Understanding Lumps Behind the Ear: When to Seek Medical Advice
There is a palpable lump located just below the ear? Hello Dr. Cheng, I would like to ask you a question. Three weeks ago, I discovered a lump about one centimeter in size located just below the back of my left ear. I can only feel it when I press it with my fingertip; if I touch...
Dr. Zheng Jueyi Reply:
Hello: It is common to have swollen lymph nodes. If they continue to enlarge or remain painful, it is advisable to seek medical evaluation for confirmation. If they fluctuate in size or show no obvious symptoms, you may observe them for now. Wishing you safety and health. Sincere...[Read More] Understanding Lumps Behind the Ear: When to Seek Medical Advice
Managing Suppurative Preauricular Sinus in Children Before Surgery
The preauricular sinus has become infected? Hello, my child is scheduled for surgery to remove something on November 20, but has developed an abscess that is nearly one centimeter in size on November 13. Should we drain it first, or can the surgery address it at the same time?
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it may be advisable to initially use antibiotics and other medications to wait for the infection to subside before proceeding with surgery. However, if the infection is too severe, it may be necessary to first perform an incision and drainage to ...[Read More] Managing Suppurative Preauricular Sinus in Children Before Surgery
Understanding Inner Ear Imbalance and Vestibular Neuritis Symptoms
Inner ear imbalance and vestibular neuritis issues? Hello Doctor: Since October, I have been experiencing dizziness, mild nausea, and occasional vomiting. I consulted an otolaryngologist who diagnosed me with inner ear imbalance and advised me to avoid quick head movements. Throu...
Dr. Zheng Jueyi Reply:
Hello, 1. Inner ear imbalance can lead to a transient or persistent sensation of unsteadiness, sometimes accompanied by tinnitus. However, if the symptoms persist without improvement, it is advisable to continue seeking medical evaluation from an otolaryngologist and a neurolog...[Read More] Understanding Inner Ear Imbalance and Vestibular Neuritis Symptoms
Understanding Tinnitus: Causes, Diagnosis, and Treatment Options
How many days have you been experiencing tinnitus? I have been experiencing tinnitus lately, which sounds like a high-pitched cicada. It seems to be present in both ears, but I'm not sure which ear is producing it; it feels like it's more prominent in the right ear, alt...
Dr. Zheng Jueyi Reply:
Hello: If there are no obvious abnormalities found during the examination, tinnitus is often triggered by anxiety, lack of sleep, or other related physical symptoms. It is advisable to first address other issues such as anxiety or allergic rhinitis. If the tinnitus persists witho...[Read More] Understanding Tinnitus: Causes, Diagnosis, and Treatment Options
Understanding Itchy Ears While Sleeping: Causes and Solutions
Itchy deep inside the ear while sleeping? Hello, sometimes I experience intense itching deep inside my right ear while sleeping, and swallowing increases the itchiness. During these episodes, using an ear pick to reach deeper areas causes pain, but the itching sensation feels sig...
Dr. Zheng Jueyi Reply:
Hello, it is recommended to visit an otolaryngologist for confirmation. Commonly, this is related to external auditory canal infections. If the infection has improved but itching persists, it is advisable to enhance the control of allergic rhinitis, as inadequate allergy manageme...[Read More] Understanding Itchy Ears While Sleeping: Causes and Solutions
Which Specialist to See for Persistent Speech Clarity Issues?
Which department should I consult? Hello doctor, I have a question. If someone has had unclear speech since childhood, but their hearing is normal and their tongue can move properly, should they see a specialist? Is it sufficient to visit a clinic, or should they go to a larger h...
Dr. Ji Zhaoyun Reply:
Hello, it is recommended to first consult with a neurologist and an otolaryngologist. If further rehabilitation is needed, you will be referred to a rehabilitation specialist. Wishing you peace and good health.[Read More] Which Specialist to See for Persistent Speech Clarity Issues?
Understanding Ear Noises: Should You Worry About Insects?
Please ask your question? Hello Doctor, while I was taking a nap in my dormitory, I suddenly heard a sound in my right ear that resembled a mosquito. It was just for a moment, and I'm not sure if I misheard it. Later, I didn't see any mosquitoes, and when I checked my e...
