Understanding Enlarged Lymph Nodes with Necrosis: Causes and Treatments
I would like to inquire about lymphadenopathy associated with necrosis? Hello Doctor: I have had a history of epilepsy since childhood, but it has been well controlled. At 36, I experienced ovarian decline, and by 37, I had completely gone through menopause. I have had a persiste...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here is my response: Question: Could this be Kikuchi disease? Is necrosis very serious? Is surgery necessary, or are there other more conservative treatment options? Response: Kikuchi disease requires a lymph node biopsy. Necrosis is merely ...[Read More] Understanding Enlarged Lymph Nodes with Necrosis: Causes and Treatments
Do Mild Carbon Monoxide Poisoning Symptoms Lead to Long-Term Effects?
Does mild carbon monoxide poisoning have any long-term effects? Hello, doctor. Today there was a fire in the building, and I had to run back and forth from the 1st to the 16th floor to rescue elderly individuals. I spent nearly half an hour inside and inhaled a lot of smoke. Afte...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is unlikely that you are experiencing carbon monoxide poisoning. Your discomfort is probably due to the effects of inhaling dense smoke. I recommend that you continue to monitor your condition. If you experience chest pain, shortness of breath...[Read More] Do Mild Carbon Monoxide Poisoning Symptoms Lead to Long-Term Effects?
Managing High White Blood Cell Count and Asthma: Dietary Guidelines
What foods can be consumed with elevated white blood cell count and moderate asthma? Hello, doctor. My family member went to the hospital today for a check-up and found that their white blood cell count is over 20,000. The doctor mentioned there are signs of inflammation. Due to ...
Dr. Hong Yuanbin Reply:
1. Regarding the elevated white blood cell count, it is likely not just inflammation but an indication of infection. Based on the symptoms, the most probable cause is a respiratory infection, and an X-ray may be needed to confirm the presence of pneumonia. Antibiotics or hospital...[Read More] Managing High White Blood Cell Count and Asthma: Dietary Guidelines
Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Cardiac arrhythmia Since I have developed arrhythmia after receiving the vaccine, my heart rate fluctuates between 40-50 beats per minute and sometimes spikes to 110-120 beats per minute. I also experience missed beats and have a cough, although I do not have a cold. I feel short...
Dr. He Yonghe Reply:
Hello Ms. Momo, if you are experiencing arrhythmia, you should immediately visit a cardiology clinic for evaluation. If you feel very uncomfortable, please go to the emergency department right away.[Read More] Understanding Arrhythmias: Post-Vaccine Heart Rhythm Issues and Treatment Options
Concerns About Aspiration Pneumonia After Choking on Food
Choking on braised snacks without severe coughing? Hello, doctor! I would like to ask about an incident that happened today, November 16th, around 6 PM during dinner at school. While eating braised food, I choked on something, possibly the broth or a small piece of noodle. I coug...
Dr. Hong Yuanbin Reply:
Hello, the normal airway has some mechanisms to prevent aspiration, such as the epiglottis, so it is not easy to cause aspiration pneumonia. Based on your description, there should be no signs of aspiration pneumonia. Thank you for your inquiry.[Read More] Concerns About Aspiration Pneumonia After Choking on Food
Understanding Blood-Streaked Mucus: Is It Just a Cold?
Common cold and related issues? Doctor, I'm sorry to disturb you. The day before yesterday, I noticed blood when I was clearing my nose or coughing up phlegm, so I went to see a doctor. The doctor asked me to open my mouth and used a spoon-like instrument to examine me. He s...
Dr. Hong Yuanbin Reply:
Hello, the mucous membrane in the nasal cavity is rich in microvessels, which can easily result in blood streaks when you blow your nose forcefully or sneeze. As long as you avoid excessive force when sneezing or blowing your nose, the blood streaks should gradually disappear. Ad...[Read More] Understanding Blood-Streaked Mucus: Is It Just a Cold?
Understanding Sinus Issues and Antibiotic Use for Cough and Phlegm
Inquiry about cold medications? Hello Doctor, today I noticed that sometimes the phlegm I cough up in the morning is a bit yellow and sometimes has an unpleasant smell. I was worried about potential issues with my nasopharynx, so I visited an ENT specialist. The doctor examined m...
