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 Occasional Ear Pain: Causes and Insights from ENT Experts
Ear pain? Hello, doctor. Recently, I occasionally feel pain in my right ear. Sometimes I also experience mild headaches, and there is some discomfort in my right shoulder and neck. The bone in front of my right ear hurts when I press on it while closing my mouth. I visited an oto...
Dr. Zheng Jueyi Reply:
Hello: It is common for issues related to temporomandibular joint inflammation or trigeminal neuralgia to arise. It is advisable to avoid hard foods and to chew evenly on both sides. If symptoms persist without improvement, please return for a follow-up examination with the relev...[Read More] Understanding Occasional Ear Pain: Causes and Insights from ENT Experts
Understanding Nasal Issues: Causes of Yellow Mucus and Blood Streaks
Nasopharyngeal issues? I started to have a bit of a cold with a runny nose last week. I had yellow nasal discharge and sought medical attention, taking medication, which has significantly improved my symptoms over the past few days. However, occasionally when I blow my nose force...
Dr. Zheng Jueyi Reply:
Hello: The presence of blood streaks may be related to the rupture of microvessels in the nasal mucosa, which can be influenced by factors such as infection, forceful nose blowing, or dryness. If no abnormalities are found upon examination, observation may be sufficient. However,...[Read More] Understanding Nasal Issues: Causes of Yellow Mucus and Blood Streaks
Understanding Nasal Endoscopy: Soft vs. Rigid Techniques and Bleeding Risks
Nasal examination Recently, I have been troubled by nasal discharge with blood streaks, and I have visited an otolaryngologist several times. I underwent three nasal endoscopies, two of which were flexible and one was rigid. Is there a difference in the effectiveness of these two...
Dr. Zheng Jueyi Reply:
Hello, if you have undergone three examinations and all results are normal, it indicates that there are currently no obvious tumors. Nosebleeds are often caused by the rupture of microvessels in the nasal mucosa, which can be alleviated by drinking plenty of water or applying pet...[Read More] Understanding Nasal Endoscopy: Soft vs. Rigid Techniques and Bleeding Risks
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?
Persistent Eye Pain and Ear Congestion: Seeking Answers in ENT Care
Eye pain, ear fullness, and sensitivity to loud sounds? Hello Doctor, I have been seeing doctors, but it seems that no one can piece everything together. I am experiencing pressure and pain in the upper part of my eyeballs and between my eyebrows, along with a feeling of ear full...
Dr. Ji Zhaoyun Reply:
Hello, common symptoms of sinusitis include nasal congestion, thick yellow nasal discharge, fever, facial pain, foul smell, and changes in smell, although not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. The symptoms you mentioned are not...[Read More] Persistent Eye Pain and Ear Congestion: Seeking Answers in ENT Care
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 the Differences Between Rigid and Flexible Nasopharyngoscopy
Nasal and pharyngeal examination Previously, there were blood streaks in my phlegm, which was yellow. I later went to a nearby clinic and underwent a nasopharyngoscopy with a rigid endoscope. I would like to ask if there is a difference in accuracy between rigid and flexible endo...
Dr. Zheng Jueyi Reply:
Hello: The examination of the nasopharynx can be performed using either a rigid or flexible endoscope. If the nasopharynx appears normal and there is persistent sputum with blood streaks, it may be necessary to consider referral to a pulmonologist or gastroenterologist for relate...[Read More] Understanding the Differences Between Rigid and Flexible Nasopharyngoscopy
Understanding Tinnitus and Eustachian Tube Dysfunction: What You Need to Know
Tinnitus and Eustachian Tube Dysfunction Hello, Dr. Zheng: About three weeks ago, I visited the hospital due to tinnitus and a slight feeling of fullness in my left ear. After examination, the doctor found no fluid in the left ear, but the ear pressure was lower than normal. Hear...
Dr. Zheng Jueyi Reply:
Hello: If relevant examinations have already been conducted and the common issue remains related to the Eustachian tube, it is recommended to continue outpatient follow-up treatment if there is no improvement. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of...[Read More] Understanding Tinnitus and Eustachian Tube Dysfunction: What You Need to Know
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 Tinnitus: When to Seek Further ENT Evaluation
I'm sorry, could you please ask again? Hello Doctor, I am a patient of #135717. I forgot to mention that during my visit, the physician at the hospital did not use an endoscope; it seemed they used a mirror instead. Although the examination was thorough, I still have concern...
