Understanding Ear and Nose Bleeding: Causes and When to Seek Help
Bleeding from the ears and nose? Hello Dr. Cheng, thank you for taking the time to respond. My mother experienced a sensation of ear blockage yesterday, and later discovered some bleeding in her ear through a tissue. The bleeding was not severe enough to flow out but had a darker...
Dr. Zheng Jueyi Reply:
Hello, if you have persistent nasal discharge with blood streaks accompanied by unilateral ear fullness, it is recommended to seek medical evaluation to assess the condition of the nasopharynx. If the symptoms are due to nasal allergies affecting the function of the Eustachian tu...[Read More] Understanding Ear and Nose Bleeding: Causes and When to Seek Help
Uneven Tonsil Size: Understanding Swelling and Throat Discomfort
Tonsils of varying sizes, enlarged? Since mid-April, I have been experiencing a sore throat due to a cold. I did not take any medication and waited for self-healing. After the symptoms subsided, I still felt a sensation of something stuck in my throat, and at times, I experienced...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, the bilateral tonsils appear to be similar. If there is no significant pain or discharge, the sensation of something stuck in the throat is often related to chronic tonsillitis or gastroesophageal reflux disease (GERD). It is recommended to drink ...[Read More] Uneven Tonsil Size: Understanding Swelling and Throat Discomfort
Uneven Tonsil Size: Is It Normal and What to Do About It?
Tonsils of uneven size and enlarged? Since mid-April, I have been experiencing a cold with a sore throat. I did not take any medication and waited for self-healing. After the symptoms subsided, I still felt a sensation of something stuck in my throat, and sometimes I experienced ...
Dr. Zheng Jueyi Reply:
Hello, Upon initial examination, there appears to be little difference between the bilateral tonsils. If there is no significant pain or discharge, the sensation of something stuck in the throat is often associated with chronic tonsillitis or gastroesophageal reflux disease (GE...[Read More] Uneven Tonsil Size: Is It Normal and What to Do About It?
Understanding Blood-Streaked Mucus: Causes and Diagnostic Approaches
Nasal discharge with blood streaks? The symptoms have been present since February 9th. Upon waking up, I feel like there is a lump of fluid stuck in my nasopharynx that is difficult to expel. It is easier to bring it up into my mouth and spit it out, which often contains blood st...
Dr. Zheng Jueyi Reply:
Hello, if a biopsy and endoscopic examination have been performed and the source of bleeding remains undetected while the bleeding continues, it is recommended to follow up at the hospital for further evaluation. The physician will determine if additional imaging studies are nece...[Read More] Understanding Blood-Streaked Mucus: Causes and Diagnostic Approaches
Understanding Lymph Node Swelling and Its Connection to Sinusitis
Cervical lymphadenitis Hello, doctor... I have undergone a bacterial culture that identified Staphylococcus as the cause of my sinusitis, and I am currently being treated with Moxifloxacin. On Monday, I noticed swelling near my parotid gland, which is painful when pressed. Additi...
Dr. Zheng Jueyi Reply:
Hello: Common lymphadenopathy with pain is often related to infections, which may be associated with sinusitis or parotitis. In most cases, lymphadenopathy will decrease or resolve after the infection improves. It is recommended to complete the course of medication before returni...[Read More] Understanding Lymph Node Swelling and Its Connection to Sinusitis
Understanding Jaw Asymmetry: Causes and When to Seek Further Evaluation
Asymmetry of the neck and mandible? Hello, Doctor: I apologize for asking again, but I have noticed that the area below my chin is asymmetrical on both sides. I have undergone a nasal endoscopy, which was normal. What does a nasopharyngeal endoscopy check for? Additionally, I for...
