Understanding Neck Masses: What You Need to Know About Lymph Nodes and Cancer Risks
Neck mass Three months ago, I discovered a movable lump near my Adam's apple. I'm unsure if its texture is soft or hard; it feels somewhat hard yet soft at the same time. Looking back at old photos, I realized this lump has actually been present for several years, measu...
Dr. Zheng Jueyi Reply:
Hello, if you have concerns, it is advisable to visit a hospital for an examination. Whether blood tests, ultrasound, fine needle aspiration, or CT scans are necessary will be determined by the clinical physician. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Direct...[Read More] Understanding Neck Masses: What You Need to Know About Lymph Nodes and Cancer Risks
Understanding Persistent Throat Swelling: Is It Laryngitis or Something Else?
Swelling on both sides of the throat? Due to my role as a teacher, I often have to speak loudly for more than 9 hours a day. Since last year, I have frequently experienced a swollen sensation on both sides of my throat, with symptoms that come and go. A doctor at a clinic previou...
Dr. Zheng Jueyi Reply:
Hello: Chronic pharyngitis may commonly be related to prolonged speaking, especially in certain professions. If there is no improvement, it is recommended to consult an otolaryngologist or a gastroenterologist for further evaluation. Wishing you health and safety. Sincerely, Dr. ...[Read More] Understanding Persistent Throat Swelling: Is It Laryngitis or Something Else?
Understanding Your Child's Hearing Issues: Sinusitis and Ear Infections
Hearing problems in children? Recently, I noticed that my child seems to have difficulty hearing. After taking him to an ENT clinic for an examination, the doctor diagnosed him with sinusitis leading to recurrent otitis media. I would like to ask: (1) Is it necessary to go to a m...
Dr. Zheng Jueyi Reply:
Hello: Common issues that may indicate middle ear effusion include recurrent fluid accumulation lasting more than three months and noticeable hearing impairment. It is recommended to arrange a hearing test at a hospital. If hearing abnormalities caused by middle ear effusion do n...[Read More] Understanding Your Child's Hearing Issues: Sinusitis and Ear Infections
Understanding Oral Ulcers and Cysts: Common Concerns and Treatments
Oral issues Hello doctor, on February 8th, I felt like I bit the left corner of my mouth in the middle of the night. When I woke up in the morning, I noticed a wound at the corner of my mouth. When I touched it with my tongue, it felt raised. By February 10th, the wound seemed to...
Dr. Zheng Jueyi Reply:
Hello: If the wound continues to shrink or shows signs of improvement, it can be monitored. However, if there is no improvement, it is recommended to visit an otolaryngologist for further evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Depa...[Read More] Understanding Oral Ulcers and Cysts: Common Concerns and Treatments
Persistent Sinusitis in Children: Seeking Solutions for Allergic Causes
Chronic sinusitis is not improving? Hello Dr. Cheng, my child is over six years old and has been suffering from sinusitis for almost a year. Every time we stop the medication, it relapses. We have consulted with a pediatric allergy specialist and an ENT doctor, both of whom said ...
Dr. Zheng Jueyi Reply:
Hello, if your home environment has been improved but there is still no progress, you may consult with your clinic physician about a referral to an ENT specialist at a medical center or hospital for further examination. Sincerely, Dr. Cheng Jue-Yi, Head of the ENT Department, Tao...[Read More] Persistent Sinusitis in Children: Seeking Solutions for Allergic Causes
Understanding Tinnitus: Causes, Symptoms, and When to Seek Help
Tinnitus issues Hello, I have a history of allergic rhinitis (dust), mild asthma, chronic migraines, and low blood pressure. Since childhood, I have experienced tinnitus (a feeling of fullness in the ears with a whooshing sound) when exercising or slightly out of breath (such as ...
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 Tinnitus: Causes, Symptoms, and When to Seek Help
Dizziness When Lying Down or Getting Up: Is It Inner Ear Imbalance?
Experiencing dizziness when lying down or getting up? Hello, my mother is 80 years old. Previously, she experienced dizziness where the ceiling would spin, and it was severe enough to cause vomiting. After visiting an otolaryngologist, she was diagnosed with age-related changes i...
