Understanding Chronic Migraines with Facial and Jaw Pain: Causes and Solutions
Migraine associated with facial and mandibular pain? Dear Dr. Hsu, I have been suffering from migraines of unknown origin for about ten years. In the past two to three years, I have experienced more frequent symptoms such as dry eyes, swelling around the eyebrows and eyes, right...
Dr. Xu Jiazhen Reply:
Hello: In response to your question. 1. The main symptoms of sinusitis include facial pain, a feeling of pressure or swelling, nasal congestion, rhinorrhea, and loss of smell. Secondary symptoms may include headache, fever, halitosis, fatigue, toothache, and cough. Given that you...[Read More] Understanding Chronic Migraines with Facial and Jaw Pain: Causes and Solutions
Understanding Breathing Difficulties: Chronic Rhinitis and Throat Inflammation
Shortness of breath? Dear Dr. Tsai: I have been experiencing symptoms of a cold, including cough and sneezing, since early May. I took medication but did not fully recover. By the end of May, I noticed that both sides of my nose were completely congested, making it difficult to b...
Dr. Cai Zhenggu Reply:
Hello Mr. Hsieh: Based on your description, your issue is chronic pharyngitis caused by mouth breathing due to nasal congestion. I recommend that you come to my clinic for an examination, as there are many potential causes of nasal congestion. A thorough evaluation is necessary t...[Read More] Understanding Breathing Difficulties: Chronic Rhinitis and Throat Inflammation
Managing Chronic Sinusitis: Effective Strategies for Symptom Relief
excuse me? Hello, doctor. I have a question. I have had sinusitis for a long time, for several years, and I didn't even realize it until I went to see an ENT specialist after catching a cold. Recently, I've been feeling like I have a lot of phlegm, so much that it feels...
Dr. Ye Dawei Reply:
Hello, sir. You can first try medication for your issue. If the effect is not significant, you may consider trying a puncture and irrigation. If that does not yield satisfactory results, an endoscopic sinus surgery may be recommended. For your reference, the most common cause of ...[Read More] Managing Chronic Sinusitis: Effective Strategies for Symptom Relief
Can Treating Sinusitis Restore My Taste and Smell?
excuse me? Hello, doctor. I have a question. I have been suffering from sinusitis for a long time. I received treatment when I was first diagnosed, but later I heard that sinusitis doesn't really go away, so I sought treatment less frequently, only when the pain became sever...
Dr. Cai Zhenggu Reply:
Hello, Gentleman: First, I would like to correct your misconception. Sinusitis can be treated, and with continued treatment, your sense of taste may recover. I recommend that you come to my clinic for an examination to confirm your condition and develop a treatment plan.[Read More] Can Treating Sinusitis Restore My Taste and Smell?
Understanding Nosebleeds and Coughing Blood: When to Seek Help
Hemoptysis, epistaxis, and blood-streaked nasal discharge? Doctor: Hello, after experiencing my first nosebleed last year, I have been having frequent nosebleeds without warning. I later consulted a traditional Chinese medicine practitioner who diagnosed me with nasal polyps and ...
Dr. Cai Zhenggu Reply:
Hello Yuly: There are many causes of coughing up blood. Both upper and lower respiratory tract conditions can lead to hemoptysis. Prolonged coughing can cause small blood vessel rupture or damage to the mucous membranes of the upper respiratory tract, resulting in coughing up blo...[Read More] Understanding Nosebleeds and Coughing Blood: When to Seek Help
Why Does Acute Sinusitis Recur After Stopping Medication?
Why does acute sinusitis relapse two to three days after stopping medication? Hello Dr. Hu: My daughter is three and a half years old and has been attending preschool. Since she started school, she has been experiencing frequent colds. We have switched from pediatrics to otolaryn...
Dr. Hu Kexin Reply:
To Cloudia: Bacterial sinusitis in children is a common condition that can easily be confused with viral upper respiratory infections and allergic rhinitis, as the initial symptoms are similar and nonspecific. However, if symptoms persist for more than 7 days, there is a high sus...[Read More] Why Does Acute Sinusitis Recur After Stopping Medication?
Difficulty Swallowing: When to Seek Medical Attention for Throat Issues
Dysphagia In the past week, I have felt like there is phlegm stuck in my throat. However, I do not have a cough, runny nose, fever, or sore throat. It is just very difficult to swallow saliva, and I have tried to cough up the phlegm, but it hasn't worked. I have been feeling...