Dr. Ji Zhaoyun Reply:
Hello, the nasopharyngoscopy is primarily used to examine the nasal cavity and nasopharynx. If there is asymmetry between the two or if a suspected mass is palpated, it is advisable to consult an otolaryngologist for further evaluation.[Read More] Understanding Jaw Asymmetry: Causes and When to Seek Further Evaluation
Understanding Lymph Node Biopsy: Insights on FNA Results and Cancer Risks
Lymph node biopsy? Dr. Zheng, thank you once again for your response in <a href="https://adoctor.tw/article/164616">#164616</a>. Your reply has certainly put my mind at ease. After the ultrasound, the doctor understood my concerns and performed a nasopharyng...
Dr. Zheng Jueyi Reply:
Hello, 1. The absence of cancer cells in the fine needle aspiration (FNA) only indicates that there is no obvious malignancy in the lymph node; it cannot confirm the absence of cancer in the nasopharynx, throat, lungs, or other lymphatic areas. It can only suggest that the rela...[Read More] Understanding Lymph Node Biopsy: Insights on FNA Results and Cancer Risks
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
Choking on Frozen Tofu: Understanding Throat Discomfort and Diagnosis
Choking on frozen tofu? Today, I accidentally choked on some frozen tofu while trying to swallow it after biting it into pieces. I felt like something was stuck in my nose area, close to my throat. I thought it would feel better after waking up, but it didn't, so I went to a...
Dr. Ji Zhaoyun Reply:
Hello, it is indeed rare for generally young and healthy males to experience food such as frozen tofu getting stuck in the nasopharynx or throat; this situation is more commonly seen in elderly individuals with altered consciousness. However, if symptoms persist and there are con...[Read More] Choking on Frozen Tofu: Understanding Throat Discomfort and Diagnosis
Understanding Nasopharyngeal Issues and EBV Testing: Key Insights
Nasopharyngeal-related issues? Hello, doctor. I do not have a family history of head and neck cancer. Last September, I went to a major hospital due to a cold and was found to have residual adenoid tissue in my nasopharynx. The biopsy pathology report indicated normal lymphoid ti...
Dr. Zheng Jueyi Reply:
Hello, the EBV-VCA IgA and EBV VCA IgA Ab are the same. The absolute values have decreased; however, it is generally more important to observe the trend. If there is no significant increase and the nasopharyngeal biopsy is benign, regular follow-up is recommended. Currently, the ...[Read More] Understanding Nasopharyngeal Issues and EBV Testing: Key Insights
Persistent Nasal Obstruction: Seeking Solutions for Throat Discomfort
Feeling of foreign body in the nasal cavity near the throat? I would like to consult a physician. I have a sensation of foreign body in my nasal cavity, feeling like something is stuck near my throat, and I feel a thick mucus trapped there. I visited a hospital and consulted an o...
Dr. Zheng Jueyi Reply:
Hello, it is recommended to continue visiting an otolaryngologist for examination. If the oral medication combined with the nasal spray does not yield satisfactory results, saline nasal irrigation may be necessary. Additionally, discomfort in the nasopharynx may be related to gas...[Read More] Persistent Nasal Obstruction: Seeking Solutions for Throat Discomfort
Understanding Enlarged Lymph Nodes in the Left Occipital Region: What You Need to Know
Regarding the issue of left occipital lymphadenopathy? Hello Doctor, At the beginning of August, I discovered a lymph node in the left posterior neck and initially consulted a general practitioner who diagnosed it as skin inflammation. I was prescribed antibiotics for six days,...
Dr. Zheng Jueyi Reply:
Hello, according to the current report, there is reactive lymphadenopathy. Enlargement of the lymph nodes in the posterior cervical region is often associated with infections in the scalp area. Currently, the size is less than one centimeter, and you may observe it for now. If it...[Read More] Understanding Enlarged Lymph Nodes in the Left Occipital Region: What You Need to Know
Understanding Tinnitus and Sinusitis: A Comprehensive Guide for Patients
Sinusitis and tinnitus? Dear Doctor, My mother has been experiencing tinnitus since March of this year, possibly due to excessive stress and busyness. After consulting multiple otolaryngologists, they all suggested that it is related to menopause and ear degeneration. Her sympto...
