Understanding One-Sided Throat Pain: Is It Tonsil Cancer?
Sore throat on one side? I have been experiencing a sore throat since early September, with more pain on the right side. Swallowing and eating are painful, but drinking water is somewhat manageable. I have had a total thyroidectomy, so when I palpate my neck, I notice an enlarged...
Dr. Zheng Jueyi Reply:
Hello, the tonsils may have a congenital size difference on both sides. An unequal size can serve as a reminder to check for abnormalities in the larger tonsil, such as persistent ulcers or unexplained tumors. If there are concerns, the physician may recommend a biopsy or surgery...[Read More] Understanding One-Sided Throat Pain: Is It Tonsil Cancer?
Understanding the Sensation of a Foreign Body in the Throat
Sensation of a foreign body in the throat? Hello doctor, for the past week, I have felt like there is something stuck in my throat. When I swallow saliva, it slightly moves down and then returns to its original position. It hasn't been painful until today, when I noticed a m...
Dr. Zheng Jueyi Reply:
Hello: Inflammation is commonly observed; if it persists without improvement, it is advisable to seek medical evaluation for confirmation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Healt...[Read More] Understanding the Sensation of a Foreign Body in the Throat
Understanding Soft Neck Lumps: What Could They Be?
I noticed a protrusion on my neck, but it feels soft to the touch. It can only be seen from certain angles? Hello doctor, the day before yesterday, I was lying in bed with my daughter (22 years old). She was lying on her side, propping her head up with her hand while we chatted. ...
Dr. Zheng Jueyi Reply:
Hello, it is not possible to make a determination based solely on the description. If you are concerned, it is advisable to visit an otolaryngology clinic for examination and confirmation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Ot...[Read More] Understanding Soft Neck Lumps: What Could They Be?
Comparing Throat and Nasopharyngeal Exams: Mirror vs. Endoscope
Differences in examinations for nasopharyngeal and oral cancers? Hello, Doctor: 1. When a physician uses an oral mirror to examine the throat, mouth, and nasopharynx, how does this method compare to using an endoscope inserted into the nostrils? Is there a significant differenc...
Dr. Zheng Jueyi Reply:
Hello: 1. An experienced physician can clearly examine the nasopharynx and oropharynx using a mirror. If there is any uncertainty, an endoscopic examination will typically be performed for confirmation. 2. Generally, lymph nodes in the neck that are less than 1 centimeter can be ...[Read More] Comparing Throat and Nasopharyngeal Exams: Mirror vs. Endoscope
Understanding Painful Neck Lumps: Causes and When to Seek Help
A lump in the right posterior neck? Recently, I discovered a lump about 1 centimeter in size on the right posterior side of my neck. The area above the lump feels a bit painful to the touch, and gently massaging the lump also causes mild discomfort. This has been ongoing for a we...
Dr. Ji Zhaoyun Reply:
Hello, a neck mass could potentially be a congenital cyst, lipoma, sebaceous cyst, malignant tumor, lymphadenopathy, among others. It is difficult to determine whether it is benign or malignant based solely on specific symptoms. If the symptoms persist, it is advisable to consult...[Read More] Understanding Painful Neck Lumps: Causes and When to Seek Help
Understanding Tonsil Issues: When to Seek Further Medical Advice
Tonsillar oral issues? Hello Dr. Tseng, It has been a week since my last inquiry (#148970), and I have finished the medication. My throat and the area around my tonsils have not improved. The area circled in black in the image feels swollen, and there seems to be a raised, soft...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, the tonsils appear normal. If there are no obvious ulcers or pain, you may observe them for now. If you have concerns, you can seek medical evaluation for confirmation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the De...[Read More] Understanding Tonsil Issues: When to Seek Further Medical Advice
Understanding Lymph Node Swelling After Tonsillitis: What You Need to Know
Swelling around the cervical lymph nodes? Hello Doctor: A few weeks ago, I experienced a purulent tonsillitis. After visiting an ENT clinic, the doctor prescribed Augmentin for treatment, and my condition improved immediately. However, after finishing the six-day course of medica...
