Understanding Facial Bone Asymmetry in Children: Allergies or Fibrous Dysplasia?
One side of the facial cheekbone is elevated? Hello, doctor. My child has a history of allergies and frequently experiences mumps. About a month ago, after drinking milk, I noticed swelling in the left eye. We were referred to Chang Gung Memorial Hospital's ophthalmology dep...
Dr. Li Jiaxuan Reply:
If a 10-year-old child is experiencing symptoms, sinusitis or cellulitis should be considered, as well as the possibility of trauma. However, if the physician determines it to be a fibrous dysplasia, it may be due to the hardness of the affected area. It is recommended to have an...[Read More] Understanding Facial Bone Asymmetry in Children: Allergies or Fibrous Dysplasia?
Morning Blood in Saliva: Causes and Solutions for ENT Issues
Waking up with bleeding? Waking up with saliva often containing red blood and yellow fluid, and noticing blood streaks on the pillow in the morning, even after dental cleaning, raises concerns. If it is periodontal disease, what improvements can be made? Family members suggest th...
Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic to check for sinusitis before proceeding with the next steps (periodontal or sinusitis) treatment. Wishing you good health.[Read More] Morning Blood in Saliva: Causes and Solutions for ENT Issues
Sinusitis and Tinnitus: Understanding the Connection and Symptoms
Sinusitis and tinnitus Hello, doctor! I have been suffering from sinusitis for over five years. Recently, I have been experiencing tinnitus, and after undergoing an MRI, it was found that there is a significant amount of fluid in my sinuses. I would like to ask if this condition ...
Dr. Ji Zhaoyun Reply:
Hello! The issues you mentioned could be due to several reasons: 1) Poor Eustachian tube function, which is quite common and can occur not only during flights but also while hiking or diving. Forcefully blowing your nose or bending over can also contribute to this issue. 2) Su...[Read More] Sinusitis and Tinnitus: Understanding the Connection and Symptoms
Understanding Popping Sounds in the Left Ear: Causes and Solutions
Hearing a popping sound in the left ear? About a month ago, I noticed a popping sound in my left ear. Whenever I speak or am in a noisy environment, my ear makes a popping sound, but it stops when it's quiet. I went to a clinic, and the doctor said there was inflammation and...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during activities like flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing lo...[Read More] Understanding Popping Sounds in the Left Ear: Causes and Solutions
Sudden Right Ear Tinnitus: When to Seek Medical Attention?
Sudden tinnitus in the right ear? Hello, doctor. Currently, I am abroad and unable to visit the hospital for a consultation. Since the 27th, I have suddenly experienced tinnitus in my right ear, as if there is a thin membrane covering it. When I hold my breath and apply pressure ...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Sudden Right Ear Tinnitus: When to Seek Medical Attention?
Sinusitis and Nasopharyngeal Cancer: Understanding Symptoms and Risks
Sinusitis and Nasopharyngeal Carcinoma Hello Dr. Chi, I have been experiencing a persistent cough since early April. Initially, the clinic diagnosed it as a cold, but after taking medication, there was no improvement until May. In May, I had a chest X-ray, which showed no abnorma...
Dr. Ji Zhaoyun Reply:
Hello, compared to a CT scan, performing a nasopharyngoscopy can be considered as it has a higher accuracy rate for diagnosing nasopharyngeal masses and can be executed immediately. Wishing you peace and health.[Read More] Sinusitis and Nasopharyngeal Cancer: Understanding Symptoms and Risks
Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Nasal cavity and paranasal sinus examination for nasopharyngeal carcinoma and sinusitis? Hello Doctor, I started experiencing symptoms like coughing in early April without a fever. Initially, the clinic diagnosed it as a cold, but after taking medication for a month, my cough did...
