Understanding Nasopharyngeal Lymphoid Hypertrophy: When to Consider a Biopsy
Nasopharyngeal lymphadenopathy 2 Doctor, I have a bit of redness and swelling in my nasopharynx. If a biopsy is necessary, where should it be taken from if there is no obvious tumor present? Today, I saw a doctor who said it just looks red and doesn't seem to indicate any si...
Dr. Zheng Jueyi Reply:
Hello: Nasopharyngeal biopsy involves taking a small tissue sample from the nasopharynx for examination. The nasopharyngeal cancer index can provide some reference, but the diagnosis of nasopharyngeal cancer primarily relies on the biopsy results. Whether a biopsy is necessary is...[Read More] Understanding Nasopharyngeal Lymphoid Hypertrophy: When to Consider a Biopsy
Understanding Blood Streaks in Throat: When to Consider Further Testing
Blood streaks in the throat? Hello, doctor. It seems that I have undergone several nasal endoscopies. Currently, there is some redness and swelling observed on the medial wall of the nasopharynx. The doctor mentioned that it looks okay but still could not determine the cause. Occ...
Dr. Zheng Jueyi Reply:
Hello: If the index is abnormal, further consideration for a biopsy may be warranted. The biopsy site should be determined by the physician from the suspected area. If the index is normal, it may be advisable to continue monitoring and observation. Wishing you peace and good heal...[Read More] Understanding Blood Streaks in Throat: When to Consider Further Testing
Understanding Nasopharyngeal Lymphoid Hypertrophy and Cancer Risks
Nasopharyngeal lymphoid hyperplasia The doctor recently performed a nasal endoscopy and mentioned that the lymphoid tissue at the back of the nasal cavity appeared more red and swollen. However, nothing unusual was observed. I would like to know if this swollen lymphoid tissue co...
Dr. Zheng Jueyi Reply:
Hello: The lymphoid tissue in the nasopharynx is often red and swollen, primarily due to nasopharyngitis. Occasionally, forceful nose blowing may result in blood-tinged mucus; however, if bleeding persists and does not improve, it is important to rule out nasopharyngeal carcinoma...[Read More] Understanding Nasopharyngeal Lymphoid Hypertrophy and Cancer Risks
Understanding Hard Lumps at the Back of the Neck: When to Seek Medical Advice
There is a small hard lump at the nape of the neck? Hello, Doctor: Since the end of July this year, I have been experiencing a feeling of fullness in my right ear. This is the second occurrence, as I had a similar issue two years ago. About a month ago, the ear fullness improved ...
Dr. Zheng Jueyi Reply:
Dear Hedy, Hello. The primary concern regarding Eustachian tube dysfunction is whether there is a tumor in the nasopharynx. However, if you have already undergone examinations at two different otolaryngology clinics, both of which returned normal results, and you have also had a...[Read More] Understanding Hard Lumps at the Back of the Neck: When to Seek Medical Advice
Understanding Nasal Bleeding: When to Worry About Cancer Risks
Some questions to ask? Hello, doctor. Over the past two years, I've occasionally noticed blood streaks in the mucus from my left nostril, about every few months. I visited an ENT specialist who performed a nasal endoscopy and found no abnormalities in my nasal cavity or thro...
Dr. Zheng Jueyi Reply:
Hello: If you have already undergone an endoscopic examination by an otolaryngologist, nasopharyngeal carcinoma can likely be temporarily ruled out. If there are any abnormalities, the physician may recommend a nasopharyngeal biopsy. Given the current situation, it is advisable t...[Read More] Understanding Nasal Bleeding: When to Worry About Cancer Risks
Understanding Ear Issues and Nasopharynx Biopsy Results: Key Insights
Please ask your question? The doctor has two questions. I would like to ask: 1. Recently, I have been experiencing issues with fluid accumulation in my ear (after having a cold). I had a drainage procedure that helped, but it seems to have recurred, and I also have nasal discha...
Dr. Zheng Jueyi Reply:
Hello, 1. It is possible that the ear dysfunction caused by a cold has led to otitis media or middle ear effusion. Most cases can be treated with medication, and once the eustachian tube function is restored, the effusion will improve naturally. If a nasopharyngeal biopsy has a...[Read More] Understanding Ear Issues and Nasopharynx Biopsy Results: Key Insights
Understanding Post-Nasal Drip: Risks and Remedies for Your Health
Post-nasal drip I would like to ask the doctor: I have a runny nose due to a cold and allergies. Sometimes I can blow my nose, and sometimes I can't, so I end up swallowing it. I've heard that swallowing mucus that passes through the nasopharynx can lead to nasopharynge...
