Symptoms and Treatments for Ear Injuries from Loud Sounds or Trauma
Symptoms of ear diseases? Dear Director: What are the differences in symptoms and treatment methods between ear injuries caused by loud sounds and those caused by a slap? Additionally, if the injury is due to a slap, is it possible for symptoms to appear more than a month later...
Dr. Xu Jiazhen reply Otolaryngology
Hello, the injuries caused by loud sounds, such as explosions and direct slaps, are largely similar, primarily referring to damage caused by sound pressure. This includes conditions like tympanic membrane rupture. However, if the injury is neurological, the effects can vary based...[Read More] Symptoms and Treatments for Ear Injuries from Loud Sounds or Trauma
Understanding Ear Lumps and Chronic Nasal Congestion: What You Need to Know
Hard lump behind the ear, frequent nasal congestion on the left side? I have noticed a hard lump behind my left ear for about five to six years, approximately located at the area of the mastoid process. The lump is about 1-2 centimeters in size, feels very hard, and is not painfu...
Dr. Xu Jiazhen reply Otolaryngology
Hello: In individuals of Eastern descent, a lump behind the ear should first raise suspicion for nasopharyngeal carcinoma, especially given your symptoms of nasal congestion. It is advisable to consult an otolaryngologist for further nasopharyngeal examination. Additionally, you ...[Read More] Understanding Ear Lumps and Chronic Nasal Congestion: What You Need to Know
Understanding Throat Growths: Symptoms, Causes, and Treatment Options
There is something growing in the throat? I would like to ask about my friend's condition. They have developed 2 to 3 protrusions in their throat, and currently, eating is painful, and even swallowing saliva hurts. Could this be a tumor? They have also noticed some blood in ...
Dr. Xu Jiazhen reply Otolaryngology
Hello: From your letter, it is not clear what specific location you are referring to regarding the "throat" protrusion, as some mucosal inflammations can present similar symptoms and should be manageable with medication. However, a small number of cases may involve earl...[Read More] Understanding Throat Growths: Symptoms, Causes, and Treatment Options
Understanding Neck Lymph Node Pain: Causes and Solutions
Cervical lymphatic issues Hello, doctor. Last night I went to bed, and when I woke up this morning, I noticed that the lymph nodes on both sides of my neck were painful. This is the first time I've experienced this, and I'm not sure if it's due to sleeping in an aw...
Dr. Xu Jiazhen reply Otolaryngology
Hello: Swelling of the lymph nodes in the neck should be taken seriously, as it may sometimes indicate the possibility of a tumor. However, there is no need to be overly anxious. Please consult an otolaryngologist for a more accurate assessment. Sincerely, Hsu Chia-Chen.[Read More] Understanding Neck Lymph Node Pain: Causes and Solutions
Understanding Throat Blisters: Causes, Concerns, and Care Tips
Throat blisters A few days ago, I went to a large hospital for an examination. The doctor performing the nasal endoscopy found a blister in my throat. The doctor said it was nothing to worry about, as it is usually benign and can occur with a common cold or chronic pharyngitis. T...
Dr. Xu Jiazhen reply Otolaryngology
Hello: Yes, most congenital blisters are discovered incidentally, and a small portion is caused by inflammation. Generally, they heal after rest, and most do not have any sequelae, so there is no need to worry. However, the location of the blisters can sometimes cause discomfort....[Read More] Understanding Throat Blisters: Causes, Concerns, and Care Tips
Post-Meal Discomfort: Difficulty Swallowing and Breathing Issues Explained
Experiencing discomfort after eating, often accompanied by frequent swallowing of saliva? Hello, doctor: After I eat, I often experience belching and have a constant urge to swallow saliva, even when there is none. I tend to swallow forcefully, and sometimes I have difficulty swa...
Dr. Xu Jiazhen reply Otolaryngology
Hello: From your letter, it is difficult to determine which specific disease is diagnosed. However, if you have been experiencing persistent swallowing difficulties, I would consider several possible factors. First, it is important to consider tumors or lesions in the hypopharynx...[Read More] Post-Meal Discomfort: Difficulty Swallowing and Breathing Issues Explained
Surgical Options for Removing Epiglottic Cysts: Knife vs. Laser
What are the methods for removing epiglottic swelling? The removal of an epiglottic cyst is typically performed using traditional surgical methods or laser surgery.