Dr. Zheng Jueyi Reply:
Hello: It is common for lymphadenitis to be caused by an infection. If it persists and does not resolve, it is recommended to continue follow-up at the hospital for evaluation by a physician to determine if further related tests or fine needle aspiration cytology are necessary. W...[Read More] Understanding Lymph Node Swelling After Tonsillitis: What You Need to Know
Understanding Throat Tightness: Causes and When to Seek Help
Tightness in the throat and a sensation of heaviness? Hello, Doctor. I am about to enter my second year of high school, and I have been feeling increasingly uncomfortable in my throat for about two years now. It feels tight, as if my neck is being pulled down, and there is a slig...
Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy to rule out any masses, as well as to consider medication treatment. In addition to medication, please pay attention to the following daily living tips: a...[Read More] Understanding Throat Tightness: Causes and When to Seek Help
Post-Surgery Eustachian Tube Dysfunction After Stapedectomy: What to Expect
Eustachian tube dysfunction after surgery for otosclerosis? Hello, doctor. I underwent stapedectomy laser surgery for otosclerosis in April this year, and my ear feels clogged, often leading to hearing loss. I wear a hearing aid, but when I try to listen to people, the sound is d...
Dr. Zheng Jueyi Reply:
Hello: The symptoms indeed suggest Eustachian tube dysfunction. If there is no improvement, it is recommended to continue follow-up visits for treatment. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hosp...[Read More] Post-Surgery Eustachian Tube Dysfunction After Stapedectomy: What to Expect
Understanding Nasopharyngeal Cancer: Symptoms, Diagnosis, and Next Steps
Suspected nasopharyngeal carcinoma? Hello, doctor. Recently, I noticed 2 or 3 lumps on the left side of my neck, along with frequent post-nasal drip and coughing. After seeking medical attention, a tumor was found in my nasopharynx. Two biopsies showed no malignancy, but my VCA-I...
Dr. Ji Zhaoyun Reply:
Hello, it is recommended to consult an otolaryngologist for an examination. If necessary, a biopsy of the nasopharyngeal mass would be advisable. Wishing you peace and good health.[Read More] Understanding Nasopharyngeal Cancer: Symptoms, Diagnosis, and Next Steps
Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?
A mass approximately 1.5 centimeters in size located in the left posterior cervical region? I have noticed this lump for at least three years. When I look in the mirror, I can't see the lump unless I turn my neck to the right; then, a round lump becomes noticeable on the bac...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, the neck mass could potentially be a malignant or benign tumor, a congenital cyst, lymphadenopathy, lipoma, etc. If it is lymphadenopathy, treatment often involves medication, and antibiotics may be used if necessary. However, if the neck swellin...[Read More] Should I See a Doctor for a 1.5 cm Neck Lump After 3 Years?
Managing Dizziness, Tinnitus, and Elevated Heart Rate: A Patient's Concern
Dizziness - Tinnitus + Heart rate 110-120 bpm? Since June 28, I have noticed symptoms of tinnitus and dizziness. I experience a sensation of vertigo when getting up from a chair. I measured my blood pressure, which was 135/84, and my pulse was 114. The tinnitus has persisted for ...
Dr. Ji Zhaoyun Reply:
Hello, dizziness can have numerous potential causes: 1) If there is a dull pain in the left posterior part of the head, it may suggest poor blood circulation in the head and neck. 2) If accompanied by ear fullness, ear pressure, or hearing loss, it may indicate sudden sensorineur...[Read More] Managing Dizziness, Tinnitus, and Elevated Heart Rate: A Patient's Concern
Understanding High EBV IgA Levels: What You Need to Know
EBV IgA index is extremely high? Hello, Doctor. Last month, during my company's health check-up, my EBV IgA index was measured at 4.33, with the normal range being (0-0.8). I immediately went to the hospital where the check-up was conducted for further evaluation. The doctor...
Dr. Zheng Jueyi Reply:
Hello: There are many reasons that can cause the index to be elevated. If both the endoscopy and biopsy results are normal, it is recommended to follow up with regular check-ups every three months. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the De...[Read More] Understanding High EBV IgA Levels: What You Need to Know
Understanding Lymph Node Swelling: When to Seek Further Medical Advice
Cervical lymph nodes Hello doctor, about a month and a half ago, I discovered a swollen lymph node near my neck, close to the jawline, measuring 1.5 cm. There is another one about 2 cm below it (this one has likely been present for many years, but it was also more swollen at that...
