Understanding Tonsillitis Without Fever: Viral vs. Bacterial Symptoms
Tonsillitis without fever? I have two questions for the doctor: 1. What are the differences in symptoms between viral and bacterial tonsillitis? 2. I have been experiencing tonsillitis for the past few days. It started with a sore throat when I woke up a few mornings ago, and ...
Dr. Zheng Jueyi Reply:
Hello: The symptoms of viral and bacterial tonsillitis are quite similar, and both may present with purulent secretions. Clinically, it is necessary to confirm the diagnosis through blood tests or cultures. As for fever, it is not always present. If you prefer not to take antibio...[Read More] Understanding Tonsillitis Without Fever: Viral vs. Bacterial Symptoms
Understanding Throat Inflammation and Its Impact on Lymph Nodes and Muscles
Pharyngitis and issues related to lymph nodes and muscles? Hello Doctor, last week I experienced a dry and uncomfortable throat, and I noticed that several lymph nodes in my neck have become palpable (more pronounced than before). I went to Tzu Chi for a check-up, and the doctor ...
Dr. Zheng Jueyi Reply:
Hello: Lymphadenitis can potentially cause tenderness in nearby tissues, and it may also be pain caused by tonsillitis. If discomfort persists, it is advisable to consider oral medication for treatment; generally, warm compresses are not recommended. Wishing you safety and health...[Read More] Understanding Throat Inflammation and Its Impact on Lymph Nodes and Muscles
Understanding Tonsillitis and Lymph Node Swelling: Causes and Treatments
Tonsillar suppuration and enlargement of the lymph nodes behind the ear and at the occipital region? Hello Doctor: About two weeks ago, I experienced a sore throat and noticed purulent tonsillitis, along with swollen and painful lymph nodes in my jaw. After seeing a doctor, I too...
Dr. Zheng Jueyi Reply:
Hello: 1. Enlargement may be caused by an infection. 2. It is unrelated to antibiotic resistance. 3. It is recommended to continue follow-up visits for treatment. If there are concerns about other changes, you may discuss with your clinic physician and consider referral for furth...[Read More] Understanding Tonsillitis and Lymph Node Swelling: Causes and Treatments
Understanding Ear Issues: Middle Ear Infections and Tinnitus in Teens
Hearing problems Hello Doctor: I am a 13-year-old middle school student. I have had a history of otitis media since childhood. The doctor said that I have fluid accumulation in my left cochlea, and if the antibiotics do not work, I will need to be referred to an otolaryngologist ...
Dr. Zheng Jueyi Reply:
Hello: Unilateral middle ear effusion is commonly associated with poor Eustachian tube function, which can be caused by various factors. It is necessary to seek medical evaluation to determine whether it is due to nasopharyngeal carcinoma or other causes. As for the nosebleeds, t...[Read More] Understanding Ear Issues: Middle Ear Infections and Tinnitus in Teens
Understanding Recurrent Tonsillitis: Causes and Treatment Options
Recurrent tonsillitis Hello, I experienced inflammation of the right tonsil at the beginning of July, accompanied by fever and white pus on the tonsil. After taking antibiotics for about a week, my condition improved. However, three days later, the inflammation recurred (again on...
Dr. Zheng Jueyi Reply:
Hello: Chronic tonsillitis with recurrent inflammation can indeed be considered for surgical removal to prevent repeated infections, and it can also be sent for pathological examination to rule out other tumor conditions. It is recommended to consult with a physician for discussi...[Read More] Understanding Recurrent Tonsillitis: Causes and Treatment Options
Understanding Sinusitis: Persistent Symptoms and Treatment Options
Regarding sinusitis issues? Hello, Doctor! Since last year, I have been experiencing issues with yellow nasal discharge, but I did not seek active treatment. Occasionally, when I blow my nose forcefully, there are streaks of blood, and I experience alternating nasal congestion in...
Dr. Ji Zhaoyun Reply:
Hello Jason, if acute sinusitis persists despite antibiotic treatment for more than two weeks, it is recommended to visit an otolaryngologist for bacterial culture. If a "more virulent" bacteria is identified, it may be necessary to switch to a stronger antibiotic. I su...[Read More] Understanding Sinusitis: Persistent Symptoms and Treatment Options
Understanding Neck Pain and Swelling: Is It Related to Sinusitis?
Pain on the left side of the neck with some swelling? Hello, Doctor. About two days ago, I noticed pain on the left side of my neck. I feel the pain when I adopt certain positions or when I clear my throat. The pain is located in the middle left part of my neck, and it feels slig...
