Understanding Lymph Node Issues in the Neck: When to Seek Help
Cervical lymphatic issues Medical history: History of nasopharyngeal lymphadenopathy excision, chronic hypertrophic rhinitis, and mild chronic urticaria dating back six months. Initially, I noticed a prominent swollen and painful mass on the right posterior neck, without any acco...
Dr. Ji Zhaoyun Reply:
Hello, if you have recurrent swollen lymph nodes in the neck or other neck masses, it is advisable to consult an otolaryngologist. Wishing you good health and safety.[Read More] Understanding Lymph Node Issues in the Neck: When to Seek Help
Persistent Throat Pain and Thick Mucus: Understanding Sinusitis and Treatment Options
Sinusitis/post-nasal drip/sore throat/thick phlegm? Hello Doctor, at the beginning of January this year, I visited a doctor for a sore throat and took cold medication for nine days. After that, I started coughing up thick phlegm with blood about once a week. By the end of Februar...
Dr. Zheng Jueyi Reply:
Hello, if the symptoms persist without improvement, they are often related to post-nasal drip or pulmonary diseases. If the ENT examination is normal, it is recommended to consult a pulmonologist for further evaluation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, D...[Read More] Persistent Throat Pain and Thick Mucus: Understanding Sinusitis and Treatment Options
Understanding Lymphadenitis: Symptoms, Treatment, and When to Seek Help
Lymphadenitis I would like to ask the doctor about some symptoms I've been experiencing. Two weeks ago, I noticed a lump on the right side of my jaw and neck that hurts when pressed. My throat also hurts, and I have two sores on my tongue that are more painful than usual mou...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you are experiencing pharyngitis, tonsillitis, and oral ulcers accompanied by cervical lymphadenopathy. Treatment typically involves the use of medications, and antibiotics may be necessary if the lymphadenopathy continues ...[Read More] Understanding Lymphadenitis: Symptoms, Treatment, and When to Seek Help
Understanding Persistent Low-Grade Fever After a Cold: When to Seek Help
Persistent low-grade fever after a cold? Hello Doctor: I visited the clinic due to severe throat pain and was diagnosed with tonsillitis and post-nasal drip. The next day, I developed a fever over 38 degrees Celsius. After taking antipyretics, my temperature dropped to over 37 de...
Dr. Zheng Jueyi Reply:
Hello: It is common that you may still have an incomplete recovery from a cold infection. It is advisable to drink plenty of water and get ample rest. If your body temperature exceeds 38 degrees Celsius or if you continue to feel unwell, it is recommended to seek medical evaluati...[Read More] Understanding Persistent Low-Grade Fever After a Cold: When to Seek Help
Understanding Persistent Throat Symptoms: Antibiotics or Viral Infection?
Continuing from question #154740? Hello Doctor: I am currently in the United States and am having some difficulties with medical care. I would like to request your assistance. Previously, I asked you about issues related to inflammation of the tongue and tonsils. Last week, I rec...
Dr. Zheng Jueyi Reply:
Hello: You can finish the course of medication. If there are no significant symptoms such as fever or throat pus, and you have completed a week of antibiotics, you may temporarily refrain from using antibiotics. It is advisable to drink plenty of water, rest, and self-monitor. If...[Read More] Understanding Persistent Throat Symptoms: Antibiotics or Viral Infection?
Understanding Headaches Caused by Chronic Sinusitis: A Patient's Journey
Headache caused by sinusitis? Hello, Doctor. I have been experiencing symptoms of chronic sinusitis for ten years. In recent years, I have had intermittent headaches in the area above my left eyebrow. I consulted a neurologist who said it was caused by sinusitis. However, I have ...
