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 Intermittent Hemoptysis: Causes and Concerns in ENT Issues
Hemoptysis issue Hello, Dr. Chi. Last week, I had a cold with productive cough, and for two consecutive days, there was blood in my sputum, which increased in amount. Then, the following day, I experienced a severe sore throat. I went to a pulmonologist for a chest X-ray, and the...
Dr. Ji Zhaoyun Reply:
Hello, Xiao Jia. Blood-streaked sputum may originate from several areas: 1) Nose: The nasal mucosa can become fragile due to allergies or infections, leading to ruptured blood vessels when forcefully blowing the nose, rubbing, picking, or coming into contact with allergens, res...[Read More] Understanding Intermittent Hemoptysis: Causes and Concerns in ENT Issues
Understanding Blood-Streaked Phlegm: Allergies or Something More?
Hemoptysis (coughing up blood) Hello, Doctor. I have a history of allergic rhinitis, but in the past few weeks, I have noticed some unusual symptoms. About a month ago, I started to intermittently smell a metallic or bloody odor, and I have been coughing up phlegm that occasional...
Dr. Ji Zhaoyun Reply:
Hello, if you continue to have blood in your sputum for more than a month after treatment, it is advisable to consider a "nasopharyngoscopy" examination in the otolaryngology department. This procedure allows for a clear view of the nasopharynx and other conditions in t...[Read More] Understanding Blood-Streaked Phlegm: Allergies or Something More?
Understanding Blood in Post-Nasal Drip: Causes and Solutions
Post-nasal drip with blood? Doctor, I experienced a seasonal change in April and May, during which I usually sleep with the air conditioning on and use a dehumidifier. I often sneeze 20 to 30 times in a row and have a runny nose. Initially, there were no bleeding symptoms, but in...
Dr. Zheng Jueyi Reply:
Hello: The most common issue is still nasal mucosal laceration and bleeding. If you have already undergone an endoscopy, nasopharyngeal cancer can be initially ruled out. A CT scan primarily examines the condition of the sinuses. It is recommended to continue follow-up visits. Wi...[Read More] Understanding Blood in Post-Nasal Drip: Causes and Solutions
Understanding Ear Congestion and Low-Frequency Tinnitus: Causes and Treatments
Left ear feels clogged with a low-frequency buzzing sound? Hello, on May 5th, I visited an ENT clinic for low-frequency tinnitus in my left ear and underwent a nasal endoscopy (flexible scope). The doctor said everything looked clean and there was no need to worry. On May 6th, I ...
Dr. Zheng Jueyi Reply:
Hello, in addition to the issues with the Eustachian tube, the sensation of ear fullness combined with difficulty hearing low-frequency sounds may also suggest inner ear edema or Meniere's disease. If the symptoms persist without improvement, it is recommended to return to t...[Read More] Understanding Ear Congestion and Low-Frequency Tinnitus: Causes and Treatments
Understanding ENT Issues: Navigating Nasopharyngeal Cancer Concerns
Inquiry about Ear, Nose, and Throat Issues (Nasopharyngeal Carcinoma) Hello Dr. Zheng, I would like to ask about my symptoms and how to communicate with outpatient doctors for further treatment. I have a long history of nasal allergies, which cause severe nasal congestion on both...
Dr. Zheng Jueyi Reply:
Hello! If an endoscopic examination has been performed and no suspected tumors were found in the nasopharynx, the significance of a biopsy is minimal. The bleeding may be related to microvascular rupture. You may continue medication and return for follow-up. Wishing you health an...[Read More] Understanding ENT Issues: Navigating Nasopharyngeal Cancer Concerns
Understanding Ear Pain and Distorted Sounds: A Guide for Pilots
Ear pain may be accompanied by a sound similar to a crackling or popping noise? Hello Doctor, I started experiencing ear problems around June or July of last year while learning to fly in the United States. Initially, I had pain in my right ear, and the doctor diagnosed it as oti...
