Understanding Sudden Hearing Loss and Vestibular Nerve Damage
Sudden sensorineural hearing loss & auditory nerve damage Dear Dr. Zheng, My mother (52 years old) has been diagnosed with sudden sensorineural hearing loss, and I have some questions. On July 9th, we stayed overnight at Alishan, and the next morning, July 10th, my mother re...
Dr. Zheng Jueyi Reply:
1. Sudden sensorineural hearing loss is generally not related to lymphoma. 2. Sudden sensorineural hearing loss is defined as a hearing loss of more than 30 dB at three consecutive frequencies within three days. Whether there was a pre-existing hearing impairment that has worse...[Read More] Understanding Sudden Hearing Loss and Vestibular Nerve Damage
Should You See a Doctor for Swollen Lymph Nodes in the Neck?
Swollen lymph nodes in the neck? Hello Doctor, about two weeks ago, I suddenly noticed a swollen lymph node between my left jaw and neck. Every time I try to check its size, it seems to shrink a bit, so I can only estimate its size with my fingers (approximately a little over 1 c...
Dr. Zheng Jueyi Reply:
Hello, if there is no obvious pain or if the lumps are not increasing in size or number, you may observe them for now. However, if you experience any of the above symptoms or have concerns, it is advisable to visit an otolaryngologist for examination and confirmation.[Read More] Should You See a Doctor for Swollen Lymph Nodes in the Neck?
Can Fibrotic Lymph Nodes After Chemotherapy Lead to Cancer Recurrence?
Hello, Dr. Cheng. I was previously diagnosed with Hodgkin's lymphoma at the Taoyuan Hospital? After undergoing 12 rounds of chemotherapy, my most recent PET scan confirmed that there are no active cancer cells in my body. However, I still have one or two fibrotic lymph nodes...
Dr. Zheng Jueyi Reply:
Hello, if the current examination results indicate fibrosis, you can continue to observe it for now and surgery for removal is not necessary at this time.[Read More] Can Fibrotic Lymph Nodes After Chemotherapy Lead to Cancer Recurrence?
Understanding Neck Masses: Thyroid Cysts and Benign Lymph Nodes Explained
Neck mass Hello Doctor, this is my neck ultrasound report. Could you please help me interpret it? Thank you. Impression: 1. Left thyroid cyst. 2. Small lymph nodes with benign appearance in the bilateral neck. Neck sonography shows: A cyst approximately 4mm in size at the left...
Dr. Zheng Jueyi Reply:
The report indicates a 4mm cyst in the left thyroid gland and benign small lymph nodes bilaterally in the neck. Currently, it is recommended to follow up regularly in the outpatient clinic.[Read More] Understanding Neck Masses: Thyroid Cysts and Benign Lymph Nodes Explained
Understanding Lumps on the Left Side of the Neck: Causes and Next Steps
There is a protrusion on the left side of the front of the neck? Hello, Doctor. Today I suddenly felt a hard lump on the left side of my neck, which is painful and moves up and down when I swallow. The location is below the jaw and above the collarbone. I haven't had a cold ...
Dr. Zheng Jueyi Reply:
Hello, a movable hard mass during swallowing is commonly associated with a thyroid nodule. Normal blood tests indicate that thyroid function is normal, but most nodules do not cause functional abnormalities. It is recommended to consult an otolaryngologist, general surgeon, or en...[Read More] Understanding Lumps on the Left Side of the Neck: Causes and Next Steps
Understanding Right Shoulder Pain and Swelling Near the Clavicle
Pain from the right jaw to the shoulder, along with swelling at the anterior end of the right clavicle? Hello Doctor: 1. About three to four months ago, I started experiencing pain in my right shoulder and right upper back, which has progressively extended to my right jaw and ne...
Dr. Zheng Jueyi Reply:
Hello, it is recommended to visit an otolaryngologist to check for any issues with the cervical or supraclavicular lymph nodes. If there are no problems, it is advisable to consult an orthopedic specialist or a rehabilitation physician to evaluate whether it is related to muscula...[Read More] Understanding Right Shoulder Pain and Swelling Near the Clavicle
Neck Pain Radiating to Left Ear: Possible Causes and Next Steps
Pressing on the left side of the neck causes pain, and the discomfort has extended to the left ear? Hello Doctor: Since Saturday, June 3rd, I have been experiencing a slight pulsating sensation and pain on the left side of my neck, around the carotid artery area, when I press dow...
