Understanding Eustachian Tube Dysfunction After Ear Surgery
Regarding the Valsalva maneuver and Eustachian tube obstruction? Thank you, doctor, for taking the time to answer my questions despite your busy schedule. In early July, I developed sinusitis that led to otitis media, resulting in a feeling of fullness in my ear and tinnitus. I v...
Dr. Li Jiaxuan Reply:
The Eustachian tube must be open for the tympanic membrane to vibrate and produce sound. If the tympanic membrane is inflamed, its movement will not heal. It is recommended to manage the inflammation of the tympanic membrane (hoping for its healing). If it affects sleep, tinnitus...[Read More] Understanding Eustachian Tube Dysfunction After Ear Surgery
Red Smooth Spots on Tongue: Causes and Treatment Options
There are smooth red spots about 1.5 centimeters on the tip of the tongue accompanied by a burning sensation? Hello Doctor, three days ago I noticed a red patch on the tip of my tongue, resembling geographic tongue as seen online. It started at about 1 cm and has expanded to 1.5 ...
Dr. Li Jiaxuan Reply:
For tongue inflammation and ulcers, it is recommended to maintain a balanced diet, supplement with vitamin B, and drink plenty of water. Ensure oral hygiene for 2-3 months; if there is no improvement, further evaluation for geographic tongue should be considered. Geographic tongu...[Read More] Red Smooth Spots on Tongue: Causes and Treatment Options
Understanding Nasal Allergies: Symptoms and Management Tips
Nasal allergies The nose has allergies, with one side being congested while the other side is clear for extended periods, sometimes alternating between sides. This does not only occur during sleep; it happens regularly. Sleep is usually deep, and in the morning, there is sometime...
Dr. Ji Zhaoyun Reply:
Hello, the primary triggers for allergic rhinitis are related to individual constitution and environmental allergens. If one parent has allergic rhinitis, the likelihood of their children developing the condition increases fourfold. Treatment typically begins with oral medication...[Read More] Understanding Nasal Allergies: Symptoms and Management Tips
Understanding the Duration and Management of Rhinitis Treatment
Treatment for rhinitis? I visited a doctor for a cold and was prescribed antihistamines for three days. After recovering from the cold, I still experienced discomfort in my ears, nose, and throat. I consulted a second doctor who prescribed a month’s supply of antihistamines. Afte...
Dr. Ji Zhaoyun Reply:
Hello, if allergic rhinitis is primarily triggered by allergens in the environment and one parent has a history of allergic rhinitis, the likelihood of the child developing allergic rhinitis is four times higher. Treatment typically begins with oral medications and nasal sprays, ...[Read More] Understanding the Duration and Management of Rhinitis Treatment
Understanding Eustachian Tube Dysfunction and Tinnitus: Common Concerns
Eustachian tube obstruction and tinnitus; unable to equalize pressure by pinching the nose and blowing? Hello, Doctor. The article is a bit long, and I appreciate your patience in reading it. In early July, I developed otitis media, and I started experiencing tinnitus and a feeli...
Dr. Zheng Jueyi Reply:
Hello: It is generally normal to feel a sensation of fullness in the ears when pinching the nose and blowing. If there is still a wound on the eardrum, it may cause air to leak through the eardrum, resulting in sound. As for nasal sprays, it is recommended to tilt your head sligh...[Read More] Understanding Eustachian Tube Dysfunction and Tinnitus: Common Concerns
Understanding Ear Congestion: Causes and Specialist Guidance
Severe earplug use? Hello Doctor, I have started my third pack of oral contraceptives, alternating between YAZ and NINA. I have been experiencing ear congestion issues for several years. Initially, it did not affect my daily life, but recently, I have been experiencing multiple e...
Dr. Zheng Jueyi Reply:
Hello, it may be related to eustachian tube dysfunction. If there are no obvious nasal symptoms such as allergies, you may first consult the Metabolism Department to address thyroid issues. Generally, oral contraceptives do not significantly affect thyroid function. Wishing you s...[Read More] Understanding Ear Congestion: Causes and Specialist Guidance
Understanding Cough and Throat Tightness: When to Seek Medical Help
Cold and cough Hello, doctor. My tongue biopsy on September 14 was normal. The doctor said I have tongue inflammation and mucosal hyperplasia. I was originally scheduled for a tonsillectomy on September 28, but I mentioned I was coughing and asked if I needed to postpone it. I la...