Dr. Zheng Jueyi Reply:
Hello, 1. If tinnitus is caused by hearing loss, it cannot be completely cured; medication can only help alleviate the symptoms. 2. If you are concerned about nasopharyngeal cancer, you can directly inform your physician, and a thorough examination of the nasopharynx can confi...[Read More] Understanding Tinnitus and Sinusitis: A Comprehensive Guide for Patients
Understanding Tinnitus and Sinusitis: Causes, Diagnosis, and Treatment
Tinnitus and sinusitis? Dear Doctor, My mother developed tinnitus in early March, possibly due to excessive stress (I am not entirely sure of the exact cause). She describes a buzzing sound, and when the noise is too loud, it makes her very uncomfortable. During this period, she...
Dr. Ji Zhaoyun Reply:
Hello, 1. Why has there been no significant improvement in tinnitus after taking medication for six months? 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 ...[Read More] Understanding Tinnitus and Sinusitis: Causes, Diagnosis, and Treatment
Understanding Nasal and Throat Issues: Symptoms, Causes, and Treatments
Nasal and throat issues? Hello Doctor: In mid-July, I suddenly experienced unilateral nasal discharge (only for one day). The next day, I began to have some nasal congestion (without nasal discharge), which was unilateral and alternated between sides; sometimes both sides were cl...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, it appears to be tonsillar tissue with no significant abnormalities. If there are no obvious symptoms of pain or fever, you may observe your condition for now. As for nasal congestion, it is likely not related to the throat issue. Wishing you safe...[Read More] Understanding Nasal and Throat Issues: Symptoms, Causes, and Treatments
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 Unilateral Nasal Congestion: Causes and Concerns
Unilateral nasal congestion? Hello Doctor, I have been experiencing persistent unilateral nasal congestion without any allergy symptoms. I only have nasal congestion on one side; when I sleep and change positions, if I lie on my left side, my left nostril gets congested, and if I...
Dr. Zheng Jueyi Reply:
Hello: A general endoscopy can examine the nasopharynx for any abnormalities. If there are any changes, the physician will arrange for a biopsy to confirm. If the physician has already examined and found no abnormalities, it is recommended to have regular follow-ups. Wishing you ...[Read More] Understanding Unilateral Nasal Congestion: Causes and Concerns
Chronic Nasopharyngeal Inflammation: Causes and Treatment Options
Nasal congestion and post-nasal drip issues? In the past, I would recover after taking medication once, but last year, after getting sick, I took medication three or four times, and then I started experiencing post-nasal drip from my right nostril. Since May, I've noticed th...
Dr. Zheng Jueyi Reply:
Hello, if the examination shows no chronic sinusitis, inflammation of the nasopharynx is often associated with chronic rhinitis, allergic rhinitis, post-nasal drip, or gastroesophageal reflux. It is recommended to continue follow-up visits with an otolaryngologist or gastroentero...[Read More] Chronic Nasopharyngeal Inflammation: Causes and Treatment Options
Understanding Nasopharyngeal Issues: Persistent Symptoms and Treatment Challenges
Nasopharyngeal issues? Hello Doctor, I am currently abroad and have seen multiple doctors without any signs of recovery, so I would like to ask for your advice. Around the end of January, I started feeling inflammation in my nasal cavity, but I thought it was just a cold and dela...
Dr. Zheng Jueyi Reply:
Hello: Recurrent inflammation in the nasopharynx may be related to chronic sinusitis with post-nasal drip or gastroesophageal reflux. If symptoms persist without improvement, it is advisable to investigate or treat these two areas first. Wishing you peace and health. Sincerely, D...[Read More] Understanding Nasopharyngeal Issues: Persistent Symptoms and Treatment Challenges
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