Understanding Morning Throat Issues: Causes and Solutions for ENT Concerns
Hello, doctor. I would like to ask some questions? 1. The doctor would like to know that when I wake up in the morning, I clear my throat and notice some foamy mucus that has a slight reddish tint, but it is not bright red. After clearing my throat about 3 or 4 times, it goes awa...
Dr. Zheng Jueyi Reply:
Hello, 1. The presence of red discharge is often associated with microvascular rupture and bleeding. If it persists, it is advisable to consult an otolaryngologist or a pulmonologist for examination. 2. It may be related to post-nasal drip or inflammation and edema caused by an i...[Read More] Understanding Morning Throat Issues: Causes and Solutions for ENT Concerns
Managing Thick Saliva and Excessive Phlegm in Elderly Patients
Thick saliva and excessive phlegm? Hello, my father is 88 years old and has some difficulty swallowing. He has excessive and thick saliva, and he constantly spits out thick saliva throughout the day. What can be done to improve this condition? Thank you!
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause swallowing difficulties in older age. It is recommended to first seek evaluation from a neurologist and a gastroenterologist.[Read More] Managing Thick Saliva and Excessive Phlegm in Elderly Patients
Understanding Tongue Abnormalities After Oral Sex: What You Need to Know
Abnormalities of the tongue? Hello Doctor, I engaged in unprotected sexual activity (oral sex) with a male friend on December 22, during which he ejaculated in my mouth. I have recently noticed some unusual changes in my oral cavity and tongue, and I am increasingly worried. Here...
Dr. Zheng Jueyi Reply:
Hello, it initially appears to be taste buds or minor salivary gland tissue on the tongue. If the clinical ENT specialist does not observe any significant abnormalities, you may monitor it yourself or follow up regularly with an ENT or infectious disease specialist for a period o...[Read More] Understanding Tongue Abnormalities After Oral Sex: What You Need to Know
Understanding Persistent Throat Pain: Causes and Next Steps
Throat issues Hello, I would like to ask about experiencing slight pain in the middle of the right side of my throat and part of my right ear when swallowing saliva or drinking water for nearly three months. I have visited three different ENT clinics and had an endoscopy at a lar...
Dr. Zheng Jueyi Reply:
Hello, common issues may include chronic pharyngitis, neuropathic pain, or problems related to neck muscles or cervical spine. Adjusting lifestyle habits, such as reducing the intake of irritating foods, increasing water consumption, and avoiding coffee, can be beneficial. If sym...[Read More] Understanding Persistent Throat Pain: Causes and Next Steps
Understanding Oral Issues: Excess Saliva and Sweet Taste Concerns
Oral issues Hello, Dr. Hsu. For the past couple of days, I have been experiencing a persistent sweet taste in my mouth and excessive salivation. I would like to ask how to address this issue.
Dr. Li Jiaxuan Reply:
It is recommended that you visit a medical facility for an evaluation by a physician after a physical examination. Wishing you good health.[Read More] Understanding Oral Issues: Excess Saliva and Sweet Taste Concerns
Understanding Lymph Node Swelling and Nasopharyngitis Symptoms
Is there a possibility of developing nasopharyngeal carcinoma? Hello Doctor: In December, I noticed swelling of about three lymph nodes on the right side of my neck (they are palpable, with one being larger, approximately 1.5 cm, located in the upper neck). After an ultrasound, t...
Dr. Ji Zhaoyun Reply:
Hello, 1. My lymph nodes have become larger and more numerous. Is this related to fever and infection? > Based on the description, this is a very likely cause. 2. Is thick yellow phlegm or pus in the nasopharynx really rare? I researched nasopharyngitis and found it to be q...[Read More] Understanding Lymph Node Swelling and Nasopharyngitis Symptoms
Understanding Red Spots on the Soft Palate: Causes and Concerns
Upper jaw red spots I would like to ask the doctor about the red spot located at the back of the upper jaw near the uvula in the photo. I noticed it a few days ago; it is painless and does not itch, my voice is normal, and I do not feel any foreign body sensation when swallowing....
