Understanding Painless Bumps Under the Tongue: ENT Insights
Under the tongue Small, painless, and non-itchy nodules that do not bleed when pressed firmly with a finger.
Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be due to chronic inflammation, viral infection, ulcers, papillomas, malignant lesions, or other pathologies. It is recommended to seek medical evaluation. If necessary, an outpatient biopsy can be performed for pathological examination. Dai...[Read More] Understanding Painless Bumps Under the Tongue: ENT Insights
Understanding Ear Pulsations: Causes and Concerns for Tinnitus Sufferers
Tinnitus with a pulsating sound in the ear? Hello, doctor. For the past ten days, whenever I exert my mouth, pucker my lips, or smile (using the muscles on the left side of my mouth), I hear a thumping sound in my left ear (similar to a jackhammer or the bubbling sound of boiling...
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, bending over, or experiencing a rapid decrease in body weight. 2) ...[Read More] Understanding Ear Pulsations: Causes and Concerns for Tinnitus Sufferers
Understanding Soft Lumps Behind the Ear and Neck: Causes and Concerns
Postauricular mass / cervical mass Hello, doctor! Recently, I noticed a slight swelling behind my left ear that feels soft to the touch, and there is no significant pain when pressed. There is also a small oval-shaped lump (1 to 1.5 cm long) in the middle of the left side of my n...
Dr. Zheng Jueyi Reply:
Hello: It is common to experience cervical lymphadenopathy. If there is no significant enlargement or pain, it is advisable to monitor the situation. However, if the lymph nodes continue to enlarge or increase in number, it is recommended to seek medical evaluation for confirmati...[Read More] Understanding Soft Lumps Behind the Ear and Neck: Causes and Concerns
Understanding Lumps Behind the Ear: Causes and Concerns
Lump issue? There is a movable lump about 1 cm in size behind my right ear. It is not painful, but it has not gone away for two to three months. Recently, I have experienced inflammation in the external auditory canal, and I am unsure if this is the reason for the swelling of the...
Dr. Zheng Jueyi Reply:
Hello: It is common to have enlarged lymph nodes behind the ear, which may be related to infections of the scalp or external auditory canal. If there is no significant pain or continuous enlargement, you may monitor it yourself. However, if you are concerned, you should seek medi...[Read More] Understanding Lumps Behind the Ear: Causes and Concerns
Frequent Nosebleeds: Understanding Causes and Seeking Solutions
Nosebleed, I need assistance from a doctor? Hello, doctor. I have never had a nosebleed from childhood until now, but in the past six months, I have been experiencing frequent nosebleeds, and recently, they have occurred daily. Sometimes I need to use drops. Could this be caused ...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa due to forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, aller...[Read More] Frequent Nosebleeds: Understanding Causes and Seeking Solutions
Understanding Right Mandibular Lymphadenopathy: Causes and Concerns
Right mandibular lymphadenopathy Hello Doctor, I recently went to Chang Gung Hospital for an examination because I have a clicking sound in my throat when swallowing saliva. The doctor suspects that the hyperplasia of the right tonsillar papilloma is causing pressure in my throat...
Dr. Zheng Jueyi Reply:
Hello: There are many factors that can cause lymphadenopathy, including oral infections, lack of sleep, or other chronic inflammation. If no other issues are currently found and there is a papilloma, you may first address the papilloma and then continue to monitor. Wishing you pe...[Read More] Understanding Right Mandibular Lymphadenopathy: Causes and Concerns
Understanding Ear Numbness: Causes and Solutions for Ear Issues
Loss of sensation in the ear? For some reason, when water gets into my ear, it becomes numb. Digging in my ear or applying pressure makes it feel paralyzed, but I can still hear.
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may have the following two possibilities: 1) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (such as colds) and sinusitis. In severe cases, there may be ear discharge or pus. b) Chronic otitis medi...[Read More] Understanding Ear Numbness: Causes and Solutions for Ear Issues
Understanding Enlarged Neck Lymph Nodes: Causes and Follow-Up Care
Improvement of cervical lymphadenopathy? Hello Dr. Zheng, I apologize for the disturbance. Around early November 2019, I noticed a lymph node in my lower jaw triangle area that was about 1-1.5 cm in size on both sides, with the left side being larger. On December 20, I went to Ta...
Dr. Zheng Jueyi Reply:
Hello, 1. If you are concerned, you may return for a follow-up visit or ultrasound in 3-6 months. 2. Lymphadenopathy is associated with immune system abnormalities, and chronic sleep deprivation may lead to chronic inflammation and enlargement of the lymph nodes. 3. Chronic p...[Read More] Understanding Enlarged Neck Lymph Nodes: Causes and Follow-Up Care
Understanding Lymph Node Swelling and Ear Congestion: When to Seek Further Evaluation
Continuation of response #151830 regarding lymphatic swelling issues? Later, I noticed some improvement in the right side of my neck, but it hasn't completely resolved. The doctor continued to prescribe medication and advised me to return for a follow-up appointment for furt...
Dr. Ji Zhaoyun Reply:
Hello, the issue you mentioned regarding ear fullness may be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during air travel, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensori...[Read More] Understanding Lymph Node Swelling and Ear Congestion: When to Seek Further Evaluation
Understanding Small Bumps on the Tongue: ENT Insights
Lingual papillae The area circled in red shows a small bump at the base of the tongue. Is this a sexually transmitted infection?
