Sinusitis, Otolaryngology FAQ - Page 12

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Understanding Nasopharyngeal Issues: Persistent Symptoms and Treatment Challenges

Nasopharyngeal issues? Hello Doctor, I am currently abroad and have seen multiple doctors without any signs of recovery, so I would like to ask for your advice. Around the end of January, I started feeling inflammation in my nasal cavity, but I thought it was just a cold and dela...


Dr. Zheng Jueyi Reply:
Hello: Recurrent inflammation in the nasopharynx may be related to chronic sinusitis with post-nasal drip or gastroesophageal reflux. If symptoms persist without improvement, it is advisable to investigate or treat these two areas first. Wishing you peace and health. Sincerely, D...

[Read More] Understanding Nasopharyngeal Issues: Persistent Symptoms and Treatment Challenges


Understanding Nasal Congestion and Thick Mucus: Causes and Solutions

Nasal congestion with white, thick mucus? Hello Doctor: In February, I had pneumonia and experienced a lot of thick, clear nasal discharge. After the pneumonia resolved, I continued to have persistent nasal congestion with the same thick, clear mucus, which has lasted until now. ...


Dr. Li Jiaxuan Reply:
If simple nasal irrigation is insufficient for treatment, it is recommended to consult an otolaryngologist to check for sinusitis, and to consider medication to address the inflammation. Thick mucus may indicate inflammation, which could be caused by bacteria, fungi, or viruses. ...

[Read More] Understanding Nasal Congestion and Thick Mucus: Causes and Solutions


Understanding Blood-Streaked Phlegm: Causes and Concerns in ENT

Hemoptysis with sputum? Hello, doctor. In early April, I noticed blood-tinged mucus when I coughed up phlegm from my nasal cavity. I later went to a clinic where an endoscopy was performed, and the doctor found slight bleeding, so I was referred to a hospital for further examinat...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa, which can be caused by forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal ...

[Read More] Understanding Blood-Streaked Phlegm: Causes and Concerns in ENT


Understanding Post-Nasal Drip: Causes and Solutions for Relief

Post-nasal drip Hello doctor, I have been experiencing nasal congestion and post-nasal drip recently. I've been taking medication for almost a month, but it hasn't improved. I feel the mucus stuck between my nasal cavity and throat, and it's very uncomfortable when...


Dr. Zheng Jueyi Reply:
Hello, the symptoms may be related to allergic rhinitis or chronic sinusitis. If the symptoms persist without improvement, it is advisable to visit an otolaryngologist for examination. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otola...

[Read More] Understanding Post-Nasal Drip: Causes and Solutions for Relief


Persistent Throat Pain and Thick Mucus: Understanding Sinusitis and Treatment Options

Sinusitis/post-nasal drip/sore throat/thick phlegm? Hello Doctor, at the beginning of January this year, I visited a doctor for a sore throat and took cold medication for nine days. After that, I started coughing up thick phlegm with blood about once a week. By the end of Februar...


Dr. Zheng Jueyi Reply:
Hello, if the symptoms persist without improvement, they are often related to post-nasal drip or pulmonary diseases. If the ENT examination is normal, it is recommended to consult a pulmonologist for further evaluation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, D...

[Read More] Persistent Throat Pain and Thick Mucus: Understanding Sinusitis and Treatment Options


Understanding Headaches Caused by Chronic Sinusitis: A Patient's Journey

Headache caused by sinusitis? Hello, Doctor. I have been experiencing symptoms of chronic sinusitis for ten years. In recent years, I have had intermittent headaches in the area above my left eyebrow. I consulted a neurologist who said it was caused by sinusitis. However, I have ...


Dr. Zheng Jueyi Reply:
Hello: The cases of headaches caused by middle turbinate syndrome are relatively rare. Currently, due to differing opinions from two specialists, it is recommended to seek a third opinion from other ENT or neurology departments at the hospital for further evaluation. Wishing you ...

