Lymph nodes, Otolaryngology FAQ

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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 Lymph Nodes and Nasopharyngeal Health Concerns

Lymph nodes and nasopharynx? Hello, I previously inquired about lymphatic issues. I have had a left-sided cervical 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 have not gone to a major hospital for examina...


Dr. Ji Zhaoyun Reply:
Since you have already visited the clinic in person, why not patiently wait for the test results?

[Read More] Understanding Lymph Nodes and Nasopharyngeal Health Concerns


Understanding Fluctuating Lymph Node Size: Is It Normal?

Cervical lymphadenopathy issues? Is it normal for lymph nodes to fluctuate in size? This week, I noticed that the lymph node on the left side becomes noticeably enlarged when I wake up, but after a few hours, it starts to shrink. However, it is still larger compared to the right ...


Dr. Li Jiaxuan Reply:
Lifting heavy objects, weight training, or exercising on one dominant side may lead to the aforementioned conditions. Otherwise, it is recommended to visit an otolaryngology clinic for examination and treatment. Wishing you good health.

[Read More] Understanding Fluctuating Lymph Node Size: Is It Normal?


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


Swelling and Pain Below Left Ear: When to See a Doctor?

Swelling and pain below the left ear? This morning when I woke up, I noticed some swelling below my left ear, which hurts when pressed. I don't have any other uncomfortable symptoms. Should I just drink more water and rest to improve, or do I need to see a doctor for antibio...


Dr. Zheng Jueyi Reply:
Hello: Commonly, inflammation may occur in the parotid gland or lymph nodes. It is advisable to drink plenty of water. If symptoms persist without improvement, if swelling and pain worsen, or if there are accompanying symptoms such as fever, it is recommended to seek medical eval...

[Read More] Swelling and Pain Below Left Ear: When to See a Doctor?


Understanding Lymph Node Removal: Risks and Immune Impact

Issues related to cervical lymphadenectomy? Hello, doctor. I have a swollen area below my right ear, and after suspecting it might be a salivary gland issue, I underwent a surgical excision, which revealed benign lymphoid hyperplasia. I would like to ask: 1. Does the removal of ...


Dr. Zheng Jueyi Reply:
Hello: 1. Lymph node removal does not increase the risk of lymphoma. 2. The absence of one normal lymph node does not impair immune system function. 3. Generally, surgeries in the parotid gland area have a lower incidence of postoperative hand numbness; if discomfort persists, it...

[Read More] Understanding Lymph Node Removal: Risks and Immune Impact


Understanding Neck Lumps: Thyroid and Lymphoma Concerns Explained

Swelling in the lower neck, without pain or itching? Hello, my mother has swelling in the lower left side of her neck (near the supraclavicular fossa) with large palpable masses. An ENT specialist performed a physical examination and suggested it might be related to the thyroid. ...


Dr. Zheng Jueyi Reply:
Ultrasound examinations can differentiate the likelihood of a mass being benign or malignant based on size, shape, texture, and blood flow. If there are concerns, a fine needle aspiration or biopsy may be performed. Supraclavicular lymph nodes carry a higher risk of malignancy an...

[Read More] Understanding Neck Lumps: Thyroid and Lymphoma Concerns Explained


Understanding Lymph Nodes: When to Worry About Swelling Behind the Ear

Upper cervical lymph nodes Hello Doctor, I recently noticed a small lump about the size of a green bean behind my left ear, near the cervical lymph nodes. It is not painful, so I went to a clinic for a check-up. The lump was initially difficult for the doctor to feel due to its s...


Dr. Zheng Jueyi Reply:
If the ultrasound examination shows benign changes, you can either self-monitor or have regular follow-up appointments every three months.

[Read More] Understanding Lymph Nodes: When to Worry About Swelling Behind the Ear


Understanding Neck Lumps: Common ENT Concerns and Symptoms

Questions about the neck? Hello Dr. Lee, When I was 4 to 5 years old, I had an oval-shaped mass in the middle of my right neck that felt soft and movable. Although the mass was not very large, it was visibly protruding. My mother took me to see a doctor at that time, but the doc...


