Involuntary Movements of the Soft Palate: Causes and Concerns
Involuntary twitching of the uvula? I have been experiencing involuntary twitching in the area of my upper palate where it connects to the uvula. I cannot control this twitching, and when my mouth is closed, I can hear a clicking sound from my palate. When I pinch my nose, I feel...
Dr. Zheng Jueyi Reply:
Hello, if an examination by an otolaryngologist shows no structural abnormalities and there are still involuntary movements, it may be a neurological issue. You might consider consulting a neurologist for further evaluation. Wishing you health and safety. Sincerely, Dr. Cheng Jue...[Read More] Involuntary Movements of the Soft Palate: Causes and Concerns
Understanding Sudden Smell Changes: What Does a Persistent Drug Odor Mean?
Olfactory issues Suddenly smelling a medication odor can be indicative of a few potential issues. It may be related to a neurological condition, such as a phantom smell (olfactory hallucination), which can occur without any accompanying cold symptoms. Other possibilities could in...
Dr. Zheng Jueyi Reply:
Hello, if you have been consistently noticing an unusual odor without improvement, it may be due to sinusitis or a viral infection causing olfactory dysfunction. If it persists for more than a week without improvement, it is advisable to seek medical evaluation. Wishing you safet...[Read More] Understanding Sudden Smell Changes: What Does a Persistent Drug Odor Mean?
Why Does Tinnitus Intensify When Lying Down at Night?
Why does tinnitus become louder when lying down, making it difficult to sleep? Hello, Doctor: I live in the mountains, and at night, the sounds of insects may cover my tinnitus without me realizing it. However, every night I am awakened by a chirping sound that seems to hover abo...
Dr. Zheng Jueyi Reply:
Hello, if you have undergone numerous examinations and confirmed that your hearing is normal, the tinnitus that is more noticeable in quiet environments is likely benign. It is recommended to turn on the television or play music as a way to mask the sound, or to use distraction t...[Read More] Why Does Tinnitus Intensify When Lying Down at Night?
Understanding Persistent Throat Clearing in Children: Causes and Solutions
Symptoms of throat clearing? Four weeks ago, the child had a cold and saw a doctor who prescribed medication. However, since then, the child has been frequently clearing their throat. An allopathic doctor suggested it might be due to allergies, while a traditional Chinese medicin...
Dr. Zheng Jueyi Reply:
Hello: The sensation of a foreign body in the throat, sensitivity of the larynx following a viral infection, allergic rhinitis or sinusitis causing post-nasal drip, air pollution, gastroesophageal reflux, or habitual throat clearing are all possible factors. It is recommended to ...[Read More] Understanding Persistent Throat Clearing in Children: Causes and Solutions
Understanding Sinus Polyps: Treatment Options and Surgical Considerations
Nasal sinus polyps Hello Doctor, I recently underwent a sinus CT scan due to inflammation and was informed that there is a polyp in the maxillary sinus. It appears that the polyp is a larger white mass facing towards the brain (from the outside in), but there is still a dark area...
Dr. Zheng Jueyi Reply:
Hello, if polyps are found only in the maxillary sinus and do not obstruct the sinus opening, they are mostly benign cystic changes. If there are no symptoms related to sinusitis, such as yellow nasal discharge, persistent nasal congestion, or facial swelling and pain, observatio...[Read More] Understanding Sinus Polyps: Treatment Options and Surgical Considerations
Understanding Antibiotic Treatment for Sinusitis and Its Challenges
Antibiotics for sinusitis? Hello, doctor. Recently, after seeing a physician, an X-ray revealed mild inflammation of the maxillary sinus, with some yellow mucus drainage and negative pressure in the eardrum. The doctor also aspirated some yellow mucus. Initially, no antibiotics w...
Dr. Zheng Jueyi Reply:
Hello, in general, acute sinusitis can be treated with antibiotics for about 10-14 days. It is important to drink plenty of water and keep the nasal passages clear. Most cases will improve completely. If yellow nasal discharge persists, it does not necessarily mean the condition ...[Read More] Understanding Antibiotic Treatment for Sinusitis and Its Challenges
Chronic Sinusitis Symptoms: Ear Pressure, Headaches, and Yellow Phlegm
Sinusitis issues Hello, Doctor. For about a year now, I have experienced occasional hearing loss in my eardrum, and loud sounds can be uncomfortable, similar to the sensation of being in the mountains. I also have a feeling of pressure and pain in the upper part of my eyeball, wi...
