Understanding Ear Congestion and Tinnitus: Causes and Solutions
Ear fullness followed by tinnitus? Hello Doctor: One morning I woke up and suddenly felt a blockage in my left ear. I visited an ENT clinic, and everything appeared normal; they did not perform an endoscopy. Later, I went to Taipei Medical University for a consultation, where an ...
Dr. Li Jiaxuan Reply:
Displacement of the temporomandibular joint may compress the trigeminal nerve, potentially causing tinnitus. However, tinnitus should gradually improve after the displacement of the temporomandibular joint is alleviated. Currently, the possibility of a neuroma or nasopharyngeal c...[Read More] Understanding Ear Congestion and Tinnitus: Causes and Solutions
Managing Ear Fluid and Dizziness After Nasopharyngeal Cancer Treatment
Ear effusion, dizziness? Hello, Doctor! A friend was diagnosed with nasopharyngeal carcinoma five years ago and has undergone chemotherapy and radiation therapy since then. Recently, he has been experiencing recurrent ear effusion and dizziness. Each treatment involves hospitaliz...
Dr. Ji Zhaoyun Reply:
Dear Mr. Wei, Regarding the issue of ear effusion in patients after chemoradiation for nasopharyngeal carcinoma, this condition is quite common. It is recommended to regularly use a nasal irrigator to reduce nasopharyngeal secretions, wear a mask to avoid temperature and humidit...[Read More] Managing Ear Fluid and Dizziness After Nasopharyngeal Cancer Treatment
Frequent Nosebleeds and Migraines: When to Seek Medical Attention
The patient has been experiencing frequent and significant nosebleeds over the past two days? Hello, I would like to ask about my husband's ongoing migraine issues. This time, his migraine has returned and is accompanied by a significant amount of nosebleed. By "signifi...
Dr. Ji Zhaoyun Reply:
Hello Ms. Lin, 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, fun...[Read More] Frequent Nosebleeds and Migraines: When to Seek Medical Attention
Understanding Nasopharyngeal Cancer and Lymph Node Concerns
Nasopharyngeal carcinoma and lymphatic issues? Hello, Doctor. 1. If nasopharyngeal carcinoma leads to enlarged cervical lymph nodes, will the lumps increase in size over time? Typically, how large can they become? 2. Recently, I noticed a few enlarged lymph nodes on the left ...
Dr. Zheng Jueyi Reply:
Hello: 1. Nasopharyngeal carcinoma can lead to cervical lymphadenopathy, with the masses typically increasing in size over time, generally exceeding one centimeter and continuing to grow. 2. If concerned, regular follow-up appointments for examination are recommended. 3. Based on...[Read More] Understanding Nasopharyngeal Cancer and Lymph Node Concerns
Understanding Elevated EB Virus Levels After Nasopharyngeal Cancer Treatment
Nasopharyngeal carcinoma index Hello Doctor, my husband completed treatment for nasopharyngeal carcinoma (stage 4A) in October last year. Since then, he has been returning for follow-up appointments every three months for blood tests and X-rays. In late July of this year, his Eps...
Dr. Zheng Jueyi Reply:
Hello: The EBV index can provide clinicians with a reference for the possibility of recurrence; however, whether recurrence occurs is determined by nasopharyngeal biopsy and other relevant examinations, and a high index does not necessarily indicate recurrence. Wishing you peace ...[Read More] Understanding Elevated EB Virus Levels After Nasopharyngeal Cancer Treatment
Understanding High EB Antibody Levels and Diplopia: What You Need to Know
High EB antibody index? Dear Dr. Zheng, I have been experiencing double vision for the past three weeks. At its worst, the angle of separation between the images from my two eyes was over thirty degrees. It has since improved, but I can only look straight ahead. I had a blood te...
Dr. Zheng Jueyi Reply:
Hello, if both the MRI and endoscopy show no abnormalities, nasopharyngeal cancer can be preliminarily ruled out. For the issue of diplopia, it is recommended to continue follow-up treatment with ophthalmology and neurology. Wishing you peace and health. Sincerely, Dr. Cheng Jue-...[Read More] Understanding High EB Antibody Levels and Diplopia: What You Need to Know
Understanding Nasopharyngeal Cancer: Symptoms, Concerns, and Next Steps
Nasopharyngeal cancer-related issues? Hello, Doctor. I will be turning 25 this year and have some questions I would like to ask you. Recently, I have seen numerous reports and heard from friends that there is a trend of increasing cases of nasopharyngeal carcinoma among younger p...
