Antibiotic, Otolaryngology FAQ - Page 18

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Understanding Throat Discomfort: Is It GERD or Something Else?

Foreign body sensation in the throat? Since catching a cold before the Lunar New Year, I was later diagnosed with sinusitis and post-nasal drip with yellow phlegm. After taking antibiotics for three weeks, I had a sinus X-ray which showed no inflammation. The doctor prescribed a ...


Dr. Li Jiaxuan Reply:
Post-nasal drip or acid reflux can exacerbate the sensation of a foreign body in the throat, and treatment may require some time. If symptoms persist without improvement, a reassessment of the condition is usually necessary, along with an adjustment of medications. An evaluation ...

[Read More] Understanding Throat Discomfort: Is It GERD or Something Else?


Concerns About Antibiotic Use for Sinus Issues in Children

Sinus issues My 5-year-old daughter has had a runny nose since March. Initially, we thought it was an episode of allergic rhinitis, so we consulted an allergist, but her condition did not improve. We then visited an otolaryngologist and she has taken two different antibiotics. Th...


Dr. Zheng Jueyi Reply:
Hello: If sinusitis is caused by a bacterial infection, the use of antibiotics is necessary. It is recommended to combine this with warm compresses on the nose followed by nasal irrigation to enhance local treatment. Typically, after one course of treatment and symptom improvemen...

[Read More] Concerns About Antibiotic Use for Sinus Issues in Children


Understanding Salivary Gland Inflammation: Symptoms and Concerns

Parotitis Hello, I have been experiencing pain near the junction of my neck just below my right ear for the past few days, particularly at the connection point, which is the most painful area. There is also pain extending along a pathway downwards, and it feels like my entire ear...


Dr. Zheng Jueyi Reply:
Hello: The most common issue is parotitis. It is recommended to drink plenty of water and take antibiotics for treatment. Please return for a follow-up appointment in a week to determine if there has been any improvement or if further examination is needed. Wishing you safety and...

[Read More] Understanding Salivary Gland Inflammation: Symptoms and Concerns


Painful Ear Abscess: When to Seek Emergency Medical Attention

There is a pus-filled cyst in the ear, and it hurts when the mouth is opened? This afternoon, I suddenly experienced severe ear pain, and it hurts to open my mouth, so I can't open it wide. In the evening, I visited an otolaryngologist, who said there is an abscess in my ear...


Dr. Zheng Jueyi Reply:
Hello! If there is no significant improvement after three days of medication treatment or if there is a fever present, it is recommended to visit the hospital for further evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolary...

[Read More] Painful Ear Abscess: When to Seek Emergency Medical Attention


Understanding Antibiotic Use for Sinusitis: Duration and Guidelines

What about the use of antibiotics? Dear Dr. Zheng, I have been experiencing a cold for quite some time now. There is no nasal discharge, but I occasionally have white phlegm when clearing my throat (for the past 10 days). Recently, I have noticed a chemical smell in my nasal pas...


Dr. Zheng Jueyi Reply:
Hello: It is generally recommended to take antibiotics for 10-14 days for sinusitis, with a minimum of 7 days of antibiotic use suggested. If symptoms improve, antibiotics may be discontinued. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department ...

[Read More] Understanding Antibiotic Use for Sinusitis: Duration and Guidelines


Persistent Blood in Left Nostril: Causes and When to See a Doctor

There is continuous bleeding from the left nostril? About a month ago, I started noticing blood, but it wasn't much—just small blood clots. Only the left nostril has blood, while the right one is normal. The blood is mixed with mucus. Could this be related to the medications...


Dr. Zheng Jueyi Reply:
Hello: It is common to experience bleeding from the nasal mucosa due to skin breakdown. If it persists without improvement, it is advisable to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyua...

[Read More] Persistent Blood in Left Nostril: Causes and When to See a Doctor


Understanding Nosebleeds: When to Seek Medical Attention

You may experience a nosebleed in the coming days? Last Friday, after picking my nose, I blew my nose and noticed some bleeding (a small amount). Over the past few days, when I use tissue, there is a little bit of blood (could it be due to the roughness of the tissue?). Should I ...