[Read More] Understanding Headaches Caused by Chronic Sinusitis: A Patient's Journey


Effective Treatments for Post-Nasal Drip: Relief and Remedies

Treatment for post-nasal drip? Hello, doctor. I had a history of acute sinusitis two years ago. Recently, for the past week, I've noticed that my throat always feels a bit congested with mucus, and it feels like something is stuck in my throat. This is especially noticeable ...


Dr. Zheng Jueyi Reply:
Hello: The sensation of a lump in the throat may be related to post-nasal drip or gastroesophageal reflux disease (GERD). It is advisable to continue using a nasal irrigator. If there is no yellow nasal discharge or any obvious foul odor indicating a bacterial infection, antibiot...

[Read More] Effective Treatments for Post-Nasal Drip: Relief and Remedies


Unilateral Sore Throat and Ear Pain: Possible Causes and Solutions

Unilateral sore throat and ear pain issues? Two nights ago, after eating ice cream, I experienced unilateral ear pain and unilateral throat pain the next morning. The throat only hurts when swallowing saliva, and the ear pain resembles symptoms of otitis media. I have been taking...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could potentially be due to one of the following four causes: 1) Acute tonsillitis causing referred ear pain. 2) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (colds) or sinusitis, and in severe cas...

[Read More] Unilateral Sore Throat and Ear Pain: Possible Causes and Solutions


Understanding Ear Pulsations: Causes and Concerns for Tinnitus Sufferers

Tinnitus with a pulsating sound in the ear? Hello, doctor. For the past ten days, whenever I exert my mouth, pucker my lips, or smile (using the muscles on the left side of my mouth), I hear a thumping sound in my left ear (similar to a jackhammer or the bubbling sound of boiling...


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, bending over, or experiencing a rapid decrease in body weight. 2) ...

[Read More] Understanding Ear Pulsations: Causes and Concerns for Tinnitus Sufferers


Persistent Throat Discomfort: When to See an ENT Specialist

Nasal issues About 1 to 2 years ago, after having a cold, I have been experiencing a persistent sensation of something stuck in my throat. I have visited an otolaryngologist multiple times (the last prescription can be found here: https://i.imgur.com/IOeqf2j.jpg). However, due to...


Dr. Zheng Jueyi Reply:
Hello: A sensation of a lump in the throat is often associated with chronic pharyngitis and is commonly related to conditions such as allergic rhinitis, post-nasal drip, sinusitis, gastroesophageal reflux disease (GERD), or smoking. If the symptoms persist without improvement, it...

[Read More] Persistent Throat Discomfort: When to See an ENT Specialist


Can Allergic Rhinitis Cause Bad Breath? Understanding Your Symptoms

Allergic rhinitis Hello Doctor: I have a very sensitive nose. Can allergic rhinitis cause a bad odor when breathing? A classmate mentioned that my breathing has an odor, which has been bothering me a lot. I have been wondering if I have atrophic rhinitis. My symptoms include cons...


Dr. Zheng Jueyi Reply:
Hello: If allergic rhinitis causes excessive or thick nasal discharge that is difficult to clear, it can lead to unpleasant odors due to prolonged retention. It is recommended to use oral medications or nasal sprays to control the allergy. If the secretions are difficult to expel...

[Read More] Can Allergic Rhinitis Cause Bad Breath? Understanding Your Symptoms


Understanding Ear Congestion: Causes and Treatment Options

Ear congestion issues? On January 30th of this year, I experienced a feeling of fullness in my ears, along with a popping sound when nodding, opening my mouth, or swallowing saliva (this has been ongoing for 4 months). I went to the hospital for two tests: 1. a hearing test (in a...


Dr. Zheng Jueyi Reply:
Hello: If the hearing test and appearance are normal, common causes of ear fullness are related to eustachian tube dysfunction. If there is nasal allergy or sinusitis, medication treatment can be continued. Additionally, smoking and gastroesophageal reflux may also contribute to ...

[Read More] Understanding Ear Congestion: Causes and Treatment Options


Understanding Ear and Sinus Issues: Could Post-Nasal Drip Cause Tinnitus?

Ear, nose, and throat issues? About a year ago, after catching a cold, I have been experiencing issues with phlegm, which I did not have prior to the cold. I visited a clinic where one doctor diagnosed me with sinusitis, but another disagreed. Recently, on January 25, I suddenly ...


