High Fever Last Year, No Fever This Year: ENT Symptoms Explained
Last year, I frequently had high fevers, but this year I have symptoms without a fever? Since last year, after being discharged from the intensive care unit and transferred to the step-down unit, I have experienced high fevers for a week. A month later, I had another episode of h...
Dr. Zheng Jueyi Reply:
Hello: To enhance self-health management, if your body temperature exceeds 38 degrees Celsius or if you experience persistent discomfort, it is recommended to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolar...[Read More] High Fever Last Year, No Fever This Year: ENT Symptoms Explained
Understanding Tonsillitis: Symptoms, Treatment, and Complications
Tonsillitis, ulceration, foul odor? Hello Dr. Cheng, a couple of days ago I woke up with sudden sharp pain in my left throat. After an examination by a clinic physician, I was diagnosed with severe swelling and redness of the tonsils, with a temperature of 38 degrees Celsius. I h...
Dr. Zheng Jueyi Reply:
Hello: In general, a small amount of pus swallowed will be broken down by stomach acid and typically will not cause infections in other areas. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Minist...[Read More] Understanding Tonsillitis: Symptoms, Treatment, and Complications
Understanding Persistent Lymph Node Inflammation: Causes and Solutions
Why is the lymphatic system constantly inflamed? About two months ago, I noticed a lump on the right side of my neck that has been swollen and painful. Sometimes I also have mouth ulcers and experience headaches that can last for 2-3 days. I've visited several ENT clinics, a...
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 cervical...[Read More] Understanding Persistent Lymph Node Inflammation: Causes and Solutions
Sinusitis and Nasopharyngeal Cancer: Understanding Symptoms and Risks
Sinusitis and Nasopharyngeal Carcinoma Hello Dr. Chi, I have been experiencing a persistent cough since early April. Initially, the clinic diagnosed it as a cold, but after taking medication, there was no improvement until May. In May, I had a chest X-ray, which showed no abnorma...
Dr. Ji Zhaoyun Reply:
Hello, compared to a CT scan, performing a nasopharyngoscopy can be considered as it has a higher accuracy rate for diagnosing nasopharyngeal masses and can be executed immediately. Wishing you peace and health.[Read More] Sinusitis and Nasopharyngeal Cancer: Understanding Symptoms and Risks
Understanding Swelling in the Neck: When to Worry About Lumps
Swelling on the left/right side of the neck? Hello Doctor: I accidentally noticed some swelling on the right side of my neck while touching it, but then it wasn't swollen anymore after I checked again. Later, the left side became swollen, and then it also went down. This has...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that the enlarged cervical lymph nodes will be treated with some medications, and antibiotics may be used if the condition is still progressing. It is advisable to consult an otolaryngologist, and medication should be taken as n...[Read More] Understanding Swelling in the Neck: When to Worry About Lumps
Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Nasal cavity and paranasal sinus examination for nasopharyngeal carcinoma and sinusitis? Hello Doctor, I started experiencing symptoms like coughing in early April without a fever. Initially, the clinic diagnosed it as a cold, but after taking medication for a month, my cough did...
Dr. Zheng Jueyi Reply:
Hello: Please inform the physician that there is a family history of nasopharyngeal carcinoma, although it has not been confirmed by a CT scan. It is recommended that the physician conduct a thorough examination of the nasopharynx, and if necessary, a biopsy of the nasopharyngeal...[Read More] Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Understanding Tonsil Inflammation: Symptoms and Possible Causes
I'm sorry, but I cannot assist with that? Hello Doctor: After a day or two, I still feel a sense of swelling in my tonsils. I used a tongue depressor to take a look, and on the right side of my tonsil, near the bottom, I noticed some white areas that seem to indicate inflamm...
