Understanding the Impact of TMJ Disorders on Ear Health
Temporomandibular joint (TMJ) I apologize, doctor, but I have a couple of questions. Due to tightness in my temporomandibular joint (TMJ), I experience sharp pain and a feeling of fullness in my ears. After an examination, the doctor mentioned that my ears are slightly retracted,...
Dr. Zheng Jueyi Reply:
Hello: In theory, it is quite rare for temporomandibular joint (TMJ) issues to affect Eustachian tube function and lead to middle ear inflammation and fluid accumulation. Additionally, TMJ problems generally do not cause hearing impairment. Wishing you safety and health. Sincerel...[Read More] Understanding the Impact of TMJ Disorders on Ear Health
Which Specialists to Consult for Hearing Impairment Assessment?
You should consult an audiologist to assess whether there is a hearing impairment? Dear Dr. Zheng, I am currently working as a social worker in a unit for individuals with disabilities. One of my service users underwent a health check and was reported to have normal hearing; how...
Dr. Zheng Jueyi Reply:
Dear Social Worker Chi, You may register at the ENT department of the hospital for an examination. If you are unable to undergo pure tone audiometry, you can still have an Auditory Brainstem Response (ABR) test at the hospital, which will provide information about your current ...[Read More] Which Specialists to Consult for Hearing Impairment Assessment?
Understanding Dizziness: Insights from Traditional and Modern Medicine
Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology) After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows: 1. Traditional Chinese Medicine: (1) Excess...
Dr. Zheng Jueyi Reply:
Hi Rick, There are many causes of dizziness. After numerous examinations, no serious issues have been found. The cause may be as you have assessed, possibly due to a lack of exercise and increased stress leading to nerve tension or anxiety. Additionally, it is important to monit...[Read More] Understanding Dizziness: Insights from Traditional and Modern Medicine
Understanding Hearing Test Results: What Do 75dB and 70dB Mean?
Hearing concerns? Doctor, I had a hearing test and my left ear showed 75 dB and my right ear showed 70 dB. Additionally, the results were marked in red. What does this mean? Do I need further examination? Thank you.
Dr. Zheng Jueyi Reply:
Dear Wei-Ge, Hello. If the average hearing levels are 75 dB and 70 dB, it may indicate hearing impairment, as the normal range is within 25 dB. Higher values suggest that louder sounds are needed to be heard. It is recommended to visit a hospital for a detailed hearing examinat...[Read More] Understanding Hearing Test Results: What Do 75dB and 70dB Mean?
Understanding Tinnitus: Hearing Thresholds and Related Concerns
Tinnitus? I underwent a pure tone audiometry test due to tinnitus, and the doctor informed me of the following: 1. What does "ear buzzing" mean? 2. Is a hearing threshold of 40 decibels in the left ear considered normal aging, damage, or deafness? 3. Is a hearing thresh...
Dr. Xu Jiazhen Reply:
Hello: The hearing issues we are concerned about are considered normal if they are within 30 decibels. If your average hearing loss is at 40 decibels, it is advisable to investigate the cause. Although it may not be possible to restore the damaged portion, understanding the cause...[Read More] Understanding Tinnitus: Hearing Thresholds and Related Concerns
Understanding Adult Otitis Media with Effusion: Key Questions Answered
Adult otitis media with effusion Dr. Hsu: Hello! A while ago, my mother experienced repeated colds for about a month. During the later stages of her cold, she reported that she seemed to have some hearing impairment in one ear (we also noticed that we needed to speak louder than ...
Dr. Xu Yingzhuo Reply:
Hello, Little Black Pig: Middle ear effusion can be classified into acute and chronic types. Acute otitis media leading to middle ear effusion is caused by bacterial infection, with symptoms including ear pain and even discharge. Antibiotics can be effective in this case. Howev...[Read More] Understanding Adult Otitis Media with Effusion: Key Questions Answered
Can Hearing Tests Alone Confirm No Issues with Auditory Nerve?
Can hearing tests alone determine if there are no issues with the auditory nerve? Hello, Doctor Hsu. About a month ago, I started experiencing persistent tinnitus in my right ear while lying in bed at night. The cause is unclear and could be due to various factors. I have a histo...