Dr. Xu Jiazhen reply Otolaryngology
Hello: This is a congenital lesion that is typically managed using direct laryngoscopy. My patients usually stay in the hospital for one day. It is a type of microlaryngeal surgery, and early intervention is preferable. Sincerely, Hsu Chia-Chen.[Read More] Surgical Options for Removing Epiglottic Cysts: Knife vs. Laser
Understanding Lymph Node Tuberculosis: Treatment and Concerns
Lymphatic tuberculosis I have some questions for the doctor. In early March of this year, I had swollen lymph nodes on the left side of my neck and went to the hospital for examination. A fine needle aspiration revealed the presence of pus, and it was determined to be a tuberculo...
Dr. Xu Jiazhen reply Otolaryngology
Hello: The incidence of cervical lymphadenitis due to tuberculosis has been increasing year by year in developing countries. If your diagnosis is confirmed, it is essential to undergo treatment to avoid complications. First-line anti-tuberculosis medications may not always be eff...[Read More] Understanding Lymph Node Tuberculosis: Treatment and Concerns
Understanding Throat Pain When Yawning: Causes and Solutions
Sore throat when yawning? Hello, when I yawn and open my mouth wide, I experience pain on the left side of my throat (just below the neck). What could be the cause of this symptom?
Dr. Xu Jiazhen reply Otolaryngology
Hello: Generally, it is mostly caused by muscle strain, and in rare cases, it may be due to inflammation of the temporomandibular joint (TMJ). It is advisable to rest and avoid chewing hard foods. If the symptoms persist, it is recommended to consult a specialist for safer manage...[Read More] Understanding Throat Pain When Yawning: Causes and Solutions
Understanding Painful Redness and Swelling on the Nose
Nasal redness and swelling with pain? Hello, doctor. Three days ago, I felt pain in my nasal bridge, and it hurts when touched. Yesterday, I noticed it became slightly red and swollen. Is it due to acne? Is it a skin issue or a nasal issue? Thank you!
Dr. Xu Jiazhen reply Otolaryngology
This type of issue is often due to folliculitis in the nasal area or a staphylococcal infection. With proper treatment, it should heal quickly. Sincerely, Hsu Chia-Chen.[Read More] Understanding Painful Redness and Swelling on the Nose
Persistent Throat Sensation: Causes and Diagnostic Options
Feeling of a foreign body in the throat? My girlfriend has been feeling a sensation of a foreign body in her throat, even experiencing a feeling of something moving. This triggers intense coughing, and at night, she coughs to the point where it feels like her throat is blocked, m...
Dr. Xu Jiazhen reply Otolaryngology
Common chronic laryngitis can present with such sensations, and this condition cannot be completely resolved with medication alone. It is essential to first consider the underlying causes contributing to your symptoms for effective relief. Some causes may be related to stress, sl...[Read More] Persistent Throat Sensation: Causes and Diagnostic Options
Understanding Painful Jaw Swelling: Causes and Treatment Options
Swelling on the right side of the jaw? Hello doctor, I have a slight swelling on the right side of my jaw (between the jaw and the ear) that has been present for about a month. It hurts when I press on it, and it feels movable when I touch it. Could you please tell me what this m...
Dr. Xu Jiazhen reply Otolaryngology
Hello: This area is typically associated with inflammation of the parotid gland, so you may experience swelling and slight pain. However, early metastatic nasal squamous cell carcinoma can also present as a mass in this location. I recommend that you consult an otolaryngologist f...[Read More] Understanding Painful Jaw Swelling: Causes and Treatment Options
Understanding Ear Congestion: Causes and When to Seek Help
The sensation of fullness or blockage in the right ear? Since yesterday, I've been feeling a blockage in my right ear upon waking up. Initially, I also experienced pain in the right side of my neck, similar to discomfort caused by poor posture. However, after an afternoon, t...
Dr. Xu Jiazhen reply Otolaryngology
Hello: Eustachian tube obstruction is indeed one of the symptoms of nasopharyngeal carcinoma. Generally, it is necessary to consult an otolaryngologist, who can use a mirror or nasopharyngoscope to observe the nasopharynx and determine if there are any tumors present. If confirma...[Read More] Understanding Ear Congestion: Causes and When to Seek Help
Understanding Tongue Growth: Polyp or Cancer Concerns?
There is a growth on the side of the tongue? Hello, Director Hsu. A relative has a growth on the side of their tongue (approximately one centimeter in size, raised like a mound). Since it has been there for a few months, we would like to understand whether this is a polyp or tong...