Dr. Zheng Jueyi Reply:
Hello, if your hearing is normal, it may be more indicative of Eustachian tube dysfunction. You may want to visit a medical center for further evaluation by an otolaryngologist. Wishing you safety and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolary...[Read More] Understanding Ear Pain and Distorted Sounds: A Guide for Pilots
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 Neck Tumors: Concerns About Lymph Nodes and Acupuncture
Head and neck tumors Hello Doctor: Regarding the previously mentioned lymph node in my mother's neck (left posterior neck) that is approximately two centimeters in size, it was initially discovered during an outpatient examination. An endoscopic examination of the nasopharyn...
Dr. Zheng Jueyi Reply:
Hello, it is difficult to determine whether it is related to acupuncture. Whether a biopsy is necessary or if we should just continue to observe will require a comprehensive clinical assessment and discussion with the physician before making a decision. Wishing you peace and heal...[Read More] Understanding Neck Tumors: Concerns About Lymph Nodes and Acupuncture
Morning Coughing Up Blood: Possible ENT Issues Explained
Coughing up blood-tinged sputum in the morning? Since November of last year, I have been experiencing blood when I clear my throat every morning. I also notice bleeding when I brush my teeth in the morning and evening. In January, I had a dental cleaning, which resolved the bleed...
Dr. Zheng Jueyi Reply:
Hello: It is recommended to visit an otolaryngologist for examination, as bleeding can occur from the nasal cavity, nasopharynx, or oropharynx. Wishing you safety and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministr...[Read More] Morning Coughing Up Blood: Possible ENT Issues Explained
Understanding Neck Tumors: Concerns About Enlarged Lymph Nodes and Diagnosis
Head and neck tumors Hello, Doctor: My mother discovered a lymph node in the back of her neck in May of the year before last. She went to a clinic for examination, and the doctor indicated that it was about two centimeters in size, movable, and that both the nasopharynx and throa...
Dr. Zheng Jueyi Reply:
Hello, the most common issue is still inflamed lymph nodes. Medication may reduce the swelling, but it may not completely resolve the inflammation. A computed tomography (CT) scan can provide imaging references for the clinician. Whether a biopsy is necessary for definitive diagn...[Read More] Understanding Neck Tumors: Concerns About Enlarged Lymph Nodes and Diagnosis
Understanding Blood-Streaked Nasal Discharge: Causes and Concerns
Nasal discharge with blood streaks? Hello Doctor, I have been experiencing blood-streaked nasal discharge for the past two weeks. In the first few days, there was a significant amount of blood, similar to a nosebleed, and now it has reduced to occasional slight streaks of blood...
Dr. Zheng Jueyi Reply:
Hello: If you have previously undergone a nasopharyngoscopy, the likelihood of having a tumor should be low. Most cases of nosebleeds are primarily due to microvascular bleeding from the nasal septum. It is recommended to first manage nasal allergies or apply petroleum jelly to k...[Read More] Understanding Blood-Streaked Nasal Discharge: Causes and Concerns
Should I Get a CT Scan or Consult an ENT Specialist for My Concerns?
Seeking advice, please? I have been troubled by a neck tumor for a long time, so I went to see a doctor. He only performed a physical examination and determined that I have lymphadenopathy, but this lymph node measures 2.5 cm, almost 3 cm, and there is also a small mass nearby th...
Dr. Zheng Jueyi Reply:
Hello, you can either undergo a CT scan or consult an otolaryngologist to assess whether there are any issues in the nasopharynx. If abnormalities are found, a nasopharyngeal biopsy will be necessary to confirm the diagnosis. You may choose the option that is more convenient base...[Read More] Should I Get a CT Scan or Consult an ENT Specialist for My Concerns?
Understanding Eustachian Tube Dysfunction: Symptoms and When to Seek Help
Eustachian Tube Dysfunction Hello doctor, I have been experiencing a sensation of ear fullness since around the ninth grade. I can hear my own breathing and speaking. Each episode lasts about 2-3 hours, sometimes even 2-3 days. It occurs once a month at times, and several times a...
Dr. Zheng Jueyi Reply:
Hello, indeed the symptoms resemble issues with the Eustachian tube. If the symptoms improve naturally, you may continue to observe them. However, if the symptoms persist for a longer duration, it is advisable to seek medical evaluation of the nasopharynx to ensure there are no p...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms and When to Seek Help
Understanding Tinnitus and Ear Pressure: Causes, Symptoms, and Treatment Options
Tinnitus and ear fullness? Hello Doctor, about three months ago I suddenly experienced tinnitus and a feeling of fullness in my left ear. Initially, I had occasional dizziness, so I went to a clinic where they diagnosed me with allergic rhinitis causing post-nasal drip. After tak...