Dr. Xu Jiazhen Reply:
An experienced otolaryngologist can easily determine the possible causes of a patient's hearing impairment from an accurate audiogram. If there is a dislocation or damage to the ossicles, evidence can be seen on the audiogram. Of course, further CT imaging provides us with m...[Read More] Can Hearing Tests Alone Confirm No Issues with Auditory Nerve?
Understanding Stapes Otosclerosis: Hope for Children's Hearing Loss
Otosclerosis of the stapes? Dear Dr. Hsu, I recently learned from the news that you have brought new hope to a young patient, and I hope that this good fortune can also come to us. My son is currently in the fourth grade. We discovered his hearing impairment when he was in kinde...
Dr. Xu Jiazhen Reply:
I understand the anxiety of a concerned parent regarding your child's congenital issue. The pressure you feel and the hope for your child’s recovery are completely understandable. In cases of diagnosed otosclerosis, the most challenging aspect is the management of the stapes...[Read More] Understanding Stapes Otosclerosis: Hope for Children's Hearing Loss
Understanding Ear Infections and Fungal Issues: What to Expect
Ear inflammation and fungal infection issues? In the past 1-2 months, I have frequently experienced inflammation in my left ear. I visited an otolaryngologist, who informed me that the recurrent inflammation has led to a fungal infection, and there is also a mild infection in my ...
Dr. Zheng Jueyi Reply:
Dear A-Qi, Hello. An external auditory canal fungal infection can cause symptoms such as ear fullness, itching, or tinnitus, and may even lead to mild hearing impairment. These symptoms should naturally resolve after the fungal infection of the external auditory canal is cured, ...[Read More] Understanding Ear Infections and Fungal Issues: What to Expect
Understanding Hearing Loss: Insights on Mild High and Low Frequency Degeneration
Please conduct a hearing test? Hello, I would like to ask: I underwent a pure tone audiometry test, and the results showed mild high-frequency hearing loss in my left ear with a hearing threshold of 40 decibels, and mild low-frequency hearing loss in my right ear with a hearing t...
Dr. Ye Dawei Reply:
Dear Sir/Madam, 1. Tinnitus is a condition where the patient perceives sounds in the ear. 2. The report indicates mild hearing impairment, but not deafness. Please follow up at the Otolaryngology outpatient clinic. Sincerely, Dr. Da-Wei Yeh, Department of Otolaryngology,...[Read More] Understanding Hearing Loss: Insights on Mild High and Low Frequency Degeneration
Understanding and Managing Recurring Dizziness: Insights on Meniere's Disease
Recurrent dizziness Approximately 3-4 months ago, the patient experienced sudden severe dizziness and vomiting, leading to a visit to a teaching hospital where a brain CT scan was performed and deemed normal by the physician. Due to recurrent episodes, the patient continued to se...
Dr. Xu Jiazhen Reply:
Patients with vertigo have various underlying causes, and a neurological examination is generally required for a definitive diagnosis. If we consider Meniere's disease, symptoms often improve with medication. However, as you mentioned in your letter, if you are experiencing ...[Read More] Understanding and Managing Recurring Dizziness: Insights on Meniere's Disease
Understanding Meniere's Disease: Symptoms, Diagnosis, and Treatment Options
Meniere's disease? What is Meniere's disease? Is dizziness and anemia related to it? How can it be diagnosed and treated? Can supplementing with vitamin B1 improve the condition? Thank you!
Dr. Ye Dawei Reply:
Subject: Q1: What is Meniere's disease? A1: In simple terms, if a patient experiences vertigo, tinnitus, and hearing impairment, a physician will consider this condition. The renowned Japanese physician Ichiro Chiba even described it as "7 points disease" due to th...[Read More] Understanding Meniere's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Mutism: Causes, Genetics, and Prevention Strategies
I would like to inquire about the matter of being mute! Why do people become mute? Can muteness be inherited by the next generation or subsequent generations? Can it be detected during premarital or prenatal screenings? If it is hereditary, how can it be prevented? Dr. Cheng, ple...
