Allergic rhinitis, Otolaryngology FAQ

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Understanding Elevated Eosinophil Levels: Implications for ENT Symptoms

An elevated eosinophil count may indicate various health issues. It can be associated with allergic reactions, parasitic infections, autoimmune diseases, and certain types of cancers. It is important to consult a healthcare professional for a thorough evaluation and appropriate d...


Dr. Ji Zhaoyun Reply:
Based on the medical history and examination data you provided, here are some possible explanations and recommendations: ### Symptom Analysis 1. **Sensation of a foreign body in the throat**: This sensation may be caused by various factors, including chronic pharyngitis, gastroe...

[Read More] Understanding Elevated Eosinophil Levels: Implications for ENT Symptoms


Why Do I Need a Chronic Disease Prescription for My ENT Issues?

Why would my condition require a chronic disease prescription? I previously underwent surgery for sinusitis, and now I have nasal polyps and a deviated septum. The doctor recommended surgical treatment, and due to my allergic rhinitis, I was prescribed antihistamines. During my f...


Dr. Li Jiaxuan Reply:
Sinusitis is very prone to recurrence. Consider taking antihistamines to prevent recurrence. If you choose not to take medication, it may be necessary to rinse your nasal passages frequently and occasionally take medication. It is advisable to discuss this with your physician. Wi...

[Read More] Why Do I Need a Chronic Disease Prescription for My ENT Issues?


Chronic Pharyngitis and Coughing: Effective Treatment Options

Chronic pharyngitis with coughing: how to treat? Hello Doctor, I have confirmed that I have chronic pharyngitis (for about six years), gastroesophageal reflux disease (GERD), and post-nasal drip, with the latter being more severe. Both of these issues are difficult to manage, and...


Dr. Zheng Jueyi Reply:
1. For long-term postnasal drip, it is recommended to seek medical evaluation to check for issues such as allergic rhinitis or sinusitis. Most cases can be managed with medication to control symptoms, but a complete cure may not be possible. Some patients may also need to use sal...

[Read More] Chronic Pharyngitis and Coughing: Effective Treatment Options


Understanding Chronic Nasal and Throat Issues: Causes and Solutions

Throat and nasal issues? Hello Doctor, I have a somewhat complex issue that has been bothering me, so I would like to seek your advice. Symptoms: 1. I have persistent clear nasal discharge (not thick), and occasionally experience unexplained nasal congestion. 2. I feel like t...


Dr. Ji Zhaoyun Reply:
Hello, thank you for detailing your symptoms and concerns. Here are some possible suggestions and considerations, but please be sure to consult your specialist in person for a personalized diagnosis and treatment plan, as online consultations cannot replace an in-person examinati...

[Read More] Understanding Chronic Nasal and Throat Issues: Causes and Solutions


Understanding White Foamy Sputum: Causes and Concerns in ENT Health

White frothy sputum Hello, doctor. About six months ago, an X-ray revealed that I had phlegm accumulation in my lungs. The doctor prescribed antibiotics, and I improved significantly. However, after a recent cold, I have been experiencing an increased amount of phlegm regardless ...


Dr. Ji Zhaoyun Reply:
Hello, thank you for providing a detailed description of your symptoms. Based on your description, you have recently experienced a significant amount of foamy white sputum, which may be related to various factors. Here are some possible causes and recommendations, but please be s...

[Read More] Understanding White Foamy Sputum: Causes and Concerns in ENT Health


Understanding Systemic Pain and Allergies: Seeking the Right Specialist

Generalized tingling, itching, and numbness? Hello, Doctor: I was diagnosed with severe allergic rhinitis in mid-September last year, and I have experienced many symptoms including sneezing, runny nose, chest tightness, chest pain, palpitations, abdominal pain, tingling in the so...


Dr. Li Jiaxuan Reply:
In the field of otolaryngology, it is recommended to examine the sinuses to differentiate the diagnosis of chronic sinusitis. Nasal irrigation may also be considered, as postmenopausal changes can lead to thinning of the nasal mucosa. Allergic conditions may be more pronounced in...

