Understanding Elevated EBV IGA Levels: Implications for Nasopharyngeal Health
Elevated EBV IgA index? Hello Dr. Cheng: In my previous health check report, the EBV IGA index was elevated (0-0.8), with a blood test result of 3.93. I subsequently underwent a nasopharyngoscopy at the hospital, where an abnormal polyp was biopsied, and the results showed benign...
Dr. Zheng Jueyi Reply:
Hello, the elevated EBV IgA index can be caused by various factors and does not necessarily indicate nasopharyngeal carcinoma. A definitive diagnosis of nasopharyngeal carcinoma should be based on biopsy results. If the nasopharyngeal biopsy has been reported as normal, it is rec...[Read More] Understanding Elevated EBV IGA Levels: Implications for Nasopharyngeal Health
Understanding Enlarged Neck Lymph Nodes: Causes and Follow-Up Care
Improvement of cervical lymphadenopathy? Hello Dr. Zheng, I apologize for the disturbance. Around early November 2019, I noticed a lymph node in my lower jaw triangle area that was about 1-1.5 cm in size on both sides, with the left side being larger. On December 20, I went to Ta...
Dr. Zheng Jueyi Reply:
Hello, 1. If you are concerned, you may return for a follow-up visit or ultrasound in 3-6 months. 2. Lymphadenopathy is associated with immune system abnormalities, and chronic sleep deprivation may lead to chronic inflammation and enlargement of the lymph nodes. 3. Chronic p...[Read More] Understanding Enlarged Neck Lymph Nodes: Causes and Follow-Up Care
Understanding Pain in the Left Tonsil Area: Possible Causes and Solutions
Tonsils Throat Hello, doctor. A few days ago, I started feeling pain near the left tonsil when swallowing saliva, but it only occurs when I lie on my side or tilt my head to the left while swallowing. I don't feel anything while drinking water or eating. Occasionally, I expe...
Dr. Zheng Jueyi Reply:
Hello: Common issues may be related to inflammation. If there is no improvement, it is advisable to seek medical examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare...[Read More] Understanding Pain in the Left Tonsil Area: Possible Causes and Solutions
Understanding Lymph Node Swelling and Ear Congestion: When to Seek Further Evaluation
Continuation of response #151830 regarding lymphatic swelling issues? Later, I noticed some improvement in the right side of my neck, but it hasn't completely resolved. The doctor continued to prescribe medication and advised me to return for a follow-up appointment for furt...
Dr. Ji Zhaoyun Reply:
Hello, the issue you mentioned regarding ear fullness may be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during air travel, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensori...[Read More] Understanding Lymph Node Swelling and Ear Congestion: When to Seek Further Evaluation
Understanding Neck Masses: When to Seek Further Evaluation
Neck mass I have been taking antibiotics for inflammation at the clinic for nearly three weeks, but the entire cluster of swollen lymph nodes in my neck has not decreased in size or worsened. They are painful, but despite the prolonged antibiotic treatment, there has been no impr...
Dr. Zheng Jueyi Reply:
Hello, if the lump persists and does not disappear, it is recommended that the individual regularly return for outpatient examinations to assess whether further aspiration or biopsy is necessary. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Departmen...[Read More] Understanding Neck Masses: When to Seek Further Evaluation
Understanding Lymph Node Swelling: Causes and Treatment Insights
Lymphadenopathy Hello, doctor: I initially noticed a dry and slightly painful throat about two weeks ago, which felt similar to the onset of a cold. Later, I discovered several swollen lymph nodes on the right side of my neck that are painful when pressed. They are distinct nodes...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you have 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 swelling co...[Read More] Understanding Lymph Node Swelling: Causes and Treatment Insights
Blood on Tissue After Nasal Insertion: Possible ENT Issues Explained
Blood from the nasal cavity after inserting tissue deep into the nose? Hello Dr. Cheng, As mentioned in the subject, I have recently noticed some blood stains on tissue after inserting it into my left nostril, while the right nostril does not show any signs of bleeding. I do no...
