Infection, Otolaryngology FAQ - Page 36

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Painful and Itchy Lumps Near Ears: Understanding Enlarged Tonsils

There are hard lumps on both sides of the ears that are painful to touch and itchy? Last Wednesday, I went to see a doctor who said my tonsils were enlarged and prescribed me medication. After taking the medication, I noticed that the swelling did not go down; instead, it became ...


Dr. Ji Zhaoyun Reply:
Hello An Zhou, based on your description -> "There are hard lumps on both sides of the ears, they hurt when touched, and they itch," it is possible that you have parotitis, which can be caused by either viral or bacterial infection. If it is a viral infection, you ma...

[Read More] Painful and Itchy Lumps Near Ears: Understanding Enlarged Tonsils


Bilateral Lymphadenopathy Behind Ears: Symptoms and Concerns Explained

Bilateral posterior auricular lymphadenopathy, measuring 1.5 cm on the left side and 2.5 cm on the right side? On July 20, a lump was discovered. The situation is a bit lengthy: on June 18, I had a cough and wheezing for three days, after which I took a licorice compound and bare...


Dr. Ji Zhaoyun Reply:
Hello, Xiao Yu. Based on your description, the current symptoms are: 1) Lymphadenopathy -> Most likely caused by a previous infection; 2) Hoarseness -> Suspected vocal cord lesions; 3) Twitching of the left corner of the mouth when smiling -> Suspected neurological issue...

[Read More] Bilateral Lymphadenopathy Behind Ears: Symptoms and Concerns Explained


Understanding Ear Pain and Echoing Sounds: Is It Middle Ear Infection?

Ear pain with echo? Two nights ago, I felt a lot of itching in my ear while sleeping, so I used my finger to scratch it. The next day, my ear hurt a lot, but there was no discharge. Today, the pain has decreased, but when I speak, it sounds like there is water in my ear, and I ca...


Dr. Zheng Jueyi Reply:
Hello: It is commonly caused by inflammation and swelling of the external auditory canal. If it persists without improvement, it is recommended to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Ta...

[Read More] Understanding Ear Pain and Echoing Sounds: Is It Middle Ear Infection?


Understanding Ear Infections: Managing Discomfort and Treatment Options

Ear inflammation medication drops? Two days ago, I had an accumulation of earwax that I didn't clean, and after going to the beach, seawater got into my ear, leading to an earwax infection and inflammation. I often have discharge, and now my right ear is constantly painful. ...


Dr. Zheng Jueyi Reply:
Hello: If there is earwax or discharge in the ear, it may swell after applying ear drops, leading to an increased feeling of fullness or blockage. It is recommended to return for cleaning 3-7 days after applying the drops to ensure complete resolution of symptoms. Wishing you saf...

[Read More] Understanding Ear Infections: Managing Discomfort and Treatment Options


Understanding Tongue Cracks and Bumps: When to See an ENT Specialist

Cracks on the tongue? Hello... I would like to ask about a small bump on my tongue and cracks on my tongue. What could this indicate about my health? Should I see an ENT specialist?


Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is possible that you are experiencing 1) a viral infection, 2) a minor salivary gland cyst, or 3) inflammatory granulation tissue. There may be an infection or it could be due to trauma from biting. It is advisable to consult an otolaryngologi...

[Read More] Understanding Tongue Cracks and Bumps: When to See an ENT Specialist


Post-Sinus Surgery: Managing Yellow Nasal Discharge and Fever Concerns

Post-sinus surgery, experiencing yellow nasal discharge along with cold symptoms and fever? Hello Doctor: I underwent endoscopic sinus surgery on July 12, 2016, to remove a fungal infection from the left sphenoid sinus. Prior to the surgery, I did not experience yellow nasal disc...


Dr. Zheng Jueyi Reply:
Hello: Postoperative yellow nasal discharge may indicate an ongoing infection, possibly related to pre-existing chronic sinusitis or a cold. It is recommended to take antibiotics along with nasal irrigation. If the yellow discharge does not show significant improvement, it is adv...

[Read More] Post-Sinus Surgery: Managing Yellow Nasal Discharge and Fever Concerns


Understanding Tinnitus and Ear Congestion: When to Seek Further Help

Tinnitus and ringing in the ears? Hello Doctor, yesterday morning I suddenly felt a sensation of fullness in my right ear, accompanied by tinnitus (a buzzing sound). When I hear higher frequency or louder sounds, I also experience a beeping sound, and I have difficulty hearing ex...


