Understanding Tinnitus: Causes, Concerns, and Treatment Options
Tinnitus issues Hello, doctor. I would like to correct my previous message. On a certain day in February, I suddenly experienced severe pain in my left ear. The next day, I sought medical attention and was diagnosed with temporomandibular joint inflammation. After taking medicati...
Dr. Zheng Jueyi Reply:
Hello: There are many factors that can cause tinnitus. If hearing tests and neurological functions show no significant abnormalities, it is often more related to stress symptoms such as anxiety and insomnia. It is advisable to start by improving sleep and reducing anxiety, or usi...[Read More] Understanding Tinnitus: Causes, Concerns, and Treatment Options
Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Sudden tinnitus, with no history of ear injury, accompanied by a persistent buzzing sound? Hello Doctor, I am currently abroad and feel quite helpless, so I hope you can provide some advice. Thank you. On April 7th, I started experiencing tinnitus in my left ear. I initially th...
Dr. Ji Zhaoyun Reply:
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, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss: The primar...[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Understanding Nasal Bleeding: Possible Causes and Concerns
Nasal cavity with slight bleeding; a flashlight reveals a growth inside the nasal cavity? Hello, recently I have been experiencing sneezing accompanied by blood streaks. Initially, I suspected it was due to the cold and thought I might have sneezed too forcefully, so I didn'...
Dr. Ji Zhaoyun Reply:
Hello, based on your description: There are many causes of nosebleeds, the most common being thin nasal mucosa, which can occur from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infecti...[Read More] Understanding Nasal Bleeding: Possible Causes and Concerns
Understanding Blood-tinged Mucus Flowing from Nasopharynx to Throat
Blood-tinged mucus draining from the nasopharynx into the throat? In October and November, I experienced blood streaks flowing down from my nasopharynx. I visited two ENT clinics, and both doctors performed nasal endoscopy. They noted that the microvessels inside my nasal cavity ...
Dr. Ji Zhaoyun Reply:
There are many causes of nosebleeds, with the most common being thin nasal mucosa resulting from forceful nose blowing. However, other potential causes include nasopharyngeal or nasal cavity tumors (such as nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhiniti...[Read More] Understanding Blood-tinged Mucus Flowing from Nasopharynx to Throat
Frequent Nosebleeds: When to Seek Medical Attention?
Frequency of Nosebleeds Hello Doctor: I have had frequent nosebleeds since childhood, but the condition improved as I grew older. I only experience them occasionally in dry environments or when I pick my nose. However, in the past two months, the nosebleeds have become more frequ...
Dr. Zheng Jueyi Reply:
Hello: If a physician has examined you and found no obvious tumors, frequent nosebleeds are often related to microvascular rupture in the nasal septum. If the episodes are infrequent, you can monitor them yourself; however, if the bleeding occurs repeatedly, you may want to visit...[Read More] Frequent Nosebleeds: When to Seek Medical Attention?
Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Nasal cavity and paranasal sinus examination for nasopharyngeal carcinoma and sinusitis? Hello Doctor, I started experiencing symptoms like coughing in early April without a fever. Initially, the clinic diagnosed it as a cold, but after taking medication for a month, my cough did...
Dr. Zheng Jueyi Reply:
Hello: Please inform the physician that there is a family history of nasopharyngeal carcinoma, although it has not been confirmed by a CT scan. It is recommended that the physician conduct a thorough examination of the nasopharynx, and if necessary, a biopsy of the nasopharyngeal...[Read More] Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Understanding Persistent Nasal Congestion: Causes and Solutions
Nasal congestion all day? Hello Doctor: Since March, I have been experiencing some nasal congestion on the right side (approximately one-third of my nostril, persisting throughout the day). When riding my bike, I initially feel like there is a round object (or something similar t...