[Read More] Understanding Systemic Pain and Allergies: Seeking the Right Specialist


Understanding One-Sided Ear Congestion and Headache: Causes and Treatments

Unilateral ear congestion with unilateral headache? For the past month, I have been experiencing unilateral ear fullness and unilateral headache, with occasional facial numbness during severe episodes. The same side of my eye also feels pressure and swelling. The symptoms fluctua...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could possibly 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 (com...

[Read More] Understanding One-Sided Ear Congestion and Headache: Causes and Treatments


Can Eustachian Tube Dysfunction Occur in One Ear Only?

Is it possible for eustachian tube dysfunction to occur in the same ear? Hello Doctor: Due to a recent two-week course of antibiotic treatment (from April 1 to April 15), I suddenly experienced a buzzing sound in my left ear yesterday afternoon (April 18). The frequency of the bu...


Dr. Zheng Jueyi Reply:
1. A buzzing sound occurs only in the presence of external noise; without external sound, it does not occur, and it is generally not considered tinnitus. 2. It is possible. 3. Tinnitus may be related to anxiety, allergic rhinitis, and other factors. If it persists without improve...

[Read More] Can Eustachian Tube Dysfunction Occur in One Ear Only?


Understanding Allergic Rhinitis: Symptoms, Breathing Issues, and Solutions

Allergic rhinitis issues Hello, Doctor. I would like to ask you some questions (I have quite a few, and sometimes when I go to see a doctor, I don't know how to explain everything in detail from start to finish. Thank you for your help!): Symptoms: I have been troubled by ...


Dr. Zheng Jueyi Reply:
1. It may take time to get used to breathing through the nose; increasing physical activity and practice can help. 2. There are many potential causes for chest tightness; if concerned, it is advisable to consult a pulmonologist, cardiologist, or gastroenterologist to check for ...

[Read More] Understanding Allergic Rhinitis: Symptoms, Breathing Issues, and Solutions


Understanding Ear Discomfort: Causes, Symptoms, and When to Seek Help

My ear feels strange? This afternoon, I suddenly experienced hiccups, and then I noticed a popping sound in my right ear, which occurred about 10 times in a row, with a few seconds in between each occurrence. After resting, it happened once more. I looked up possible issues and f...


Dr. Zheng Jueyi Reply:
Hello, if there are no obvious hearing abnormalities, you may observe the situation. If the symptoms persist for more than a week without improvement, it is recommended to visit an otolaryngology clinic for examination. As for common side effects of antihistamines, drowsiness is ...

[Read More] Understanding Ear Discomfort: Causes, Symptoms, and When to Seek Help


Understanding Taste Loss: Possible Causes and Solutions for Allergic Rhinitis

About olfaction? Hello, doctor. I would like to ask, occasionally when I eat, I can only taste about 60% of the flavor, but I don't seem to have any nasal congestion. What could be the reason for this? I have a history of nasal allergies. Thank you, doctor.


Dr. Zheng Jueyi Reply:
Hello, olfactory abnormalities are often associated with viral infections that cause neurological damage, or factors such as sinusitis and allergic rhinitis that lead to obstruction. If symptoms persist for more than a week without improvement, it is recommended to consult an oto...

[Read More] Understanding Taste Loss: Possible Causes and Solutions for Allergic Rhinitis


Understanding Throat Issues: Allergies, Mucus, and Breathing Difficulties

Throat issues I have encountered some issues over the past few months and would like to consult you, doctor: 1. I have persistent allergic rhinitis and often need to take antihistamines. 2. I frequently feel a slight accumulation of thick saliva in my throat (in the area betwe...


Dr. Zheng Jueyi Reply:
Hello, allergic rhinitis and post-nasal drip are commonly associated with chronic pharyngitis. If self-administered antihistamines are not effective, it is recommended to consult an otolaryngologist for examination and treatment.

[Read More] Understanding Throat Issues: Allergies, Mucus, and Breathing Difficulties


Understanding Yellow Mucus: Is It Bacterial or Viral Infection?

Is yellow nasal discharge a common symptom during every cold? Hello, Doctor! I've been troubled by yellow nasal discharge and yellow phlegm due to sinusitis for a long time. Since my daughter started school in August, she has been catching colds almost every month, and my hu...


Dr. Ji Zhaoyun Reply:
Hello, it is recommended that if symptoms persist and recur, you may consider visiting an otolaryngologist for a nasopharyngoscopy to check for issues such as adenoid hypertrophy or chronic sinusitis.

