Infection, Otolaryngology FAQ

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Understanding Neck Mass: Does Aspiration Affect Tumor Size?

Concerns Regarding Fine Needle Aspiration of Neck Masses The left upper part of my neck has suddenly swollen significantly over the past two weeks. It does not hurt when pressed. I went to the ENT department for a fine needle aspiration, and over the course of a week, it graduall...


Dr. Ji Zhaoyun Reply:
Changes in neck masses can be caused by various factors. Here are some possible scenarios and explanations: ### Reasons for Decrease in Mass Size After Aspiration 1. **Reduction of Inflammatory Response**: If the mass is due to infection or inflammation, the reduction of local p...

[Read More] Understanding Neck Mass: Does Aspiration Affect Tumor Size?


Understanding Elevated Eosinophil Levels: Implications for ENT Symptoms

An elevated eosinophil count may indicate various health issues. It can be associated with allergic reactions, parasitic infections, autoimmune diseases, and certain types of cancers. It is important to consult a healthcare professional for a thorough evaluation and appropriate d...


Dr. Ji Zhaoyun Reply:
Based on the medical history and examination data you provided, here are some possible explanations and recommendations: ### Symptom Analysis 1. **Sensation of a foreign body in the throat**: This sensation may be caused by various factors, including chronic pharyngitis, gastroe...

[Read More] Understanding Elevated Eosinophil Levels: Implications for ENT Symptoms


Understanding Ear Popping: Is It a Ruptured Eardrum?

There is a popping sound in the ear? I recently caught a cold, and while blowing my nose at night, I heard a loud pop in my ear, followed by a sharp pain. Could this be a ruptured eardrum? However, I currently have the flu and cannot go out to see a doctor. How should I handle th...


Dr. Zheng Jueyi Reply:
Hello, a perforated eardrum caused by an infection may heal on its own, typically within a few weeks. However, it is advisable to seek medical evaluation to confirm the status of the perforation. If you are experiencing discomfort from the flu, you should also seek medical treatm...

[Read More] Understanding Ear Popping: Is It a Ruptured Eardrum?


Understanding Enlarged Lymph Nodes: Causes and Concerns in ENT Health

Lymphadenopathy A month ago, I experienced swollen lymph nodes in the anterior neck, hoarseness, and bilateral mucous membrane cysts in the lower lip area, which led to a CT scan. FINDINGS: Thyroid: no pathology. Nasopharynx, oropharynx, hypopharynx, larynx, oral cavity: no patho...


Dr. Ji Zhaoyun Reply:
According to the CT report you provided, no significant issues were found, including diseases of the salivary glands (such as sialolithiasis or sialadenitis) and abnormalities in other related structures. However, you mentioned that the day after the CT scan, you noticed lymph no...

[Read More] Understanding Enlarged Lymph Nodes: Causes and Concerns in ENT Health


Understanding Water Inhalation: Symptoms and Risks Explained

Drinking Water Issues When drinking water, it flowed into my throat before I even started swallowing. I'm unsure whether it went into my esophagus or trachea, so I've combined these unusual circumstances into this question. About five minutes after the incident, I felt ...


Dr. Ji Zhaoyun Reply:
Hello, when water or other liquids accidentally enter the trachea (also known as aspiration), the body typically exhibits some obvious responses to try to clear the foreign substance. Here are some possible symptoms and reactions: ### Immediate Reactions 1. **Coughing**: This is...

[Read More] Understanding Water Inhalation: Symptoms and Risks Explained


Understanding Sinusitis: Symptoms, Treatment, and Recovery Insights

Is it sinusitis? I would like to ask the doctor about experiencing pain in my nose and around my eye sockets last week that was severe enough to make me tear up during the night. The next day, I went to an ENT specialist who diagnosed me with sinusitis and prescribed antibiotics ...


Dr. Ji Zhaoyun Reply:
Based on your description, your symptoms include discomfort in the bridge of the nose, eye sockets, and back of the head, which are particularly noticeable when lying down. These symptoms may indeed be related to sinusitis. Sinusitis (or sinus inflammation) is a common condition ...

[Read More] Understanding Sinusitis: Symptoms, Treatment, and Recovery Insights


Choking on Rice: Understanding Throat Discomfort and Risks

Choked on a grain of rice but can breathe normally? Accidentally choking on a grain of rice while eating, I first spat out the food in my mouth before starting to cough, with the entire process being consciously controlled rather than an unconscious or physiological response. Aft...


