Managing Enlarged Tongue Base: Solutions and Concerns for Sleep Apnea
What are the solutions for an enlarged base of the tongue? Hello, doctor. Last year, I underwent an examination and found that I have a level 2 obstruction in the retrolingual space during sleep, while the rest were rated 0. I often have poor sleep and experience light sleep. My ...
Dr. Li Jiaxuan Reply:
The tongue is a regenerative tissue, and it is normal for it to grow back. Using braces is another option. Wishing you peace and safety.[Read More] Managing Enlarged Tongue Base: Solutions and Concerns for Sleep Apnea
Exploring Non-Surgical Treatments for Severe Sleep Apnea: Weight Loss and Lifestyle Changes
Sleep Apnea An AHI of 44.1 and an ODI of 43.1 indicate severe obstructive sleep apnea. If you are not considering surgery at this time, weight loss and positional therapy may be viable treatment options. It is reasonable to plan for a follow-up sleep study in a few years to asses...
Dr. Li Jiaxuan Reply:
Weight loss, exercise, and surgery can help reduce sleep apnea, but it may require a combination of all three approaches. However, achieving a complete normalization of the Apnea-Hypopnea Index (AHI) when it is greater than 40 may still be challenging.[Read More] Exploring Non-Surgical Treatments for Severe Sleep Apnea: Weight Loss and Lifestyle Changes
Understanding Medication Side Effects After ENT Surgery: What You Need to Know
Drug side effects Hello, doctor. I would like to ask a question. I previously underwent surgery for sleep apnea at a major hospital in New Taipei City. However, a year after the surgery, I still feel a foreign body sensation in my mouth, which is very uncomfortable. I have return...
Dr. Li Jiaxuan Reply:
It may be necessary to know which specific medication is being referred to in order to provide an accurate response.[Read More] Understanding Medication Side Effects After ENT Surgery: What You Need to Know
Understanding Coughing and Wheezing: ENT Insights for Better Sleep
Coughing and abnormal breathing sounds? Hello, I recently started experiencing a scratchy throat and coughing, with occasional wheezing sounds when I breathe. The symptoms worsen when I lie down, and the cough returns within a few seconds, although my breathing feels smooth; it’s...
Dr. Ji Zhaoyun Reply:
Hello, nasal allergies, asthma, and atopic dermatitis are indeed commonly seen together in many individuals. However, due to the limited information provided, there are many related diagnoses to consider, such as bronchitis, chronic pharyngitis, and sleep apnea, among others. It ...[Read More] Understanding Coughing and Wheezing: ENT Insights for Better Sleep
Snoring, Choking Sensations, and Tonsillitis: ENT Concerns Explained
Snoring, susceptibility to choking, tonsillitis? Hello, doctor. I have had a snoring problem for a long time and underwent a sleep study, which showed no signs of sleep apnea. After having a septoplasty, there was still no improvement, and sometimes I feel like I can't clear...
Dr. Zheng Jueyi Reply:
Hello, snoring is a multifactorial issue. Septoplasty may provide partial improvement. If there are issues with nasal allergies, it is advisable to strengthen control over them first. Additionally, weight loss and sleeping on one's side can help address the snoring problem. ...[Read More] Snoring, Choking Sensations, and Tonsillitis: ENT Concerns Explained
Understanding Fluctuating Tonsil Swelling: Causes and Solutions
Tonsillitis can have periods of improvement and worsening? Hello Doctor: I have recently noticed that whenever my body feels more fatigued or after eating fried foods, my tonsils become slightly swollen, and there seems to be some white spots inside, which gives me the impression...
Dr. Ji Zhaoyun Reply:
Hello, regarding the issue you mentioned, it is indeed possible that you are experiencing chronic tonsillitis. For maintenance, it is recommended to rinse your mouth after eating, which can help clear some tonsil stones (located in the tonsillar crypts). Additionally, try to avoi...[Read More] Understanding Fluctuating Tonsil Swelling: Causes and Solutions
Post-Surgery Coughing: Understanding Recovery After ENT Procedures
Postoperative cough Since I have had severe nasal allergies since childhood, I went to an otolaryngologist for an examination. After the evaluation, the doctor diagnosed me with sleep apnea. On May 27, I underwent surgery for a deviated septum, uvulopalatopharyngoplasty, and nasa...
Dr. Ji Zhaoyun Reply:
Hello, for any postoperative issues, please consult your surgeon. Wishing you a speedy recovery.[Read More] Post-Surgery Coughing: Understanding Recovery After ENT Procedures
Tonsil Surgery for Kids: Impact on Immunity and Sleep Apnea Solutions
Tonsillectomy in children? Hello, Dr. Li. My eight-year-old son has enlarged tonsils that affect his sleep and cause sleep apnea. An Australian doctor has recommended the removal of his tonsils and adenoids. I would like to ask if removing the tonsils and adenoids will weaken his...
