Understanding EBV IgA Levels and Nasopharyngeal Cancer Screening
Challenges related to nasopharyngeal carcinoma testing? Hello, doctor. I recently received the results of my company's health check, and the EBV IgA value is 0.87, which is above the normal range of 0 to 0.8. After researching online, I found that this is an indicator for na...
Dr. Zheng Jueyi Reply:
Hello: The elevated values for nasopharyngeal carcinoma suggest that you should visit an otolaryngologist for an endoscopic examination to determine if there are any abnormalities in the nasopharynx and whether further biopsy is necessary. Wishing you safety and health. Sincerely...[Read More] Understanding EBV IgA Levels and Nasopharyngeal Cancer Screening
Severe Sore Throat and Painful Swallowing: Causes and Remedies
Sore throat with difficulty swallowing? Yesterday, my throat felt fine, but after drinking a bottle of 20% lemon juice, my throat started to feel a bit strange. I didn't think much of it, but this morning when I woke up, I had severe throat pain. Eating, drinking, talking, a...
Dr. Ji Zhaoyun Reply:
Hello Ms. Jiang, the situation you described may be due to excessive stimulation leading to pharyngeal edema. It is advisable to seek medical attention for a possible laryngoscopy and medication treatment. If you experience difficulty breathing, please seek medical help immediate...[Read More] Severe Sore Throat and Painful Swallowing: Causes and Remedies
Understanding Tongue Bumps: Left Side Swelling Concerns
There is a protrusion on the lower left side of the tongue, but not on the right side? Hello Doctor: Originally, there was a sore on the lower left protrusion of my tongue, which healed after applying medication for a few days. However, I have noticed that the protruding area, as...
Dr. Zheng Jueyi Reply:
Hello, if the swelling persists without improvement, it may be related to issues with the minor salivary glands or the submandibular gland. It is advisable to seek medical evaluation. Wishing you health and happiness! Best regards, Dr. Cheng Jue-Yi, Director of the Department of ...[Read More] Understanding Tongue Bumps: Left Side Swelling Concerns
Understanding Painful Red Bumps Under Your Tongue: ENT Insights
Lumps under the tongue? I have small bumps under my tongue, but one of them is red and painful. I accidentally scraped it with my teeth. What should I do?
Dr. Zheng Jueyi Reply:
Hello: Usually, this is indicative of inflammation of the minor salivary glands. If discomfort persists, it is advisable to seek medical evaluation and pharmacological treatment. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngolo...[Read More] Understanding Painful Red Bumps Under Your Tongue: ENT Insights
Understanding Salivary Gland Obstruction: Symptoms, Causes, and Treatment
Salivary gland obstruction Five days ago, I was eating an egg pancake with a bamboo fork, and when I swallowed the last bite, I suddenly felt a sharp pain in my mouth. It also hurts when I swallow saliva, and my right jaw has swollen. I went to a clinic, and the doctor told me I ...
Dr. Li Jiaxuan Reply:
The white spots may be due to the shedding of small salivary gland stones, which could cause some minor injury and pain. If the salivary gland continues to swell, it is likely that there is inflammation. It is recommended to drink plenty of water and enhance oral hygiene. Wishing...[Read More] Understanding Salivary Gland Obstruction: Symptoms, Causes, and Treatment
Understanding Throat Discomfort: Causes and When to Seek Help
There is something in the throat that shifts? Hello, doctor. I would like to ask about a throat issue. Sometimes after clearing my throat, I experience an inexplicable pain when swallowing saliva, and I feel like something is displaced in my throat. When I press with my thumb, I ...
Dr. Zheng Jueyi Reply:
Hello: If you continue to feel unwell, it is advisable to seek medical examination for diagnosis. Wishing you safety and health. Sincerely, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Throat Discomfort: Causes and When to Seek Help
Understanding Tongue Cracks and Bumps: When to See an ENT Specialist
Cracks on the tongue? Hello... I would like to ask about a small bump on my tongue and cracks on my tongue. What could this indicate about my health? Should I see an ENT specialist?
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is possible that you are experiencing 1) a viral infection, 2) a minor salivary gland cyst, or 3) inflammatory granulation tissue. There may be an infection or it could be due to trauma from biting. It is advisable to consult an otolaryngologi...[Read More] Understanding Tongue Cracks and Bumps: When to See an ENT Specialist
Throat Discomfort: What Tests Should You Consider for Relief?