Dr. Hong Yuanbin Reply:
Hello, 1. Sinusitis does not always present with nasal congestion; some individuals may experience symptoms such as pain around the nostrils, fever, or purulent nasal discharge. 2. Amoxiclav and moxifloxacin are two completely different antibiotics. In clinical practice, they...[Read More] Understanding Sinus Issues and Antibiotic Use for Cough and Phlegm
Concerns About Fish Bones: What to Do If You Suspect Ingestion
Possible to ingest a fish bone? Hello doctor, while I was having dinner with cod fish, I might have accidentally swallowed a small fish bone near the fin area. Later, I induced vomiting and expelled a lot of vegetables and fish, but I still feel a strange sensation in my throat. ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you likely did not swallow a fishbone. The throat pain may be caused by forceful coughing. I suggest not to worry too much. Thank you for your inquiry.[Read More] Concerns About Fish Bones: What to Do If You Suspect Ingestion
Understanding Unexplained Symptoms: Which Specialist Should You See?
My mother is 52 years old and has various health issues. Which specialty should she see? Symptoms: I often smell irritating odors (such as sewage, chili pepper, and a cool scent) and sometimes cough due to these irritating smells. Occasionally, it feels like I am being burned by ...
Dr. Li Jian Reply:
If there are abnormal skin sensations, one can consult a neurologist. If there are abnormalities in the sense of smell, one can see an otolaryngologist.[Read More] Understanding Unexplained Symptoms: Which Specialist Should You See?
Understanding Throat Discomfort: Causes of Mucus, Blood, and Inflammation
Throat or nasal area? Hello Doctor, when I woke up this morning and brushed my teeth, I initially felt something like phlegm on my tongue, but it wasn't thick; it felt more like saliva because my throat felt a bit clogged. There was a slight yellowish tint, and after using m...
Dr. Hong Yuanbin Reply:
Hello, if the blood is coming from the lungs, it is usually a shade of iron-gray or rust color. Based on your description, if it is primarily bright red or dark red, it is more likely not originating from the lungs but rather from the mouth or throat. This could be due to issues ...[Read More] Understanding Throat Discomfort: Causes of Mucus, Blood, and Inflammation
Concerns About Virus Exposure Before Vaccination: What You Need to Know
Please ask your question? I apologize for bothering you, Doctor. I went to the ENT specialist this morning because I had an itchy ear and a runny nose. After the examination, I mentioned that I would be getting vaccinated this week, and the doctor prescribed me some antipyretics....
Dr. Hong Yuanbin Reply:
Hello, if you and those around you are all wearing masks and you have not had direct contact, your risk of infection should be very low. It is recommended to drink plenty of water and get ample rest without excessive anxiety. You only need to get tested if you develop cold sympto...[Read More] Concerns About Virus Exposure Before Vaccination: What You Need to Know
Concerns About COVID-19 Transmission After a Medical Visit
Transmission of COVID-19 Hello, I had dinner around 5:30 PM after class, and it seems that I got a fishbone stuck in my throat from eating tilapia. My family took me to an ENT clinic, and after the examination, the doctor said he couldn't see anything, suggesting that I migh...
Dr. Hong Yuanbin Reply:
Hello, after a COVID-19 infection, there is typically an incubation period of about 2 to 7 days, so it is unlikely for symptoms to appear that quickly. In the clinic, if everyone is wearing masks and there is no direct contact, the risk of transmission should be very low. It is r...[Read More] Concerns About COVID-19 Transmission After a Medical Visit
Understanding White Foamy Sputum: Causes and Concerns in Tracheostomy Patients
White frothy sputum Hello Doctor, I have a friend who has a tracheostomy. He usually has a lot of sputum, which is yellowish-white and thick. However, tonight it has changed to white, frothy sputum. A few days ago, there were blood streaks in the sputum, and after seeing a doctor...