Dr. Li Jiaxuan Reply:
On both sides of the neck, along the sternocleidomastoid muscle, there are hundreds of lymph nodes, each typically measuring less than 0.7 centimeters under normal conditions. Sometimes, multiple nodes may cluster together, making them feel larger upon external palpation. The dis...

[Read More] Understanding Neck Lumps: Common ENT Concerns and Symptoms


Understanding Neck Lumps: Common Concerns in ENT Health

Inquiry for clarification? Hello Dr. Cheng, I would like to ask you a few questions as follows: 1) When I was about 4 to 5 years old, I had an oval-shaped mass in the middle of my right neck that felt soft and movable. The mass was not very large, but it was clearly visible. My...


Dr. Zheng Jueyi Reply:
Hello, 1) Commonly, it may be lymph nodes. 2) It cannot be determined. 3) The lymph nodes on the left and right sides of the neck may not necessarily be symmetrical or of the same size; there may be slight differences. 4) Infections can cause lymphadenitis, leading to swollen lym...

[Read More] Understanding Neck Lumps: Common Concerns in ENT Health


Pregnant with A-Flow: Ear Pain and Swollen Lymph Nodes Concerns

Pain in the ear associated with swelling of the lymph nodes in the posterior neck? Hello Doctor, I am currently 13 weeks pregnant and have been diagnosed with a miscarriage. On the fourth day of the miscarriage, I started experiencing pain in my left ear, and it hurts when I appl...


Dr. Zheng Jueyi Reply:
Hello, infections can cause lymphadenopathy. If there is a persistent high fever or if the lymph nodes continue to enlarge and the pain worsens, it is recommended to return for an earlier evaluation.

[Read More] Pregnant with A-Flow: Ear Pain and Swollen Lymph Nodes Concerns


Understanding Ear, Nose, and Throat Issues: Symptoms and Causes Explained

Issues related to the throat, nose, and ears? Hello, doctor. I have a few questions: Recently, I visited a doctor because I felt that my right ear had fluid in the middle ear. The doctor diagnosed me with unilateral tonsillitis. After taking medication, I no longer felt fluid in ...


Dr. Zheng Jueyi Reply:
1. Swelling in one ear may be related to tonsillitis or inflammation of nearby lymph nodes. 2. When immunity is compromised, viral or bacterial infections can lead to unilateral nasopharyngitis. 3. Drinking too much water at once can increase gastric pressure, leading to gast...

[Read More] Understanding Ear, Nose, and Throat Issues: Symptoms and Causes Explained


Understanding Lymph Node Swelling and Nasopharyngitis Symptoms

Is there a possibility of developing nasopharyngeal carcinoma? Hello Doctor: In December, I noticed swelling of about three lymph nodes on the right side of my neck (they are palpable, with one being larger, approximately 1.5 cm, located in the upper neck). After an ultrasound, t...


Dr. Ji Zhaoyun Reply:
Hello, 1. My lymph nodes have become larger and more numerous. Is this related to fever and infection? > Based on the description, this is a very likely cause. 2. Is thick yellow phlegm or pus in the nasopharynx really rare? I researched nasopharyngitis and found it to be q...

[Read More] Understanding Lymph Node Swelling and Nasopharyngitis Symptoms


Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks

Is an MRI necessary for unilateral tinnitus? Hello Doctor, I called because I have been experiencing unilateral tinnitus for the past five years (high frequency, lasting 24 hours, non-pulsatile, and I cannot hear the tinnitus in outdoor traffic environments). I often have neck an...


Dr. Ji Zhaoyun Reply:
In Taiwan, there are specific criteria for using health insurance to obtain an MRI to rule out vestibular schwannoma in cases of unilateral hearing loss or tinnitus. If these criteria are not met, the likelihood of having a vestibular schwannoma is generally low. However, if ther...

