Understanding Jaw Pain and Discomfort: When to Seek ENT Care
Both sides of the chin? I have swelling and tenderness on both sides of my jaw, which then spreads to my earlobes, neck, and shoulders, causing soreness. My mouth feels slightly sore. Occasionally, I experience an inexplicable itching sensation from above my shoulders to both sid...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, please remind me that the symptoms have persisted for a month, and I have already asked about them on the Taiwan e-Hospital platform. Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic Universit...[Read More] Understanding Jaw Pain and Discomfort: When to Seek ENT Care
Neck Examination for Chronic Throat Issues: What Tests to Consider?
Neck examination Hello Dr. Chen, Since experiencing Eustachian tube dysfunction leading to chronic pharyngitis, I have had tightness and occasional pain in the nerves behind my ear and in my neck. After taking the prescriptions you provided, I have noticed improvements in most ...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, there is another examination that may be helpful for you. A cervical X-ray can rule out cervical bone spurs or other bony lesions. This examination can be done immediately in an outpatient setting, and you can view the report right away. What do you think? S...[Read More] Neck Examination for Chronic Throat Issues: What Tests to Consider?
Understanding Neck X-rays: What They Reveal and Additional Tests
Reply to the doctor? Doctor, when you mentioned the cervical X-ray examination, does it include the entire neck, including both sides of the throat? Can this examination rule out cervical bone spurs or other bony lesions, as well as other neck diseases and the presence of masses?...
Dr. Chen Jianzhi Reply:
Dear Inquirer, There are indeed many medical examinations, some of which carry certain risks. For instance, X-rays can cause cellular damage, blood tests require the sacrifice of a few cc of blood, and a single CT scan is equivalent to receiving 70 to 200 chest X-rays. Even if a...[Read More] Understanding Neck X-rays: What They Reveal and Additional Tests
Clarifying Prescription for Chronic Pharyngitis: A Patient's Inquiry
Reply to the doctor? Dr. Chen, you mentioned that the prescription you gave me includes special medications for treating chronic pharyngitis. Is this prescription correct? (Genesafe tablets, Mekin tablets, Wellpin gastrointestinal medication) I apologize for the confusion, but I ...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Yes, that is correct. The prescription is based on your medical examination and condition. Eustachian tube dysfunction is just one of the many symptoms of chronic pharyngitis, similar to neck pain or salivary gland swelling. Sincerely, Dr. Chien-Chih Chen P...[Read More] Clarifying Prescription for Chronic Pharyngitis: A Patient's Inquiry
Understanding Jaw Pain and Discomfort: Causes and Treatments
Reply regarding the sides of the jaw? I have swelling and soreness on both sides of my jaw, which then spreads to my earlobes, neck, and shoulders, causing discomfort. My mouth feels slightly sore. Occasionally, I experience an inexplicable itch from above my shoulders to both si...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal description, it is still unclear what the exact issue is. However, it can be confirmed that it is likely not a major problem, as significant issues are typically not alleviated by pain medication alone, especially concerning your conc...[Read More] Understanding Jaw Pain and Discomfort: Causes and Treatments
Concerns About Ear and Neck Issues: When to Seek ENT Help
Please provide the content you would like me to translate into English? Doctor, I remember that at the end of January, I felt something unusual behind my ear, extending to my neck and down to my jaw, and then I experienced ear fullness. I noticed it when I touched those areas, bu...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, may I ask if the texture of the lump is soft or hard? Does it cause pain? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Concerns About Ear and Neck Issues: When to Seek ENT Help
Understanding Jaw and Neck Pain: Causes and Treatment Options
Soreness on both sides of the jaw and Adam's apple? There is swelling and tenderness on both sides of the jaw, which then radiates to the earlobes, neck, and shoulders, causing discomfort. My mouth feels slightly sore. Occasionally, I experience an inexplicable itch from abo...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, have you seen a doctor? What did they say after the examination? Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Understanding Jaw and Neck Pain: Causes and Treatment Options
Understanding Persistent Lymph Nodes: ENT Insights and Concerns
Please provide the content you would like me to translate into English? Hello: 1. I have four lymph nodes in my neck (for over three years), all of which are symmetrical and smaller than 1.5 cm. The doctor indicated that as long as they are being monitored, there is generally n...
