Neck, Otolaryngology FAQ - Page 20

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Understanding Lymph Nodes: Common Concerns in ENT Health

Please provide your questions related to lymph nodes? Hello Dr. Zheng, I have been feeling lymph nodes on both sides of my neck (at the lower part of the sternocleidomastoid muscle, near the clavicle) since around March. They are movable, with the left side being larger than the...


Dr. Zheng Jueyi Reply:
Hello, 1. If there is no significant enlargement, it is likely a benign lymphadenopathy, and self-monitoring is recommended. However, it is not advisable to continuously palpate the lymph nodes, as repeated pressure can lead to inflammation and enlargement. 2. Conditions such...

[Read More] Understanding Lymph Nodes: Common Concerns in ENT Health


Understanding Lymphadenopathy: Causes, Symptoms, and Treatment Options

Lymphadenopathy Hello Doctor: Recently, I have experienced swelling and significant tenderness in the lymph nodes from my right lower jaw to my neck. At the same time, the gums on the right side of my mouth are also swollen and painful, with wounds and even bleeding. I have visit...


Dr. Zheng Jueyi Reply:
Hello, the lymphadenopathy in that area is often associated with infections in the oral cavity. If there is accompanying gum swelling, pain, and wounds, it is commonly due to gingival inflammation causing lymphadenitis. It is recommended to continue follow-up visits with a dentis...

[Read More] Understanding Lymphadenopathy: Causes, Symptoms, and Treatment Options


Understanding Neck Lumps: Symptoms, Concerns, and When to Seek Help

A lump in the neck? Recently, I noticed a lump on the left side of my neck due to pain in that area. It doesn't hurt when I press on it and it doesn't move. For the past few days, I've occasionally experienced numbness in my left hand, some overall weakness, and sl...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, the neck mass could potentially be lymphadenopathy, a malignant tumor, a lipoma, or a congenital cyst, among other possibilities. If the condition is still progressing, it is advisable to consult an otolaryngologist for further evaluation as need...

[Read More] Understanding Neck Lumps: Symptoms, Concerns, and When to Seek Help


Understanding Sinusitis and Nasopharyngeal Cancer: Symptoms and Diagnosis

Sinusitis and nasopharyngeal cancer examination? Dear Dr. Zheng, I am currently in the United States and have been troubled by persistent left-sided nasal congestion and occasional left-sided tinnitus for the past month and a half. I feel as though there is a foreign body betwee...


Dr. Zheng Jueyi Reply:
Hello: (1) If a CT scan and endoscopy have already been arranged and no significant abnormalities are found, the likelihood of nasopharyngeal carcinoma is low. If there are abnormalities or concerns, physicians will often proceed with a biopsy. (2) Since a CT scan has been arrang...

[Read More] Understanding Sinusitis and Nasopharyngeal Cancer: Symptoms and Diagnosis


Understanding Symptoms of Nasopharyngeal Cancer and Allergic Rhinitis

Symptoms of Nasopharyngeal Carcinoma and Allergic Rhinitis Hello Doctor, I am 23 years old. I have been dealing with allergic rhinitis for a long time, starting from elementary school. Recently, due to some concerns, I suspect that I might have nasopharyngeal cancer. I have previ...


Dr. Zheng Jueyi Reply:
Hello: 1. Tinnitus and unilateral ear fullness may also be related to allergic rhinitis. 2. If a neck mass has not changed for 2 years, it is mostly indicative of a benign condition and can be monitored. 3. Generally, in the hospital, a nasopharyngeal carcinoma diagnosis will sti...

[Read More] Understanding Symptoms of Nasopharyngeal Cancer and Allergic Rhinitis


Understanding Symmetrical Bony Structures Near the Adam's Apple

Thyroid cartilage on both sides? Hello doctor, I have noticed two symmetrical, round, bone-like structures on both sides of my Adam's apple. They are of the same size, have a smooth surface, and move up and down when I swallow. There are no other symptoms. Could you please t...


Dr. Zheng Jueyi Reply:
Hello: Your question is answered as follows: The tympanic membrane is symmetrical and shows no obvious discomfort, which is mostly a normal structure. If you have concerns, you may visit a clinic for confirmation. Wishing you peace, health, and well-being. Sincerely, Dr. Cheng Ju...

[Read More] Understanding Symmetrical Bony Structures Near the Adam's Apple


Persistent Swollen Lymph Node After Infection: What to Know

Lymphadenopathy About 2.3 years ago, I experienced a severe infectious cold and was hospitalized for a week. During that time, I noticed swelling in the back of my right neck. The doctor said it was due to an infection of the lymph nodes, which caused the swelling. However, even ...


