Understanding Persistent Neck Lymph Nodes: When to Seek Further Testing
Cervical lymph nodes I have a lymph node on the left side of my neck that measures about 0.3-0.5 cm, and it has been present for at least two years. The lymph node is not hard and is movable. During this time, I have experienced colds and nosebleeds. I have seen a doctor and unde...
Dr. Zheng Jueyi Reply:
Hi Wei-Bo, Based on your description, the lymph nodes are less than one centimeter in size, mobile, and have not shown significant changes over the past two years. Additionally, you have undergone a nasopharyngoscopy and blood tests. The correlation between the lymph nodes and n...[Read More] Understanding Persistent Neck Lymph Nodes: When to Seek Further Testing
Understanding Facial Tightness and Numbness Near the Ear: Causes and Solutions
Tightness and tingling in the left cheek near the ear? Recently, for about 2 to 3 weeks, I have been experiencing occasional unusual sensations in the left side of my neck below the ear, along with a tight and tingling feeling in the left cheek. I visited a neurologist who examin...
Dr. Zheng Jueyi Reply:
Dear Joy, Hello, if infections, inflammation, or local tissue edema have been ruled out, the issue may primarily be related to sensory nerve abnormalities. If there is no improvement, you may consider consulting a neurologist for a detailed examination. Wishing you peace and h...[Read More] Understanding Facial Tightness and Numbness Near the Ear: Causes and Solutions
Understanding Neck Lumps: When to Worry and ENT Insights
Please provide the content you would like me to translate into English? Hello, Doctor: 1. I have two lumps in my neck located above the Adam's apple. I have been regularly monitored by an otolaryngologist, who performed an endoscopic examination and indicated that they are...
Dr. Zheng Jueyi Reply:
Hello, if the lymph nodes in the neck have been monitored for several years and have been examined by different physicians, all of whom believe they are normal lymph node changes, it is likely that these changes are mostly benign. In cases of malignancy, lymph nodes typically con...[Read More] Understanding Neck Lumps: When to Worry and ENT Insights
Slow Healing Gum Wound: Concerns About Oral Health and Cancer Risk
The hole on the inner side of my left gum has not healed for almost a month? Hello Doctor: About a month ago, I noticed a small bump on the inner side of my left gum near the tongue. I thought it might be due to excessive heat in my body, so I tried to pop it to let the blood out...
Dr. Xu Yingzhuo Reply:
If it has not improved for a long time (over two weeks), it is advisable to perform a biopsy. If there is a neck mass, a fine needle aspiration can be done first to check for any abnormal cells.[Read More] Slow Healing Gum Wound: Concerns About Oral Health and Cancer Risk
Understanding Neck Lumps: Causes and When to Consider Surgery
Neck mass Recently, I discovered two small lumps in my neck. An ultrasound examination at the hospital revealed enlarged lymph nodes measuring 1.03 cm and a few millimeters. What could be the cause of this, and is surgery necessary to remove them? Thank you!
Dr. Xu Yingzhuo Reply:
A fine needle aspiration can be performed to check for abnormal cells, followed by a nasopharyngoscopy to determine whether surgery is necessary.[Read More] Understanding Neck Lumps: Causes and When to Consider Surgery
Understanding Neck Lumps: Causes and Concerns for ENT Issues
Neck mass Hello Doctor, a few years ago (I can't remember the exact time) I felt a small hard lump on the right side of my upper neck midline. It is round, smooth, immobile, and hard, but I don't feel anything at all; it doesn't hurt. Recently, I accidentally touch...
Dr. Zheng Jueyi Reply:
Hello, most likely it is lymph nodes in the neck or cysts on the skin. If the size continues to increase or if there is pain, it is advisable to seek medical attention for a doctor's examination. Wishing you peace and health. Director of the ENT Department, Taoyuan Hospital,...[Read More] Understanding Neck Lumps: Causes and Concerns for ENT Issues
Can Chronic Pharyngitis Cause Enlarged Lymph Nodes in the Neck?
Can chronic pharyngitis cause lymphadenopathy? 1. Doctor, can chronic pharyngitis cause the lymph nodes near the neck veins to enlarge? I can feel a lump that is about one centimeter. I went to see a doctor, but he said he didn't feel anything. 2. Is it true that lymph node...
