Can Patients with Kikuchi Disease Safely Receive the COVID-19 Vaccine?
Can individuals with Kikuchi disease receive the COVID-19 vaccine? In 2019, I discovered a sudden round lump in my neck. The doctor recommended immediate surgery for removal and examination, which resulted in a diagnosis of Kikuchi disease. The doctor mentioned that the cause is ...
Dr. Zheng Jueyi Reply:
Hello, general hospitals can perform oral bacterial cultures, but the oral cavity naturally contains many normal flora. If you need to check, you may consult a rheumatologist. The cause of Kikuchi disease is still unclear, and if there are currently no acute symptoms, there shoul...[Read More] Can Patients with Kikuchi Disease Safely Receive the COVID-19 Vaccine?
Understanding Post-Tonsillectomy Throat Discomfort and Concerns
Oral issues Hello Doctor, I apologize for bothering you again. I would like to ask for your help regarding my condition. It has been four months since I underwent a bilateral tonsillectomy, and during this time, I have been experiencing discomfort, particularly in the left palato...
Dr. Zheng Jueyi Reply:
Hello, if the clinical physician has examined you and found no obvious issues, you can generally feel reassured. However, if you still have concerns about other abnormalities, you may consider opting for a self-paid health check, including an MRI of the head and neck and a whole-...[Read More] Understanding Post-Tonsillectomy Throat Discomfort and Concerns
Understanding Persistent Throat Foreign Body Sensation: Causes and Solutions
Sensation of a foreign body in the throat? Hello Doctor, I have been experiencing a severe sensation of a foreign body in my throat for over a month. The symptoms include a pulsating feeling in the pharyngeal wall, which I am not entirely sure about, but when I use a cotton swab ...
Dr. Zheng Jueyi Reply:
Hello, the area you are touching is the lymphoid tissue of the posterior pharyngeal wall. If it feels hard, you may be palpating the cervical vertebrae behind it. If multiple physicians have examined you and found no significant abnormalities, it is reasonable to preliminarily ru...[Read More] Understanding Persistent Throat Foreign Body Sensation: Causes and Solutions
Understanding Tongue and Throat Issues: Common Concerns and Solutions
Tongue and throat issues? Hello, Doctor. I have some oral health concerns I would like to discuss. First, regarding the first issue: on the left side of my tongue, there are some changes. 1. The area circled in yellow appears thicker and whiter, with one or two noticeable white s...
Dr. Zheng Jueyi Reply:
Hello, upon initial examination, there are no obvious tumors. It is advisable to drink plenty of water and rinse your mouth frequently, but avoid excessive cleaning. If you have concerns or experience persistent pain, it is recommended to visit an otolaryngologist for further eva...[Read More] Understanding Tongue and Throat Issues: Common Concerns and Solutions
Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Lymphadenopathy I am 18 years old, and recently, after my gastroesophageal reflux improved, I noticed a round lump between my left jaw and neck. It has not disappeared after more than two weeks, although it has fluctuated in size, ranging within 1.5 centimeters. During these two ...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you are experiencing pharyngitis and oral ulcers accompanied by cervical lymphadenopathy. Treatment typically involves the use of certain medications, and antibiotics may be prescribed if necessary. However, if the cervical...[Read More] Understanding Enlarged Lymph Nodes: Causes and When to Seek Help
Understanding Head Pressure and Discomfort: Possible ENT Issues Explained
Head pressure or tightness? In recent days, I have been experiencing a feeling of pressure and tightness in my head, which does not have a fixed location or time (sometimes my nose also feels swollen). Occasionally, my hands and feet feel numb and tremble, and I have some pain in...
Dr. Ji Zhaoyun Reply:
Hello, dizziness can have numerous potential causes: 1) If accompanied by a dull pain at the back of the head, it may suggest poor blood circulation in the head and neck. 2) If there are symptoms of ear fullness, pressure, or hearing loss, it may indicate sudden sensorineural hea...[Read More] Understanding Head Pressure and Discomfort: Possible ENT Issues Explained
Understanding Throat Issues: Diagnosing Cysts and Other Concerns
Throat issues Hello Doctor, I previously inquired about the examination methods for a hyoid cyst. I have been experiencing a severe sensation of a foreign body in my throat, along with sharp pain when swallowing saliva. Three months ago, I underwent a bilateral tonsillectomy and ...
