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
Understanding Ear Congestion and Low-Frequency Hearing Loss After a Cold
Ear fullness, low-frequency hearing loss? Hello Doctor, I had a severe cold in mid-December last year, during which my nasal discharge was very thick (yellow-green like jelly). At the same time, I experienced a feeling of fullness in my left ear, difficulty hearing, and low-frequ...
Dr. Ji Zhaoyun Reply:
Hello, whether it is sudden sensorineural hearing loss or inner ear edema (Meniere's disease), the chance of recovery from hearing loss is approximately 70-80%. There is no guarantee of complete recovery, and the longer the duration since the onset of symptoms, the lower the...[Read More] Understanding Ear Congestion and Low-Frequency Hearing Loss After a Cold
Understanding a Raised Lesion Near the Palatine Tonsil: What to Know
A protrusion was found in the palatopharyngeal arch? Hello, Doctor. A few days ago, I noticed a small round growth about 3mm in size near the palatine tonsil on the oropharyngeal arch (but it is not connected to the tonsil). The surface is smooth, pink in color, and visually simi...
Dr. Zheng Jueyi Reply:
Hello, it is common to have lymphoid tissue in the oropharynx. If you are concerned, you can visit an otolaryngologist for an examination. If a biopsy is necessary, it is usually performed under local anesthesia, and general anesthesia is only required in special circumstances.[Read More] Understanding a Raised Lesion Near the Palatine Tonsil: What to Know
Understanding Neck Lumps: When to See an ENT Specialist
Neck mass Hello doctor, three days ago I felt a small hard lump about 0.7 cm in size at the back of my neck, which is painful to touch and not very movable. Additionally, there is an oval-shaped movable lump on the right side of my neck, approximately 1.2 cm, which sometimes hurt...
Dr. Zheng Jueyi Reply:
Hello, common concerns may include cervical lymphadenopathy or subcutaneous masses. If you are worried, it is advisable to visit an otolaryngologist for an examination.[Read More] Understanding Neck Lumps: When to See an ENT Specialist
Understanding Your ENT Biopsy Report: Key Insights and Implications
I would like to inquire about the biopsy report? The specimen submitted consists of two tissue fragments, measuring up to 0.8 x 0.3 x 0.2 cm in size, fixed in formalin. Grossly, they are white and elastic. All for section. Microscopically, it shows a picture of epithelial hyperpl...
Dr. Zheng Jueyi Reply:
Hello, epithelial hyperplasia is mostly a benign change. If you are concerned, it is recommended to have regular outpatient follow-ups to monitor any subsequent changes.[Read More] Understanding Your ENT Biopsy Report: Key Insights and Implications
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 Neck Tumors: Insights from Ultrasound Reports and Concerns
Ultrasound of Neck Tumors Last week, I had an ultrasound because I found a lump on the left posterior side of my neck. Below are my report findings. The doctor told me that a biopsy was not necessary, but I still have concerns because the report mentioned "Hilus echo absent ...
Dr. Zheng Jueyi Reply:
If you are concerned, it is advisable to return to the original ultrasound physician for a detailed discussion about whether to monitor the situation or if a biopsy is necessary.[Read More] Understanding Neck Tumors: Insights from Ultrasound Reports and Concerns
Understanding Swollen Tonsils: Causes and Concerns
One tonsil is protruding? At the end of September, there was tonsillitis. During the week of October 16, there was gastrointestinal discomfort. Around October 23, a self-examination of the throat revealed a noticeably raised red spot. There are no other uncomfortable symptoms. Wh...
Dr. Ji Zhaoyun Reply:
Based on the current resolution of the image, it is most likely indicative of tonsillar or lymphoid tissue hyperplasia, or granuloma. If there are any concerns, it is advisable to consult an otolaryngologist for examination.[Read More] Understanding Swollen Tonsils: Causes and Concerns
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
Persistent Positive EBV IGA After Benign Nasopharyngeal Tumor Removal: Next Steps?
EBV IgA has consistently tested positive, but the biopsy of the completely resected nasopharyngeal tumor was benign? Hello Doctor: In early July of this year, I visited an ENT specialist at a local hospital due to mild tinnitus and some hearing impairment. The doctor found a smal...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can affect EBA IgA levels. If the nasopharyngeal tumor has been surgically removed and the pathology results are benign, it indicates that there is currently no nasopharyngeal carcinoma. Therefore, regular outpatient follow-up is recommended. As...[Read More] Persistent Positive EBV IGA After Benign Nasopharyngeal Tumor Removal: Next Steps?
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
Understanding Growth Near Tonsils: What You Need to Know
A lump near the tonsils (see attached image)? Hello Doctor, I have noticed a growth near my tonsils over the past few days, as shown in the image: https://imgur.com/a/tZB30q2. A few days ago, I had a cold and consulted a doctor, during which I mentioned this area. The doctor info...
Dr. Zheng Jueyi Reply:
Hello, it initially appears to be lymphoid tissue of the tonsils. If you have concerns or notice any persistent changes, it is advisable to consult an otolaryngologist for further evaluation.[Read More] Understanding Growth Near Tonsils: What You Need to Know
Understanding Enlarged Lymph Nodes: When to Seek Medical Advice
Lymphadenopathy Hello, doctor: About 10 days ago, I noticed a lump in the fifth area of my neck while showering. Recently, I have been taking the pineapple enzyme and B vitamins prescribed by the doctor, but the lump has only fluctuated in size. Current status: it is movable, pai...
Dr. Zheng Jueyi Reply:
Hello, if you have already been examined by a physician and the lymph nodes are movable and not painful, you can start with self-monitoring. After inflammation of the cervical lymph nodes and subsequent medication treatment, they may decrease in size, but it is not guaranteed tha...[Read More] Understanding Enlarged Lymph Nodes: When to Seek Medical Advice
Concerned About Oral Cancer? Itchy Bumps in Your Mouth Explained
I have swelling in my mouth that is itchy, and I'm worried it might be oral cancer? Hello Doctor, this afternoon I started feeling itchy in my mouth (under the uvula). I just looked with a flashlight and found some small raised bumps, and I'm very worried that it might ...
Dr. Li Jiaxuan Reply:
The protrusion in the pharyngeal area is likely caused by lymphadenopathy due to an infection. It is recommended to seek diagnosis and treatment from an otolaryngology clinic. Wishing you good health.[Read More] Concerned About Oral Cancer? Itchy Bumps in Your Mouth Explained
Understanding Throat Bumps: Are They Caused by Acid Reflux?
Small lump in the throat? I have been experiencing throat reflux issues for the past month, and recently I noticed small lumps near the area below my tonsils. Could this be caused by throat reflux leading to throat inflammation? Thank you, doctor.
Dr. Zheng Jueyi Reply:
Hello, the tonsillar lymphoid tissue is commonly found and may become inflamed and enlarged due to pharyngeal reflux. If you have concerns or symptoms, it is advisable to consult an otolaryngologist for an examination.[Read More] Understanding Throat Bumps: Are They Caused by Acid Reflux?