Throat, Internal Medicine FAQ

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 ...

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...

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...

Can I Get Vaccinated with a Cold? Expert Advice on Vaccine Safety

Pre-vaccination inquiry The doctor would like to ask you a few questions. A few days ago, I had a cold, and I went back for a consultation today. This morning, I was fortunate enough to secure a vaccine appointment for next Friday. I consulted with an ENT specialist today, and he...

Dr. Hong Yuanbin Reply:
Hello, according to current research, as long as there is no fever and no significant discomfort, vaccination is recommended. If you feel well on the day of vaccination, you can inform the administering physician about your condition over the past few days, and the physician will...

Can I Get Vaccinated with Mild Cold Symptoms? Expert Advice

Pre-vaccination inquiries The doctor would like to ask you a few questions. A few days ago, I had a cold, and I went back for a check-up today. This morning, I was fortunate enough to secure a vaccine appointment for next Friday. I consulted with an ENT specialist today, and he m...

Dr. Hong Yuanbin Reply:
Hello, according to current research, as long as there is no fever and no significant discomfort, vaccination can be administered. It is recommended that if you feel well on the day of vaccination, you should inform the administering physician about your condition over the past f...

Understanding Chest Discomfort: Causes and When to Seek Help

Mild discomfort in the chest? Hello, doctor. About two days ago, I took anti-inflammatory medication and antibiotics at the clinic due to a cold. However, the next day, I started feeling a slight, vague pain in the middle of my chest, which is particularly noticeable around meal ...

Dr. Hong Yuanbin Reply:
Hello, the esophagus is quite long, extending from the throat to the chest. Based on your description, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or a gastric ulcer. However, the exact cause can only be determined through an endoscopy. As for ...

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...

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...

Understanding Persistent Throat Discomfort: Causes and Solutions

Oral issues Hello Doctor, I would like to consult you. I have had a sensation of a foreign body and severe pain in my throat for over three months (it was slightly milder three months ago). Currently, the symptoms are located at the left base of my tongue and deep in my throat, w...

Dr. Li Jian Reply:
For issues related to deep throat, abnormalities in the pharyngeal wall, or oral problems, it is important to follow up with an otolaryngology department at a medical center for further evaluation.

Understanding Tonsil Stones: Symptoms, Causes, and Treatment Options

Tonsil stones issue? Dr. Hong, I apologize for bothering you. About a week ago, while I was taking a shower, I suddenly felt a sensation of something stuck in my throat. I used my tongue to push towards my throat, and a fairly large stone came out along with some sticky saliva. I...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems likely that you have a stone in the salivary gland or another gland. Typically, after the stone passes, there may be a slight inflammation, but it usually resolves on its own, and most cases improve. If you are not experiencing a fever o...

Understanding Throat Pain and Antibiotic Use: Is It Normal?

Antibiotics for sore throat? Four days ago, I visited a doctor due to a sore throat (in the center of my neck). The doctor prescribed throat lozenges, which provided some relief. Two days later, I saw a specialist who did not find any significant issues and prescribed a 5-day cou...

Dr. Hong Yuanbin Reply:
Based on your description, it seems you have an upper respiratory infection. The symptoms you mentioned, such as sore throat and runny nose, are indeed indicative of a respiratory infection. Given the current pandemic, it is advisable to get tested to confirm whether it is COVID-...

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...

Post-Vaccine Symptoms: When to Seek Medical Attention After Moderna Shot

After receiving the vaccine Hello, doctor. I recently received my second dose of the Moderna vaccine, and it's been five days. I've been experiencing pain in my arm when making larger movements (like shaking, running, or jumping), but it doesn't hurt much when I&#x...

Dr. Hong Yuanbin Reply:
Hello, based on your description, these are indeed possible phenomena after vaccination. It is not necessarily required to seek medical attention immediately unless the symptoms become more pronounced or if you experience fever, chest pain, severe shortness of breath, or other co...

Should I Test My Daughter for COVID-19 After Her Recent Symptoms?

COVID-19 Hello, Doctor. My daughter is 14 years old. Yesterday evening, she experienced diarrhea, a sore throat with phlegm, and a fever (temperature of 37.7 degrees Celsius). I gave her medication (Children's Lisinopril), and about an hour later, her fever subsided. She has...

Dr. Lin Wufu Reply:
Hello: Your daughter's symptoms meet the screening criteria for COVID-19, but of course, common cold symptoms can also be similar, making it difficult to determine the possibility of COVID-19. It is recommended that unless all symptoms have completely resolved, you should co...

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...

Managing Thyroid Hormone Levels: From Hypothyroidism to Hyperthyroidism

Hypothyroidism to Hyperthyroidism Hello Doctor, I was diagnosed with anti-microsomal antibodies at a titer of 1:1600 in 2009, and my T4 and TSH levels were normal, indicating Hashimoto's thyroiditis (hypothyroidism). From 2009 to June 2021, I took Eltroxin 50 mcg daily, but ...

Dr. Lin Jianliang Reply:
Hello: Since everyone's situation is different, some people resume medication after stopping or reduce the dosage. It depends on individual circumstances for adjustments. Regarding the other issue, it requires an in-person evaluation to provide a response, so I cannot addres...

Understanding Persistent Stomach Bloating: Causes and Solutions

Persistent abdominal bloating? Hello, doctor. I've been experiencing bloating for the past month. I've seen four or five doctors, and due to accompanying cold symptoms (nasal congestion, itchy throat, etc.), most diagnosed it as a gastroenteritis. While the cold symptom...

Dr. Hong Yuanbin Reply:
Based on the symptoms you described, it does appear to be a cold, which indicates a higher likelihood of an upper respiratory tract infection given the current community situation in Taiwan. It is advisable to first rule out the possibility of a COVID-19 infection. If the COVID-1...

Understanding COVID-19 PCR Results and Managing Symptoms at Home

Positive Rapid Test for COVID-19 (Continuation 2) Hello Dr. Hong, I am a patient who tested positive for COVID-19 through a rapid test and PCR a few days ago. Since my diagnosis on June 14, I have experienced some changes in my health. Yesterday, June 19, I retested for PCR, and ...

Dr. Hong Yuanbin Reply:
Hello, 1. The value you mentioned should refer to the CT value of the PCR test. A higher CT value indicates a lower viral load, and values above 30 suggest that there is almost no transmissibility. Therefore, based on your values, it seems you are gradually recovering. 2. If ...

Understanding Fever Fluctuations and Muscle Pain: Key Insights for Parents

Fever that subsides and then returns? On the morning of June 14, I had a fever with an ear temperature of 38.2 degrees Celsius. After taking an over-the-counter medication, my temperature remained between 37.5 and 38 degrees until around 5 PM on June 14, when it dropped to 36.5 d...

Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed important to first be cautious about COVID-19, so I recommend doing another PCR test for confirmation. Additionally, you can also perform a PCR test for influenza. Any respiratory infection, including COVID-19, influenza, or other vi...

Understanding Positive COVID-19 Rapid Test Results: A Patient's Journey

Positive result on COVID-19 rapid test? Hello Dr. Hong, I hope you are well. I am currently in Indonesia and am using online consultation services, so I hope to gain a deeper understanding. I apologize for the lengthy description. Starting on the evening of June 12, I experienc...

Dr. Hong Yuanbin Reply:
Hello, based on the symptoms you described, they do resemble a COVID-19 infection; however, we still need to wait for the PCR test for confirmation. The medications you mentioned are all for relieving cold symptoms. If you have cold symptoms, they can be taken to alleviate discom...

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