Understanding Persistent Lymphadenopathy: When to Seek Further Evaluation
Lymphadenopathy Hello Doctor: I have had swelling in the left side of my neck for a month and a half. It is somewhat painful when pressed, and there are signs that it has increased in size and number. I went to the hospital for an examination and had an ultrasound and fine-needle...
Dr. Ji Zhaoyun Reply:
Hello, if the growth continues, it is advisable to seek medical attention again.[Read More] Understanding Persistent Lymphadenopathy: When to Seek Further Evaluation
Understanding High EBV-IGA Levels: What You Need to Know
Elevated EBV-IgA index? Dear Sir, I recently had a health check-up and my EBV-IgA index was found to be 2.5, which exceeds the standard range. I have no bad habits and no family history of illness, and I feel fine. I underwent an endoscopy, and the doctor stated that there were ...
Dr. Ji Zhaoyun Reply:
Hello, 1. Generally, it can be monitored once a year. 2. As you mentioned, it is an endoscopic examination, not a biopsy; visual assessment can estimate malignancy, but it is certainly not absolute. 3. If there are significant concerns, you can discuss with your physician whether...[Read More] Understanding High EBV-IGA Levels: What You Need to Know
White Bump Near Lip Piercing: Causes and When to See an ENT
There is a white tissue protruding next to the inside of the lip ring? A few days ago, I noticed that there was suddenly a white growth on the inside of my lip near my lip ring, as if something had been pushed out. It is only on the left side, while the right side looks normal. I...
Dr. Zheng Jueyi Reply:
Hello: Commonly, granulomas are caused by inflammation. If discomfort persists, it is recommended to visit an otolaryngologist for examination. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of H...[Read More] White Bump Near Lip Piercing: Causes and When to See an ENT
Understanding Ear Congestion: Causes, Symptoms, and Solutions
Ear fullness sensation Hello Doctor: When I ride in a car on mountain roads, I experience a sensation of fullness in both ears (decreased hearing), which returns to normal within about an hour. Occasionally, while taking the MRT, I suddenly experience tinnitus (less frequent). At...
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: Causes, Symptoms, and Solutions
Understanding Ear Congestion and Sounds: Causes and Solutions
Ear popping sound? One day, I suddenly noticed a feeling of fullness in my left ear, accompanied by tinnitus that lasted about five seconds and a slight decrease in hearing. When I slept on my side, it felt like there was fluid flowing into both ears, but the external auditory ca...
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 Ear Congestion and Sounds: Causes and Solutions
Understanding Ear Congestion and Eustachian Tube Issues: Causes and Solutions
Ear fullness and Eustachian tube dysfunction? Hello, Doctor: When I was a child, I sometimes experienced sudden ear congestion (with reduced hearing) while traveling on mountain roads, which could take several minutes to recover. When taking the bus or MRT, I occasionally experie...
Dr. Zheng Jueyi Reply:
Hello, common issues related to Eustachian tube dysfunction may arise. If the hearing test and tympanometry from the ENT examination are normal, it may be advisable to consult a neurologist to check for other neurological function-related problems. Wishing you safety and health. ...[Read More] Understanding Ear Congestion and Eustachian Tube Issues: Causes and Solutions
Managing Throat Pain After Vocal Cord Paralysis and Hyaluronic Acid Injection
Vocal cord paralysis treated with hyaluronic acid injection? Hello, I have left-sided vocal cord paralysis. I underwent a hyaluronic acid injection yesterday and now I have a sore throat, but the doctor did not prescribe any anti-inflammatory or pain relief medication. I also hav...
Dr. Li Jiaxuan Reply:
Please use your voice carefully and avoid excessive throat clearing. Wishing you safety and well-being.[Read More] Managing Throat Pain After Vocal Cord Paralysis and Hyaluronic Acid Injection
Understanding Post-Repair Ear Drum Discomfort and Pain Management
After a ruptured eardrum has healed? About a year ago, I had a ruptured eardrum. After it healed, I still often feel discomfort, pressure, or intermittent pain. Different doctors have examined me and said that it has healed, and occasional discomfort is normal. However, recently ...
