Understanding Morning Yellow Nasal Discharge: Causes and Treatments
Yellow nasal mucus? Hello, during the New Year period, I noticed that in the morning I have yellow nasal discharge that is thick and somewhat accompanied by post-nasal drip. This occurs only once in the morning, and during the day, I usually do not have any symptoms. This has bee...
Dr. Zheng Jueyi Reply:
Dear Chen, Hello. If you only notice yellow nasal discharge in the morning upon waking and do not experience it for the rest of the day, it may indicate that your sinusitis has improved or it could be a normal phenomenon. This is because after a whole night without drinking wate...[Read More] Understanding Morning Yellow Nasal Discharge: Causes and Treatments
Understanding Nosebleeds and Sinus Issues: Common ENT Concerns
Regarding nasal issues? Hello Dr. Zheng, I would like to ask you a few questions. 1. Occasionally, when I brush my teeth in the morning, I suddenly experience a nosebleed from the left side. Could this be due to brushing too hard? 2. I have a history of allergic rhinitis and p...
Dr. Zheng Jueyi Reply:
Hello, the most common cause of nosebleeds is the rupture of microvessels in the anterior nasal vestibule. If you have allergic rhinitis, frequent nose blowing may lead to bleeding. As for a deviated septum, it primarily causes nasal congestion and is not necessarily directly rel...[Read More] Understanding Nosebleeds and Sinus Issues: Common ENT Concerns
Understanding Blood-Streaked Nasal Mucus: Causes and Concerns
Blood in nasal mucus Hello Dr. Zheng, I have been experiencing nasal discharge with blood streaks for a month. The first occurrence, about two weeks ago, seemed to be from the anterior nasal vestibule, and I could wipe it away with tissue. Last week, it appeared to be from the na...
Dr. Zheng Jueyi Reply:
Hello: Allergic rhinitis can still cause blood-tinged nasal discharge due to microvascular rupture. As for nasopharyngeal carcinoma, the primary method of diagnosis involves endoscopic evaluation followed by biopsy of any suspicious areas. Blood tests can only reference EBV-IgA, ...[Read More] Understanding Blood-Streaked Nasal Mucus: Causes and Concerns
Managing OSA and Non-Allergic Rhinitis: Treatment Options and Considerations
Obstructive Sleep Apnea (OSA) and Rhinitis Issues Hello, doctor. Recently, I have been experiencing significant stress due to work, leading to anxiety and worry. After a period of consultation with a physician, it was determined that my issues may primarily stem from Obstructive ...
Dr. Zheng Jueyi Reply:
Dear Mr. S, Regarding the symptoms of snoring, it is advisable to wait for the results of the polysomnography (PSG) and have an evaluation by an otolaryngologist before deciding whether surgery is necessary, and if so, which type of surgery would be most appropriate. As for alle...[Read More] Managing OSA and Non-Allergic Rhinitis: Treatment Options and Considerations
Understanding Persistent Throat Irritation After Bronchitis and Sinusitis
Itchy throat? Hello Dr. Cheng, I would like to ask about my condition. At the beginning of September, I had a cough that lasted for three weeks without improvement, so I went to a large hospital for a consultation. The doctor diagnosed me with sinusitis and bronchitis. The doctor...
Dr. Zheng Jueyi Reply:
Dear Mr. Chen, Hello, it is possible that the symptoms of bronchial hyperreactivity are triggered by an infection. Additionally, if you have allergic rhinitis, it can increase sensitivity. I recommend drinking plenty of warm water and keeping warm. However, if the cough persists...[Read More] Understanding Persistent Throat Irritation After Bronchitis and Sinusitis
Understanding Nighttime Nasal Congestion: Causes and Solutions
Nasal congestion during sleep? Hello, doctor. During the day, I rarely experience nasal congestion, and I do not have sneezing or runny nose. However, at night, I do get congested, and I usually don't wake up during the night; I only notice the congestion when I wake up in t...
Dr. Zheng Jueyi Reply:
Dear Mr. Huang, Based on your described symptoms, the most likely conditions are a deviated septum and hypertrophic rhinitis. If the symptoms occur only occasionally in the morning and do not significantly disrupt your daily life, it is sufficient to monitor the situation or use...[Read More] Understanding Nighttime Nasal Congestion: Causes and Solutions
Recurring Ear Congestion: Causes, Symptoms, and Treatment Options
Could you please clarify the recurrent sensation of ear fullness? Hello Doctor: I previously asked you about experiencing recurrent ear fullness in my right ear. There are times when it feels normal, but then it starts to feel full again, often accompanied by symptoms such as a h...
