Managing Persistent Lymph Node Inflammation and Post-Nasal Drip Issues
Lymph nodes and tonsils often become inflamed? If the lymph nodes are frequently inflamed and painful, and there is post-nasal drip causing mucus to accumulate in the lymph nodes, what should I do about this situation? It is very painful for me. I am afraid of taking antibiotics ...
Dr. Xu Jiazhen Reply:
If there are recurrent inflammations, it is advisable to address the issue. Whether it requires antibiotic treatment today or even surgical intervention for removal, these are viable solutions. You should discuss this further with your attending physician. Simply avoiding the pro...[Read More] Managing Persistent Lymph Node Inflammation and Post-Nasal Drip Issues
Chronic Lymphadenitis and Tonsillitis: Seeking Solutions for Persistent Pain
Lymph nodes and tonsils often become inflamed? Hello, doctor! I have been experiencing pain and inflammation in my lymph nodes and tonsils for several consecutive months. I have visited an otolaryngologist multiple times, but each time the diagnosis is different; sometimes it...
Dr. Xu Jiazhen Reply:
Repeated episodes of tonsillitis can lead to various complications. Generally, if you experience more than one episode per season (three months), it is recommended to consider surgical removal of the tonsils, as this may be a better option for you.[Read More] Chronic Lymphadenitis and Tonsillitis: Seeking Solutions for Persistent Pain
Understanding Left Neck Mass: Lymph Node or Tumor Concerns?
Left posterior cervical mass? Hello, I would like to ask about a slightly raised area on the back of my left neck, just a bit behind the left side of my neck, which is about 1 to 2 centimeters in size. It seems to be immovable. I remember discovering it about ten years ago and co...
Dr. Xu Jiazhen Reply:
This is usually part of the posterior auricular lymph nodes, which may become more swollen during a mild infection, such as when there are nearby pimples. If the swelling persists for more than a week or continues to enlarge, please seek medical attention promptly.[Read More] Understanding Left Neck Mass: Lymph Node or Tumor Concerns?
Understanding Persistent Lymphadenopathy: Key Questions and Concerns
Lymphadenopathy Dr. Cheng: I apologize for bothering you again. I remember asking you last month about my left neck lymphadenopathy, which has been painless and has persisted for nearly three months without any signs of reduction. At the beginning of August, I underwent an ultras...
Dr. Zheng Jueyi Reply:
Dear Beforly: If you have already undergone an ultrasound examination and fine needle aspiration, and all tests indicate normal lymphatic tissue, it is indeed reasonable to observe without immediate surgical pathology examination. Fine needle aspiration can provide some reference...[Read More] Understanding Persistent Lymphadenopathy: Key Questions and Concerns
Understanding Lymph Node Enlargement: Inflammation or Tumor Concerns?
Lymphadenopathy (inflammation? tumor) Hello, I recently discovered a swollen lymph node in the lower left side of my neck. It is painless to the touch, round and flat in shape, and the doctor estimated it to be about 0.3 cm, although I feel it might be around 0.8 cm (based on sur...
Dr. Zheng Jueyi Reply:
Hello: Based on your description, if what you felt is a lymph node, a normal, non-inflamed lymph node typically does not cause pain and generally does not lead to any discomfort. It is often discovered accidentally, and its size may not change significantly. If it remains the sam...[Read More] Understanding Lymph Node Enlargement: Inflammation or Tumor Concerns?
Understanding EB Virus and Adenoid Enlargement: Key Insights for Patients
EB virus and adenoid hypertrophy issues? Dear Doctor, Two years ago, I visited a teaching hospital due to tinnitus, and the attending physician ordered a blood test for Epstein-Barr virus (EBV), which returned positive, but I had no other symptoms. Recently, in the past week or ...
Dr. Zheng Jueyi Reply:
Dear Mr. Chang, Since the majority of the population has been infected with the Epstein-Barr virus (EBV), a positive EBV IgA test is only for reference or for monitoring after nasopharyngeal cancer radiotherapy. The definitive diagnosis still relies primarily on nasopharyngeal t...[Read More] Understanding EB Virus and Adenoid Enlargement: Key Insights for Patients
Understanding Swollen Lymph Nodes: Causes and Symptoms Explained
Lymphadenopathy? Hello, Dr. Yeh. Symptoms: In the past few weeks, I have experienced pain in the area near my throat on the right side of my jaw whenever I swallow after eating. The pain feels like it is radiating to my ear as well. About two weeks ago, I visited an ENT specialis...
