Understanding Sudden Hearing Loss and Vestibular Nerve Damage
Sudden sensorineural hearing loss & auditory nerve damage Dear Dr. Zheng, My mother (52 years old) has been diagnosed with sudden sensorineural hearing loss, and I have some questions. On July 9th, we stayed overnight at Alishan, and the next morning, July 10th, my mother re...
Dr. Zheng Jueyi Reply:
1. Sudden sensorineural hearing loss is generally not related to lymphoma. 2. Sudden sensorineural hearing loss is defined as a hearing loss of more than 30 dB at three consecutive frequencies within three days. Whether there was a pre-existing hearing impairment that has worse...[Read More] Understanding Sudden Hearing Loss and Vestibular Nerve Damage
Understanding Tinnitus: Causes, Symptoms, and Concerns
Tinnitus with loud sounds? For the past few years, whenever I sing karaoke or participate in events with loud sound systems, I experience a static-like noise in my ear that lasts for several seconds. This usually occurs when I sing vigorously or stand close to the speakers, typic...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause tinnitus. If unilateral tinnitus persists without improvement, it is recommended to visit an otolaryngologist for evaluation and confirmation.[Read More] Understanding Tinnitus: Causes, Symptoms, and Concerns
Child's Upper Jaw Black Tumor: Which Specialist to Consult?
The child has a black tumor on the upper jaw? Hello, my child is two years old and today he said his cheek hurts. When I had him open his mouth, I discovered a black lesion on the upper gum that I hadn't noticed before. Which department should I consult for this?
Dr. Li Jiaxuan Reply:
Pediatrics or Otolaryngology, wishing you safety and well-being.[Read More] Child's Upper Jaw Black Tumor: Which Specialist to Consult?
Chronic Headaches and Fungal Sinusitis: Seeking Relief After 20 Years
Fungal sinusitis / headache / tinnitus / impaired sense of smell / blood in saliva? Hello Doctor, I have been suffering from headaches for over 20 years and have seen many doctors. Recently, I found out that the cause is fungal sinusitis, specifically in the sphenoid sinus. After...
Dr. Li Jiaxuan Reply:
Fungal sinusitis is prone to recurrence. During the surgery, the physician has already opened your sinus ostia, so you should be able to flush out the infectious material through nasal irrigation. If the mucus is initially thick, you can ask the physician to help you clean it out...[Read More] Chronic Headaches and Fungal Sinusitis: Seeking Relief After 20 Years
Persistent Yellow-Green Phlegm: Understanding Causes and Treatments
Chronic production of thick sputum? I have a smoking habit and have been experiencing symptoms for over two months. I have persistent yellow-green phlegm in my throat, but no coughing. I expel or forcefully clear phlegm from my throat about 4 to 5 times a day. I have seen a pulmo...
Dr. Li Jiaxuan Reply:
Nasal irrigation is a method that can be tried when an infection is still present in the nasal cavity, but the mucus is thick, indicating rhinitis. In addition to medication, nasal irrigation can also be beneficial for rhinitis. Wishing you safety and health![Read More] Persistent Yellow-Green Phlegm: Understanding Causes and Treatments
Sore Throat After Colonoscopy: Causes and Solutions Explained
Sore throat after a colonoscopy? Hello, I had a painless colonoscopy yesterday, and the nurse advised that I could eat as long as I had no issues drinking water. About an hour after the procedure, I went to have dinner, but halfway through, I suddenly felt a sharp pain in my thro...
Dr. Zheng Jueyi Reply:
If you are unable to determine the cause and your sore throat persists without improvement, it is recommended to visit an otolaryngologist or return to the gastroenterology department for further examination.[Read More] Sore Throat After Colonoscopy: Causes and Solutions Explained
Understanding Ear Canal Inflammation: Symptoms and Healing Process
Otitis externa Hello Doctor: One day I suddenly experienced tinnitus, and later I consulted an otolaryngologist. Medication was applied to my ear canal, and my family noticed that there were pimple-like formations in the ear canal. Will this condition heal on its own? Currently, ...
