Saliva, Otolaryngology FAQ - Page 26

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Understanding Lingual Frenulum Nodules: When to Seek Medical Advice

Lingual frenulum nodules According to the image, I have several small bumps next to my frenulum that have been present for about a year and a half. They have not changed in size or disappeared. There are also elongated granulation tissues on both sides of the frenulum, which have...


Dr. Zheng Jueyi Reply:
Hello: Generally, if it is a wart, it should increase in size or number. There are many small salivary glands in that area. If you are concerned, you can visit the ENT department or the Infectious Disease department at a hospital. Wishing you peace and good health. Director of th...

[Read More] Understanding Lingual Frenulum Nodules: When to Seek Medical Advice


Understanding Throat Discomfort: Possible Causes and Next Steps

There is a foreign body sensation in the throat that feels like peeling skin? Hello, doctor. Due to occupational factors, I have been speaking for long periods, and it seems that I have developed calluses in my throat over the years. Speaking too much, staying up late, and eating...


Dr. Zheng Jueyi Reply:
Hello, the presence of nodules on the vocal cords typically manifests as hoarseness. If the symptoms do not improve or if there is persistent pain, it is advisable to visit an otolaryngology clinic or the otolaryngology department of a hospital for an endoscopic examination. Wish...

[Read More] Understanding Throat Discomfort: Possible Causes and Next Steps


Understanding Enlarged Lymph Nodes Behind the Ears: Causes and Concerns

Bilateral lymphadenopathy behind the ears? Hello Dr. Zheng, Due to work-related stress, I often smoke. About a month ago, I noticed swollen lymph nodes on both sides of my jaw. I did not have any cold symptoms or fever. An ENT specialist assessed that it was nothing serious and...


Dr. Zheng Jueyi Reply:
Hello, the most common conditions at that location are still salivary gland infections or lymphadenitis. If it continues to enlarge, since there is a previous medical history at National Taiwan University Hospital, you can return to consult the original physician for follow-up to...

[Read More] Understanding Enlarged Lymph Nodes Behind the Ears: Causes and Concerns


Understanding Hard Lumps Behind the Ear: Causes and When to Seek Help

Postauricular mass About a year or two ago, I noticed a hard lump behind my left ear. It feels at least 1 to 2 centimeters in size, is hard to the touch, and does not move much. Sometimes, when I am more tired, I experience a slight throbbing pain. What could this be? Do I need t...


Dr. Zheng Jueyi Reply:
Hello: The location may possibly be a subcutaneous cyst, a salivary gland tumor, or a lymph node. If the size exceeds one centimeter, it is recommended to seek medical examination. Wishing you peace and health. Director of the Department of Otolaryngology, Taoyuan General Hospita...

[Read More] Understanding Hard Lumps Behind the Ear: Causes and When to Seek Help


Understanding Rough Patches in the Mouth: Causes and Concerns

The inside of the mouth feels rough? There is a small rough patch in my mouth that feels different from the smooth areas when I lick it with my tongue. What could this be? I have a regular smoking habit.


Dr. Zheng Jueyi Reply:
Hello: It could possibly be leukoplakia or another type of minor salivary gland tumor in the oral cavity. If you are experiencing discomfort, it is advisable to seek medical evaluation. Wishing you safety and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of...

[Read More] Understanding Rough Patches in the Mouth: Causes and Concerns


Understanding Clear Phlegm: Causes and Solutions for Your Symptoms

The issue of clear phlegm? Hello doctor, I would like to ask about having a lot of phlegm for the past three months. It's clear and I have to spit it out multiple times a day, around twenty times, to feel comfortable. My throat feels very dry and I have a constant urge to dr...


Dr. Zheng Jueyi Reply:
Hello: Clear mucus is often not indicative of a significant infection. It is recommended to swallow the secretions by drinking water, rather than continuously spitting out saliva and mucus, as this may lead to throat dryness and discomfort. If symptoms persist without improvement...

[Read More] Understanding Clear Phlegm: Causes and Solutions for Your Symptoms


Understanding the Mechanism of Swallowing Saliva: A Medical Insight

Swallowing saliva Dear Doctor, What is the mechanism of normal saliva swallowing? Is it initiated by conscious control from the brain, or can it occur automatically without conscious awareness? One day, I suddenly became aware of this process and started to focus on how saliva i...