Dr. Ye Dawei Reply:
Dear Sir/Madam: It is recommended to visit the Otolaryngology outpatient clinic for further examination, and if necessary, to undergo an endoscopic examination. Dr. Yeh Da-Wei, Head of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Swollen Lymph Nodes: Causes and Symptoms Explained
Understanding Lymph Nodes: When to Worry and When It's Normal
Lymph node issues? Hello: I have lymph nodes in my neck that are symmetrical. I visited an ENT clinic for examination, and the doctor said they are movable and smaller than one centimeter, which is considered normal lymph nodes. Additionally, the endoscopic examination of the nas...
Dr. Zheng Jueyi Reply:
Dear Mr. Zhang, Based on your description, including bilateral lymph nodes that are smaller than one centimeter and mobile upon palpation, these are characteristics of benign and normal lymph nodes. A thorough nasopharyngoscopy has ruled out the possibility of head and neck tumo...[Read More] Understanding Lymph Nodes: When to Worry and When It's Normal
Understanding Changes in Lumps Behind the Ear: Causes and Concerns
Changes in the hard lump behind the ear? The changes in the hard lump behind the ear are as follows: it is one during the day and becomes two at night. Thank you.
Dr. Xu Jiazhen Reply:
The hard lump behind the ear should be evaluated based on its location for further management. From the description, it is likely caused by inflammation of the lymph nodes in the ear area, which typically does not require special treatment. However, a small portion of the swellin...[Read More] Understanding Changes in Lumps Behind the Ear: Causes and Concerns
Understanding Throat Inflammation: Symptoms and Medical Insights
Please provide the content you would like me to translate into English? Hello, Doctor: Initially, I felt a sensation of something stuck in my throat, which later developed into slight pain when swallowing saliva. I went for a consultation and explained my condition to the physici...
Dr. Xu Jiazhen Reply:
If the symptoms gradually improve, it should not be a concern. Additionally, the lymph nodes in the neck should be monitored. Clinically, while the initial severity is assessed based on size, changes in size over time are a more important indicator.[Read More] Understanding Throat Inflammation: Symptoms and Medical Insights
Understanding Throat Pain and Enlarged Tonsils: Key Insights for Relief
Throat and tonsils [Currently having a cold] This morning, I visited a general clinic for symptoms: sore throat, itchy throat, post-nasal drip, cough, and phlegm. The diagnosis was bacterial infection with a red and swollen throat. In the evening: Q1: When I push on my tongue, it...
Dr. Ye Dawei Reply:
Dear Sir/Madam: A1: Based on the article, it appears to be tonsillitis. A2: It is not a throat ulcer; it is inflammation of the lymph nodes in the pharynx. Please visit the otolaryngology outpatient department for further diagnosis and treatment. Dr. Shih Shui-Mu, Attending Physi...[Read More] Understanding Throat Pain and Enlarged Tonsils: Key Insights for Relief
Understanding Ear Cysts and Lymph Node Swelling: Expert Insights
Please provide the content you would like me to translate into English? Hello Dr. Chen: The sebaceous cyst on my ear has reduced a little, but it is still present. When I saw the doctor today, he mentioned that I need to continue taking antibiotics and applying ointment. He belie...
Dr. Chen Jianzhi Reply:
Dear Inquirer, The fundamental treatment for sebaceous cysts is surgical excision. If the cyst is not large, conservative treatment with medication is generally recommended, and immediate surgery may not be necessary. If acne leads to localized small abscess formation, it can po...[Read More] Understanding Ear Cysts and Lymph Node Swelling: Expert Insights
Understanding Persistent Lymph Nodes: ENT Insights and Concerns
Please provide the content you would like me to translate into English? Hello: 1. I have four lymph nodes in my neck (for over three years), all of which are symmetrical and smaller than 1.5 cm. The doctor indicated that as long as they are being monitored, there is generally n...
