Understanding Pulsatile Tinnitus: When to Seek Medical Advice
Tinnitus issues? A year ago, when I was diagnosed, I experienced very loud tinnitus in my left ear along with the sound of my heartbeat. Over time, the tinnitus has improved, but the heartbeat sound has changed to occasionally hearing two thumps when I exercise or climb stairs, o...
Dr. Zheng Jueyi Reply:
Hello, pulsatile tinnitus typically lasts for 24 hours and can be heard continuously. If your hearing is currently normal and you only experience occasional tinnitus, you can start with self-observation. However, if the tinnitus persists or is accompanied by hearing abnormalities...[Read More] Understanding Pulsatile Tinnitus: When to Seek Medical Advice
Understanding Long-Term Tinnitus and Unusual Ear Sounds: Causes and Solutions
Long-term tinnitus and hearing unusual sounds in the ear? I have been experiencing tinnitus in my left ear for about five years. I am not exactly sure when it started, but I remember having this condition since the first year of junior high school. The severity of the tinnitus is...
Dr. Zheng Jueyi Reply:
Hello, it may be related to Eustachian tube dysfunction, and there are many potential factors that could cause this. If it is bothersome or persists without improvement, it is advisable to seek medical evaluation.[Read More] Understanding Long-Term Tinnitus and Unusual Ear Sounds: Causes and Solutions
Understanding Tonsil and Pharyngeal Wall Swelling: When to Seek Help
Tonsillar and posterior pharyngeal wall swelling? Hello Dr. Zheng, I consulted you two years ago regarding a lump on the right side of my neck, and you mentioned that no lump was found. Earlier this year, I visited a clinic due to discomfort in my right neck and throat, where a l...
Dr. Zheng Jueyi Reply:
Hello, there are no obvious lumps found at this initial examination. Common swelling and pain are often related to inflammation. It is advisable to improve your daily routine, drink plenty of water, and reduce the intake of irritating foods. If the symptoms persist without improv...[Read More] Understanding Tonsil and Pharyngeal Wall Swelling: When to Seek Help
Suspected Fish Bone Stuck in Throat: Symptoms and Next Steps
Suspected fishbone stuck in the throat? Hello, this morning I woke up feeling a sore throat. Drinking water and talking didn't seem to aggravate it much, but swallowing saliva and yawning were particularly painful, and I also felt a sensation of phlegm. I visited an ENT spec...
Dr. Zheng Jueyi Reply:
Hello, it is uncommon for a fishbone to get stuck in the throat and for throat pain to start the next day. You can initially observe the situation and take medication for treatment. If there is no improvement after three days, you should return for a follow-up examination. Howeve...[Read More] Suspected Fish Bone Stuck in Throat: Symptoms and Next Steps
Dealing with Insects in Your Nose: When to Seek Medical Help
Insect intrusion in the nose? Hello, doctor. Today, a small flying insect flew into my nostril. At that moment, it felt very itchy, and I felt like it was burrowing deeper inside. Later, I blew my nose and used tissue and a cotton swab to try to remove it. I'm not sure if it...
Dr. Zheng Jueyi Reply:
If you are worried or continue to feel unwell, it is advisable to seek medical attention for evaluation.[Read More] Dealing with Insects in Your Nose: When to Seek Medical Help
Persistent Positive EBV IGA After Benign Nasopharyngeal Tumor Removal: Next Steps?
EBV IgA has consistently tested positive, but the biopsy of the completely resected nasopharyngeal tumor was benign? Hello Doctor: In early July of this year, I visited an ENT specialist at a local hospital due to mild tinnitus and some hearing impairment. The doctor found a smal...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can affect EBA IgA levels. If the nasopharyngeal tumor has been surgically removed and the pathology results are benign, it indicates that there is currently no nasopharyngeal carcinoma. Therefore, regular outpatient follow-up is recommended. As...[Read More] Persistent Positive EBV IGA After Benign Nasopharyngeal Tumor Removal: Next Steps?
Can You Diagnose Dizziness Without Symptoms? ENT Insights
Dizziness and medical consultation issues? If I previously experienced severe dizziness and it improved after taking medication for two days, and then it happened again a month later but resolved with medication, my family medicine clinic suggested I see a specialized ENT hospita...