Dr. Hong Yuanbin Reply:
Hello, regarding foamy sputum, it is usually more likely to originate from the lungs. Patients with tracheostomies often need to frequently secrete mucus to expel foreign substances, which can easily lead to the production of white foamy sputum. As for blood-streaked sputum, it m...[Read More] Understanding White Foamy Sputum: Causes and Concerns in Tracheostomy Patients
Understanding Blood in Saliva: Causes and When to Seek Help
Blood in saliva? Hello Doctor, I visited an otolaryngologist yesterday because I felt a bit under the weather. The doctor prescribed me some medication, and I just took a purple and yellow capsule labeled clindamycin, which I heard could cause esophagitis. I made sure to drink mo...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems you might be seeing saliva mixed with bright red blood? Typically, if the bleeding is from the lungs or a tumor, the blood would appear darker, more reddish-brown. The color you described is more likely due to gum bleeding, which can occ...[Read More] Understanding Blood in Saliva: Causes and When to Seek Help
Understanding Saliva Issues: When to Worry About Blood in Your Saliva
Saliva issues follow-up questions? Thank you for your response, Doctor! Yes, as you mentioned, the blood is bright red, similar to fresh blood. It mixed with the red yeast rice cookie, and when I lifted it with my tongue, it seemed to be blood from the saliva near the throat area...
Dr. Hong Yuanbin Reply:
Hello, regarding the bleeding, it is likely that your gums are bleeding. I recommend increasing your intake of fruits and vegetables, exercising more, and brushing your teeth gently. This should help improve the situation. It is probably not coughing up blood; if the bleeding dec...[Read More] Understanding Saliva Issues: When to Worry About Blood in Your Saliva
Is White Foamy Sputum Normal? When to See a Doctor?
Persistent throat clearing with the expulsion of white foamy sputum? Question 1: Is white foamy sputum normal? Question 2: If I keep coughing up this type of sputum, which specialist should I see?
Dr. Hong Yuanbin Reply:
Hello, 1. Typically, yellow phlegm may indicate a possible infection, while white phlegm is usually a mixture of normal saliva, unless there are other symptoms present, in which case it may not require treatment. 2. If you are very concerned, you can schedule an appointment with ...[Read More] Is White Foamy Sputum Normal? When to See a Doctor?
Dealing with Food Particles Stuck in the Windpipe: What to Do?
Food particles lodged in the trachea? Hello doctor, I would like to ask about an incident that happened after I ate guava at night. I felt something stuck in my trachea, similar to the sensation of a grain of rice lodged there. I realized it at that moment and immediately started...
Dr. Hong Yuanbin Reply:
Hello, theoretically, fruit chunks should not get stuck in the throat for too long. It is recommended to drink plenty of water, and they should pass down to the stomach quickly. If there are no further discomforts, everything should be fine. However, if throat discomfort persists...[Read More] Dealing with Food Particles Stuck in the Windpipe: What to Do?
Understanding Tonsil Issues: When to Seek ENT Help and Infection Risks
Tonsil issues, may I ask? Hello, Doctor Hong. Previously, I visited an ENT specialist because I had tonsil stones. The doctor used a tool to press on it and later seemed to suction it out. After lunch today, while brushing my teeth, I noticed a white spot near my tonsils that loo...
Dr. Hong Yuanbin Reply:
Hello, tonsil stones, as your doctor described, do not necessarily require any special treatment if there is no discomfort or inflammation. Regarding hepatitis B, it is primarily transmitted through vertical transmission and blood. The risk of infection from bleeding in the mouth...[Read More] Understanding Tonsil Issues: When to Seek ENT Help and Infection Risks
Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?
Health issues I woke up in the morning feeling very sore, so I lay back down thinking I could get up later. After a while, I felt uncomfortable again, with body aches, and I lay down for a bit before finally getting up. I have a history of allergic rhinitis, severe sleep apnea, a...
Dr. Hong Yuanbin Reply:
Hello, do you have any other symptoms? For example, fever, cough, shortness of breath, sore throat, etc.? If you do, it may be a sign of a cold or another illness. If not, it could be due to irregular sleep patterns, high stress, or poor posture. These factors should not affect y...[Read More] Managing Health Issues: Can I Get the AZ Vaccine with My Conditions?
Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups
Immune system dysfunction in adults with Still's disease? Hello Doctor: I have an immune system disorder (the doctor has diagnosed me with suspected "Adult Still's Disease" on the medical certificate). Due to the recent pandemic, I haven't been able to at...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. The inflammation index you mentioned, which is over ten thousand, could possibly refer to the ferritin level, which is an indicator of adult Still's disease and also serves as a reference for disease stability. Given that your levels were o...[Read More] Understanding Adult Still's Disease: Symptoms and Immune System Flare-Ups