Can a Nasal Irrigator Help Treat Ear Infections in Children?
Can a nasal irrigator be used for otitis media? Can a 7-year-old child with sinusitis and otitis media, who has not improved after three months of antibiotics, use a nasal irrigation device for relief? Are there any side effects?
Dr. Zheng Jueyi Reply:
Hello: You can enhance local treatment through nasal irrigation or suction. If the child can cooperate, there are generally no significant side effects; however, it is still recommended to return for follow-up visits to continue monitoring treatment. Wishing you safety and health...[Read More] Can a Nasal Irrigator Help Treat Ear Infections in Children?
Impact of Dancing and Rock Climbing on Ear Pressure and Recovery
The effects of dancing and rock climbing on ear pressure and recovery status? Hello, Dr. Cheng. My eardrum ruptured this past Tuesday, and the discharge of pus and blood has gradually been controlled after switching to a stronger antibiotic for the second time. Currently, my left...
Dr. Zheng Jueyi Reply:
Hello: Dancing and rock climbing theoretically do not affect ear pressure. If there is still discharge from the ear, you need to return for continued treatment. If there is no longer any discharge, it is advisable to avoid water entering the ear and to have regular follow-up appo...[Read More] Impact of Dancing and Rock Climbing on Ear Pressure and Recovery
Understanding Lymph Swelling: Causes, Symptoms, and Treatment Options
About Lymphatic Swelling A month ago, I caught a cold and I am still coughing. I also feel swelling on both sides of my neck below my ears, which is not painful, but sometimes swallowing saliva hurts. I have taken antibiotics, but they haven't been effective. My body also fe...
Dr. Zheng Jueyi Reply:
Hello, if the symptoms do not improve, it is recommended to continue follow-up visits for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Lymph Swelling: Causes, Symptoms, and Treatment Options
Managing Oral Palate Swelling: Causes and Treatment Options
Maxillary edema in the oral cavity? Hello, I am currently working abroad. In October 2015, I visited a doctor due to a cold. I am not sure if it was because I took antibiotics, but my mouth/tongue started to taste salty. Later, after taking antacids, there was some improvement. H...
Dr. Zheng Jueyi Reply:
Hello: The swelling of the upper jaw is often related to chronic irritation. If there is gastroesophageal reflux, you can continue using antacids. Additionally, reducing the intake of irritating foods and increasing water consumption will likely lead to gradual improvement. Wishi...[Read More] Managing Oral Palate Swelling: Causes and Treatment Options
Persistent Cold Symptoms: When to Seek Medical Attention for Recovery
The cold is not improving? Hello, doctor. I have had a cold for two weeks. It started with a mild cough, and since I am in Europe, it has been inconvenient to seek medical care, so I have been taking over-the-counter medications. This week, I started experiencing a high fever tha...
Dr. Zheng Jueyi Reply:
Hello, the symptoms are somewhat similar to sinusitis. If the thick nasal discharge does not improve, it may be necessary to use antibiotics. As for the sense of smell, it may gradually recover after the sinusitis improves. It is advisable to seek medical attention if the symptom...[Read More] Persistent Cold Symptoms: When to Seek Medical Attention for Recovery
Understanding Unilateral Tonsil Swelling: Causes and Concerns
Unilateral tonsillar enlargement? Hello Doctor, I would like to ask you about something. A month ago, I had a tonsillar abscess but did not have a fever. Later, I went for an examination, and the doctor said it was a bacterial infection, so I had to take antibiotics. I have finis...
Dr. Zheng Jueyi Reply:
Hello, if the doctor has checked and found no issues and there are currently no symptoms, it is recommended to simply observe. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and We...[Read More] Understanding Unilateral Tonsil Swelling: Causes and Concerns
Understanding White Spots on Tonsils: When to Seek Treatment
There is a white spot on the tonsil? Hello, doctor. I am the person who asked question #94376. I apologize for asking again. Given that this situation has occurred after stopping medication and taking it three times, but each time only for about three days, is the duration of med...
Dr. Zheng Jueyi Reply:
Hello, most cases should improve naturally. If you have already taken antibiotics three times and currently have no sore throat or fever, it is recommended to drink plenty of water and continue to monitor your condition. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi,...[Read More] Understanding White Spots on Tonsils: When to Seek Treatment
What Does a White Spot on the Tonsil Indicate? ENT Insights
There is a white spot on the tonsil? Hello, doctor! What could the white area in the image possibly be? (http://imgur.com/NrytyEB) I previously had tonsillitis, and the image shows the condition three days after stopping medication. I have since resumed medication, and the second...
