Understanding Vestibular Migraine: Symptoms, Diagnosis, and Treatment Options
Dizziness consultation Hello Doctor, 1. I have been troubled by a feeling of dizziness (lightheadedness) for over ten years. Recently, after undergoing all the ENT examinations at National Taiwan University Hospital, the doctor diagnosed me with vestibular migraine. I feel grogg...
Dr. Ji Zhaoyun Reply:
Hello, dizziness has many possible causes: 1) If there is hypoplasia of the right vertebral artery combined with insufficient perfusion, it may lead to poor blood circulation in the head and neck. 2) If accompanied by ear fullness, ear pressure, or hearing loss, it may suggest su...[Read More] Understanding Vestibular Migraine: Symptoms, Diagnosis, and Treatment Options
Understanding Coughing and Wheezing: ENT Insights for Better Sleep
Coughing and abnormal breathing sounds? Hello, I recently started experiencing a scratchy throat and coughing, with occasional wheezing sounds when I breathe. The symptoms worsen when I lie down, and the cough returns within a few seconds, although my breathing feels smooth; it’s...
Dr. Ji Zhaoyun Reply:
Hello, nasal allergies, asthma, and atopic dermatitis are indeed commonly seen together in many individuals. However, due to the limited information provided, there are many related diagnoses to consider, such as bronchitis, chronic pharyngitis, and sleep apnea, among others. It ...[Read More] Understanding Coughing and Wheezing: ENT Insights for Better Sleep
Understanding Blood in Nasal Mucus: Is It a Sign of Nasopharyngeal Cancer?
There is a small amount of blood in the nasal mucus? About 2 to 3 months ago, I noticed blood when blowing my nose. I first consulted a doctor who said it was nothing serious. However, after a month, I returned to the doctor, and he mentioned that there seems to be something in m...
Dr. Ji Zhaoyun Reply:
Hello, if you have already undergone a biopsy and are waiting for the report, please be patient. The pathology report is currently the most accurate method for diagnosing the types of nasal lesions. Wishing you peace and good health.[Read More] Understanding Blood in Nasal Mucus: Is It a Sign of Nasopharyngeal Cancer?
Understanding Outer Ear Pain: Causes and Remedies for Discomfort
Pain in the outer ear? Hello, doctor. I would like to ask you a question. I have been experiencing mild pain on the outer part of both ears, specifically on the upper outer area and near the inner side close to the head. The pain is not severe enough to require medication, but it...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could potentially be due to the following conditions: 1) Otitis externa 2) Migraine 3) Trigeminal neuralgia 4) Otitis media: a) Acute otitis media: often occurs alongside upper respiratory infections (colds), sinusitis, etc., and in severe cases, t...[Read More] Understanding Outer Ear Pain: Causes and Remedies for Discomfort
Can Inhaling Fruit Juice Through the Nose Cause Infections?
Inhaling juice through the nose? Hello Doctor: I accidentally inhaled some fruit juice while eating, but it didn't go in completely; it only stayed in my nasal cavity for a moment. Is this likely to cause an infection? Could it lead to an infection with Acanthamoeba?
Dr. Zheng Jueyi Reply:
Hello: The likelihood of a general infection is low; you may observe your condition first. If you experience persistent pain in the back of the nose or fever, it is advisable to seek medical examination and treatment. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Di...[Read More] Can Inhaling Fruit Juice Through the Nose Cause Infections?
Understanding Nasopharyngoscopy: Recovery, Risks, and Aftercare
Nasopharyngoscopy 1. After receiving a local anesthetic spray in the mouth and undergoing a right-sided nasopharyngoscopy, it is generally recommended to wait at least 1 to 2 hours before eating. If you eat within 1 hour, you may risk choking or not being able to properly swallow...
Dr. Zheng Jueyi Reply:
Hello, 1. Anesthesia generally wears off in about half an hour. You may drink water, and if there is no coughing, it indicates that your throat has recovered, and you can start eating. 2. Typically, improvement occurs naturally within a week. You can monitor your condition, b...[Read More] Understanding Nasopharyngoscopy: Recovery, Risks, and Aftercare
Snoring, Choking Sensations, and Tonsillitis: ENT Concerns Explained
Snoring, susceptibility to choking, tonsillitis? Hello, doctor. I have had a snoring problem for a long time and underwent a sleep study, which showed no signs of sleep apnea. After having a septoplasty, there was still no improvement, and sometimes I feel like I can't clear...