Dr. Zheng Jueyi Reply:
Hello, it is difficult to determine. If you are concerned, it is recommended to visit an otolaryngology clinic for confirmation. Wishing you safety and health! Sincerely, Dr. Jue-Yi Cheng, Head of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Tonsil Inflammation: Symptoms and Possible Causes
Understanding Eustachian Tube Dysfunction: Symptoms and Management
Eustachian tube dysfunction Hello Doctor: My left ear initially experienced frequent feelings of fullness (although I could still clear it by yawning). After about a month of this, I felt something was wrong and went to a clinic for a check-up. The diagnosis was middle ear effusi...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, hiking, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis medi...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms and Management
Understanding Neck Pain and Lumps: When to Consider Surgery
Ultrasound of the neck has been performed? Hello, Doctor. On June 1st, I suddenly experienced severe pain in my neck and felt a lump that was oval-shaped and soft, resembling a gummy candy. I visited a clinic where the doctor prescribed antibiotics for a week, but after finishing...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that the cervical lymphadenopathy is accompanied by inflammation, which is often treated with medication, including antibiotics if necessary. However, if the swelling in the neck continues to progress and leads to a deep neck in...[Read More] Understanding Neck Pain and Lumps: When to Consider Surgery
Understanding Nasal Issues: Chronic Inflammation and Possible Causes
Nasopharyngeal issues? Hello, Dr. Cheng! Last September, I experienced nasal congestion and a sore throat, which became severe after dragging on for a week or two before seeking medical attention. Since then, I have started to experience post-nasal drip, especially when brushing ...
Dr. Zheng Jueyi Reply:
Hello, if the nasopharyngeal biopsy shows chronic inflammation and the CT scan does not indicate chronic sinusitis, and the current symptoms have improved, it is advisable to self-monitor and return for regular follow-up appointments. Concerns about tumors can be temporarily rule...[Read More] Understanding Nasal Issues: Chronic Inflammation and Possible Causes
Understanding Unilateral Tonsil Swelling: Causes and Treatment Options
Unilateral tonsillar enlargement? Hello Doctor: I am currently abroad, and medical care is not very convenient. I would like to seek your assistance. In the past couple of days, my right tonsil has been red and swollen, and I feel a foreign body sensation, along with some tonsil ...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, there is no obvious pus, and it is likely that there is no bacterial infection. It is recommended to drink plenty of water and rinse your mouth frequently. If there is mild pain, you may use acetaminophen or ibuprofen for treatment. Wishing you sa...[Read More] Understanding Unilateral Tonsil Swelling: Causes and Treatment Options
Do You Need Surgery for Fungal Sinusitis? Exploring Treatment Options
Is surgery always necessary for the treatment of fungal sinusitis? Dear Doctor: I am a patient with Systemic Lupus Erythematosus (SLE). Recently, for about three to four weeks, I have been experiencing post-nasal drip in the early morning, producing thick yellow-green phlegm with...
Dr. Zheng Jueyi Reply:
Hello, fungal sinusitis is indeed difficult to treat with medication. General antibiotics primarily target bacterial infections. If two weeks of antibiotics do not resolve the issue, surgical treatment is recommended. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Di...[Read More] Do You Need Surgery for Fungal Sinusitis? Exploring Treatment Options
Understanding Lymphadenopathy: Causes, Concerns, and Next Steps
Lymphadenopathy Hello Doctor, about a month ago, my lymph nodes suddenly swelled and were painful. After visiting a general clinic, I was prescribed anti-inflammatory medication, which helped a bit, but after a while, it started to worsen. Several lymph nodes became swollen, and ...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that the inflammation and enlargement of the cervical lymph nodes will be treated with medication, and antibiotics may be used if necessary. However, if the enlargement of the neck continues to progress and leads to a deep neck ...[Read More] Understanding Lymphadenopathy: Causes, Concerns, and Next Steps
Understanding Swollen Lymph Nodes: Causes, Concerns, and Next Steps
Cervical lymphadenopathy Hello Doctor: I have noticed swollen lymph nodes on both sides of my neck near the jawline. They are not visible on the surface, but I can feel them when I lower my chin. Initially, there was tenderness, and they are movable, with a smooth and oval shape....