Dr. Zheng Jueyi Reply:
Hello: There are many factors that can cause ear fullness and tinnitus. Of course, sinusitis can lead to post-nasal drip affecting the Eustachian tube, resulting in Eustachian tube dysfunction and causing tinnitus. If discomfort persists, it is advisable to continue follow-up tre...

[Read More] Understanding Ear and Sinus Issues: Could Post-Nasal Drip Cause Tinnitus?


Frequent Nosebleeds: Understanding Causes and Seeking Solutions

Nosebleed, I need assistance from a doctor? Hello, doctor. I have never had a nosebleed from childhood until now, but in the past six months, I have been experiencing frequent nosebleeds, and recently, they have occurred daily. Sometimes I need to use drops. Could this be caused ...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa due to forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, aller...

[Read More] Frequent Nosebleeds: Understanding Causes and Seeking Solutions


Understanding Complex ENT Symptoms: Pain, Swelling, and Systemic Issues

Right-sided sore throat, sensation of a foreign body in the right side of the throat, stiffness at the right neck base, right cheek pain, right ear pain, pain around the right eye socket, right-sided migraine, swollen and painful lymph nodes under the chin, swollen and painful ly...


Dr. Zheng Jueyi Reply:
Hello, if the lymph node biopsy results are normal, it is recommended to first visit a dentist and then a general internist or a hematology-oncology specialist for further evaluation. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Ot...

[Read More] Understanding Complex ENT Symptoms: Pain, Swelling, and Systemic Issues


Understanding Ear Numbness: Causes and Solutions for Ear Issues

Loss of sensation in the ear? For some reason, when water gets into my ear, it becomes numb. Digging in my ear or applying pressure makes it feel paralyzed, but I can still hear.


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned may have the following two possibilities: 1) Otitis media: a) Acute otitis media: Often occurs alongside upper respiratory infections (such as colds) and sinusitis. In severe cases, there may be ear discharge or pus. b) Chronic otitis medi...

[Read More] Understanding Ear Numbness: Causes and Solutions for Ear Issues


Understanding Nasal Issues: Chronic Sinusitis and Concerns About Cancer

Nasal and pharyngeal issues - concerns? I have chronic sinusitis and underwent a right nasal polypectomy in September 2012. Recently, I visited an ENT clinic for an endoscopy and found that there are no polyps on the right side, but there is postoperative adhesion resembling a br...


Dr. Ji Zhaoyun Reply:
If you are concerned about nasopharyngeal cancer, you can undergo an endoscopic examination. If a nasopharyngeal mass is confirmed, further biopsy of the mass should be performed at the hospital for testing. Wishing you peace and good health.

[Read More] Understanding Nasal Issues: Chronic Sinusitis and Concerns About Cancer


Understanding Lymph Node Swelling and Ear Congestion: When to Seek Further Evaluation

Continuation of response #151830 regarding lymphatic swelling issues? Later, I noticed some improvement in the right side of my neck, but it hasn't completely resolved. The doctor continued to prescribe medication and advised me to return for a follow-up appointment for furt...


Dr. Ji Zhaoyun Reply:
Hello, the issue you mentioned regarding ear fullness may be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during air travel, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensori...

[Read More] Understanding Lymph Node Swelling and Ear Congestion: When to Seek Further Evaluation


Understanding Ear Congestion and Popping Sounds: Causes and Treatments

Ear fullness with a popping sound? One day in October, after taking a shower, I noticed my ears felt clogged. The next day, I went to a clinic for an examination. The doctor looked into my ears and nose and said it was due to Eustachian tube dysfunction. They prescribed medicatio...


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, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) ...

[Read More] Understanding Ear Congestion and Popping Sounds: Causes and Treatments


Understanding Wind Sounds in the Ear: Possible Causes and Solutions

There is a ringing or buzzing sound in the ear? Hello Doctor: Recently, when I touch my left ear or speak loudly, I hear a wind-like sound. What could be the possible causes of this?


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 Wind Sounds in the Ear: Possible Causes and Solutions


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