Dr. Zheng Jueyi Reply:
Hello, if you still have issues with rhinitis, you may want to consult an otolaryngologist to determine whether long-term use of nasal sprays or nasal irrigation is necessary to improve chronic inflammation. Additionally, for headaches or feelings of pressure, you could consult a...[Read More] Chronic Sinusitis Symptoms: Ear Pressure, Headaches, and Yellow Phlegm
Can Otitis Media and Otitis Externa Occur on the Same Ear?
Can otitis media and otitis externa occur on the same side? Hello: In August, I had otitis media with effusion in one ear, and after more than a week of treatment, it improved. However, yesterday I developed an outer ear canal infection in the same ear. I would like to know why t...
Dr. Zheng Jueyi Reply:
Hi Ms. Chang, Hello, the outer ear and middle ear are separated by the eardrum, and it is possible for inflammation to occur on the same side. Otitis media is often caused by a cold or sinusitis, while otitis externa is frequently due to improper ear cleaning. It is also possibl...[Read More] Can Otitis Media and Otitis Externa Occur on the Same Ear?
Post-Sinus Surgery Concerns: Blood in Mucus and Eye Discomfort
Sinus wound? Hello Doctor, I previously inquired about the issue of residual blood in my sinuses. It has been nearly three weeks since my surgery, and I am still coughing up phlegm about 4 to 5 times a day, which still contains blood (though it is gradually decreasing). Some of i...
Dr. Zheng Jueyi Reply:
Hello, it is recommended that you consult the surgeon directly for details regarding the surgery. Additionally, you can also ask the surgeon whether the surgery may cause the symptoms you described. If you are feeling unwell, it is advisable to return for a follow-up appointment ...[Read More] Post-Sinus Surgery Concerns: Blood in Mucus and Eye Discomfort
Persistent Solvent Smell After Cold: ENT Exam Shows No Issues
Intermittently smelling the odor of paint thinner, but ENT examination shows no issues? Hi Dr. Cheng: I had a cold at the beginning of June, and during that time, there was construction nearby that used a large amount of solvent, which filled the area with that smell. Even after ...
Dr. Zheng Jueyi Reply:
Dear Ms. Shen, Hello. You can visit the ENT department at the hospital for an X-ray or endoscopic examination to check for any issues related to sinusitis. If there is no infection or inflammation and you still perceive unusual odors, it may be related to a neurological function...[Read More] Persistent Solvent Smell After Cold: ENT Exam Shows No Issues
Living with Eustachian Tube Dysfunction: A 20-Year Struggle
Nearly 20 years of Eustachian tube dysfunction management? I am a 28-year-old male with a BMI of 20.6. I do not smoke or drink alcohol. I have been troubled by Eustachian tube dysfunction since I was around 10 years old, which has persisted for nearly 20 years. For a long time, I...
Dr. Zheng Jueyi Reply:
Hello: Currently, there are no effective pharmacological treatments for Eustachian tube dysfunction. It is recommended to chew gum to improve the surrounding muscle function and maintain a regular routine. As for exercise, there are generally no specific restrictions; you may try...[Read More] Living with Eustachian Tube Dysfunction: A 20-Year Struggle
Understanding Nasal Congestion: Causes and Effects on Hearing
One side of the nose is clear while the other side is congested? Hello, Doctor. In recent years, I've noticed that my nose often alternates between being congested and clear, and it switches sides unpredictably. After exercising or going up and down stairs, both sides become...
Dr. Zheng Jueyi Reply:
Hello: Most cases are chronic rhinitis. The nose has a physiological cycle, where the inferior turbinates on both sides alternate between swelling and shrinking. Individuals with narrower nasal passages may experience a sensation of one side being congested while the other is cle...[Read More] Understanding Nasal Congestion: Causes and Effects on Hearing
Post-Sinus Surgery Discomfort: Understanding Your Symptoms and Recovery
I just had surgery for sinusitis (sphenoid sinusitis), but I'm feeling a bit uncomfortable? Hello, I underwent surgery for right-sided sinusitis (sphenoid sinusitis) on August 11, 2015, and have been following my doctor's advice regarding medication and dietary recommen...
Dr. Zheng Jueyi Reply:
Dear Andy, I recommend that you return to the original surgical hospital for an examination to check if there are still secretions or signs of inflammation in the sinuses, which could be causing the pain. Wishing you safety and good health. Sincerely, Dr. Cheng Jue-Yi D...[Read More] Post-Sinus Surgery Discomfort: Understanding Your Symptoms and Recovery
Understanding Blood-Streaked Nasal Discharge: Causes and Concerns
Blood-streaked nasal discharge? Hello, doctor: For the past three days, I have felt discomfort in my left nostril upon waking up. It feels like there is thick mucus that is difficult to expel. After sneezing, I can clear out a small amount, which resembles brown phlegm. The disco...