Dr. Zheng Jueyi Reply:
Hello, it is commonly found in small salivary gland tissue and initially does not appear to be related to papillomavirus infection. If you are concerned, it is recommended to visit an otolaryngologist for examination and confirmation.[Read More] Understanding Red Spots on the Soft Palate: Causes and Concerns
Understanding Throat Issues: Allergies, Mucus, and Breathing Difficulties
Throat issues I have encountered some issues over the past few months and would like to consult you, doctor: 1. I have persistent allergic rhinitis and often need to take antihistamines. 2. I frequently feel a slight accumulation of thick saliva in my throat (in the area betwe...
Dr. Zheng Jueyi Reply:
Hello, allergic rhinitis and post-nasal drip are commonly associated with chronic pharyngitis. If self-administered antihistamines are not effective, it is recommended to consult an otolaryngologist for examination and treatment.[Read More] Understanding Throat Issues: Allergies, Mucus, and Breathing Difficulties
Understanding Sensations of Fluid in the Ear: Causes and Solutions
There is a sensation of water in the right ear? Hello Doctor, two weeks ago I suddenly felt a vibrating sensation in my right ear, as I frequently had otitis media when I was younger. I thought it might be the same issue, so I went to a clinic and was prescribed antibiotics. Afte...
Dr. Zheng Jueyi Reply:
If you are unable to determine the cause and continue to feel unwell, it is recommended to visit an otolaryngologist for examination and confirmation.[Read More] Understanding Sensations of Fluid in the Ear: Causes and Solutions
Hard Lump Under Tongue: What It Could Mean and When to Seek Help
There is a hard lump under the tongue? Hello, doctor. I would like to ask about a hard lump located under my tongue, near the mandible. It is closer to the mucosal surface (it moves along with my tongue), is not painful, and does not affect my eating. I would like to know what th...
Dr. Zheng Jueyi Reply:
Hello, a common concern may be a small salivary gland lump. If you are worried, it is advisable to visit an otolaryngologist or oral surgeon for examination and confirmation.[Read More] Hard Lump Under Tongue: What It Could Mean and When to Seek Help
How to Alleviate Mucus Sensation in Throat and Nasal Cavity
Discharge Consultation Hello, doctor: I find that if I don't keep swallowing saliva, I feel nauseous. I've noticed a persistent sensation of mucus in my nasal cavity and throat. I would like to know if there is a way to eliminate this feeling of having a foreign body so...
Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy examination (to rule out any masses) and to consider medication treatment. In addition to medication, please pay attention to the following daily life tip...[Read More] How to Alleviate Mucus Sensation in Throat and Nasal Cavity
Managing Recurrence of Parotid Cancer: Can Facial Nerve Be Preserved?
Salivary gland cancer recurrence? In the case of recurrent salivary gland cancer, if one side of the face is paralyzed due to tumor compression, is it necessary to completely remove the facial nerve during surgery? Is there a possibility of a surgical approach that preserves the ...
Dr. Zheng Jueyi Reply:
Hello, if a malignant tumor invades a nerve, it may be safer to completely remove the tumor by also resecting the nerve. Preserving the nerve could result in incomplete tumor removal, increasing the risk of recurrence.[Read More] Managing Recurrence of Parotid Cancer: Can Facial Nerve Be Preserved?
Managing Salivary Gland Cancer: Preserving Facial Nerve Function
Recurrent salivary gland cancer with facial paralysis? May I ask the doctor again, have you heard of the approach where they try to preserve the nerves as much as possible during surgery and then use radiation therapy for the remaining issue? If someone truly does not want to sac...
Dr. Zheng Jueyi Reply:
Hello, you can discuss with your physician, but tumor invasion of nerves or radiation therapy may compromise nerve function. Even if the nerves are preserved, it does not guarantee that they will retain their function and may increase the risk of future recurrence. If you are con...[Read More] Managing Salivary Gland Cancer: Preserving Facial Nerve Function
Understanding Salivary Gland Stones: Recovery After Endoscopic Surgery
Salivary gland stones I underwent sialendoscopy and had a stone approximately 0.7 cm removed from my salivary gland. I would like to know how long the swelling in the salivary gland will last, or if I should return for a follow-up if it swells further.
