Lymph, Otolaryngology FAQ - Page 36

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Understanding Painful Lymph Nodes: Causes and Treatment Options

Lymph node tenderness? Duration: 3 weeks Symptoms: Recently, I have been able to feel swollen lymph nodes on both sides of my earlobes and under my jaw, with tenderness upon pressure. Could this be caused by sinusitis leading to post-nasal drip, which in turn has triggered tons...


Dr. Cai Hongyan Reply:
1. It should be. 2. Generally, it will reduce swelling and relieve pain; if it persists for more than three months, a biopsy should be performed. 3. Blood tests can be done but are not necessary.

[Read More] Understanding Painful Lymph Nodes: Causes and Treatment Options


Effective Treatments for Chronic Sinusitis: Exploring Options Beyond Surgery

What other methods are available to treat chronic sinusitis? Hello Doctor, thank you for your response. I have also researched some information, and it is indeed true that sinusitis is not related to psychosomatic disorders. For patients with chronic illnesses who endure pain dai...


Dr. Cai Hongyan Reply:
1. No. 2. Only applicable for hypertrophic rhinitis with chronic nasal congestion. 3. You can go to a medical center and have another CT scan to determine if there are any issues.

[Read More] Effective Treatments for Chronic Sinusitis: Exploring Options Beyond Surgery


Understanding Neck Lumps: Key Questions for ENT Specialists

Neck concerns? Dear Dr. Hsu, I discovered three lumps in my neck around May 11. One is a small, independent lump located at the junction of the head and neck, approximately 0.5 cm (A). The other two are connected, with one being significantly larger, filling the supraclavicular ...


Dr. Xu Jiazhen Reply:
Hello: Regarding the issue of the neck mass you mentioned, here are my responses: 1. The gradual disappearance of the mass does not necessarily indicate complete healing, so it was appropriate for the second physician to arrange for a biopsy. Sometimes, there can be concurrent ...

[Read More] Understanding Neck Lumps: Key Questions for ENT Specialists


Understanding Tinnitus: Causes, Treatments, and Concerns for Patients

Tinnitus Hello Dr. Hsu, I have been experiencing tinnitus for nearly two months, and I would like to describe my symptoms as follows: 1. This has never occurred before. 2. It only occurs in my left ear, with no dizziness or discharge as complications. 3. The symptom is a high-pit...


Dr. Xu Jiazhen Reply:
Hello: In response to your question, the main symptom of Eustachian tube dysfunction is a sensation of ear fullness, occasionally accompanied by tinnitus. If there is a mass in the nasopharynx, it is recommended to undergo a nasopharyngeal biopsy to rule out the possibility of na...

[Read More] Understanding Tinnitus: Causes, Treatments, and Concerns for Patients


Understanding Swelling in the Salivary Glands: Possible Causes and Concerns

Issues related to salivary gland tumors? Hello Doctor, I have had swelling in the parotid glands on both sides below my ears for two weeks. There is no pain or fever, and pressing gently does not elicit any special sensation. There are no abnormalities in other parts of my body. ...


Dr. Cai Hongyan Reply:
Bilateral parotid gland enlargement is often related to immune factors. I have ordered blood tests, and we will know the results soon. Generally, if it does not affect appearance, surgery is not necessary. Possible conditions include HIV, tuberculosis, Sjögren's syndrome, ly...

[Read More] Understanding Swelling in the Salivary Glands: Possible Causes and Concerns


Understanding Right Ear Pain: Causes and When to Seek Help

Right ear pain? Hello, I have been experiencing pain behind my right ear for over a week. I have seen an ENT specialist who found no signs of inflammation, but I still feel a throbbing pain behind my right ear. There is also a swollen area that doesn't hurt when pressed, but...


Dr. Xu Jiazhen Reply:
Hello: In response to your inquiry, based on your symptoms, it may be indicative of inflammation. However, further physical examination and assessment are necessary to determine the exact condition. Therefore, I recommend that you visit the nearest hospital's otolaryngology ...

[Read More] Understanding Right Ear Pain: Causes and When to Seek Help


Managing Recurrent Congenital Lymphatic Cysts in Children

Lymphadenal cyst Dr. Tsai: The young girl has had congenital lymphatic cysts since childhood and has undergone three surgeries to remove 90% of them. However, recently, the congenital lymphatic cysts have recurred on her right cheek, causing congestion of the nerve behind her rig...


Dr. Cai Hongyan Reply:
Due to the complexity of her condition, she should follow up for treatment at a medical center. Such information cannot adequately address your concerns.