Dr. Zheng Jueyi Reply:
Dear Xiao Ke: 1. It is possible that the enlargement of the lymph nodes is related to inflammation, but it is more pronounced during acute inflammation. 2. It is possible that excessive stimulation may cause lymphadenitis and enlargement of the lymph nodes. Wishing you peace...[Read More] Can Chronic Pharyngitis Cause Enlarged Lymph Nodes in the Neck?
Understanding Ear Pain After Exercise: Causes and When to Seek Help
Ear pain after exercise? Hello Dr. Cheng, I would like to ask you a question. Due to not exercising for a long time, I recently started jogging. I noticed that after running for a while and then stopping (about 30 minutes), I experience a slight pain near the area below my ears c...
Dr. Zheng Jueyi Reply:
Dear Xiao Ye, The pain may be due to muscle strain or constriction of the neck blood vessels caused by exercise. You can continue exercising to see if it improves, but if the pain persists or worsens, it is important to seek medical evaluation. Wishing you safety and health, ...[Read More] Understanding Ear Pain After Exercise: Causes and When to Seek Help
Understanding Lymph Node Concerns: What You Need to Know
Regarding suspected lymph node issues? Hello Doctor: Here's the situation. The day before yesterday, while I was taking a shower, I accidentally felt an unknown object below my left ear, near the lower neck area. After looking it up online, I think it might be a lymph node, ...
Dr. Zheng Jueyi Reply:
Hi, I suggest that you visit another hospital to seek a second opinion. You can have a second physician conduct a detailed evaluation to determine if further examinations are necessary. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Ta...[Read More] Understanding Lymph Node Concerns: What You Need to Know
Pain in the Right Neck When Swallowing: Possible Causes and Solutions
Experiencing pain on the right side of the neck when swallowing saliva? Hello, doctor. Today, I suddenly felt pain on the right side of my neck when swallowing saliva. However, it is not the typical throat pain; it doesn't hurt inside. The pain radiates from the area of the ...
Dr. Zheng Jueyi Reply:
Hello: It is recommended to consult an otolaryngologist to check for any redness or inflammation inside the oral cavity. If there is none, the pain may be caused by inflammation of the neck muscles or fascia, which could be related to long-term work or posture. If there is no imp...[Read More] Pain in the Right Neck When Swallowing: Possible Causes and Solutions
Understanding Nosebleeds and Lymph Node Swelling: Key Insights
Nosebleeds and Lymphatics Hello, Dr. Hsu. On November 21, I noticed some slight blood streaks when I wiped my left nostril with tissue. Upon closer inspection with a flashlight, I found that the mucosa in the anterior inferior part of the nasal septum was swollen and showed mild ...
Dr. Xu Jiazhen Reply:
Regarding the situation of nasal mucosa being prone to bleeding, hello: This is quite common in outpatient settings. Generally, as the physician in the clinic would handle it, one must be cautious of other issues in the nasopharynx that may be causing it. If it is simply nasal bl...[Read More] Understanding Nosebleeds and Lymph Node Swelling: Key Insights
Understanding Soft Neck Masses: When to Seek Further Evaluation
Lateral neck mass Hello, Doctor. My father has discovered a painless and non-itchy lump on the left side of his neck (towards the cheek area). The lump feels soft and is only visible when he tilts his head back. From the front view, the area from below the left ear to the chin ap...
Dr. Xu Jiazhen Reply:
Hello: Neck masses should be handled with caution. The diagnostic accuracy of fine-needle aspiration is approximately 60%, and there is still a possibility of missing malignant components due to the small sampling area. However, aspiration will not cause any changes to the tumor,...[Read More] Understanding Soft Neck Masses: When to Seek Further Evaluation
Understanding Lumps Near the Jaw: Causes and Concerns for Ear and Throat Issues
There is a 2-3 cm swelling at the junction of the lower jaw and the posterior neck, 3 cm below the right ear? Dear Dr. Cheng, Two weeks ago, I woke up to find a "sudden lump about 2-3 cm" at the junction of my right jaw and the back of my neck, approximately 3 cm below...
Dr. Zheng Jueyi Reply:
Dear Ah Kai, Based on the symptoms you described, it appears that you may be experiencing lymphadenopathy. The most common causes are infections in the head and neck region, such as infections of the ear or teeth. An endoscopic examination typically only requires entry through o...[Read More] Understanding Lumps Near the Jaw: Causes and Concerns for Ear and Throat Issues
High Nasopharyngeal Cancer Screening Index: What You Need to Know
The screening index for nasopharyngeal carcinoma is excessively high? Hello, doctor. In October, I went to the hospital for a health check-up, and the report revealed that my blood test showed an elevated level of the nasopharyngeal carcinoma marker. The normal range for EB VCA I...
