Neck, Otolaryngology FAQ - Page 34

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Understanding Swollen Lymph Nodes: When to Seek Further Medical Attention

Enlarged cervical lymph nodes? Hello Doctor: About a month ago, I discovered two lumps behind my neck near my hairline while showering. The next day, I visited a nearby clinic, and the doctor prescribed antibiotics. After taking them for a week, the lumps reduced in size, and the...


Dr. Zheng Jueyi Reply:
Hello: If the lymph nodes have decreased in size and are only occasionally palpable, it is mostly a benign change. It is advisable to monitor the situation. However, if they continue to enlarge or become painful, a follow-up medical examination is necessary. Wishing you peace and...

[Read More] Understanding Swollen Lymph Nodes: When to Seek Further Medical Attention


Understanding Uvulopalatopharyngoplasty: Procedure, Recovery, and Care Tips

Uvulopalatopharyngoplasty (UPPP) Due to inflammation of the left tonsil and a benign tumor located behind it, there is swelling in the left side of the neck and cheek. The doctor has recommended performing uvulopalatopharyngoplasty (UPPP) and indicated that a hospital stay of 2 t...


Dr. Zheng Jueyi Reply:
Hello: The surgery is similar to a tonsillectomy, typically performed under general anesthesia. The procedure is conducted directly through the oral cavity, so there will be no external wounds on the face. The main postoperative issue is swallowing pain, for which physicians ofte...

[Read More] Understanding Uvulopalatopharyngoplasty: Procedure, Recovery, and Care Tips


Understanding Neck Discomfort: When to Seek ENT Evaluation

Neck discomfort? Hello Dr. Zheng, About two weeks ago, I started experiencing slight pain on the left side of my neck, near the Adam's apple. The pain is not very pronounced, but I noticed that turning my head causes a subtle ache along the left side of my neck as well. Th...


Dr. Zheng Jueyi Reply:
Dear Ping Ping, Hello, if you have already been examined by a physician and no obvious abnormalities were found, it may be a muscle strain or myofascial pain in the neck. I recommend applying heat or using some anti-inflammatory pain relievers. However, if the condition persists...

[Read More] Understanding Neck Discomfort: When to Seek ENT Evaluation


Understanding Lymph Node Issues: Causes and Concerns in ENT Health

Lymph node issues? Hello Doctor, last year at the end of the year, I had a lymph node in the middle of my neck, which may have been caused by inflammation from acne. However, I was not at ease and visited two major hospitals to see an ENT specialist. In January, I also underwent ...


Dr. Zheng Jueyi Reply:
Hello: 1. Both colds and cold sores can cause lymphadenopathy due to infection. 2. Nasopharyngeal carcinoma is primarily confirmed through nasopharyngeal biopsy, but if a nasopharyngoscopy shows no issues, the likelihood of problems is relatively low. If abnormalities are detecte...

[Read More] Understanding Lymph Node Issues: Causes and Concerns in ENT Health


Pain in the Neck When Swallowing: Possible Causes and Solutions

Pain in the neck when swallowing saliva? Hello, doctor. I have been experiencing some pain in my neck when swallowing saliva, located on the lower left side of my throat near the clavicle, which seems to be close to the thyroid area. The pain is near the surface (but it’s not ski...


Dr. Zheng Jueyi Reply:
Hello, you may want to have an examination by an otolaryngologist first. The most common issue is chronic pharyngitis, which may be caused by gastroesophageal reflux, postnasal drip, or chronic irritation from smoking. Additionally, it could be due to a neck muscle strain, possib...

[Read More] Pain in the Neck When Swallowing: Possible Causes and Solutions


Understanding Neck Pain When Swallowing: Possible Causes and Solutions

Pain in the neck when swallowing saliva (additional information) I apologize for the follow-up to the previous question. The pain is located in the lower left side of my throat near the clavicle, but occasionally it also occurs higher up (still on the left side) near the mandible...


Dr. Zheng Jueyi Reply:
Hello, it is advisable to have an ENT specialist examine you first. The most common condition is chronic pharyngitis, which may be caused by gastroesophageal reflux, postnasal drip, or chronic irritation from smoking. Additionally, it could be due to neck muscle strain, possibly ...

[Read More] Understanding Neck Pain When Swallowing: Possible Causes and Solutions


Understanding Lymph Node Issues: When to See an ENT or Dermatologist

Could you please provide more details about the lymph node issue? Hello, Doctor. I would like to ask about a small movable lump I can feel near the junction of my chin and neck. I can feel it at certain angles, but not at others. There are no visible signs of swelling on the skin...


