Nasal irrigation, Otolaryngology FAQ

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Post-Sinus Surgery: Is Jelly-Like Nasal Discharge Normal?

Post-sinus surgery I was diagnosed with sinusitis two years ago and took antibiotics for a year without any improvement. In October of last year, I underwent sinus surgery. Currently, I have no discomfort or unusual odors, but every few weeks after the surgery, I notice that a la...


Dr. Li Jiaxuan Reply:
Sinusitis is very prone to recurrence; it is a good sign as long as there is no accumulation of pus (the discharge of pus is a positive sign). If there is a significant amount of secretion, it is advisable to perform nasal irrigation or take medication to prevent recurrence. A fo...

[Read More] Post-Sinus Surgery: Is Jelly-Like Nasal Discharge Normal?


Understanding Sinusitis: Symptoms, Treatment, and Recovery Insights

Is it sinusitis? I would like to ask the doctor about experiencing pain in my nose and around my eye sockets last week that was severe enough to make me tear up during the night. The next day, I went to an ENT specialist who diagnosed me with sinusitis and prescribed antibiotics ...


Dr. Ji Zhaoyun Reply:
Based on your description, your symptoms include discomfort in the bridge of the nose, eye sockets, and back of the head, which are particularly noticeable when lying down. These symptoms may indeed be related to sinusitis. Sinusitis (or sinus inflammation) is a common condition ...

[Read More] Understanding Sinusitis: Symptoms, Treatment, and Recovery Insights


Chronic Pharyngitis and Coughing: Effective Treatment Options

Chronic pharyngitis with coughing: how to treat? Hello Doctor, I have confirmed that I have chronic pharyngitis (for about six years), gastroesophageal reflux disease (GERD), and post-nasal drip, with the latter being more severe. Both of these issues are difficult to manage, and...


Dr. Zheng Jueyi Reply:
1. For long-term postnasal drip, it is recommended to seek medical evaluation to check for issues such as allergic rhinitis or sinusitis. Most cases can be managed with medication to control symptoms, but a complete cure may not be possible. Some patients may also need to use sal...

[Read More] Chronic Pharyngitis and Coughing: Effective Treatment Options


Understanding Chronic Nasal and Throat Issues: Causes and Solutions

Throat and nasal issues? Hello Doctor, I have a somewhat complex issue that has been bothering me, so I would like to seek your advice. Symptoms: 1. I have persistent clear nasal discharge (not thick), and occasionally experience unexplained nasal congestion. 2. I feel like t...


Dr. Ji Zhaoyun Reply:
Hello, thank you for detailing your symptoms and concerns. Here are some possible suggestions and considerations, but please be sure to consult your specialist in person for a personalized diagnosis and treatment plan, as online consultations cannot replace an in-person examinati...

[Read More] Understanding Chronic Nasal and Throat Issues: Causes and Solutions


Understanding Systemic Pain and Allergies: Seeking the Right Specialist

Generalized tingling, itching, and numbness? Hello, Doctor: I was diagnosed with severe allergic rhinitis in mid-September last year, and I have experienced many symptoms including sneezing, runny nose, chest tightness, chest pain, palpitations, abdominal pain, tingling in the so...


Dr. Li Jiaxuan Reply:
In the field of otolaryngology, it is recommended to examine the sinuses to differentiate the diagnosis of chronic sinusitis. Nasal irrigation may also be considered, as postmenopausal changes can lead to thinning of the nasal mucosa. Allergic conditions may be more pronounced in...

[Read More] Understanding Systemic Pain and Allergies: Seeking the Right Specialist


Understanding Tinnitus: Causes, Risks, and Management Strategies

Tinnitus issues Hello, I have a problem with autonomic nervous system dysfunction and have been taking Lexapro and Lyrica for two and a half years. Due to long-term nasal discomfort, including dryness, swelling, and some post-nasal drip, I have been taking one Loratadine and usin...


Dr. Zheng Jueyi Reply:
Hello, 1. If there are no significant changes in hearing and the tinnitus has persisted for over 10 years, you may observe it on your own. However, if you have concerns, it is advisable to consult an otolaryngologist for an examination. 2. Nasal irrigation and medications can hel...

[Read More] Understanding Tinnitus: Causes, Risks, and Management Strategies


Throat Injury, Post-Nasal Drip, and Taste Changes: ENT Concerns Explained

Throat injury, post-nasal drip, illness-related taste disturbances? Hello, doctor. I have two questions I would like to ask: 1. In my research, I found that "hemoptysis" doesn't seem to be what I'm looking for. I would like to know if there are any medicatio...