Dr. Zheng Jueyi Reply:
Hello, it is common to experience microvascular bleeding from skin tears. You can apply antibiotic ointment or petroleum jelly initially. If there is no improvement after one week, it is advisable to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue...

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


Understanding Swollen Lymph Nodes: Causes and When to Seek Help

Enlargement of the lymph nodes in the upper right side of the neck? I recently caught a cold and suddenly noticed a lump on the upper right side of my neck. I'm not sure if it was there before. After visiting the hospital, the doctor examined it and diagnosed it as an enlarg...


Dr. Zheng Jueyi Reply:
Hello: Lymphadenopathy is most commonly associated with viral or bacterial infections, and the size will decrease after the infection improves. If it continues to enlarge, a biopsy is necessary. Wishing you peace and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department...

[Read More] Understanding Swollen Lymph Nodes: Causes and When to Seek Help


Persistent Sinusitis: Seeking Solutions for Adults and Children

Chronic recurrent sinusitis? Hello, doctor. I, along with a child in my family (7 years old), have similar symptoms and have both been diagnosed with sinusitis. My symptoms include early-stage yellow/green nasal discharge, body aches, headaches, and a productive cough with yellow...


Dr. Zheng Jueyi Reply:
Hello, if your sinusitis persists without improvement, it is recommended to visit a hospital for further examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Persistent Sinusitis: Seeking Solutions for Adults and Children


Understanding ENT Issues: Navigating Nasopharyngeal Cancer Concerns

Inquiry about Ear, Nose, and Throat Issues (Nasopharyngeal Carcinoma) Hello Dr. Zheng, I would like to ask about my symptoms and how to communicate with outpatient doctors for further treatment. I have a long history of nasal allergies, which cause severe nasal congestion on both...


Dr. Zheng Jueyi Reply:
Hello! If an endoscopic examination has been performed and no suspected tumors were found in the nasopharynx, the significance of a biopsy is minimal. The bleeding may be related to microvascular rupture. You may continue medication and return for follow-up. Wishing you health an...

[Read More] Understanding ENT Issues: Navigating Nasopharyngeal Cancer Concerns


Post-Surgery Care for Tuberculosis-Related Neck Lymph Node Tumors

Head and neck tumors Hello Doctor: My mother recently had swollen lymph nodes in her neck, approximately two centimeters in size. She underwent surgery for removal, and the biopsy results indicated a benign tumor caused by inflammation from tuberculosis bacteria. I would like to ...


Dr. Zheng Jueyi Reply:
Hello: If the inflammation of the cervical lymph nodes is caused by Mycobacterium tuberculosis, you should consult an infectious disease specialist or a pulmonologist for examination and receive complete antibiotic treatment for tuberculosis. Wishing you safety and health. Direct...

[Read More] Post-Surgery Care for Tuberculosis-Related Neck Lymph Node Tumors


Understanding Facial Swelling: Is It Sinusitis or Something More?

Swelling on the right side of the face has been evaluated by both Western and traditional Chinese medicine? Last November, one night my right face suddenly swelled up. I saw a Western medicine doctor who diagnosed it as otitis media, and I took Western medication for two months, ...


Dr. Zheng Jueyi Reply:
Hello, it is recommended to seek medical attention to confirm whether there is sinusitis. With the advancement of antibiotics, cases of bacterial erosion of the bones are very rare. The cause of facial swelling still needs to be determined through a medical examination. Wishing y...

[Read More] Understanding Facial Swelling: Is It Sinusitis or Something More?


Understanding Recurrent Facial and Ear Swellings in Young Children

A four-year-old child presents with swelling in the area below the ear and on the cheek (not simultaneously)? Hello Doctor: My four-year-old daughter has been experiencing swelling on both sides of her face and under her ears for the past six months. The first swelling (under the...


Dr. Zheng Jueyi Reply:
Hello, if there is no improvement, you may consider searching for a pediatric surgeon at a medical center in central or southern Taiwan for a more detailed examination and evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolar...

[Read More] Understanding Recurrent Facial and Ear Swellings in Young Children


Understanding Nasal Congestion and Pain After Dental Surgery

Nasal congestion and nasal discomfort? The patient recently developed dry socket after having his lower wisdom teeth extracted, which led to pain in the dental socket and also caused headaches and unexplained nasal congestion for nearly half a month. Although the alveolitis has b...


