Infection, Otolaryngology FAQ - Page 23

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Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?

A mass approximately 1.5 centimeters in size located in the left posterior cervical region? I have noticed this lump for at least three years. When I look in the mirror, I can't see the lump unless I turn my neck to the right; then, a round lump becomes noticeable on the bac...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, the neck mass could potentially be a malignant or benign tumor, a congenital cyst, lymphadenopathy, lipoma, etc. If it is lymphadenopathy, treatment often involves medication, and antibiotics may be used if necessary. However, if the neck swellin...

[Read More] Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?


Suspecting Throat Gonorrhea After Unprotected Encounter: What to Do?

Suspecting that you may have contracted gonococcal pharyngitis? After having sexual intercourse with an unfamiliar woman, I experienced a sore throat and swollen lymph nodes three days later. I visited a general clinic and saw an ENT specialist, but after taking medication for th...


Dr. Zheng Jueyi Reply:
Hello, if there is no improvement, you may visit the Infectious Disease Department at the hospital for examination. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Suspecting Throat Gonorrhea After Unprotected Encounter: What to Do?


Understanding Phlegm Color: When to Seek Medical Attention

The color of sputum? Hello, I would like to inquire; today, July 26, I felt very hot and ate ice. In the evening, I started to have a runny nose, sneezing, itchy nose, and a heavy head. After taking a combination cold medicine three times, I felt better. On June 29, after eating ...


Dr. Zheng Jueyi Reply:
Hello: If you continue to have yellow-green sputum, it may indicate a bacterial infection. It is recommended to visit a clinic or hospital for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, ...

[Read More] Understanding Phlegm Color: When to Seek Medical Attention


Understanding Complex ENT Symptoms: Blood in Phlegm and Respiratory Issues

Could you please provide more details about your issue? It seems quite complex, and I'd be happy to help you understand it better? Doctor, for the first three years, I noticed blood in my first morning sputum and was worried about nasopharyngeal cancer. Later, I went to a la...


Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, the throat appears to have normal tonsillar lymphoid tissue. If the breathing issues persist without improvement, you may follow up with an infectious disease specialist or a pulmonologist for further evaluation. Wishing you safety and good health...

[Read More] Understanding Complex ENT Symptoms: Blood in Phlegm and Respiratory Issues


Understanding Oral Mucosal Lesions: Bumps, Ulcers, and Blisters

Oral mucosal tumors, ulcers, blisters, and cervical masses? Hello, I have the following oral issues: 1. My chin is slightly shifted to the right, and there is a small hard lump that is tender when I press down on my jaw from the outside. I'm not sure if it moves when I swall...


Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic as there may be swelling of the salivary glands or lymph nodes, likely due to an oral infection. Additionally, a visit to the dental clinic is advised for further evaluation. Wishing you well.

[Read More] Understanding Oral Mucosal Lesions: Bumps, Ulcers, and Blisters


Persistent Ear Congestion and Head Pressure: Causes and Treatments

Ear congestion and a feeling of pressure in the head? Hello doctor, since I caught a cold last September, I've been feeling a blockage in my ears and experiencing pressure headaches. I visited an ENT specialist, who diagnosed me with ear inflammation. However, even after the...


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] Persistent Ear Congestion and Head Pressure: Causes and Treatments


Severe Right Throat Pain: What Could It Indicate?

On the morning of June 7th, I started experiencing severe pain on the right side of my throat near the tonsils. Doctor, what could this be? On June 7th, the morning of the Dragon Boat Festival, I started experiencing severe pain on the right side of my throat near the tonsils. Do...


Dr. Zheng Jueyi Reply:
Hello: The common issues are primarily related to infections or ulcers. If symptoms persist for more than a week without improvement, it is advisable to seek medical evaluation. Wishing you safety and health. Director of the Department of Otolaryngology, Taoyuan Hospital, Ministr...

