Antibiotic, Otolaryngology FAQ - Page 14

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Chronic Nasal Congestion and Ear Issues: Seeking ENT Treatment Options

Medical consultation Dear Dr. Chi, I have been experiencing nasal congestion and runny nose every day for the past 20 years, and my symptoms worsen with even a slight cold, leading to recurrent otitis media and sinusitis. I have undergone surgery for sinusitis once and regularly ...


Dr. Ji Zhaoyun Reply:
Hello Mr. Wu, Common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul odor, and changes in smell, although not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persist...

[Read More] Chronic Nasal Congestion and Ear Issues: Seeking ENT Treatment Options


Understanding Tongue Issues and Cold Symptoms: When to Seek Medical Help

Tongue issues and colds? On the 18th, I seemed to have a lot of heat in my body, and I developed multiple sores on the sides of my tongue. The next day, while sleeping, I felt sensitivity in my nose when breathing. Upon waking, I started to experience pain in my trachea, frequent...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you are experiencing pharyngitis and oral ulcers, which are often treated with medications, and antibiotics may be used if necessary. It seems that there are multiple small lesions in your mouth, which could be ulcers. Most...

[Read More] Understanding Tongue Issues and Cold Symptoms: When to Seek Medical Help


White Coating on Tongue: Is It a Side Effect of Antibiotics?

White tongue coating suspected of candidiasis infection? I previously visited a urologist who prescribed an antibiotic (medication name: Jingtai Tuo). After finishing the antibiotic course, I noticed that my tongue has developed a white coating, and there is a small raised lesion...


Dr. Zheng Jueyi Reply:
Hello: The growth near the base of the tongue may be lymphoid tissue or circumvallate papillae. The white coating on the tongue may not necessarily be related to medication. It is recommended to drink more water or rinse your mouth. If it persists without improvement, you may wan...

[Read More] White Coating on Tongue: Is It a Side Effect of Antibiotics?


Managing Eustachian Tube Dysfunction: Steroid Use and Side Effects

Eustachian tube dysfunction treated with corticosteroids? Dear Director Zheng, I experienced symptoms of Eustachian tube dysfunction in my left ear suddenly in January of this year. Although my hearing is normal, every time I drink water or swallow, I hear a "pop, pop"...


Dr. Zheng Jueyi Reply:
Hello, if eustachian tube dysfunction is caused by nasal allergies, long-term oral steroids are not recommended. It is advisable to switch to intranasal steroid sprays for management, as nasal sprays can be used long-term and help avoid gastrointestinal discomfort, osteoporosis, ...

[Read More] Managing Eustachian Tube Dysfunction: Steroid Use and Side Effects


Managing Persistent Tonsil Stones and Inflammation: A Patient's Journey

Unilateral tonsillar swelling with stones? On April 9, I discovered that my left tonsil had some redness and swelling, so I sought treatment from a traditional Chinese medicine practitioner. Since the symptoms were not very pronounced, the doctor indicated that the throat issue w...


Dr. Zheng Jueyi Reply:
Diarrhea may be related to antibiotics. If symptoms such as sore throat or diarrhea persist without improvement, it is advisable to return to the original hospital to see if medication adjustments are needed, or if hospitalization for intravenous treatment is necessary, or if a r...

[Read More] Managing Persistent Tonsil Stones and Inflammation: A Patient's Journey


Understanding White Spots on Tonsils: Causes and Remedies

The tonsils appear white. There is an image? Hello, doctor. I have been feeling a sensation of a foreign body in my throat for about two weeks now. However, there is no pain, and I do not have difficulty swallowing; I only feel something stuck when I swallow. I visited an ENT spe...


Dr. Zheng Jueyi Reply:
Hello: Initially, it appears to be a cyst or inflammation caused by tonsillitis. It is advisable to drink plenty of water or use over-the-counter anti-inflammatory pain relievers for treatment. If symptoms persist without improvement, a medical examination is necessary. Wishing y...

[Read More] Understanding White Spots on Tonsils: Causes and Remedies


Managing Sinusitis: Can Western Medicine Help or Is Surgery Needed?

Sinusitis medications Can sinusitis be treated with Western medicine? Is surgery necessary, and what would that entail? What foods can be consumed with sinusitis? What happens if I take Siwu Decoction? I have just started experiencing sinusitis and have taken Western medicine, wh...