Dr. Ji Zhaoyun Reply:
Hello, based on your description: There are many causes of nasal congestion, the most common being allergic rhinitis combined with insufficient nasal space (such as a deviated septum and hypertrophic rhinitis). However, conditions such as nasopharyngeal or nasal tumors (like naso...[Read More] Understanding Persistent Nasal Congestion: Causes and Solutions
Understanding Nasal Congestion and Blood-Streaked Mucus: When to Seek Further Evaluation
One side of the nose is more congested, and there is sometimes a slight presence of blood in the nasal discharge? Hello Doctor: Two weeks ago, I experienced slight nasal obstruction on the right side, and sometimes there were traces of blood in my nasal discharge. I also have int...
Dr. Zheng Jueyi Reply:
Hello, if an endoscopic examination of the nasopharynx shows no obvious tumors, nasopharyngeal carcinoma can be initially ruled out. However, if symptoms persist, you should return for a follow-up visit to check for other potential issues such as bleeding points in the nasal cavi...[Read More] Understanding Nasal Congestion and Blood-Streaked Mucus: When to Seek Further Evaluation
Understanding Nasopharyngeal Cancer: Symptoms, Diagnosis, and Concerns
Suspected nasopharyngeal carcinoma? Hello doctor, about two weeks ago I discovered a lump in the lower side of my neck. It is tender to the touch, and over time the lump has not increased in size and has slowly decreased. As of now, the lump is still present, and the tenderness i...
Dr. Zheng Jueyi Reply:
Hello: Currently, it is not possible to make a determination; we must wait for the aspiration results to assess and treat. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and We...[Read More] Understanding Nasopharyngeal Cancer: Symptoms, Diagnosis, and Concerns
Understanding Blood-Streaked Phlegm: Causes and Concerns in ENT
Hemoptysis with sputum? Hello, doctor. In early April, I noticed blood-tinged mucus when I coughed up phlegm from my nasal cavity. I later went to a clinic where an endoscopy was performed, and the doctor found slight bleeding, so I was referred to a hospital for further examinat...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa, which can be caused by forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal ...[Read More] Understanding Blood-Streaked Phlegm: Causes and Concerns in ENT
Understanding Ear Congestion and Tinnitus After Cancer Treatment
Left ear feels clogged with tinnitus, and the pitch of sounds heard in both ears is different? Hello Doctor, at the end of last year, I was indirectly diagnosed with nasopharyngeal carcinoma due to fluid accumulation in my left ear, and I underwent two months of radiation therapy...
Dr. Zheng Jueyi Reply:
Hello, after radiotherapy for nasopharyngeal carcinoma, it is common to experience dysfunction of the Eustachian tube, which can lead to ear fullness or fluid accumulation in the ear. It is advisable to seek medical evaluation to determine if drainage or the placement of tympanos...[Read More] Understanding Ear Congestion and Tinnitus After Cancer Treatment
Understanding Nasopharyngeal Cancer: Symptoms, Diagnosis, and Treatment Options
Suspected nasopharyngeal carcinoma? Hello: My father recently sought medical attention due to issues with ear congestion, nasal congestion, bleeding, and headaches. After pathological examination, the doctor informed us that abnormal cells were found in the nasal cavity or sinus ...
Dr. Li Jiaxuan Reply:
It is recommended that you discuss the prognosis of nasopharyngeal carcinoma in detail with your treating physician. Generally speaking, it has a better prognosis compared to other cancers, and active treatment is advised.[Read More] Understanding Nasopharyngeal Cancer: Symptoms, Diagnosis, and Treatment Options
Frequent Nosebleeds: Understanding Causes and Seeking Solutions
Nosebleed, I need assistance from a doctor? Hello, doctor. I have never had a nosebleed from childhood until now, but in the past six months, I have been experiencing frequent nosebleeds, and recently, they have occurred daily. Sometimes I need to use drops. Could this be caused ...
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] Frequent Nosebleeds: Understanding Causes and Seeking Solutions
Understanding Elevated EBV IGA Levels: Implications for Nasopharyngeal Health
Elevated EBV IgA index? Hello Dr. Cheng: In my previous health check report, the EBV IGA index was elevated (0-0.8), with a blood test result of 3.93. I subsequently underwent a nasopharyngoscopy at the hospital, where an abnormal polyp was biopsied, and the results showed benign...