If you have a sensation of something stuck in your throat and are concerned, you should consider undergoing a thorough evaluation. Recommended examinations may include: 1. **Laryngoscopy**: A procedure that allows a doctor to examine the throat and vocal cords using a thin, flex...
Dr. Ji Zhaoyun Reply:
Hello, if you have undergone an endoscopic examination and ruled out the presence of any masses, it is possible that you are experiencing chronic pharyngitis. In addition to medication, daily lifestyle recommendations include: avoid lying down for two hours after eating, and refr...[Read More] Throat Discomfort: What Tests Should You Consider for Relief?
Understanding a Small Black Spot on Your Tongue: Causes and Concerns
There is a black spot measuring 0.1 cm on the tongue? After dinner, I felt something unusual on my tongue and discovered a small black bump measuring 0.1 cm. Initially, there was no pain, but by the next morning, I started to experience a slight pain similar to a sore spot. Howev...
Dr. Ji Zhaoyun Reply:
Hello YJ, based on your description, it could be a bleeding point, an ulcer, or a rupture of a minor salivary gland. Most lesions typically heal within two weeks after treatment. If symptoms persist beyond two weeks, further examination at a hospital is necessary. Wishing you pea...[Read More] Understanding a Small Black Spot on Your Tongue: Causes and Concerns
Understanding Persistent Swelling in the Submandibular Gland: Causes and Concerns
Lymphadenopathy Hello! For the past year, I have had a lump in my submandibular gland that often becomes inflamed and swollen. I had a CT scan at Chung Shan Medical University in February, which indicated no tumors. They advised me to return if there were any issues, but over the...
Dr. Ji Zhaoyun Reply:
Hello, Ms. Hsin. Based on your description, it is most likely that you are experiencing cervical lymphadenopathy or swelling of the submandibular salivary gland. If a CT scan has already been performed and confirmed that there are no stones, tumors, or suspicious lymph nodes, it ...[Read More] Understanding Persistent Swelling in the Submandibular Gland: Causes and Concerns
Understanding Bumps Under the Tongue: Causes and Concerns
Under the tongue I want to ask about the small bumps under my tongue that have been there for almost six months. What could they be? If I have received the cervical cancer vaccine, does that mean I won't get genital warts? Thank you.
Dr. Ji Zhaoyun Reply:
Hello, based on your description and the resolution of the images, the most likely conditions are 1) a small salivary gland cyst; 2) lymphadenopathy, among others. It is advised not to continuously bite or poke it (as constant irritation may cause it to grow larger or even become...[Read More] Understanding Bumps Under the Tongue: Causes and Concerns
Understanding Chronic Throat Discomfort: Causes and Recovery Time
Sore throat? Hello, I have been experiencing discomfort in my throat for almost two months. When I swallow saliva or food, I feel a scraping or clicking sensation. I had a CT scan, and the doctor informed me that there are no issues and that the structures are all okay. I was pre...
Dr. Zheng Jueyi Reply:
Hello, if there are no structural issues, the most common condition is still chronic pharyngitis. It is recommended to avoid foods that can trigger acid reflux, such as coffee, tea, and desserts, as well as to refrain from smoking and drinking alcohol. Improvement may take severa...[Read More] Understanding Chronic Throat Discomfort: Causes and Recovery Time
Understanding Oral Health Issues: From Dentures to Viral Infections
Oral examination Hello, Doctor. Last week, I went to the dentist because my dentures were too loose and needed adjustment. However, the dentist adjusted them too tightly, and I couldn't put them on. The doctor helped me put them on several times and told me to remove them my...