Dr. Zheng Jueyi Reply:
Hello: Yes, it is likely lymph nodes, but they may have become more prominent due to inflammation caused by acne on the chin. The primary focus should be on treating the inflammation at the original site, and the inflamed lymph nodes will naturally decrease in size. It is certain...

[Read More] Understanding Lymph Node Issues: When to See an ENT or Dermatologist


Understanding Lymph Nodes Near the Ear: What You Need to Know

Preauricular lymph nodes Hello, doctor. I recently discovered a small lymph node under the skin in front of my left ear, near the parotid gland. I'm not sure how long it has been there, but I think I noticed it before; it is about 1 cm in size, not soft or hard, and it is mo...


Dr. Zheng Jueyi Reply:
Hi A-Jie: Hello, the most common type is benign lymph nodes. If the size is less than 1 cm, does not continue to enlarge, and is elastic and mobile, it is mostly indicative of a benign condition. It is recommended to continue monitoring. However, if the size continues to increase...

[Read More] Understanding Lymph Nodes Near the Ear: What You Need to Know


Recurring Ear Congestion: Causes, Symptoms, and Treatment Options

Could you please clarify the recurrent sensation of ear fullness? Hello Doctor: I previously asked you about experiencing recurrent ear fullness in my right ear. There are times when it feels normal, but then it starts to feel full again, often accompanied by symptoms such as a h...


Dr. Zheng Jueyi Reply:
Hi Hedy: If all examinations have been conducted, the most common condition may still be Eustachian tube dysfunction. If there is allergic rhinitis, it should be well managed, and the chances of catching a cold should be minimized. Chewing gum can help exercise the muscles around...

[Read More] Recurring Ear Congestion: Causes, Symptoms, and Treatment Options


Persistent Ear and Throat Pain: Seeking Medical Advice and Next Steps

Ear, nose, and throat symptoms. Please help clarify and provide some advice, thank you? Hello Doctor: My symptoms started at the end of August with a feeling of pressure and pain inside my right ear, and pain near the right side of my throat, particularly around the Adam's a...


Dr. Zheng Jueyi Reply:
Dear Allen: Hello, if you have already seen multiple doctors and undergone endoscopic examinations, ruling out the presence of tumors, the pain may be caused by chronic tonsillitis or chronic pharyngitis on the right side. It is recommended that, in addition to taking anti-infl...

[Read More] Persistent Ear and Throat Pain: Seeking Medical Advice and Next Steps


Understanding Hard Lumps at the Back of the Neck: When to Seek Medical Advice

There is a small hard lump at the nape of the neck? Hello, Doctor: Since the end of July this year, I have been experiencing a feeling of fullness in my right ear. This is the second occurrence, as I had a similar issue two years ago. About a month ago, the ear fullness improved ...


Dr. Zheng Jueyi Reply:
Dear Hedy, Hello. The primary concern regarding Eustachian tube dysfunction is whether there is a tumor in the nasopharynx. However, if you have already undergone examinations at two different otolaryngology clinics, both of which returned normal results, and you have also had a...

[Read More] Understanding Hard Lumps at the Back of the Neck: When to Seek Medical Advice


Understanding Thyroglossal Duct Cyst: Symptoms, Risks, and Surgery Options

Regarding thyroglossal duct cysts? Hello Dr. Cheng, I am a 27-year-old female. Last Sunday, I felt some discomfort in my throat, with a sensation of phlegm and a cough. A few days prior, I also experienced throat discomfort and thought it was just a common tonsillitis. However, ...


Dr. Zheng Jueyi Reply:
The thyroglossal duct cyst is a congenital remnant from development. Surgery requires general anesthesia, and since it is located relatively far from the anatomical position of the vocal cords, there will be no impact on speech or the vocal cords post-surgery. Regarding risks, th...

[Read More] Understanding Thyroglossal Duct Cyst: Symptoms, Risks, and Surgery Options


Understanding Meniere's Disease: Insights from a Caloric Test Experience

Similar to Meniere's disease, and underwent the caloric test? I experienced dizziness in September of last year, and it recurred in February of this year. Currently, I have daily dizziness (feeling like I'm swaying on a bus), with intermittent severe and mild episodes, ...


Dr. Zheng Jueyi Reply:
Hello, 1. A slower response does not necessarily indicate a problem, as the test primarily compares the differences between both sides. If the differences remain within the normal range, it may still be considered normal. 2. The caloric test generally assesses for the presenc...

[Read More] Understanding Meniere's Disease: Insights from a Caloric Test Experience


Understanding Eustachian Tube Dysfunction: A Patient's Journey

Regarding issues related to Eustachian tube dysfunction? Hello Doctor, I had poor health as a child and did not receive proper treatment, which led to chronic sinusitis lasting for eight years. Three months before my military service, my Eustachian tube seemed to have become inf...