Dr. Xu Jiazhen Reply:
First, I believe it should not be less than 1.5 cm; rather, lesions smaller than 1 cm generally have little immediate clinical significance, except in cases of change. Examination, including physical and imaging assessments of the head and neck, is reasonable. The otolaryngology ...[Read More] Understanding Persistent Lymph Nodes: ENT Insights and Concerns
ENT Concerns: Understanding Ear, Nose, and Throat Health Issues
Please ask! Hello, Doctor: I had an examination with a physician at Chang Gung Memorial Hospital. Since the lesion is less than one centimeter and there were no abnormalities in the nasopharyngeal examination, the doctor recommended that I continue to be monitored (every three to...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Regarding your question, there is indeed a connection between the ears and the cervical lymph nodes, so an examination of the ears will certainly be included in the physical assessment. If you are experiencing nosebleeds due to nasal allergies, it is essential to ...[Read More] ENT Concerns: Understanding Ear, Nose, and Throat Health Issues
Understanding ENT Procedures: When Is a Biopsy Necessary?
Please provide the content you would like Hello: 1. Is a surgical biopsy the same as surgery? Under what circumstances is a biopsy necessary? 2. If a biopsy is not performed, is it impossible to determine whether the lymph nodes are normal? 3. The physician's report indi...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, surgical pathology specimens are currently the only method to definitively determine whether a lesion is benign or malignant. This method cannot be replaced by physical examinations, imaging studies, or other methods. A normal nasop...[Read More] Understanding ENT Procedures: When Is a Biopsy Necessary?
Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Lymph Hello, I previously consulted you about the lymph nodes in my neck. Today, I went back to the hospital for a follow-up, and the doctor examined me and said that the nasopharynx looks clear and there haven't been any significant changes. Since it's been nearly thre...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, are you considering undergoing a surgical biopsy? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Are Symmetrical Lymph Nodes Considered Normal in ENT Health?
excuse me? Hello: Normal body organs or tissues are often symmetrical on both sides, and lymph nodes are no exception. → So, are symmetrical lymph nodes on both sides considered normal tissue?
Dr. Chen Jianzhi Reply:
Dear Inquirer: Based on your literal question, symmetrical lymph nodes on both sides, along with size, texture, color, and other characteristics being similar, should be considered normal organs or tissues. However, many diseases (including tumors) can also present symmetricall...[Read More] Are Symmetrical Lymph Nodes Considered Normal in ENT Health?
Understanding Neck Pain and Lymph Nodes: What You Need to Know
Please ask your question? Hello, doctor: For the past couple of days, I've been experiencing slight soreness in my neck when turning it. There is a small lymph node near that area, but it doesn't hurt when I touch it, so I'm unsure if it's related to the lymph...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal description, normal body organs or tissues are often symmetrical on both sides, and lymph nodes are no exception. This is a response from Dr. Chen Jian-Zhi, a physician at Taoyuan Hospital, Department of Health, and a lecturer at Fu Jen...[Read More] Understanding Neck Pain and Lymph Nodes: What You Need to Know
Understanding Throat Lymph Nodes and Their Impact on Mucus Sensation
Please provide the content you would like 1. Do you have any nasal symptoms? A: I have a bit of nasal discharge; I have allergic rhinitis. 2. Can you elaborate on the feeling of phlegm? A: Sometimes I feel phlegm in my throat, but I can't cough it up. I visited a clinic to...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, when there are many small lymph nodes in the throat, if they become inflamed, it can be likened to having many stones in a river, which can easily obstruct the flow of water and even cause stagnation of aquatic plants. Do you understand this? Therefore, expe...[Read More] Understanding Throat Lymph Nodes and Their Impact on Mucus Sensation
Understanding Throat Inflammation and Lymph Node Concerns: What You Need to Know
Could you please provide the content you would like me to translate? Today my throat feels uncomfortable, so I went to an ENT clinic. After seeing the doctor, he said I have inflammation. However, when I was about to leave, he mentioned something about having lymph nodes and advi...
Dr. Jian Huangqi Reply:
Throat inflammation causing lymphadenitis should improve with a visit to a specialist. Thank you.[Read More] Understanding Throat Inflammation and Lymph Node Concerns: What You Need to Know