Lymph, Otolaryngology FAQ - Page 13

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Understanding Enlarged Lymph Nodes: Causes, Diagnosis, and Treatment Options

Enlargement of the right supraclavicular lymph nodes? Hello, doctor! On Sunday (10/13), I noticed swelling in the lymph nodes above my right clavicle, which feels about the size of a marble, likely over two centimeters. It is movable and tender to the touch. On Monday, I visited ...


Dr. Zheng Jueyi Reply:
Hello: The scheduled examinations are currently in progress. Generally, lymph nodes that shrink with anti-inflammatory medication are mostly benign. It is recommended to follow the physician's arrangements for examinations and outpatient follow-up. Wishing you peace and heal...

[Read More] Understanding Enlarged Lymph Nodes: Causes, Diagnosis, and Treatment Options


Understanding One-Sided Throat Pain: Is It Tonsil Cancer?

Sore throat on one side? I have been experiencing a sore throat since early September, with more pain on the right side. Swallowing and eating are painful, but drinking water is somewhat manageable. I have had a total thyroidectomy, so when I palpate my neck, I notice an enlarged...


Dr. Zheng Jueyi Reply:
Hello, the tonsils may have a congenital size difference on both sides. An unequal size can serve as a reminder to check for abnormalities in the larger tonsil, such as persistent ulcers or unexplained tumors. If there are concerns, the physician may recommend a biopsy or surgery...

[Read More] Understanding One-Sided Throat Pain: Is It Tonsil Cancer?


Understanding the Sensation of a Foreign Body in the Throat

Sensation of a foreign body in the throat? Hello doctor, for the past week, I have felt like there is something stuck in my throat. When I swallow saliva, it slightly moves down and then returns to its original position. It hasn't been painful until today, when I noticed a m...


Dr. Zheng Jueyi Reply:
Hello: Inflammation is commonly observed; if it persists without improvement, it is advisable to seek medical evaluation for confirmation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Healt...

[Read More] Understanding the Sensation of a Foreign Body in the Throat


Comparing Throat and Nasopharyngeal Exams: Mirror vs. Endoscope

Differences in examinations for nasopharyngeal and oral cancers? Hello, Doctor: 1. When a physician uses an oral mirror to examine the throat, mouth, and nasopharynx, how does this method compare to using an endoscope inserted into the nostrils? Is there a significant differenc...


Dr. Zheng Jueyi Reply:
Hello: 1. An experienced physician can clearly examine the nasopharynx and oropharynx using a mirror. If there is any uncertainty, an endoscopic examination will typically be performed for confirmation. 2. Generally, lymph nodes in the neck that are less than 1 centimeter can be ...

[Read More] Comparing Throat and Nasopharyngeal Exams: Mirror vs. Endoscope


Understanding Painful Neck Lumps: Causes and When to Seek Help

A lump in the right posterior neck? Recently, I discovered a lump about 1 centimeter in size on the right posterior side of my neck. The area above the lump feels a bit painful to the touch, and gently massaging the lump also causes mild discomfort. This has been ongoing for a we...


Dr. Ji Zhaoyun Reply:
Hello, a neck mass could potentially be a congenital cyst, lipoma, sebaceous cyst, malignant tumor, lymphadenopathy, among others. It is difficult to determine whether it is benign or malignant based solely on specific symptoms. If the symptoms persist, it is advisable to consult...

[Read More] Understanding Painful Neck Lumps: Causes and When to Seek Help


Understanding Lymph Node Swelling After Tonsillitis: What You Need to Know

Swelling around the cervical lymph nodes? Hello Doctor: A few weeks ago, I experienced a purulent tonsillitis. After visiting an ENT clinic, the doctor prescribed Augmentin for treatment, and my condition improved immediately. However, after finishing the six-day course of medica...


Dr. Zheng Jueyi Reply:
Hello: It is common for lymphadenitis to be caused by an infection. If it persists and does not resolve, it is recommended to continue follow-up at the hospital for evaluation by a physician to determine if further related tests or fine needle aspiration cytology are necessary. W...

[Read More] Understanding Lymph Node Swelling After Tonsillitis: What You Need to Know


Understanding Oral Lumps: When to Seek Medical Advice

Oral issues Hello Doctor, I apologize for bothering you again. I have another question to ask. Recently, I noticed a lump or mass on the left side of my body in the area marked in the picture. I'm not sure if it has been there for a while or if it just appeared recently. It ...


Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, it appears to be lymphoid tissue or minor salivary gland tissue in the oral cavity. If there are no obvious ulcers, you may observe it for now. However, if the pain persists, it is advisable to seek medical evaluation for confirmation. Wishing you...

[Read More] Understanding Oral Lumps: When to Seek Medical Advice


Understanding Oral Health Issues: What Could Be Causing Your Symptoms?

Oral issues Hello Doctor, I would like to ask for your advice. Recently, I have felt a hard object on the sides of my upper jaw near the back of my molars, approximately in the area circled in the attached image. It feels like there is something there, and I notice it on both sid...


Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, it appears to be a normal maxillary ridge. If there are no significant protrusions or ulcers, you may observe it for now. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, M...

[Read More] Understanding Oral Health Issues: What Could Be Causing Your Symptoms?


Should You Just Monitor Nasal Tumors? Insights on Lung Infiltration Concerns

Is it sufficient to just observe an intranasal tumor? Additionally, what about the issue of pulmonary infiltration? On June 6th, I was concerned about occasionally having very yellow nasal discharge, which I suspected was due to sinusitis, so I went to Taipei Veterans General Hos...


Dr. Ji Zhaoyun Reply:
Hello, based on your description: 1. For lymphoid hyperplasia in the nasal cavity, is it sufficient to just observe? If a biopsy shows no growth after one month, can we be reassured? -> If it is nasopharyngeal lymphoid hyperplasia, it typically grows from deeper layers, and ...

[Read More] Should You Just Monitor Nasal Tumors? Insights on Lung Infiltration Concerns


Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?

A mass approximately 1.5 centimeters in size located in the left posterior cervical region? I have noticed this lump for at least three years. When I look in the mirror, I can't see the lump unless I turn my neck to the right; then, a round lump becomes noticeable on the bac...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, the neck mass could potentially be a malignant or benign tumor, a congenital cyst, lymphadenopathy, lipoma, etc. If it is lymphadenopathy, treatment often involves medication, and antibiotics may be used if necessary. However, if the neck swellin...

[Read More] Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?


Suspecting Throat Gonorrhea After Unprotected Encounter: What to Do?

Suspecting that you may have contracted gonococcal pharyngitis? After having sexual intercourse with an unfamiliar woman, I experienced a sore throat and swollen lymph nodes three days later. I visited a general clinic and saw an ENT specialist, but after taking medication for th...


Dr. Zheng Jueyi Reply:
Hello, if there is no improvement, you may visit the Infectious Disease Department at the hospital for examination. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan General Hospital, Ministry of Health and Welfare.

[Read More] Suspecting Throat Gonorrhea After Unprotected Encounter: What to Do?


Understanding Complex ENT Symptoms: Blood in Phlegm and Respiratory Issues

Could you please provide more details about your issue? It seems quite complex, and I'd be happy to help you understand it better? Doctor, for the first three years, I noticed blood in my first morning sputum and was worried about nasopharyngeal cancer. Later, I went to a la...


Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, the throat appears to have normal tonsillar lymphoid tissue. If the breathing issues persist without improvement, you may follow up with an infectious disease specialist or a pulmonologist for further evaluation. Wishing you safety and good health...

[Read More] Understanding Complex ENT Symptoms: Blood in Phlegm and Respiratory Issues


Understanding Lymph Node Swelling: When to Seek Further Medical Advice

Cervical lymph nodes Hello doctor, about a month and a half ago, I discovered a swollen lymph node near my neck, close to the jawline, measuring 1.5 cm. There is another one about 2 cm below it (this one has likely been present for many years, but it was also more swollen at that...


Dr. Zheng Jueyi Reply:
Hello: Generally, if lymph nodes have decreased in size and there is no persistent pain, it is mostly a benign change. Larger lymph nodes that shrink may still persist. For lymph nodes larger than 1 cm, it is recommended to visit the ENT department of a hospital for a head and ne...

[Read More] Understanding Lymph Node Swelling: When to Seek Further Medical Advice


Understanding Oral Mucosal Lesions: Bumps, Ulcers, and Blisters

Oral mucosal tumors, ulcers, blisters, and cervical masses? Hello, I have the following oral issues: 1. My chin is slightly shifted to the right, and there is a small hard lump that is tender when I press down on my jaw from the outside. I'm not sure if it moves when I swall...


Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic as there may be swelling of the salivary glands or lymph nodes, likely due to an oral infection. Additionally, a visit to the dental clinic is advised for further evaluation. Wishing you well.

[Read More] Understanding Oral Mucosal Lesions: Bumps, Ulcers, and Blisters


Concerns About Oral Symptoms: What to Know About Tongue and Throat Issues

Oral issues Hello Dr. Zheng, I have recently felt a foreign body sensation on the left side of my tongue and the left side of my uvula. Upon looking in the mirror, I noticed several protrusions: https://imgur.com/a/Njz4DbH. I have been concerned because I have been intimate with ...


Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, it appears to be normal tonsillar lymphoid tissue. You may monitor it yourself, but if it continues to enlarge or becomes painful, you should seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Depa...

[Read More] Concerns About Oral Symptoms: What to Know About Tongue and Throat Issues


Understanding ENT Issues: Questions About Lymph Nodes and Oral Symptoms

Report issues? Hello Dr. Li, I am the mother who brought in the child. First of all, I want to express my heartfelt gratitude for your help and treatment. Thank you for arranging the examinations, which saved me from running around to other hospitals without any assistance. At le...


Dr. Li Jiaxuan Reply:
1. Lymph nodes smaller than 0.7 cm are generally considered to be within the normal range, so there is no need for excessive concern. If you notice enlarged lymph nodes, further examination can be done. 2. A CT scan is performed with 3 mm slices, and there are no significant ab...

[Read More] Understanding ENT Issues: Questions About Lymph Nodes and Oral Symptoms


Understanding Persistent Neck Lymph Nodes: When to Worry and Self-Check Tips

Cervical lymph nodes Hello Doctor, I have a lymph node in my neck that is about 0.3-0.5 cm, small and movable. It has been there for at least five or six years (I’m not sure if it existed before I discovered it). When I first found it, I consulted many doctors who said it was sma...


Dr. Zheng Jueyi Reply:
Hello: If the lymph nodes have been present for many years without significant changes, they are mostly benign. You may perform a self-examination once a week. If there are no noticeable changes in size or pain, you can continue to monitor them. However, if there are any changes,...

[Read More] Understanding Persistent Neck Lymph Nodes: When to Worry and Self-Check Tips


Understanding Mumps and Salivary Gland Tumors in Children

Mumps or salivary gland tumors About two weeks ago, my 10-year-old daughter told me that she had a lump below her left ear. At that time, it wasn't painful, and we didn't think much of it. A day or two later, she mentioned that the lump had grown larger and was painful ...


Dr. Ji Zhaoyun Reply:
Hello, there are many types of neck and ear-related swellings, including parotitis, lymphadenopathy, and parotid tumors. It is advisable to consult an otolaryngologist if symptoms persist. Wishing you peace and good health. Sincerely, Dr. Chi Chao-Yun, Head of the Department of O...

[Read More] Understanding Mumps and Salivary Gland Tumors in Children


Understanding Unilateral Sore Throat: Causes, Diagnosis, and Next Steps

Unilateral sore throat? In the past two months, I suddenly started experiencing a sharp pain on the right side of my throat (a fixed pain point) when swallowing saliva, or in certain positions. The doctor used an endoscope and noted that the lymph nodes were slightly swollen, wit...


Dr. Zheng Jueyi Reply:
Hello: If a physician has already examined you and can preliminarily rule out a tumor, generally, if there are abnormal ulcers or enlarged areas suspected of being malignant tumors, the clinic physician will often recommend a referral. Unilateral enlargement of the tonsil may be ...

[Read More] Understanding Unilateral Sore Throat: Causes, Diagnosis, and Next Steps


Understanding Nasopharyngeal Index: What You Need to Know About EBV Levels

Nasopharyngeal index Hello, doctor. I previously visited three doctors due to swollen lymph nodes. They all said it was small and not a concern, measuring less than one centimeter, and it was soft and movable. I noticed it about four months ago. I have also undergone three nasoph...


Dr. Zheng Jueyi Reply:
Hello, the index generally serves as a reference. Nasopharyngeal carcinoma is primarily diagnosed through endoscopic examination and nasopharyngeal biopsy. If all current tests are normal, it is recommended to have regular follow-up examinations every three to six months. Wishing...

[Read More] Understanding Nasopharyngeal Index: What You Need to Know About EBV Levels


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