Understanding Nosebleeds with Blood: Causes and Concerns
Nasal discharge with blood? Hello doctor, I would like to ask about a recent issue. I've been experiencing nosebleeds accompanied by blood, and I feel discomfort in my back when I cough. Could you please let me know what this might indicate?
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 Nosebleeds with Blood: Causes and Concerns
Persistent Nasal Bleeding and Pain: Causes and Solutions
The inferior turbinate and nasal septum are bleeding slightly every noon (the amount is very small, and I can see the bleeding area) and there is a bit of pain? I used to pick my nose, and after experiencing bleeding, it has been five months since I stopped. However, I still have...
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 (such as nasopharyngeal carcinoma), sinusitis, fungal infections, al...[Read More] Persistent Nasal Bleeding and Pain: Causes and Solutions
Understanding Right Ear Congestion: Causes and Solutions
Right ear fullness? Since around February of this year, my father (approximately 53 years old) has been experiencing a feeling of fullness in his right ear upon waking up. According to his description, it feels similar to the ear congestion associated with a cold, which tends to ...
Dr. Zheng Jueyi Reply:
Hello, if you have undergone an endoscopy to rule out nasopharyngeal carcinoma and hearing tests show no significant abnormalities to exclude issues such as inner ear effusion, the common sensation of ear fullness may be related to Eustachian tube dysfunction. It is recommended t...[Read More] Understanding Right Ear Congestion: Causes and Solutions
Chronic Nasal Swelling and Blood-Scented Mucus: Allergy or Cancer Risk?
Chronic nasal swelling with yellow nasal discharge that has a bloody odor? Hello, Doctor. I would like to ask a few questions. Due to congenital allergies, I often experience symptoms such as sneezing. However, I have noticed that the polyps in my nose have been persistently swol...
Dr. Ji Zhaoyun Reply:
Hello, based on your description regarding allergic rhinitis, here are several important concepts: The primary triggers are the individual's constitution and environmental allergens and irritants. If one parent has allergic rhinitis, the likelihood of their children developi...[Read More] Chronic Nasal Swelling and Blood-Scented Mucus: Allergy or Cancer Risk?
Understanding Nasopharyngeal Index: What You Need to Know About EBV Levels
Nasopharyngeal index Hello, doctor. I previously visited three doctors due to swollen lymph nodes. They all said it was small and not a concern, measuring less than one centimeter, and it was soft and movable. I noticed it about four months ago. I have also undergone three nasoph...
Dr. Zheng Jueyi Reply:
Hello, the index generally serves as a reference. Nasopharyngeal carcinoma is primarily diagnosed through endoscopic examination and nasopharyngeal biopsy. If all current tests are normal, it is recommended to have regular follow-up examinations every three to six months. Wishing...[Read More] Understanding Nasopharyngeal Index: What You Need to Know About EBV Levels
Understanding Blood in Sputum: ENT Concerns and Follow-Up Questions
Nasal and pharyngeal examination and issues related to hemoptysis? Hello Doctor, during my health check-up last August, the screening for nasopharyngeal carcinoma showed that my EB IGA levels were in the gray zone (not exceeding the threshold but slightly elevated). Concerned abo...
Dr. Zheng Jueyi Reply:
Hello, 1. The throat mirror can also be used to observe the nasopharynx; if there are uncertainties or needs, the physician will perform an endoscopic examination. 2. Routine blood tests can only provide a reference for whether one is in a high-risk group; the current diagnosi...[Read More] Understanding Blood in Sputum: ENT Concerns and Follow-Up Questions
Understanding Neck Masses: Symptoms, Diagnosis, and Next Steps
Neck mass Hello Dr. Chi, I discovered post-nasal drip four weeks ago, which lasted for a week before stopping. I noticed a lump in the left side of my neck, under the jaw, in the area of the internal jugular lymph nodes. Initially, it was painless, but during this time, I consu...
Dr. Ji Zhaoyun Reply:
Hello, according to your description, nasopharyngeal carcinoma is typically diagnosed through nasopharyngeal endoscopy, and if necessary, a biopsy of the nasopharyngeal mass may be performed. However, if the neck tumor continues to progress and does not respond to antibiotics, a ...[Read More] Understanding Neck Masses: Symptoms, Diagnosis, and Next Steps
Understanding Nasal Bleeding: Insights from Endoscopy Results
Nasal endoscopy I have no history of smoking, drinking, or betel nut use. For over a week, I have had symptoms of a cold with runny nose and yellow nasal discharge, which have improved significantly. However, I still feel the urge to blow my nose or use tissues or cotton swabs to...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, the most common being thin nasal mucosa leading to bleeding from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infe...[Read More] Understanding Nasal Bleeding: Insights from Endoscopy Results
Understanding EB-VCA IgA Results: Should You Be Concerned About a 0.7 Reading?
