Infection, Otolaryngology FAQ - Page 25

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Understanding Recurrent Tonsil Infections: When to Seek Further Evaluation

Tonsillar abscess enlargement Hello, I would like to ask about the recurring white spots on my tonsils. I have visited a general ENT clinic three times and also consulted a physician at a large hospital, who prescribed antibiotics (Norfloxacin) for a week, but there hasn't b...


Dr. Zheng Jueyi Reply:
Hello, it is common to experience tonsillitis and its secretions. If there is no improvement, it is recommended to continue follow-up visits. Whether further examinations are necessary should be determined by the clinical physician. Wishing you peace and health. Sincerely, Dr. Ju...

[Read More] Understanding Recurrent Tonsil Infections: When to Seek Further Evaluation


Understanding Subacute Thyroiditis: Causes, Treatment, and Dietary Tips

What is "subacute thyroiditis"? Hello Dr. Cheng: Last time, I asked about <a href="https://adoctor.tw/article/142318">#142318</a>, and later the doctor from National Taiwan University mentioned that it is "subacute thyroiditis." However, ...


Dr. Zheng Jueyi Reply:
Hello, subacute thyroiditis is currently of unknown etiology, but it may be related to viral infection. Symptoms generally improve gradually on their own. If there is hyperthyroidism or hypothyroidism, medication treatment is necessary. There are no specific dietary restrictions....

[Read More] Understanding Subacute Thyroiditis: Causes, Treatment, and Dietary Tips


Understanding Nasal Issues: Causes of Yellow Mucus and Blood Streaks

Nasopharyngeal issues? I started to have a bit of a cold with a runny nose last week. I had yellow nasal discharge and sought medical attention, taking medication, which has significantly improved my symptoms over the past few days. However, occasionally when I blow my nose force...


Dr. Zheng Jueyi Reply:
Hello: The presence of blood streaks may be related to the rupture of microvessels in the nasal mucosa, which can be influenced by factors such as infection, forceful nose blowing, or dryness. If no abnormalities are found upon examination, observation may be sufficient. However,...

[Read More] Understanding Nasal Issues: Causes of Yellow Mucus and Blood Streaks


Persistent Sore Throat: Possible Causes and When to Seek Help

Sore throat for nearly two months? Hello Doctor: I had oral sex with a male partner around November 1st of this year, which was my first experience. I had not engaged in any such activity before. A couple of days later, I started feeling uncomfortable, often experiencing a sensat...


Dr. Zheng Jueyi Reply:
Hello, if an endoscopy reveals oral lesions, bacterial culture or biopsy can be performed. If not, it may be related to other factors causing chronic inflammation. If you are concerned, you can visit the Infectious Disease Department at the hospital for relevant examinations. Wis...

[Read More] Persistent Sore Throat: Possible Causes and When to Seek Help


Understanding Ear Pain: Causes and Treatments for Ear Infections

Ear problems Recently, while washing my hair, I accidentally got water in my left ear and forgot to dry it immediately. After nearly a week, I started to feel some discomfort, so I went to see an otolaryngologist. However, since I had a cold at the time, the doctor determined tha...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may be due to 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 discharge of fluid or pus from the ear. b...

[Read More] Understanding Ear Pain: Causes and Treatments for Ear Infections


Understanding Nasal Bleeding: Insights from Endoscopy Results

Nasal endoscopy I have no history of smoking, drinking, or betel nut use. For over a week, I have had symptoms of a cold with runny nose and yellow nasal discharge, which have improved significantly. However, I still feel the urge to blow my nose or use tissues or cotton swabs to...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, the most common being thin nasal mucosa leading to bleeding from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infe...

[Read More] Understanding Nasal Bleeding: Insights from Endoscopy Results


Understanding Benign Tonsil Issues: Symptoms and Prevention Tips

Benign tonsil issues Hello Dr. Cheng: One of the elderly family members has issues with inflamed and enlarged tonsils. A few days ago, they underwent a biopsy at National Taiwan University Hospital, and the results were benign. However, they frequently experience difficulty swall...


