Struggling with Antibiotics: What to Do When Symptoms Persist?
What should I do if taking antibiotics has not improved my condition? Hello Doctor, I have been experiencing nasal congestion and coughing since early September. Initially, I thought it was just a cold and decided to let it resolve on its own, so I didn't see a doctor right ...
Dr. Zheng Jueyi Reply:
Hello, Colabital and Vuflax are medications with similar active ingredients, differing only in their brand names. If symptoms persist without improvement, it is advisable to continue follow-up visits with an otolaryngologist or pulmonologist for treatment. Antibiotics generally d...[Read More] Struggling with Antibiotics: What to Do When Symptoms Persist?
Understanding Acute Sinusitis: Symptoms, Treatment, and Misconceptions
Sinusitis issues I was diagnosed with acute sinusitis after experiencing nasal congestion, runny nose, and sneezing. I've had two follow-up visits, and while the sinusitis is still present, my symptoms have improved significantly, leaving me with only a runny nose. Can acute...
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, but not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despite ant...[Read More] Understanding Acute Sinusitis: Symptoms, Treatment, and Misconceptions
Managing Frequent Nosebleeds in Children: Safety of Gentamicin Ointment
Medication issues Hello, Dr. Zheng. My 10-year-old child often experiences nosebleeds, and the nasal mucosa is red, swollen, and has wounds. I took him to see a doctor, who advised that I could apply Mupirocin or Vaseline, or even better, an ophthalmic ointment. Later, I purchase...
Dr. Zheng Jueyi Reply:
Hello, short-term use of antibiotic ointments (within 1 to 2 weeks) should be safe, but long-term use is not recommended. If prolonged use is necessary, for nasal moisturizing, it is advisable to use plain petroleum jelly as it is less irritating to the nasal mucosa.[Read More] Managing Frequent Nosebleeds in Children: Safety of Gentamicin Ointment
Chronic Throat Pain: Exploring Causes and Treatment Options
Chronic throat pain? Hello Doctor, I am a 19-year-old male. About eleven months ago, I performed oral sex on another male. One to two days after that, I began experiencing symptoms of throat infection. The severe pain I felt improved within a week after seeing a doctor, but it di...
Dr. Zheng Jueyi Reply:
Hello, if multiple physicians have examined you and found no signs of infection or other tumors, and structurally there are no significant abnormalities, psychological factors may be affecting your physiology. If discomfort persists, you may consider consulting a psychiatrist for...[Read More] Chronic Throat Pain: Exploring Causes and Treatment Options
Understanding Unilateral Tonsil Enlargement: Symptoms and Concerns
Unilateral tonsillar enlargement? Hello, doctor. I started experiencing a sore throat yesterday and upon checking, I noticed that the tonsils outlined in green do not hurt, which I assume is normal (my personal layman's judgment). The tonsils outlined in orange are inflamed,...
Dr. Zheng Jueyi Reply:
Hello, it initially appears to be tonsillitis, with no obvious pus formation. If you are concerned about a possible COVID-19 connection, you may perform a self-administered rapid test. The need for antibiotics should be determined by a clinical physician. It is recommended to tak...[Read More] Understanding Unilateral Tonsil Enlargement: Symptoms and Concerns
How Long Should You Take Curam 1000mg for Throat and Nasal Issues?
The duration of the Curam 1000mg treatment depends on the specific condition being treated and the doctor's recommendation. It is essential to follow the prescribed dosage and duration provided by your healthcare The doctor prescribed me Curam, one tablet in the morning and ...
Dr. Zheng Jueyi Reply:
Antibiotics are generally recommended for a duration of one week, and it is advised to return for follow-up appointments for ongoing monitoring.[Read More] How Long Should You Take Curam 1000mg for Throat and Nasal Issues?
Enlarging Left Neck Lymph Nodes: Should You Worry About Cancer?
The lymph nodes on the left side of the neck are increasing in size and number? Hello doctor, I have swelling in the lymph nodes on the left side of my neck. Initially, there were two hard nodes, approximately 2 cm by 2 cm. I went to a large hospital for examination and had a bio...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, "However, during the days of waiting for the report, the left side of my neck has developed about eight lymph nodes that have grown together, extending close to the collarbone." Rapidly enlarging cervical lymph nodes are often indicativ...[Read More] Enlarging Left Neck Lymph Nodes: Should You Worry About Cancer?