Dr. Chen Junliang Reply:
Ms. Toro: Based on the symptoms you described, it could be pharyngitis, which may be related to issues with the gastrointestinal tract, the throat itself, or the nasal passages. If it has not improved after ten days, further examination and treatment are necessary.[Read More] Difficulty Swallowing: When to Seek Medical Attention for Throat Issues
Understanding Speech Disruptions: Allergies, Medications, and Throat Issues
Speech disfluency? Hello Doctor, I have had allergies and asthma since childhood. I have been suffering from nasal congestion caused by allergies for several years. Before the Lunar New Year, I possibly caught a cold and experienced a sore throat and very itchy ears. I couldn...
Dr. Cai Zhenggu Reply:
Hello Miss Belle: Based on your description, your condition is due to nasal congestion leading to mouth breathing, which causes chronic pharyngitis, resulting in frequent coughing. I recommend that you first address the nasal congestion issue and then breathe through your nose; t...[Read More] Understanding Speech Disruptions: Allergies, Medications, and Throat Issues
Understanding Morning Nosebleeds: Causes and Treatment Options
Nasal bleeding Hello Doctor: I have a question to ask you. My mother has been experiencing nosebleeds every morning upon waking up for an unknown period of time. She visited a clinic, but the ENT specialist did not find any signs of broken capillaries in her nasal cavity. A CT sc...
Dr. Xu Jiazhen Reply:
Hello, in response to your inquiry regarding coughing up blood-tinged sputum, this may indicate a pulmonary issue. Please visit a pulmonologist for further evaluation. As for the nasal bleeding, please follow up at the outpatient clinic to rule out any nasal tumors or other conce...[Read More] Understanding Morning Nosebleeds: Causes and Treatment Options
Unusual Throat Sensation: What Could That Strange Taste Be?
There is something strange in my throat? For about a month now, I've been feeling something strange in my throat! It's not difficulty swallowing, but when I eat, there's an unusual taste. Sometimes I can cough it out, but it's difficult, so I still experience ...
Dr. Cai Zhenggu Reply:
Hello, A-Qi: That is a substance formed by the shedding of cells from the surface of the tonsils mixed with food debris.[Read More] Unusual Throat Sensation: What Could That Strange Taste Be?
Understanding Snoring and Nasal Issues in Children: Causes and Solutions
Regarding nasal issues? Hello Doctor, I would like to ask about my son, who is currently in the first grade. Ever since he started school, he has been snoring loudly every night, which he never did before. He had a mild cold with a little cough previously and was on medication,...
Dr. Xu Jiazhen Reply:
Hello: In response to your question: Your son is experiencing mouth breathing due to the enlargement of the lymphatic tissue in the nasopharynx, which we refer to as adenoids. This enlargement obstructs the choanae, leading to snoring during sleep, especially when he has a cold, ...[Read More] Understanding Snoring and Nasal Issues in Children: Causes and Solutions
Persistent Phlegm: Understanding Causes and When to Seek Help
I have a lot of phlegm! Hello Dr. Tsai, I used to only produce phlegm when I had a cold, but about four to five months ago, I started producing a lot of phlegm every day, even when I am not sick. Additionally, I have a painful cough, and I can hear the sound of phlegm in my lun...
Dr. Cai Zhenggu Reply:
Hello Aangel; based on your description, it seems to be post-nasal drip. You should see an otolaryngologist. You are welcome to visit my clinic, and I will provide you with a detailed explanation.[Read More] Persistent Phlegm: Understanding Causes and When to Seek Help
Understanding Ear Lumps: Causes and Connections to Sinus Issues
There is a hard lump in the left ear? Hello Dr. Hsu, I recently discovered a small hard lump behind my left ear, and my ear often feels blocked, occasionally causing pain. I have been experiencing post-nasal drip and a persistent cough, so I initially thought the ear blockage wa...
Dr. Xu Jiazhen Reply:
Hello: In response to your inquiry, the lump behind the ear may be due to 1. infection (including mastoiditis or epidermal inflammation) caused by bacteria or viruses, or 2. lymphadenitis (which could be a benign or malignant mass). Therefore, it is advisable for Miss Xiao Qiu to...[Read More] Understanding Ear Lumps: Causes and Connections to Sinus Issues
Understanding Chronic Bad Breath: Causes and Solutions
Halitosis Hello, doctor! I have been suffering from halitosis for over ten years. When I was younger, my saliva production was normal, but after experiencing gastroenteritis, my saliva production decreased significantly, and I often need to drink water. Due to the reduced saliva,...