Dr. Ji Zhaoyun Reply:
Hello, here are the responses to your questions: ### 1. Management of Throat Injury with Bleeding from Coughing Bleeding from the throat due to coughing may be caused by persistent coughing or chronic pharyngitis. Here are some recommendations: **Avoid Irritants**: Refrain from ...

[Read More] Throat Injury, Post-Nasal Drip, and Taste Changes: ENT Concerns Explained


Effective Strategies to Prevent Nosebleeds and Manage Symptoms

How to prevent nasal mucosal bleeding? Hello Doctor, I have been experiencing intermittent nosebleeds since childhood, which have caused me significant distress in my daily life. The bleeding occurs repeatedly on the same side, and I have noticed that as I age, the volume of bloo...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa due to forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, aller...

[Read More] Effective Strategies to Prevent Nosebleeds and Manage Symptoms


Understanding Nasopharyngeal Issues: Antibiotics, GERD, and Mucus Color

Regarding nasopharyngeal issues? Hello Doctor: I have a history of sinusitis, so whenever I experience symptoms of a cold accompanied by sinusitis, I usually receive antibiotics from my ENT specialist, and I typically complete the course in about two weeks. Last September, after ...


Dr. Ji Zhaoyun Reply:
Hello, there are no absolute standard answers to your three questions. It is necessary to actually see the patient and provide recommendations based on their current condition. It is best to seek a direct consultation for an examination.

[Read More] Understanding Nasopharyngeal Issues: Antibiotics, GERD, and Mucus Color


Managing Mucus Sensation in the Throat: Tips for Relief

Pharyngeal mucus sensation Hello, Doctor: I have been experiencing a persistent sensation of mucus in my nasopharynx and throat, which causes discomfort and a feeling of foreign body sensation if I don't swallow saliva for just a few seconds, leading to a gag reflex. I would...


Dr. Zheng Jueyi Reply:
If discomfort persists, you may visit an otolaryngology clinic for examination and receive medication to control the amount of secretions. Alternatively, consider using saline nasal irrigation to reduce the retention of secretions in the nasopharynx or throat.

[Read More] Managing Mucus Sensation in the Throat: Tips for Relief


Understanding Recurring Sinusitis: Causes of Fibrosis and Treatment Options

Recurrent sinusitis after sinus surgery? Recurrent sinusitis has required surgery for three consecutive years, including general anesthesia and outpatient procedures approximately six times. It has been found that some of the tissue shows fibrotic proliferation, leading to obstru...


Dr. Ji Zhaoyun Reply:
Hello, if you have chronic sinusitis, it is indeed possible to experience such symptoms. It is recommended to work closely with your treating physician for management, which may include nasal irrigation, medications, multiple debridement surgeries, and other treatment options. Ad...

[Read More] Understanding Recurring Sinusitis: Causes of Fibrosis and Treatment Options


Chronic Headaches and Fungal Sinusitis: Seeking Relief After 20 Years

Fungal sinusitis / headache / tinnitus / impaired sense of smell / blood in saliva? Hello Doctor, I have been suffering from headaches for over 20 years and have seen many doctors. Recently, I found out that the cause is fungal sinusitis, specifically in the sphenoid sinus. After...


Dr. Li Jiaxuan Reply:
Fungal sinusitis is prone to recurrence. During the surgery, the physician has already opened your sinus ostia, so you should be able to flush out the infectious material through nasal irrigation. If the mucus is initially thick, you can ask the physician to help you clean it out...

[Read More] Chronic Headaches and Fungal Sinusitis: Seeking Relief After 20 Years


Persistent Yellow-Green Phlegm: Understanding Causes and Treatments

Chronic production of thick sputum? I have a smoking habit and have been experiencing symptoms for over two months. I have persistent yellow-green phlegm in my throat, but no coughing. I expel or forcefully clear phlegm from my throat about 4 to 5 times a day. I have seen a pulmo...


Dr. Li Jiaxuan Reply:
Nasal irrigation is a method that can be tried when an infection is still present in the nasal cavity, but the mucus is thick, indicating rhinitis. In addition to medication, nasal irrigation can also be beneficial for rhinitis. Wishing you safety and health!

