Occasional Blood-Streaked Phlegm: When to Seek Further Medical Evaluation?
Occasionally, there are streaks of blood in the sputum? Hello, doctor. Sometimes I notice traces of blood in my saliva or phlegm, and I feel a dryness in my throat, but I do not have a cough. Both the nasal endoscopy and chest X-ray showed no abnormalities. The only issue is nasa...
Dr. Zheng Jueyi Reply:
Hello, if both the nasal endoscopy and chest X-ray have shown no abnormalities, you can observe the situation for now. If the bleeding continues, you may discuss with your physician whether further examination is necessary. Wishing you safety and health. Sincerely, Dr. Cheng Jue-...[Read More] Occasional Blood-Streaked Phlegm: When to Seek Further Medical Evaluation?
Understanding Blood in Throat Upon Waking: Causes and Solutions
Coughing up blood upon waking up? 1. About a month ago, one night while I was sleeping, I felt something foreign in my throat. After I coughed it out, I saw it was a yellowish-green chunk that smelled very bad. Following that, I noticed blood in my saliva, but it stopped after I ...
Dr. Zheng Jueyi Reply:
Hi Xiao Gu: Chronic pharyngitis can indeed cause symptoms such as dryness in the throat, a sensation of a foreign body, and an increased feeling of mucus. However, it is generally uncommon to have blood in the sputum. If the symptoms persist, it is advisable to visit an otolary...[Read More] Understanding Blood in Throat Upon Waking: Causes and Solutions
Understanding Post-Surgery Hard Lumps After Salivary Gland Cyst Removal
Salivary gland cyst? Hello Doctor: I previously underwent surgery for the removal of a salivary gland cyst, and I have noticed a hard lump at the surgical site post-operation. I am unsure about the situation. Thank you for taking the time to respond.
Dr. Zheng Jueyi Reply:
Dear Yucc: Hello, it is normal to have lumps at the common incision sites after surgery; most of them are temporary and will gradually improve over the course of a few weeks or months. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otola...[Read More] Understanding Post-Surgery Hard Lumps After Salivary Gland Cyst Removal
Should You Get Tested for EB Virus After Close Contact with a Patient?
Can one contract the Epstein-Barr virus (EBV)? If you have been in close proximity to a nasopharyngeal carcinoma patient while eating and talking for an extended period, and you are concerned about the possibility of being exposed to the Epstein-Barr virus (EBV) through saliva, i...
Dr. Zheng Jueyi Reply:
Hello AARON: The Epstein-Barr virus (EBV) infection is not the only factor that causes nasopharyngeal carcinoma; it is the result of multiple factors combined. There is no need to worry about infection or an increased risk of cancer simply due to contact with nasopharyngeal carci...[Read More] Should You Get Tested for EB Virus After Close Contact with a Patient?
Crackling Sounds When Swallowing: Understanding Ear and Throat Issues
There is a popping sound when swallowing saliva? Hello Doctor, I would like to ask you, since I caught a cold last November, I have been experiencing a popping sound (crackling sound) in my ears when swallowing saliva. I have visited three major hospitals, and the doctors examine...
Dr. Zheng Jueyi Reply:
Hi Xiao Huang: Hello, the most common issue may be a temporary dysfunction of the Eustachian tube. If you have already been examined by a physician and no specific problems were found, you can continue to manage your allergy symptoms and observe whether there is gradual improveme...[Read More] Crackling Sounds When Swallowing: Understanding Ear and Throat Issues
Pain in the Neck When Swallowing: Possible Causes and Solutions
Pain in the neck when swallowing saliva? Hello, doctor. I have been experiencing some pain in my neck when swallowing saliva, located on the lower left side of my throat near the clavicle, which seems to be close to the thyroid area. The pain is near the surface (but it’s not ski...
Dr. Zheng Jueyi Reply:
Hello, you may want to have an examination by an otolaryngologist first. The most common issue is chronic pharyngitis, which may be caused by gastroesophageal reflux, postnasal drip, or chronic irritation from smoking. Additionally, it could be due to a neck muscle strain, possib...[Read More] Pain in the Neck When Swallowing: Possible Causes and Solutions
Understanding Oral HPV Symptoms and Treatment Options
HPV-related conditions in the oral cavity 3 **Question Date:** November 17, 2014 **Questioner:** Frustrated Male / Male / 26 Hello Doctor, I would like to ask about the symptoms of oral HPV infection and the areas where it commonly appears. At the beginning of November, I su...