Dr. Ji Zhaoyun Reply:
Hello, regarding the issues you mentioned, they could possibly be due to: 1) Eustachian tube dysfunction, 2) Sudden sensorineural hearing loss, or 3) Otitis media: a) Acute otitis media, which often occurs alongside upper respiratory infections (such as colds) and sinusitis, and ...

[Read More] Understanding Tinnitus and Ear Congestion: When to Seek Further Help


Can Oral Infections Occur from Touching Warts? Expert Insights

Oral issues Hello, doctor. Can the oral cavity really get infected with the wart virus? For example, if I touch a wart virus and then touch the inside of my mouth, can I get infected? Thank you for your response.


Dr. Ji Zhaoyun Reply:
Hello Ms. Ting, It is indeed possible for the oral cavity to become infected with the human papillomavirus (HPV) that causes warts, either through direct contact with the source of the infection or by touching the virus and then touching the inside of the mouth. It is advisable...

[Read More] Can Oral Infections Occur from Touching Warts? Expert Insights


Understanding Tonsil Stones: Surgical Risks, Recovery, and Insurance Coverage

Tonsil stones After the consultation, due to the stones being more deeply embedded, outpatient treatment to remove the stones is not possible, and hospitalization for a tonsillectomy is required. The physician mentioned that there is no immediate necessity for surgery but advised...


Dr. Ji Zhaoyun Reply:
Hello Ms. Chen, regarding your inquiry about the conditions for tonsillectomy, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsillitis, which is internat...

[Read More] Understanding Tonsil Stones: Surgical Risks, Recovery, and Insurance Coverage


Feeling of Foreign Object in Ear After Nasal Surgery: Causes and Solutions

Feeling of foreign body in the ear? I previously underwent surgery for a deviated septum, and since then, I have been rinsing my nose daily. Today, while rinsing my nose, I noticed some mucus. When I cleared my nose, my ears felt sticky and damp, as if there was something in them...


Dr. Ji Zhaoyun Reply:
Hello, Xiao Fang. The issues you mentioned could possibly be due to: 1) Eustachian tube dysfunction, 2) Sudden sensorineural hearing loss, or 3) Otitis media: a) Acute otitis media, which often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in se...

[Read More] Feeling of Foreign Object in Ear After Nasal Surgery: Causes and Solutions


Understanding Tonsil Stones: Surgery Risks and Insurance Coverage in Taiwan

Tonsil stones After the consultation, due to the stones being more deeply embedded, outpatient treatment to remove the stones is not possible. Hospitalization for a tonsillectomy is required. The physician mentioned that there is no immediate necessity for surgery but advised mon...


Dr. Ji Zhaoyun Reply:
Hello Ms. Chen, regarding the criteria for tonsillectomy that you inquired about, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsillitis, which is inter...

[Read More] Understanding Tonsil Stones: Surgery Risks and Insurance Coverage in Taiwan


Understanding Sore Throat and Oral Pain: Causes and Treatments

Sore throat and oral pain? Hello doctor, about half a month ago, my throat and neck suddenly started to hurt and felt swollen. When I touch the area below my jaw, I can feel two round movable lumps. Later, I saw a doctor who said it was just throat inflammation causing discomfort...


Dr. Ji Zhaoyun Reply:
Hello Mr. Chang, based on your description, it is most likely that you are experiencing 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 th...

[Read More] Understanding Sore Throat and Oral Pain: Causes and Treatments


Understanding Uvula Issues: Symptoms, Solutions, and PSG Testing Explained

Uvular issues Hello Doctor, At the beginning of June, I suddenly became aware of the presence of my uvula, especially when I cough and my tongue goes up, causing my tongue to touch the uvula. This feels very uncomfortable. Question 1: What methods can help resolve this issue?...


Dr. Li Jiaxuan Reply:
The size of the uvula is typically congenital, but upper respiratory infections or coughing can cause swelling of the uvula, leading to a sensation of its presence. However, the underlying cause must be determined to decide on the appropriate treatment. Polysomnography (PSG) is o...