Dr. Zheng Jueyi Reply:
Hello: Nasopharyngeal carcinoma, in addition to genetic factors, results from multiple other factors. If you are concerned about nasopharyngeal carcinoma, you can visit a hospital for a detailed examination of the nasopharynx by a physician. Whether a mirror or a nasopharyngoscop...[Read More] Understanding Nasopharyngeal Cancer: Symptoms, Concerns, and Next Steps
Understanding Ear Effusion: Symptoms, Causes, and Concerns
Middle ear effusion In the evening, I experience a wave-like sound in my right ear, and it only occurs at night! Recently, the frequency has been increasing, and almost 4 to 5 nights a week, I have this issue. I visited an ENT clinic near my home, and the doctor said both ears ha...
Dr. Zheng Jueyi Reply:
Hello: If there are issues with the nasopharynx, it is necessary to seek medical examination of the nasopharyngeal area or a biopsy to confirm the diagnosis. It is recommended to visit a hospital for evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director...[Read More] Understanding Ear Effusion: Symptoms, Causes, and Concerns
Understanding Abnormal Findings in Nasal Endoscopy: Is It Nasopharyngeal Cancer?
Abnormal findings on nasal endoscopy? Hello Dr. Zheng, I would like to ask about my father, who is a liver cancer patient. He underwent a second surgery about six months ago, and his liver function tests are all normal. However, after the surgery, he has been experiencing middle ...
Dr. Zheng Jueyi Reply:
Hello: To confirm nasopharyngeal carcinoma, a biopsy is still necessary. Blood tests can provide some reference, but if the blood results are abnormal, a biopsy is still recommended for diagnosis. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Departm...[Read More] Understanding Abnormal Findings in Nasal Endoscopy: Is It Nasopharyngeal Cancer?
Understanding Nasopharyngeal Cancer Blood Tests and Ear Symptoms
Nasopharyngeal cancer blood test? I would like to ask about my recent symptoms. I've been experiencing a slight discomfort in my right ear and occasional mild nasal congestion in my right nostril, without any nasal discharge, sneezing, or nosebleeds. There are no hard lumps ...
Dr. Zheng Jueyi Reply:
Hello: The nasopharyngeal carcinoma index is generally provided for physicians' reference. If symptoms persist without improvement, it is necessary to seek medical evaluation to check for abnormalities in the nasopharynx. Wishing you safety and health. Sincerely, Dr. Cheng J...[Read More] Understanding Nasopharyngeal Cancer Blood Tests and Ear Symptoms
Understanding Osteomas: What You Need to Know About Sinus Tumors
Frontal sinus osteoma Doctor, regarding my report this time~ I reviewed the CT scan report today, and the doctor said it is an osteoma. What is an osteoma, and is it generally more benign or malignant? The doctor advised me to take antibiotics for another week and return for a fo...
Dr. Zheng Jueyi Reply:
Hello: Most bone tumors are benign and will not disappear with medication. It is generally recommended to continue monitoring them, and surgery is only necessary if there are changes. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyu...[Read More] Understanding Osteomas: What You Need to Know About Sinus Tumors
Understanding Nasal Pain: Allergies, Inflammation, or Cancer Concerns?
Nasal issues? Hello, Dr. Chi. I would like to ask you about a concern. I have been experiencing mild pain on the right side of my nose for two months (it hurts slightly when I breathe deeply). I'm not sure if it's related to the nasal turbinates or the nasopharynx. Nasa...
Dr. Ji Zhaoyun Reply:
Hello, based on your description: There are many causes of nosebleeds, 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 infec...[Read More] Understanding Nasal Pain: Allergies, Inflammation, or Cancer Concerns?
Persistent Bloody Taste in Nose: Causes and Solutions
A persistent bloody smell in the nose? Hello, Dr. Chi. I previously underwent an endoscopy, but it has been a month, and I occasionally notice a bloody taste when I breathe through my nose, and sometimes there are blood streaks in my phlegm. This month, I consulted several clinic...
Dr. Ji Zhaoyun Reply:
Hello Mr. Hsiao, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa, which can result from forceful nose blowing. However, other potential causes include nasopharyngeal or nasal cavity tumors (such as nasopharyngeal carcin...[Read More] Persistent Bloody Taste in Nose: Causes and Solutions
Understanding Ear Issues: Middle Ear Infections and Tinnitus in Teens
Hearing problems Hello Doctor: I am a 13-year-old middle school student. I have had a history of otitis media since childhood. The doctor said that I have fluid accumulation in my left cochlea, and if the antibiotics do not work, I will need to be referred to an otolaryngologist ...