Dr. Ji Zhaoyun Reply:
Based on your description, you experienced choking on a grain of rice while eating, and you feel a foreign body sensation in your throat. You also experience a momentary pain in the epiglottis when drinking water. However, due to the vague nature of your symptoms, there could be ...

[Read More] Choking on Rice: Understanding Throat Discomfort and Risks


Understanding Throat Foreign Body Sensation: Causes and Solutions

Sensation of a foreign body in the throat? Hello Doctor, on the night of July 8th, while eating fish, I felt something scratch my throat, which was painful. When I woke up in the morning, I noticed discomfort on the right side of my throat. I visited a clinic where the doctor sai...


Dr. Ji Zhaoyun Reply:
Based on your detailed description, your symptoms include sore throat, a sensation of a foreign body, difficulty swallowing, elevated body temperature, loss of appetite, fatigue, chest tightness, as well as abdominal pain and diarrhea. These symptoms may be caused by various fact...

[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions


Understanding Ear Pulsations During a Cold: Causes and Remedies

My ear feels strange? Hello, I am currently experiencing a cold with severe nasal congestion and runny nose, which is very uncomfortable. Two nights ago, I felt a strong pulsation in the blood vessels of my right ear, a thumping sensation. After a night's sleep, it improved,...


Dr. Zheng Jueyi Reply:
Hello, common causes of sensory abnormalities that may be related to infections can be addressed by first improving symptoms of a cold or viral infection, especially if there is no significant hearing loss. Once the symptoms of the infection improve, you can observe whether the s...

[Read More] Understanding Ear Pulsations During a Cold: Causes and Remedies


Can Adults with Earwax Impaction Self-Heal Without Treatment?

In adults, if a venous embolism is not causing any distress, can it heal on its own? Hello, doctor. I was diagnosed with earwax impaction during a health check-up about ten months ago, but I haven't addressed it since. Over the past year, aside from occasional mild itching a...


Dr. Ji Zhaoyun Reply:
Based on your description, you have been diagnosed with earwax impaction during your health check-up, but currently, you have no significant issues or symptoms aside from occasional mild ear discomfort. Here are some recommendations, but please note that online consultations are ...

[Read More] Can Adults with Earwax Impaction Self-Heal Without Treatment?


Understanding Throat Pain and Hearing Changes: ENT Insights

Otolaryngology I have been experiencing a sore throat for the past few days, along with coughing and wheezing. Initially, I thought it was due to tachycardia, but every time I cough or wheeze, I also experience dry heaving, whether I'm sitting still or moving around. I can&#...


Dr. Ji Zhaoyun Reply:
Based on your description, you have recently experienced symptoms of sore throat, cough, wheezing, and auditory disturbances. These symptoms may be related to various factors, including a cold, throat infection, respiratory issues, or other medical conditions. Here are some recom...

[Read More] Understanding Throat Pain and Hearing Changes: ENT Insights


Understanding Lingual Papillae: Normal Variations or HPV Concerns?

Lingual base protrusion I'm sorry, but I can't access external links. However, I can help answer your questions based on the information you provide. Please describe your symptoms or concerns in detail, and I'll do my best to assist you.


Dr. Zheng Jueyi Reply:
1. Commonly, the circumvallate papillae at the base of the tongue may be observed; if there are no symptoms, monitoring is sufficient. If there are concerns, you may visit an otolaryngologist for examination and confirmation. 2. An elevated body temperature is often associated wi...

[Read More] Understanding Lingual Papillae: Normal Variations or HPV Concerns?


Understanding Preauricular Sinus Infections: When to Seek ENT Care

Preauricular sinus issues? Hello Doctor, my son was born with a small pit in his right ear, which is an auricular sinus, and it has been fine until now. The first infection occurred when he was one and a half years old, when he contracted an adenovirus, and I later noticed swelli...


Dr. Zheng Jueyi Reply:
Hello, 1. If the preauricular sinus is inflamed due to a bacterial infection, such as noticeable redness, swelling, heat, and pain, antibiotics are necessary for improvement. You can visit either an otolaryngologist or a pediatrician. 2. If there is severe cellulitis or recurrent...

[Read More] Understanding Preauricular Sinus Infections: When to Seek ENT Care


Understanding Preauricular Sinus Infections: When to See an ENT Specialist

Preauricular sinus issues? Hello Doctor, my son was born with a small pit in his right ear, which is an auricular fistula, and it has been fine until now. The first inflammation occurred when he was one and a half years old, during which he contracted an adenovirus infection, and...