Dr. Zheng Jueyi Reply:
Hello: Acute sinusitis generally requires 10-14 days of antibiotic treatment, and most cases will improve. If symptoms persist for more than three months without improvement, it may be chronic sinusitis, which may require medical evaluation to determine if surgery is necessary fo...

[Read More] Managing Sinusitis: Can Western Medicine Help or Is Surgery Needed?


Will Sinusitis Worsen Without Surgery? Understanding Your Options

Persistent nasal discharge? If the diagnosis is sinusitis and no surgery is performed, will it worsen, or will it just maintain the original symptoms?


Dr. Zheng Jueyi Reply:
Hello: If diagnosed with acute sinusitis, it is generally due to a bacterial infection, and antibiotic treatment is recommended for 10-14 days. If diagnosed with chronic sinusitis, whether surgery or ongoing medication management is necessary should be assessed based on clinical ...

[Read More] Will Sinusitis Worsen Without Surgery? Understanding Your Options


Understanding Unilateral Nasal Discharge: Causes and Solutions

Unilateral nasal discharge? If you are experiencing discomfort in your ears, nose, and throat and are using nasal irrigation to improve your symptoms, it's important to note that after each session, you should dry your nasal passages before leaving. While you may not have an...


Dr. Ji Zhaoyun Reply:
Hello, if your symptoms occur after nasal irrigation, it is quite common for water to flow out of the sinuses when turning your head due to the openings in the nasal cavity. However, if you need to perform nasal irrigation to alleviate your symptoms, it may be necessary to evalua...

[Read More] Understanding Unilateral Nasal Discharge: Causes and Solutions


Understanding Neck Masses: When to Worry About Lumps and Bumps

Neck mass Hello Doctor: Six years ago, I had sinusitis with yellow nasal discharge that contained blood. Later, I noticed two lumps in my neck, but they were not protruding. I went to the hospital for an endoscopy, X-rays, and a localized CT scan, but nothing was found. After tak...


Dr. Zheng Jueyi Reply:
Hello: If the neck mass is not continuously enlarging, it is mostly benign and can be monitored. However, if it continues to grow or causes pain, further medical evaluation and treatment are necessary. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the De...

[Read More] Understanding Neck Masses: When to Worry About Lumps and Bumps


Understanding Post-Cold Symptoms: Allergic Rhinitis or Sinusitis?

I am not sure if it is allergic rhinitis or sinusitis? Since a recent cold, I have been experiencing post-nasal drip, with mucus flowing into my mouth or throat daily. I don't know how many times I've had to spit out mucus in a day, especially in the morning when the sy...


Dr. Ji Zhaoyun Reply:
Hello, Xiao En. According to the description in the text, it is necessary to visit an otolaryngologist to rule out chronic sinusitis. Other conditions such as allergic rhinitis, nasopharyngeal carcinoma, and nasal tumors should also be considered. Common symptoms of sinusitis inc...

[Read More] Understanding Post-Cold Symptoms: Allergic Rhinitis or Sinusitis?


Persistent Cough After Cold: Causes and Treatment Options

Coughing persists after a cold? Hello doctor, about three weeks ago I had a cold, which only involved a cough. I took some over-the-counter medication and it got a bit better, but I haven't fully recovered and I still occasionally have a mild cough. It's particularly no...


Dr. Zheng Jueyi Reply:
Hello: It is commonly caused by respiratory sensitivity following a cold. It is recommended to drink plenty of warm water and monitor the situation. If there is no improvement, please return for a follow-up examination. Wishing you safety and health. Director of the Department of...

[Read More] Persistent Cough After Cold: Causes and Treatment Options


Managing Chronic Sinusitis in Children with Allergies: Tips and Insights

Chronic sinusitis is not improving? Hello, doctor. My child is currently six years and two months old and has asthma, skin allergies, and nasal allergies. Since last year, he has been suffering from sinusitis, which has been recurrent for over six months. Each time he stops medic...


Dr. Zheng Jueyi Reply:
Hello: For recurrent sinusitis, it is recommended to continue follow-ups with a pediatric otolaryngologist. This may be related to adenoid hypertrophy, allergic rhinitis, or the inability to blow the nose. Environmental factors or dietary issues should be evaluated by a physician...

