Nasal allergy, Otolaryngology FAQ

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Long-Term Nasal Congestion: Causes, Treatments, and Dietary Considerations

Chronic nasal congestion issues? Hello Doctor, since I have been experiencing symptoms of autonomic nervous system dysfunction, I have had nasal congestion for the past seven years. During this time, I have also encountered some psychosomatic symptoms (such as palpitations, gastr...


Dr. Zheng Jueyi Reply:
Hello, EPA has anti-inflammatory and anti-allergic effects, which may help reduce nasal allergy reactions, or assist in maintaining a good mood and energy levels. It does not directly alleviate nasal congestion. You may consider using it for a period of time, such as three to six...

[Read More] Long-Term Nasal Congestion: Causes, Treatments, and Dietary Considerations


Understanding Sudden One-Sided Nasal Pain and Yellow Mucus Symptoms

Sudden unilateral nasopharyngeal pain with the expulsion of odorless yellow nasal discharge? Hello, doctor. I have a mild nasal allergy, but since my diagnosis in early September this year, I feel that my nasal symptoms have worsened. The main issues are: 1. Increased and thicker...


Dr. Zheng Jueyi Reply:
Hello, if your nasal symptoms have worsened and you have yellow nasal discharge, it is recommended to visit an otolaryngologist for an examination to assess whether it is solely allergic rhinitis or if there are additional issues such as sinusitis.

[Read More] Understanding Sudden One-Sided Nasal Pain and Yellow Mucus Symptoms


Understanding Nasal Allergy Treatments: Nerve Resection and Surgery Options

Nasal allergy, nerve resection surgery? Hello, doctor. I have been suffering from nasal allergies for a long time. Thirteen years ago, I underwent septoplasty and polypectomy, but my allergy symptoms did not improve significantly after the surgery, so I chose to coexist with the ...


Dr. Zheng Jueyi Reply:
Hello, 1. The nasal septum is composed of cartilage, and the chances of recurrence after resection are low, but there is still a possibility. 2. The sphenopalatine ganglion block and the posterior nasal nerve block are likely similar procedures, primarily aimed at alleviating ...

[Read More] Understanding Nasal Allergy Treatments: Nerve Resection and Surgery Options


Understanding Unilateral Tinnitus: Causes, Risks, and Next Steps

Unilateral tinnitus Hello, doctor. I am the person who previously experienced discomfort in my ear due to accidentally activating the speakerphone during a call. I have undergone hearing tests (tympanometry and audiometry), and the results show that my left ear has a hearing leve...


Dr. Zheng Jueyi Reply:
Hello: According to the current hearing test results, both ears are within the normal range, and there is no evidence of permanent damage. As for the occasional tinnitus experienced in quiet environments, if the hearing test is normal, the tinnitus may be related to factors such ...

[Read More] Understanding Unilateral Tinnitus: Causes, Risks, and Next Steps


Should You Remove Enlarged Tonsils? Understanding Risks and Benefits

One tonsil is larger than the other? Hello, doctor. I have had enlarged tonsils since childhood, but I haven't experienced any significant issues over the years. My left tonsil has always been slightly larger, and every time I see a doctor, they mention that it is too large ...


Dr. Zheng Jueyi Reply:
Hello, if there are no recurrent acute tonsillitis, tonsil stones, or symptoms of snoring, tonsil hypertrophy can be monitored through self-observation. If any of the above symptoms occur, surgical removal is recommended. Generally, there are no significant long-term complication...

[Read More] Should You Remove Enlarged Tonsils? Understanding Risks and Benefits


Understanding Ear Congestion: Causes and Treatment Options

Ear congestion issues? On January 30th of this year, I experienced a feeling of fullness in my ears, along with a popping sound when nodding, opening my mouth, or swallowing saliva (this has been ongoing for 4 months). I went to the hospital for two tests: 1. a hearing test (in a...


Dr. Zheng Jueyi Reply:
Hello: If the hearing test and appearance are normal, common causes of ear fullness are related to eustachian tube dysfunction. If there is nasal allergy or sinusitis, medication treatment can be continued. Additionally, smoking and gastroesophageal reflux may also contribute to ...

