Chronic Sinusitis Treatment: When to Seek Further Medical Help?
Sinusitis treatment issues? Hello, I have been suffering from sinusitis for over a month, almost two months. Initially, I didn't realize it was sinusitis and visited a small clinic twice, but there was no improvement. I then went to a larger hospital where the doctor diagnos...
Dr. Li Jiaxuan Reply:
It is recommended to undergo a sinus CT scan and a nasal mucus culture at the hospital to reassess the need for surgery. If surgery is not required, treatment for sinusitis may take a longer time, so some patience may be necessary. Wishing you well.[Read More] Chronic Sinusitis Treatment: When to Seek Further Medical Help?
Understanding Hemoptysis and Throat Discomfort: Causes and Next Steps
After coughing up blood, there is a sensation of a foreign body in the throat, accompanied by throat pain similar to that of a cold? I have experienced several instances of coughing up blood, which seem to occur after consuming crispy fried foods or fibrous vegetables. I feel as ...
Dr. Zheng Jueyi Reply:
Hello: During a gastroscopy, air is introduced to expand the esophagus, allowing for examination of narrowed areas or folds, unless the lesion is extremely small, which may make it difficult to detect. If multiple examinations show no significant abnormalities, it is indeed possi...[Read More] Understanding Hemoptysis and Throat Discomfort: Causes and Next Steps
Chronic Throat Inflammation and Oral Ulcers: What You Need to Know
Oral ulcers and throat issues? I have been suffering from throat inflammation and throat ulcers for three months. It all started one night with ear pain, tinnitus, and pain in the left side of my throat. The next day, I went to a clinic, and the doctor diagnosed me with otitis me...
Dr. Zheng Jueyi Reply:
Hello: Initially, it appears to be inflammation of the lymphoid tissue in the posterior pharyngeal wall. If a physician has already examined you and diagnosed you with chronic pharyngitis, it is advisable to drink plenty of water, reduce coffee, tea, and sugary foods, and avoid s...[Read More] Chronic Throat Inflammation and Oral Ulcers: What You Need to Know
Understanding Nasal Symptoms: Is It a Cold or Something Else?
Nasal symptoms The symptoms of sneezing began on Sunday, and by Monday and Tuesday, there was a runny nose with yellow discharge from the left nostril. On Tuesday, I sought medical attention and took medication, which improved the symptoms somewhat. On Tuesday and Wednesday, my t...
Dr. Zheng Jueyi Reply:
Hello: The common cold with yellow nasal discharge may be related to sinusitis or a bacterial infection. If symptoms persist without improvement, it is advisable to seek medical evaluation. A white blood cell count of 4600-4800 is still within the normal range and does not indica...[Read More] Understanding Nasal Symptoms: Is It a Cold or Something Else?
Understanding Painful Lumps Under the Ear: Causes and Treatments
Painful hard lump under the ear? Hello Doctor, I am a 28-year-old female. Two months ago, I had my upper left wisdom tooth extracted, and ten days later (I'm not sure if it's related to the extraction), I discovered a hard lump below my left ear (in the parotid gland ar...
Dr. Ji Zhaoyun Reply:
Hello, the accuracy of fine needle aspiration is approximately 70%-80%. To achieve a definitive diagnosis, surgical excision and pathological examination are necessary. If surgery is planned and it is a salivary gland tumor, a preoperative CT scan will be arranged. However, there...[Read More] Understanding Painful Lumps Under the Ear: Causes and Treatments
High EBV Levels and Nasopharyngeal Cancer: What You Need to Know
Elevated EBV index in nasopharyngeal carcinoma? Hello, during my recent health check-up, my EBV (IgA) level was 17.31, with a reference value of (<6.0). The nasopharyngoscopy showed no abnormalities. I have not experienced any of the early symptoms such as neck lumps, blood-st...
