Understanding Thyroglossal Duct Cysts: Surgery, Symptoms, and Treatment Options
Thyroglossal duct cyst Last month, I went to see a doctor and was diagnosed with a thyroglossal duct cyst. The doctor prescribed medication, and it gradually decreased in size. There was no mention of surgery, and I just finished a week of antibiotics (on December 5). However, I ...
Dr. Zheng Jueyi Reply:
Hello: If there is no obvious pain, recurrent infections, or impact on appearance, a thyroglossal duct cyst, which is mostly a benign tumor, can be monitored with self-observation. However, without surgical treatment, it is unlikely to completely disappear. If it frequently enlar...[Read More] Understanding Thyroglossal Duct Cysts: Surgery, Symptoms, and Treatment Options
Understanding Pain in the Left Neck Lymph Nodes: Causes and Treatments
Pain in the left lower cervical lymph nodes? Hello Doctor, I experienced a tearing pain in my neck lymph nodes a couple of days ago. Initially, it was just pain in the lymph nodes, but it gradually spread to my ear canal, causing difficulty in breathing and severe pain while swal...
Dr. Zheng Jueyi Reply:
Hello, 1. If there is improvement after taking antibiotics, the general discomfort from inflammation will gradually subside. 2. If there is improvement after using antibiotics, it is mostly a benign change, and observation is generally sufficient without the need for surgical ...[Read More] Understanding Pain in the Left Neck Lymph Nodes: Causes and Treatments
Understanding Salivary Gland Swelling: Mumps or Stones?
Issues related to mumps? Hello Doctor: On Monday, my parotid gland suddenly swelled up, and I have not experienced any symptoms of fever, fatigue, or loss of appetite since then. I later visited a clinic where the doctor diagnosed me with parotitis and prescribed antibiotics (I h...
Dr. Zheng Jueyi Reply:
Hello, 1. Saliva secretion increases during meals. If the ducts are obstructed or inflamed, it may cause swelling of the parotid gland, which can then gradually reduce as saliva flows out. 2. Parotid gland stones can indeed cause similar symptoms. If the symptoms persist witho...[Read More] Understanding Salivary Gland Swelling: Mumps or Stones?
Understanding Neck Lumps: When to Seek Medical Attention
Neck issues Hello, doctor. About a month ago (in October this year), I discovered a protrusion above the right carotid artery in my neck, approximately 1 cm in size. I can see the blood vessel in the mirror, and the lump is movable from side to side. It feels warm and pulsates wh...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you are experiencing pharyngotonsillitis accompanied by cervical lymphadenopathy, which is often treated with medication, and antibiotics may be used if necessary. There are numerous possibilities for cervical masses, inclu...[Read More] Understanding Neck Lumps: When to Seek Medical Attention
Understanding Oral Symptoms: Concerns About Tonsil and Nerve Issues
Tonsillar oral issues? Hello Doctor, I would like to consult you. I have been experiencing abnormal oral symptoms for almost 10 months. The symptoms include a tingling sensation on the left side of my tongue and a sour taste. The mucous membrane on the left side of my oral cavity...
Dr. Ji Zhaoyun Reply:
Hello, if the biopsy has a high accuracy, it is recommended to wait for the biopsy report results before proceeding with the next step of treatment. In the meantime, paying attention to oral hygiene, such as brushing your teeth and rinsing your mouth after meals, will also be ben...[Read More] Understanding Oral Symptoms: Concerns About Tonsil and Nerve Issues
Understanding Nasal Bleeding: Is It a Sign of Nasopharyngeal Cancer?
Nasal bleeding? Since around October 13th, I have noticed blood in my nostrils, which does not flow but is bright red. This has continued until today, the 18th, and when I roll tissue and place it in my nostrils, there is still blood adhering to it. I also feel a slight swelling ...
Dr. Zheng Jueyi Reply:
Hello: It is common for microvascular rupture and bleeding to occur at the location of the nasal septum. It is advised not to pick your nose or repeatedly clean it with tissues. You can use a cotton swab dipped in a small amount of petroleum jelly or antibiotic ointment for appli...[Read More] Understanding Nasal Bleeding: Is It a Sign of Nasopharyngeal Cancer?