Dr. Zheng Jueyi Reply:
Hello, snoring is a multifactorial issue. Septoplasty may provide partial improvement. If there are issues with nasal allergies, it is advisable to strengthen control over them first. Additionally, weight loss and sleeping on one's side can help address the snoring problem. ...[Read More] Snoring, Choking Sensations, and Tonsillitis: ENT Concerns Explained
Understanding Hearing Loss: Tinnitus and Treatment Options for Seniors
Auditory degeneration Hello Dr. Chi, I often hear a ringing sound in my ears that resembles "shaking" when I turn my head. Is this a sign of hearing deterioration? Can this be improved? I have heard that eardrum injections can be used. Is it possible for an 83-year-old ...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Understanding Hearing Loss: Tinnitus and Treatment Options for Seniors
Understanding Neck Pain and Its Impact on Ear Discomfort
Deep neck pain affecting the ear? I have noticed a few subtle sharp pains deep in my neck (unclear if it's in the throat or trachea) for the past few weeks. On average, this occurs twice a day, with the pain localized between the collarbone and the middle of the neck (the lo...
Dr. Zheng Jueyi Reply:
Hello, if you do not feel any obvious lumps, it is common that it may be related to neuropathic pain. If the condition persists without improvement, it is recommended to seek medical evaluation from an otolaryngologist or a neurologist. Wishing you peace and good health. Sincerel...[Read More] Understanding Neck Pain and Its Impact on Ear Discomfort
Can Nasal Mucus Color Indicate Sinusitis? Understanding Your Symptoms
Can the color of nasal mucus be used to determine sinusitis? About half a month ago, I started experiencing insomnia, which was followed by a sensation of something stuck in my throat. Gradually, I began to lose my appetite and experienced nausea. Since I had a history of mild ga...
Dr. Zheng Jueyi Reply:
Hello: The symptoms of sinusitis can be quite diverse. If a physician diagnoses sinusitis, a course of antibiotics for one to two weeks may be prescribed. Generally, acute sinusitis shows significant improvement. If symptoms persist without improvement, it is advisable to continu...[Read More] Can Nasal Mucus Color Indicate Sinusitis? Understanding Your Symptoms
Understanding Ear, Throat, and Head Pain: Causes and Solutions
Ear, throat, and head pain? Hello Doctor: My right ear often has a dull pain, feeling as if the pain is deep inside (in the eardrum). Occasionally, I hear a sound like there is a lot of earwax inside (but there isn't), especially when wearing headphones, which makes it more ...
Dr. Zheng Jueyi Reply:
Hello: The primary symptom is chronic pain, and it is advisable to strengthen lifestyle adjustments, such as reducing the intake of coffee, tea, and desserts to improve gastroesophageal reflux. If symptoms persist without improvement, it is recommended to seek medical evaluation ...[Read More] Understanding Ear, Throat, and Head Pain: Causes and Solutions
Understanding Ear Pain: When to Seek Advanced Medical Evaluation
Ear problems Hello Doctor: I have been experiencing sharp pain in my left ear for over four months now. During this time, I have visited both clinics and large hospitals five times, and the doctors have confirmed that it is not otitis media. Some doctors suggested that it might b...
Dr. Zheng Jueyi Reply:
Hello, if you are experiencing persistent ear pain and discomfort, and have already been examined by an otolaryngologist with no obvious signs of otitis media or ear diseases, it is common for this to be related to neuralgia. It is recommended that you consult a neurologist for f...[Read More] Understanding Ear Pain: When to Seek Advanced Medical Evaluation
Why Does My Nose Smell Smoke? Exploring ENT Issues and Allergies
Smell of smoke in the nose? I've been experiencing a smoky smell in my nose for the past few days, which intensifies while running, even though there are no signs of burning or smoke nearby. Could this be related to my recent lack of sleep and irregular sleep patterns, or is...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there could be many potential causes for olfactory dysfunction, such as nasal allergies, sinusitis, tumors, or issues with the olfactory nerve. It is advisable to consult an otolaryngologist for evaluation and examination if the symptoms persist....[Read More] Why Does My Nose Smell Smoke? Exploring ENT Issues and Allergies
Understanding Long Styloid Process: Causes, Symptoms, and Treatment Options
Excessive elongation of the styloid process? Hello, about two months ago, I started feeling discomfort on the right side of my throat, with a specific point that hurts. The clinic doctor diagnosed it as tonsillitis, noting significant redness. I took medication, which provided in...