Dr. Zheng Jueyi Reply:
Hello: The white area is an abscess within the lymphoid tissue of the tonsils due to inflammation. It is generally recommended to take antibiotics for about a week, and most infections will improve and resolve on their own. Wishing you safety and health. Sincerely, Dr. Cheng Jue-...[Read More] What Does a White Spot on the Tonsil Indicate? ENT Insights
Understanding Persistent Tonsil Swelling After Antibiotic Treatment
The tonsils have not yet shrunk? Hello! I had bacterial acute tonsillitis a while ago and took antibiotics for seven days. Three days after stopping the medication, the swelling returned. I went to see a doctor, but they did not perform any examination and just prescribed antibio...
Dr. Zheng Jueyi Reply:
Hello: If the symptoms have improved and given the current size with no obvious persistent ulcers, it should be considered normal. You may continue to monitor the situation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of ENT, Taoyuan General Hospital, Mini...[Read More] Understanding Persistent Tonsil Swelling After Antibiotic Treatment
Persistent Unilateral Tonsil Swelling: What to Do Next?
Unilateral tonsillar enlargement? I have had unilateral tonsil enlargement for two weeks. Initially, there was white discharge and pain when swallowing saliva, but I did not have a fever. I consulted a doctor who said it was a bacterial infection and prescribed antibiotics. The d...
Dr. Zheng Jueyi Reply:
Hello: If there are no obvious symptoms, it is normal for the size of the tonsils to vary slightly from side to side. However, if there is persistent pain or ulcers, a follow-up medical examination is necessary. Wishing you peace and health. Director of the Department of Otolaryn...[Read More] Persistent Unilateral Tonsil Swelling: What to Do Next?
Understanding Throat Inflammation and Blood in Phlegm: Key Insights
The day before yesterday, I woke up and coughed up saliva (phlegm?) that was white with streaks of blood? As mentioned, after vomiting, there were gradually no blood streaks, but I tend to get anxious easily. I searched online for related information and came across details about...
Dr. Zheng Jueyi Reply:
Hello, if you have already been examined by a physician and the common findings are inflammation and microvascular bleeding, it is recommended to start medication and observe for one week before reassessing. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of ...[Read More] Understanding Throat Inflammation and Blood in Phlegm: Key Insights
Understanding Unilateral Tonsillectomy: Why Only One Side?
Regarding the removal of the tonsils, only one side is removed..? Hello Dr. Cheng, I previously consulted you regarding my long-term issue with chronic tonsillitis. The last prescription I received included Amoxicillin 500 mg, Ibuprofen 400 mg, and an expectorant. After completin...
Dr. Zheng Jueyi Reply:
Hello: Generally, snoring or chronic tonsillitis is often associated with bilateral tonsil enlargement, so surgery typically involves the removal of both tonsils. However, if there is only suspicion of abnormalities in one tonsil, it is possible to remove just the affected side. ...[Read More] Understanding Unilateral Tonsillectomy: Why Only One Side?
Understanding Unilateral Tonsillectomy: Why Only One Side?
Regarding the removal of the tonsils, only one side is removed..? Hello Dr. Cheng, I previously visited you for my ongoing issue with chronic tonsillitis. During my last appointment, you prescribed Amoxicillin 500 mg, Ibuprofen 400 mg, and an expectorant. After completing the two...
Dr. Zheng Jueyi Reply:
Hello: Generally, snoring or chronic tonsillitis is often associated with bilateral tonsillar enlargement, so surgery typically involves the removal of both tonsils. However, if there is only suspicion of an abnormality in one tonsil, it is possible to remove just the unilateral ...[Read More] Understanding Unilateral Tonsillectomy: Why Only One Side?
Persistent Tinnitus: Seeking Relief for Ear Ringing and Sleep Issues
Tinnitus lasting for three consecutive days? Hello Doctor, four days ago while I was sleeping, I started hearing a persistent high-pitched ringing sound in my right ear. The sound is not loud, but it is continuous and particularly noticeable when I try to sleep, which has caused ...
