Understanding Hard Lumps Near the Jaw: CT Scan Insights and Safety
A hard lump has developed near the jawline close to the chin? Hello Doctor: I have developed a hard lump near my mandible close to my chin. I visited an ENT specialist at the hospital, and the doctor ordered a CT scan (with contrast injection). I have two questions: 1. The CT ord...
Dr. Zheng Jueyi Reply:
1. A normal CT scan of the jaw position includes a comprehensive assessment of the head and neck region. 2. A CT scan is similar to an X-ray and does not pose any harm to the eyes.[Read More] Understanding Hard Lumps Near the Jaw: CT Scan Insights and Safety
Understanding Your Sleep Apnea Report: Key Insights and Concerns
Could you help me review the results of my sleep apnea report? Can you help me review the sleep apnea report results? Are there any abnormalities? Height: 177 cm Age: 32 Weight: 92.6 kg Epworth Sleepiness Scale (ESS): 14 Body Mass Index (BMI): 29.6 Nasal Obstruction S...
Dr. Li Jiaxuan Reply:
AHI: 7.9 /hr, mild obstructive sleep apnea. Sleep stages: N1: 20.0%, N2: 53.7%, N3: 5.6%, REM: 20.7%. Sleep depth is relatively shallow. It is recommended to follow up with an otolaryngology clinic for treatment. Wishing you well.[Read More] Understanding Your Sleep Apnea Report: Key Insights and Concerns
Understanding Lymph Node Swelling: Insights from ENT Specialists
I have a swollen lymph node in my neck and would like to ask the doctor to help review the examination results? I have a swollen lymph node in my neck. Initially, it was itchy and painful, but now, after three weeks, it no longer hurts and hasn't increased in size; it remain...
Dr. Zheng Jueyi Reply:
1. The report only mentions a protruding mass in the central nasopharynx, which is commonly associated with adenoid tissue. Whether there is a concern for biopsy should be determined by the clinical physician. 2. It is indeterminate; it is recommended to wait for the ultrasound ...[Read More] Understanding Lymph Node Swelling: Insights from ENT Specialists
Pregnant with A-Flow: Ear Pain and Swollen Lymph Nodes Concerns
Pain in the ear associated with swelling of the lymph nodes in the posterior neck? Hello Doctor, I am currently 13 weeks pregnant and have been diagnosed with a miscarriage. On the fourth day of the miscarriage, I started experiencing pain in my left ear, and it hurts when I appl...
Dr. Zheng Jueyi Reply:
Hello, infections can cause lymphadenopathy. If there is a persistent high fever or if the lymph nodes continue to enlarge and the pain worsens, it is recommended to return for an earlier evaluation.[Read More] Pregnant with A-Flow: Ear Pain and Swollen Lymph Nodes Concerns
Understanding Nasopharyngeal Cancer: Blood in Throat Symptoms Explained
Hello, doctor? Hello, doctor. I would like to ask if nasopharyngeal carcinoma always presents with blood when clearing the throat, or is it only noticeable in the first morning cough? For a while, I noticed a faint red color in my throat when I cleared it before brushing my teeth...
Dr. Zheng Jueyi Reply:
Hello, it is common to find blood in the first sputum of the morning; however, any concerns about abnormalities should primarily be assessed by a physician after examining the nasopharynx.[Read More] Understanding Nasopharyngeal Cancer: Blood in Throat Symptoms Explained
Understanding Persistent Tinnitus: Causes, Treatments, and Recovery Time
Unilateral tinnitus lasting for several weeks? Hello Doctor: I have been experiencing a high-pitched ringing sound in my left ear, similar to a bell ringing, especially before sleep. This seems to have started suddenly after a cold. When I plug my ear with my finger, I can hear a...
Dr. Zheng Jueyi Reply:
Hello, if the examination shows no obvious issues, common tinnitus is often related to anxiety. It is recommended to engage in more physical exercise and maintain a regular routine. As for occasional physiological tinnitus in quiet moments, it is considered a normal phenomenon.[Read More] Understanding Persistent Tinnitus: Causes, Treatments, and Recovery Time
Understanding Persistent Throat Pain: Causes and Next Steps
Throat issues Hello, I would like to ask about experiencing slight pain in the middle of the right side of my throat and part of my right ear when swallowing saliva or drinking water for nearly three months. I have visited three different ENT clinics and had an endoscopy at a lar...