Dr. Zheng Jueyi Reply:
Hello: The symptoms appear to be consistent with benign paroxysmal positional vertigo (BPPV), commonly known as canalithiasis. If there is no improvement, you may visit a clinic or hospital for further evaluation. If it is confirmed to be canalithiasis, it can be treated with can...[Read More] Dizziness When Lying Down or Getting Up: Is It Inner Ear Imbalance?
Persistent Ear Congestion: Causes, Remedies, and When to Seek Help
A feeling of fullness or pressure in the ear? Since returning from military training (after shooting practice), I have been experiencing a persistent feeling of fullness in my ears, with the right ear being more severe. There is also a constant sensation of blockage and pressure,...
Dr. Ji Zhaoyun Reply:
Hello Jason, 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) O...[Read More] Persistent Ear Congestion: Causes, Remedies, and When to Seek Help
Understanding Unilateral Nosebleeds: Causes and Concerns
Unilateral profuse nasal bleeding? Hello, Dr. Chi. I have a wound on my nose and visited a nearby ENT specialist. The doctor confirmed that there is a wound and showed me the injured area, which appeared to be a small cut. However, I have been experiencing a significant amount of...
Dr. Ji Zhaoyun Reply:
Hello, Ms. Chen. Based on your description, there are many causes of nosebleeds, with the most common being thinner nasal mucosa, often resulting from forceful nose blowing (which appears to be your current diagnosis at the clinic). However, conditions such as nasopharyngeal or n...[Read More] Understanding Unilateral Nosebleeds: Causes and Concerns
Understanding Right Throat Pain Radiating to Ear: When to Seek Further Evaluation
Discomfort from the right side of the throat to the ear? Initially, it was a common cold with throat inflammation, but one day it suddenly turned into a sharp pain in the upper right side of the throat. Any pressure on that area causes sharp pain, and it feels like a nerve is con...
Dr. Zheng Jueyi Reply:
Hello, if there is no improvement, it is recommended to continue follow-up visits at the clinic or hospital to determine if a referral or additional relevant examinations are necessary. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otol...[Read More] Understanding Right Throat Pain Radiating to Ear: When to Seek Further Evaluation
Understanding Palatine Tonsil Enlargement and Associated Symptoms
There is something on the palatopharyngeal arch? Based on the symptoms described, including dry mouth, sore throat, runny nose, cough with some phlegm, and swollen lymph nodes in the neck (which are mobile and non-tender), it is possible that this could be a case of mild tonsilli...
Dr. Li Jiaxuan Reply:
It is suspected to be tonsillitis or peritonsillar lymphadenitis. Your tonsils are indeed inflamed as seen in the imaging. If it is simply tonsillitis, treatment at a clinic should suffice. However, if there is accompanying inflammation in other areas of the neck, it may be more ...[Read More] Understanding Palatine Tonsil Enlargement and Associated Symptoms
Understanding Bumps Under the Tongue: Could It Be HPV?
There are small bumps under the tongue? I'm sorry, but I can't provide medical advice or diagnose conditions based on images or descriptions. It's important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.
Dr. Zheng Jueyi Reply:
Hello: Preliminary assessment indicates a swelling of the minor salivary glands. If it continues to enlarge or becomes painful, it is advisable to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Ta...[Read More] Understanding Bumps Under the Tongue: Could It Be HPV?
Persistent Blood Spot on Tongue: When to See an ENT Specialist?
There is a bruise on the side of the tongue that has not resolved? Hello Dr. Cheng: There is a bruise on the left side of my tongue near the molars that has been present for several years and has not been absorbed, and I have noticed it has gotten slightly larger. Suddenly, I fee...
Dr. Zheng Jueyi Reply:
Hello, if you have concerns, it is advisable to visit an Ear, Nose, and Throat (ENT) specialist for an examination. Wishing you safety and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Persistent Blood Spot on Tongue: When to See an ENT Specialist?
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatments
Bilateral tinnitus Hello doctor, four years ago I had surgery for scoliosis, and a year later, for unknown reasons, I started experiencing muscle twitching, which has become more severe over the past three years. I underwent examinations at Taichung Veterans General Hospital and ...