Dr. Zheng Jueyi Reply:
Hello, if there is no improvement, you may visit the Department of Internal Medicine, Infectious Diseases to check for any other immune or infection-related issues. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyu...

[Read More] Understanding Benign Tonsil Issues: Symptoms and Prevention Tips


Understanding Recovery Time for Peritonsillar Abscess and White Patches

Peritonsillar abscess Hello Doctor: I had a peritonsillar abscess that did not improve after taking medication for three days at a small clinic. On December 1, I went to a large hospital where they incised and drained the abscess, and I have been on antibiotics for seven days. Th...


Dr. Ji Zhaoyun Reply:
Hello, regarding the issue you mentioned about the white pus spots left from the infection, I recommend maintaining good oral hygiene by rinsing your mouth after meals. This can help clear some tonsil stones (located in the tonsillar crypts). Additionally, try to avoid catching c...

[Read More] Understanding Recovery Time for Peritonsillar Abscess and White Patches


Chronic Sinusitis Treatment: When to Seek Further Medical Help?

Sinusitis treatment issues? Hello, I have been suffering from sinusitis for over a month, almost two months. Initially, I didn't realize it was sinusitis and visited a small clinic twice, but there was no improvement. I then went to a larger hospital where the doctor diagnos...


Dr. Li Jiaxuan Reply:
It is recommended to undergo a sinus CT scan and a nasal mucus culture at the hospital to reassess the need for surgery. If surgery is not required, treatment for sinusitis may take a longer time, so some patience may be necessary. Wishing you well.

[Read More] Chronic Sinusitis Treatment: When to Seek Further Medical Help?


Understanding Neck Lumps: When to Observe or Seek Medical Advice

Lump issues Hello: Recently, I noticed a small lump in my neck. Could it be related to a sore on my tongue? Should I continue to monitor it, and if it gets larger, seek medical attention? If it doesn't grow but doesn't go away, should I still get it checked? Additionall...


Dr. Zheng Jueyi Reply:
Hello: Enlarged cervical lymph nodes are often associated with infections and can be monitored over time. If there is a persistent increase in size or number, it is important to seek medical evaluation immediately. If there is no significant enlargement or if they decrease in siz...

[Read More] Understanding Neck Lumps: When to Observe or Seek Medical Advice


Understanding Elevated EBV IGA Levels in Asymptomatic Patients

Elevated levels of nasopharyngeal carcinoma markers? Hello, thank you for your previous response. I have another question to ask you. I have been reading about others with similar situations, specifically those who have no symptoms and normal nasal endoscopy results, but their EB...


Dr. Zheng Jueyi Reply:
Hello, the elevated values may be related to EBV infection or recurrence. It is recommended that if the original values were normal, regular follow-up with nasopharyngoscopy and repeat blood tests should be conducted. Wishing you peace and health! Sincerely, Dr. Jue-Yi Cheng, Dir...

[Read More] Understanding Elevated EBV IGA Levels in Asymptomatic Patients


Understanding Nasal Symptoms: Is It a Cold or Something Else?

Nasal symptoms The symptoms of sneezing began on Sunday, and by Monday and Tuesday, there was a runny nose with yellow discharge from the left nostril. On Tuesday, I sought medical attention and took medication, which improved the symptoms somewhat. On Tuesday and Wednesday, my t...


Dr. Zheng Jueyi Reply:
Hello: The common cold with yellow nasal discharge may be related to sinusitis or a bacterial infection. If symptoms persist without improvement, it is advisable to seek medical evaluation. A white blood cell count of 4600-4800 is still within the normal range and does not indica...

[Read More] Understanding Nasal Symptoms: Is It a Cold or Something Else?


High EBV Levels and Nasopharyngeal Cancer: What You Need to Know

Elevated EBV index in nasopharyngeal carcinoma? Hello, during my recent health check-up, my EBV (IgA) level was 17.31, with a reference value of (<6.0). The nasopharyngoscopy showed no abnormalities. I have not experienced any of the early symptoms such as neck lumps, blood-st...


Dr. Zheng Jueyi Reply:
Hello: The IgA test is generally not related to short-term infections. However, if the nasopharyngoscopy shows no abnormalities, you may consider regular monitoring. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoy...