Dr. Zheng Jueyi Reply:
Hello: Please inform the physician that there is a family history of nasopharyngeal carcinoma, although it has not been confirmed by a CT scan. It is recommended that the physician conduct a thorough examination of the nasopharynx, and if necessary, a biopsy of the nasopharyngeal...[Read More] Understanding the Link Between Nasopharyngeal Cancer and Sinusitis
Understanding Eustachian Tube Dysfunction: Symptoms and Management
Eustachian tube dysfunction Hello Doctor: My left ear initially experienced frequent feelings of fullness (although I could still clear it by yawning). After about a month of this, I felt something was wrong and went to a clinic for a check-up. The diagnosis was middle ear effusi...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, hiking, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis medi...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms and Management
Can Fungal Sinusitis Symptoms Resolve on Their Own Before Surgery?
Can the symptoms of fungal sinusitis resolve and heal on their own? Hello, Doctor: I would like to ask you again. I have been diagnosed with fungal sinusitis and surgery is scheduled for July 6. The basis for the diagnosis was a CT scan taken on June 23 at a local hospital and an...
Dr. Zheng Jueyi Reply:
Hello: During the hospitalization, I reported that my symptoms have improved to the attending physician. Please have the doctor reassess whether surgical treatment is necessary. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngolo...[Read More] Can Fungal Sinusitis Symptoms Resolve on Their Own Before Surgery?
Understanding Septoplasty: Recovery, Treatment Options, and Allergy Management
Septoplasty Hello, doctor. I am a junior student. Last week, I underwent surgery for a deviated septum and also had laser treatment for inferior turbinate hypertrophy. I would like to ask you a few questions: 1. How long after the surgery can I start to sneeze? I am concerned t...
Dr. Ji Zhaoyun Reply:
Hello, it is advisable to consult your original surgeon regarding postoperative care instructions. Below are the postoperative care guidelines from our hospital for your reference: ********************************************************* Postoperative Care Instructions for Sep...[Read More] Understanding Septoplasty: Recovery, Treatment Options, and Allergy Management
Understanding Nasal Issues: Chronic Inflammation and Possible Causes
Nasopharyngeal issues? Hello, Dr. Cheng! Last September, I experienced nasal congestion and a sore throat, which became severe after dragging on for a week or two before seeking medical attention. Since then, I have started to experience post-nasal drip, especially when brushing ...
Dr. Zheng Jueyi Reply:
Hello, if the nasopharyngeal biopsy shows chronic inflammation and the CT scan does not indicate chronic sinusitis, and the current symptoms have improved, it is advisable to self-monitor and return for regular follow-up appointments. Concerns about tumors can be temporarily rule...[Read More] Understanding Nasal Issues: Chronic Inflammation and Possible Causes
Understanding Morning Green Nasal Mucus: Causes and Solutions
Morning nasal discharge with a greenish color? Hello, doctor! I've had this green nasal discharge for about 3-4 years now. I usually clear my nose in the morning to keep it clear, but I'm not sure why it has turned into green mucus... I don't smoke... Although I do...
Dr. Li Jiaxuan Reply:
Sinusitis can be classified into acute and chronic forms, both of which may present the symptoms you described. It is advisable to consult an otolaryngologist for examination and subsequent treatment. Wishing you good health.[Read More] Understanding Morning Green Nasal Mucus: Causes and Solutions
Understanding Nighttime Nasal Congestion: Allergies or Other Causes?
Nasal congestion during sleep? Hello, doctor. For the past month, I've been experiencing nasal congestion every night while sleeping. In the morning, the mucus I blow out has blood streaks or clots along with yellow nasal discharge. After blowing my nose, it becomes clear. D...
Dr. Zheng Jueyi Reply:
Hello: Nasal congestion at night may be related to allergies, but since the mucus you are expelling contains blood streaks, clots, or yellow discharge, it is advisable to see an otolaryngologist to check for sinusitis or other nasal tumors. Wishing you safety and health. Sincerel...[Read More] Understanding Nighttime Nasal Congestion: Allergies or Other Causes?