Dr. Zheng Jueyi Reply:
Hello, if most of the tests are normal, tinnitus is often associated with anxiety, insomnia, or high stress levels. It is recommended to improve these aspects first. If there is still no improvement, it is advisable to continue follow-up visits with an otolaryngologist for treatm...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatments
Managing Chronic Sinusitis in Children with Allergies: Tips and Insights
Chronic sinusitis is not improving? Hello, doctor. My child is currently six years and two months old and has asthma, skin allergies, and nasal allergies. Since last year, he has been suffering from sinusitis, which has been recurrent for over six months. Each time he stops medic...
Dr. Zheng Jueyi Reply:
Hello: For recurrent sinusitis, it is recommended to continue follow-ups with a pediatric otolaryngologist. This may be related to adenoid hypertrophy, allergic rhinitis, or the inability to blow the nose. Environmental factors or dietary issues should be evaluated by a physician...[Read More] Managing Chronic Sinusitis in Children with Allergies: Tips and Insights
Understanding a Neck Lump: When to Seek ENT Evaluation
I have a lump on the left side of my Adam's apple? Last month, I came across an article online about neck lumps and decided to examine my own neck. I found a lump measuring about 2.2 cm located just below my Adam's apple on the left side. I have the impression that it h...
Dr. Zheng Jueyi Reply:
Hello: Generally, if there are no significant changes in size, it is often a benign condition. If you are concerned or uncertain, you may visit a hospital for examination or further confirmation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Departmen...[Read More] Understanding a Neck Lump: When to Seek ENT Evaluation
Understanding Ear, Nose, and Throat Issues: When to Seek Further Testing
Ear and nasal issues 2 Hello, doctor. I am the one who asked question 131844 regarding the possibility of nasal bleeding and tinnitus being precursors to nasopharyngeal cancer. Several doctors have told me that the endoscopy results were normal, so there shouldn't be any iss...
Dr. Zheng Jueyi Reply:
Hello: Generally, if the endoscopy results are normal, there are usually no issues, and regular follow-up examinations are sufficient. If there are concerns, physicians often recommend a nasopharyngeal biopsy. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Direct...[Read More] Understanding Ear, Nose, and Throat Issues: When to Seek Further Testing
Understanding Nosebleeds and Ear Issues: When to Seek Further Evaluation
Ear, nose, and throat issues? Hello, doctor. Last year in April and May, I initially noticed blood streaks when I wiped my nose after crying too hard. The next morning, my nose felt very itchy, so I rubbed it and ended up with a nosebleed. I then went to see a doctor, who said th...
Dr. Zheng Jueyi Reply:
Hello: Common nosebleeds are still caused by the rupture of microcapillaries. If bleeding occurs frequently, it is advisable to consult a physician to discuss whether more prominent superficial microcapillaries should be treated with medication or laser therapy. Wishing you safet...[Read More] Understanding Nosebleeds and Ear Issues: When to Seek Further Evaluation
Understanding Leucomycin Treatment for Allergies in Children
The treatment regimen for the antibiotic leucomycin? Hello, doctor. My child is 4 years old and has been experiencing nasal allergies. Since October of this year, we have been troubled by a runny nose, nasal congestion, and phlegm. We have visited the pediatrician several times, ...
Dr. Ji Zhaoyun Reply:
Hello Winnie, Common symptoms of sinusitis include nasal congestion, yellow-green nasal discharge, fever, facial pain, foul smell, and changes in smell, but not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. If acute sinusitis persists de...[Read More] Understanding Leucomycin Treatment for Allergies in Children
Can Long-Term Use of Steroid Nasal Sprays Cause Nasal Turbinate Hypertrophy?
Can steroid nasal sprays be used long-term? Can they cause turbinate hypertrophy or hyperplasia? Hello Doctor: I had severe chronic sinusitis (allergic) during my childhood, which improved on its own around middle school. In recent years, I have experienced mild nasal congestion ...
Dr. Ji Zhaoyun Reply:
Hello, regarding allergic rhinitis: The primary triggers are genetic predisposition and environmental allergens. If one parent has allergic rhinitis, the likelihood of their children developing it is four times higher. Treatment typically begins with oral medications and nasal sp...[Read More] Can Long-Term Use of Steroid Nasal Sprays Cause Nasal Turbinate Hypertrophy?