Dr. Zheng Jueyi Reply:
Hello: The IgA test is generally not related to short-term infections. However, if the nasopharyngoscopy shows no abnormalities, you may consider regular monitoring. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoy...[Read More] High EBV Levels and Nasopharyngeal Cancer: What You Need to Know
Understanding Ear Discomfort: Causes and Solutions for Ear Issues
My ear feels strange? Hello, doctor. When I woke up today, I felt something strange in my ear. When I swallow, my right ear makes a popping sound, and I also experience some tinnitus in a quiet environment. What could be the issue? Oh, and I had a similar problem before, and afte...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, hiking, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis media:...[Read More] Understanding Ear Discomfort: Causes and Solutions for Ear Issues
Understanding Ear Pressure Issues: Why One Ear Collapses After Nasal Inflation
Hello doctor, I have previously asked about pinching my nose and blowing air, which causes one of my ears to collapse? Hello Doctor, the article is a bit long. Thank you for your patience in reading it. Recently, I have been experiencing sounds in my ears when I open my mouth, an...
Dr. Zheng Jueyi Reply:
Hello: Common issues related to Eustachian tube dysfunction may not require you to pinch your nose and blow if there is no significant feeling of ear fullness or hearing abnormalities. It is appropriate to continue using the nasal spray, with the correct dosage being one spray in...[Read More] Understanding Ear Pressure Issues: Why One Ear Collapses After Nasal Inflation
Understanding Deep Neck Infections, Lymphadenopathy, and Mumps
Is it a deep neck infection, lymphadenopathy, or mumps? Hello, doctor. Recently, I experienced tightness on the left side of my neck, which I initially thought was due to a stiff neck. However, after two or three days, my left neck became swollen, with the most painful area locat...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is possible that you are experiencing parotitis accompanied by cervical lymphadenopathy. If the condition continues to progress, it may lead to a deep neck infection, which is typically treated with medication, and antibiotics will be necessar...[Read More] Understanding Deep Neck Infections, Lymphadenopathy, and Mumps
Understanding Sleep Breathing Issues: When to Seek ENT Help
Sleep breathing disorders Hello, doctor! Recently, while I sleep, I have been inhaling through my nose and exhaling through my mouth. The exhalation is quite loud, different from snoring; it produces a significant sound. This occurs most often when I lie flat. The air pollution h...
Dr. Ji Zhaoyun Reply:
Hello, based on your description: it can be quite difficult to determine whether snoring is simply benign or indicative of a medical condition based solely on self-assessment. Generally, if it affects daytime activities such as work, learning, or even driving and performing house...[Read More] Understanding Sleep Breathing Issues: When to Seek ENT Help
Persistent Ear Pain After Accident: When to Seek Further Medical Help
Ear problems I was involved in a car accident yesterday afternoon. After a brief examination, the emergency physician recommended that I stay in the hospital for two hours for observation to see if I experienced any further discomfort. About an hour after that, I started to exper...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may have the following two possibilities: 1) Otitis Media: a) Acute Otitis Media: Often occurs alongside upper respiratory infections (colds) and sinusitis. In severe cases, there may be ear discharge or pus. b) Chronic Otitis Media with a...[Read More] Persistent Ear Pain After Accident: When to Seek Further Medical Help
Understanding Ear and Nasal Issues: Symptoms, Concerns, and Treatments
Ear problems I previously had a problem with nasal congestion, which was quite uncomfortable. I rolled up a tissue into a cone shape to try to suck out the mucus deep in my nose. While I did manage to clear some mucus, some of it seemed to flow back, and then I started to hear a ...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may 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 the nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis media...[Read More] Understanding Ear and Nasal Issues: Symptoms, Concerns, and Treatments
Understanding Recurrent Nosebleeds: Causes, Care, and When to Seek Help
Habitual nosebleeds I have never had a nosebleed before, but in March or April of this year, I experienced my first nosebleed. Since then, it has been recurring. I previously visited a clinic, and the doctor told me that there was a wound inside my nose and prescribed me some hem...
Dr. Zheng Jueyi Reply:
Hello, if nasal allergies are affecting your daily life, it is recommended to seek medical evaluation and consider treatment with oral antihistamines or nasal sprays. If you experience recurrent nosebleeds, it is often due to the rupture of microcapillaries in the nasal mucosa. I...[Read More] Understanding Recurrent Nosebleeds: Causes, Care, and When to Seek Help
Why One Ear Collapses When Pinching Nose and Blowing: Causes and Solutions
Pinching the nose and blowing can cause one ear to collapse? Hello, recently the doctor mentioned that I have Eustachian tube dysfunction and advised me to pinch my nose and blow. At first, both ears would inflate normally, but now only one side is functioning properly. The other...