Dr. Zheng Jueyi Reply:
If you are unable to determine the symptoms, you may consider visiting a neurologist to evaluate for neuropathic pain, or you could see an otolaryngologist for further examination. Based on the clinical findings, the physician will assess whether a referral to another specialty i...[Read More] Neck Pain Radiating to Left Ear: Possible Causes and Next Steps
Should I Remove My Enlarged Tonsil? Understanding Risks and Recommendations
The right tonsil is enlarged? I initially sought treatment for chronic pharyngitis caused by gastroesophageal reflux disease, but I unexpectedly discovered that my right tonsil is significantly larger than the left. This enlarged tissue has been present for many years, and I have...
Dr. Zheng Jueyi Reply:
Hello, if there are no obvious symptoms or if there are concurrent issues such as a neck mass, there may not be an urgent need for immediate removal. However, if the clinical physician assesses that removal is advisable and there are concerns about the potential for future malign...[Read More] Should I Remove My Enlarged Tonsil? Understanding Risks and Recommendations
Persistent Nausea and Neck Discomfort: Understanding Lymphatic Issues
Frequent nausea without vomiting may be related to lymphatic issues? For the past three to four months, I have been feeling like there is something in my throat. There have been several instances where I frequently feel nauseous and have the urge to vomit, but I can't. This ...
Dr. Zheng Jueyi Reply:
Hello, if there are lymph nodes in the neck, it is recommended to first visit an otolaryngologist for an examination, or consider undergoing a comprehensive health check-up at your own expense. Based on the findings from the health check-up report, you can then seek further evalu...[Read More] Persistent Nausea and Neck Discomfort: Understanding Lymphatic Issues
Dealing with Fish Bone Throat Injury: Symptoms and Next Steps
Fish bone stuck in the throat, causing a feeling of tightness in the neck? Hello Doctor: Last Thursday, while having dinner at home, I accidentally swallowed a cod fish bone. Since I didn't feel any pain at the time, I took some anti-inflammatory medication. By around Saturd...
Dr. Zheng Jueyi Reply:
If you are feeling unwell, it is recommended to visit an otolaryngology clinic for a follow-up examination, where an endoscopy can be used to check for any foreign objects.[Read More] Dealing with Fish Bone Throat Injury: Symptoms and Next Steps
Understanding Lymph Nodes: When to Seek Medical Attention for Neck Swelling
Cervical lymph nodes Hello Doctor, I would like to ask you about a recent discovery. While showering, I noticed a noticeable lymph node on the mid-right side of my neck, approximately 1 centimeter in size. It is round and slightly movable, but it has not gone away after a week. A...
Dr. Zheng Jueyi Reply:
Hello, lymphadenopathy is commonly associated with inflammation. If you are concerned, you can visit an otolaryngologist for examination and confirmation.[Read More] Understanding Lymph Nodes: When to Seek Medical Attention for Neck Swelling
Understanding Neck Lumps and Ear Pain: Possible ENT Issues Explained
Swelling in the neck, pain behind the ear, nasal congestion, and slight difficulty swallowing? Hello, Doctor! On May 13, 2023, I noticed a lump on the right side of my neck, which was painful to the touch and accompanied by a headache. A few days later, the pain persisted but had...
Dr. Zheng Jueyi Reply:
If you are feeling worried or anxious, you can visit a clinic or hospital for an evaluation. If the results are normal, you can feel reassured.[Read More] Understanding Neck Lumps and Ear Pain: Possible ENT Issues Explained
Understanding Neck Lumps: When to Worry and What to Know
Neck lump Hello, Doctor. Today, I noticed a small hard lump on the upper right side of my neck when I tilt my head back and tense my neck while pressing with my fingers. However, I can't feel it when my neck is relaxed. I'm wondering if it could be cartilage. Generally,...