[Read More] Managing Chronic Sinusitis in Children with Allergies: Tips and Insights


Understanding Leucomycin Treatment for Allergies in Children

The treatment regimen for the antibiotic leucomycin? Hello, doctor. My child is 4 years old and has been experiencing nasal allergies. Since October of this year, we have been troubled by a runny nose, nasal congestion, and phlegm. We have visited the pediatrician several times, ...


Dr. Ji Zhaoyun Reply:
Hello Winnie, Common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, but not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists de...

[Read More] Understanding Leucomycin Treatment for Allergies in Children


Is Sinusitis Contagious? Understanding Transmission Risks

Sinusitis is not contagious? Hello, doctor. Can sinusitis be contagious? There is a child at home with sinusitis, and he has had a runny nose for at least six months. My son drank from a cup that he had used. Is there a risk of transmission? Thank you for your response.


Dr. Ji Zhaoyun Reply:
Hello, common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, although not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despit...

[Read More] Is Sinusitis Contagious? Understanding Transmission Risks


Understanding Ear Pain: Causes and Solutions for Discomfort

Severe ear discomfort and pain? I have a runny nose, and when I pinched my nose and blew, I heard a loud "pop" in my left ear, followed by pain. It felt like something had burst, and now my left ear hurts a lot, and I keep hearing a "buzzing" sound. Can this b...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may have the following two possibilities: 1) Otitis Media: a) Acute Otitis Media: This often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, there may be ear discharge or pus. b) Chronic O...

[Read More] Understanding Ear Pain: Causes and Solutions for Discomfort


Understanding Chronic Sinusitis in Children: Causes and Treatment Options

Please ask your question? Hello, doctor... My child has been suffering from allergic sinusitis with recurrent episodes for nearly six months. Two weeks ago, an X-ray showed that the entire sinus was inflamed. The doctor prescribed Lidaoxin (Clindamycin) antibiotics to take for tw...


Dr. Zheng Jueyi Reply:
Hello: 1. There are many factors that can cause chronic sinusitis, and it is recommended to seek evaluation from an otolaryngologist. 2. Adenoid hypertrophy is one of the factors that can lead to chronic sinusitis. 3. The adenoids may decrease in size as a person ages. 4. Ge...

[Read More] Understanding Chronic Sinusitis in Children: Causes and Treatment Options


Understanding Ear Congestion and Tinnitus: Causes and Solutions

Ear fullness followed by tinnitus? Hello Doctor: One morning I woke up and suddenly felt a blockage in my left ear. I visited an ENT clinic, and everything appeared normal; they did not perform an endoscopy. Later, I went to Taipei Medical University for a consultation, where an ...


Dr. Li Jiaxuan Reply:
Displacement of the temporomandibular joint may compress the trigeminal nerve, potentially causing tinnitus. However, tinnitus should gradually improve after the displacement of the temporomandibular joint is alleviated. Currently, the possibility of a neuroma or nasopharyngeal c...

[Read More] Understanding Ear Congestion and Tinnitus: Causes and Solutions


Understanding Clear Mucus with Green Tints: Allergies or Sinusitis?

Clear nasal discharge with a slight green tint? I have been experiencing allergic symptoms, including constant sneezing and nasal congestion. Last month, I took prescribed Western medication for over two weeks and also performed nasal irrigation, which helped reduce the nasal dis...


Dr. Ji Zhaoyun Reply:
Hello, A-Bao. Common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, but not all symptoms may appear. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despite ...

[Read More] Understanding Clear Mucus with Green Tints: Allergies or Sinusitis?


Understanding Lymph Node Swelling: When to See an ENT Specialist

Lymphatic issues Last week, I noticed a swollen area on the back of my neck, just below the angle of my jaw, that feels like a cord. When I stretch my neck, it feels noticeably swollen compared to the other side, but it doesn't hurt. I'm unsure if it could be lymphadeno...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you are experiencing pharyngitis accompanied by cervical lymphadenopathy, which is often treated with various medications, including antibiotics if necessary. However, if the swelling in the neck continues to progress and l...

[Read More] Understanding Lymph Node Swelling: When to See an ENT Specialist


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