Dr. Zheng Jueyi Reply:
Hello: If there is a history of allergic rhinitis, such symptoms are often related to sinusitis. If symptoms do not improve after one week, it is recommended to visit an otolaryngologist to confirm whether there is an issue with the sinuses. Wishing you safety and health. Sincere...[Read More] Understanding Blood-Streaked Nasal Discharge: Causes and Concerns
Understanding Eustachian Tube Dysfunction: Symptoms, Treatments, and Management
Eustachian Tube Dysfunction Hello Dr. Cheng, I have not undergone any examinations at the hospital, but based on my symptoms, I believe I have Eustachian tube dysfunction. I experience this condition intermittently for at least four hours a day, sometimes up to eight hours, which...
Dr. Zheng Jueyi Reply:
Hello, the action of sniffing can alleviate symptoms as it creates temporary negative pressure in the nasopharynx, causing the Eustachian tube to close. However, the effect is usually temporary. Repeated sniffing may lead to retraction of the eardrum, which over time could result...[Read More] Understanding Eustachian Tube Dysfunction: Symptoms, Treatments, and Management
Is It Nasopharyngeal Cancer or Chronic Sinusitis? Understanding Your Symptoms
Nasopharyngeal carcinoma or chronic sinusitis? I have been experiencing recurrent post-nasal drip for over three months. I have visited five different clinics, and each time the doctor has said it is caused by allergies. I have used nasal sprays and taken antihistamines, but I st...
Dr. Zheng Jueyi Reply:
Dear Layla: Hello, this possibility cannot be ruled out. I recommend that you go to the hospital for a more detailed examination. Wishing you safety and good health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health an...[Read More] Is It Nasopharyngeal Cancer or Chronic Sinusitis? Understanding Your Symptoms
Understanding Nasal Issues: When to Consider Surgery for Polyps
Nasal issues? Hello, doctor: A while ago, I had one side of my nose constantly blocked, so I went to see an ENT specialist. The doctor said I have nasal polyps and recommended surgery at Chang Gung Memorial Hospital. Since the other side is still clear, I am hesitant about the su...
Dr. Zheng Jueyi Reply:
Hello: The presence of yellow-green phlegm and foul odor may indicate sinusitis. It is recommended to seek medical examination and discuss with a physician whether it is sinusitis or merely chronic rhinitis, as the surgical approach would be entirely different. Wishing you safety...[Read More] Understanding Nasal Issues: When to Consider Surgery for Polyps
Understanding Symptoms Similar to Sinusitis: A Comprehensive Guide
What conditions might present symptoms similar to those of sinusitis or sphenoid sinus inflammation? I apologize for asking again, but I have undergone several sleep studies and recordings, and I have not experienced insomnia or early waking issues. I can fall asleep within 20 mi...
Dr. Zheng Jueyi Reply:
Dear XOF: Hello, you may discuss with your physician the possibility of arranging a sinus CT scan. If the results are normal, sinusitis can be ruled out, and other symptoms may be caused by migraines or tension-type headaches. You may consider consulting a neurologist for further...[Read More] Understanding Symptoms Similar to Sinusitis: A Comprehensive Guide
Understanding Meniere's Disease: Symptoms and Related Conditions Explained
Meniere's disease Hello Doctor, I would like to ask again. I originally had sleep issues, but the examination results showed that my respiratory control is good. However, the frequency of waking up at night and the feeling of fatigue upon waking have not improved at all. Sho...
Dr. Zheng Jueyi Reply:
Hello: If you have already been examined and it is likely not related to sinusitis, symptoms such as fatigue and drowsiness may be more associated with sleep issues. It is recommended to consult a psychiatrist. Additionally, some medications for Meniere's disease and those f...[Read More] Understanding Meniere's Disease: Symptoms and Related Conditions Explained
Is Coughing from Nasal Mucus Backflow a Common Issue?
Coughing due to post-nasal drip? Dr. Cheng, is it a common phenomenon for mucus to rapidly flow back into the throat and trachea after inhalation, causing "choking cough"? Thank you.
Dr. Zheng Jueyi Reply:
Hi Ah Xiang: Hello, I recommend that you have a physician evaluate whether you have symptoms of allergic rhinitis or sinusitis, as these conditions can cause excessive postnasal drip leading to coughing. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the ...[Read More] Is Coughing from Nasal Mucus Backflow a Common Issue?