Dr. Zheng Jueyi Reply:
Hello, if you have already been examined, the most common issue is Eustachian tube dysfunction. Since the opening of the Eustachian tube is located in the nasopharynx, the entire nasopharyngeal area can be observed regardless of which side the endoscope is inserted from. As the r...[Read More] Understanding Tinnitus and Ear Pressure: Causes, Symptoms, and Treatment Options
Understanding Elevated EB IGA Levels: What You Need to Know
Elevated EB IgA index? The EB IGA index in the company health check shows a value of 16.7, with a reference value of less than 9.0 NTU. Is this value considered very high? I am very concerned and would appreciate your advice!
Dr. Zheng Jueyi Reply:
Hello, Dr. Rui: If the EBV IgA levels are elevated, it does not necessarily indicate nasopharyngeal carcinoma, but it is still recommended to visit a hospital for an examination of the nasopharynx by an otolaryngologist to confirm the diagnosis. Wishing you safety and health. Sin...[Read More] Understanding Elevated EB IGA Levels: What You Need to Know
Understanding Eustachian Tube Dysfunction: Symptoms, Treatments, and Management
Eustachian Tube Dysfunction Hello Dr. Cheng, I have not undergone any examinations at the hospital, but based on my symptoms, I believe I have Eustachian tube dysfunction. I experience this condition intermittently for at least four hours a day, sometimes up to eight hours, which...
Dr. Zheng Jueyi Reply:
Hello, the action of sniffing can alleviate symptoms as it creates temporary negative pressure in the nasopharynx, causing the Eustachian tube to close. However, the effect is usually temporary. Repeated sniffing may lead to retraction of the eardrum, which over time could result...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms, Treatments, and Management
Understanding Blood in Throat Upon Waking: Causes and Solutions
Coughing up blood upon waking up? 1. About a month ago, one night while I was sleeping, I felt something foreign in my throat. After I coughed it out, I saw it was a yellowish-green chunk that smelled very bad. Following that, I noticed blood in my saliva, but it stopped after I ...
Dr. Zheng Jueyi Reply:
Hi Xiao Gu: Chronic pharyngitis can indeed cause symptoms such as dryness in the throat, a sensation of a foreign body, and an increased feeling of mucus. However, it is generally uncommon to have blood in the sputum. If the symptoms persist, it is advisable to visit an otolary...[Read More] Understanding Blood in Throat Upon Waking: Causes and Solutions
Understanding Lymph Node Issues: Causes and Concerns in ENT Health
Lymph node issues? Hello Doctor, last year at the end of the year, I had a lymph node in the middle of my neck, which may have been caused by inflammation from acne. However, I was not at ease and visited two major hospitals to see an ENT specialist. In January, I also underwent ...
Dr. Zheng Jueyi Reply:
Hello: 1. Both colds and cold sores can cause lymphadenopathy due to infection. 2. Nasopharyngeal carcinoma is primarily confirmed through nasopharyngeal biopsy, but if a nasopharyngoscopy shows no issues, the likelihood of problems is relatively low. If abnormalities are detecte...[Read More] Understanding Lymph Node Issues: Causes and Concerns in ENT Health
Understanding Blood-Streaked Nasal Mucus: Causes and Concerns
Blood in nasal mucus Hello Dr. Zheng, I have been experiencing nasal discharge with blood streaks for a month. The first occurrence, about two weeks ago, seemed to be from the anterior nasal vestibule, and I could wipe it away with tissue. Last week, it appeared to be from the na...
Dr. Zheng Jueyi Reply:
Hello: Allergic rhinitis can still cause blood-tinged nasal discharge due to microvascular rupture. As for nasopharyngeal carcinoma, the primary method of diagnosis involves endoscopic evaluation followed by biopsy of any suspicious areas. Blood tests can only reference EBV-IgA, ...[Read More] Understanding Blood-Streaked Nasal Mucus: Causes and Concerns