Dr. Zheng Jueyi Reply:
Hello: A thyroglossal duct cyst typically appears as a swelling in the center of the neck. If a cyst is present, it can usually be detected by ultrasound. If you are concerned, you may first visit a nearby hospital for an examination, or return to your original hospital for furth...[Read More] Understanding Throat Issues: Diagnosing Cysts and Other Concerns
Feeling of a Foreign Body in the Throat: Possible Causes and Solutions
Feeling of a foreign body sensation in the throat? Hello Doctor, I started feeling a sensation of a foreign body in my throat two days ago. Last week, I had some hard liquor (only while it was on the rocks). Then, two days ago, I experienced a sore throat after smoking a few ciga...
Dr. Zheng Jueyi Reply:
Hello: The common sensation of a foreign body in the throat is often related to chronic pharyngitis. Common contributing factors include gastroesophageal reflux, smoking, and alcohol consumption. If the symptoms persist for more than two weeks without improvement, it is advisable...[Read More] Feeling of a Foreign Body in the Throat: Possible Causes and Solutions
How to Differentiate Between Neck Muscles and Lymph Nodes?
Neck mass Hello, doctor. Last week, I felt a thicker tendon on the left side of my neck. When I pull on it, it feels like a tendon, but when I relax, it seems like there are small lumps on it. Those lumps are not painful. I would like to know how to differentiate between the tend...
Dr. Zheng Jueyi Reply:
Hello: The common tissue in the neck that is less than one centimeter and oval-shaped is a lymph node. If you are concerned or feel uncomfortable, you can visit an otolaryngologist for examination and confirmation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, D...[Read More] How to Differentiate Between Neck Muscles and Lymph Nodes?
Understanding Swollen Lymph Nodes and Neck Pain: When to Seek Medical Attention
Tightness in the neck with swollen lymph nodes? Hello doctor, about two weeks ago I experienced throat inflammation and oral ulcers. After visiting the doctor last week, I was prescribed medication, and my symptoms improved after three days. However, a few days ago, I accidentall...
Dr. Zheng Jueyi Reply:
Hello, if there is no obvious pain or difficulty in swallowing, and you have just completed a medical examination, you may observe your condition for now. If discomfort persists, you can return for a follow-up examination. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi...[Read More] Understanding Swollen Lymph Nodes and Neck Pain: When to Seek Medical Attention
Understanding Post-Tonsillectomy Symptoms: Addressing Throat Discomfort
Oral issues Hello Doctor, I would like to consult you. It has been three months since I had my bilateral tonsillectomy. From the beginning, even before the surgery, I felt discomfort primarily on the left side. After the surgery, I still have a sensation of a foreign body and mil...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, there appear to be no obvious abnormalities, and the clinical physician has reviewed the case with no significant issues identified. The possibility of foreign body sensation can be largely ruled out. There are many factors that can cause this sen...[Read More] Understanding Post-Tonsillectomy Symptoms: Addressing Throat Discomfort
Understanding Lymph Node Concerns: When to Choose Ultrasound or CT Scan
Lymph node issues in the neck? Hello, Doctor. Recently, I noticed a lymph node in my neck. I had it evaluated by an ENT specialist who examined it and noted that it was less than one centimeter. He also palpated my entire neck and didn't mention any issues. He performed a na...
Dr. Zheng Jueyi Reply:
Hello: Generally, lymph nodes in the neck that are less than one centimeter are mostly benign. If you are concerned about radiation or are scheduled for a PET scan, you may inform your physician to discuss whether to arrange an ultrasound for preliminary evaluation. Ultimately, t...[Read More] Understanding Lymph Node Concerns: When to Choose Ultrasound or CT Scan
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Recently experienced dizziness (vertigo)? Hello, Doctor. I sometimes experience postural hypotension, such as feeling faint and seeing black when I suddenly stand up after squatting, but it resolves within a few seconds. My first episode of dizziness occurred about two years ago ...