[Read More] Severe Right Throat Pain: What Could It Indicate?


Persistent Nasal Bleeding and Pain: Causes and Solutions

The inferior turbinate and nasal septum are bleeding slightly every noon (the amount is very small, and I can see the bleeding area) and there is a bit of pain? I used to pick my nose, and after experiencing bleeding, it has been five months since I stopped. However, I still have...


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 (such as nasopharyngeal carcinoma), sinusitis, fungal infections, al...

[Read More] Persistent Nasal Bleeding and Pain: Causes and Solutions


Understanding Ear Popping Sounds: Causes and Solutions

There is a popping sound in the ear? Hello Doctor: Every time I hiccup or yawn, I hear a popping sound in my right ear, and sometimes my ear feels itchy. Recently, I finished medication for acute sinusitis, and during my second follow-up visit, the doctor said there was no need f...


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 Ear Popping Sounds: Causes and Solutions


Is Your Sore Throat Linked to Nasal Congestion and Allergies?

Is discomfort in the tonsils related to nasal secretions? Hello Doctor, I have a deviated septum and long-term issues with nasal allergies and congestion. Recently, I caught a mild cold, and my nasal discharge (or allergic inflammation) has become thicker, causing me to frequentl...


Dr. Ji Zhaoyun Reply:
Hello, regarding the conditions for tonsillectomy that you mentioned, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors (mostly unilateral); 3) Recurrent tonsillitis, which ...

[Read More] Is Your Sore Throat Linked to Nasal Congestion and Allergies?


To Surgery or Not: Managing Chronic Sinusitis and Treatment Options

Surgery? Medication? Hello, I initially thought I had a cold that developed into acute sinusitis and then chronic sinusitis. I have been on medication (including antibiotics) for over three months, from mid-February until now. During this time, I also experienced ear effusion, an...


Dr. Li Jiaxuan Reply:
The acute complications of chronic sinusitis include ocular pressure or brain infection. In the absence of acute complications, it can generally be treated with medication. If the medication is unsatisfactory, surgical options may be considered. It is advisable to consult a trust...

[Read More] To Surgery or Not: Managing Chronic Sinusitis and Treatment Options


Do I Need Surgery for Chronic Sphenoid Sinusitis? Risks and Recovery Explained

Does chronic sinusitis require surgery? Hello, Doctor. I was recently diagnosed with right-sided sphenoid sinusitis due to a fungal infection. I went to see a doctor because I was experiencing headaches, and a CT scan revealed that I have sphenoid sinusitis, although my headache ...


Dr. Ji Zhaoyun Reply:
Hello, common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, although not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despit...

[Read More] Do I Need Surgery for Chronic Sphenoid Sinusitis? Risks and Recovery Explained


Managing Severe Throat Inflammation from Influenza: Expert Advice

Throat inflammation issues? Hello, doctor. I started having a fever on Sunday and saw a doctor that day. I took medication for the fever, but it hasn't subsided. Yesterday, I went to the clinic for a rapid flu test, which confirmed that I have type B influenza. Currently, I ...


Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be due to unresolved influenza type B or a new bacterial infection. It is advisable to seek medical attention if symptoms persist, including an endoscopic examination of the throat to rule out any masses, and to consider increasing medicatio...

[Read More] Managing Severe Throat Inflammation from Influenza: Expert Advice


Understanding Sublingual Gland Abscess: Treatment and Recovery Insights

Sublingual gland abscess Hello: About three weeks ago, I experienced pain in my right lower jaw and visited an otolaryngology clinic, where I was initially diagnosed with a submandibular gland abscess. I was advised to undergo surgery at a major hospital, but due to personal reas...


Dr. Zheng Jueyi Reply:
Hello: Generally, medication treatment for infections or ulcers improves within 1-2 weeks. Whether surgery is necessary for complete healing should be determined by a physician based on clinical symptoms. It is recommended to discuss with your clinic physician regarding further t...