Understanding Atrophic Rhinitis: Causes, Treatments, and Recovery Rates
Treatment of atrophic rhinitis Hello, Director Ji: I underwent cauterization of the nasal mucosa with traditional Chinese medicine around the age of 16. At that time, my parents mistakenly believed in a folk remedy and took me to a practitioner who inserted cotton soaked in med...
Dr. Ji Zhaoyun Reply:
Hello, it is recommended to first use sterile isotonic saline solution along with a proper nasal irrigator for daily nasal cavity cleansing. Depending on the situation, under the guidance of a physician, antibiotic irrigation or antibiotic ointment may also be used. However, it i...[Read More] Understanding Atrophic Rhinitis: Causes, Treatments, and Recovery Rates
Understanding Sudden Ear Pain: Causes and Solutions
Ear pain One night, I suddenly experienced sharp pain in my left ear. There are no obvious external injuries or redness, but the pain keeps recurring. I would like to know what could be the cause of this. Thank you.
Dr. Ji Zhaoyun Reply:
The issues you mentioned may have two possible causes: 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 or pus. b) Chronic otitis media with acute exacerbatio...[Read More] Understanding Sudden Ear Pain: Causes and Solutions
Understanding Preauricular Sinus: Symptoms, Treatments, and Concerns
Preauricular sinus swelling with slight hearing impairment? I have had a preauricular sinus for two weeks now and have been seeing an otolaryngologist. Initially, it was discharging pus, but after the doctor prescribed an ointment and antibiotics, the discharge stopped. However, ...
Dr. Ji Zhaoyun Reply:
Hello, if it is confirmed that there is a recurrent infection of the preauricular sinus, it is recommended to consult an otolaryngologist to consider surgical excision of the sinus tract.[Read More] Understanding Preauricular Sinus: Symptoms, Treatments, and Concerns
Understanding Subcutaneous Cysts in the Nasal Cavity: What to Do Next?
Subcutaneous cyst Hello Doctor: I have a round mass in my right nasal cavity that I can feel but not see. I consulted an ENT specialist, but the doctor couldn't feel or see it either. The doctor mentioned it might be a follicular inflammation or a subcutaneous cyst and presc...
Dr. Zheng Jueyi Reply:
Hello, if there is no significant reduction or improvement, it is recommended to visit the ENT department of a hospital for further examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and We...[Read More] Understanding Subcutaneous Cysts in the Nasal Cavity: What to Do Next?
Post-COVID Cough: When to Seek Medical Help and Treatment Options
COVID-19 Cough Diagnosed on July 14, I had a cough with yellow phlegm and sneezing. The doctor prescribed antibiotics, which I took until the 25th, after which I stopped. Currently, I still have a noticeable cough in the morning and evening, and sometimes I sneeze as well. I star...
Dr. Zheng Jueyi Reply:
Hello, if the persistent cough does not show significant improvement, it is recommended to seek medical attention again to confirm whether there is pneumonia or other infectious symptoms. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Ot...[Read More] Post-COVID Cough: When to Seek Medical Help and Treatment Options
Understanding Neck Masses: When to Consult an ENT Specialist
Neck mass Hello Doctor: I am a patient with type 2 diabetes. Last week, I discovered a lump on the right side of my neck near the earlobe that is not painful, and I have no symptoms of a cold. The week before I found the lump, I had a minor outpatient surgery. When I returned for...
Dr. Ji Zhaoyun Reply:
Hello, the inflammation or swelling may be due to lymph nodes or salivary glands, tumors, cysts, etc. It is advisable to consult an otolaryngologist for further examination if symptoms persist.[Read More] Understanding Neck Masses: When to Consult an ENT Specialist
Understanding Persistent Neck Swelling in Children: Causes and Concerns
Left-sided swelling in the neck below the ear? Hello, my son is 7 years old. After receiving the COVID-19 vaccine on June 1, he experienced swelling in his neck and cheek within four hours. The swollen area was painful and hard to the touch. That evening, we consulted a doctor wh...