Dr. Zheng Jueyi Reply:
Hello: Most surgical resections generally do not affect daily life, but the assessment should still consider the location and size. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and W...[Read More] Understanding Oral HPV Symptoms and Treatment Options
Understanding HPV Symptoms in the Oral Cavity: What You Need to Know
HPV-related conditions in the oral cavity? **Question Date:** November 16, 2014 **Questioner:** Frustrated Male / Male / 26 Hello Doctor, I would like to ask about the symptoms of oral HPV infection and which areas are most commonly affected. At the beginning of November, I ...
Dr. Zheng Jueyi Reply:
Hello: It could be an inflamed salivary gland or lymphatic tissue. If the size continues to increase, it is advisable to seek medical attention for a definitive diagnosis. Wishing you peace and health. Sincerely, Dr. Jue-Yi Cheng, Head of the Department of Otolaryngology, Taoyuan...[Read More] Understanding HPV Symptoms in the Oral Cavity: What You Need to Know
Red Bumps Under Tongue: Causes and When to See a Doctor
There are red spots resembling pimples under the tongue? Hello Doctor, a few days ago I noticed red spots that look like pimples under my tongue, they are raised. Here is a thumbnail of the image: http://ppt.cc/bHQg. I would like to ask what this could be. Thank you.
Dr. Zheng Jueyi Reply:
Hello, it may be inflammation of the sublingual salivary glands or inflammation of the opening of the submandibular gland. It is recommended to drink plenty of water and reduce the intake of irritating foods. If there is no significant improvement, it is advisable to seek medical...[Read More] Red Bumps Under Tongue: Causes and When to See a Doctor
Persistent Sore Throat: Causes and Concerns of Blood in Cough
My throat has been hurting a lot? Recently, I have been experiencing a persistent sore throat. Initially, there was a sweet-tasting discharge from my throat. A few days later, I started coughing up a large amount of blood—not just blood streaks, but a significant amount of blood ...
Dr. Zheng Jueyi Reply:
Hello: Most oral ulcers or blisters may be caused by viral infections or temporary immune abnormalities. If they recur frequently, it is advisable to seek medical attention to determine the underlying cause and treatment. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi,...[Read More] Persistent Sore Throat: Causes and Concerns of Blood in Cough
Understanding Blood Streaks in Saliva: ENT Insights and Next Steps
Mysterious blood streaks? I have never smoked, and I started drinking alcohol and chewing betel nut six months ago. I accidentally discovered blood streaks in my saliva while clearing my throat after inhaling through my nose. I visited a clinic and also saw an otolaryngologist at...
Dr. Zheng Jueyi Reply:
Hi Chen: Hello, if you have already consulted multiple hospitals and clinics, and undergone examinations such as endoscopy and gastroscopy without any significant abnormalities found, it would be reasonable to observe the situation for now. However, if you continue to see blood s...[Read More] Understanding Blood Streaks in Saliva: ENT Insights and Next Steps
Conflicting Diagnoses: When to Seek Specialized Care for Throat Pain
Tonsil issues Hello: I previously asked about the pain in my throat when swallowing saliva. I have taken nine packets of medication and consulted six doctors. The first five doctors said it was related to my tonsils, but the sixth doctor said it was not the tonsils but rather som...
Dr. Zheng Jueyi Reply:
Hello: For tonsillitis or joint pain, the primary treatment involves analgesics and anti-inflammatory medications. If there is no improvement after taking the medication, it is advisable to visit a major hospital for a definitive diagnosis. Wishing you safety and health. Sincerel...[Read More] Conflicting Diagnoses: When to Seek Specialized Care for Throat Pain
Understanding Sublingual Gland Cysts: Treatment Options and Concerns
Treatment of sublingual gland cysts? Hello, Dr. Cheng. My family member has recently been diagnosed with a submandibular gland cyst and is unable to visit a regular clinic due to discomfort. The doctor prescribed medication, but indicated that if there is no reduction in swelling...
