Lymph, 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 Left Neck Pain: Causes and Solutions for Discomfort

Left neck pain? Around the junction of the jaw and neck, slightly forward from the left sternocleidomastoid muscle, I sometimes experience sudden pain. I'm not sure how to describe the type of pain, but it usually diminishes to a slight ache or almost disappears within a few...


Dr. Zheng Jueyi Reply:
Hello, it is currently difficult to determine. If the pain continues to recur, it is recommended to visit an otolaryngologist for examination and confirmation.

[Read More] Understanding Left Neck Pain: Causes and Solutions for Discomfort


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 Throat and Sinus Symptoms: When to Seek Medical Help

Hello, doctor? I would like to ask about something I have noticed at the back of my tongue, near my throat. There are small, lump-like formations that I cannot see myself, but sometimes when I cough or spit up phlegm, I can see these lump-like structures that resemble pus-filled ...


Dr. Zheng Jueyi Reply:
Hello, the base of the tongue contains circumvallate papillae and numerous lymphoid tissues. If you are concerned about any lesions at the base of the tongue or issues such as sinusitis, you should first visit an otolaryngology clinic for an examination. If there are any concerns...

[Read More] Understanding Throat and Sinus Symptoms: When to Seek Medical Help


Understanding Your Mother's Neck Mass: Next Steps After Biopsy Results

I'm sorry, but I cannot provide a translation without the specific content you would Dr. Zheng, I need your help again. My mother had surgery to remove a large mass, and a biopsy was performed. The report has come back, but I can't understand whether it is benign or mal...


Dr. Zheng Jueyi Reply:
Hello, this report is an ultrasound report, not a biopsy pathology report. Online consultations primarily provide health education and cannot replace clinical consultations. For professional-related questions, please directly consult the clinical surgeon.

[Read More] Understanding Your Mother's Neck Mass: Next Steps After Biopsy Results


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 Enlarged Tonsils After Tonsillectomy: Possible Causes Explained

Tonsillitis with enlargement of the tonsils? Hello doctor, the patient visited due to influenza and finished a three-day course of medication, but his throat still hurts. Upon returning for a follow-up, the doctor mentioned that his tonsils are enlarged and inflamed. However, he ...


Dr. Ji Zhaoyun Reply:
Hello, generally speaking, if a person has had their tonsils removed in childhood, they are unlikely to experience tonsil enlargement or inflammation again. However, there are some situations to consider: 1. **Residual tonsillar tissue**: In certain cases, it may not be feasible ...

[Read More] Understanding Enlarged Tonsils After Tonsillectomy: Possible Causes 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 Nasopharyngeal Cancer Risks: Your Questions Answered

Nasopharyngeal carcinoma issues? Hello Doctor, I am very anxious and would like to ask a few questions. I have not had any cough, but I constantly feel like I have phlegm. I have visited several clinics, and the doctors prescribed medication for mild inflammation. After seeing th...


Dr. Zheng Jueyi Reply:
Hello, the general screening for nasopharyngeal carcinoma can refer to the EBV-VCA IgA index. A value of 0.59 is considered negative, indicating that the result is normal and the likelihood of nasopharyngeal carcinoma is low. However, a definitive diagnosis should still be based ...

[Read More] Understanding Nasopharyngeal Cancer Risks: Your Questions Answered


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


Understanding Hashimoto's Disease: Causes, Treatment, and Dietary Tips

Thyroid medication consultation? Hello Dr. Zheng, I had a blood test a few days ago, and my metabolic doctor said that I have Hashimoto's disease. I have also researched a lot of information online, and I would like to ask: 1. Is Hashimoto's disease essentially a chro...


Dr. Zheng Jueyi Reply:
1. Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is an autoimmune disease caused by the immune attack of thyroid tissue by self-cells or antibodies. 2. In addition to family history, certain environmental factors such as high iodine intake, infectio...

[Read More] Understanding Hashimoto's Disease: Causes, Treatment, and Dietary Tips


Understanding the Incubation Period and Symptoms of Gonococcal Pharyngitis

The incubation period of gonococcal pharyngitis, as well as the differences in symptoms compared to typical acute pharyngitis? Hello Doctor, I had unprotected oral sex with my male partner on February 16. Starting on March 20, I began experiencing unilateral cervical lymphadeno...


Dr. Zheng Jueyi Reply:
Hello, 1. The probability is low, but it cannot be completely ruled out over time. 2. The symptoms are similar to those caused by common viral pharyngitis; if a partner or oneself tests positive for gonorrhea, there should be a high suspicion of gonococcal pharyngitis. 3. If symp...

[Read More] Understanding the Incubation Period and Symptoms of Gonococcal Pharyngitis


Understanding Lymph Node Swelling: Insights from ENT Specialists

I have a swollen lymph node in my neck and would like to ask the doctor to help review the examination results? I have a swollen lymph node in my neck. Initially, it was itchy and painful, but now, after three weeks, it no longer hurts and hasn't increased in size; it remain...


Dr. Zheng Jueyi Reply:
1. The report only mentions a protruding mass in the central nasopharynx, which is commonly associated with adenoid tissue. Whether there is a concern for biopsy should be determined by the clinical physician. 2. It is indeterminate; it is recommended to wait for the ultrasound ...

[Read More] Understanding Lymph Node Swelling: Insights from ENT Specialists


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


Unexplained Pink Bumps on Tongue: What You Need to Know

Sudden appearance of pink bumps at the back of the tongue? I usually scrape my tongue, but recently I noticed some painless bumps growing deeper on it. I'm concerned about wasting medical resources, so I wanted to ask first, but I'm not sure how to send pictures. The bu...


Dr. Zheng Jueyi Reply:
Commonly, this can be due to lymphoid tissue at the base of the tongue or circumvallate papillae. If you are concerned, you can visit an otolaryngology clinic for examination and confirmation.

[Read More] Unexplained Pink Bumps on Tongue: What You Need to Know


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