Dr. Zheng Jueyi Reply:
Hello, it initially appears to be circumvallate papillae at the base of the tongue. If you are concerned, you may seek medical examination for confirmation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospi...[Read More] Understanding Small Bumps on the Tongue: ENT Insights
Understanding Lymph Node Swelling: Causes and Treatment Insights
Lymphadenopathy Hello, doctor: I initially noticed a dry and slightly painful throat about two weeks ago, which felt similar to the onset of a cold. Later, I discovered several swollen lymph nodes on the right side of my neck that are painful when pressed. They are distinct nodes...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you have pharyngitis and oral ulcers accompanied by cervical lymphadenopathy. Treatment typically involves the use of certain medications, and antibiotics may be prescribed if necessary. However, if the cervical swelling co...[Read More] Understanding Lymph Node Swelling: Causes and Treatment Insights
Understanding Ear Congestion and Popping Sounds: Causes and Treatments
Ear fullness with a popping sound? One day in October, after taking a shower, I noticed my ears felt clogged. The next day, I went to a clinic for an examination. The doctor looked into my ears and nose and said it was due to Eustachian tube dysfunction. They prescribed medicatio...
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 and Popping Sounds: Causes and Treatments
Understanding Wind Sounds in the Ear: Possible Causes and Solutions
There is a ringing or buzzing sound in the ear? Hello Doctor: Recently, when I touch my left ear or speak loudly, I hear a wind-like sound. What could be the possible causes of this?
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. 3) Otitis me...[Read More] Understanding Wind Sounds in the Ear: Possible Causes and Solutions
Understanding Tinnitus: Causes and Solutions for Ear Issues
Hearing issues Hello, doctor: Recently, I've been feeling a cool sensation on the top of my head, and I've also been experiencing a buzzing sound in my ears. What could be the cause of this?
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. 3) Otitis me...[Read More] Understanding Tinnitus: Causes and Solutions for Ear Issues
Understanding Neck Papillomas: HPV Infection and Vaccination Guidance
Inquiry about neck papilloma? Hello Doctor, about half a month ago, I discovered a painful lump on the right side of my neck. Recently, I underwent surgery at an otolaryngology clinic to have it removed for testing. During my follow-up appointment to discuss the results, the doct...
Dr. Zheng Jueyi Reply:
Hello: The HPV family consists of 100 types of viruses. Papillomas in the back of the neck may be less related to sexual activity, as the virus is ubiquitous, and other skin contact can also lead to infection with the papillomavirus. Vaccination primarily helps prevent cervical c...[Read More] Understanding Neck Papillomas: HPV Infection and Vaccination Guidance
Pain and Popping Sound in Right Ear When Yawning: Causes and Concerns
When yawning, there is a painful sound in the right ear that resembles the noise of digging for earwax? Hello Doctor: Last night after washing my face, I suddenly started experiencing a painful sensation in my right ear accompanied by a popping sound whenever I yawn. I haven'...
Dr. Ji Zhaoyun Reply:
Hello, the issue 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. 3) Otitis med...[Read More] Pain and Popping Sound in Right Ear When Yawning: Causes and Concerns
Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?
Nasopharyngeal carcinoma, chronic sinusitis? Hello Dr. Chi, I am currently working abroad, and it's not very convenient for me to see a doctor. I have been experiencing post-nasal drip symptoms for a while. A few months ago, I had acute sinusitis and was treated with antibio...
Dr. Ji Zhaoyun Reply:
Hello, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can occur from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhinitis, hyp...[Read More] Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?
Managing Nasal Mucosal Bleeding: Causes and Solutions
Nasal mucosal bleeding? In the past week or two, I've noticed that the nasal mucosa tends to bleed slightly, especially when I blow my nose. Using tissue to wipe it seems to exacerbate the issue. I visited an ear, nose, and throat specialist who performed a nasal endoscopy. ...
Dr. Ji Zhaoyun Reply:
Hello, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can result from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhinitis, hy...[Read More] Managing Nasal Mucosal Bleeding: Causes and Solutions
Understanding Thyroglossal Duct Cysts: Surgery, Symptoms, and Treatment Options
Thyroglossal duct cyst Last month, I went to see a doctor and was diagnosed with a thyroglossal duct cyst. The doctor prescribed medication, and it gradually decreased in size. There was no mention of surgery, and I just finished a week of antibiotics (on December 5). However, I ...
Dr. Zheng Jueyi Reply:
Hello: If there is no obvious pain, recurrent infections, or impact on appearance, a thyroglossal duct cyst, which is mostly a benign tumor, can be monitored with self-observation. However, without surgical treatment, it is unlikely to completely disappear. If it frequently enlar...[Read More] Understanding Thyroglossal Duct Cysts: Surgery, Symptoms, and Treatment Options
Understanding Bumps on the Tongue: When to See an ENT Specialist
Bumps on the base of the tongue? Recently, I noticed several flesh-colored bumps at the base of my tongue after having a cold. Since then, I've been experiencing a persistent sensation of something foreign in my throat. I tried to reach back to the base of my tongue and felt...
Dr. Zheng Jueyi Reply:
Hello: The commonly seen normal circumvallate papillae at the base of the tongue may become more prominent due to infections or gastroesophageal reflux symptoms. You can initially monitor the situation yourself, but if you are concerned, you can visit an otolaryngologist for an e...[Read More] Understanding Bumps on the Tongue: When to See an ENT Specialist