Dr. Zheng Jueyi Reply:
Hello: The neck normally contains many lymph nodes, which may enlarge when inflamed. After symptoms improve, the lymph nodes may decrease in size but may not be completely undetectable. If there is no persistent enlargement or pain, you can observe it yourself for now. Wishing yo...

[Read More] Persistent Swollen Lymph Node After Infection: What to Know


Understanding Malignant Tumors in the Ear: Causes and Treatment Options

Malignant tumors of the ear Hello Dr. Zheng, I would like to ask about a family member who was diagnosed with a cholesteatoma over ten years ago at a small clinic. They were advised to go to a larger hospital for further examination, but it turned into a malignant tumor. At that ...


Dr. Zheng Jueyi Reply:
Hello, if there is a history of tumors and there is a recurrence of purulent pain, it is essential to first rule out the possibility of tumor recurrence. If there is no recurrence, other common possibilities may be related to infection. As for tumors related to the ear, they are ...

[Read More] Understanding Malignant Tumors in the Ear: Causes and Treatment Options


Trouble Swallowing: Understanding Esophageal Issues and Remedies

Difficulty swallowing food? Hello, I often feel like food gets stuck just below my neck when I'm eating. Besides the discomfort, I also have the sensation that even water won't go down, and it takes several minutes to feel better. However, this only happens about once e...


Dr. Zheng Jueyi Reply:
Hello, if the symptoms persist without improvement, it is recommended to visit an otolaryngologist for an examination of the oropharynx and to arrange for an upper gastrointestinal endoscopy with a gastroenterologist to check for any related issues. Wishing you safety and good he...

[Read More] Trouble Swallowing: Understanding Esophageal Issues and Remedies


Understanding Rare Neck Tumors: Challenges in Treatment and Surgery

Rare neck tumors Hello Doctor: A friend discovered a mass in the neck and upon examination, it was found to have spread to the thoracic cavity, including the heart and lungs. A biopsy revealed it to be "sclerosing pneumocytoma," which is a rare benign tumor. The oncolog...


Dr. Li Jiaxuan Reply:
It is advisable to seek treatment at a medical center and consult with an otolaryngologist as well as a cardiothoracic surgeon for a combined surgical approach. In Taipei, National Taiwan University Hospital, Veterans General Hospital, or Tri-Service General Hospital are highly r...

[Read More] Understanding Rare Neck Tumors: Challenges in Treatment and Surgery


Understanding Nasopharyngeal Cancer: Tumor Size and Growth Concerns

The size of nasopharyngeal carcinoma neck tumors and whether they can increase in size? A lump approximately 0.5 to 1 centimeter in size has been found in the middle and upper left side of the neck, which is not painful. An endoscopic examination was performed, and the doctor sta...


Dr. Zheng Jueyi Reply:
Hello: 1. Nasopharyngoscopy generally examines the nasopharynx. 2. Nasopharyngeal carcinoma neck tumors are usually larger than 1 cm, painless, and continue to grow. If there are no abnormalities found during the physician's examination, you may consider regular follow-up vi...

[Read More] Understanding Nasopharyngeal Cancer: Tumor Size and Growth Concerns


Unilateral Throat Discomfort When Swallowing: Causes and Concerns

Unilateral throat discomfort with a sensation of a foreign body when swallowing saliva, without fever or other cold symptoms? Since last Sunday, I have experienced a sensation of a foreign body on the left side when swallowing saliva, but there is no pain during normal activities...


Dr. Zheng Jueyi Reply:
Hello: Chronic pharyngitis is common. If it persists without improvement, it is advisable to seek medical evaluation for confirmation. Wishing you peace and health. Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Unilateral Throat Discomfort When Swallowing: Causes and Concerns


Understanding Lymph Node Inflammation: Symptoms and Causes Explained

The neck feels painful to the touch, and swallowing saliva feels uncomfortable and obstructed? Hello Doctor, I would like to ask you about a situation I started experiencing 5 days ago. I have difficulty swallowing saliva, feeling like it gets stuck. Initially, I thought it was a...


Dr. Ji Zhaoyun Reply:
Hello, regarding the situation you mentioned about having difficulty swallowing saliva, it could be due to chronic pharyngitis. I recommend seeking medical attention for a laryngoscopy to rule out any masses and to consider pharmacological treatment. In addition to medication, pl...