Dr. Xu Jiazhen Reply:
First, I believe it should not be less than 1.5 cm; rather, lesions smaller than 1 cm generally have little immediate clinical significance, except in cases of change. Examination, including physical and imaging assessments of the head and neck, is reasonable. The otolaryngology ...[Read More] Understanding Persistent Lymph Nodes: ENT Insights and Concerns
Understanding Ear Discomfort: Symptoms, Causes, and When to Seek Help
Ear problems Hello, Doctor. Since the beginning of the year, I've been experiencing discomfort behind my ear and down to my neck. A week later, my left ear started feeling uncomfortable (it feels blocked; usually, I can relieve tinnitus by swallowing, but it feels persistent...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, it may be due to Eustachian tube dysfunction. May I ask if you have issues with nasal allergies or adenoid hypertrophy? Sincerely, Dr. Chien-Chih Chen, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Je...[Read More] Understanding Ear Discomfort: Symptoms, Causes, and When to Seek Help
Understanding Soft Lumps Below the Adam's Apple: Causes and Concerns
There is a lump in the soft area below the Adam's apple (between the two clavicles)? I am 21 years old and usually maintain a low-oil, low-fried diet, incorporating vegetables, and my eating habits are generally normal, although I do consume some beverages. Recently, I have ...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, it is not possible to determine the specific situation, as there are numerous causes for neck masses. Currently, the only definitive method to ascertain whether a mass is benign or malignant is through cytopathological biopsy; imagi...[Read More] Understanding Soft Lumps Below the Adam's Apple: Causes and Concerns
Understanding Throat Discomfort: When to See an ENT Specialist
Feeling a lump in the throat? Hello, I would like to ask a few questions: 1. If I talk continuously for about 10 minutes, I start to feel hoarse and my throat becomes very dry, requiring me to drink a little water to lubricate it. What could be the issue here? 2. Recently, for...
Dr. Ye Dawei Reply:
Subject: 1. Chronic Pharyngitis. 2. In the ENT outpatient clinic at Hsinchu Hospital, the condition that takes up the most time and involves the most patients is the so-called "globus sensation." Many patients claim that they have heard from friends and family that Dr. ...[Read More] Understanding Throat Discomfort: When to See an ENT Specialist
Post-Thyroid Surgery Voice Damage: Seeking Effective Recovery Options
Vocal cord injury after thyroid surgery? My mother underwent thyroid surgery last January, and her vocal cords were damaged postoperatively. Now, she can only speak in a very weak voice. The surgeon who performed the operation mentioned the possibility of vocal cord damage, stati...
Dr. Ye Dawei Reply:
Dear Sir/Madam: 1. You can schedule an appointment with either the Otolaryngology Department or the Rehabilitation Department for speech therapy. 2. Some patients may experience self-improvement within a few months, while others may not. Dr. Yeh Da-Wei, Director of the Otolaryngo...[Read More] Post-Thyroid Surgery Voice Damage: Seeking Effective Recovery Options
Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Tinnitus issues? I have been experiencing tinnitus for the past 11 years, and sometimes I even have ear pain. I have undergone examinations before, and they all indicated that there were no issues. However, when the doctor used a stethoscope, they could indeed hear the same sound...