Dr. Zheng Jueyi Reply:
Hello, 1. If the preauricular sinus is inflamed due to a bacterial infection, such as noticeable redness, swelling, heat, and pain, antibiotics are necessary for improvement. You can visit either an otolaryngologist or a pediatrician. 2. If there is severe cellulitis or recurrent...

[Read More] Understanding Preauricular Sinus Infections: When to See an ENT Specialist


Accidentally Double Dosing Antibiotics: Risks and Effects Explained

Accidentally taking two extra doses of antibiotics? If you accidentally took an antibiotic once at noon and then took it again in the evening, this could lead to taking the medication too close together, which may increase the risk of side effects or toxicity. It is important to ...


Dr. Ji Zhaoyun Reply:
Hello, regarding your question: ### 1. Effects of Not Taking Antibiotics at Regular Intervals If you have taken antibiotics twice in a short period, such as at noon and in the evening, there may be several effects: - **Increased Side Effects**: The concentration of the antibioti...

[Read More] Accidentally Double Dosing Antibiotics: Risks and Effects Explained


Understanding Oral Candidiasis and Its Complications: A Patient's Inquiry

Oral candidiasis and other complications inquiry? Dear Doctor: I started experiencing significant redness and swelling in my gums around early April. The swelling extended to the sides of my tongue and jaw, as well as the mucosa on both sides of my mouth. Eventually, my lips and ...


Dr. Zheng Jueyi Reply:
Hello, since there was no actual consultation, I can only speculate on the physician's thought process. Given that redness and swelling are often associated with infection, the physician might consider improving the infection through dental cleaning or other local treatments...

[Read More] Understanding Oral Candidiasis and Its Complications: A Patient's Inquiry


Understanding White Foamy Sputum: Causes and Concerns in ENT Health

White frothy sputum Hello, doctor. About six months ago, an X-ray revealed that I had phlegm accumulation in my lungs. The doctor prescribed antibiotics, and I improved significantly. However, after a recent cold, I have been experiencing an increased amount of phlegm regardless ...


Dr. Ji Zhaoyun Reply:
Hello, thank you for providing a detailed description of your symptoms. Based on your description, you have recently experienced a significant amount of foamy white sputum, which may be related to various factors. Here are some possible causes and recommendations, but please be s...

[Read More] Understanding White Foamy Sputum: Causes and Concerns in ENT Health


Understanding Lymph Node Issues: When to Seek Medical Attention

Lymph node issues? Hello doctor, I have a left-sided neck lymph node that has been present for a long time (I’m not sure how long, but it should be at least over a year). I haven't gone to a major hospital for an examination. On May 22 of this year, it suddenly enlarged and ...


Dr. Ji Zhaoyun Reply:
Hello, thank you for providing a detailed description of your situation. Here are some suggestions and considerations, but please be sure to discuss them further in person with your specialist for personalized diagnosis and treatment plans, as online consultations cannot replace ...

[Read More] Understanding Lymph Node Issues: When to Seek Medical Attention


Morning Hoarseness After Tonsillitis: Causes and Recovery Time

Hoarseness in the morning due to tonsillitis? Hello, doctor. Last Friday, I went to the clinic because I was experiencing pain when swallowing saliva. The doctor diagnosed me with tonsillitis. I didn't have a fever or other symptoms, and after taking antibiotics for about th...


Dr. Zheng Jueyi Reply:
Hello, laryngeal edema and inflammation commonly occur due to multiple infections, and it usually takes about a week to gradually recover. However, hoarseness caused by laryngeal cancer tends to persist. If the hoarseness lasts for more than a week without improvement, it is advi...

[Read More] Morning Hoarseness After Tonsillitis: Causes and Recovery Time


Understanding COVID-19 Transmission Risks in the Workplace

Transmission routes of COVID-19 Hello Doctor: In the past week, several colleagues at my company have tested positive for COVID-19. The colleagues sitting directly behind me, who are facing away from me, have all tested positive, yet they continue to come to work. Among them, two...


Dr. Zheng Jueyi Reply:
Hello, if your immune system is normal or you have been vaccinated, exposure to the virus does not necessarily lead to infection, and most likely, any resulting illness will be mild. It is recommended that if you have a fever accompanied by upper respiratory symptoms, you can per...

[Read More] Understanding COVID-19 Transmission Risks in the Workplace


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