Dr. Zheng Jueyi Reply:
Hello, sublingual gland cysts are often caused by the blockage of the small salivary gland ducts, leading to the accumulation of saliva and subsequent swelling. Most cases require surgical intervention for complete resolution. While aspiration can temporarily relieve the cyst by ...[Read More] Understanding Sublingual Gland Cysts: Treatment Options and Concerns
Understanding Swelling on the Right Cheek: ENT Concerns Explained
There is a small swelling on the right cheek? Hello, Doctor: In the past few months, I have experienced occasional swelling on the right side of my face, which occurs every few days or weeks. The symptoms are as follows: 1. There is a small swelling on the lower right cheek, but ...
Dr. Zheng Jueyi Reply:
Dear Xiao Xiang, If there is no toothache, you may first visit the ENT department at the hospital to check if it is an issue with the submandibular salivary gland. Wishing you peace and good health. Sincerely, Director Zheng Jue-Yi ENT Department, Taoyuan Hospital, Minist...[Read More] Understanding Swelling on the Right Cheek: ENT Concerns Explained
Understanding Throat Clearing: When to Seek Medical Attention
Clearing the throat action 2 Hello, doctor. I would like to ask if you mean that if there are blood streaks in saliva for more than a week without intentionally clearing the throat forcefully, it is still necessary to seek medical attention, correct? Because I only noticed the bl...
Dr. Zheng Jueyi Reply:
Hello, if the nasopharyngoscopy shows no issues, you may consider further examinations such as an upper gastrointestinal endoscopy to check for gastrointestinal bleeding or a bronchoscopy to investigate any problems within the trachea. Wishing you peace and good health. Sincerely...[Read More] Understanding Throat Clearing: When to Seek Medical Attention
Blood-Streaked Saliva: What It Could Mean for Your Health
Saliva with blood streaks? Hello, Doctor: About a month ago, I noticed blood streaks in my saliva one day. I later went to an ENT specialist for an endoscopic examination, and the doctor said everything looked normal from the nasal cavity to above the vocal cords. Today, I sudden...
Dr. Zheng Jueyi Reply:
Dear Jie, Hello. If the occurrences are infrequent and you have already been examined by an otolaryngologist, it is less likely to be related to nasopharyngeal cancer. You may continue to observe the situation or check for any dental issues. However, if the bleeding occurs freq...[Read More] Blood-Streaked Saliva: What It Could Mean for Your Health
Can Forceful Throat Clearing Cause Mucosal Injury and Bleeding?
Clearing the throat action? Hello, doctor. I often clear my throat forcefully, and I have experienced vomiting a couple of times. I noticed blood streaks in the saliva I expelled. I underwent a nasal endoscopy, which showed no abnormalities. Could my forceful throat clearing caus...
Dr. Zheng Jueyi Reply:
Hello, it may be mucosal bleeding caused by excessive throat clearing. It is recommended to drink more water and reduce the throat clearing actions. However, if the bleeding does not improve after a week, it is necessary to seek medical attention for further examination. Wishing ...[Read More] Can Forceful Throat Clearing Cause Mucosal Injury and Bleeding?
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 Symptoms of Throat Discomfort After Fish Bone Incident
Symptoms that may occur from a fish bone stuck in the throat include: 1. A sensation of something being lodged in the throat. 2. Pain or discomfort in the throat, especially when swallowing. 3. Difficulty swallowing or a feeling of tightness in the Hello Doctor, I visited the c...
Dr. Zheng Jueyi Reply:
Hello, if you have already been examined and it is likely that your throat discomfort is caused by an infection, you can take medication and drink plenty of water to monitor your condition. If there is no improvement, you will need to seek medical attention again. Wishing you saf...[Read More] Understanding Symptoms of Throat Discomfort After Fish Bone Incident
Understanding Chronic Throat Pain: Causes and Treatments
Sore throat? Dear Dr. Cheng, About two months ago, I had a cold, and I was coughing so severely that I lost my voice. Since my job requires me to speak continuously, I didn't have the chance to rest properly. Since that incident, I've occasionally felt like there is so...
Dr. Zheng Jueyi Reply:
Hello, Chronic pharyngitis may be triggered by factors such as a cold and the need for prolonged speaking at work. Other common factors include smoking, gastroesophageal reflux, or frequent consumption of spicy or fried foods. It is recommended to drink plenty of water, reduce ...[Read More] Understanding Chronic Throat Pain: Causes and Treatments