Understanding Enlarged Lymph Nodes: Causes, Diagnosis, and Treatment Options
Enlargement of the right supraclavicular lymph nodes? Hello, doctor! On Sunday (10/13), I noticed swelling in the lymph nodes above my right clavicle, which feels about the size of a marble, likely over two centimeters. It is movable and tender to the touch. On Monday, I visited ...
Dr. Zheng Jueyi Reply:
Hello: The scheduled examinations are currently in progress. Generally, lymph nodes that shrink with anti-inflammatory medication are mostly benign. It is recommended to follow the physician's arrangements for examinations and outpatient follow-up. Wishing you peace and heal...[Read More] Understanding Enlarged Lymph Nodes: Causes, Diagnosis, and Treatment Options
Is Your Ear Medication Causing Tinnitus? Understanding Ear Toxicity Risks
Four Benefits Cream Ototoxicity Hello Doctor, I was diagnosed with otitis externa on October 8th. After using the prescribed Four Benefits ointment, my pain has improved, but I am now experiencing persistent tinnitus that seems to be getting louder. After today's follow-up a...
Dr. Zheng Jueyi Reply:
Hello: The ototoxicity caused by antibiotics is primarily due to intravenous or intratympanic administration into the inner ear. The likelihood of ototoxicity from topical ointments is extremely low. If tinnitus persists without improvement, it is recommended to continue follow-u...[Read More] Is Your Ear Medication Causing Tinnitus? Understanding Ear Toxicity Risks
Understanding One-Sided Throat Pain: Is It Tonsil Cancer?
Sore throat on one side? I have been experiencing a sore throat since early September, with more pain on the right side. Swallowing and eating are painful, but drinking water is somewhat manageable. I have had a total thyroidectomy, so when I palpate my neck, I notice an enlarged...
Dr. Zheng Jueyi Reply:
Hello, the tonsils may have a congenital size difference on both sides. An unequal size can serve as a reminder to check for abnormalities in the larger tonsil, such as persistent ulcers or unexplained tumors. If there are concerns, the physician may recommend a biopsy or surgery...[Read More] Understanding One-Sided Throat Pain: Is It Tonsil Cancer?
How to Treat and Prevent Infection from a Nosebleed
Nosebleed Doctor, I accidentally scratched my nose and it started to bleed. How should I handle this? What can I do to prevent infection? Thank you.
Dr. Zheng Jueyi Reply:
Hello: It is recommended to avoid picking your nose for the time being. You may apply antibiotic ointment to prevent infection, or use petroleum jelly to maintain moisture. If the condition does not improve, please visit an otolaryngology clinic for examination. Wishing you safet...[Read More] How to Treat and Prevent Infection from a Nosebleed
Understanding Tongue Pain: Causes, Symptoms, and Treatment Options
Tongue issues? Hello Dr. Tseng, I apologize for bothering you again. On the morning of the 16th, I woke up with a lot of pain in my tongue. When I looked in the mirror, I noticed many white spots at the base of my tongue and along the sides, at least ten in total. I also had one ...
Dr. Zheng Jueyi Reply:
Hello, it appears to be an ulcer, mostly caused by viral or bacterial infections. It is recommended to complete the prescribed medication, drink plenty of water, and maintain a regular routine. Most cases improve within 1-2 weeks. Wishing you safety and health. Sincerely, Dr. Che...[Read More] Understanding Tongue Pain: Causes, Symptoms, and Treatment Options
Understanding Tonsil Issues: When to Seek Further Medical Advice
Tonsillar oral issues? Hello Dr. Tseng, It has been a week since my last inquiry (#148970), and I have finished the medication. My throat and the area around my tonsils have not improved. The area circled in black in the image feels swollen, and there seems to be a raised, soft...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, the tonsils appear normal. If there are no obvious ulcers or pain, you may observe them for now. If you have concerns, you can seek medical evaluation for confirmation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the De...[Read More] Understanding Tonsil Issues: When to Seek Further Medical Advice
Understanding Oral Lumps: When to Seek Medical Advice
Oral issues Hello Doctor, I apologize for bothering you again. I have another question to ask. Recently, I noticed a lump or mass on the left side of my body in the area marked in the picture. I'm not sure if it has been there for a while or if it just appeared recently. It ...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, it appears to be lymphoid tissue or minor salivary gland tissue in the oral cavity. If there are no obvious ulcers, you may observe it for now. However, if the pain persists, it is advisable to seek medical evaluation for confirmation. Wishing you...[Read More] Understanding Oral Lumps: When to Seek Medical Advice
Understanding Persistent Swollen Tonsils Without Pain or Fever
Tonsillar enlargement (without fever, painless) Dear Doctor, At the beginning of June, I felt a sore throat and dizziness, so I went to see a doctor and took medication for three days, after which my throat pain subsided. However, I continued to feel dizzy for three weeks. At t...