[Read More] Understanding Ear Congestion: Causes and Treatment Options


Chronic Nasal Drip: Seeking Solutions for Persistent Symptoms

Post-nasal drip for many years? Hello, doctor. I have been experiencing post-nasal drip since childhood, for over ten years now. I previously underwent surgery for turbinate hypertrophy and a deviated septum. However, I still have a constant runny nose every day, which severely a...


Dr. Zheng Jueyi Reply:
Hello, nasal drip may be related to nasal allergies. It is recommended to use oral antihistamines or add a nasal corticosteroid spray for treatment, which generally works well. Nasal corticosteroid sprays are quite safe for long-term use and do not have systemic side effects. As ...

[Read More] Chronic Nasal Drip: Seeking Solutions for Persistent Symptoms


Understanding Ear Popping Sounds: Chronic Otitis Media and Allergies

There is a popping sound in the ear? On July 31, I visited a local hospital. My main complaint was a popping sound in my right ear that has been occurring recently, especially when yawning or burping. The sound is often present from morning to noon. The doctor's notes indica...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss: However, bas...

[Read More] Understanding Ear Popping Sounds: Chronic Otitis Media and Allergies


Morning Phlegm: Understanding Post-Nasal Drip and Allergies

In the morning, there is a need to expectorate phlegm? Hello, I would like to ask about a symptom I experience every morning when I wake up. I feel like something is dripping down the back of my nose, followed by the need to clear my throat. The mucus is clear in color. I haven&#...


Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic to check for sinusitis. Wishing you well.

[Read More] Morning Phlegm: Understanding Post-Nasal Drip and Allergies


Managing Eustachian Tube Dysfunction: Steroid Use and Side Effects

Eustachian tube dysfunction treated with corticosteroids? Dear Director Zheng, I experienced symptoms of Eustachian tube dysfunction in my left ear suddenly in January of this year. Although my hearing is normal, every time I drink water or swallow, I hear a "pop, pop"...


Dr. Zheng Jueyi Reply:
Hello, if eustachian tube dysfunction is caused by nasal allergies, long-term oral steroids are not recommended. It is advisable to switch to intranasal steroid sprays for management, as nasal sprays can be used long-term and help avoid gastrointestinal discomfort, osteoporosis, ...

[Read More] Managing Eustachian Tube Dysfunction: Steroid Use and Side Effects


Morning Throat Discomfort: Understanding Brown and Rust-Colored Phlegm

Sore throat with morning phlegm that is brownish and rusty in color? I have been experiencing throat discomfort for the past two weeks, primarily upon waking up. The first few sputum samples in the morning are brownish and rust-colored, but throughout the day, the sputum is clear...


Dr. Zheng Jueyi Reply:
Hello, if you only have purulent sputum in the morning, it is commonly associated with post-nasal drip or gastroesophageal reflux. It is advisable to first address any nasal allergy symptoms. Generally, sinusitis tends to present with yellow purulent nasal discharge throughout th...

[Read More] Morning Throat Discomfort: Understanding Brown and Rust-Colored Phlegm


Understanding Recurring Sinusitis in Children: Allergies and Milk Sensitivity

Recurrent sinusitis? Hello, doctor... My child is over six years old and has been experiencing sinusitis symptoms for more than six months. The symptoms recur as soon as medication is stopped. Two doctors have said it is due to allergies. When my child was nearly four years old, ...


Dr. Zheng Jueyi Reply:
Hello: Sinusitis and allergic rhinitis are different conditions, and their treatments vary accordingly. It is advisable to seek medical evaluation to clearly differentiate between the two. If blood tests show no allergy to milk, there should be no need to restrict its intake. If ...

[Read More] Understanding Recurring Sinusitis in Children: Allergies and Milk Sensitivity


Clicking Sounds in Ear When Swallowing: Is Pain Related to Allergies?

There is a popping sound in my ear when I swallow, and recently I have been experiencing pain in my right ear? Hello, I experience a popping sound in my ear whenever I swallow saliva, and sometimes after yawning, it improves for a while before the sound returns. This has been hap...


Dr. Ji Zhaoyun Reply:
Hello RITA, The issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Ot...

[Read More] Clicking Sounds in Ear When Swallowing: Is Pain Related to Allergies?


Deviated Septum and Ear Congestion: Seeking Solutions After Surgery

Deviated septum and ear congestion? I have had hypertrophic rhinitis for many years, and I often experience ear fullness and strange sounds in my ears when I swallow or open my mouth, but the doctor said my ears are fine. I underwent carbon dioxide laser surgery the day before ye...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing the nose or bending over. Individuals with rapid weight changes or nasal alle...