[Read More] Persistent Yellow-Green Phlegm: Understanding Causes and Treatments


Understanding Long-Term Loss of Smell: When to Seek Specialist Help

Nasal allergies can lead to a loss of smell? I have been unable to smell for 4 to 5 years. Sometimes I can suddenly smell things, but most of the time I cannot smell at all. I have visited a clinic and taken medication, which provides temporary relief, but once the medication wea...


Dr. Zheng Jueyi Reply:
If you continue to experience abnormal olfactory sensations, it is recommended to visit an ENT (Ear, Nose, and Throat) specialist for examination and treatment.

[Read More] Understanding Long-Term Loss of Smell: When to Seek Specialist Help


Understanding Chronic Sinusitis: Symptoms, Treatments, and Concerns

excuse me? Hello Doctor, I apologize for the lengthy message, but I wanted to provide clear details for better assessment. I rarely catch colds and have no allergies, but starting in October, I began experiencing cold-like symptoms such as coughing, nasal congestion, and phlegm. ...


Dr. Zheng Jueyi Reply:
Hello, since a CT scan has already been scheduled, it is unclear whether there are issues such as chronic sinusitis that can be clearly identified on the scan. For now, you can continue using nasal irrigation and nasal spray to manage your symptoms, which generally do not affect ...

[Read More] Understanding Chronic Sinusitis: Symptoms, Treatments, and Concerns


Understanding Acute Sinusitis: Symptoms, Treatment, and Misconceptions

Sinusitis issues I was diagnosed with acute sinusitis after experiencing nasal congestion, runny nose, and sneezing. I've had two follow-up visits, and while the sinusitis is still present, my symptoms have improved significantly, leaving me with only a runny nose. Can acute...


Dr. Ji Zhaoyun Reply:
Hello, common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, but not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists despite ant...

[Read More] Understanding Acute Sinusitis: Symptoms, Treatment, and Misconceptions


Common Issues with Nasal Irrigation: Ear Pain and Eustachian Tube Concerns

Problems Caused by Using a Nasal Irrigator Today, while using a nasal irrigator, I applied too much pressure and the water flow was too strong. Additionally, due to nasal congestion, the water did not completely drain from the other nostril and instead went towards my ear. After ...


Dr. Zheng Jueyi Reply:
Hello, you can try swallowing or yawning to open the Eustachian tube and see if it helps improve the situation. If you continue to experience ear pain, ear fullness, or hearing loss without improvement, it is advisable to consult an otolaryngologist for further examination.

[Read More] Common Issues with Nasal Irrigation: Ear Pain and Eustachian Tube Concerns


Managing Allergic Rhinitis: Tips for Nasal Congestion and Post-Nasal Drip

Nasal allergies, post-nasal drip, nasal congestion, nasal irrigation? Hello Doctor, I have a history of nasal allergies, and whenever there are significant changes in weather, temperature, or environment, I start to experience symptoms like frequent sniffing and a runny nose. Sin...


Dr. Ji Zhaoyun Reply:
Allergic rhinitis is primarily triggered by allergens in the environment, especially in individuals with a genetic predisposition. If one parent has allergic rhinitis, the likelihood of their child developing the condition increases fourfold. Treatment typically begins with oral ...

[Read More] Managing Allergic Rhinitis: Tips for Nasal Congestion and Post-Nasal Drip


Why Can't I Sneeze? Understanding Nasal and Throat Discomfort

Inability to sneeze? Hello doctor, recently I've been unable to sneeze properly. Often, I feel the urge to sneeze but it disappears halfway, or it feels like it's stuck inside. This has been causing discomfort in my throat and nasal passages, and sometimes I even feel c...


Dr. Ji Zhaoyun Reply:
Hello, if you have indeed undergone relevant examinations confirming the absence of nasal tumors, sinusitis, nasal foreign bodies, or other diseases, and have also managed nasal allergies (through saline nasal irrigation, nasal sprays, medications, etc.), if all related disease s...

[Read More] Why Can't I Sneeze? Understanding Nasal and Throat Discomfort


Can I Continue Nasal Irrigation After Sinus Surgery?

Nasal irrigation issues? I recently underwent sinus elevation and bone grafting, but I have been regularly rinsing my nose due to my allergy condition. Can I continue to rinse my nose after the sinus elevation and bone grafting surgery? The dentist specifically advised me to snee...


Dr. Ji Zhaoyun Reply:
Hello, this decision should be based on your dental implant plan, so it is best to consult directly with your implant dentist.

[Read More] Can I Continue Nasal Irrigation After Sinus Surgery?


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