Dr. Ji Zhaoyun Reply:
Hello, dizziness can have numerous potential causes: 1) If accompanied by a dull pain in the back of the head, it may suggest poor blood circulation in the head and neck. 2) If there are symptoms of ear fullness, pressure, or hearing loss, it may indicate sudden sensorineural hea...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Pain in the Left Jaw Triangle: Possible ENT Issues
Neck issues Hello doctor, I have noticed that for the past two days, there is a bruising-like pain when I press on the left submandibular triangle. There is no discomfort when I'm not pressing on it, and upon examination, there is no swelling or redness. What could this cond...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that the enlargement of the cervical lymph nodes will often be treated with medication, and antibiotics may be used if necessary. However, if the cervical swelling continues to progress and leads to a deep neck infection, it is ...[Read More] Understanding Pain in the Left Jaw Triangle: Possible ENT Issues
Understanding Ear Pain: Symptoms and Possible Causes Explained
Ear pain with an abnormal feeling in the ear canal? Hello Doctor, my ear has been intermittently painful for the past few days. The pain feels deep, not like a surface pain, and there are no bumps or anything when I touch the outside with my finger. Today, it feels itchy inside, ...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may be due to the following possibilities: 1) Otitis Media: a) Acute Otitis Media: Often occurs alongside upper respiratory infections (such as colds) and sinusitis. In severe cases, there may be discharge from the ear. b) Chronic Otitis ...[Read More] Understanding Ear Pain: Symptoms and Possible Causes Explained
Understanding Lymphadenitis: When to Seek Medical Attention
Lymphadenitis Hello Doctor, I discovered a lump on the right side that is about 1 cm in size on May 23rd. It appears to be 2-3 cm externally. I saw a doctor who said it is a lymph node that moves and is slightly painful, but not very noticeable. The doctor mentioned that it would...
Dr. Zheng Jueyi Reply:
Hello, if you notice that the lymph nodes in your neck are persistently enlarging, increasing in number, causing ongoing pain, or becoming hard and immobile, it is recommended to first visit an otolaryngology clinic for evaluation. If necessary, you may be referred to a hospital ...[Read More] Understanding Lymphadenitis: When to Seek Medical Attention
Understanding CT Scan Results: Enlarged Lymph Nodes in the Neck Explained
Cervical CT scan Hello, doctor. Recently, I had a CT scan of my neck at a regional hospital, and the report I checked on the health insurance app mentioned "two big oval well-enhancing lymph nodes about 1.3 cm and 2.0 cm in size at the right carotid space and another node ab...
Dr. Zheng Jueyi Reply:
Hello: 1. Swallowing during a computed tomography (CT) scan generally does not affect the results. 2. Theoretically, a size of 11.5 cm should be very noticeable; it is recommended to return for a consultation with a physician to determine if there was an error in the report or ot...[Read More] Understanding CT Scan Results: Enlarged Lymph Nodes in the Neck Explained
Understanding Tonsillitis: Symptoms, Treatment, and When to Seek Help
Tonsillar suppuration Hello Doctor: On May 29, I experienced pain in my right tonsil, but there was no pus, and I had a fever. The doctor said it was a cold. I had a fever for 5 days. On June 6, both tonsils developed pus, but they weren't very painful, and my neck was swoll...
Dr. Zheng Jueyi Reply:
Hello, if the symptoms of tonsillar suppuration do not show significant improvement, and you continue to experience swallowing pain or fever, it is recommended that you return to the clinic for evaluation to continue treatment or to be referred to a hospital for further examinati...[Read More] Understanding Tonsillitis: Symptoms, Treatment, and When to Seek Help
Understanding Throat Pain: When to Seek Further Medical Evaluation
Throat issues Hello, doctor. Can the nasopharyngoscopy see the deepest part of the throat, which is the location of the esophageal opening, near the level of the clavicle? If there is an issue with the esophageal opening, can pressing on the throat reveal any sensations? I have b...
Dr. Zheng Jueyi Reply:
Hello: The nasopharyngoscope can visualize the deepest area near the Adam's apple, and issues with the esophageal opening are generally not detectable by palpating the throat. Currently, it is not possible to determine the cause of the persistent pain on the left side of the...[Read More] Understanding Throat Pain: When to Seek Further Medical Evaluation
Feeling of a Foreign Object in the Throat: Causes and Concerns
There is a persistent sensation of a foreign body stuck in the throat? Hello, Doctor. On Monday, while eating a chicken leg, I felt like I swallowed a bone. Since then, I've experienced a sore throat and a prickling sensation when swallowing. I came to ask for advice, and th...
Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be due to esophageal ulcers, foreign bodies, or chronic pharyngitis, among other conditions. It is recommended to undergo an endoscopic examination to rule out the presence of masses or foreign objects, as well as to receive appropriate medi...[Read More] Feeling of a Foreign Object in the Throat: Causes and Concerns