Dr. Zheng Jueyi Reply:
Hello: The size of the tonsils varies from person to person. They can become enlarged during inflammation or infection and will decrease in size once the infection improves. If there are no significant pain, ulcers, or discharge, it is often a case of benign tonsillar enlargement...[Read More] Understanding Persistent Swollen Tonsils Without Pain or Fever
Morning Phlegm: Understanding Causes and Solutions for Your Symptoms
Waking up with phlegm in the morning? Every morning when I wake up, I have yellow phlegm, but after I cough it up, it disappears for the rest of the day. If there is any phlegm later, it is transparent. I do not have nasal congestion, runny nose, or post-nasal drip sensations. Th...
Dr. Zheng Jueyi Reply:
Hello: If you only have phlegm in the morning, it may be due to thicker secretions caused by not drinking water overnight, and it does not necessarily indicate an infection. Generally, sinusitis or pulmonary infections are characterized by persistent thick phlegm throughout the d...[Read More] Morning Phlegm: Understanding Causes and Solutions for Your Symptoms
Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?
A mass approximately 1.5 centimeters in size located in the left posterior cervical region? I have noticed this lump for at least three years. When I look in the mirror, I can't see the lump unless I turn my neck to the right; then, a round lump becomes noticeable on the bac...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, the neck mass could potentially be a malignant or benign tumor, a congenital cyst, lymphadenopathy, lipoma, etc. If it is lymphadenopathy, treatment often involves medication, and antibiotics may be used if necessary. However, if the neck swellin...[Read More] Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?
Understanding Phlegm Color: When to Seek Medical Attention
The color of sputum? Hello, I would like to inquire; today, July 26, I felt very hot and ate ice. In the evening, I started to have a runny nose, sneezing, itchy nose, and a heavy head. After taking a combination cold medicine three times, I felt better. On June 29, after eating ...
Dr. Zheng Jueyi Reply:
Hello: If you continue to have yellow-green sputum, it may indicate a bacterial infection. It is recommended to visit a clinic or hospital for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, ...[Read More] Understanding Phlegm Color: When to Seek Medical Attention
Persistent Tonsillitis: When to Seek Further Medical Attention?
The tonsillitis has not improved and remains purulent? Hello! I have seen a doctor three times since early June due to tonsillitis. Later in mid-June, it worsened and turned into a suppurative condition, so I was prescribed a stronger antibiotic. I've been taking the medicat...
Dr. Zheng Jueyi Reply:
If symptoms do not improve, it is recommended to continue follow-up visits for further evaluation.[Read More] Persistent Tonsillitis: When to Seek Further Medical Attention?
Feeling of Foreign Body in Throat and Dry Heaving: Causes and Solutions
Sensation of a foreign body in the throat with dry heaving? On Saturday, after eating fish, I initially felt some soreness in my throat, but during dinner, I did not experience any difficulty swallowing. By Sunday morning, I felt mostly fine, but by the afternoon and evening, I s...
Dr. Zheng Jueyi Reply:
Hello, the medication includes antibiotics and anti-inflammatory drugs. You can finish the medication first, and if you still feel unwell, it is recommended to visit an otolaryngologist for a check-up. Wishing you safety and health. Sincerely, Zheng Jue-Yi, Department of Otolaryn...[Read More] Feeling of Foreign Body in Throat and Dry Heaving: Causes and Solutions
To Surgery or Not: Managing Chronic Sinusitis and Treatment Options
Surgery? Medication? Hello, I initially thought I had a cold that developed into acute sinusitis and then chronic sinusitis. I have been on medication (including antibiotics) for over three months, from mid-February until now. During this time, I also experienced ear effusion, an...
Dr. Li Jiaxuan Reply:
The acute complications of chronic sinusitis include ocular pressure or brain infection. In the absence of acute complications, it can generally be treated with medication. If the medication is unsatisfactory, surgical options may be considered. It is advisable to consult a trust...[Read More] To Surgery or Not: Managing Chronic Sinusitis and Treatment Options