Dr. Zheng Jueyi Reply:
Hello: When a mosquito enters the ear, it often causes a persistent buzzing sound. If there is no significant discomfort, you may observe it yourself. However, if you are concerned or if discomfort persists, it is advisable to seek medical attention for a check-up. Wishing you sa...[Read More] Understanding Ear Noises: Should You Worry About Insects?
Persistent Fish Bone Sensation in Throat: When to Seek Further Medical Evaluation?
Fish bone stuck in the throat? Hello Doctor: Three weeks ago, I accidentally inhaled a fish bone while eating a thinly grilled salmon. The bone is less than 1 cm long. I urgently went to a nearby hospital and informed them of the approximate location of the bone (about 1 cm above...
Dr. Zheng Jueyi Reply:
Hello, if you continue to feel unwell, it is advisable to return for a follow-up examination. As for what tests need to be arranged, that will depend on clinical judgment. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Ta...[Read More] Persistent Fish Bone Sensation in Throat: When to Seek Further Medical Evaluation?
Choking on Frozen Tofu: Understanding Throat Discomfort and Diagnosis
Choking on frozen tofu? Today, I accidentally choked on some frozen tofu while trying to swallow it after biting it into pieces. I felt like something was stuck in my nose area, close to my throat. I thought it would feel better after waking up, but it didn't, so I went to a...
Dr. Ji Zhaoyun Reply:
Hello, it is indeed rare for generally young and healthy males to experience food such as frozen tofu getting stuck in the nasopharynx or throat; this situation is more commonly seen in elderly individuals with altered consciousness. However, if symptoms persist and there are con...[Read More] Choking on Frozen Tofu: Understanding Throat Discomfort and Diagnosis
Understanding Vestibular Migraine: Symptoms, Diagnosis, and Treatment Options
Dizziness consultation Hello Doctor, 1. I have been troubled by a feeling of dizziness (lightheadedness) for over ten years. Recently, after undergoing all the ENT examinations at National Taiwan University Hospital, the doctor diagnosed me with vestibular migraine. I feel grogg...
Dr. Ji Zhaoyun Reply:
Hello, dizziness has many possible causes: 1) If there is hypoplasia of the right vertebral artery combined with insufficient perfusion, it may lead to poor blood circulation in the head and neck. 2) If accompanied by ear fullness, ear pressure, or hearing loss, it may suggest su...[Read More] Understanding Vestibular Migraine: Symptoms, Diagnosis, and Treatment Options
Persistent Throat Irritation: Causes and Solutions for Mucus Issues
There is phlegm in the throat that feels itchy? In recent months, I have frequently felt like there is phlegm in my throat, which is itchy and makes me want to cough. The color of the phlegm is clear and stringy. Sometimes I cough to the point of feeling a bit nauseous. At times ...
Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be indicative of chronic pharyngitis. It is recommended to undergo laryngoscopy to rule out any masses, as well as to consider pharmacological treatment. If there is blood-streaked sputum, further examination of the chest and gastrointestina...[Read More] Persistent Throat Irritation: Causes and Solutions for Mucus Issues
Understanding Outer Ear Pain: Causes and Remedies for Discomfort
Pain in the outer ear? Hello, doctor. I would like to ask you a question. I have been experiencing mild pain on the outer part of both ears, specifically on the upper outer area and near the inner side close to the head. The pain is not severe enough to require medication, but it...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could potentially be due to the following conditions: 1) Otitis externa 2) Migraine 3) Trigeminal neuralgia 4) Otitis media: a) Acute otitis media: often occurs alongside upper respiratory infections (colds), sinusitis, etc., and in severe cases, t...[Read More] Understanding Outer Ear Pain: Causes and Remedies for Discomfort
Can Everyone Use Bronchodilators Before Running Tests?
Medical consultation I apologize, but as a military personnel, I often face challenges with running due to physical fitness tests. I recently discussed with a friend the possibility of using bronchodilators before the running test to reduce shortness of breath. I would like to kn...
Dr. Zheng Jueyi Reply:
Hello, bronchodilators are not suitable for everyone and may cause side effects such as rapid heartbeat. It is advisable to use them only under the guidance of a physician's prescription for safety. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the D...[Read More] Can Everyone Use Bronchodilators Before Running Tests?
Do Ants in Your Ear Require an ENT Visit? Common Symptoms Explained
Please ask your question, and I'll do my best to assist you? Hello, Dr. Zheng. This morning while I was eating at an outdoor table, I noticed a lot of ants on it. I rested my hand on the table for about 5 minutes, and now I'm worried that an ant might have crawled into ...
