Understanding Lymphadenopathy: Key Questions and Concerns in ENT Care
Lymphadenopathy Hello Dr. Chen, I have had swollen lymph nodes at the junction of my right ear and neck, as well as in the middle of my left neck, for two months (without fever). The swelling on the right side has decreased a bit, but it has remained stable since then. I have see...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, here is the response. Nasopharyngoscopy cannot completely rule out the possibility of nasopharyngeal cancer. Ultrasound-guided fine needle aspiration is one of the examinations for neck masses and is quite safe. The inflammatory mar...[Read More] Understanding Lymphadenopathy: Key Questions and Concerns in ENT Care
Understanding Lumps in the Neck: When to Seek Medical Advice
There is a small hard lump on the left side of the neck? Hello, Director Yeh. About three years ago, I noticed a lymph node on both sides of my neck, approximately 1 cm in size, which fluctuated in size. At that time, I was under a lot of work stress and also experienced tinnitus...
Dr. Ye Dawei Reply:
Dear Sir/Madam: 1. Theoretically, cancer is less likely to fluctuate significantly in size. 2. It is advisable to have an outpatient consultation. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Lumps in the Neck: When to Seek Medical Advice
Understanding Lymphadenopathy: Symptoms, Diagnosis, and When to Seek Help
Lymphadenopathy Previously, I felt a dull sensation in my right ear, and my neck felt stiff. I visited a doctor who diagnosed me with otitis media. However, after taking medication, there was no improvement. Additionally, a small lump appeared deep in my neck behind my ear. After...
Dr. Ye Dawei Reply:
Dear Sir/Madam: 1. Ultrasound-guided fine needle aspiration biopsy can be performed to rule out malignancy. 2. If no cause is found in the otolaryngology field, a comprehensive examination should be conducted. Dr. Yeh Da-Wei, Head of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Lymphadenopathy: Symptoms, Diagnosis, and When to Seek Help
Understanding Persistent Lymph Nodes: When to Seek Further Medical Help
Three lymph nodes About six months ago, I noticed a lymph node under my jaw that was less than one centimeter in size. I have seen many doctors, including Dr. Yeh, who said that medication would help it shrink, that it was movable, and that pressing on it would cause some pain. H...
Dr. Ye Dawei Reply:
Dear Sir/Madam: 1. Both options are acceptable. 2. It sounds like lymphadenitis; maintaining good immune function can help reduce the likelihood of flare-ups. Dr. Yeh Da-Wei, Head of the ENT Department, Hsinchu Hospital.[Read More] Understanding Persistent Lymph Nodes: When to Seek Further Medical Help
Understanding Chronic Throat Dryness and Pain: When to Seek Further Evaluation
Sore throat? Dear Doctor: I previously experienced a very dry throat, especially noticeable at night while sleeping. It then progressed to a dry and painful throat, and I felt some swelling in my throat lymph nodes. Additionally, I have been experiencing post-nasal drip, with thi...
Dr. Ye Dawei Reply:
Dear: Department of Otolaryngology, Hsinchu Hospital, Director Dr. Yeh Da-Wei, regarding laryngoscopy.[Read More] Understanding Chronic Throat Dryness and Pain: When to Seek Further Evaluation
Understanding Ear Discomfort: When to See an ENT Specialist
Ear problems I have been feeling discomfort in my right ear for a year. I have seen doctors who said there are no tumors, ear pressure is normal, and hearing tests also show normal results. The sensation is similar to tinnitus; there is no pain or itching, just a feeling of fulln...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, it may be related to temporalis muscle spasms causing discomfort in the ear. It is recommended that you first consult with an oral and maxillofacial surgeon. Sincerely, Dr. Chien-Chih Chen, ENT specialist at Taoyuan Hospital, ...[Read More] Understanding Ear Discomfort: When to See an ENT Specialist
Understanding Lymph Nodes: Insights from an ENT Specialist
Please ask your question about lymph nodes? Hello Dr. Chen: I visited the doctor today, and he mentioned that the lymph nodes in the back are normal tissue and may be a result of a bacterial infection. He also prescribed medication (stating that it’s okay if the lymph nodes do no...