Dr. Zheng Jueyi Reply:
Hello, common issues may include chronic pharyngitis, neuropathic pain, or problems related to neck muscles or cervical spine. Adjusting lifestyle habits, such as reducing the intake of irritating foods, increasing water consumption, and avoiding coffee, can be beneficial. If sym...[Read More] Understanding Persistent Throat Pain: Causes and Next Steps
Understanding Tonsillitis: Symptoms, Treatment, and Sleep Solutions
Tonsillitis > Suppuration I started having a fever, sore throat, headache, nasal congestion, runny nose, and cough at midnight on the 12th. I felt cold and had severe pain when swallowing. On the 13th, I went to see a doctor who diagnosed me with tonsillitis and gave me an inj...
Dr. Ji Zhaoyun Reply:
If symptoms persist or worsen, it is recommended to seek medical attention at a hospital. In some cases, hospitalization may be necessary for injections and wound debridement to prevent the condition from progressing to a deep neck infection, which would be more difficult to mana...[Read More] Understanding Tonsillitis: Symptoms, Treatment, and Sleep Solutions
Persistent Throat Tightness and Foreign Body Sensation: Causes and Solutions
Persistent throat tightness and the sensation of a foreign body? Hello doctor, six weeks ago I performed a neck stretching maneuver too forcefully, which caused me to feel nauseous and experience difficulty breathing for about three minutes. After that, the symptoms subsided, but...
Dr. Li Jiaxuan Reply:
Mucosal damage caused by throat strain may take two to three weeks to heal. If symptoms do not improve, further examination is recommended. Wishing you good health.[Read More] Persistent Throat Tightness and Foreign Body Sensation: Causes and Solutions
Understanding Neck Bumps: When to Seek Medical Attention
A lump has developed on the neck? Hello Doctor, previously I had a small bump on my neck that looked like a pimple, skin-colored, and it didn't have a head or anything to squeeze out. It has been there for a long time, but in the last few weeks, it has grown a little (less t...
Dr. Zheng Jueyi Reply:
Hello, if you have a skin tumor that is progressively enlarging or exhibiting signs of inflammation such as redness, swelling, heat, or pain, it is advisable to seek medical evaluation and treatment.[Read More] Understanding Neck Bumps: When to Seek Medical Attention
Understanding Lymph Node Swelling and Nasopharyngitis Symptoms
Is there a possibility of developing nasopharyngeal carcinoma? Hello Doctor: In December, I noticed swelling of about three lymph nodes on the right side of my neck (they are palpable, with one being larger, approximately 1.5 cm, located in the upper neck). After an ultrasound, t...
Dr. Ji Zhaoyun Reply:
Hello, 1. My lymph nodes have become larger and more numerous. Is this related to fever and infection? > Based on the description, this is a very likely cause. 2. Is thick yellow phlegm or pus in the nasopharynx really rare? I researched nasopharyngitis and found it to be q...[Read More] Understanding Lymph Node Swelling and Nasopharyngitis Symptoms
Understanding Neck Lumps: When to See an ENT Specialist
Neck mass Hello doctor, three days ago I felt a small hard lump about 0.7 cm in size at the back of my neck, which is painful to touch and not very movable. Additionally, there is an oval-shaped movable lump on the right side of my neck, approximately 1.2 cm, which sometimes hurt...
Dr. Zheng Jueyi Reply:
Hello, common concerns may include cervical lymphadenopathy or subcutaneous masses. If you are worried, it is advisable to visit an otolaryngologist for an examination.[Read More] Understanding Neck Lumps: When to See an ENT Specialist
Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks
Is an MRI necessary for unilateral tinnitus? Hello Doctor, I called because I have been experiencing unilateral tinnitus for the past five years (high frequency, lasting 24 hours, non-pulsatile, and I cannot hear the tinnitus in outdoor traffic environments). I often have neck an...