Dr. Zheng Jueyi Reply:
Hello: Unilateral middle ear effusion is commonly associated with poor Eustachian tube function, which can be caused by various factors. It is necessary to seek medical evaluation to determine whether it is due to nasopharyngeal carcinoma or other causes. As for the nosebleeds, t...[Read More] Understanding Ear Issues: Middle Ear Infections and Tinnitus in Teens
Understanding Elevated EB IgA Levels: What You Need to Know
Elevated EB IgA Index Issue Hello Doctor, thank you for your response. Five years ago, during a company health screening, my VCA IgA was positive. I underwent a nasopharyngoscopy and biopsy, which were normal, so I didn't pay much attention to it. Today, five years later, I ...
Dr. Ji Zhaoyun Reply:
Hello, Xiao Chen. The index for nasopharyngeal carcinoma is the "EBV titer," which includes the VCA IgA and EA IgA you mentioned. However, a high "EBV titer" does not necessarily indicate nasopharyngeal carcinoma, as there are many cases where individuals are ...[Read More] Understanding Elevated EB IgA Levels: What You Need to Know
Understanding EBV IgA Levels and Nasopharyngeal Cancer Screening
Challenges related to nasopharyngeal carcinoma testing? Hello, doctor. I recently received the results of my company's health check, and the EBV IgA value is 0.87, which is above the normal range of 0 to 0.8. After researching online, I found that this is an indicator for na...
Dr. Zheng Jueyi Reply:
Hello: The elevated values for nasopharyngeal carcinoma suggest that you should visit an otolaryngologist for an endoscopic examination to determine if there are any abnormalities in the nasopharynx and whether further biopsy is necessary. Wishing you safety and health. Sincerely...[Read More] Understanding EBV IgA Levels and Nasopharyngeal Cancer Screening
Understanding EBV: Key Insights for Patients with Nasopharyngeal Concerns
How is EBV understood? Hello, Dr. Zheng! I have the following questions I would like to ask. Thank you for taking the time to read this. I have been experiencing sudden double vision for a year, so I first consulted an ophthalmologist. The doctor recommended an MRI to check for a...
Dr. Zheng Jueyi Reply:
Hello, currently, nasopharyngeal carcinoma is definitively diagnosed through nasopharyngeal biopsy. The EBV index can serve as a reference for physicians; however, a high index does not necessarily indicate nasopharyngeal carcinoma. It is recommended to have regular follow-up app...[Read More] Understanding EBV: Key Insights for Patients with Nasopharyngeal Concerns
Understanding Throat Bitterness: Causes and Concerns in ENT Health
Bitter taste in the throat? Hello Doctor: 1. I have a condition of vocal cord atrophy. On January 25, I underwent bilateral vocal cord autologous fat injection at Renai Hospital, but my voice has not returned since the surgery. The doctor mentioned that the right vocal cord is s...
Dr. Zheng Jueyi Reply:
Hello: 1. A bitter taste in the throat may be related to medication use; it is recommended to finish the medication before returning to the doctor for feedback. 2. The values from nasopharyngeal carcinoma screening are generally for reference; if the endoscopic examination is ...[Read More] Understanding Throat Bitterness: Causes and Concerns in ENT Health
Understanding Early Warning Signs of Nasopharyngeal Cancer: A Patient's Concerns
Suspected nasopharyngeal carcinoma? Hello Doctor, I am 25 years old. My father passed away from nasopharyngeal carcinoma at the age of 35, and I was born when he was 32. When I was 9 years old, I had a benign tumor removed from my right neck, possibly due to excessive consumption...
Dr. Zheng Jueyi Reply:
Hello, if you have already been examined by multiple physicians and no significant abnormalities were found in the nasopharynx, most recommend regular follow-up. Magnetic resonance imaging (MRI) can provide imaging references; however, the definitive diagnosis still relies on nas...[Read More] Understanding Early Warning Signs of Nasopharyngeal Cancer: A Patient's Concerns
Understanding Ear Problems: Insights into Eustachian Tube Dysfunction
Ear problems? The initial cause was that on February 29, 2015, I was diagnosed with otitis media, and the doctor mentioned that I had adenoid hyperplasia. I continued medication treatment until I underwent adenoidectomy on October 20, 2015. During this period, I also had biopsy e...
Dr. Zheng Jueyi Reply:
Hello, it is most likely still an issue with Eustachian tube function. Recovery from Eustachian tube dysfunction can sometimes take time, so it may be worth monitoring further. Additionally, if there are any hearing abnormalities, you may want to visit a hospital for a hearing te...[Read More] Understanding Ear Problems: Insights into Eustachian Tube Dysfunction