Dr. Zheng Jueyi Reply:
Dear Steve, It is actually fine to swallow mucus; it will not cause any nasopharyngeal disorders. Wishing you safety and health, Dr. Cheng Jue-Yi Director, Department of Otolaryngology Taoyuan General Hospital, Ministry of Health and Welfare[Read More] Understanding Post-Nasal Drip: Risks and Remedies for Your Health
Understanding Blood-Streaked Mucus: When to Seek ENT Evaluation
Nasal mucus with blood streaks? Hello, doctor. My symptoms include a runny nose, post-nasal drip, and occasionally blood-tinged mucus or phlegm, which usually occurs in the morning and happens about once a month. The blood is very minimal and varies in color from dark to deep. Do...
Dr. Zheng Jueyi Reply:
Hello, Xiao Bai: If you have persistent nasal discharge with blood streaks, it is advisable to seek medical evaluation to determine whether the bleeding source is in the nasal cavity or the nasopharynx. Local treatment or medication may be used to improve the condition. Wishing y...[Read More] Understanding Blood-Streaked Mucus: When to Seek ENT Evaluation
Why Do My Ears Ring When I Yawn or Sneeze? ENT Insights
When opening the mouth wide, there is a sound in the ears? Hello Doctor, recently I've been experiencing a ringing sound in my ears whenever I open my mouth wide or sneeze, but it doesn't occur at other times. Should I be concerned about this issue, or will it resolve o...
Dr. Zheng Jueyi Reply:
Hello, it may be caused by dysfunction of the Eustachian tube connecting the nasopharynx and the ear. Most cases will gradually improve, but if symptoms persist and do not improve, it is advisable to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue...[Read More] Why Do My Ears Ring When I Yawn or Sneeze? ENT Insights
Understanding EB Test Results: What Does a Value of 3.5 Mean?
EB data inquiries? Hello, Dr. Cheng. If the EB test result is greater than 1, it is considered positive, and mine is 3.5. Does this indicate that there is a disease present? I am very worried after the test. Thank you.
Dr. Zheng Jueyi Reply:
Dear Da Bei: A high EB index does not necessarily indicate a problem. It is recommended to seek medical attention for a detailed examination of the nasopharynx. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospit...[Read More] Understanding EB Test Results: What Does a Value of 3.5 Mean?
Morning Throat Clearing with Blood: When to Seek ENT Care
Blood in the throat upon waking up in the morning? Hello Doctor, in the morning I experience post-nasal drip with blood streaks, which doesn't occur daily but about once a week. The mucus is thick and only comes out when I clear it. Initially, there were only slight blood st...
Dr. Zheng Jueyi Reply:
Dear Lu Wei, Hello, if the symptoms persist without improvement, it is recommended to seek medical attention to thoroughly investigate whether there are any bleeding points in the nasal cavity and to rule out the possibility of a tumor in the nasopharynx. Wishing you safety and...[Read More] Morning Throat Clearing with Blood: When to Seek ENT Care
Understanding Throat Pain: Essential Tests and Causes Explained
If you have a sore throat, what tests should you undergo? Hello Dr. Zheng, I have been experiencing a sharp pain in the central anterior part of my throat (similar to the location of a male's Adam's apple) since April of last year. The pain is most noticeable when I f...
Dr. Zheng Jueyi Reply:
Dear Fangfang, 1. The tube inserted through the nostril for examination is likely a nasopharyngoscope, which allows for a detailed inspection from the nasal cavity, nasopharynx, oropharynx, to the hypopharynx. Chronic pharyngitis caused by gastric acid can show inflammation and ...[Read More] Understanding Throat Pain: Essential Tests and Causes Explained
Understanding Nasal Endoscopy: Insights on Ear Ringing and Throat Health
Nasal Endoscopy Examination Hello Doctor, Recently I've been experiencing tinnitus, so I went to a large hospital to see a doctor and had a hearing test done. The tinnitus is at a high frequency, and the doctor mentioned that my left ear shows some signs of aging. During m...
Dr. Zheng Jueyi Reply:
Hi Ah Bin: The nasopharynx is primarily composed of lymphoid tissue, and viral infections can lead to inflammation and redness in this area. It is advisable to wait until the infection improves before conducting a follow-up examination. Wishing you peace and health. Sincerely, Dr...[Read More] Understanding Nasal Endoscopy: Insights on Ear Ringing and Throat Health
Understanding Ear Congestion After Nasal Surgery: Causes and Concerns
Ear congestion Hello Dr. Cheng, I have been working in Bangkok for a long time. Due to nasal congestion, I returned to Taiwan at the end of January for "inferior turbinate reduction" and "septoplasty." My nasal breathing has been quite smooth since the surger...