Dr. Zheng Jueyi Reply:
Hello, if you have recently undergone an examination and no significant abnormalities were found, you can monitor your condition at home. However, if there is a persistent increase in size or pain, you should return for a follow-up consultation and further evaluation.[Read More] Understanding Neck Lumps: When to Worry and What to Know
How to Properly Palpate Neck Lymph Nodes: A Guide for Patients
How to palpate the cervical lymph nodes? Doctor, should I stretch the skin of my neck to the tightest angle to feel the lymph nodes? When I turn my head and pull my neck tight, I can easily feel several lymph nodes. If I press firmly into the deeper part of my neck, I can also fe...
Dr. Zheng Jueyi Reply:
Hello, it is correct to touch the neck in a relaxed, normal position.[Read More] How to Properly Palpate Neck Lymph Nodes: A Guide for Patients
How to Properly Palpate Neck Lymph Nodes: A Guide for Patients
How to palpate the cervical lymph nodes? Doctor, should I stretch the skin of my neck to the tightest angle to feel the lymph nodes? When I turn my head and tighten my neck, I can easily feel several lymph nodes. If I press firmly deeper into my neck, I can feel hard, immovable l...
Dr. Zheng Jueyi Reply:
Hello, the correct way is to touch the neck in a relaxed, normal position.[Read More] How to Properly Palpate Neck Lymph Nodes: A Guide for Patients
Understanding Salivary Gland Stones: Causes, Symptoms, and Treatment
Salivary gland stones Recently, I visited this hospital and after taking antibiotics, I experienced good results. However, the next day, I suddenly had severe pain under my tongue, and when I opened my mouth, a stone came out. Today, I checked my neck, but the lump in my neck is ...
Dr. Zheng Jueyi Reply:
Hello, if the neck mass gradually decreases after the stone is expelled and there are no further episodes, self-monitoring is acceptable. However, since there may be multiple stones or stones located near the glands, there is a possibility of recurrent inflammation, or the neck m...[Read More] Understanding Salivary Gland Stones: Causes, Symptoms, and Treatment
Understanding Enlarged Lymph Nodes After Salivary Gland Cancer Surgery
Enlargement of cervical lymph nodes? Hello, I have been diagnosed with salivary gland cancer. I discovered a malignant tumor in my parotid gland last August and underwent a parotidectomy in November. During the lymph node surgery, three lymph nodes were examined, and one was foun...
Dr. Zheng Jueyi Reply:
Hello, if there are no significant changes in the size or number of lymph nodes, observation may be appropriate. However, due to the previous diagnosis of malignant parotid gland tumor with lymphatic metastasis, it is recommended to have regular follow-up visits at least once a m...[Read More] Understanding Enlarged Lymph Nodes After Salivary Gland Cancer Surgery
Unexplained Pain and Foreign Sensation in Right Throat During Swallowing
There is an area in the middle to lower right side of my throat that experiences an unexplained pain and a sensation of a foreign body when swallowing? I have been experiencing pain in the right side of my throat (the area between the Adam's apple and the right collarbone) f...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may have a low correlation with each other and could involve multiple different diagnoses. It is advisable to consult an otolaryngologist for an examination.[Read More] Unexplained Pain and Foreign Sensation in Right Throat During Swallowing
Understanding Thyroid Nodules: When to Seek Medical Advice
Goiter Hello Doctor: I have a soft mass about 1.5 cm in size on the right side of my thyroid gland that moves up and down when I swallow. It has not changed in size or hardness for the past 13 years, and I have no other discomfort. I have only had a physical examination and have ...
Dr. Zheng Jueyi Reply:
If you are concerned, it is advisable to undergo an ultrasound examination. Since different hospitals may have varying departments that perform neck ultrasounds, you can first schedule an appointment with a department that offers ultrasound services, such as the Department of Met...[Read More] Understanding Thyroid Nodules: When to Seek Medical Advice
Understanding Salivary Gland Issues: When to Seek a Second Opinion
Salivary gland issues Hello Dr. Cheng, I have felt a small lump in the parotid gland area below both ears (the one on the right is larger), but it is not protruding on the surface, and I can only feel it when I tilt my head back and press hard. I visited Chang Gung Memorial Hospi...
Dr. Zheng Jueyi Reply:
If you are concerned, you can seek medical attention again for a second opinion.[Read More] Understanding Salivary Gland Issues: When to Seek a Second Opinion