patient who has been diagnosed with vestibular imbalance causing vertigo. I am planning to go abroad for a diving experience and have come across the following restrictions: - Those with the following conditions must carry...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, dizziness can have numerous potential causes: 1) If accompanied by a dull pain at the back of the head, it may suggest poor blood circulation in the head and neck. 2) If there are symptoms of ear fullness, pressure, or hearing loss, it may indicate sudden sensorineural hea...[Read More] Can Patients with Inner Ear Imbalance Dive Safely?
Understanding the Differences Between Meniere's Disease and Autonomic Dysregulation
Frequent dizziness without any apparent cause? I experienced dizziness, so I visited a small clinic where the doctor advised me to go to a larger hospital for further examination. Afterward, I went to a hospital in Yilan, where the doctor diagnosed me with Meniere's disease....
Dr. Ji Zhaoyun reply Otolaryngology
Hello, dizziness has numerous possible causes: 1) If accompanied by a dull pain in the back of the head, it may suggest poor blood circulation in the head and neck. 2) If there are symptoms of ear fullness, pressure, or hearing loss, it may indicate sudden sensorineural hearing l...[Read More] Understanding the Differences Between Meniere's Disease and Autonomic Dysregulation
Understanding Nasopharyngeal CT Scans and Lymph Node Concerns
Nasal cavity and nasopharyngeal CT issues? Hello, Doctor: I would like to ask a few questions. In January, I had a nasopharyngeal biopsy, and the result indicated lymphoproliferative issues in the nasopharynx. Later, I underwent two CT scans, one of which was with contrast. If th...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, the diagnosis of nasopharyngeal carcinoma primarily relies on biopsy and imaging studies. Both computed tomography (CT) and magnetic resonance imaging (MRI) serve as reference tools. If you still have concerns regarding the diagnosis, it is advis...[Read More] Understanding Nasopharyngeal CT Scans and Lymph Node Concerns
Laser Surgery for Chronic Pharyngitis: When to Seek Further Medical Advice?
Laser surgery. Chronic pharyngitis? 1. I previously had some lymphoid hyperplasia at the base of my tongue, and due to its proximity to my molars, I underwent laser excision to prevent recurrent biting. However, it has been a month, and the wound has not yet healed. Although it i...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, the situation you described may be indicative of chronic pharyngitis. It is recommended to undergo a laryngoscopy to rule out any masses and to consider medication treatment. In addition to medication, please pay attention to the following daily living tips: avoid lying do...[Read More] Laser Surgery for Chronic Pharyngitis: When to Seek Further Medical Advice?
Understanding Throat Issues: Possible Causes of Swelling During Swallowing
Throat issues Hello Doctor: Recently, I noticed that when I swallow saliva, there is something rolling around in my lower jaw. I can feel it when I touch it, and I also feel it when I swallow, but it doesn't hurt. However, if I turn my head while swallowing, this sensation d...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is most likely a thyroglossal duct cyst, which is a type of congenital mass. However, there are many potential causes for neck masses. It is advisable to consult an otolaryngologist if symptoms persist. Wishing you peace and good health. Since...[Read More] Understanding Throat Issues: Possible Causes of Swelling During Swallowing
Chronic Nasal Congestion and Ear Issues: Seeking ENT Treatment Options
Medical consultation Dear Dr. Chi, I have been experiencing nasal congestion and runny nose every day for the past 20 years, and my symptoms worsen with even a slight cold, leading to recurrent otitis media and sinusitis. I have undergone surgery for sinusitis once and regularly ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello Mr. Wu, Common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul odor, and changes in smell, although not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persist...[Read More] Chronic Nasal Congestion and Ear Issues: Seeking ENT Treatment Options
Understanding Oral Leukoplakia: Causes and Symptoms Explained
Oral leukoplakia I recently noticed that I have many white patches on my tongue, and there are a few white protrusions on the inside of my tongue. Can you tell me what this is, doctor?