[Read More] Understanding Uvula Issues: Symptoms, Solutions, and PSG Testing Explained


Understanding Intermittent Hemoptysis: Causes and Concerns in ENT Issues

Hemoptysis issue Hello, Dr. Chi. Last week, I had a cold with productive cough, and for two consecutive days, there was blood in my sputum, which increased in amount. Then, the following day, I experienced a severe sore throat. I went to a pulmonologist for a chest X-ray, and the...


Dr. Ji Zhaoyun Reply:
Hello, Xiao Jia. Blood-streaked sputum may originate from several areas: 1) Nose: The nasal mucosa can become fragile due to allergies or infections, leading to ruptured blood vessels when forcefully blowing the nose, rubbing, picking, or coming into contact with allergens, res...

[Read More] Understanding Intermittent Hemoptysis: Causes and Concerns in ENT Issues


Understanding Lymph Node Swelling: Causes, Duration, and Concerns

Lymphadenopathy of the neck? Hello Doctor: A while ago, I noticed a lump on the left side of my neck that seems to move. A few days later, on June 10, 2016, I went to a large hospital for an examination (I saw a plastic surgeon). The doctor said it was lymphadenopathy and that it...


Dr. Zheng Jueyi Reply:
Hello: It is common to have benign lymphadenopathy, which is generally associated with infections. If the infection improves, the lymph nodes may decrease in size. However, if they continue to enlarge or become painful, further medical evaluation is necessary. Wishing you peace a...

[Read More] Understanding Lymph Node Swelling: Causes, Duration, and Concerns


Understanding Oral Health Issues: From Dentures to Viral Infections

Oral examination Hello, Doctor. Last week, I went to the dentist because my dentures were too loose and needed adjustment. However, the dentist adjusted them too tightly, and I couldn't put them on. The doctor helped me put them on several times and told me to remove them my...


Dr. Ji Zhaoyun Reply:
Hello: After treatment, oral mucosal lesions typically heal within two weeks. If the lesions persist beyond two weeks, or if you notice ulcers or white patches along with fibrosis, it is advisable to consult an otolaryngologist to evaluate whether a biopsy is necessary for safety...

[Read More] Understanding Oral Health Issues: From Dentures to Viral Infections


Understanding Blood-Streaked Phlegm: Allergies or Something More?

Hemoptysis (coughing up blood) Hello, Doctor. I have a history of allergic rhinitis, but in the past few weeks, I have noticed some unusual symptoms. About a month ago, I started to intermittently smell a metallic or bloody odor, and I have been coughing up phlegm that occasional...


Dr. Ji Zhaoyun Reply:
Hello, if you continue to have blood in your sputum for more than a month after treatment, it is advisable to consider a "nasopharyngoscopy" examination in the otolaryngology department. This procedure allows for a clear view of the nasopharynx and other conditions in t...

[Read More] Understanding Blood-Streaked Phlegm: Allergies or Something More?


Understanding Lymph Node Issues During Pregnancy: What You Need to Know

Lymph node issues? I am currently over three months pregnant. For the past 3-4 days, I have noticed a round lump on the left side of my jaw extending to my neck. Sometimes it appears larger and sometimes smaller, but it is visible when I lift my neck, and I can clearly see that t...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely an infection of the left submandibular salivary gland, which can be caused by either a viral or bacterial infection. If it is a viral infection, it is indeed sufficient to stay hydrated and rest without medication. However, if i...

[Read More] Understanding Lymph Node Issues During Pregnancy: What You Need to Know


Understanding Ear Pain: Is It Middle Ear Infection?

Ear problems Hello, I would like to ask you a question. My child has been experiencing a lot of pressure and pain in the ear these past few days, and at night the pain becomes unbearable. The pain radiates from the ear to the eye and head, all on the right side. I am wondering if...


Dr. Ji Zhaoyun Reply:
Hello: The issues you mentioned may be attributed to the following two possibilities: 1) Otitis Media: a) Acute Otitis Media: often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, there may be ear discharge. b) Chronic Otitis Medi...

[Read More] Understanding Ear Pain: Is It Middle Ear Infection?


Do Tonsils Serve Any Purpose? Understanding Tonsil Health and Surgery

Is it true that the tonsils are useless? Hello Doctor: I experienced tonsillar abscess and a fever of 39 degrees Celsius in January and March of this year. I took Cruam antibiotics for three weeks each time before recovering. During the March episode, I also received intravenous ...


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

[Read More] Do Tonsils Serve Any Purpose? Understanding Tonsil Health and Surgery


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