Dr. Chen Jianzhi Reply:
Dear Mr. Chang, Hello. In response to your inquiry, the medications mentioned will help reduce the inflammation of the lymph nodes. As the inflammatory tissue worsens, the symptoms may become more severe. Therefore, please continue taking the medication and we will monitor the s...[Read More] Understanding Lymph Nodes: Insights from an ENT Specialist
Understanding Lymph Node Issues: When to See an ENT Specialist
Reply to inquiry? Hello Dr. Chen: You mentioned that a biopsy can be chosen. Do all hospitals have this procedure available? I have a lump that is not very noticeable and can only be felt when pressed. If there are similar lumps in the neck, could this possibly be related to lymp...
Dr. Chen Jianzhi Reply:
Dear Mr. Chang, Hello. Based on your literal inquiry, a puncture is a relatively simple procedure that is generally available in most hospitals. I agree with your last thought; you can visit a nearby otolaryngology clinic for a physician to perform a physical examination. Consul...[Read More] Understanding Lymph Node Issues: When to See an ENT Specialist
Understanding Lymph Nodes: When to See an ENT Specialist
Lymph nodes Hello! I have noticed a small area on the right side of my neck, close to my shoulder, where I can feel what seems to be a lymph node, but I have to press quite hard to detect it. I'm not sure if it's actually a lymph node, and it doesn't feel large at ...
Dr. Chen Jianzhi Reply:
Dear Mr. Chang, Hello. Based on your literal inquiry, it seems necessary for an expert to examine you in order to confirm the condition you described. It is advisable to prioritize a consultation with an otolaryngologist. A biopsy does not necessarily require surgery; it can be ...[Read More] Understanding Lymph Nodes: When to See an ENT Specialist
Understanding Persistent Tinnitus: Causes and Solutions for Better Sleep
Continuous tinnitus..? I have been experiencing continuous tinnitus, described as the sound of insects and birds, for the past two months. Could this be related to aging and degeneration? It has been a constant source of distress for me, often preventing me from sleeping. Could y...
Dr. Ye Dawei Reply:
Dear Sir/Madam, Please visit the outpatient clinic for examination. **Inner Ear Tinnitus** As the name suggests, inner ear tinnitus is caused by lesions in the inner ear. The most well-known conditions associated with this are Meniere's disease and the increasingly comm...[Read More] Understanding Persistent Tinnitus: Causes and Solutions for Better Sleep
Understanding Throat Lumps: Symptoms, Diagnosis, and Treatment Options
Could you please provide more details about the throat lump? Hello Dr. Chen, In mid-2007, I accidentally felt a small hard lump in the center of my throat. I went to the hospital's endocrinology department for an ultrasound examination. At that time, the lump was about 0.2 ...
Dr. Chen Jianzhi Reply:
Dear Ms. Tsai, Hello. Based on your literal inquiry, it may be lymphadenopathy; however, you also describe that it is increasing in number and accompanied by many symptoms, which is indeed quite unusual. I find it difficult to answer your question, and I apologize for that! How ...[Read More] Understanding Throat Lumps: Symptoms, Diagnosis, and Treatment Options
Understanding Nasal Congestion and Neck Swelling: Key Concerns
Nasal turbinate hypertrophy & mild neck swelling Hello Doctor, I have chronic rhinitis caused by allergies, with long-term nasal congestion (usually affecting only one nostril recently), occasional sneezing in the morning, and a feeling of slight numbness or pressure in my he...
Dr. Hu Kexin Reply:
Hello, there is currently no evidence linking chronic allergic rhinitis with nasopharyngeal carcinoma. If you have swelling in the neck, it is recommended that you consult an otolaryngologist for a thorough examination. Hu Ke-xin.[Read More] Understanding Nasal Congestion and Neck Swelling: Key Concerns
Understanding Meniere's Disease: Symptoms, Diagnosis, and When to See an ENT
I would like to inquire about Meniere's disease? My mother has been experiencing dizziness for the past few months, which can become severe enough to cause vomiting and nausea. The episodes occur intermittently. She can only sleep on her side; lying flat induces nausea. I wo...
Dr. Ye Dawei Reply:
Hello, Miss Hsiao-Hsuan: A. Should the above situation warrant a visit to the ENT clinic for further examination? Q. Yes. A. What examinations should be conducted? Q. Hearing and balance tests. A. What are the diagnostic criteria for Meniere's disease? Q. When the...[Read More] Understanding Meniere's Disease: Symptoms, Diagnosis, and When to See an ENT
Can Tooth Inflammation Cause Swollen Neck Lymph Nodes?
Please ask your question? Hello, if there is inflammation in the teeth, could it potentially cause swelling of the cervical lymph nodes? If it is related to the teeth, will it typically resolve, or is there a possibility that it may not resolve?