Dr. Zheng Jueyi Reply:
Hello: The current cough symptoms may be related to a cold. Tightness in the clavicle does not necessarily indicate asthma. It is recommended to seek medical evaluation before using bronchodilators. As for the entire family coughing, it is commonly the result of a cold being tran...[Read More] Understanding Cough and Throat Tightness: When to Seek Medical Help
Understanding Sinusitis and Nasopharyngeal Cancer: Symptoms and Diagnosis
Sinusitis and nasopharyngeal cancer examination? Dear Dr. Zheng, I am currently in the United States and have been troubled by persistent left-sided nasal congestion and occasional left-sided tinnitus for the past month and a half. I feel as though there is a foreign body betwee...
Dr. Zheng Jueyi Reply:
Hello: (1) If a CT scan and endoscopy have already been arranged and no significant abnormalities are found, the likelihood of nasopharyngeal carcinoma is low. If there are abnormalities or concerns, physicians will often proceed with a biopsy. (2) Since a CT scan has been arrang...[Read More] Understanding Sinusitis and Nasopharyngeal Cancer: Symptoms and Diagnosis
Should You See a Neurologist for Tinnitus Lasting 6 Months?
Should I see a neurologist if I have had tinnitus for nearly six months? Doctor, I have been experiencing tinnitus for almost six months now, which became noticeable after a cold I had six months ago. The sound is similar to the "EEEE" noise produced by a CRT television...
Dr. Zheng Jueyi Reply:
Hello: Generally, if both the hearing test and auditory brainstem response test are normal, it indicates that the auditory nerve function is normal. The likelihood of tinnitus caused by a tumor is low. However, if you are still concerned, you may consider further evaluation at a ...[Read More] Should You See a Neurologist for Tinnitus Lasting 6 Months?
Understanding Post-Nasal Drip: Causes, Symptoms, and Solutions
Post-nasal drip with phlegm can cause a persistent urge to cough? Hello Doctor: For the past six months, I have been experiencing a sensation of phlegm at the junction of my left nostril and throat that I cannot expel through my nose. I have to cough to clear it out, which provid...
Dr. Ji Zhaoyun Reply:
Hello, your symptoms may be due to allergic rhinitis, sinusitis, chronic pharyngitis, or Eustachian tube dysfunction, among others. If symptoms persist, it is advisable to seek medical evaluation. Common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge...[Read More] Understanding Post-Nasal Drip: Causes, Symptoms, and Solutions
Understanding Symptoms of Nasopharyngeal Cancer and Allergic Rhinitis
Symptoms of Nasopharyngeal Carcinoma and Allergic Rhinitis Hello Doctor, I am 23 years old. I have been dealing with allergic rhinitis for a long time, starting from elementary school. Recently, due to some concerns, I suspect that I might have nasopharyngeal cancer. I have previ...
Dr. Zheng Jueyi Reply:
Hello: 1. Tinnitus and unilateral ear fullness may also be related to allergic rhinitis. 2. If a neck mass has not changed for 2 years, it is mostly indicative of a benign condition and can be monitored. 3. Generally, in the hospital, a nasopharyngeal carcinoma diagnosis will sti...[Read More] Understanding Symptoms of Nasopharyngeal Cancer and Allergic Rhinitis
Understanding Asymmetrical Tonsils: Causes of Persistent Throat Pain
One tonsil is larger than the other. I have visited several clinics and have seen multiple doctors at a large hospital? Hello, Doctor. I would like to ask about my sore throat, which has not improved for two months. I have been visiting hospitals and clinics, and I underwent an e...
Dr. Li Jiaxuan Reply:
It is recommended to visit the otolaryngology outpatient clinic, where a CT scan may be performed for further evaluation. Wishing you well.[Read More] Understanding Asymmetrical Tonsils: Causes of Persistent Throat Pain
Understanding Nasal Issues: Causes and Treatments for Nosebleeds
Nasal issues Hello Doctor: A few days ago, after taking a shower, I noticed a small amount of blood coming from my left nostril while wiping my nose. Upon examining my left nostril with a flashlight, I found that the area near the nasal bone was red and swollen, while the right n...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa leading to bleeding from forceful nose blowing. However, other potential causes include nasopharyngeal or nasal cavity tumors (such as nasopharyngeal carcinoma), si...[Read More] Understanding Nasal Issues: Causes and Treatments for Nosebleeds
Can Allergies or Non-Allergic Rhinitis Affect Hearing?