Dr. Zheng Jueyi Reply:
Hello: Generally, if lymph nodes have decreased in size and there is no persistent pain, it is mostly a benign change. Larger lymph nodes that shrink may still persist. For lymph nodes larger than 1 cm, it is recommended to visit the ENT department of a hospital for a head and ne...[Read More] Understanding Lymph Node Swelling: When to Seek Further Medical Advice
Understanding Chronic Pharyngitis: Symptoms, Causes, and Treatment Options
Chronic pharyngitis Hello, Doctor. I have severe seasonal allergic rhinitis. When it flares up, I experience headaches, frequent sneezing, nasal congestion, watery eyes, sore throat, shoulder and neck pain, bronchitis, tonsillitis, and sinusitis. I recently recovered from an epis...
Dr. Li Jiaxuan Reply:
Allergies should be managed by avoiding temperature and humidity fluctuations, as well as dusty environments. If allergies are severe, it is recommended to take antihistamines. While it is difficult to eliminate the allergic environment, symptoms may improve slightly after taking...[Read More] Understanding Chronic Pharyngitis: Symptoms, Causes, and Treatment Options
Understanding ENT Issues: Questions About Lymph Nodes and Oral Symptoms
Report issues? Hello Dr. Li, I am the mother who brought in the child. First of all, I want to express my heartfelt gratitude for your help and treatment. Thank you for arranging the examinations, which saved me from running around to other hospitals without any assistance. At le...
Dr. Li Jiaxuan Reply:
1. Lymph nodes smaller than 0.7 cm are generally considered to be within the normal range, so there is no need for excessive concern. If you notice enlarged lymph nodes, further examination can be done. 2. A CT scan is performed with 3 mm slices, and there are no significant ab...[Read More] Understanding ENT Issues: Questions About Lymph Nodes and Oral Symptoms
Understanding Persistent Neck Lymph Nodes: When to Worry and Self-Check Tips
Cervical lymph nodes Hello Doctor, I have a lymph node in my neck that is about 0.3-0.5 cm, small and movable. It has been there for at least five or six years (I’m not sure if it existed before I discovered it). When I first found it, I consulted many doctors who said it was sma...
Dr. Zheng Jueyi Reply:
Hello: If the lymph nodes have been present for many years without significant changes, they are mostly benign. You may perform a self-examination once a week. If there are no noticeable changes in size or pain, you can continue to monitor them. However, if there are any changes,...[Read More] Understanding Persistent Neck Lymph Nodes: When to Worry and Self-Check Tips
Understanding Mumps and Salivary Gland Tumors in Children
Mumps or salivary gland tumors About two weeks ago, my 10-year-old daughter told me that she had a lump below her left ear. At that time, it wasn't painful, and we didn't think much of it. A day or two later, she mentioned that the lump had grown larger and was painful ...
Dr. Ji Zhaoyun Reply:
Hello, there are many types of neck and ear-related swellings, including parotitis, lymphadenopathy, and parotid tumors. It is advisable to consult an otolaryngologist if symptoms persist. Wishing you peace and good health. Sincerely, Dr. Chi Chao-Yun, Head of the Department of O...[Read More] Understanding Mumps and Salivary Gland Tumors in Children
Understanding Pain Below the Adam's Apple: Muscle Strain or Something More?
Pain similar to muscle soreness below the Adam's apple? Hello doctor, yesterday I noticed that when I tilted my head back to the limit and performed a neck extension exercise, I felt some pain in the muscles below the Adam's apple (it should be muscle). There was no pai...
Dr. Zheng Jueyi Reply:
Hello, if the pain is more related to changes in posture, it is often associated with muscle inflammation or strains. It is recommended to rest and apply heat initially. If there is no improvement, it is advisable to seek medical evaluation. Wishing you safety and health. Sincere...[Read More] Understanding Pain Below the Adam's Apple: Muscle Strain or Something More?
Sudden Ear Pulsations: Should You See a Doctor?
Sudden thumping or pounding sounds in the ear? A few days ago, I felt something pulsating near the left side of my neck, close to my shoulder. However, this sensation has disappeared over the past couple of days. I also felt a sensation of something rushing up from my neck to my ...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Sudden Ear Pulsations: Should You See a Doctor?