Dr. Ji Zhaoyun Reply:
In Taiwan, there are specific criteria for using health insurance to obtain an MRI to rule out vestibular schwannoma in cases of unilateral hearing loss or tinnitus. If these criteria are not met, the likelihood of having a vestibular schwannoma is generally low. However, if ther...[Read More] Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks
Understanding Ear and Lymph Node Issues: Symptoms and Next Steps
Right ear, lymph nodes On the morning of November 16, I noticed a popping sensation in my right ear while sleeping, which was very uncomfortable and affected my sleep. Swallowing would produce a crackling sound. I went to a small clinic, where I was informed that I had hearing lo...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause lymphadenopathy. It is recommended to wait for the CT scan and return for a follow-up to review the results.[Read More] Understanding Ear and Lymph Node Issues: Symptoms and Next Steps
Understanding Ear Congestion: When to See an ENT or Orthopedist?
The ears feel clogged or stuffed, but hearing is normal? Recently, I experienced a sensation in my ear that felt like it was covered by a membrane when I got up. I visited an otolaryngologist, who examined my ears and nose but found no abnormalities. The doctor mentioned that 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 (commonly ref...[Read More] Understanding Ear Congestion: When to See an ENT or Orthopedist?
Understanding Lymph Node Concerns: Key Insights from Ultrasound Findings
Lymph Node Inquiry The ultrasonography (US) of the bilateral neck and US-guided fine needle aspiration for cytology (FNAC) shows: 1. A prominent lymph node in the right neck IA (short axis: 0.9 cm), differential diagnosis: reactive node, lymphadenitis, or malignant lymphadenopath...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause lymphadenopathy, and it is not possible to accurately determine whether it is benign or malignant based solely on size, hardness, or mobility. It is recommended to wait for the results of the biopsy report, after which the clinician ca...[Read More] Understanding Lymph Node Concerns: Key Insights from Ultrasound Findings
Understanding Throat Pain, Headaches, and Ear Noises: ENT Insights
Sore throat, headache, and ear noise issues? Hello Doctor: I previously experienced dizziness and visited a specialist in vestibular disorders. The doctor didn't say much and started performing maneuvers for BPPV, prescribing medication for dizziness. Two days later, one aft...
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 is also ear fullness, pressure, or hearing loss, it may indicate sudden sensorineural hearing los...[Read More] Understanding Throat Pain, Headaches, and Ear Noises: ENT Insights
Understanding Hearing Loss and Neck Issues After a Car Accident
Hearing impairment, neck issues, ear problems? Hello Doctor, I was in a car accident on November 8, 2023, on the highway, where I was rear-ended by an 11-ton truck. I went to the emergency room that day, and X-rays showed a neck contusion, but I had no issues with my hearing unti...
Dr. Zheng Jueyi Reply:
Hello, there are many causes of hearing loss. Magnetic resonance imaging (MRI) can provide information on whether there are issues such as bleeding, tumors, or fractures; however, the relevance of these findings still needs to be assessed by a clinical physician. It is recommende...[Read More] Understanding Hearing Loss and Neck Issues After a Car Accident
Understanding Sneezing-Related Headaches: When to Seek Medical Attention
Sneezing headache? Last night, while lying down before sleep, I sneezed and suddenly felt a sharp pain from the back of my neck to my right brain, like a line, which lasted for a few seconds. After that, my right brain felt a bit numb. When I woke up and got out of bed, I blew my...
Dr. Zheng Jueyi Reply:
If the thunderclap headache persists without improvement and is accompanied by symptoms such as facial numbness or drooping of the mouth and eyes, it is advised to seek immediate medical evaluation from a neurologist for confirmation.[Read More] Understanding Sneezing-Related Headaches: When to Seek Medical Attention
Understanding Lymph Node Swelling, Back Pain, and Night Sweats
Lymphatic issues, back pain, and night sweats are concerning problems? Hello, Doctor. Since the passing of a family member in October, my previously hectic and stressful life has slowed down, and my body has started to react to the sadness with various symptoms. Over the past two...
Dr. Zheng Jueyi Reply:
Hello, currently the cause cannot be determined. If most tests show no abnormalities, chronic fatigue, autonomic nervous system disorders, or health anxiety may be suspected. It is recommended to seek evaluation and assessment from a psychosomatic medicine specialist.[Read More] Understanding Lymph Node Swelling, Back Pain, and Night Sweats