Hearing issues may be related to allergies or non-allergic rhinitis? I started using headphones in May this year, and by early July, I noticed that I had to replay conversations to understand some people. I visited an ENT specialist in August, and the doctor said it was just due ...
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 air travel, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. This issue may be related to allergic r...[Read More] Can Allergies or Non-Allergic Rhinitis Affect Hearing?
Understanding Nasal Issues: Is It a Septal Hematoma or Allergic Rhinitis?
Nasal issues Hello Doctor: I have been treating my rhinitis for two weeks. When I first noticed it, there was significant redness and swelling near the left nostril close to the nasal bone, while the right nostril did not have this symptom. When I visited a nearby clinic, the doc...
Dr. Zheng Jueyi Reply:
Hello: The common issues are primarily related to infections. If symptoms persist without improvement, it is advisable to seek medical attention for further evaluation and treatment. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolary...[Read More] Understanding Nasal Issues: Is It a Septal Hematoma or Allergic Rhinitis?
Understanding Malignant Tumors in the Ear: Causes and Treatment Options
Malignant tumors of the ear Hello Dr. Zheng, I would like to ask about a family member who was diagnosed with a cholesteatoma over ten years ago at a small clinic. They were advised to go to a larger hospital for further examination, but it turned into a malignant tumor. At that ...
Dr. Zheng Jueyi Reply:
Hello, if there is a history of tumors and there is a recurrence of purulent pain, it is essential to first rule out the possibility of tumor recurrence. If there is no recurrence, other common possibilities may be related to infection. As for tumors related to the ear, they are ...[Read More] Understanding Malignant Tumors in the Ear: Causes and Treatment Options
Understanding Ear Popping Sounds: Chronic Otitis Media and Allergies
There is a popping sound in the ear? On July 31, I visited a local hospital. My main complaint was a popping sound in my right ear that has been occurring recently, especially when yawning or burping. The sound is often present from morning to noon. The doctor's notes indica...
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: However, bas...[Read More] Understanding Ear Popping Sounds: Chronic Otitis Media and Allergies
Chronic Ear Pain and Hearing Loss: Seeking Answers for Ongoing Symptoms
Severe pain in the left ear? Hello Doctor, I would like to inquire about my mother's condition. Below is a summary of her medical records that I have translated. My mother is 59 years old and had no significant medical or surgical history prior to her hospitalization. She ha...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may have the following two possibilities: 1) Otitis Media: a) Acute Otitis Media: This often occurs alongside upper respiratory infections (such as colds) and sinusitis. In severe cases, there may be discharge of fluid or pus from the ear. ...[Read More] Chronic Ear Pain and Hearing Loss: Seeking Answers for Ongoing Symptoms
Managing Late Effects of Nasopharyngeal Cancer Radiation Therapy
Late effects of radiotherapy for nasopharyngeal carcinoma? Hello Dr. Zheng, my father is 64 years old and was diagnosed with nasopharyngeal carcinoma 29 years ago. He underwent radiation therapy at that time, which resulted in hearing loss in his right ear. However, starting in M...
Dr. Zheng Jueyi Reply:
Hello, if the symptoms persist without improvement, it is recommended to visit an otolaryngologist for an examination of the oropharynx, and to arrange for an upper gastrointestinal endoscopy with a gastroenterologist to check for any related issues. Wishing you safety and health...[Read More] Managing Late Effects of Nasopharyngeal Cancer Radiation Therapy
Understanding Chronic Sinusitis and Its Surgical Options for Relief
Endoscopic Surgery for Chronic Sinusitis Hello Dr. Li, I have allergic rhinitis with hypertrophy, and due to severe fatigue and excessive daytime sleepiness, I have been diagnosed with moderate to severe obstructive sleep apnea (OSA). Although CPAP (which can be adjusted to norma...
Dr. Li Jiaxuan Reply:
Your issue is that the pus in the sinuses does not easily drain into the nasal cavity, but when more mucus enters the sinuses, it can cause swelling and discomfort. These are likely symptoms of chronic sinusitis. However, there is still a possibility of recurrence after surgery f...[Read More] Understanding Chronic Sinusitis and Its Surgical Options for Relief