[Read More] Deviated Septum and Ear Congestion: Seeking Solutions After Surgery


Unexplained Tinnitus: Seeking Answers for Persistent Ear Symptoms

Tinnitus of unknown origin? Last year, at the end of November 2016, I experienced tinnitus and visited a pediatric clinic, where I was told it was due to a bacterial infection and post-nasal drip. After taking the medication, there was no improvement. I then went to a traditional...


Dr. Zheng Jueyi Reply:
Hello, if a detailed hearing examination has been conducted and various issues have been ruled out, common tinnitus is still often related to anxiety, insomnia, or excessive stress. It is recommended to temporarily divert attention or use other music to mask the tinnitus, and to ...

[Read More] Unexplained Tinnitus: Seeking Answers for Persistent Ear Symptoms


Managing OSA and Non-Allergic Rhinitis: Treatment Options and Considerations

Obstructive Sleep Apnea (OSA) and Rhinitis Issues Hello, doctor. Recently, I have been experiencing significant stress due to work, leading to anxiety and worry. After a period of consultation with a physician, it was determined that my issues may primarily stem from Obstructive ...


Dr. Zheng Jueyi Reply:
Dear Mr. S, Regarding the symptoms of snoring, it is advisable to wait for the results of the polysomnography (PSG) and have an evaluation by an otolaryngologist before deciding whether surgery is necessary, and if so, which type of surgery would be most appropriate. As for alle...

[Read More] Managing OSA and Non-Allergic Rhinitis: Treatment Options and Considerations


Can Eustachian Tube Dysfunction Resolve on Its Own?

Will Eustachian tube dysfunction resolve on its own? I have had a blocked Eustachian tube for almost three months. I have also undergone a nasopharyngoscopy, and the doctor said there is nothing abnormal. I have consulted many clinics and even visited a large hospital, and they a...


Dr. Zheng Jueyi Reply:
Dear Ruby: Hello, the recovery time for Eustachian tube dysfunction varies from person to person, ranging from a few days to several months. If you have already undergone a thorough examination to rule out other issues and have been confirmed to have Eustachian tube dysfunction, ...

[Read More] Can Eustachian Tube Dysfunction Resolve on Its Own?


Managing Allergies and Nasal Issues: Concerns About Steroid Nasal Sprays

excuse me? Dear Doctor: I have nasal allergies and also suffer from turbinate hypertrophy. Although I had surgery for the turbinate issue last year, this year I find that I experience severe runny nose or nasal congestion whenever I am exposed to wind (which was not as severe bef...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Regarding your literal question, Fushulian is a standard nasal allergy treatment spray, and the steroids it contains do not enter the body, so you can use it with confidence. However, what do you mean by "effective treatment"? Sincerely, Dr. Chen Jia...

[Read More] Managing Allergies and Nasal Issues: Concerns About Steroid Nasal Sprays


Understanding New Treatments for Chronic Nasal Allergies: A Medical Insight

Treatment for nasal allergies Hello, Dr. Hsu. I would like to ask for your professional opinion on the following news. I have chronic rhinitis and am considering surgery. Can it really provide a cure? Dr. Li Hong-Hsin from the ENT department of Chung Shan Medical University Hospi...


Dr. Xu Jiazhen Reply:
Hello: In response to your question, the symptoms of nasal mucosal hypertrophy, congestion, and rhinorrhea are associated with local vasodilation. The dilation of blood vessels is indeed related to the autonomic nervous system and vascular function. However, in the case of allerg...

[Read More] Understanding New Treatments for Chronic Nasal Allergies: A Medical Insight


New Radiofrequency Treatment for Allergic Rhinitis: Benefits and Risks

A new method for treating nasal allergies involves radiofrequency ablation of allergic nerves? Hello, doctor. Recently, the news reported a new treatment for allergic rhinitis called "radiofrequency thermal ablation technique." This technique is guided by an endoscope, ...


Dr. Ye Dawei Reply:
This new therapy should have no side effects. Currently, health insurance does not cover this procedure, so it has not been widely used. Allergic rhinitis cannot be cured.

[Read More] New Radiofrequency Treatment for Allergic Rhinitis: Benefits and Risks


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