Dr. Zheng Jueyi Reply:
Hello, the elevated EBV IgA index can be caused by various factors and does not necessarily indicate nasopharyngeal carcinoma. A definitive diagnosis of nasopharyngeal carcinoma should be based on biopsy results. If the nasopharyngeal biopsy has been reported as normal, it is rec...[Read More] Understanding Elevated EBV IGA Levels: Implications for Nasopharyngeal Health
Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?
Nasopharyngeal carcinoma, chronic sinusitis? Hello Dr. Chi, I am currently working abroad, and it's not very convenient for me to see a doctor. I have been experiencing post-nasal drip symptoms for a while. A few months ago, I had acute sinusitis and was treated with antibio...
Dr. Ji Zhaoyun Reply:
Hello, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can occur from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhinitis, hyp...[Read More] Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?
Managing Nasal Mucosal Bleeding: Causes and Solutions
Nasal mucosal bleeding? In the past week or two, I've noticed that the nasal mucosa tends to bleed slightly, especially when I blow my nose. Using tissue to wipe it seems to exacerbate the issue. I visited an ear, nose, and throat specialist who performed a nasal endoscopy. ...
Dr. Ji Zhaoyun Reply:
Hello, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can result from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhinitis, hy...[Read More] Managing Nasal Mucosal Bleeding: Causes and Solutions
Could It Be Nasopharyngeal Cancer? Understanding Symptoms and Concerns
Could it be nasopharyngeal carcinoma? I have experienced multiple episodes of nosebleeds and noticed a lump under my left ear. Initially, I thought it was due to lack of sleep, so I went to bed earlier for a few days, which seemed to help a bit. However, after staying up late aga...
Dr. Zheng Jueyi Reply:
Hello, frequent nosebleeds are often related to the rupture of microvessels in the nasal septum. If an endoscopic examination has already been performed and there are abnormalities in the nasopharynx, it is generally recommended to conduct a nasopharyngeal biopsy. If nosebleeds c...[Read More] Could It Be Nasopharyngeal Cancer? Understanding Symptoms and Concerns
Understanding Nasopharyngeal Cancer Symptoms and Ear Issues
Questions about nasopharyngeal cancer symptoms? Hello Doctor: After a severe cold at the end of September, I experienced a sharp pain in my eardrum when forcefully blowing my nose. Since then, I have had a feeling of fullness in my right ear, and I hear a popping sound when I ope...
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. 3) Otitis me...[Read More] Understanding Nasopharyngeal Cancer Symptoms and Ear Issues
Understanding Nasopharyngeal Cancer Symptoms: When to Seek Medical Help
Nasopharyngeal carcinoma issues? Hello, doctor. I would like to ask, "What are the symptoms that are definitely associated with nasopharyngeal carcinoma?" I have done some research on Google, and I have been experiencing prolonged nasal congestion on my right side, alth...
Dr. Zheng Jueyi Reply:
Hello: The symptoms are for reference only. If you have concerns, you may visit an ENT clinic or hospital for examination and confirmation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare...[Read More] Understanding Nasopharyngeal Cancer Symptoms: When to Seek Medical Help
Understanding Nasopharyngeal Biopsy: Accuracy and Techniques Explained
Nasopharyngeal biopsy issues? Hello, doctor. I have been experiencing slight pain when swallowing saliva on the right side of my throat. After visiting an otolaryngologist, it was found that the nasopharynx on the right side is somewhat swollen (but the doctor mentioned that the ...
Dr. Ji Zhaoyun Reply:
Hello, the nasopharynx is interconnected on both sides, so sampling can be done from either side. Sometimes, due to the size of the nasal cavity, it may not be possible to insert both the endoscope and the biopsy forceps on one side simultaneously, and sampling may need to be don...[Read More] Understanding Nasopharyngeal Biopsy: Accuracy and Techniques Explained