Dr. Zheng Jueyi Reply:
Dear David, 1. It is generally rare for this surgery to cause dysfunction of the Eustachian tube. 2. The inferior turbinate is mostly partially resected, and the filtering function of the nose is usually not significantly affected. However, if allergic rhinitis symptoms are seve...[Read More] Understanding Ear Congestion After Nasal Surgery: Causes and Concerns
Understanding Occasional Blood in Nasal Mucus: Causes and Concerns
Occasional blood-tinged nasal mucus? Hello, Doctor. For the past six months, I've occasionally noticed a bit of blood in the mucus from my left nostril when I wake up in the morning. I have specifically checked my phlegm, and there are no abnormalities. I do not experience t...
Dr. Zheng Jueyi Reply:
Hello: Based on your description, if you have already undergone a nasopharyngoscopy and been examined by multiple physicians, the likelihood of bleeding caused by nasopharyngeal cancer should be low. If bleeding persists, you should seek medical attention to identify the bleeding...[Read More] Understanding Occasional Blood in Nasal Mucus: Causes and Concerns
Understanding Nosebleeds and Lymph Node Swelling: Key Insights
Nosebleeds and Lymphatics Hello, Dr. Hsu. On November 21, I noticed some slight blood streaks when I wiped my left nostril with tissue. Upon closer inspection with a flashlight, I found that the mucosa in the anterior inferior part of the nasal septum was swollen and showed mild ...
Dr. Xu Jiazhen Reply:
Regarding the situation of nasal mucosa being prone to bleeding, hello: This is quite common in outpatient settings. Generally, as the physician in the clinic would handle it, one must be cautious of other issues in the nasopharynx that may be causing it. If it is simply nasal bl...[Read More] Understanding Nosebleeds and Lymph Node Swelling: Key Insights
Understanding Chronic Rhinitis: Symptoms, Diagnosis, and Treatment
Chronic rhinitis Dear Dr. Hsu, In addition to symptoms such as frequent sneezing, runny nose, and nasal congestion, can rhinitis also cause pain similar to that of sinusitis? I have been experiencing intermittent sharp and dull pain in the area of my upper right molars and near ...
Dr. Xu Jiazhen Reply:
Hello: Rhinitis and sinusitis can sometimes occur simultaneously, making it difficult to differentiate between the two. Generally, a diagnosis of sinusitis can be made with an X-ray, so X-rays are sufficient for evaluation; it is not always necessary to use a CT scan. When there ...[Read More] Understanding Chronic Rhinitis: Symptoms, Diagnosis, and Treatment
Understanding Soft Neck Masses: When to Seek Further Evaluation
Lateral neck mass Hello, Doctor. My father has discovered a painless and non-itchy lump on the left side of his neck (towards the cheek area). The lump feels soft and is only visible when he tilts his head back. From the front view, the area from below the left ear to the chin ap...
Dr. Xu Jiazhen Reply:
Hello: Neck masses should be handled with caution. The diagnostic accuracy of fine-needle aspiration is approximately 60%, and there is still a possibility of missing malignant components due to the small sampling area. However, aspiration will not cause any changes to the tumor,...[Read More] Understanding Soft Neck Masses: When to Seek Further Evaluation
Understanding Lumps Near the Jaw: Causes and Concerns for Ear and Throat Issues
There is a 2-3 cm swelling at the junction of the lower jaw and the posterior neck, 3 cm below the right ear? Dear Dr. Cheng, Two weeks ago, I woke up to find a "sudden lump about 2-3 cm" at the junction of my right jaw and the back of my neck, approximately 3 cm below...
Dr. Zheng Jueyi Reply:
Dear Ah Kai, Based on the symptoms you described, it appears that you may be experiencing lymphadenopathy. The most common causes are infections in the head and neck region, such as infections of the ear or teeth. An endoscopic examination typically only requires entry through o...[Read More] Understanding Lumps Near the Jaw: Causes and Concerns for Ear and Throat Issues
Understanding High Nasopharyngeal Cancer Screening Index: Key Insights
The screening index for nasopharyngeal carcinoma is excessively high? Hello Dr. Cheng, thank you for your response. I would like to ask you again whether the nasopharyngeal biopsy you mentioned is performed only when suspicious lesions are observed during the nasopharyngoscopy, o...
Dr. Zheng Jueyi Reply:
Dear Eric, Typically, a biopsy is performed only when suspicious lesions are observed during a nasopharyngoscopy. If the examination of the nasopharynx is normal, a blind biopsy is not indicated. Under normal circumstances, it is recommended to follow up in 3 to 6 months. Wishi...[Read More] Understanding High Nasopharyngeal Cancer Screening Index: Key Insights