Dr. Zheng Jueyi Reply:
Hello, Commonly, lymphadenopathy in the neck is caused by infections. It is recommended to take medication and return for a follow-up examination after one week. Wishing you health and happiness! Best regards, Dr. Jue-Yi Cheng Director, Department of Otolaryngology Taoyu...[Read More] Understanding Neck Pain and Swelling: Is It Related to Sinusitis?
Painful and Itchy Lumps Near Ears: Understanding Enlarged Tonsils
There are hard lumps on both sides of the ears that are painful to touch and itchy? Last Wednesday, I went to see a doctor who said my tonsils were enlarged and prescribed me medication. After taking the medication, I noticed that the swelling did not go down; instead, it became ...
Dr. Ji Zhaoyun Reply:
Hello An Zhou, based on your description -> "There are hard lumps on both sides of the ears, they hurt when touched, and they itch," it is possible that you have parotitis, which can be caused by either viral or bacterial infection. If it is a viral infection, you ma...[Read More] Painful and Itchy Lumps Near Ears: Understanding Enlarged Tonsils
Bilateral Lymphadenopathy Behind Ears: Symptoms and Concerns Explained
Bilateral posterior auricular lymphadenopathy, measuring 1.5 cm on the left side and 2.5 cm on the right side? On July 20, a lump was discovered. The situation is a bit lengthy: on June 18, I had a cough and wheezing for three days, after which I took a licorice compound and bare...
Dr. Ji Zhaoyun Reply:
Hello, Xiao Yu. Based on your description, the current symptoms are: 1) Lymphadenopathy -> Most likely caused by a previous infection; 2) Hoarseness -> Suspected vocal cord lesions; 3) Twitching of the left corner of the mouth when smiling -> Suspected neurological issue...[Read More] Bilateral Lymphadenopathy Behind Ears: Symptoms and Concerns Explained
Understanding Salivary Gland Obstruction: Symptoms, Causes, and Treatment
Salivary gland obstruction Five days ago, I was eating an egg pancake with a bamboo fork, and when I swallowed the last bite, I suddenly felt a sharp pain in my mouth. It also hurts when I swallow saliva, and my right jaw has swollen. I went to a clinic, and the doctor told me I ...
Dr. Li Jiaxuan Reply:
The white spots may be due to the shedding of small salivary gland stones, which could cause some minor injury and pain. If the salivary gland continues to swell, it is likely that there is inflammation. It is recommended to drink plenty of water and enhance oral hygiene. Wishing...[Read More] Understanding Salivary Gland Obstruction: Symptoms, Causes, and Treatment
Post-Sinus Surgery: Managing Yellow Nasal Discharge and Fever Concerns
Post-sinus surgery, experiencing yellow nasal discharge along with cold symptoms and fever? Hello Doctor: I underwent endoscopic sinus surgery on July 12, 2016, to remove a fungal infection from the left sphenoid sinus. Prior to the surgery, I did not experience yellow nasal disc...
Dr. Zheng Jueyi Reply:
Hello: Postoperative yellow nasal discharge may indicate an ongoing infection, possibly related to pre-existing chronic sinusitis or a cold. It is recommended to take antibiotics along with nasal irrigation. If the yellow discharge does not show significant improvement, it is adv...[Read More] Post-Sinus Surgery: Managing Yellow Nasal Discharge and Fever Concerns
Understanding Persistent Swelling in the Submandibular Gland: Causes and Concerns
Lymphadenopathy Hello! For the past year, I have had a lump in my submandibular gland that often becomes inflamed and swollen. I had a CT scan at Chung Shan Medical University in February, which indicated no tumors. They advised me to return if there were any issues, but over the...
Dr. Ji Zhaoyun Reply:
Hello, Ms. Hsin. Based on your description, it is most likely that you are experiencing cervical lymphadenopathy or swelling of the submandibular salivary gland. If a CT scan has already been performed and confirmed that there are no stones, tumors, or suspicious lymph nodes, it ...[Read More] Understanding Persistent Swelling in the Submandibular Gland: Causes and Concerns
Using Ofloxacin Ear Drops: What to Do After Missing Doses?
I am currently using Tobramycin ear drops? I have been using Ofloxacin ear drops for one day, twice a day, but I forgot to bring the medication when I went out and didn’t return for about a week. After using the drops for one day, I didn’t use them for 5 to 6 days. Should I conti...
Dr. Zheng Jueyi Reply:
Hello, if you are still experiencing discomfort in your ear, it is recommended to continue using the drops and return for a follow-up examination after one week. Occasional sharp pain can be a normal reaction, but if the discomfort persists, it is advisable to schedule an earlier...[Read More] Using Ofloxacin Ear Drops: What to Do After Missing Doses?