[Read More] Understanding Sublingual Gland Abscess: Treatment and Recovery Insights


Chronic Nasal Swelling and Blood-Scented Mucus: Allergy or Cancer Risk?

Chronic nasal swelling with yellow nasal discharge that has a bloody odor? Hello, Doctor. I would like to ask a few questions. Due to congenital allergies, I often experience symptoms such as sneezing. However, I have noticed that the polyps in my nose have been persistently swol...


Dr. Ji Zhaoyun Reply:
Hello, based on your description regarding allergic rhinitis, here are several important concepts: The primary triggers are the individual's constitution and environmental allergens and irritants. If one parent has allergic rhinitis, the likelihood of their children developi...

[Read More] Chronic Nasal Swelling and Blood-Scented Mucus: Allergy or Cancer Risk?


Understanding Tightness Around the Collarbone: ENT Insights and Concerns

Tightness in the clavicle? Hello, Doctor. I have post-nasal drip and mild gastroesophageal reflux disease (GERD). The doctor mentioned that I have mild asthma. Previously, I experienced a tight sensation around my collarbone, but it would resolve on its own even without medicatio...


Dr. Zheng Jueyi Reply:
Hello: There are many causes of granulation tissue, commonly associated with infections or chronic irritation. Conditions such as post-nasal drip or gastroesophageal reflux are factors of chronic irritation. It is recommended to follow your physician's advice for further exa...

[Read More] Understanding Tightness Around the Collarbone: ENT Insights and Concerns


Understanding Throat Issues: When to Seek Medical Advice

Throat issues Hello Doctor: I apologize for asking again after our previous consultation. Four days ago, I underwent an upper gastrointestinal endoscopy, and my throat feels a bit injured. Here are the photos I took tonight (the white areas are remnants of food): https://i.imgur....


Dr. Zheng Jueyi Reply:
Hello: After examination, mild throat inflammation is a normal finding, and there are currently no obvious tumors. If you have no discomfort, you may observe it on your own. If you are concerned, it is advisable to visit a clinic for further evaluation. Wishing you peace and heal...

[Read More] Understanding Throat Issues: When to Seek Medical Advice


Understanding Mumps and Salivary Gland Tumors in Children

Mumps or salivary gland tumors About two weeks ago, my 10-year-old daughter told me that she had a lump below her left ear. At that time, it wasn't painful, and we didn't think much of it. A day or two later, she mentioned that the lump had grown larger and was painful ...


Dr. Ji Zhaoyun Reply:
Hello, there are many types of neck and ear-related swellings, including parotitis, lymphadenopathy, and parotid tumors. It is advisable to consult an otolaryngologist if symptoms persist. Wishing you peace and good health. Sincerely, Dr. Chi Chao-Yun, Head of the Department of O...

[Read More] Understanding Mumps and Salivary Gland Tumors in Children


Understanding Gum Pain and White Bumps: Possible Causes and Relief

Gum and oral swelling with small white spots? Hello, doctor! About two weeks ago, I started experiencing pain in my gums and mouth when brushing my teeth and eating hot foods. For the past three days, not only has this condition persisted, but I have also developed some small whi...


Dr. Zheng Jueyi Reply:
Hello: Commonly associated with gum infections, if the pain persists, you may first take anti-inflammatory pain relievers and rinse your mouth with plenty of water. If there is no improvement or if you experience a fever, or if symptoms continue to worsen, you should seek medical...

[Read More] Understanding Gum Pain and White Bumps: Possible Causes and Relief


Sudden Ear Pulsations: Should You See a Doctor?

Sudden thumping or pounding sounds in the ear? A few days ago, I felt something pulsating near the left side of my neck, close to my shoulder. However, this sensation has disappeared over the past couple of days. I also felt a sensation of something rushing up from my neck to my ...


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] Sudden Ear Pulsations: Should You See a Doctor?


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