[Read More] Managing Recurrent Congenital Lymphatic Cysts in Children


Understanding Nasopharyngeal Cancer: Symptoms, Treatment, and Causes

Could you please clarify your question, doctor? What are the symptoms of nasopharyngeal carcinoma? How is it treated? Can it be completely cured? I have heard that there are several symptoms of nasopharyngeal carcinoma, and I have some of them. I have a hard lump below the back o...


Dr. Xu Jiazhen Reply:
Hello: In response to your question, the main symptoms of nasopharyngeal carcinoma typically include swollen lymph nodes in the neck, unexplained nosebleeds, and symptoms such as ear fullness or tinnitus. These symptoms are often associated with a relevant family medical history....

[Read More] Understanding Nasopharyngeal Cancer: Symptoms, Treatment, and Causes


Should I Consider a Biopsy for My Enlarged Lymph Nodes?

Should I undergo a biopsy? Hello Dr. Tsai, I would like to ask you about the issue of swollen lymph nodes in my neck. I had an examination yesterday, and my lymph nodes are swollen to about 2 to 2.5 centimeters. They are not painful and have been swollen for a year. I had an X-ra...


Dr. Cai Hongyan Reply:
1. Generally, if lymphadenopathy is present without changes in size, hardness, or mobility, it can be monitored. 2. If any of the aforementioned changes occur, a fine needle aspiration biopsy can be performed to analyze the cells.

[Read More] Should I Consider a Biopsy for My Enlarged Lymph Nodes?


Is My Dizziness Due to Positional Vertigo? Understanding Ear Symptoms

Are my symptoms indicative of positional vertigo? Hello Dr. Tsai, My name is Keith, and I am from Canada, currently studying electrical engineering at university. Since last summer, I have been experiencing intermittent mild dizziness, which varies in intensity. The dizziness I...


Dr. Cai Zhenggu Reply:
Hello Keith, based on your description, you are indeed experiencing positional vertigo. This is a symptom caused by otoliths floating in the lymphatic fluid and coming into contact with the posterior semicircular canal. Adjusting your head position and taking oral medication can ...

[Read More] Is My Dizziness Due to Positional Vertigo? Understanding Ear Symptoms


Understanding Lymph Node Swelling: When to Seek Further Evaluation

Regarding lymphadenopathy? During the Lunar New Year this year, I noticed a small round lump on the left side of my neck that is not painful, measuring approximately 0.7 to 0.8 centimeters in diameter. I consulted an ENT specialist who mentioned that it is not a serious condition...


Dr. Cai Zhenggu Reply:
Hello, based on your description, it could be cervical lymphadenitis. After medication, it may remain unchanged. If a biopsy is needed, surgery will be required on the neck.

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


Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Tinnitus Hello Dr. Yeh, I have a question that has been bothering me for a long time, and I would like to ask for your advice. My ears often have a "buzzing" sound, usually in the left ear, but sometimes in both ears. I have hepatitis B and I sleep on my side, and I w...


Dr. Ye Dawei Reply:
Xiao Xun, your tinnitus issue is not significantly related to hepatitis B or sleeping on your side. Here is the information for your reference: ----------------------------------------------------------- 【"Local Surrounding the Central" – Correct Concepts for Treating ...

[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options


Understanding Tinnitus and Nasal Issues: Seeking ENT Guidance

Please ask your question? Hello, doctor. I have a few questions I would like to ask. 1. I started experiencing tinnitus a while ago, but I'm not sure what triggered it. It has been continuous since then. I visited a major hospital where a physician examined me and conducte...


Dr. Ye Dawei Reply:
Mr. Wenzi, 1. A detailed examination is necessary to determine the cause. For your reference, "Local Surrounding the Central" – The Correct Concept of Treating Tinnitus. Mr. Chang Junhong from the Democratic Progressive Party wrote a small book years ago titled "...

[Read More] Understanding Tinnitus and Nasal Issues: Seeking ENT Guidance


Understanding Lymph Node Issues in the Neck: Common Concerns and Symptoms

Lymphatic issues in the upper central neck? Hello, doctor. I have a problem with my lower left wisdom tooth and the adjacent tooth. A few days ago, the gum in that area became infected, and I noticed that the lymph node in the upper central part of my neck, slightly to the left, ...