Dr. Ji Zhaoyun Reply:
Hello, the issue 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 medi...[Read More] Why One Ear Collapses When Pinching Nose and Blowing: Causes and Solutions
Bloody Nasal Discharge and Foul Smell: ENT Concerns Explained
Nasal mucus with blood and a foul odor coming from the right nostril? Recently, I have noticed that when I pick my nose, there is a bit of blood in the mucus. When I have mucus in my right nostril, it has a foul smell, and after I remove the mucus, I feel pain in my nose. This ha...
Dr. Zheng Jueyi Reply:
Hello: It is common for nasal mucosal bleeding to be followed by an infection. If the condition persists without improvement, it is recommended to visit an otolaryngologist for examination. Wishing you health and safety. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of ...[Read More] Bloody Nasal Discharge and Foul Smell: ENT Concerns Explained
Understanding Oral Lesions: White Bumps and Painful Symptoms
Swelling of the buccal mucosa? Hello doctor, I woke up this morning and noticed a white bump on the inside of my right cheek. It is raised and surrounded by a deep red area. When I press on it, there is a slight swelling and tenderness, similar to a canker sore, but I have never ...
Dr. Li Jiaxuan Reply:
It is likely inflamed. Try to avoid friction as much as possible, and it is recommended to rest for a week. Please visit an ear, nose, and throat specialist for further evaluation. Wishing you good health.[Read More] Understanding Oral Lesions: White Bumps and Painful Symptoms
Do You Really Need Surgery for Sinusitis? Expert Insights
Is surgery always necessary for sinusitis? Hello Dr. Lee! I finally had the root of my upper right second molar extracted in July, which resulted in an oral-antral fistula. After contacting the hospital twice, they still deemed it normal and advised against a follow-up visit. How...
Dr. Li Jiaxuan Reply:
If you are afraid of surgery, you can wait until the bone at the site of the sinus connection grows back before proceeding with surgery for your sinusitis. Currently, conservative treatments for sinusitis include medications (antihistamines and antibiotics) and nasal irrigation. ...[Read More] Do You Really Need Surgery for Sinusitis? Expert Insights
Understanding Swollen Lymph Nodes: Symptoms, Concerns, and Next Steps
Lymphadenopathy Hello, I experienced tightness in my left neck in mid-October. However, since I had a recent injury on the right side that required rehabilitation, I thought it might have affected my left neck, causing the discomfort. At that time, I had no symptoms other than th...
Dr. Zheng Jueyi Reply:
Hello, if you have the above concerns, in addition to an ENT examination, you may also consider consulting an infectious disease specialist. During your visit, you can directly inform the physician of your worries, which will help the attending physician arrange for relevant test...[Read More] Understanding Swollen Lymph Nodes: Symptoms, Concerns, and Next Steps
Managing Tinnitus Caused by Ear Fungal Infection: What to Do?
Fungal infection in the ear causing tinnitus issues? Hello, doctor. A few days ago, I visited an ENT specialist because I felt a sense of fullness in my ear. The doctor diagnosed me with a fungal infection in my ear and prescribed a topical ointment. However, after using it for t...
Dr. Ji Zhaoyun Reply:
Hello, Xiaofang. 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)...[Read More] Managing Tinnitus Caused by Ear Fungal Infection: What to Do?
Understanding Nasopharyngeal Masses: Surgery Costs and Treatment Options
A nasopharyngeal mass causing Eustachian tube obstruction requires surgery, which costs 30,000? Hello doctor, today I went to a small clinic for tinnitus. After performing the Valsalva maneuver by pinching my nose and blowing, my right ear immediately collapsed and lost pressure....
Dr. Zheng Jueyi Reply:
Hello: It is recommended to visit the hospital for an examination and to seek a second opinion. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Nasopharyngeal Masses: Surgery Costs and Treatment Options