Dr. Zheng Jueyi Reply:
Dear Student Li, 1. The Eustachian tube is a muscular structure that must open when necessary and close when appropriate. Currently, medications primarily target inflammation in the surrounding tissues to alleviate symptoms related to the Eustachian tube. Surgical options can ei...

[Read More] Understanding Eustachian Tube Dysfunction: A Patient's Journey


Understanding Swelling and Tension Between Shoulders and Neck

There is some swelling in the area above the shoulder blade, between the neck and the clavicle? Last October, there was some swelling between my left and right clavicles and shoulders. Recently, it has gradually increased, and I am experiencing tightness in the muscles, along wit...


Dr. Zheng Jueyi Reply:
Hi Xu: Hello, based on the current symptoms, it is most likely a muscular issue. If the symptoms persist without improvement, it is recommended to seek medical attention again for further examination. Wishing you peace and good health. Sincerely, Zheng Jueyi, Director of the Depa...

[Read More] Understanding Swelling and Tension Between Shoulders and Neck


Understanding Neck Lumps and Associated Symptoms: An ENT Perspective

I felt three lumps in my neck? Hello, Doctor: I am unsure if my ongoing symptoms are due to two severe colds I had at the end of last December and early January. I constantly feel like there is a wind running through my body, and sometimes I experience twitching. One day, as I wa...


Dr. Zheng Jueyi Reply:
Hi Nancy: Hello, the symptoms of general discomfort may be caused by a viral infection. It is recommended to maintain a regular routine, as symptoms often improve naturally with enhanced immunity. However, if discomfort persists, it is advisable to seek medical evaluation. Wishin...

[Read More] Understanding Neck Lumps and Associated Symptoms: An ENT Perspective


Understanding Long-Term Eustachian Tube Dysfunction and Its Treatments

Treatment for Long-term Eustachian Tube Dysfunction Hello Doctor: I have been experiencing continuous tinnitus (in both ears) with a roaring sound for nearly ten years. It is especially loud during the quiet of the night. Recently, my left ear has also developed a pulsatile sound...


Dr. Zheng Jueyi Reply:
Dear Lan, 1. Generally, hearing loss does not worsen due to tinnitus; rather, it is often the case that hearing degradation or decline exacerbates the condition of tinnitus. 2. Pulsatile tinnitus typically prompts consideration of vascular issues, such as problems with the blood...

[Read More] Understanding Long-Term Eustachian Tube Dysfunction and Its Treatments


Understanding Movable Lumps Near the Jaw: Should You Be Concerned?

Lump at the junction of the upper right neck and facial bones? Hello Doctor: A few days ago, I discovered a movable lump about one centimeter in diameter at the junction of my neck and facial bones. It is not painful. Could this be a tumor? I am very worried.


Dr. Zheng Jueyi Reply:
Hello, it may be the lymph nodes in your neck. Generally, if they are movable, painless, and about one centimeter in size, they are likely benign lymph nodes. However, if they continue to grow larger or become painful, it is advisable to seek medical attention for a thorough exam...

[Read More] Understanding Movable Lumps Near the Jaw: Should You Be Concerned?


Understanding Thyroglossal Duct Cyst vs. Lymphadenopathy: Diagnosis Insights

Thyroglossal duct cyst Hello Doctor, I would like to ask a question. Two months ago, I discovered a hard lump near my chin close to my neck. It is not painful, but sometimes it feels swollen. I went to the first hospital for an examination and had a CT scan, and the doctor diagno...


Dr. Zheng Jueyi Reply:
Hello: The thyroglossal duct cyst and lymphadenopathy are different conditions. Generally, a differential diagnosis can be made through a CT scan. If there are any doubts, it is advisable to seek a second opinion from another physician. It is recommended to bring the CT scan imag...

[Read More] Understanding Thyroglossal Duct Cyst vs. Lymphadenopathy: Diagnosis Insights


Understanding Nasopharyngeal Cancer: Coughing Blood and X-ray Findings

History of nasopharyngeal carcinoma, X-ray of the neck shows white spots, slight hemoptysis? Hello Doctor: My mother was diagnosed with nasopharyngeal cancer two years ago. After more than six months of chemotherapy and radiation therapy, she now has regular follow-up appointment...


Dr. Zheng Jueyi Reply:
Hello, based on your description, my main concern is the possibility of nasopharyngeal cancer recurrence or lung metastasis, which could be causing the bleeding. I recommend coordinating with your physician for relevant examinations to determine whether the bleeding is due to the...

[Read More] Understanding Nasopharyngeal Cancer: Coughing Blood and X-ray Findings


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