Dr. Ji Zhaoyun Reply:
Hello, some tests can indeed be performed more easily when experiencing dizziness, but other tests can also yield results when not dizzy. It is recommended to seek a consultation for further evaluation.[Read More] Can You Diagnose Dizziness Without Symptoms? ENT Insights
Understanding Nosebleeds: When to Seek Medical Attention
There is a small amount of blood in the nose? Hello, doctor. I used to frequently use cotton swabs to clean my nose, and I always did it gently. Recently, while gently using a cotton swab in my left nostril, I noticed a small amount of bright red blood on the swab. Currently, the...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, the most common being thin nasal mucosa, which can be caused by forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infec...[Read More] Understanding Nosebleeds: When to Seek Medical Attention
How to Differentiate Between Viral and Bacterial Infections in Throat Issues
Sore throat due to a cold? Hello, doctor. I've been experiencing a runny nose, swollen throat, severe throat pain, and yellow phlegm and nasal discharge for the past few days. I saw a doctor who said it was a viral infection. I would like to ask how to differentiate between ...
Dr. Zheng Jueyi Reply:
Hello, it is possible that a bacterial infection may require the use of antibiotics. Clinicians will evaluate multiple factors, such as the presence of purulent sputum, purulent nasal discharge, fever, as well as the results of physical examinations and the progression of the ill...[Read More] How to Differentiate Between Viral and Bacterial Infections in Throat Issues
Sudden Hearing Loss: Causes, Symptoms, and When to Seek Help
Sudden hearing loss in one ear? Hello, doctor. This morning, I suddenly experienced a significant reduction in hearing in both ears, feeling stuffy and uncomfortable, as if water had entered my ears, or like I was submerged in a swimming pool. After this incident, I tried yawning...
Dr. Zheng Jueyi Reply:
Hello, if there is no persistent hearing loss and hearing recovers in a short period, it is often related to Eustachian tube dysfunction. If there are no obvious symptoms, you may observe it for a while. However, if it occurs repeatedly or if you have concerns, you should visit a...[Read More] Sudden Hearing Loss: Causes, Symptoms, and When to Seek Help
Managing Your Child's Nasal Bleeding: Causes and Solutions
Every day, there is dried blood when I clean my nasal mucus? Hello Doctor, my son is over five years old and has a problem with nasal allergies. For the past two to three months, he has occasionally had sudden nosebleeds, sometimes due to bumps, and other times while sleeping in ...
Dr. Zheng Jueyi Reply:
Hello, if you frequently have bloody nasal mucus, it is commonly caused by the rupture of small blood vessels in the nasal septum. If you have allergies, it is advisable to manage them with medication to avoid frequent nose rubbing or repeated sneezing that can lead to bleeding. ...[Read More] Managing Your Child's Nasal Bleeding: Causes and Solutions
Unexplained Citrus Smell: Possible Causes and When to Seek Help
I keep smelling an unidentified orange scent and lemon scent? I have been consistently smelling the fragrance of oranges and lemons. I confirmed with friends that it is not an environmental scent. I found online that some people say it could be sinusitis, while others suggest it ...
Dr. Zheng Jueyi Reply:
If symptoms persist for more than a week without improvement, it is recommended to visit an otolaryngologist for an examination.[Read More] Unexplained Citrus Smell: Possible Causes and When to Seek Help
Chronic Runny Nose: Seeking Long-Term Solutions for Allergic Rhinitis
Nasal issues? I often have a runny nose throughout the year. I previously visited an otolaryngologist who diagnosed me with nasal allergies and prescribed a nasal spray. However, that nasal spray can only be used for six months, and after finishing it, my runny nose persists year...
Dr. Li Jiaxuan Reply:
Prescription nasal sprays should be suitable for allergic rhinitis. Wishing you well.[Read More] Chronic Runny Nose: Seeking Long-Term Solutions for Allergic Rhinitis
Understanding Pulsatile Tinnitus: Causes and Concerns After Brain Surgery
There is a feeling of fullness in the right ear accompanied by a heartbeat sound? Hello doctor, I have undergone intracranial surgery (to clear hematoma from a car accident), and I still have two drainage tubes in my head. On the early morning of September 10th, I wore my new hea...