Dr. Chen Jianzhi Reply:
Dear Inquirer, According to your inquiry, dental inflammation can indeed lead to swollen cervical lymph nodes. With appropriate treatment, these should theoretically resolve. However, if the swelling persists for more than a month, it may be due to other underlying causes, which...[Read More] Can Tooth Inflammation Cause Swollen Neck Lymph Nodes?
Understanding Lymph Nodes: Normal Variations and Genetic Factors
Questions about lymph nodes? Lymph nodes are normal structures in the human body, and it is common to find lymph nodes in the cheek area. Are all lymph nodes considered normal? Is there a genetic component to this? Some of my family members have lymph nodes located under the chin...
Dr. Chen Jianzhi Reply:
Dear Amin, Based on your literal inquiry, most cases of persistent lymphadenopathy are associated with fibrosis, while a minority may be due to tumor metastasis. The relationship with genetics is actually minimal. Therefore, for lymphadenopathy that does not resolve, in addition...[Read More] Understanding Lymph Nodes: Normal Variations and Genetic Factors
Understanding Lymph Nodes: Why Do They Appear in Your Cheek?
Please ask your question? I have a round lump about one centimeter in my cheek. I went to an ENT clinic, and the doctor said it’s nothing to worry about. Can you explain why I have this lump in my cheek? The doctor mentioned that many people have them, and that many people also d...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Lymph nodes are a normal structure in the human body, and it is normal to have lymph nodes in the cervical region. However, if there is unusual swelling, it is necessary to seek medical attention. Sincerely, Dr. Chien-Chih Chen, Attending Physician, Department of O...[Read More] Understanding Lymph Nodes: Why Do They Appear in Your Cheek?
Understanding Lymphadenitis: Symptoms, Causes, and When to Seek Help
Parotid lymphadenitis Hello, Dr. Yeh. A couple of days ago, I visited your clinic regarding inflammation under my left ear, which you said was lymphadenitis and prescribed medication for 6 days. However, by the evening, I noticed a small hard lump (about 2 cm) near my left ear th...
Dr. Ye Dawei Reply:
Hello Ms. Wei: Regarding your first question: If possible, please come back early to register for an on-site appointment; you will definitely be seen. For your second question: It could be. Dr. Yeh Da-Wei, the head of the ENT department at Hsinchu Hospital.[Read More] Understanding Lymphadenitis: Symptoms, Causes, and When to Seek Help
Understanding Lymph Nodes: Do They Swell with a Cold?
excuse me? Hello: Regarding the lymph node on either side of my Adam's apple, I visited a teaching hospital where the doctor performed a physical examination and looked at my throat. The doctor said the lymph nodes are fine, and generally, those located on the sides of the n...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question and description, the answer is "yes." This is a response from Dr. Chen Jian-Zhi, attending physician of the Department of Otolaryngology at Taoyuan Hospital, Ministry of Health and Welfare, and lecturer at Fu Jen Cath...[Read More] Understanding Lymph Nodes: Do They Swell with a Cold?
Common ENT Concerns: Lymph Nodes and Ear Wax Issues Explained
Please ask your questions! 1. I have a lymph node on both sides of my Adam's apple (approximately a few millimeters on the left and over one centimeter on the right). After a physical examination by an ENT specialist, I was told it was nothing to worry about. I would like to...
Dr. Hu Kexin Reply:
Hello, I would like to respond as follows: 1. There are various methods to examine neck masses, including palpation, flexible nasopharyngoscopy, computed tomography, and other techniques. The choice of examination methods depends on the specific circumstances. Generally, flexib...[Read More] Common ENT Concerns: Lymph Nodes and Ear Wax Issues Explained
Understanding Persistent Lymph Nodes: When to Seek Further ENT Evaluation
Hello! Hello, Doctor: 1. I have lymph nodes on both sides of my Adam's apple (they do not move). The one on the left is quite small, while the one on the right is about one centimeter. I previously visited an ENT clinic, and the doctor mentioned during the examination that...
Dr. Chen Jianzhi Reply:
Dear Mr. Lai, Regarding your literal inquiry, I still cannot understand what you mean by "there is a lymph node on each side of the Adam's apple." Palpation is a very important examination. If possible, a flexible nasopharyngolaryngoscopy would also be beneficial,...[Read More] Understanding Persistent Lymph Nodes: When to Seek Further ENT Evaluation