Dr. Zheng Jueyi Reply:
Hello: Swallowing saliva is generally an involuntary natural physiological phenomenon, but the act of swallowing can also be controlled voluntarily. It is advisable not to pay too much attention to it to avoid increasing self-consciousness. Wishing you peace and health. Sincerely...

[Read More] Understanding the Mechanism of Swallowing Saliva: A Medical Insight


Dealing with a Fish Bone Stuck in the Throat: When to Seek Help

Fishbone stuck in the throat? Hello Doctor, yesterday I got a fishbone stuck in my throat and immediately went to see an ENT specialist. While waiting for my appointment, I felt the fishbone moving down, and at one point, it was quite painful. However, by the time I saw the docto...


Dr. Zheng Jueyi Reply:
Hello: The most common issue is still Eustachian tube dysfunction. You can try chewing gum or drinking more water to swallow and see if it helps. If the problem persists, it is advisable to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Direc...

[Read More] Dealing with a Fish Bone Stuck in the Throat: When to Seek Help


How to Handle Choking: Tips for Relief and Recovery

What should you do if you choke? Doctor, I choked while eating. Initially, I had a cough, but now when I swallow, I feel like there is a grain of rice or food stuck in the area between my nose and throat (I'm not sure). However, I can't swallow it down even when I try t...


Dr. Zheng Jueyi Reply:
Hello: It is possible that coughing may bring stomach acid up, causing temporary inflammation and discomfort, which usually improves on its own. However, if the discomfort persists or if you have concerns, you may visit an otolaryngology clinic for an examination. Wishing you pea...

[Read More] How to Handle Choking: Tips for Relief and Recovery


Understanding Neck Swelling: When to Consult an ENT Specialist

Swelling in the neck that is not visibly apparent? I would like to ask the doctor, I have noticed swollen areas on both sides of my neck along the midline. They do not hurt when pressed firmly, and when I bend my head down, I can feel a movable lump on each side. This has been pr...


Dr. Zheng Jueyi Reply:
Hello: Regarding the unclear location you described, the areas on either side of the midline could potentially involve the thyroid gland, salivary glands, or lymph nodes. If there has been no increase in size, it is mostly indicative of a benign condition. However, if you are sti...

[Read More] Understanding Neck Swelling: When to Consult an ENT Specialist


Understanding Tongue Bumps: When to Seek ENT Consultation

The raised bumps located at the back of the tongue? Hello doctor, I would like to ask about the small raised bumps on the underside of my tongue (attached images). They are not painful, itchy, or uncomfortable. Is this normal? I have been engaging in oral sex and I'm worried...


Dr. Zheng Jueyi Reply:
Hi: At first glance, it appears to be a slightly protruding tissue of a minor salivary gland or taste bud, rather than resembling cauliflower. Further observation is recommended, and if it continues to enlarge, a medical evaluation should be sought for re-examination. Wishing you...

[Read More] Understanding Tongue Bumps: When to Seek ENT Consultation


Understanding Oral Bumps: Are They Related to HIV or HPV?

Oral lesions? Doctor, I would like to ask about small blisters that sometimes appear in the upper or deeper parts of my mouth. They are about 0.1 centimeters in size, and I only notice them when my tongue touches them. I am very scared, so I have been picking them off with my fin...


Dr. Zheng Jueyi Reply:
Hello, the most common issue is small mucoceles from minor salivary glands in the oral cavity. It is recommended to observe the situation first. If the same area continues to show up or if the swelling persists and increases in size, a medical examination is necessary. Wishing yo...

[Read More] Understanding Oral Bumps: Are They Related to HIV or HPV?


Understanding Pain and Swelling in the Lower Jaw: Lymph Node Concerns

Pain in the lower right jaw and lymphadenopathy? Hello, doctor. A few days ago, I suddenly felt pain when pressing on my right lower jaw, and it hasn't improved over the past few days. I kept feeling both sides to locate the source of the pain and found an oval-shaped swelli...


Dr. Zheng Jueyi Reply:
Hello, the location may be an inflamed lymph node or submandibular salivary gland. Generally, if the size is less than 1 centimeter, it is often a benign condition. However, if the pain persists for more than a week, it is advisable to seek medical attention for further examinati...

[Read More] Understanding Pain and Swelling in the Lower Jaw: Lymph Node Concerns


Understanding Salivary Gland Cysts: Treatment Options and Concerns

Treatment of salivary gland cysts? Hello Dr. Cheng, I visited the hospital today and was diagnosed with a salivary gland cyst. The doctor wanted to perform surgery to remove the cyst immediately, but I decided to schedule a time for the procedure later because it was too sudden. ...