EB-VCA IgA index inquiry? Hello Dr. Cheng, I previously underwent a health check-up and had an EB-VCA IgA test, which resulted in a negative outcome. However, I noticed that the negative range is defined as <0.8, and my test value was 0.7. I would like to ask whether my value...
Dr. Zheng Jueyi Reply:
Hello: The index generally provides a reference for nasopharyngeal carcinoma. A negative result indicates a relatively low risk, and observation is recommended. If there are concerns, you may visit an ENT clinic or hospital for a direct examination of the nasopharynx. Wishing you...[Read More] Understanding EB-VCA IgA Results: Should You Be Concerned About a 0.7 Reading?
Understanding Sinusitis and Nasopharyngeal Cancer: Symptoms and Diagnosis
Sinusitis and nasopharyngeal cancer examination? Dear Dr. Zheng, I am currently in the United States and have been troubled by persistent left-sided nasal congestion and occasional left-sided tinnitus for the past month and a half. I feel as though there is a foreign body betwee...
Dr. Zheng Jueyi Reply:
Hello: (1) If a CT scan and endoscopy have already been arranged and no significant abnormalities are found, the likelihood of nasopharyngeal carcinoma is low. If there are abnormalities or concerns, physicians will often proceed with a biopsy. (2) Since a CT scan has been arrang...[Read More] Understanding Sinusitis and Nasopharyngeal Cancer: Symptoms and Diagnosis
Understanding Symptoms of Nasopharyngeal Cancer and Allergic Rhinitis
Symptoms of Nasopharyngeal Carcinoma and Allergic Rhinitis Hello Doctor, I am 23 years old. I have been dealing with allergic rhinitis for a long time, starting from elementary school. Recently, due to some concerns, I suspect that I might have nasopharyngeal cancer. I have previ...
Dr. Zheng Jueyi Reply:
Hello: 1. Tinnitus and unilateral ear fullness may also be related to allergic rhinitis. 2. If a neck mass has not changed for 2 years, it is mostly indicative of a benign condition and can be monitored. 3. Generally, in the hospital, a nasopharyngeal carcinoma diagnosis will sti...[Read More] Understanding Symptoms of Nasopharyngeal Cancer and Allergic Rhinitis
Understanding Nasal Issues: Causes and Treatments for Nosebleeds
Nasal issues Hello Doctor: A few days ago, after taking a shower, I noticed a small amount of blood coming from my left nostril while wiping my nose. Upon examining my left nostril with a flashlight, I found that the area near the nasal bone was red and swollen, while the right n...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa leading to bleeding from forceful nose blowing. However, other potential causes include nasopharyngeal or nasal cavity tumors (such as nasopharyngeal carcinoma), si...[Read More] Understanding Nasal Issues: Causes and Treatments for Nosebleeds
Managing Late Effects of Nasopharyngeal Cancer Radiation Therapy
Late effects of radiotherapy for nasopharyngeal carcinoma? Hello Dr. Zheng, my father is 64 years old and was diagnosed with nasopharyngeal carcinoma 29 years ago. He underwent radiation therapy at that time, which resulted in hearing loss in his right ear. However, starting in M...
Dr. Zheng Jueyi Reply:
Hello, if the symptoms persist without improvement, it is recommended to visit an otolaryngologist for an examination of the oropharynx, and to arrange for an upper gastrointestinal endoscopy with a gastroenterologist to check for any related issues. Wishing you safety and health...[Read More] Managing Late Effects of Nasopharyngeal Cancer Radiation Therapy
Understanding Nasopharyngeal Cancer: Tumor Size and Growth Concerns
The size of nasopharyngeal carcinoma neck tumors and whether they can increase in size? A lump approximately 0.5 to 1 centimeter in size has been found in the middle and upper left side of the neck, which is not painful. An endoscopic examination was performed, and the doctor sta...