Dr. Li Jiaxuan Reply:
If you are using in-ear headphones, it is advisable to refrain from using them temporarily, as they can severely irritate the ears and also affect the blood vessels and cranial nerves in the ear. It is recommended to monitor your hearing and ear pressure. Wishing you good health.[Read More] Understanding Pulsatile Tinnitus: Causes and Concerns After Brain Surgery
Understanding Blood-Streaked Phlegm: When to Seek Medical Attention
Coughing up phlegm with traces of blood? At the end of May, I had a cold and coughed up green phlegm with blood streaks. I saw a doctor and took medication, which helped, but afterwards, the phlegm continued to have blood streaks. I went to the hospital to see a pulmonologist, an...
Dr. Li Jiaxuan Reply:
Bleeding can occur from the nasal cavity to the tracheal mucosa, and bronchoscopy should be considered. Wishing you safety and well-being.[Read More] Understanding Blood-Streaked Phlegm: When to Seek Medical Attention
Understanding Post-Nasal Drip and Taste Smell Disorders: A Guide
Olfactory and gustatory abnormalities, post-nasal drip? Hello, Doctor. I suddenly started experiencing post-nasal drip about a year ago. I underwent turbinate surgery during this time, but the post-nasal drip has not improved, and I have also developed issues with smell and taste...
Dr. Zheng Jueyi Reply:
Hello, if abnormalities in smell and taste are examined by a physician and no obvious tumors or sinusitis are found, they are often related to viral infections or other unknown causes that lead to damage or degeneration of the olfactory nerves. If symptoms persist without improve...[Read More] Understanding Post-Nasal Drip and Taste Smell Disorders: A Guide
Understanding Unilateral Nasal Polyps: Risks and Concerns
Unilateral nasal polyp I am 43 years old, do not smoke, drink alcohol, or chew betel nut. Last week, I had a cold with a sore throat, sinusitis, and yellow nasal discharge that was draining into my throat. There was blood in the mucus, so I went to a clinic for examination. An en...
Dr. Zheng Jueyi Reply:
If you are concerned about abnormalities, it is recommended to undergo surgery or a biopsy to confirm a unilateral nasal polyp.[Read More] Understanding Unilateral Nasal Polyps: Risks and Concerns
Understanding Tongue Pits: Causes and Concerns for Your Health
Depressions appear on the surface of the tongue? I do not smoke or drink alcohol, nor do I chew betel nut. In July, I visited Mackay Memorial Hospital because my tongue had a patch of redness. The doctor diagnosed it as geographic tongue. Over the past month, I suddenly noticed a...
Dr. Zheng Jueyi Reply:
Hello, the indentation may be related to an infection that caused surface tissue depression. If there is pain or if the area continues to change, it is recommended to see an otolaryngologist for examination and treatment. If there are no obvious symptoms, you may observe it yours...[Read More] Understanding Tongue Pits: Causes and Concerns for Your Health
Understanding Breathing Difficulties: Causes and Solutions for Nasal Issues
Hello doctor, I have been experiencing shortness of breath for the past two years? Hello Doctor, I have visited two major hospitals without any results, and the doctors were quite impatient and had a poor attitude. Later, I went to an ENT clinic where a doctor finally examined me...
Dr. Zheng Jueyi Reply:
Hello, a deviated septum or hypertrophy of the nasal turbinates generally affects nasal congestion but does not typically cause respiratory distress. If there is severe respiratory distress, it is recommended to promptly seek evaluation from a pulmonologist and a cardiologist to ...[Read More] Understanding Breathing Difficulties: Causes and Solutions for Nasal Issues
Understanding Nontoxic Multinodular Goiter: Symptoms and Treatment Options
Nontoxic multinodular goiter The throat is becoming increasingly thick, as if there is a lump. After examination, it was diagnosed as multinodular goiter. Is this related to the thyroid gland? Is medication necessary for treatment? Is there a connection to diet?
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it seems to be a benign thyroid nodule, which is a type of benign thyroid mass. However, other related information is unclear, so I recommend that you consult an Ear, Nose, and Throat (ENT) specialist or an endocrinologist for further evaluation.[Read More] Understanding Nontoxic Multinodular Goiter: Symptoms and Treatment Options