[Read More] Understanding Yellow Mucus: Is It Bacterial or Viral Infection?


Effective Strategies to Prevent Nosebleeds and Manage Symptoms

How to prevent nasal mucosal bleeding? Hello Doctor, I have been experiencing intermittent nosebleeds since childhood, which have caused me significant distress in my daily life. The bleeding occurs repeatedly on the same side, and I have noticed that as I age, the volume of bloo...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa due to forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, aller...

[Read More] Effective Strategies to Prevent Nosebleeds and Manage Symptoms


Understanding Post-Nasal Drip: Symptoms, Causes, and Treatment Options

Post-nasal drip Hello Doctor: I'm not sure if what I'm experiencing is post-nasal drip, so I would like to ask you. When I visited the ENT today, the doctor's assessment seemed different from my complaints. It started the night before last with nasal congestion, an...


Dr. Zheng Jueyi Reply:
Hello, if you are experiencing excessive post-nasal drip and it is not a long-term symptom, the short-term severity may be related to seasonal changes, climate, or viral or bacterial infections causing inflammation. If it is a long-term symptom and an otolaryngologist assesses th...

[Read More] Understanding Post-Nasal Drip: Symptoms, Causes, and Treatment Options


Managing Allergic Rhinitis: Antihistamine Options and Side Effects

Allergic rhinitis Hello Doctor, I have been suffering from allergic rhinitis for the past few months, experiencing frequent runny nose and post-nasal drip, so I have been taking antihistamines. I was previously using second-generation antihistamines, but during my last visit to t...


Dr. Zheng Jueyi Reply:
First-generation antihistamines often have sedative side effects. If you experience persistent drowsiness, you should seek medical evaluation at a hospital or clinic. Consider using second-generation oral antihistamines along with intranasal corticosteroid sprays to manage allerg...

[Read More] Managing Allergic Rhinitis: Antihistamine Options and Side Effects


Understanding Blood-Streaked Nasal Discharge: Causes and Concerns

Nasal discharge with blood or blood clots? Hello Dr. Zheng, I have been experiencing a runny nose and throat phlegm since early December. In the mornings, I typically have light yellow-green nasal mucus and phlegm, which turns clear by the afternoon. Occasionally, I notice long-a...


Dr. Zheng Jueyi Reply:
There are many factors that can cause hemoptysis. Common causes can be categorized into the upper respiratory tract, including the nasal cavity and oral cavity, or the lower respiratory tract, such as the lungs. If an otolaryngologist performs an endoscopy and finds no obvious bl...

[Read More] Understanding Blood-Streaked Nasal Discharge: Causes and Concerns


Managing Persistent Cough and Wheezing: Insights for Allergy Sufferers

Abnormal cough and wheezing? Hello Doctor, I have had a tendency to have a runny nose and nasal allergies since childhood, and I have an allergic constitution. Since the end of June this year, I have been experiencing a strange cough and wheezing sounds, along with a sensation of...


Dr. Zheng Jueyi Reply:
Hello, elevated IgE levels and allergy testing indicate an allergy to dust and dust mites, while lung function tests are normal. This suggests current upper respiratory allergic symptoms. It is recommended to enhance the management of allergic rhinitis. In addition to environment...

[Read More] Managing Persistent Cough and Wheezing: Insights for Allergy Sufferers


Understanding Nosebleeds: When to Seek Medical Attention

There is a small amount of blood in the nose? Hello, doctor. I used to frequently use cotton swabs to clean my nose, and I always did it gently. Recently, while gently using a cotton swab in my left nostril, I noticed a small amount of bright red blood on the swab. Currently, the...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can be caused by forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infec...

[Read More] Understanding Nosebleeds: When to Seek Medical Attention


Understanding Thick Nasal Mucus: Causes and Solutions for Nausea

Nasal congestion Hello, I have a concern that I often feel nauseous when I open my mouth. Excluding factors like odors and touching the inside of my mouth, I have noticed another reason that makes me feel like vomiting: the thick sensation in my nasal cavity. Just keeping my mout...


Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic to assess whether it is sinusitis or allergic rhinitis. Wishing you good health.

[Read More] Understanding Thick Nasal Mucus: Causes and Solutions for Nausea


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