Dr. Zheng Jueyi Reply:
Hello: After surgery for deviated septum and turbinate hypertrophy, recurrence is unlikely. If there is unilateral nasal discomfort and examinations show no signs of sinusitis or dental issues, it may be related to sensory nerve abnormalities. It is advisable to consult a neurolo...

[Read More] Understanding Nasal Congestion and Pain After Dental Surgery


Understanding Throat Pain: Could It Be a Sexually Transmitted Infection?

Sore throat (possibly caused by a sexually transmitted infection) Hello, Dr. Zheng! I've started experiencing a bit of throat inflammation over the past few days, feeling slightly swollen, but it's not severe enough to cause difficulty swallowing. There's a slight ...


Dr. Zheng Jueyi Reply:
Hello: Antibiotics are effective for infections, but if throat pain persists without improvement, it is advisable to seek medical evaluation. Wishing you safety and health. Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Dr. Cheng J...

[Read More] Understanding Throat Pain: Could It Be a Sexually Transmitted Infection?


Understanding Symptoms of Incomplete Swallowing of Medication

Medication not swallowed? Hello doctor, two days ago I took an antibiotic capsule, and it seems that I didn't swallow it completely, as it got stuck in my throat. I am experiencing chest tightness, burping, and a strange sensation in my throat, but I do not have difficulty s...


Dr. Zheng Jueyi Reply:
Hello: If there is no obvious difficulty swallowing, it is likely caused by esophagitis. You can drink more water and continue to observe your condition. However, if you experience fever or persistent chest pain, you should seek medical attention immediately. Wishing you safety a...

[Read More] Understanding Symptoms of Incomplete Swallowing of Medication


Understanding Blood-Streaked Phlegm: When to Seek Further ENT Evaluation

Nasal issues with blood-tinged phlegm? Hello Doctor, my condition started in mid-December when I noticed blood-streaked mucus in my first morning phlegm. I visited a clinic where the doctor initially prescribed antibiotics and allergy medications for my nose. After finishing the ...


Dr. Zheng Jueyi Reply:
Hello: You can discuss your symptoms in detail with a physician at National Taiwan University. Whether special examinations are necessary will still be determined by the clinical physician. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department...

[Read More] Understanding Blood-Streaked Phlegm: When to Seek Further ENT Evaluation


Understanding Ear Pain and Distorted Sounds: A Guide for Pilots

Ear pain may be accompanied by a sound similar to a crackling or popping noise? Hello Doctor, I started experiencing ear problems around June or July of last year while learning to fly in the United States. Initially, I had pain in my right ear, and the doctor diagnosed it as oti...


Dr. Zheng Jueyi Reply:
Hello, if your hearing is normal, it may be more indicative of Eustachian tube dysfunction. You may want to visit a medical center for further evaluation by an otolaryngologist. Wishing you safety and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolary...

[Read More] Understanding Ear Pain and Distorted Sounds: A Guide for Pilots


Managing Excessive Phlegm and Breathing Difficulties During Pregnancy

Excessive phlegm and difficulty breathing? Hello, doctor. I am a pregnant woman, currently 19 weeks along. A few days ago, I suddenly developed a fever in the afternoon, reaching over 40 degrees Celsius, accompanied by body aches and chills. I did not have any other cold symptoms...


Dr. Zheng Jueyi Reply:
Hello, if the fever persists, it is still possible that it is influenza. If symptoms do not improve, you may consult a pulmonologist for evaluation. Even without an X-ray, lung conditions can still be assessed through auscultation or other physical examinations. Wishing you safet...

[Read More] Managing Excessive Phlegm and Breathing Difficulties During Pregnancy


White Lesion in Throat: Causes and Treatment Options

There are white lesions on the pharyngeal wall? I have had a cold and cough for nearly a month. I have taken antibiotics, and while I am not fully recovered, my condition has improved. I noticed a white patch about 1cm x 0.2cm in size on the back wall of one side of my throat. It...


Dr. Zheng Jueyi Reply:
Hello: Most cases involve mild inflammation of the lymphatic tissue. If there is no significant pain, it is recommended to drink plenty of water and continue to monitor the situation. Wishing you safety and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of O...

[Read More] White Lesion in Throat: Causes and Treatment Options


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