Dr. Zheng Jueyi Reply:
Hello, if the tinnitus is more noticeable in a quiet environment, it is mostly benign and may be related to eustachian tube dysfunction or otitis media following a cold. It is recommended to finish the prescribed medication and not to pay special attention to the tinnitus for now...[Read More] Persistent Tinnitus: Seeking Relief for Ear Ringing and Sleep Issues
Can You Play a Musical Instrument with Otitis Externa?
Can I play a musical instrument if I have otitis externa? Today is the third day of the illness, and the inflammation has spread from the outer ear to the middle ear. I have been taking Tylenol and antibiotics. During this period, is it advisable to play a musical instrument for ...
Dr. Zheng Jueyi Reply:
Hello: If there is an outer ear infection, playing a wind instrument should be fine; however, if the ear infection is caused by a cold leading to otitis media, playing an instrument may push nasal secretions into the middle ear. If there is significant ear fullness, it is advisab...[Read More] Can You Play a Musical Instrument with Otitis Externa?
Managing Ear Congestion and Middle Ear Infections in Children
A fifth-grade student is experiencing a feeling of fullness in the ear? Hello Doctor, my child had a cold last Wednesday and saw a doctor. During a follow-up visit on Friday, the doctor diagnosed him with otitis media due to complaints of right ear pain. He was prescribed antibio...
Dr. Zheng Jueyi Reply:
Hello, the causes of middle ear effusion are often due to dysfunction of the Eustachian tube resulting from sinusitis or a cold. Most cases of middle ear effusion improve with medication. However, if there is a long-term history of allergic rhinitis, it is advisable to manage the...[Read More] Managing Ear Congestion and Middle Ear Infections in Children
Why Does Tinnitus Intensify When Lying Down at Night?
Why does tinnitus become louder when lying down, making it difficult to sleep? Hello, Doctor: I live in the mountains, and at night, the sounds of insects may cover my tinnitus without me realizing it. However, every night I am awakened by a chirping sound that seems to hover abo...
Dr. Zheng Jueyi Reply:
Hello, if you have undergone numerous examinations and confirmed that your hearing is normal, the tinnitus that is more noticeable in quiet environments is likely benign. It is recommended to turn on the television or play music as a way to mask the sound, or to use distraction t...[Read More] Why Does Tinnitus Intensify When Lying Down at Night?
Moving Hard Lump Near Jaw: When to Seek Further Medical Evaluation
There is a movable, round hard mass located near the neck on the left side of the jaw? Hello Dr. Cheng, about 1 to 2 weeks ago, I accidentally placed my hand on my jaw and felt pain. After pressing on it, I discovered a movable, round, hard mass. Initially, I thought I was coming...
Dr. Zheng Jueyi Reply:
Hello, the commonly observed lymph nodes in the neck, if they are less than 1 centimeter in size, mobile, and not continuously enlarging, are mostly benign. It is advisable to monitor them for a while. If they continue to enlarge or become painful, further medical evaluation is n...[Read More] Moving Hard Lump Near Jaw: When to Seek Further Medical Evaluation
Managing Preauricular Sinus: When to Seek Medical Attention
Preauricular sinus-related conditions? Hello doctor, I have been dealing with a preauricular sinus for many years and have had to visit the hospital for it multiple times. It has recurred twice this year, and recently it has started to swell again, although it is not painful yet....
Dr. Zheng Jueyi Reply:
Hello: If there is swelling, it may indicate an inflammatory process. Generally, antibiotics are used for treatment. It is recommended that after the inflammation improves, surgery should be performed to remove the entire fistula to prevent recurrence of infection. Wishing you sa...[Read More] Managing Preauricular Sinus: When to Seek Medical Attention
Understanding Antibiotic Treatment for Sinusitis and Its Challenges
Antibiotics for sinusitis? Hello, doctor. Recently, after seeing a physician, an X-ray revealed mild inflammation of the maxillary sinus, with some yellow mucus drainage and negative pressure in the eardrum. The doctor also aspirated some yellow mucus. Initially, no antibiotics w...
Dr. Zheng Jueyi Reply:
Hello, in general, acute sinusitis can be treated with antibiotics for about 10-14 days. It is important to drink plenty of water and keep the nasal passages clear. Most cases will improve completely. If yellow nasal discharge persists, it does not necessarily mean the condition ...[Read More] Understanding Antibiotic Treatment for Sinusitis and Its Challenges