Dr. Zheng Jueyi Reply:
Hello: It is common for bleeding to occur due to the rupture of microvessels in the nasal mucosa. If the symptoms persist without improvement, it is recommended to visit an otolaryngologist for examination. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Head of t...[Read More] Blood on Tissue After Nasal Insertion: Possible ENT Issues Explained
Understanding Neck Papillomas: HPV Infection and Vaccination Guidance
Inquiry about neck papilloma? Hello Doctor, about half a month ago, I discovered a painful lump on the right side of my neck. Recently, I underwent surgery at an otolaryngology clinic to have it removed for testing. During my follow-up appointment to discuss the results, the doct...
Dr. Zheng Jueyi Reply:
Hello: The HPV family consists of 100 types of viruses. Papillomas in the back of the neck may be less related to sexual activity, as the virus is ubiquitous, and other skin contact can also lead to infection with the papillomavirus. Vaccination primarily helps prevent cervical c...[Read More] Understanding Neck Papillomas: HPV Infection and Vaccination Guidance
Is Sinusitis Likely Causing Bilateral Facial Pain and Other Symptoms?
Is it highly likely that sinusitis can cause bilateral tenderness in the cheeks and in front of the ears? My symptoms are as follows: 1. Bilateral tenderness in the cheeks in front of the ears and pain in the upper jaw, with a sensation of pressure in both cheeks, as if someone h...
Dr. Ji Zhaoyun Reply:
Hello, common symptoms of sinusitis include nasal congestion, yellow-green 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. If acute sinusitis persists despit...[Read More] Is Sinusitis Likely Causing Bilateral Facial Pain and Other Symptoms?
Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?
Nasopharyngeal carcinoma, chronic sinusitis? Hello Dr. Chi, I am currently working abroad, and it's not very convenient for me to see a doctor. I have been experiencing post-nasal drip symptoms for a while. A few months ago, I had acute sinusitis and was treated with antibio...
Dr. Ji Zhaoyun Reply:
Hello, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can occur from forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhinitis, hyp...[Read More] Understanding Nasal Symptoms: Chronic Sinusitis or Nasopharyngeal Cancer?
Understanding Neck Issues: Uneven Muscle Movement During Swallowing
Neck issues? Hello doctor, I have noticed that during swallowing, the movements of the sternocleidomastoid muscles on the left and right sides of my neck are inconsistent. When I swallow, there is a bulge that appears and then disappears at the left lower part of my laryngeal pro...
Dr. Zheng Jueyi Reply:
Hello: There are many potential causes, and it is currently difficult to determine the exact reason. It is recommended to visit an otolaryngologist for examination. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan H...[Read More] Understanding Neck Issues: Uneven Muscle Movement During Swallowing
Understanding Tonsillitis and Neck Swelling: When to Seek Help
Tonsillitis with cervical lymphadenopathy? I recently had a severe case of tonsillitis, which made swallowing very difficult. After seeing a doctor, it improved significantly, but I'm not sure if I have fully recovered. My neck, which was extremely swollen at first, has also...
Dr. Zheng Jueyi Reply:
Hello: If the physician has examined you and found no obvious abnormalities, you may proceed with self-monitoring or return for a follow-up examination in one month to check for any significant changes. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of t...[Read More] Understanding Tonsillitis and Neck Swelling: When to Seek Help
Understanding Lymph Nodes: When to Worry About Swelling
Hello, doctor? About two months ago, I discovered two lumps on the side of my neck (near the lymph nodes on the right side) that I can feel when I touch it. They are not painful and can move slightly. I later visited a military hospital and saw an ENT specialist. After examining ...
Dr. Zheng Jueyi Reply:
Hello: If there are no obvious abnormalities found during the physician's examination, it is common to have benign lymph nodes. There are many lymph nodes normally present in the neck. It is not recommended to continuously massage them. If you are concerned, you may arrange ...[Read More] Understanding Lymph Nodes: When to Worry About Swelling
Understanding Pain in the Left Neck Lymph Nodes: Causes and Treatments
Pain in the left lower cervical lymph nodes? Hello Doctor, I experienced a tearing pain in my neck lymph nodes a couple of days ago. Initially, it was just pain in the lymph nodes, but it gradually spread to my ear canal, causing difficulty in breathing and severe pain while swal...