Dr. Li Jiaxuan Reply:
Healing takes about one to two months for the eardrum to become thicker and more resilient. During this period, it is advised to avoid excessive stimulation of the eardrum. Wishing you well.[Read More] Understanding Post-Repair Ear Drum Discomfort and Pain Management
Understanding Post-Operative Symptoms After Nasal Wing Nerve Resection
Postoperative symptoms following alar nerve resection surgery? I am involved in the fields of communication, efficiency research, and causal experiments. On November 2nd, I underwent a nasal wing nerve resection surgery at Tzu Chi Hospital in Taichung. I would like to write a rep...
Dr. Li Jiaxuan Reply:
1. Are the symptoms of wind, soreness, dryness, and pain due to the fact that the micro-incisions have not yet healed? Is it caused by slight swelling of the wounds? 2. How long does one typically have to endure these symptoms before they resolve? Generally, it takes about 3 to...[Read More] Understanding Post-Operative Symptoms After Nasal Wing Nerve Resection
Understanding High-Pitched Sounds and Sensitivity in Your Ears
Is sensitivity to higher-pitched sounds and an increased sensitivity to louder noises indicative of hearing problems? Hello, Doctor. I have some questions regarding my ears. 1. About two years ago, I started hearing some faint, high-pitched sounds at night. These sounds do not ...
Dr. Li Jiaxuan Reply:
Physiological tinnitus often occurs in young individuals with insufficient sleep or in the elderly population. Based on your description, you may be experiencing auditory sensitivity or Eustachian tube dysfunction. However, there is also a significant proportion of pathological t...[Read More] Understanding High-Pitched Sounds and Sensitivity in Your Ears
Understanding Auditory Hallucinations and Hearing Issues in Seniors
Auditory abnormalities, hearing issues, hallucinations? Dr. Lee, This post is regarding a consultation for a family elder. The elder is a 76-year-old female. Six months ago, she reported that she could always hear a pleasant sound resembling wind chimes, which sometimes lasts f...
Dr. Li Jiaxuan Reply:
It is likely a form of tinnitus or pulsatile tinnitus, which is mostly a normal physiological degeneration but may also have pathological possibilities. It is recommended to visit an otolaryngology clinic for hearing and EEG examinations. Wishing you good health.[Read More] Understanding Auditory Hallucinations and Hearing Issues in Seniors
Understanding Oral Wall Lumps: When to Seek Medical Attention
There is a lump on the inner lining of the mouth? Hello, doctor. About two weeks ago, I noticed a lump on the right side of my oral cavity near the pterygomandibular ligament. The front of the lump feels like it has a groove resembling a scar, but I don't recall any injury. ...
Dr. Li Jiaxuan Reply:
The mucosa in the image shows signs of ulceration, but if there are hard lesions present, it is recommended to consult an oral surgeon or an otolaryngologist. Wishing you good health.[Read More] Understanding Oral Wall Lumps: When to Seek Medical Attention
Understanding Movable Lumps Under the Jaw: Causes and Concerns
There is a movable, soft lump in the left lower jaw when tilting the head down, but it is not painful? Hello Doctor, I recently noticed a soft, movable lump near the left lower jaw close to the chin. It feels like a bone, is not painful, and seems to be more noticeable when I low...
Dr. Li Jiaxuan Reply:
Based on your described location, it may be related to the salivary glands or submandibular lymph nodes. For the cause of the swelling, please visit an otolaryngology clinic for an ultrasound examination. Wishing you good health.[Read More] Understanding Movable Lumps Under the Jaw: Causes and Concerns
Understanding Sudden Dizziness: Causes, Prevention, and Medical Advice
Sudden dizziness Hello Dr. Zheng, I suddenly experienced dizziness upon waking up yesterday (April 8), which was the first time I felt such severe dizziness that I was unable to stand. Since I am currently abroad, I did not seek medical attention at that time. I felt strange upon...