Dr. Zheng Jueyi Reply:
Hi Hedy: If all examinations have been conducted, the most common condition may still be Eustachian tube dysfunction. If there is allergic rhinitis, it should be well managed, and the chances of catching a cold should be minimized. Chewing gum can help exercise the muscles around...[Read More] Recurring Ear Congestion: Causes, Symptoms, and Treatment Options
Understanding Tinnitus: Causes, Effects, and Management Strategies
Tinnitus issues? Doctor, I have been experiencing tinnitus in my left ear for nearly five months. There is no dizziness or headache, and the sound is similar to the EEEE sound produced by a CRT television. My hearing tests, tympanometry, and brainstem auditory evoked potentials h...
Dr. Zheng Jueyi Reply:
Dear Xiao Ying, Hello, the sound of tinnitus does not have a masking effect that covers up sounds that can normally be heard. However, it can be masked or attention can be diverted from it by playing music or the sound of the television. If most of the examinations are normal, i...[Read More] Understanding Tinnitus: Causes, Effects, and Management Strategies
Understanding Eustachian Tube Dysfunction: A Patient's Journey
Regarding issues related to Eustachian tube dysfunction? Hello Doctor, I had poor health as a child and did not receive proper treatment, which led to chronic sinusitis lasting for eight years. Three months before my military service, my Eustachian tube seemed to have become inf...
Dr. Zheng Jueyi Reply:
Dear Student Li, 1. The Eustachian tube is a muscular structure that must open when necessary and close when appropriate. Currently, medications primarily target inflammation in the surrounding tissues to alleviate symptoms related to the Eustachian tube. Surgical options can ei...[Read More] Understanding Eustachian Tube Dysfunction: A Patient's Journey
Understanding Left Ear Tingling: Causes and Connections to Allergies
Numbness in the left ear? I have allergy symptoms and often sneeze. Recently, I've started to feel post-nasal drip and have a constant urge to clear my throat! I'm not sure if it's related, but my left ear occasionally feels full and tingly, and I keep wanting to p...
Dr. Zheng Jueyi Reply:
Hello Momo: The primary cause may still be allergic rhinitis, which leads to frequent sneezing and postnasal drip. The postnasal drip could be due to inflammation near the opening of the Eustachian tube, which may cause swelling or a feeling of fullness in the ear. It is recommen...[Read More] Understanding Left Ear Tingling: Causes and Connections to Allergies
Does Allergic Rhinitis Affect Breathing Efficiency During Exercise?
Does allergic rhinitis affect respiratory efficiency? Doctor, I have a question: I have a history of allergic rhinitis and also struggle with obesity. My doctor suggested that exercising could help reduce the symptoms of sleep apnea and snoring. However, during exercise, I often ...
Dr. Zheng Jueyi Reply:
Hello: It is indeed possible that this is an issue related to allergic rhinitis. I recommend seeking medical attention to check if there are any additional problems besides allergic rhinitis. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department o...[Read More] Does Allergic Rhinitis Affect Breathing Efficiency During Exercise?
Understanding Sinusitis: Symptoms, Treatments, and When to Seek Help
Sinusitis? Hello Doctor: I have a history of nasal allergies, and I tend to have a runny nose when exposed to cold air. However, for the past year, I have been experiencing yellow-green nasal discharge daily (is this pus?). Sometimes, I notice a foul smell. I often clear my nose,...
Dr. Zheng Jueyi Reply:
Hi Xiaoyi: Hello, in general, the nasal discharge from allergic rhinitis is mostly clear and white. If you continue to have yellow nasal discharge, nasal congestion, or experience a foul smell, it is indeed possible that you have contracted sinusitis. It is advisable to seek medi...[Read More] Understanding Sinusitis: Symptoms, Treatments, and When to Seek Help
Persistent Nasal Discharge in Children: Causes and Treatment Options
Persistent nasal discharge? Hello, my daughter is in the fourth grade this year and has been suffering from nasal allergies for a long time. However, medication has not been effective, and she has a runny nose every day, sometimes thick and sometimes thin, and occasionally has a ...
Dr. Zheng Jueyi Reply:
Dear Xiao Mei, Hello. If your allergic rhinitis problem persists without improvement, it is advisable to seek medical evaluation to determine if it has progressed to chronic sinusitis. If it is merely a case of nasal allergies, it is recommended to continue long-term medication ...[Read More] Persistent Nasal Discharge in Children: Causes and Treatment Options
Why Lying Down Relieves Nasal Congestion: Insights on Allergic Rhinitis
Lying down helps reduce nasal congestion? Hello, doctor. I have had allergic rhinitis for many years, and I have a question that has remained unanswered: when I lie down to sleep, my nose tends to be more congested, but when I sit up, it becomes blocked. This situation seems to c...