[Read More] Understanding Lymph Node Inflammation: Symptoms and Causes Explained


Understanding Tonsil Stones: Symptoms, Concerns, and Surgical Options

Tonsil stones Hello, Doctor. I have undergone a liver transplant at National Taiwan University Hospital. I often feel a sensation of something stuck due to tonsil stones, and my right tonsil is larger, which contributes to this discomfort. The doctors have said it's normal f...


Dr. Zheng Jueyi Reply:
Hello, I am currently a part-time physician at National Taiwan University and do not perform surgeries there. If you need to evaluate for surgery, you can directly make an appointment with a full-time physician in the Department of Otolaryngology or the Division of Head and Neck ...

[Read More] Understanding Tonsil Stones: Symptoms, Concerns, and Surgical Options


Understanding Tongue Pain: Causes and Connections to Neck Tension

Tongue issues? A few months ago, I experienced pain in my tongue that took a long time to improve. During that time, I was very worried and visited the clinic several times, as well as underwent an oral examination, but they all said there was nothing concerning. Later, it was st...


Dr. Li Jiaxuan Reply:
General glossitis or ulcers may occur, and some autoimmune diseases (such as Sjögren's syndrome) could also be responsible. If there are issues at the junction, it is advisable to visit a medical center for further examination (such as endoscopy or blood tests). Wishing you ...

[Read More] Understanding Tongue Pain: Causes and Connections to Neck Tension


Understanding Lymph Node Swelling: Causes, Concerns, and Recovery Time

Lymphadenopathy I felt a lump about 1 to 1.5 centimeters in size at the junction of my face and neck. It is movable, does not hurt, and feels firm. I have read a lot of information, and many sources say that if it is movable, it is usually not a concern. My mother also said the s...


Dr. Zheng Jueyi Reply:
Hello: The common condition is benign lymphadenopathy. If it continues to enlarge or if the pain persists without improvement, it is advisable to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Tao...

[Read More] Understanding Lymph Node Swelling: Causes, Concerns, and Recovery Time


Understanding One-Sided Throat Pain: Causes and Next Steps

Re: Unilateral throat pain has persisted for one month? Hello Doctor, I previously inquired about my condition and later underwent an endoscopy, which revealed that I have gastroesophageal reflux disease (GERD) causing reflux laryngitis. However, my throat still hurts, so I arran...


Dr. Zheng Jueyi Reply:
Hello: Currently, it is unclear why there is sudden swelling. Generally, a neck ultrasound and nasopharyngoscopy have preliminarily ruled out tumor growth. Sudden swelling is often associated with infections. If it persists without improvement, it is advisable to seek medical eva...

[Read More] Understanding One-Sided Throat Pain: Causes and Next Steps


Sudden Neck Pain: Possible Causes and When to Seek Help

Sudden pain in the neck? Hello, doctor. About 10 years ago, I experienced a similar situation. I was chatting and suddenly laughed out loud, and then I felt something in my neck, as if a muscle was strained or something. It felt like a bone was fractured, and swallowing felt like...


Dr. Zheng Jueyi Reply:
Hello: It may be related to neuropathic pain. If it persists, it is recommended to visit an otolaryngology or neurology department for relevant examinations. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital...

[Read More] Sudden Neck Pain: Possible Causes and When to Seek Help


Persistent Phlegm and Sore Throat: Possible Causes and Solutions

Persistent phlegm in the throat? Hello, doctor. In mid-June of this year, I had a cold and visited a doctor for medication. Later on, I felt much better, but every morning when I wake up, I feel like I have phlegm that I can't cough out. I need to use a bit of a gag reflex t...


Dr. Ji Zhaoyun Reply:
Hello, the situation you described is rather atypical and could possibly be chronic pharyngitis, sinusitis, bronchitis, among others. It is advisable to seek medical attention if symptoms persist. Wishing you peace and good health. Sincerely, Dr. Chi Chao-Yun, Director of the ENT...

[Read More] Persistent Phlegm and Sore Throat: Possible Causes and Solutions


Understanding Neck Lymphadenopathy: When to Seek Further Medical Attention

Cervical lymphadenopathy In May of this year, I discovered that I had 2 to 3 swollen lymph nodes in my neck, so I went to a general clinic and took antibiotics for a week. A month later, a few more nodes appeared near my collarbone, prompting me to visit an ear, nose, and throat ...


Dr. Ji Zhaoyun Reply:
Dear Li Jun, There are many reasons for cervical lymphadenopathy. The examinations arranged by the hospital you mentioned should align with the standard procedures for evaluating neck masses. If you have any concerns, it is advisable to consult further with the physician from t...

[Read More] Understanding Neck Lymphadenopathy: When to Seek Further Medical Attention


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