Dr. Zheng Jueyi Reply:
Hello: There are many causes of dizziness, and based on your description, it may be related to cardiovascular or central causes of dizziness. If the discomfort persists, it is recommended to consult a neurologist or cardiologist. Wishing you safety and health. Sincerely, Dr. Chen...[Read More] Understanding Sudden Dizziness: Causes, Prevention, and Medical Advice
Understanding Hearing Issues: Tinnitus and Ear Discomfort Explained
Hearing problems Hello, Dr. Chi. The day before yesterday, I stayed in a store for about an hour, and the ambient noise inside was a very high-frequency sound that made me feel a bit dizzy. After I came out, I experienced tinnitus in my right ear, and sounds seemed muffled, with ...
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, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss: This has a s...[Read More] Understanding Hearing Issues: Tinnitus and Ear Discomfort Explained
Understanding Taste and Smell Disorders: Causes and Solutions
Olfactory and gustatory disorders? Hello, I have had issues with my sense of smell and taste for a long time. When I eat, everything tastes too salty, and I can't eat it... it doesn't matter who made it, it's the same. I can't even tolerate black pepper; the o...
Dr. Ji Zhaoyun Reply:
Hello, it is recommended that you first visit an otolaryngologist to arrange for an examination based on your condition. Wishing you peace and good health.[Read More] Understanding Taste and Smell Disorders: Causes and Solutions
Understanding Nasal Septum Deviation and Its Impact on Smell
Deviated septum and olfactory issues? Hello Doctor, since October of last year, I have experienced complete loss of smell on one side (which may have been happening for a long time, but I didn't notice it because the other side was normal), along with chronic nasal congestio...
Dr. Ji Zhaoyun Reply:
Hello, if there is only a deviated septum and hypertrophy of the nasal turbinates, theoretically there should not be any unilateral olfactory issues. It is recommended to wait for the examination report results. Wishing you peace and good health.[Read More] Understanding Nasal Septum Deviation and Its Impact on Smell
Understanding Post-Nasal Drip: Causes and Solutions for Throat Discomfort
Post-nasal drip with yellow mucus? In the past week, I have been waking up with a slight scratchy pain in my throat. When I open my mouth to check, I notice light yellow mucus flowing from my nasal cavity down to my throat. This happens about three to four times in the morning. I...
Dr. Zheng Jueyi Reply:
Hello, if there is no persistent yellow nasal discharge and only post-nasal drip is present, it is commonly associated with chronic rhinitis or allergic rhinitis. If discomfort persists, it is advisable to seek treatment from an otolaryngologist. Wishing you peace and health. Sin...[Read More] Understanding Post-Nasal Drip: Causes and Solutions for Throat Discomfort
Understanding Ear Pain: Causes, Symptoms, and When to Seek Help
Ear pain? I have ear pain that worsens when I apply pressure, but there is no pain when I touch the outer ear. The most painful spot seems to be in the area of the external auditory canal, extending inward. I also touched the back of the ear to confirm that the pain is indeed ori...
Dr. Zheng Jueyi Reply:
Hello: Commonly, pain is caused by inflammation of the external auditory canal. If the pain persists without improvement, it is advisable to seek medical evaluation for confirmation and treatment. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Departm...[Read More] Understanding Ear Pain: Causes, Symptoms, and When to Seek Help
Understanding Phlegm Color: Is It Normal to Cough Up Brown-tinged Mucus?
The color of sputum? Waking up to cough up phlegm that is transparent but mixed with a slight light brown color, followed by clear phlegm, can be concerning. Given that you have chronic rhinitis, this could be related to post-nasal drip, which often leads to the accumulation of m...
Dr. Zheng Jueyi Reply:
Hello, if you continue to have colored sputum, it is advisable to seek medical evaluation to check for infections or other conditions. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health an...[Read More] Understanding Phlegm Color: Is It Normal to Cough Up Brown-tinged Mucus?