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, a personal examination is necessary to diagnose the white protrusions in your oral cavity, which could be numerous conditions such as precancerous lesions, ulcers, or papillomas. Most ulcers heal within two weeks of treatment; however, if the ulc...[Read More] Understanding Oral Leukoplakia: Causes and Symptoms Explained
Understanding Neck Masses: When to Seek Further Evaluation
Neck mass Before the Lunar New Year, I discovered a relatively large lump on the right side of my neck while having a cold. The size is slightly smaller than my pinky nail, it is not painful and somewhat immobile, oval-shaped. Additionally, there are two smaller lumps that the do...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, there are many potential causes for the neck mass, including metastatic cancer, infections, congenital cysts, and tuberculosis, among others. It is advisable to consult an otolaryngologist for further examination. Wishing you peace and good healt...[Read More] Understanding Neck Masses: When to Seek Further Evaluation
Understanding Tongue Issues and Cold Symptoms: When to Seek Medical Help
Tongue issues and colds? On the 18th, I seemed to have a lot of heat in my body, and I developed multiple sores on the sides of my tongue. The next day, while sleeping, I felt sensitivity in my nose when breathing. Upon waking, I started to experience pain in my trachea, frequent...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is most likely that you are experiencing pharyngitis and oral ulcers, which are often treated with medications, and antibiotics may be used if necessary. It seems that there are multiple small lesions in your mouth, which could be ulcers. Most...[Read More] Understanding Tongue Issues and Cold Symptoms: When to Seek Medical Help
Understanding Unilateral Otitis Media: Causes, Diagnosis, and Concerns
Unilateral middle ear effusion Hello, I apologize for the inconvenience. If you visit an otolaryngologist and the doctor diagnoses unilateral otitis media with effusion, will the doctor also check the nasopharynx for any issues, or do I need to request a separate examination? If ...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, regarding your question, if it is confirmed to be unilateral middle ear effusion, a nasopharyngoscopy is usually performed to rule out nasopharyngeal tumors. If it is bilateral effusion, it is often associated with sinusitis, following a cold, or after flying. It is also p...[Read More] Understanding Unilateral Otitis Media: Causes, Diagnosis, and Concerns
Understanding Airflow Sounds in the Left Ear: Causes and Concerns
There is a sound of air flowing in the left ear? Hello, First, I would like to thank the director for the response. Since I did not see a similar question in the Q&A, I would like to ask about an issue I've been experiencing for the past three months. My left ear often...
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 Airflow Sounds in the Left Ear: Causes and Concerns
Understanding Pulsatile Tinnitus: Causes and Solutions for Ear Noises
There is a thumping sound in the ear? Hello Doctor: Recently, when I lie down to sleep, I hear a thumping sound in my right ear, like a drumming noise, somewhat resembling an abnormal electrical discharge. The thumping is irregular; initially, it occurred infrequently, but now it...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, regarding your question, it is possible that you are experiencing: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during activities such as flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sud...[Read More] Understanding Pulsatile Tinnitus: Causes and Solutions for Ear Noises
Is Local Anesthesia Used in Laser Surgery for Nasal Turbinate Hypertrophy?
Laser surgery for inferior turbinate hypertrophy? Is the surgery for inferior turbinate hypertrophy performed under topical anesthesia? Thank you.
Dr. Ji Zhaoyun reply Otolaryngology
Hello, if you are referring to "laser turbinoplasty" or "radiofrequency turbinoplasty" for hypertrophy of the inferior turbinate, it is typically performed under local anesthesia unless there are special circumstances. Wishing you safety and health. This is pu...[Read More] Is Local Anesthesia Used in Laser Surgery for Nasal Turbinate Hypertrophy?
Understanding White Spots on the Tongue: Causes and Concerns
There is a white spot on the inner side of the tongue? There is a white spot on the right side of the tongue that is not painful or itchy, but it hurts when pressure is applied by the teeth. Additionally, there is a white patch underneath the tongue that is also not painful or it...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, it is possible that you have an oral ulcer, leukoplakia, or a small salivary gland cyst. Most ulcers heal within two weeks after treatment; if the ulcer persists beyond two weeks, further examination is necessary. Any lesions in the oral cavity r...[Read More] Understanding White Spots on the Tongue: Causes and Concerns
Understanding My Dad's Symptoms: Neck Stiffness and Hand Tremors
請提供您爸爸的症狀內容，我將為您翻譯成英語。 These are my father's symptoms (59 years old). He visited the neurology department at Fengyuan Hospital yesterday, but the doctor only mentioned that it might be due to poor posture (didn't examine or touch him at all). As a result, we have very l...
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description: 1. The neck movement is stiff and not smooth. 2. The right hand shakes while writing, and the lines are not straight. These two points usually require evaluation by a neurologist. As for 3. Snoring during sleep with a similar appearance of not br...[Read More] Understanding My Dad's Symptoms: Neck Stiffness and Hand Tremors