Dr. Zheng Jueyi Reply:
Hello, the main goal of the surgery is to completely excise the cyst along its wall. Traditionally, using a scalpel for dissection has been very effective. Whether to use a laser can be discussed with the clinician. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Dire...

[Read More] Understanding Salivary Gland Cysts: Treatment Options and Concerns


Understanding the Sensation of a Foreign Body in the Throat

Foreign body sensation in the throat? Hello doctor, three weeks ago I noticed a sensation of something being stuck in my throat, which is not painful. Sometimes I feel this sensation, and sometimes I don't. When I do feel it, swallowing saliva makes the sensation more pronou...


Dr. Zheng Jueyi Reply:
Hello, the most common condition is still chronic pharyngitis, which is often related to post-nasal drip, gastroesophageal reflux, or other chronic irritants. It is recommended to drink plenty of water and reduce the intake of coffee, tea, desserts, or spicy foods. If symptoms pe...

[Read More] Understanding the Sensation of a Foreign Body in the Throat


Clicking Sound in Left Ear When Swallowing: Causes and Solutions

There is a popping sound in my left ear when I swallow? Hello, doctor. Recently, I have noticed a popping sound in my left ear that occurs when I swallow saliva, lasting about 0.x to 1 second. I haven't had a cold lately, but I do have a long-standing allergy that causes nas...


Dr. Zheng Jueyi Reply:
Hello, if the popping sound persists without improvement, it is recommended to seek medical attention to check for any small earwax blockage on the eardrum or any abnormalities in the Eustachian tube function. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director o...

[Read More] Clicking Sound in Left Ear When Swallowing: Causes and Solutions


Understanding Sudden Throat Pain: Causes and Remedies

Sore throat Even though I don't have a cold, my throat occasionally starts to feel sharp pain that gradually increases. Swallowing saliva also causes a slight sting, and sometimes it gets so intense that it makes me want to gag, and it can also trigger a cough. What could be...


Dr. Zheng Jueyi Reply:
Hello: The most common cause is chronic irritation, which may be related to post-nasal drip, acid reflux, smoking, or air pollution, among other factors. It is recommended to drink plenty of water. If the pain persists and does not improve, a medical examination is necessary. Wis...

[Read More] Understanding Sudden Throat Pain: Causes and Remedies


Severe Sore Throat: When to Continue Medication and Seek Help

Severe sore throat? Hello Doctor: I started feeling discomfort in my throat three days ago. After seeing a doctor, I was prescribed Diclofenac and gastrointestinal medication. After taking the medication, I did feel somewhat better for a while, but at night, I wake up with throat...


Dr. Zheng Jueyi Reply:
Hello, if you still have symptoms of a sore throat, it is recommended to finish your medication, drink plenty of water, and monitor your condition. However, if you experience a fever or if the sore throat continues to worsen, you should return for a follow-up examination. Wishing...

[Read More] Severe Sore Throat: When to Continue Medication and Seek Help


Understanding Salivary Gland Tumors: Symptoms and Management Insights

I would like to understand salivary gland tumors? Dr. Zheng, I apologize for the interruption. Below my ear, on October 18th, I noticed swelling in my gums and felt a hard lump that was painful to the touch and movable. The texture is hard, and while the gum swelling has subsided...


Dr. Zheng Jueyi Reply:
Hello, the tumor located below the right ear may be a lymph node or a salivary gland tumor. Most lymph nodes tend to decrease in size as the nearby infection improves, while salivary gland tumors are less likely to do so. However, the majority of salivary gland tumors are still b...

[Read More] Understanding Salivary Gland Tumors: Symptoms and Management Insights


Unexplained Bump Under Tongue: Causes, Symptoms, and When to See a Doctor

There is an unknown raised lesion under the tongue that appears to have white spots and is painful when pressed? Hello Doctor, about a week ago I discovered an unknown raised lesion under my tongue that is tender to the touch. 1. Location: Left posterior sublingual area 2. Size...


Dr. Zheng Jueyi Reply:
Hello, the most common issue is inflammation of the small salivary glands on the tongue or the floor of the mouth, which can result in yellow or white discharge. It is advisable to drink plenty of water and rinse your mouth. If the pain persists or worsens, or if the swelling inc...

[Read More] Unexplained Bump Under Tongue: Causes, Symptoms, and When to See a Doctor


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