Dr. Zheng Jueyi Reply:
Hello, if you have already seen a doctor for an examination, you may start using the medication prescribed by the clinic physician. However, if there is no improvement, it is advisable to return for a follow-up consultation and further examination.[Read More] Understanding Ear Canal Inflammation: Symptoms and Healing Process
Understanding Neck Masses: Thyroid Cysts and Benign Lymph Nodes Explained
Neck mass Hello Doctor, this is my neck ultrasound report. Could you please help me interpret it? Thank you. Impression: 1. Left thyroid cyst. 2. Small lymph nodes with benign appearance in the bilateral neck. Neck sonography shows: A cyst approximately 4mm in size at the left...
Dr. Zheng Jueyi Reply:
The report indicates a 4mm cyst in the left thyroid gland and benign small lymph nodes bilaterally in the neck. Currently, it is recommended to follow up regularly in the outpatient clinic.[Read More] Understanding Neck Masses: Thyroid Cysts and Benign Lymph Nodes Explained
Understanding Throat Noises: When to Seek ENT Help
There is a sound when moving the throat? About two years ago, I started experiencing a cracking sound whenever I swallowed or moved my throat. At first, I didn't pay much attention to it, but later I noticed that the sound would be significantly louder on days when I used a ...
Dr. Ji Zhaoyun Reply:
Hello, it is recommended to seek medical evaluation if symptoms persist. Based on the current description, the most likely conditions are temporomandibular joint inflammation or otitis externa.[Read More] Understanding Throat Noises: When to Seek ENT Help
Understanding Sudden Ear Congestion and Tinnitus: Causes and Insights
Sudden ear fullness and tinnitus? Hello, doctor. Today, after I parked my motorcycle at work, I suddenly noticed a ringing in my right ear and a feeling of fullness in my ear. The tinnitus became more pronounced when I heard louder sounds. After a few hours, it improved somewhat,...
Dr. Li Jiaxuan Reply:
Please have the physician assess whether it is Eustachian tube dysfunction, as it is easier to confirm the diagnosis during the occurrence of symptoms. Wishing you well.[Read More] Understanding Sudden Ear Congestion and Tinnitus: Causes and Insights
Understanding Post-COVID Symptoms: Yellow Nasal Discharge and Vasculitis Concerns
Post-nasal drip and vasculitis? Hello, doctor. About two weeks ago, I tested positive for COVID-19, and approximately four days ago, I suddenly developed numerous petechiae on my calves. I went to the hospital's dermatology department for an examination, where they performed...
Dr. Zheng Jueyi Reply:
Hello, if all immune-related blood tests are normal and there is no history of rheumatologic or autoimmune diseases, along with no significant abnormalities found during the endoscopic examination, the likelihood of developing vasculitis is very low. It may be advisable to either...[Read More] Understanding Post-COVID Symptoms: Yellow Nasal Discharge and Vasculitis Concerns
Understanding Right Shoulder Pain and Swelling Near the Clavicle
Pain from the right jaw to the shoulder, along with swelling at the anterior end of the right clavicle? Hello Doctor: 1. About three to four months ago, I started experiencing pain in my right shoulder and right upper back, which has progressively extended to my right jaw and ne...
Dr. Zheng Jueyi Reply:
Hello, it is recommended to visit an otolaryngologist to check for any issues with the cervical or supraclavicular lymph nodes. If there are no problems, it is advisable to consult an orthopedic specialist or a rehabilitation physician to evaluate whether it is related to muscula...[Read More] Understanding Right Shoulder Pain and Swelling Near the Clavicle
Managing Persistent Throat Inflammation After COVID-19 Recovery
Recurrent throat inflammation after COVID-19? Hello Doctor: I originally wanted to make an appointment yesterday, but you were fully booked. I would like to ask about my condition. I tested positive for COVID-19 on June 2 and have been testing negative on rapid tests for about a ...
Dr. Zheng Jueyi Reply:
Hello, the recurring symptoms that have not improved may be related to your immune system not having fully recovered. In addition to medication treatment, it is important to enhance dietary adjustments (such as increasing water intake and reducing sweets) and to maintain a regula...[Read More] Managing Persistent Throat Inflammation After COVID-19 Recovery
Understanding Long-Term Loss of Smell: When to Seek Specialist Help
Nasal allergies can lead to a loss of smell? I have been unable to smell for 4 to 5 years. Sometimes I can suddenly smell things, but most of the time I cannot smell at all. I have visited a clinic and taken medication, which provides temporary relief, but once the medication wea...