Dr. Zheng Jueyi Reply:
Hello, it usually improves gradually within a week. If discomfort persists or swelling worsens, it is recommended to return to the original surgeon's clinic for further evaluation and treatment.[Read More] Understanding Salivary Gland Stones: Recovery After Endoscopic Surgery
Managing Mucus Sensation in the Throat: Tips for Relief
Pharyngeal mucus sensation Hello, Doctor: I have been experiencing a persistent sensation of mucus in my nasopharynx and throat, which causes discomfort and a feeling of foreign body sensation if I don't swallow saliva for just a few seconds, leading to a gag reflex. I would...
Dr. Zheng Jueyi Reply:
If discomfort persists, you may visit an otolaryngology clinic for examination and receive medication to control the amount of secretions. Alternatively, consider using saline nasal irrigation to reduce the retention of secretions in the nasopharynx or throat.[Read More] Managing Mucus Sensation in the Throat: Tips for Relief
Understanding Oral Cysts: Salivary Gland Cysts and Tonsil Polyps
Oral cyst I found something growing in my mouth. In the first image, the small lump appears somewhat translucent; could it be a salivary gland cyst? In the second image, there seems to be a polyp above the tonsil. Do I need any additional treatment? Thank you, doctor.
Dr. Li Jiaxuan Reply:
Salivary gland cysts are less likely to grow in the submandibular arch tonsils, which are irregularly shaped glands. The images cannot rule out that this area may still be part of the tonsil, and there is a risk of diagnostic error. It is recommended to visit an otolaryngology cl...[Read More] Understanding Oral Cysts: Salivary Gland Cysts and Tonsil Polyps
Persistent Sore Throat: Understanding Acute Tonsillitis Symptoms
The throat still hurts? Hello, Doctor. Since last week, I have been experiencing a sore throat and a persistent urge to cough without being able to do so. I visited an ENT specialist who diagnosed me with acute tonsillitis. That night, I only had three small packets of instant no...
Dr. Zheng Jueyi Reply:
Hello, if the symptoms of the infection persist and have not fully improved, in addition to dietary control, if you still feel unwell, it may be related to incomplete recovery of the immune system. It is advisable to seek medical evaluation and consider using medication to manage...[Read More] Persistent Sore Throat: Understanding Acute Tonsillitis Symptoms
Dealing with Food Aspiration: When to Seek Medical Attention
Choked on a grain of rice? Hello, doctor. I would like to ask about an incident that occurred on Friday during dinner. While eating rice with soup, I accidentally inhaled some rice grains while trying to sip the soup, which caused me to cough. At that moment, I didn't feel t...
Dr. Zheng Jueyi Reply:
It is not recommended to drink hot water, as it can cause further swelling of the soft tissues in the throat, leading to a more pronounced sensation of foreign body presence. If discomfort persists, it is advisable to seek medical evaluation and treatment from an otolaryngologist...[Read More] Dealing with Food Aspiration: When to Seek Medical Attention
Understanding Peritonsillar Abscess: Symptoms, Risks, and Treatment Options
Peritonsillar abscess Hello, may I ask why when I go to the hospital and tell them I can't breathe, I'm wheezing, and my heart hurts, they only give me sedatives or don't give me any medication at all and tell me to go home and manage it myself? I ended up risking ...
Dr. Zheng Jueyi Reply:
It is recommended to seek medical evaluation for confirmation. If it is a bacterial infection such as a peritonsillar abscess or tonsillitis, antibiotics may be used for a week. However, if it is not a bacterial infection, antibiotics will not have a significant effect. Bacterial...[Read More] Understanding Peritonsillar Abscess: Symptoms, Risks, and Treatment Options
Understanding Salivary Gland Inflammation: Symptoms and Treatment FAQs
Questions related to sialadenitis? Hello Doctor, I woke up the day before with sudden swelling and pain on one side of my cheek extending to my jaw. Besides a strange feeling in my throat and some colored phlegm, I have no other symptoms. After waking up, I visited an ENT special...
Dr. Zheng Jueyi Reply:
1. If symptoms worsen or if there is a fever, you may return for an earlier appointment for reevaluation by your physician. 2. Regarding the need for continued antibiotic treatment, it is recommended to complete the medication and then return for your physician's assessment ...[Read More] Understanding Salivary Gland Inflammation: Symptoms and Treatment FAQs