Dr. Ji Zhaoyun Reply:
Hello: After treatment, oral mucosal lesions typically heal within two weeks. If the lesions persist beyond two weeks, or if you notice ulcers or white patches along with fibrosis, it is advisable to consult an otolaryngologist to evaluate whether a biopsy is necessary for safety...[Read More] Understanding Oral Health Issues: From Dentures to Viral Infections
Understanding Lymph Node Issues During Pregnancy: What You Need to Know
Lymph node issues? I am currently over three months pregnant. For the past 3-4 days, I have noticed a round lump on the left side of my jaw extending to my neck. Sometimes it appears larger and sometimes smaller, but it is visible when I lift my neck, and I can clearly see that t...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is most likely an infection of the left submandibular salivary gland, which can be caused by either a viral or bacterial infection. If it is a viral infection, it is indeed sufficient to stay hydrated and rest without medication. However, if i...[Read More] Understanding Lymph Node Issues During Pregnancy: What You Need to Know
Throat Inflammation: Why Does My Throat Make Noise When Swallowing?
Inflammation of the throat causes a clicking sound in the mouth when swallowing saliva? Since I caught a cold the day before yesterday, today my mom gave me a bottle of cola. After drinking it, I noticed a sound when I swallow saliva. Is this normal? How long will it take to reco...
Dr. Zheng Jueyi Reply:
Hello: It will gradually improve within a week. Wishing you peace and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Throat Inflammation: Why Does My Throat Make Noise When Swallowing?
Red Bumps in Throat: Understanding ENT Symptoms After a Cold
Red and swollen throat? Today, while looking in the mirror, I noticed some red protrusions in my throat, about three or four of them. The people around me do not have this symptom, and there is no pain or urge to cough, nor is my voice hoarse. However, I feel like there is phlegm...
Dr. Zheng Jueyi Reply:
Hello: The lymphoid tissue commonly found on the posterior wall of the throat is mostly benign and can usually be monitored. However, if there is pain or if it continues to enlarge, a medical examination is necessary. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Dir...[Read More] Red Bumps in Throat: Understanding ENT Symptoms After a Cold
Understanding Recurring Throat Pain: Causes and Solutions
Throat issues Hello Doctor: I previously had a sore throat for six to seven days, which resolved on its own. Then it suddenly hurt again for two to three days and got better by itself. Now it has started hurting again, and it is very painful to swallow saliva. Why does it hurt su...
Dr. Zheng Jueyi Reply:
Hello: Recurrent infections are often related to an immune system that has not fully recovered or chronic inflammation caused by other persistent stimuli. If you experience frequent recurrences, it is advisable to continue seeking medical evaluation. Wishing you safety and health...[Read More] Understanding Recurring Throat Pain: Causes and Solutions
Understanding Ear Congestion and the Benefits of Hearing Tests
Auditory impairment I have two questions to ask: (1) My left ear sometimes experiences a slight decrease in hearing, but there is no tinnitus. Additionally, when I swallow, I sometimes hear two or three 'popping' sounds in my left ear. What could be the reason for this?...
Dr. Zheng Jueyi Reply:
Hello: 1. The sound when swallowing saliva is related to the Eustachian tube and is usually a normal phenomenon. 2. Hearing tests can determine whether hearing is normal across different frequencies, whether the auditory nerve reflex is functioning properly, and whether there is ...[Read More] Understanding Ear Congestion and the Benefits of Hearing Tests
Understanding Tinnitus: Is Eustachian Tube Dysfunction the Cause?
Tinnitus issues and Eustachian tube dysfunction? Hello Doctor: For the past two months, I have been experiencing tinnitus, initially presenting as high-frequency ringing accompanied by occasional ear fullness and worsening tinnitus (also high-frequency but not as intense). After ...
Dr. Zheng Jueyi Reply:
Hello, it is likely primarily an issue with the Eustachian tube. Currently, there are no effective pharmacological treatments. It is recommended to manage nasal allergies and gastroesophageal reflux properly, and to continue using nasal sprays. The function of the Eustachian tube...[Read More] Understanding Tinnitus: Is Eustachian Tube Dysfunction the Cause?
Understanding Eustachian Tube Dysfunction and Tinnitus Symptoms
Eustachian tube and tinnitus issues? Hello doctor, my tinnitus has been diagnosed as a problem with Eustachian tube dysfunction. However, I have another question: when I swallow, I hear a popping sound in both ears, and the sound gets louder with each swallow. Is this related to ...
Dr. Zheng Jueyi Reply:
Hello: The sound in the ear when swallowing saliva is likely related to dysfunction of the Eustachian tube. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Eustachian Tube Dysfunction and Tinnitus Symptoms