Dr. Zheng Jueyi Reply:
Hello: 1. Nasopharyngoscopy generally examines the nasopharynx. 2. Nasopharyngeal carcinoma neck tumors are usually larger than 1 cm, painless, and continue to grow. If there are no abnormalities found during the physician's examination, you may consider regular follow-up vi...[Read More] Understanding Nasopharyngeal Cancer: Tumor Size and Growth Concerns
Understanding Abnormal Lymphoid Hyperplasia: Next Steps After Nasopharyngeal Biopsy
Nasal biopsy results indicate abnormal lymphoid hyperplasia. What should be the subsequent management? Hello, Director Chi. Thank you for patiently reading my question. During my health check-up in June, the EBV-CA IgA index was 1.25, indicating a positive reaction. There is no f...
Dr. Ji Zhaoyun Reply:
Hello Jimmy, the primary diagnosis of nasopharyngeal carcinoma relies on biopsy pathology. Other factors such as blood tests and family history are considered as reference risk factors. It is recommended to consult the hospital where the original biopsy was performed for a detail...[Read More] Understanding Abnormal Lymphoid Hyperplasia: Next Steps After Nasopharyngeal Biopsy
Understanding Nasopharyngeal Checkups: What You Need to Know About EBV and Cancer Risks
Nasal and pharyngeal examination Hello Dr. Zheng, About two months ago, I visited an ENT specialist at a local hospital due to yellow-green nasal discharge with blood streaks, and I was diagnosed with sinusitis. Since there was blood present, the doctor performed a nasal endosco...
Dr. Zheng Jueyi Reply:
Hello: Currently, the diagnosis of nasopharyngeal carcinoma is primarily based on nasopharyngoscopy and biopsy. If the numbers are elevated but the nasopharyngoscopy results are normal and there are no suspicious areas requiring biopsy, you may return for a follow-up in three mon...[Read More] Understanding Nasopharyngeal Checkups: What You Need to Know About EBV and Cancer Risks
Understanding Nasopharyngeal CT Scans and Lymph Node Concerns
Nasal cavity and nasopharyngeal CT issues? Hello, Doctor: I would like to ask a few questions. In January, I had a nasopharyngeal biopsy, and the result indicated lymphoproliferative issues in the nasopharynx. Later, I underwent two CT scans, one of which was with contrast. If th...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, the diagnosis of nasopharyngeal carcinoma primarily relies on biopsy and imaging studies. Both computed tomography (CT) and magnetic resonance imaging (MRI) serve as reference tools. If you still have concerns regarding the diagnosis, it is advis...[Read More] Understanding Nasopharyngeal CT Scans and Lymph Node Concerns
Understanding Post-Cold Symptoms: Allergic Rhinitis or Sinusitis?
I am not sure if it is allergic rhinitis or sinusitis? Since a recent cold, I have been experiencing post-nasal drip, with mucus flowing into my mouth or throat daily. I don't know how many times I've had to spit out mucus in a day, especially in the morning when the sy...
Dr. Ji Zhaoyun Reply:
Hello, Xiao En. According to the description in the text, it is necessary to visit an otolaryngologist to rule out chronic sinusitis. Other conditions such as allergic rhinitis, nasopharyngeal carcinoma, and nasal tumors should also be considered. Common symptoms of sinusitis inc...[Read More] Understanding Post-Cold Symptoms: Allergic Rhinitis or Sinusitis?
Understanding Unilateral Nosebleeds: Causes and Concerns
Unilateral profuse nasal bleeding? Hello, Dr. Chi. I have a wound on my nose and visited a nearby ENT specialist. The doctor confirmed that there is a wound and showed me the injured area, which appeared to be a small cut. However, I have been experiencing a significant amount of...
Dr. Ji Zhaoyun Reply:
Hello, Ms. Chen. Based on your description, there are many causes of nosebleeds, with the most common being thinner nasal mucosa, often resulting from forceful nose blowing (which appears to be your current diagnosis at the clinic). However, conditions such as nasopharyngeal or n...[Read More] Understanding Unilateral Nosebleeds: Causes and Concerns
Is Nosebleed Normal One Year After Nasopharyngeal Cancer Radiation?
Is it normal to experience nosebleeds one year after radiation therapy for nasopharyngeal carcinoma? Hello, doctor. I have a question to ask you. It's been almost a year since I underwent radiation therapy for nasopharyngeal carcinoma, and my recent endoscopy results were go...
Dr. Li Jiaxuan Reply:
After radiation therapy, the mucous membranes are thinner, making it easier to bleed during seasonal changes. However, nosebleeds and neck swelling are also symptoms of nasopharyngeal cancer recurrence. It is advisable to promptly return to your original treating physician for a ...[Read More] Is Nosebleed Normal One Year After Nasopharyngeal Cancer Radiation?