Understanding Sore Throat and Oral Pain: Causes and Treatments
Sore throat and oral pain? Hello doctor, about half a month ago, my throat and neck suddenly started to hurt and felt swollen. When I touch the area below my jaw, I can feel two round movable lumps. Later, I saw a doctor who said it was just throat inflammation causing discomfort...
Dr. Ji Zhaoyun Reply:
Hello Mr. Chang, based on your description, it is most likely that you are experiencing pharyngitis and oral ulcers accompanied by cervical lymphadenopathy. Treatment typically involves the use of certain medications, and antibiotics may be prescribed if necessary. However, if th...[Read More] Understanding Sore Throat and Oral Pain: Causes and Treatments
Persistent Throat Dryness and Mouth Sores: Possible ENT Issues Explained
Dry throat, presence of blisters in the oral cavity, dry cough during sleep, and a sensation of swelling on both sides of the throat? Hello, Doctor. I have had a blister in my mouth for over a year, but it hasn't caused any pain. However, in the past few months, I have been ...
Dr. Li Jiaxuan Reply:
Nasal obstruction leading to mouth breathing during sleep, as well as chronic pharyngitis and chronic tonsillitis, could potentially cause the symptoms you described. Please visit an otolaryngology clinic for a physical examination to identify the underlying cause. Wishing you go...[Read More] Persistent Throat Dryness and Mouth Sores: Possible ENT Issues Explained
Understanding Oral Health Issues: From Dentures to Viral Infections
Oral examination Hello, Doctor. Last week, I went to the dentist because my dentures were too loose and needed adjustment. However, the dentist adjusted them too tightly, and I couldn't put them on. The doctor helped me put them on several times and told me to remove them my...
Dr. Ji Zhaoyun Reply:
Hello: After treatment, oral mucosal lesions typically heal within two weeks. If the lesions persist beyond two weeks, or if you notice ulcers or white patches along with fibrosis, it is advisable to consult an otolaryngologist to evaluate whether a biopsy is necessary for safety...[Read More] Understanding Oral Health Issues: From Dentures to Viral Infections
Understanding Lymph Node Issues During Pregnancy: What You Need to Know
Lymph node issues? I am currently over three months pregnant. For the past 3-4 days, I have noticed a round lump on the left side of my jaw extending to my neck. Sometimes it appears larger and sometimes smaller, but it is visible when I lift my neck, and I can clearly see that t...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely an infection of the left submandibular salivary gland, which can be caused by either a viral or bacterial infection. If it is a viral infection, it is indeed sufficient to stay hydrated and rest without medication. However, if i...[Read More] Understanding Lymph Node Issues During Pregnancy: What You Need to Know
Understanding Ear Pain: Is It Middle Ear Infection?
Ear problems Hello, I would like to ask you a question. My child has been experiencing a lot of pressure and pain in the ear these past few days, and at night the pain becomes unbearable. The pain radiates from the ear to the eye and head, all on the right side. I am wondering if...
Dr. Ji Zhaoyun Reply:
Hello: The issues you mentioned may be attributed to the following two possibilities: 1) Otitis Media: a) Acute Otitis Media: often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, there may be ear discharge. b) Chronic Otitis Medi...[Read More] Understanding Ear Pain: Is It Middle Ear Infection?
Do Tonsils Serve Any Purpose? Understanding Tonsil Health and Surgery
Is it true that the tonsils are useless? Hello Doctor: I experienced tonsillar abscess and a fever of 39 degrees Celsius in January and March of this year. I took Cruam antibiotics for three weeks each time before recovering. During the March episode, I also received intravenous ...
Dr. Ji Zhaoyun Reply:
Hello, regarding the conditions for tonsillectomy that you mentioned, they are generally as follows: 1) Enlarged tonsils causing breathing difficulties or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsillitis (as you mentioned in yo...[Read More] Do Tonsils Serve Any Purpose? Understanding Tonsil Health and Surgery
How Long Does Otitis Media Last and What Are the Treatment Options?
How long does otitis media last? The doctor prescribed me medication for four days. Recently, I haven't been in pain, but my hearing seems to be getting worse. Is this normal? If the medication doesn't work, should I consider surgery? What impact would surgery have on m...
Dr. Li Jiaxuan Reply:
Hearing loss may be caused by middle ear effusion, and it is necessary to visit an outpatient clinic for evaluation by a physician to assess the amount of fluid and the effectiveness of antibiotic treatment. Surgery is not required for everyone. Wishing you well.[Read More] How Long Does Otitis Media Last and What Are the Treatment Options?