Dr. Zheng Jueyi Reply:
Hello, 1. If there is improvement after taking antibiotics, the general discomfort from inflammation will gradually subside. 2. If there is improvement after using antibiotics, it is mostly a benign change, and observation is generally sufficient without the need for surgical ...[Read More] Understanding Pain in the Left Neck Lymph Nodes: Causes and Treatments
Understanding Ear Issues: Itchy Ears and When to Seek Medical Help
Ear problems Hello, Doctor. I noticed a pimple at the opening of my right ear canal when I woke up the day before yesterday. It felt slightly painful when I gently pressed around the area that day, but the pain has subsided since yesterday. However, I have started to experience o...
Dr. Zheng Jueyi Reply:
Hello: When your ears are itchy, you can use a cold towel for external cold compress to reduce the itching sensation. Additionally, avoid frequently using cotton swabs to clean your ears, as this may cause inflammation and worsen the itching. If there is no improvement after 3-5 ...[Read More] Understanding Ear Issues: Itchy Ears and When to Seek Medical Help
Understanding Neck Lumps: When to Seek Medical Attention
Neck issues Hello, doctor. About a month ago (in October this year), I discovered a protrusion above the right carotid artery in my neck, approximately 1 cm in size. I can see the blood vessel in the mirror, and the lump is movable from side to side. It feels warm and pulsates wh...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely that you are experiencing pharyngotonsillitis accompanied by cervical lymphadenopathy, which is often treated with medication, and antibiotics may be used if necessary. There are numerous possibilities for cervical masses, inclu...[Read More] Understanding Neck Lumps: When to Seek Medical Attention
Chronic Nasal Drip: Seeking Solutions for Persistent Symptoms
Post-nasal drip for many years? Hello, doctor. I have been experiencing post-nasal drip since childhood, for over ten years now. I previously underwent surgery for turbinate hypertrophy and a deviated septum. However, I still have a constant runny nose every day, which severely a...
Dr. Zheng Jueyi Reply:
Hello, nasal drip may be related to nasal allergies. It is recommended to use oral antihistamines or add a nasal corticosteroid spray for treatment, which generally works well. Nasal corticosteroid sprays are quite safe for long-term use and do not have systemic side effects. As ...[Read More] Chronic Nasal Drip: Seeking Solutions for Persistent Symptoms
Understanding Nasal Bleeding: Is It a Sign of Nasopharyngeal Cancer?
Nasal bleeding? Since around October 13th, I have noticed blood in my nostrils, which does not flow but is bright red. This has continued until today, the 18th, and when I roll tissue and place it in my nostrils, there is still blood adhering to it. I also feel a slight swelling ...
Dr. Zheng Jueyi Reply:
Hello: It is common for microvascular rupture and bleeding to occur at the location of the nasal septum. It is advised not to pick your nose or repeatedly clean it with tissues. You can use a cotton swab dipped in a small amount of petroleum jelly or antibiotic ointment for appli...[Read More] Understanding Nasal Bleeding: Is It a Sign of Nasopharyngeal Cancer?
Understanding Enlarged Lymph Nodes: Causes, Diagnosis, and Treatment Options
Enlargement of the right supraclavicular lymph nodes? Hello, doctor! On Sunday (10/13), I noticed swelling in the lymph nodes above my right clavicle, which feels about the size of a marble, likely over two centimeters. It is movable and tender to the touch. On Monday, I visited ...
Dr. Zheng Jueyi Reply:
Hello: The scheduled examinations are currently in progress. Generally, lymph nodes that shrink with anti-inflammatory medication are mostly benign. It is recommended to follow the physician's arrangements for examinations and outpatient follow-up. Wishing you peace and heal...[Read More] Understanding Enlarged Lymph Nodes: Causes, Diagnosis, and Treatment Options
Understanding Neck Issues: Muscle Tension or Swelling?
Neck problems I have a hard area on one side of my neck that feels slightly swollen compared to the other side. It doesn't hurt and covers a large area. Could this be due to poor sleeping posture causing muscle stiffness, or is it a lump? There doesn't seem to be any vi...
Dr. Zheng Jueyi Reply:
Hello: Based on the current information, it is not possible to make a determination. If you are concerned, it is advisable to visit an otolaryngology clinic for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, ...[Read More] Understanding Neck Issues: Muscle Tension or Swelling?