Dr. Zheng Jueyi Reply:
Hello: The cases of headaches caused by middle turbinate syndrome are relatively rare. Currently, due to differing opinions from two specialists, it is recommended to seek a third opinion from other ENT or neurology departments at the hospital for further evaluation. Wishing you ...[Read More] Understanding Headaches Caused by Chronic Sinusitis: A Patient's Journey
Understanding Post-Nasal Drip: Causes and Treatment Options
Post-nasal drip? Hello Doctor: I am currently in the United States. I previously inquired about the issue of a yellow tongue and subsequently received antibiotics (500 mg twice a day for seven days) from my doctor. The condition of my yellow tongue and sore throat has improved. H...
Dr. Zheng Jueyi Reply:
Hello: If there is no obvious yellow nasal discharge, it is possible that the infection has improved. You may finish the medication and then continue to monitor your condition. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngolog...[Read More] Understanding Post-Nasal Drip: Causes and Treatment Options
Persistent Tongue Issues: Understanding Symptoms and Treatment Options
Tongue issues have persisted for a week? Hello Doctor: I am currently in the United States and am having some difficulties with healthcare. I would like to request your assistance. My tongue has been slightly swollen for the past six to seven days, with a yellowish appearance and...
Dr. Zheng Jueyi Reply:
Hello: Currently, there are no obvious secretions or pus on the tonsils, and there are no signs of bacterial infection. The yellowish appearance of the tongue may be due to medication or the use of lozenges. If there are no significant symptoms, it is advisable to drink plenty of...[Read More] Persistent Tongue Issues: Understanding Symptoms and Treatment Options
Effective Treatments for Post-Nasal Drip: Relief and Remedies
Treatment for post-nasal drip? Hello, doctor. I had a history of acute sinusitis two years ago. Recently, for the past week, I've noticed that my throat always feels a bit congested with mucus, and it feels like something is stuck in my throat. This is especially noticeable ...
Dr. Zheng Jueyi Reply:
Hello: The sensation of a lump in the throat may be related to post-nasal drip or gastroesophageal reflux disease (GERD). It is advisable to continue using a nasal irrigator. If there is no yellow nasal discharge or any obvious foul odor indicating a bacterial infection, antibiot...[Read More] Effective Treatments for Post-Nasal Drip: Relief and Remedies
Understanding Throat Pain and Tongue Ulcers: Insights from an ENT Specialist
Left-sided throat pain and a sore on the tongue? Hello Dr. Zheng, I sometimes experience excessive nasal discharge and a slight pain in the left side of my throat after staying up late. I visited an ENT specialist in the morning, initially thinking that my left tonsil might be in...
Dr. Zheng Jueyi Reply:
Hello! A hole on the side of the tongue may potentially cause pain in the throat on the same side, as they are innervated by the same sensory nerve. You can start with medication and monitor the situation. As for allergic rhinitis, long-term use of corticosteroid nasal sprays is ...[Read More] Understanding Throat Pain and Tongue Ulcers: Insights from an ENT Specialist
Unilateral Sore Throat and Ear Pain: Possible Causes and Solutions
Unilateral sore throat and ear pain issues? Two nights ago, after eating ice cream, I experienced unilateral ear pain and unilateral throat pain the next morning. The throat only hurts when swallowing saliva, and the ear pain resembles symptoms of otitis media. I have been taking...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could potentially be due to one of the following four causes: 1) Acute tonsillitis causing referred ear pain. 2) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (colds) or sinusitis, and in severe cas...[Read More] Unilateral Sore Throat and Ear Pain: Possible Causes and Solutions
Concerns About Swallowing Antibiotics: What You Need to Know
Issues with swallowing medication? Hello doctor, I visited an ENT specialist the day before yesterday because I had a cold, and the doctor prescribed me an antibiotic, MOXICLAV 1g. Just now, when I took the medication, I might not have drunk enough water and suddenly felt it get ...