Dr. Zheng Jueyi Reply:
Hello: If there is no obvious pain or inflammation, surgery may not be necessary. However, if pain persists and medication is ineffective, surgical intervention may need to be considered for a definitive cure. As for rinsing, the usual rinsing method during brushing is sufficient...[Read More] Understanding Long Styloid Process: Causes, Symptoms, and Treatment Options
How to Handle Ear Drops That Block Your Ear After Treatment
Ear drops clogged the entire ear? A few days ago, I went to see an otolaryngologist due to severe ear pain and was diagnosed with otitis media. The doctor prescribed me ear drops. After applying the drops, I wanted to let them drain out after 10 minutes, and a little bit came out...
Dr. Zheng Jueyi Reply:
Hello, it may be caused by the mixture of the medication and secretions in the ear canal. If discomfort persists, it is advisable to return for an earlier consultation. The physician can provide localized treatment to improve the condition. Wishing you safety and health. Sincerel...[Read More] How to Handle Ear Drops That Block Your Ear After Treatment
How to Handle Ear Drops That Block Your Ear After Treatment
Ear drops clogged the entire ear? A few days ago, I went to see an otolaryngologist due to severe ear pain and was diagnosed with otitis media. The doctor prescribed ear drops for me. After applying the drops, I wanted to let them drain out after 10 minutes, and a little bit came...
Dr. Zheng Jueyi Reply:
Hello, it may be caused by the mixing of the medication with secretions in the ear canal. If discomfort persists, it is advisable to return for an earlier consultation. The physician can provide localized treatment to improve the condition. Wishing you safety and good health. Sin...[Read More] How to Handle Ear Drops That Block Your Ear After Treatment
Understanding Enlarged Tonsils: Causes and Symptoms Explained
Enlarged tonsils may not always be painful? Hello doctor, I have been experiencing a sensation of something stuck in my throat for the past year. I have seen doctors and felt better for a few months, but then the sensation returns. It often occurs on the left side of my throat, w...
Dr. Zheng Jueyi Reply:
Hello: The persistent sensation of a foreign body in the throat is often associated with chronic pharyngitis or chronic tonsillitis. If the symptoms continue without improvement, it is advisable to return for further medical evaluation. If there are concerns, the physician may co...[Read More] Understanding Enlarged Tonsils: Causes and Symptoms Explained
Understanding Bronchial Sensitivity and Care for Persistent Coughing
Bronchial sensitivity and maintenance issues? Hello Doctor: I have been prone to coughing since childhood, especially during seasonal changes or significant weather fluctuations, which makes me more susceptible to colds. However, often after other cold symptoms have resolved, my ...
Dr. Zheng Jueyi Reply:
Hello, long-term chronic cough is related to chronic irritants such as nasal allergies, asthma, or gastroesophageal reflux disease (GERD). If you frequently sneeze and have a runny nose, you may have allergic rhinitis, and it is recommended to see an otolaryngologist for an exami...[Read More] Understanding Bronchial Sensitivity and Care for Persistent Coughing
Chronic Nasal Dryness and Bleeding: Is It Related to Sjögren's Syndrome?
Chronic nasal dryness with no identifiable cause, and topical or oral medications have not been effective? Chronic nasal dryness, inflammation, and bleeding without an identifiable cause can indeed be associated with conditions like Sjögren's syndrome, which is an autoimmune...
Dr. Ji Zhaoyun Reply:
Hello, regarding your question about whether Sjögren's syndrome can lead to these symptoms in the nose: it is indeed possible for Sjögren's syndrome to cause symptoms in the nasal mucosa. Additionally, inflammation of the nasal vestibular follicles may also occur. There...[Read More] Chronic Nasal Dryness and Bleeding: Is It Related to Sjögren's Syndrome?
Understanding Dizziness While Walking: Possible Causes and Solutions
Dizziness while walking? Hello Doctor, recently when I walk outside, I often feel dizzy, with a heavy head and light feet, unsteady gait, tingling in my forehead, and numbness in my palms. I also experience chest tightness, palpitations, and a constant feeling of bloating in my s...
Dr. Ji Zhaoyun Reply:
Hello, dizziness can have numerous potential causes: 1) If there is a dull pain in the left posterior part of the head, it may suggest poor blood circulation in the head and neck. 2) If accompanied by ear fullness, pressure, or hearing loss, it may indicate sudden sensorineural h...[Read More] Understanding Dizziness While Walking: Possible Causes and Solutions