Do You Need Surgery for Fungal Sinusitis? Exploring Treatment Options
Is surgery always necessary for the treatment of fungal sinusitis? Dear Doctor: I am a patient with Systemic Lupus Erythematosus (SLE). Recently, for about three to four weeks, I have been experiencing post-nasal drip in the early morning, producing thick yellow-green phlegm with...
Dr. Zheng Jueyi Reply:
Hello, fungal sinusitis is indeed difficult to treat with medication. General antibiotics primarily target bacterial infections. If two weeks of antibiotics do not resolve the issue, surgical treatment is recommended. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Di...[Read More] Do You Need Surgery for Fungal Sinusitis? Exploring Treatment Options
Understanding Unilateral Tonsil Swelling: When to Seek Further Evaluation
Unilateral tonsillar enlargement? Hello, Doctor. About three to four months ago (March 109), I noticed that one side of my tonsil was particularly swollen. At that time, I didn't have any obvious discomfort, so I delayed seeking medical attention until a few days ago (June 2...
Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, the right side appears slightly larger, but there are no obvious tumors or ulcers. If there are no significant symptoms and a physician has already evaluated the condition, self-monitoring may be appropriate, or a follow-up examination can be sche...[Read More] Understanding Unilateral Tonsil Swelling: When to Seek Further Evaluation
Chronic Nasopharyngeal Inflammation: Causes and Treatment Options
Nasal congestion and post-nasal drip issues? In the past, I would recover after taking medication once, but last year, after getting sick, I took medication three or four times, and then I started experiencing post-nasal drip from my right nostril. Since May, I've noticed th...
Dr. Zheng Jueyi Reply:
Hello, if the examination shows no chronic sinusitis, inflammation of the nasopharynx is often associated with chronic rhinitis, allergic rhinitis, post-nasal drip, or gastroesophageal reflux. It is recommended to continue follow-up visits with an otolaryngologist or gastroentero...[Read More] Chronic Nasopharyngeal Inflammation: Causes and Treatment Options
Understanding Persistent Nasal Congestion: Causes and Solutions
Nasal congestion all day? Hello Doctor: Since March, I have been experiencing some nasal congestion on the right side (approximately one-third of my nostril, persisting throughout the day). When riding my bike, I initially feel like there is a round object (or something similar t...
Dr. Ji Zhaoyun Reply:
Hello, based on your description: There are many causes of nasal congestion, the most common being allergic rhinitis combined with insufficient nasal space (such as a deviated septum and hypertrophic rhinitis). However, conditions such as nasopharyngeal or nasal tumors (like naso...[Read More] Understanding Persistent Nasal Congestion: Causes and Solutions
Understanding Ear Blockage: Causes and Solutions for Your Left Ear
Ear problems The left ear feels blocked, and pulling on it produces a loud whooshing sound.
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...[Read More] Understanding Ear Blockage: Causes and Solutions for Your Left Ear
Chronic Nasal Congestion and Mucus: When to Seek ENT Treatment
Nasal congestion and phlegm issues? Hello Dr. Cheng, my husband is 46 years old and has been suffering from nasal congestion and excessive phlegm for a long time. He produces yellow phlegm daily due to nasal congestion and has been experiencing this symptom for several decades. P...
Dr. Zheng Jueyi Reply:
Hello: Based on your symptoms, it may be chronic sinusitis. It is recommended that you visit the ENT department at a hospital for examination. If the chronic sinusitis is not well controlled with medication, surgical treatment may need to be considered. Wishing you safety and hea...[Read More] Chronic Nasal Congestion and Mucus: When to Seek ENT Treatment
Understanding Tinnitus: Causes, Symptoms, and Treatment Options
Tinnitus condition About two months ago, I started experiencing low-frequency tinnitus in my left ear in a quiet environment due to insomnia. After taking medication, the tinnitus subsided. At that time, I underwent a pure-tone audiometry test, which yielded normal results. Howev...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This can occur not only during flying, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss: Based on your description, this ...[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options