Dr. Zheng Jueyi Reply:
Hello, 1. There are many lymph nodes present in the neck, and after an infection improves, the lymph nodes may not completely disappear to the point of being undetectable. Currently, all examinations show no significant abnormalities, and it is recommended to observe for three ...[Read More] Understanding Swollen Lymph Nodes: Causes, Concerns, and Next Steps
Understanding Tonsil Issues: Symptoms, Stones, and Treatment Options
Tonsil problems Recently, I have occasionally felt a sensation of something stuck in my throat. About a month ago, I had tonsillitis and took antibiotics, and my symptoms have gradually improved. I believe I am now better, as my throat does not feel sore or painful, and I do not ...
Dr. Zheng Jueyi Reply:
Hello, if there is no significant swelling or pain in the throat and no fever, it is likely that there are no acute tonsillitis symptoms. Currently, there is no need for medication. It is recommended to drink plenty of water, gargle, and reduce spicy foods. Repeatedly using cotto...[Read More] Understanding Tonsil Issues: Symptoms, Stones, and Treatment Options
Understanding Nasopharyngeal Issues: Persistent Symptoms and Treatment Challenges
Nasopharyngeal issues? Hello Doctor, I am currently abroad and have seen multiple doctors without any signs of recovery, so I would like to ask for your advice. Around the end of January, I started feeling inflammation in my nasal cavity, but I thought it was just a cold and dela...
Dr. Zheng Jueyi Reply:
Hello: Recurrent inflammation in the nasopharynx may be related to chronic sinusitis with post-nasal drip or gastroesophageal reflux. If symptoms persist without improvement, it is advisable to investigate or treat these two areas first. Wishing you peace and health. Sincerely, D...[Read More] Understanding Nasopharyngeal Issues: Persistent Symptoms and Treatment Challenges
Understanding Tonsil Pain: Causes, Concerns, and When to Seek Help
The tonsils are a bit painful? Hello Doctor, last Monday I visited an ENT specialist because I had a sore throat on both sides, along with phlegm and nasal discharge. The doctor diagnosed me with allergies and a cold. After taking the medication twice, I noticed some improvement,...
Dr. Zheng Jueyi Reply:
Hello: The secretions on the tonsils are commonly associated with infections. If there is no improvement, please continue to follow up with an otolaryngology clinic for examination and treatment. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Depa...[Read More] Understanding Tonsil Pain: Causes, Concerns, and When to Seek Help
Persistent Tongue Ulcer in Child: Causes and Treatment Options
The sore on my tongue hasn't healed? Hello Doctor, I would like to ask about my sister's son who is currently in the third grade. He has a sore on his tongue that hasn't healed and it hurts so much that he keeps crying and can't sleep at night. He says it hurt...
Dr. Li Jiaxuan Reply:
Most cases of oral ulcers in children that do not heal are due to an inability to control their diet (it is not recommended to eat fried foods or hard snacks, including potato chips). If necessary, a visit to the hospital for laser treatment or electrocautery can help smooth the ...[Read More] Persistent Tongue Ulcer in Child: Causes and Treatment Options
Understanding Chronic Tonsillitis: Symptoms, Causes, and Dietary Impact
Tonsillar hypertrophy Dear Doctor, For the past two years, I have experienced swollen tonsils every summer, lasting about a month each time. Both sides are swollen (one side is larger than the other), but I have not had a fever or cold symptoms. The swelling is not painful, but...
Dr. Zheng Jueyi Reply:
Hello: The symptoms may indicate chronic tonsillitis. It is recommended to drink plenty of water and gargle, and to reduce the intake of spicy or fried foods. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospita...[Read More] Understanding Chronic Tonsillitis: Symptoms, Causes, and Dietary Impact
Understanding Ear Congestion and Tinnitus After Cancer Treatment
Left ear feels clogged with tinnitus, and the pitch of sounds heard in both ears is different? Hello Doctor, at the end of last year, I was indirectly diagnosed with nasopharyngeal carcinoma due to fluid accumulation in my left ear, and I underwent two months of radiation therapy...
Dr. Zheng Jueyi Reply:
Hello, after radiotherapy for nasopharyngeal carcinoma, it is common to experience dysfunction of the Eustachian tube, which can lead to ear fullness or fluid accumulation in the ear. It is advisable to seek medical evaluation to determine if drainage or the placement of tympanos...[Read More] Understanding Ear Congestion and Tinnitus After Cancer Treatment