Dr. Xu Jiazhen reply Otolaryngology
Hello: A small tumor has developed on the tongue. It is generally recommended to have it removed, as the characteristics of the oral mucosa can pose a risk of malignancy. It is better to address it sooner rather than later. Sincerely, Hsu Chia-Chen.[Read More] Understanding Tongue Growth: Polyp or Cancer Concerns?
Can Eustachian Tube Issues Cause Tinnitus? Understanding Your Symptoms
Can the Eustachian tube cause tinnitus? Hello Doctor: I have a few questions I would like you to clarify: You mentioned concerns about nasopharyngeal tumors. I had a nasal endoscopy, and they said everything was normal with no tumors. I would like to know if Eustachian tube issue...
Dr. Xu Jiazhen reply Otolaryngology
Hello: If the issue is not caused by a tumor in the nasopharynx leading to Eustachian tube dysfunction, we would generally consider whether inflammation is the cause. Of course, long-term abnormal ear pressure can lead to inner ear pathology, commonly presenting as hearing loss o...[Read More] Can Eustachian Tube Issues Cause Tinnitus? Understanding Your Symptoms
Why Does My Throat Feel Like There's Something Stuck?
Feeling of a lump in the throat? It feels like there is a foreign body in the throat, and swallowing saliva is painful, but eating food does not cause pain. Although I tried to reach in with my hand, I couldn't feel anything. Why is that?
Dr. Xu Jiazhen reply Otolaryngology
Hello: Generally, it is often chronic inflammation of the throat, but it does not necessarily indicate a true bacterial or viral infection. Many other factors can contribute to your symptoms, such as prolonged smoking or the consumption of irritants. Additionally, poor sleep qual...[Read More] Why Does My Throat Feel Like There's Something Stuck?
Understanding Glottic Insufficiency: Diagnosis and Treatment Options
Glottic insufficiency 1. Is it true that laryngoscopy imaging cannot provide an accurate diagnosis of vocal cord diseases? Is it necessary to use high-speed laryngeal imaging? 2. I consulted Dr. Su Chih-Ying, who diagnosed me with mild to moderate glottic insufficiency. He recom...
Dr. Xu Jiazhen reply Otolaryngology
Hello: A routine laryngoscopy can identify most vocal cord disorders, but for dynamic conditions, such as glottic insufficiency, it is generally preferred to use a stroboscope for examination, as it provides a continuous image that closely resembles the actual condition. Sincerel...[Read More] Understanding Glottic Insufficiency: Diagnosis and Treatment Options
Understanding Swallowing Sounds: Causes and Treatment Options
Making noise while swallowing saliva? Hello Doctor: Previously, I suddenly became unable to adapt to the sound of swallowing saliva, and I lost a lot of weight within a few days. I visited an ear, nose, and throat clinic, and they said it was an issue with the Eustachian tube. Af...
Dr. Xu Jiazhen reply Otolaryngology
Hello: The clinical manifestations of Eustachian tube disorders are similar to what you mentioned. Whether it is blockage or over-dilation, these sensations are common and usually do not require special attention, as they often resolve on their own over time. It is worth noting t...[Read More] Understanding Swallowing Sounds: Causes and Treatment Options
Understanding Vocal Cord Ulcers: Treatment Options and Dietary Tips
Vocal cord ulceration Hello doctor, I have a friend who has developed vocal cord ulcers, which has resulted in the inability to produce sound. It has been over a month since this started. Initially, he has been on medication for more than a month, and the doctor performed an endo...
Dr. Xu Jiazhen reply Otolaryngology
Hello: If what you say is true, it is a rare case of vocal cord ulceration. The first consideration should be whether there is an issue with the systemic immune system. Additionally, certain fungal infections can also cause this, and occupational hazards should be considered, suc...[Read More] Understanding Vocal Cord Ulcers: Treatment Options and Dietary Tips
Understanding Acute Suppurative Tonsillitis: Treatment and Concerns
Could you please tell me about acute suppurative tonsillitis? Hello, Dr. Hsu: I would like to ask about my condition. I have been diagnosed with acute suppurative tonsillitis and have experienced some coughing, difficulty swallowing (saliva), and a fever reaching 38.6 degrees Cel...
Dr. Xu Jiazhen reply Otolaryngology
Hello: Simple tonsillitis is effectively treated with penicillin-type medications. Both Augmentin and Amoxicillin can effectively treat the condition, with the only consideration being the timing of effectiveness, as it takes some time for oral medications to reach sufficient bac...[Read More] Understanding Acute Suppurative Tonsillitis: Treatment and Concerns