Dr. Li Jiaxuan Reply:
It is recommended to undergo an examination and have a biopsy for cellular analysis to ensure peace of mind. Wishing you safety and good health.[Read More] Understanding Persistent Neck Swelling in Children: Causes and Concerns
Understanding Ear Congestion: When to Seek Medical Attention
Ear fullness sensation? Two weeks ago, I had acute sinusitis and have been treated with antibiotics. Now, I only have mild post-nasal drip. However, after taking a shower and listening to music tonight, I noticed a feeling of fullness in my ears, although I can still hear normall...
Dr. Zheng Jueyi Reply:
Hello: Commonly, this is due to Eustachian tube dysfunction. If the feeling of ear fullness persists without improvement, it is recommended to seek medical evaluation and treatment. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryn...[Read More] Understanding Ear Congestion: When to Seek Medical Attention
Understanding Ear Lobe Swelling: Causes and Concerns for Patients
Parotid gland swelling Hello Doctor: Last week, I noticed a lump under my right earlobe. I am not sure when it actually appeared; it does not move, is not soft, and does not hurt. It feels like it is about 1 to 2 centimeters in size. Today, I visited an ENT specialist who asked m...
Dr. Zheng Jueyi Reply:
Hello, common causes may include lymphadenopathy, salivary gland tumors, or sialadenitis. If medication treatment has already been initiated and an ultrasound examination has been arranged, it is recommended to follow the clinical physician's guidance, continue medication, a...[Read More] Understanding Ear Lobe Swelling: Causes and Concerns for Patients
Understanding Non-Movable Lumps Under the Ear: Causes and Concerns
Parotid gland swelling Hello Doctor: Last week, I noticed a non-movable lump under my right ear. It is firm, not painful, and approximately 1 cm in size. Today, I visited an ENT specialist who asked me about any chronic illnesses. I have type 2 diabetes, I do not smoke, and I con...
Dr. Zheng Jueyi Reply:
Hello: Common causes may include lymphadenopathy, salivary gland tumors, or sialadenitis. If medication treatment has already been initiated and an ultrasound examination has been arranged, it is recommended to continue following the clinical physician's guidance, maintain m...[Read More] Understanding Non-Movable Lumps Under the Ear: Causes and Concerns
Understanding Ear Pain: Causes, Treatments, and When to Seek Help
Ear pain Hello Doctor: About 10 days ago, I experienced a sharp, needle-like pain near my outer ear that occurs intermittently. The pain is brief and does not last, sometimes happening around 5-10 times a day, other times 2-3 times, and sometimes not at all for an entire day. Aft...
Dr. Li Jiaxuan Reply:
(1) The symptoms of ear pain may not be significantly related to external auditory canal inflammation, as it has resolved. In the past two days, there were about two instances of sharp pain on the first day, and this morning there was mild sharp pain approximately five times. Cou...[Read More] Understanding Ear Pain: Causes, Treatments, and When to Seek Help
Swollen Ear Canal with Discharge: When to See an ENT Specialist?
Swelling and discharge in the external auditory canal? Recently, I have noticed swelling in my right ear canal. It didn't hurt when I pressed on it before, but after taking a shower today, a small scab fell off my right ear, and now it has started to ooze pus and feels sligh...
Dr. Zheng Jueyi Reply:
Hello, common issues include external auditory canal inflammation, which can initially be treated with antibiotic ointment. If symptoms do not show significant improvement, if there is persistent pain, or if fever occurs, it is recommended to visit an otolaryngologist for examina...[Read More] Swollen Ear Canal with Discharge: When to See an ENT Specialist?
Understanding Swollen Lymph Nodes: Causes and When to Seek Help
Lymphadenopathy Hello, doctor. A few days ago, I suddenly felt a lump on the left side of my neck that is about 1.5 centimeters in size, smooth to the touch, and somewhat painful. Recently, I have also had ulcers in my mouth. I found a lot of information online related to cancer,...
Dr. Ji Zhaoyun Reply:
Hello, 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 the swelling...[Read More] Understanding Swollen Lymph Nodes: Causes and When to Seek Help