[Read More] High EBV Levels and Nasopharyngeal Cancer: What You Need to Know


Swallowed Coins: Are There Oral Health Risks for Children?

Will swallowing a coin (coin) have an impact on the oral cavity? If a child accidentally swallows a coin, it can usually pass through the digestive system and be expelled through a bowel movement. However, there may be concerns regarding the oral cavity. The coin has been touched...


Dr. Zheng Jueyi Reply:
Hello: Generally, normal immune function should not be affected; it is advisable to observe first. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Swallowed Coins: Are There Oral Health Risks for Children?


Understanding Persistent Unilateral Tinnitus: Causes and Insights

Unilateral high-frequency continuous and pulsatile tinnitus (two types of sounds)? Dear Doctor: I previously didn't realize that excessive ear cleaning might have caused some injury or fungal infection, and I have been experiencing persistent tinnitus in one ear for nearly a...


Dr. Zheng Jueyi Reply:
Hello: There are many factors that can cause tinnitus. If the symptoms persist without improvement, it is advisable to seek medical evaluation to determine the cause. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan ...

[Read More] Understanding Persistent Unilateral Tinnitus: Causes and Insights


Link Between Persistent Neck Lymph Node Swelling and Shoulder Pain?

After three weeks of lymphadenopathy in the neck, a painful lump has appeared on the shoulder. Is there a connection? Hello, doctor. I am currently taking antibiotics because I have had lymphadenopathy in the left occipital region for three weeks without resolution. After a CT sc...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that the enlargement of the cervical lymph nodes will be treated with some medications, and antibiotics may be used if necessary. However, if the swelling in the neck continues to progress and leads to a deep neck infection, it ...

[Read More] Link Between Persistent Neck Lymph Node Swelling and Shoulder Pain?


Understanding Ear Discomfort: Causes and Solutions for Ear Issues

My ear feels strange? Hello, doctor. When I woke up today, I felt something strange in my ear. When I swallow, my right ear makes a popping sound, and I also experience some tinnitus in a quiet environment. What could be the issue? Oh, and I had a similar problem before, and afte...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, hiking, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis media:...

[Read More] Understanding Ear Discomfort: Causes and Solutions for Ear Issues


Post-Antibiotic Swelling: When to Seek Medical Attention?

After finishing a week of medication, the swelling returned after stopping the treatment? Hello, I am the patient who previously asked about <a href="https://adoctor.tw/article/140989">#140989</a>. After taking a week of antibiotics (amo/cla 125mg), steroids...


Dr. Ji Zhaoyun Reply:
Hello, following up on the previous response, if the condition is still progressing, it is recommended to consult an otolaryngologist, and you may also register with the infectious disease department simultaneously. Wishing you peace and health. Regards, Chi Chao-Yun, Taichung Ho...

[Read More] Post-Antibiotic Swelling: When to Seek Medical Attention?


Understanding Deep Neck Infections, Lymphadenopathy, and Mumps

Is it a deep neck infection, lymphadenopathy, or mumps? Hello, doctor. Recently, I experienced tightness on the left side of my neck, which I initially thought was due to a stiff neck. However, after two or three days, my left neck became swollen, with the most painful area locat...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is possible that you are experiencing parotitis accompanied by cervical lymphadenopathy. If the condition continues to progress, it may lead to a deep neck infection, which is typically treated with medication, and antibiotics will be necessar...

[Read More] Understanding Deep Neck Infections, Lymphadenopathy, and Mumps


Should I Stop Self-Checking My Tonsils? Expert Advice on Tonsil Health

May I ask the doctor? Hello Doctor, about five or six years ago, I had tonsil stones and would often use my fingers to poke at my tonsils. I accidentally discovered that there seems to be a small hard spot in my left tonsil. At the end of last year, I remembered this and went to ...


Dr. Ji Zhaoyun Reply:
Hello, regarding the question you raised, to achieve a 100% diagnosis, a tonsillectomy is required under the following conditions: 1) Enlarged tonsils causing breathing difficulties or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsi...

[Read More] Should I Stop Self-Checking My Tonsils? Expert Advice on Tonsil Health


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