Dr. Chen Junliang Reply:
Hello, Xiao Wang: Halitosis can be related to dental issues, oral problems, salivary gland disorders, post-nasal drip, and respiratory diseases (such as bronchitis), as well as certain systemic diseases (such as liver and kidney diseases). Further examinations are necessary for d...[Read More] Understanding Chronic Bad Breath: Causes and Solutions
Understanding Unusual Throat Sensations: Causes and Concerns
Throat discomfort or abnormal sensation in the throat? Your question: For the past month, I have been experiencing a strong metallic taste in my throat and the center of my mouth, which is definitely not due to gum bleeding. There is no blood when I pick my nose. Each time this o...
Dr. Cai Zhenggu Reply:
Hello, based on your description, you likely have post-nasal drip combined with chronic pharyngitis, which can cause symptoms in the throat.[Read More] Understanding Unusual Throat Sensations: Causes and Concerns
Persistent Coughing: Causes, Concerns, and Solutions
Disturbing cough Hello Doctor, I have been experiencing frequent coughing for the past six months. My throat feels itchy, and it's mostly a dry cough. When I catch a cold, the coughing becomes more severe and produces phlegm. Sometimes, I cough so much that my chest feels un...
Dr. Chen Junliang Reply:
Mr. Chenxi: Regarding your persistent cough, it could be due to simpler conditions such as chronic pharyngitis or post-nasal drip, but it may also indicate more serious issues like tuberculosis or bronchiectasis. In addition to maintaining a normal lifestyle and avoiding tobacco,...[Read More] Persistent Coughing: Causes, Concerns, and Solutions
Understanding Greenish-Yellow Phlegm with Hard Clumps: ENT Insights
Sputum that is greenish-yellow and contains hard clumps? In the past two years, I have frequently caught colds. During the recent colds, I often experienced throat inflammation and a dry cough, but without nasal discharge. This has lasted for several weeks. In the past two months...
Dr. Jian Huangqi Reply:
Hello Mr. Chuang: Frequent colds, throat inflammation, yellow-green sputum, and dry cough indicate a bacterial infection of the pharynx. You should consult an otolaryngologist. Thank you. Director of Otolaryngology, Jian Huangqi.[Read More] Understanding Greenish-Yellow Phlegm with Hard Clumps: ENT Insights
Can Cold Medications Effectively Treat Sinusitis Symptoms?
Can cold medications be used to treat sinusitis? Hello, thank you very much for taking the time to address my concerns. Last week, due to the discomfort of prolonged nasal congestion, I visited a nearby clinic seeking treatment for recurrent sinusitis. During the process, I repea...
Dr. Hu Kexin Reply:
Hello: Prolonged nasal congestion is indeed a frustrating issue. The obstruction of the respiratory passages not only causes physical discomfort but can also affect your mood, and I completely understand your feelings. First, let's clarify what we mean by "cold." F...[Read More] Can Cold Medications Effectively Treat Sinusitis Symptoms?
Understanding Respiratory Issues: Tonsil Problems and Allergies Explained
Respiratory issues Since childhood, I have been prone to colds (or tonsillitis) and have recently experienced frequent sore throats. However, I only see a doctor if my condition does not improve on its own after two or three days (worried about taking too much medication). Recent...
Dr. Cai Zhenggu Reply:
Hello Mr. Xiao Nan: The tonsils are asymmetrical in size, which may indicate hypertrophy of one side. Nasal congestion is related to tonsillar hypertrophy, and there is an issue with the temporomandibular (TM) joint. Tonsillectomy can still be performed.[Read More] Understanding Respiratory Issues: Tonsil Problems and Allergies Explained
Managing Mild Allergic Rhinitis in Young Children: When to Medicate?
Nasal allergy Hello Dr. Chen, I would like to ask about mild nasal allergies in a child who is 1 year and 8 months old. Is it necessary for them to take medication? Sometimes the symptoms resolve on their own, but there are times when the child feels something in their throat a...
Dr. Chen Junliang Reply:
Hello, Miss: For mild nasal allergies in young children, medication is not necessary. It is important to pay attention to the surrounding environment, including regular cleaning and changing bed linens. Asthma is mostly related to genetic predisposition, and factors such as colds...[Read More] Managing Mild Allergic Rhinitis in Young Children: When to Medicate?