Dr. Zheng Jueyi Reply:
Dear: Hello, a high index for nasopharyngeal carcinoma does not necessarily indicate that one has the disease. The definitive diagnosis of nasopharyngeal carcinoma still requires a nasopharyngeal biopsy, which should then be sent for pathological examination to confirm the diagno...[Read More] High Nasopharyngeal Cancer Screening Index: What You Need to Know
Understanding Swelling Near the Collarbone: Possible ENT Issues
There is slight swelling near the neck close to the collarbone on both sides? Hello, doctor. A few days ago, I experienced discomfort in my throat and went to the hospital to see a doctor. The doctor said my throat was red (which I assume indicates inflammation). He asked if I ha...
Dr. Zheng Jueyi Reply:
Dear Mr. Lu, Hello, the slight swelling near your neck may be caused by an infection leading to inflammation of the cervical lymph nodes. You can start with medication for treatment and observation. If there is no improvement or if the swelling continues to increase, you will ne...[Read More] Understanding Swelling Near the Collarbone: Possible ENT Issues
Long-Standing Neck Mass: Should I Monitor or Consider Surgery?
A neck mass that has been present for many years? Hello, Director: I had some small lumps in my neck since childhood, and my family said they would disappear as I grew up. However, there is still one on the left side. Ten years ago, while I was in high school, I discovered two mo...
Dr. Xu Jiazhen Reply:
Hello: When a mass is found in the neck, there is usually a concern about whether it is a metastatic malignant tumor, with nasopharyngeal carcinoma being a common example. An endoscopy may be necessary for diagnosis. After ruling out common lesions, it could also be lymphadenopat...[Read More] Long-Standing Neck Mass: Should I Monitor or Consider Surgery?
Understanding Salivary Gland Tumors and Lymph Node Swelling: Key Insights
Regarding the issue of lymphadenopathy in salivary gland tumors? Hello, doctor. I would like to ask you about the causes of salivary gland tumors, their severity, and why lymph nodes can become enlarged. What is the difference between benign and malignant tumors? Recently, I ofte...
Dr. Zheng Jueyi Reply:
Hello, based on your description, it seems more like a benign lymph node, as it is movable and small and round. It is commonly found in areas such as behind the ear and the neck, and the size may vary between the left and right sides. It is generally recommended to seek a detaile...[Read More] Understanding Salivary Gland Tumors and Lymph Node Swelling: Key Insights
Understanding Neck Lumps: When to Worry About Lymph Nodes
There is a small lump in the neck? Hello Doctor, I have a round, movable, painless lump in my left neck that I have been able to feel for at least three years, and it hasn't changed in size. I consulted with an ENT specialist, who said it is likely just a lymph node. The doc...
Dr. Zheng Jueyi Reply:
Dear Kaining: Based on your description and the examination results from the clinic, it appears to be a lymph node without a doubt. Additionally, the fact that it is mobile and has not shown significant enlargement over the past three years suggests it is likely a benign lymph no...[Read More] Understanding Neck Lumps: When to Worry About Lymph Nodes
Understanding Lingual Pain: Causes and Solutions for Tongue Discomfort
Tongue pain discomfort? Hello Doctor: Since July, I have been experiencing involuntary scraping of the left edge of my tongue by my teeth. However, the wounds are not very noticeable. At times, the left side of my tongue feels dry, burning, and tingling, and when the pain is seve...
Dr. Xu Jiazhen Reply:
Hello: Your issue should be considered in two parts. The first part concerns the wound and dental issues, which you are already addressing. However, I would like to remind you that teeth grinding does not occur without reason. The second part pertains to the underlying causes. I ...[Read More] Understanding Lingual Pain: Causes and Solutions for Tongue Discomfort
Dealing with Dizziness and Nausea: When to Seek ENT Help
Nausea accompanied by dizziness? Hello, I apologize for the intrusion. I have a history of migraines, but recently my headaches have progressed to dizziness and vertigo, accompanied by nausea. Initially, resting would help alleviate the dizziness, but now I find that I cannot cha...
Dr. Xu Yingzhuo Reply:
Hello, Shiyue: The dizziness caused by migraines is related to genetics and dietary patterns. Since your condition is accompanied by dizziness triggered by certain specific positions, you should visit an ENT department at a hospital that offers balance assessments (such as our ho...[Read More] Dealing with Dizziness and Nausea: When to Seek ENT Help