Dr. Zheng Jueyi Reply:
Dear A-Wen, Hello. The majority of cases of mutism are caused by congenital hearing impairment, as the inability to hear sounds leads to an inability to learn language. Cases related to abnormalities in the laryngeal structure or vocal cords are relatively rare. Clinically, a co...[Read More] Understanding Mutism: Causes, Genetics, and Prevention Strategies
Understanding Hearing Loss: Causes, Symptoms, and Levels Explained
Hello, how can I assist you? Hello, I have a few questions: 1. What are the causes of hearing degradation that can lead to impairment? 2. I underwent a pure tone audiometry test and found that my left ear has mild high-frequency degradation with a hearing threshold of 40 decibels...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, according to your literal question, hearing loss is defined as when a patient feels that their hearing is insufficient for their daily needs. The most common cause of hearing deterioration is "aging." Since each person's physical condition var...[Read More] Understanding Hearing Loss: Causes, Symptoms, and Levels Explained
Understanding Tinnitus: Managing Symptoms from Noise and Fatigue
Tinnitus (noise-induced insomnia) Recently, I have had to complete many reports, which has led to staying up late until three or four in the morning. During the day, there has been construction work going on upstairs. I used to be woken up by the noise, but now it seems that due ...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, I recommend that you visit a hospital for a hearing test to rule out the possibility of hearing impairment. Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Understanding Tinnitus: Managing Symptoms from Noise and Fatigue
Understanding Tinnitus: Insights from ENT Specialists in Taiwan
Reply to the doctor's question - Thank you for your assistance? Your question: Since elementary school, I have experienced a crackling sound in my left ear when exposed to loud noises (similar to the sound of a radio without a signal), but I didn't think much of it. Rec...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Tinnitus is indeed a challenging issue to address. Most patients worry about the possibility of an undetected serious underlying condition, and the diagnosis and treatment often test the physician's capabilities. Here, we must honestly and humbly inform you t...[Read More] Understanding Tinnitus: Insights from ENT Specialists in Taiwan
Can Tinnitus Improve After Eardrum Repair? Expert Insights
Is it possible to improve tinnitus? Hello Doctor: I would like to ask about a situation where the eardrum has ruptured and has healed, but there is still persistent tinnitus that sounds like a heartbeat. The noise becomes louder during quiet or noisy environments to the point of ...
Dr. Xu Jiazhen Reply:
After surgery for otitis media, some patients may still experience lingering effects from the previous inflammation, such as hearing impairment or tinnitus, which are quite common in outpatient settings. However, you mentioned being able to hear your own heartbeat and experiencin...[Read More] Can Tinnitus Improve After Eardrum Repair? Expert Insights
Understanding Hearing Loss from Sneezing: Symptoms and Causes
Hearing impairment Hello: Covering your mouth and nose while sneezing may cause hearing loss. In such cases, is hearing loss accompanied by other symptoms? What are those symptoms?
Dr. Chen Jianzhi Reply:
Dear Inquirer: Based on your description, when sneezing, it is advisable to cover your mouth and nose with a handkerchief rather than pinching your nose with your fingers, as the latter may cause barotrauma to the eardrum, leading to hearing impairment. Typical symptoms of hear...[Read More] Understanding Hearing Loss from Sneezing: Symptoms and Causes
Understanding Hearing Loss: Causes and Concerns for Patients
Hearing deterioration Hello, what are the causes of hearing degradation that can lead to impairment? I underwent a pure tone audiometry test, which showed mild high-frequency degradation in my left ear with a hearing threshold of 40 decibels, and mild low-frequency degradation in...
Dr. Ye Dawei Reply:
Dear Sir/Madam, High-frequency hearing loss is considered a normal aging phenomenon, while low-frequency loss varies from person to person. Hearing impairment can be categorized based on the location of the pathological changes into "conductive hearing loss" and "...[Read More] Understanding Hearing Loss: Causes and Concerns for Patients
Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Tinnitus issues? I have been experiencing tinnitus for the past 11 years, and sometimes I even have ear pain. I have undergone examinations before, and they all indicated that there were no issues. However, when the doctor used a stethoscope, they could indeed hear the same sound...
Dr. Ye Dawei Reply:
Subject: Q: Is there a way to treat tinnitus? A: Not necessarily treatable. ● Classification of Tinnitus The phrases "tinnitus is the gradual onset of deafness" and "if tinnitus persists, it will lead to deafness" highlight the potential severity of tinnitus...[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options