Dr. Zheng Jueyi Reply:
Hello: If you experience persistent noise in your ears or continuous itching accompanied by pain, it is advisable to seek medical evaluation for confirmation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospita...[Read More] Do Ants in Your Ear Require an ENT Visit? Common Symptoms Explained
Do Ants in Your Ear Require an ENT Visit? Common Symptoms Explained
Please ask your question, and I'll do my best to assist you? Hello, Dr. Zheng. This morning while I was eating at an outdoor table, I noticed a lot of ants on it. I rested my hand on the table for about 5 minutes, and now I'm worried that an ant might have crawled into ...
Dr. Zheng Jueyi Reply:
Hello: If you experience persistent noise in your ears or continuous itching accompanied by pain, it is advisable to seek medical evaluation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry o...[Read More] Do Ants in Your Ear Require an ENT Visit? Common Symptoms Explained
Understanding Bronchial Sensitivity and Care for Persistent Coughing
Bronchial sensitivity and maintenance issues? Hello Doctor: I have been prone to coughing since childhood, especially during seasonal changes or significant weather fluctuations, which makes me more susceptible to colds. However, often after other cold symptoms have resolved, my ...
Dr. Zheng Jueyi Reply:
Hello: The three most common causes of chronic cough are asthma, allergic rhinitis with postnasal drip, and gastroesophageal reflux disease (GERD). It is advisable to visit an otolaryngologist to confirm whether you have allergic rhinitis or sinusitis, and medications can be used...[Read More] Understanding Bronchial Sensitivity and Care for Persistent Coughing
Understanding Nasopharyngoscopy: Recovery, Risks, and Aftercare
Nasopharyngoscopy 1. After receiving a local anesthetic spray in the mouth and undergoing a right-sided nasopharyngoscopy, it is generally recommended to wait at least 1 to 2 hours before eating. If you eat within 1 hour, you may risk choking or not being able to properly swallow...
Dr. Zheng Jueyi Reply:
Hello, 1. Anesthesia generally wears off in about half an hour. You may drink water, and if there is no coughing, it indicates that your throat has recovered, and you can start eating. 2. Typically, improvement occurs naturally within a week. You can monitor your condition, b...[Read More] Understanding Nasopharyngoscopy: Recovery, Risks, and Aftercare
Snoring, Choking Sensations, and Tonsillitis: ENT Concerns Explained
Snoring, susceptibility to choking, tonsillitis? Hello, doctor. I have had a snoring problem for a long time and underwent a sleep study, which showed no signs of sleep apnea. After having a septoplasty, there was still no improvement, and sometimes I feel like I can't clear...
Dr. Zheng Jueyi Reply:
Hello, snoring is a multifactorial issue. Septoplasty may provide partial improvement. If there are issues with nasal allergies, it is advisable to strengthen control over them first. Additionally, weight loss and sleeping on one's side can help address the snoring problem. ...[Read More] Snoring, Choking Sensations, and Tonsillitis: ENT Concerns Explained
Understanding Oral Granules: When to See an ENT or Dentist
Oral granules Hello doctor, for the past few days, I have felt many small, bump-like objects on the inner sides of my lips and tongue. They are not painful to the touch, and visually they appear slightly raised without any obvious blisters. What could be causing this issue? Shoul...
Dr. Zheng Jueyi Reply:
Hello: The common issue may be related to the small salivary glands in the oral cavity. If you are concerned, you can visit an otolaryngology or dental clinic for confirmation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryng...[Read More] Understanding Oral Granules: When to See an ENT or Dentist
Difficulty Swallowing with Ear Pain: Understanding ENT Issues
There is a sensation of difficulty swallowing that extends to the ear? Two weeks ago, I primarily experienced throat discomfort and mild cold symptoms. After visiting my primary care physician, the doctor did not prescribe cold medication but instead provided treatment for esopha...
Dr. Zheng Jueyi Reply:
Hello, if you continue to experience difficulty swallowing or a persistent sensation of a foreign body that has not improved, it is recommended to follow up with an otolaryngologist or consult a gastroenterologist for further evaluation. Wishing you safety and good health. Sincer...[Read More] Difficulty Swallowing with Ear Pain: Understanding ENT Issues