[Read More] Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks


Understanding Ear and Lymph Node Issues: Symptoms and Next Steps

Right ear, lymph nodes On the morning of November 16, I noticed a popping sensation in my right ear while sleeping, which was very uncomfortable and affected my sleep. Swallowing would produce a crackling sound. I went to a small clinic, where I was informed that I had hearing lo...


Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause lymphadenopathy. It is recommended to wait for the CT scan and return for a follow-up to review the results.

[Read More] Understanding Ear and Lymph Node Issues: Symptoms and Next Steps


Understanding Lymph Node Concerns: Key Insights from Ultrasound Findings

Lymph Node Inquiry The ultrasonography (US) of the bilateral neck and US-guided fine needle aspiration for cytology (FNAC) shows: 1. A prominent lymph node in the right neck IA (short axis: 0.9 cm), differential diagnosis: reactive node, lymphadenitis, or malignant lymphadenopath...


Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause lymphadenopathy, and it is not possible to accurately determine whether it is benign or malignant based solely on size, hardness, or mobility. It is recommended to wait for the results of the biopsy report, after which the clinician ca...

[Read More] Understanding Lymph Node Concerns: Key Insights from Ultrasound Findings


Understanding Lymph Node Swelling, Back Pain, and Night Sweats

Lymphatic issues, back pain, and night sweats are concerning problems? Hello, Doctor. Since the passing of a family member in October, my previously hectic and stressful life has slowed down, and my body has started to react to the sadness with various symptoms. Over the past two...


Dr. Zheng Jueyi Reply:
Hello, currently the cause cannot be determined. If most tests show no abnormalities, chronic fatigue, autonomic nervous system disorders, or health anxiety may be suspected. It is recommended to seek evaluation and assessment from a psychosomatic medicine specialist.

[Read More] Understanding Lymph Node Swelling, Back Pain, and Night Sweats


Understanding Peritonsillar Abscess: Symptoms, Risks, and Treatment Options

Peritonsillar abscess Hello, may I ask why when I go to the hospital and tell them I can't breathe, I'm wheezing, and my heart hurts, they only give me sedatives or don't give me any medication at all and tell me to go home and manage it myself? I ended up risking ...


Dr. Zheng Jueyi Reply:
It is recommended to seek medical evaluation for confirmation. If it is a bacterial infection such as a peritonsillar abscess or tonsillitis, antibiotics may be used for a week. However, if it is not a bacterial infection, antibiotics will not have a significant effect. Bacterial...

[Read More] Understanding Peritonsillar Abscess: Symptoms, Risks, and Treatment Options


Understanding Dental-Related Sinusitis: Symptoms and Treatment Options

Diagnosis of odontogenic sinusitis? Hello, doctor. I would like to ask the following questions: 1. I first experienced symptoms of sinusitis in 2019, with a CT scan showing pus accumulation in the right maxillary sinus. After taking antibiotics for a month, I recovered. Subsequ...


Dr. Zheng Jueyi Reply:
Hello, it is recommended that if the yellow nasal discharge does not improve, you should continue to follow up with an otolaryngologist for examination, as it may be related to sinusitis. The bacterial culture report shows "No growth of pathogens," which does not mean t...

[Read More] Understanding Dental-Related Sinusitis: Symptoms and Treatment Options


Understanding Lumps Near Tonsils: What You Need to Know

A lump has formed nearby (with a picture)? Hello Doctor, I have noticed a lump near my tonsils in the past few days (attached image: https://imgur.com/a/tZB30q2). I had a cold and sore throat yesterday, so I went to the hospital for a check-up. The doctor examined me briefly and ...


Dr. Ji Zhaoyun Reply:
Hello, based on the resolution of the video you uploaded, it is most likely that the findings are related to the tonsils or lymph nodes, with a low likelihood of malignancy due to the limited resolution of the images. If you have any concerns, it is advisable to seek a direct con...

[Read More] Understanding Lumps Near Tonsils: What You Need to Know


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