Dr. Zheng Jueyi Reply:
Hello: Most people experience nasal congestion more easily when lying down due to engorgement of the nasal turbinates. Similarly, when sleeping on one side, the lower nostril is more prone to congestion for the same reason. If you continue to suffer from nasal congestion due to a...[Read More] Why Lying Down Relieves Nasal Congestion: Insights on Allergic Rhinitis
Managing Allergic Rhinitis: Alternatives to Long-term Medication Use
Allergic rhinitis Is it necessary to take medication for the whole body, or are there other methods to manage chronic conditions without relying on prescriptions? I am concerned that taking medication may lead to adverse effects on my body, such as negatively impacting kidney fun...
Dr. Zheng Jueyi Reply:
Hello: It is unclear which chronic diseases require medication and whether lifelong medication is necessary. This is related to specific chronic conditions. As for concerns about side effects, you should discuss them with the prescribing physician, who should be able to provide c...[Read More] Managing Allergic Rhinitis: Alternatives to Long-term Medication Use
Understanding Throat Irritation and Coughing: Allergies or GERD?
The throat is constantly itchy and there is a dry cough, sometimes leading to choking? Hello Doctor: Recently, I often wake up with nasal congestion, and my nose feels uncomfortable, as if mucus is draining down, making me want to swallow frequently. My throat often feels itchy, ...
Dr. Zheng Jueyi Reply:
Hi Allen, I recommend that you seek medical evaluation to determine if you have allergic rhinitis, which could explain your frequent symptoms of nasal congestion, post-nasal drip, nasal itching, or sneezing. If you also experience gastroesophageal reflux, it can indeed lead to c...[Read More] Understanding Throat Irritation and Coughing: Allergies or GERD?
Managing Nasal Allergies: Alternatives to Frequent Doctor Visits
Nasal allergies Is it necessary to continue relying on nasal sprays and saline drops to keep the nasal passages clear even after treatment? In other words, does this mean that regular follow-up visits for treatment are required, and that I must frequently use nasal sprays and sal...
Dr. Zheng Jueyi Reply:
Dear Z: If you have persistent nasal congestion, it is important to identify the underlying cause, such as allergic rhinitis, chronic rhinitis, or sinusitis, which may require long-term management with nasal sprays. However, if the issue is structural, such as a deviated septum o...[Read More] Managing Nasal Allergies: Alternatives to Frequent Doctor Visits
Understanding Ear Congestion After Nasal Surgery: Causes and Concerns
Ear congestion Hello Dr. Cheng, I have been working in Bangkok for a long time. Due to nasal congestion, I returned to Taiwan at the end of January for "inferior turbinate reduction" and "septoplasty." My nasal breathing has been quite smooth since the surger...
Dr. Zheng Jueyi Reply:
Dear David, 1. It is generally rare for this surgery to cause dysfunction of the Eustachian tube. 2. The inferior turbinate is mostly partially resected, and the filtering function of the nose is usually not significantly affected. However, if allergic rhinitis symptoms are seve...[Read More] Understanding Ear Congestion After Nasal Surgery: Causes and Concerns
Understanding Persistent Nasal Symptoms: Allergies and Treatment Options
Runny nose, sneezing, and allergy issues? Hello Dr. Zheng, My wife has always been healthy and rarely had any major issues, even catching colds infrequently. However, in recent years, she has suddenly started experiencing frequent runny noses, using dozens of tissues in a single...
Dr. Zheng Jueyi Reply:
Dear Lao Yue: It is recommended to seek medical examination to determine if it is allergic rhinitis or chronic rhinitis. Most cases can be treated with oral antihistamines or nasal sprays, and symptoms such as runny nose and sneezing should see significant improvement. Wishing yo...[Read More] Understanding Persistent Nasal Symptoms: Allergies and Treatment Options
Pulsatile Tinnitus and Nasal Congestion: Understanding the Connection
Pulsatile tinnitus and nasal congestion? Hello, Doctor! Last winter, I noticed that I sometimes hear a heartbeat sound in my left ear, but it only occurs when I lie on my left side while sleeping. It disappears when I lie on my back for a while or on my right side. It does not oc...
Dr. Zheng Jueyi Reply:
Dear Zhao Xin, Hello. Hearing a heartbeat in your ear while lying on your left side may be related to vascular issues. It is possible that the veins or arteries in the middle ear are positioned more superficially, causing pulsatile tinnitus due to changes in body posture. If a s...[Read More] Pulsatile Tinnitus and Nasal Congestion: Understanding the Connection