Dr. Zheng Jueyi Reply:
Hello: Experienced physicians can still clearly examine the nasopharynx using a mirror. If you have concerns, you may seek a second opinion at another hospital or clinic, or you can regularly return for follow-up visits at the clinic or hospital. Wishing you peace and health! Sin...[Read More] Understanding Tinnitus: When to Seek Further ENT Evaluation
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 Neck Masses: When to Seek Further Evaluation
Neck mass Before the Lunar New Year, I discovered a relatively large lump on the right side of my neck while having a cold. The size is slightly smaller than my pinky nail, it is not painful and somewhat immobile, oval-shaped. Additionally, there are two smaller lumps that the do...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many potential causes for the neck mass, including metastatic cancer, infections, congenital cysts, and tuberculosis, among others. It is advisable to consult an otolaryngologist for further examination. Wishing you peace and good healt...[Read More] Understanding Neck Masses: When to Seek Further Evaluation
Understanding Unilateral Otitis Media: Causes, Diagnosis, and Concerns
Unilateral middle ear effusion Hello, I apologize for the inconvenience. If you visit an otolaryngologist and the doctor diagnoses unilateral otitis media with effusion, will the doctor also check the nasopharynx for any issues, or do I need to request a separate examination? If ...
Dr. Ji Zhaoyun Reply:
Hello, regarding your question, if it is confirmed to be unilateral middle ear effusion, a nasopharyngoscopy is usually performed to rule out nasopharyngeal tumors. If it is bilateral effusion, it is often associated with sinusitis, following a cold, or after flying. It is also p...[Read More] Understanding Unilateral Otitis Media: Causes, Diagnosis, and Concerns
Understanding Nasal Endoscopy: Diagnosing Neck Lumps and Their Implications
Nasal endoscopy diagnosis Two weeks ago, I discovered a small, immovable hard lump measuring 0.6 cm on the left side of my neck. I visited Chang Gung Memorial Hospital, where the doctor arranged for a neck ultrasound and a nasal endoscopy. Since the lump was only on the left side...
Dr. Zheng Jueyi Reply:
Hello: The nasopharyngoscopy is generally performed through one side, but the posterior nasopharynx, oropharynx, and hypopharynx are interconnected bilaterally, allowing for direct observation of both sides. Additionally, immobile masses are not necessarily malignant; if there ar...[Read More] Understanding Nasal Endoscopy: Diagnosing Neck Lumps and Their Implications
Understanding Nasopharyngeal Lymphoid Hyperplasia: When to Consider a Biopsy?
Please provide the content related to question #130883 for translation? Hello: I asked a question on November 30 last year regarding a right neck swelling and a right nasopharyngeal lymphoid tumor, with the tumor size measuring 0.6*0.5*0.4 cm. The biopsy results indicated lymphoi...
Dr. Zheng Jueyi Reply:
Hello: If the biopsy results are normal, it is generally recommended to have regular follow-up appointments every one to three months without the need for complete removal. If there are any changes, it will be up to the clinical physician to determine if another biopsy is necessa...[Read More] Understanding Nasopharyngeal Lymphoid Hyperplasia: When to Consider a Biopsy?
Understanding Eustachian Tube Dysfunction: Causes, Symptoms, and Treatments
Eustachian tube obstruction About four years ago, I accidentally got water in my left ear while showering, which led to a feeling of fullness in that ear. Shortly after, I visited an ENT clinic where ear drops were prescribed, but they were ineffective. I then consulted several o...
Dr. Zheng Jueyi Reply:
Hello: Based on the description, it may be an issue related to the Eustachian tube. As you have already consulted several physicians who have provided various treatment options, it is advisable to discuss in detail with a clinical physician before deciding on further management. ...[Read More] Understanding Eustachian Tube Dysfunction: Causes, Symptoms, and Treatments
Understanding Lymph Node Concerns: When to Worry and When to Relax
Lymphatic issues consultation? Hello Doctor, I had an infection in my chin lymph nodes on February 13th. I accidentally found a movable lump under my left neck (near the clavicle) that I believe has been there for a while, but I didn't pay much attention to it before. When m...
Dr. Zheng Jueyi Reply:
Hello, 1. Generally, if there is no significant change in size or pain, most cases are benign. 2. Abnormal lymph nodes on the clavicle should be taken seriously, as they may indeed be related to abdominal or thoracic diseases. Abnormal lymph nodes are typically defined as thos...[Read More] Understanding Lymph Node Concerns: When to Worry and When to Relax
Understanding Nasopharyngeal Cancer: When to Seek Further Evaluation
Nasopharyngeal carcinoma (NPC) Hello, doctor. On February 5th, I visited the hospital due to long-term nasal congestion and blood-streaked nasal discharge. At that time, I underwent a nasopharyngoscopy and blood tests. During my follow-up visit, it was found that my EBV IgA level...
Dr. Zheng Jueyi Reply:
Hello: If the biopsy results are normal, it is recommended to have regular follow-up examinations for the nasopharynx. As for persistent nasal congestion that does not improve, it may be due to other issues. It is advisable to return to the same hospital for further evaluation an...[Read More] Understanding Nasopharyngeal Cancer: When to Seek Further Evaluation