Dr. Ye Dawei Reply:
Subject: Q: Is there a way to treat tinnitus? A: Not necessarily treatable. ● Classification of Tinnitus The phrases "tinnitus is the gradual onset of deafness" and "if tinnitus persists, it will lead to deafness" highlight the potential severity of tinnitus...[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Understanding Recurring Neck Masses: Insights on Kikuchi Disease in Teens
Neck mass Hello, Doctor. My name is Candy. My younger brother started showing symptoms in December of last year. He has a lump on the left side of his neck that resembles half of an egg, which was initially painless and itch-free. After a diagnosis by Western medicine, it was ini...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Regarding your question, there are numerous potential causes for neck masses. The only definitive way to diagnose the condition is through surgical pathology biopsy; imaging studies, fine needle aspiration, or blood tests cannot provide a conclusive diagnosis. The...[Read More] Understanding Recurring Neck Masses: Insights on Kikuchi Disease in Teens
Understanding Ear and Jaw Pain: When to See an ENT Specialist
excuse me? Recently, I have experienced occasional pain from my right ear to the temporomandibular joint (TMJ). Sometimes, this pain radiates from the TMJ to my neck and throat. The discomfort is not constant and is not very intense, but it is noticeable. Could you please advise ...
Dr. Ye Dawei Reply:
Dear Sir/Madam: It sounds like temporomandibular joint disorder (TMJ). Please schedule an appointment with the otolaryngology or dental clinic for an examination. Dr. Yeh Da-Wei, Director of the Department of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Ear and Jaw Pain: When to See an ENT Specialist
Understanding ENT Procedures: When Is a Biopsy Necessary?
Please provide the content you would like Hello: 1. Is a surgical biopsy the same as surgery? Under what circumstances is a biopsy necessary? 2. If a biopsy is not performed, is it impossible to determine whether the lymph nodes are normal? 3. The physician's report indi...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, surgical pathology specimens are currently the only method to definitively determine whether a lesion is benign or malignant. This method cannot be replaced by physical examinations, imaging studies, or other methods. A normal nasop...[Read More] Understanding ENT Procedures: When Is a Biopsy Necessary?
Understanding ENT Procedures: Biopsy, Diagnosis, and Neck Mass Concerns
Please provide the content you would like me to translate Hello: 1. Surgical pathology specimens are currently the only method to definitively determine whether a lesion is benign or malignant, and they cannot be replaced by physical examinations, imaging studies, or other meth...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, a puncture examination cannot replace a biopsy. The determination of whether a lesion is benign or malignant still primarily relies on surgical biopsy. This is unrelated to the duration of specimen storage. The timing and complexity...[Read More] Understanding ENT Procedures: Biopsy, Diagnosis, and Neck Mass Concerns
Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Lymph Hello, I previously consulted you about the lymph nodes in my neck. Today, I went back to the hospital for a follow-up, and the doctor examined me and said that the nasopharynx looks clear and there haven't been any significant changes. Since it's been nearly thre...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal question, are you considering undergoing a surgical biopsy? Sincerely, Dr. Chen Jian-Zhi, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.[Read More] Do I Need Ongoing Follow-Up for My Neck Lymph Nodes?
Understanding Neck Pain and Lymph Nodes: What You Need to Know
Please ask your question? Hello, doctor: For the past couple of days, I've been experiencing slight soreness in my neck when turning it. There is a small lymph node near that area, but it doesn't hurt when I touch it, so I'm unsure if it's related to the lymph...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your literal description, normal body organs or tissues are often symmetrical on both sides, and lymph nodes are no exception. This is a response from Dr. Chen Jian-Zhi, a physician at Taoyuan Hospital, Department of Health, and a lecturer at Fu Jen...[Read More] Understanding Neck Pain and Lymph Nodes: What You Need to Know
Understanding Pain Behind the Ear: Possible Causes and Solutions
Pain behind the ear with a noticeable bony protrusion? I've been experiencing a tingling and prickling sensation in my neck, and for the past couple of days, I've noticed a lump near the back of my ear, close to my hairline, which is painful when pressed! The hardness f...
Dr. Chen Jianzhi Reply:
Dear Inquirer: Hello, based on your description, it is possible that the pain is related to the tendon of the sternocleidomastoid muscle. Have you done anything in the past few days that could have caused neck pain? Sincerely, Dr. Chen Chien-Chih, Physician at Taoyuan Hospital, D...[Read More] Understanding Pain Behind the Ear: Possible Causes and Solutions