Dr. Cai Hongyan Reply:
1. Is there a problem with the lymph nodes above my neck? They haven't disappeared and are only on one side – it should be fine; some inflamed lymph nodes can persist for up to six months. 2. Are the lymph nodes symmetrical? – No. 3. What is the string-like structure und...

[Read More] Understanding Lymph Node Issues in the Neck: Common Concerns and Symptoms


Understanding Dizziness and Tinnitus: Causes and Treatment Options

Dizziness and tinnitus? In the past two to three years, I have been experiencing dizziness and tinnitus, occasionally accompanied by mild headaches. The symptoms are as follows: 1. I often feel lightheaded, and even slight movements can make me feel dizzy. My legs feel weak, an...


Dr. Ye Dawei Reply:
Dear Xiao He, Although you have described your issue clearly, I still hope you can come to my clinic for a detailed examination. The clinic hours are Monday, Wednesday, Thursday, and Friday mornings. I have attached an article titled "A Casual Talk on Dizziness" for y...

[Read More] Understanding Dizziness and Tinnitus: Causes and Treatment Options


Understanding Tonsillitis: Symptoms, Causes, and Diagnostic Tests

I have a question regarding tonsillitis... Please respond quickly, doctor? Hello, doctor... I have been experiencing tonsillitis for over a week now. I took medication and felt a bit better, but it has relapsed. The pain has been unbearable these past few days; even eating, drink...


Dr. Jian Huangqi Reply:
Hello Ajie: Treatment for tonsillitis with medication requires more than two weeks. You should consult an otolaryngologist. Thank you. Sincerely, Dr. Jian Huangqi, Head of Otolaryngology.

[Read More] Understanding Tonsillitis: Symptoms, Causes, and Diagnostic Tests


Understanding Meniere's Disease: Causes, Symptoms, Diagnosis, and Treatment

What is Meniere's disease? 1. What are the causes of Meniere's disease? 2. What tests can confirm the diagnosis of Meniere's disease? 3. Is it caused by genetic factors or external influences? 4. What are the symptoms? 5. How do the severity of symptoms var...


Dr. Cai Zhenggu Reply:
Hello, Miss Dai: 1. Endolymphatic hydrops. 2. Vestibular function tests. 3. Congenital causes. 4. Tinnitus, hearing loss, vertigo, vomiting. 5. Sensation of spinning or balance disorder. 6. Daily living activities or work. 7. Pharmacological treatment.

[Read More] Understanding Meniere's Disease: Causes, Symptoms, Diagnosis, and Treatment


Understanding Lymphadenopathy: Causes, Concerns, and Cancer Risks

Lymphadenopathy? I recently noticed a round swelling about 1 centimeter in size on the right side of my neck that feels a bit painful. I saw a doctor who said it is lymphadenopathy and advised me to get blood tests for the Epstein-Barr virus (EBV). This makes me a bit worried. Ca...


Dr. Xu Jiazhen Reply:
Hello: In response to your question, there are approximately 100-300 lymph nodes in the neck. The causes of lymphadenopathy can be categorized into five main types: (1) immune responses, such as tonsillitis or pharyngitis; (2) direct infection of the lymph nodes; (3) metastasis o...

[Read More] Understanding Lymphadenopathy: Causes, Concerns, and Cancer Risks


Understanding Sudden Hearing Loss: Causes and Recovery Options

Sudden Sensorineural Hearing Loss Hello, doctor... I have been experiencing sudden hearing loss for two years, and no definite cause has been found. Does this mean that it is truly impossible for me to recover? Also, I recently underwent a test using a so-called "energy devi...


Dr. Xu Jiazhen Reply:
Hello: In response to your question, poor lymphatic circulation in the neck is not the primary cause of sudden hearing loss. It is recommended that you first undergo a pure tone audiometry test to assess your current hearing status.

[Read More] Understanding Sudden Hearing Loss: Causes and Recovery Options


Understanding Basal Cell Carcinoma in the Nose: Treatment and Prognosis

Basal cell carcinoma of the nose? Hello, doctor. I have been diagnosed with a basal cell carcinoma in the right nasal cavity, measuring approximately 2 cm, classified as stage II nasal cancer. I would like to ask the physician about the treatment options available. Additionally, ...


Dr. Hu Kexin Reply:
Dear Mr. Kuo, From the email content, it is understood that you have a basal cell carcinoma on the right side of your nose, approximately 2 cm in size, classified as Stage I to II. Generally, early treatment yields very good results, and Stage II should still be treated aggressi...

[Read More] Understanding Basal Cell Carcinoma in the Nose: Treatment and Prognosis


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