Understanding Chronic Sinusitis: Symptoms, Diagnosis, and Treatment
Nasal issues Hi, my nasal symptoms have been bothering me for a long time. When it gets severe, I experience headaches, difficulty breathing, and trouble sleeping. I often wake up suddenly in the middle of the night or get up every hour. My nasal mucus doesn't flow out; inst...
Dr. Li Jiaxuan Reply:
It is advisable to actively suspect sinusitis or rhinitis and recommend going to the hospital for a sinus CT scan and nasal mucus bacterial culture. After that, reassess whether surgery can resolve the sinusitis. Treatment may take a longer time, so some patience may be required....[Read More] Understanding Chronic Sinusitis: Symptoms, Diagnosis, and Treatment
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 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 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 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 Ear Congestion: Is It Related to Allergies or Anxiety?
The tinnitus feels a bit muffled? Hello, doctor. A few days ago, I visited an ENT specialist and underwent hearing tests and a nasal endoscopy, both of which were normal. I have allergic rhinitis and have been taking medication, but my right ear still feels a bit clogged. Could t...
Dr. Zheng Jueyi Reply:
Hello, if both the hearing test and nasal endoscopy are normal, but you have allergic rhinitis and experience a feeling of fullness in the ears, it may be related to Eustachian tube dysfunction. You can start by taking medication to manage your nasal symptoms and continue to moni...[Read More] Understanding Ear Congestion: Is It Related to Allergies or Anxiety?
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
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
Consequences of Nose Picking: Understanding Nasal Issues and Risks
Consequences of Nose Picking Hello Doctor, I have been experiencing some unusual symptoms with my nose lately. Whenever I pick my nose, clear nasal discharge flows out, and it becomes more painful when exposed to cold air. I would like to know if this is due to my habit of pickin...
Dr. Zheng Jueyi Reply:
Hello: Picking your nose can lead to a runny nose and a stinging sensation when exposed to cold air, which may primarily be related to allergies. It is not necessarily directly related to nose picking, but it is still not recommended to frequently pick your nose to avoid the risk...[Read More] Consequences of Nose Picking: Understanding Nasal Issues and Risks
Understanding Sinusitis: When to Stop Medication and Seek Help
Sinusitis issues? Hello, doctor. I have been taking medication for acute sinusitis for nearly three weeks. Yesterday, the doctor examined me with an endoscope and said that there is no longer any yellow mucus, only clear mucus remaining. He mentioned that if I am not experiencing...
Dr. Zheng Jueyi Reply:
Hello: If the nasal mucus turns white, it generally indicates that a bacterial infection has improved. If there are no significant symptoms, you may observe the situation. However, if you continue to experience allergic rhinitis symptoms such as runny nose and sneezing, you shoul...[Read More] Understanding Sinusitis: When to Stop Medication and Seek Help
Understanding Nasal Congestion: Causes, Treatments, and Solutions
Nasal allergy issues? Hello Doctor, I have been troubled by nasal congestion for over ten years. I don't have much nasal discharge or frequent sneezing, but the congestion is unbearable. During the day, aside from when I have a cold, my nose is generally clear, though someti...
Dr. Zheng Jueyi Reply:
Hello, 1. Based on the symptoms, the primary issue is nasal congestion, with no significant sneezing or nasal discharge, which may not necessarily indicate allergic rhinitis. A medical examination is required for proper diagnosis. 2. It may be necessary to check for issues suc...[Read More] Understanding Nasal Congestion: Causes, Treatments, and Solutions
Insurance Coverage for Radiofrequency Turbinate Surgery: What You Need to Know
Could you please clarify the insurance reimbursement issues related to nasal congestion surgery? Hello Doctor: Due to allergic rhinitis, I have been experiencing chronic nasal congestion. Recently, after an examination at the otolaryngology department, the doctor recommended a &q...
Dr. Zheng Jueyi Reply:
Hello, regarding questions related to the diagnosis report, it is recommended to discuss them directly with the surgeon. Wishing you health and safety! Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welf...[Read More] Insurance Coverage for Radiofrequency Turbinate Surgery: What You Need to Know
Understanding Post-Nasal Drip: Causes, Symptoms, and Treatment Options
Post-nasal drip Hello, doctor... I have a history of nasal allergies. About a month and a half ago, I caught a cold and woke up with thick white nasal discharge and a bit of yellow discharge. I visited a clinic, and the doctor diagnosed me with sinusitis and post-nasal drip. Afte...
Dr. Zheng Jueyi Reply:
Hello, if the main symptoms are white nasal discharge and post-nasal drip, it may be primarily related to allergic rhinitis. If these symptoms continue to affect your daily life, you may need to take oral antihistamines or add a nasal spray for treatment. It is advisable to visit...[Read More] Understanding Post-Nasal Drip: Causes, Symptoms, and Treatment Options
Why Does Allergic Rhinitis Stop Sneezing During Sleep?
Nasal allergies Both my brother and I suffer from allergic rhinitis, and it's very uncomfortable to try to sleep after an episode. One day, I noticed that after my brother fell asleep following an allergic reaction, he stopped sneezing. This led me to a question. I would lik...
Dr. Zheng Jueyi Reply:
Hello, it is possible that all neural reflexes are in a less reactive state after falling asleep. However, if you wake up in the middle of the night and the neural reflexes return, exposure to allergens can trigger an allergic reaction. Wishing you peace and health. Sincerely, Dr...[Read More] Why Does Allergic Rhinitis Stop Sneezing During Sleep?
Managing Eustachian Tube Dysfunction: Steroid Use and Side Effects
Eustachian tube dysfunction treated with corticosteroids? Dear Director Zheng, I experienced symptoms of Eustachian tube dysfunction in my left ear suddenly in January of this year. Although my hearing is normal, every time I drink water or swallow, I hear a "pop, pop"...
Dr. Zheng Jueyi Reply:
Hello, if eustachian tube dysfunction is caused by nasal allergies, long-term oral steroids are not recommended. It is advisable to switch to intranasal steroid sprays for management, as nasal sprays can be used long-term and help avoid gastrointestinal discomfort, osteoporosis, ...[Read More] Managing Eustachian Tube Dysfunction: Steroid Use and Side Effects
Understanding Throat Sensitivity: Causes and When to Seek Help
Throat is prone to injury? In recent years, I have noticed that my throat is not as resilient as it used to be. I easily injure it from drinking hot soup, consuming spicy foods, or drinking alcohol, and the next day I experience throat pain and yellow phlegm, which lasts for seve...
Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic for an endoscopic examination. Given your age, significant hormonal fluctuations in recent years (such as during pregnancy) may have caused thinning of the mucosa, leading to the aforementioned symptoms. However, under condition...[Read More] Understanding Throat Sensitivity: Causes and When to Seek Help