Dr. Zheng Jueyi Reply:
If you continue to experience abnormal olfactory sensations, it is recommended to visit an ENT (Ear, Nose, and Throat) specialist for examination and treatment.[Read More] Understanding Long-Term Loss of Smell: When to Seek Specialist Help
Understanding Tongue Swelling and Red Oral Mucosa: Causes and Next Steps
Tongue swelling, with redness of the mucosa near the teeth on the hard palate? Hello Dr. Zheng, I have noticed over the past year or two that there are two raised lesions on the surface of my tongue, which I occasionally bite and cause bleeding. Additionally, for the past nine mo...
Dr. Zheng Jueyi Reply:
Hello, currently it is difficult to determine the cause. If oral issues persist, it is recommended to visit an otolaryngologist or oral surgeon for further examination. A biopsy may be necessary to confirm the diagnosis, and the decision should be made by the clinician based on t...[Read More] Understanding Tongue Swelling and Red Oral Mucosa: Causes and Next Steps
Understanding Oral Lesions: When to Seek ENT Care for Tongue Issues
The area under the tongue (the tissue on both sides of the frenulum) appears to have holes? Hello Doctor, about 5 days ago, one side of the small tissue under my tongue near the frenulum suddenly became red and swollen, and the next day it turned white, resembling an oral ulcer. ...
Dr. Zheng Jueyi Reply:
If oral ulcers persist for more than a week without improvement, it is recommended to visit an otolaryngology clinic for evaluation.[Read More] Understanding Oral Lesions: When to Seek ENT Care for Tongue Issues
Understanding Chronic Nasopharyngitis: Risks, Management, and Dietary Tips
Chronic nasopharyngitis Dr. Zheng, for many years (approximately 10 years), I have occasionally noticed blood in my saliva, and there has always been a metallic taste in my mouth. Recently, the frequency and amount of bleeding have increased, so I consulted an otolaryngologist. T...
Dr. Zheng Jueyi Reply:
1. If the biopsy results indicate benign chronic nasopharyngitis, regular follow-up is recommended, and there are no indications for surgical removal. 2. There are many factors contributing to chronic inflammation. It is advised to maintain a regular routine, avoid smoking and a...[Read More] Understanding Chronic Nasopharyngitis: Risks, Management, and Dietary Tips
Dealing with Earwax in Children: What to Do When It Falls Back In
Earwax falls into the ear? Hello, doctor. I would like to ask about cleaning earwax in a five-year-old child. During the process, a piece of earwax fell back into the ear, and since it was too deep and I couldn't see it clearly, I didn't dare to continue trying to remov...
Dr. Zheng Jueyi Reply:
Hello, if there are no obvious discomforts, you can start with self-observation, as it may naturally resolve during physical activity. However, if you continue to have concerns, you may visit an otolaryngologist for examination and management.[Read More] Dealing with Earwax in Children: What to Do When It Falls Back In
Understanding Ear Numbness: Causes and When to Seek Help
The ear feels numb or tingly? The patient occasionally experiences numbness in front of the ear, which has persisted for many years. Previous medical consultations did not reveal a specific cause, and treatment has only involved medication to alleviate discomfort. What are the po...
Dr. Zheng Jueyi Reply:
You can visit an otolaryngology or neurology department for examination and treatment.[Read More] Understanding Ear Numbness: Causes and When to Seek Help
Feeling of Throat Obstruction After Singing: Causes and Solutions
Feeling of a foreign body in the throat after singing? Hello, doctor. I sang a few songs yesterday evening, but it wasn't too intense. However, I did clear my throat forcefully a few times. As a result, I woke up three times last night, unsure if it was due to a sore throat....
Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic to check for any inflammation or injury to the vocal cords. Wishing you good health.[Read More] Feeling of Throat Obstruction After Singing: Causes and Solutions