Dr. Zheng Jueyi Reply:
Hello: If there is no obvious difficulty swallowing or pain while swallowing, you may start with self-observation. However, if your throat pain worsens or you experience difficulty swallowing, you should seek medical attention for evaluation. Wishing you safety and health. Sincer...[Read More] Concerns About Swallowing Antibiotics: What You Need to Know
Understanding Ear Warmth: Causes and Next Steps for Relief
The ears feel warm, but there is no cold or fever? Hello Doctor, I would like to ask about a sensation of warmth in both of my ears that has persisted for two weeks. Sometimes when I touch my ears, they feel cold, while at other times they feel warm to the touch. The area near ...
Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic that offers hearing tests to rule out issues with the Eustachian tube. Wishing you good health.[Read More] Understanding Ear Warmth: Causes and Next Steps for Relief
Understanding Complex ENT Symptoms: Pain, Swelling, and Systemic Issues
Right-sided sore throat, sensation of a foreign body in the right side of the throat, stiffness at the right neck base, right cheek pain, right ear pain, pain around the right eye socket, right-sided migraine, swollen and painful lymph nodes under the chin, swollen and painful ly...
Dr. Zheng Jueyi Reply:
Hello, if the lymph node biopsy results are normal, it is recommended to first visit a dentist and then a general internist or a hematology-oncology specialist for further evaluation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Ot...[Read More] Understanding Complex ENT Symptoms: Pain, Swelling, and Systemic Issues
Understanding Ear Numbness: Causes and Solutions for Ear Issues
Loss of sensation in the ear? For some reason, when water gets into my ear, it becomes numb. Digging in my ear or applying pressure makes it feel paralyzed, but I can still hear.
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may have the following two possibilities: 1) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (such as colds) and sinusitis. In severe cases, there may be ear discharge or pus. b) Chronic otitis medi...[Read More] Understanding Ear Numbness: Causes and Solutions for Ear Issues
Understanding Neck Masses: When to Seek Further Evaluation
Neck mass I have been taking antibiotics for inflammation at the clinic for nearly three weeks, but the entire cluster of swollen lymph nodes in my neck has not decreased in size or worsened. They are painful, but despite the prolonged antibiotic treatment, there has been no impr...
Dr. Zheng Jueyi Reply:
Hello, if the lump persists and does not disappear, it is recommended that the individual regularly return for outpatient examinations to assess whether further aspiration or biopsy is necessary. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Departmen...[Read More] Understanding Neck Masses: When to Seek Further Evaluation
Understanding Lymph Node Swelling: Causes and Treatment Insights
Lymphadenopathy Hello, doctor: I initially noticed a dry and slightly painful throat about two weeks ago, which felt similar to the onset of a cold. Later, I discovered several swollen lymph nodes on the right side of my neck that are painful when pressed. They are distinct nodes...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you have 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 swelling co...[Read More] Understanding Lymph Node Swelling: Causes and Treatment Insights
Understanding Ear Congestion and Popping Sounds: Causes and Treatments
Ear fullness with a popping sound? One day in October, after taking a shower, I noticed my ears felt clogged. The next day, I went to a clinic for an examination. The doctor looked into my ears and nose and said it was due to Eustachian tube dysfunction. They prescribed medicatio...
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, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) ...[Read More] Understanding Ear Congestion and Popping Sounds: Causes and Treatments
Is Sinusitis Likely Causing Bilateral Facial Pain and Other Symptoms?
Is it highly likely that sinusitis can cause bilateral tenderness in the cheeks and in front of the ears? My symptoms are as follows: 1. Bilateral tenderness in the cheeks in front of the ears and pain in the upper jaw, with a sensation of pressure in both cheeks, as if someone h...
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, although not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despit...[Read More] Is Sinusitis Likely Causing Bilateral Facial Pain and Other Symptoms?
Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?
Nasopharyngeal carcinoma, chronic sinusitis? Hello Dr. Chi, I am currently working abroad, and it's not very convenient for me to see a doctor. I have been experiencing post-nasal drip symptoms for a while. A few months ago, I had acute sinusitis and was treated with antibio...
Dr. Ji Zhaoyun Reply:
Hello, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can occur from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhinitis, hyp...[Read More] Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?