Dr. Li Jiaxuan Reply:
If you are concerned about immune issues, you can wait until after the age of 12 to perform surgery on the tonsils and adenoids. The contribution of local immunity to overall immunity decreases with age. If surgery is not performed, you may consider exercise and weight loss for s...[Read More] Tonsil Surgery for Kids: Impact on Immunity and Sleep Apnea Solutions
Understanding Sleep Apnea and Snoring: Effective Solutions for Relief
Sleep apnea, snoring Hello, doctor. I've read online that exercising more and losing weight can help. I have been jogging 3 kilometers regularly for 2 years. My current body fat percentage is 23%, my weight is 66 kg, and my height is 165 cm. However, I occasionally experienc...
Dr. Li Jiaxuan Reply:
In your opinion, losing 7 kilograms is necessary for effective weight loss, and it may take some time and effort to achieve this. Engaging in exercises that enhance muscle tone is also beneficial. Wishing you peace and well-being.[Read More] Understanding Sleep Apnea and Snoring: Effective Solutions for Relief
Understanding Nocturnal Tongue Movements: When to See an ENT Specialist
Tongue thrusting? Hello, doctor: At night while I sleep, my tongue rapidly moves up and down, making a quick sound, and this lasts for about 4 to 5 seconds before stopping. It only occurs during sleep, and once when I went to bed later, my daughter heard it too. This has been hap...
Dr. Ji Zhaoyun Reply:
Hello, based on your description, it is recommended to seek medical evaluation through procedures such as nasopharyngoscopy and polysomnography to first confirm: 1) whether there are any abnormal tongue movements or other neurological issues, and 2) if there is any hypoxia associ...[Read More] Understanding Nocturnal Tongue Movements: When to See an ENT Specialist
Is Your Sore Throat Linked to Nasal Congestion and Allergies?
Is discomfort in the tonsils related to nasal secretions? Hello Doctor, I have a deviated septum and long-term issues with nasal allergies and congestion. Recently, I caught a mild cold, and my nasal discharge (or allergic inflammation) has become thicker, causing me to frequentl...
Dr. Ji Zhaoyun Reply:
Hello, regarding the conditions for tonsillectomy that you mentioned, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors (mostly unilateral); 3) Recurrent tonsillitis, which ...[Read More] Is Your Sore Throat Linked to Nasal Congestion and Allergies?
Understanding Loud Breathing During Sleep: Causes and Solutions
Loud breathing during sleep? Recently, I often hear my own breathing sounds when I am about to wake up. It's not snoring, just my breathing. I searched online for information and found that it could be caused by excessive fatigue. However, I don't feel that I am overwor...
Dr. Ji Zhaoyun Reply:
Hello, based on your description: during the light sleep phase when you are about to wake up, "hearing your own breathing" makes it difficult to determine whether it is simple snoring or snoring associated with a medical condition. Generally, if it affects your daytime ...[Read More] Understanding Loud Breathing During Sleep: Causes and Solutions
Best Hospitals in Taipei for Treating Loud Snoring and Sleep Issues
Loud snoring can indicate that a person is not sleeping deeply? Could you recommend a hospital in Taipei that specializes in treating snoring? I have a very loud snoring issue and despite sleeping for long hours, I still feel very fatigued. I would like to explore potential curat...
Dr. Li Jiaxuan Reply:
Taipei Hospital, Ministry of Health and Welfare, offers sleep studies as well as surgical options for sleep disorders. Your symptoms require a physical examination and a sleep study to assess the severity of sleep apnea before proceeding with treatment. Wishing you good health.[Read More] Best Hospitals in Taipei for Treating Loud Snoring and Sleep Issues
Should I Stop Self-Checking My Tonsils? Expert Advice on Tonsil Health
May I ask the doctor? Hello Doctor, about five or six years ago, I had tonsil stones and would often use my fingers to poke at my tonsils. I accidentally discovered that there seems to be a small hard spot in my left tonsil. At the end of last year, I remembered this and went to ...
Dr. Ji Zhaoyun Reply:
Hello, regarding the question you raised, to achieve a 100% diagnosis, a tonsillectomy is required under the following conditions: 1) Enlarged tonsils causing breathing difficulties or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsi...[Read More] Should I Stop Self-Checking My Tonsils? Expert Advice on Tonsil Health
Do You Need Treatment for Snoring? Understanding Risks and Solutions
Does snoring require treatment? If you snore while sleeping but do not experience the sensations associated with sleep apnea as described online, should you still go to the hospital for an examination? Is there a possibility of developing the condition in the future? How severe d...
Dr. Zheng Jueyi Reply:
Hello: If you experience snoring, you can go to the hospital for a sleep study. If snoring is the only issue, it can be improved by sleeping on your side or losing weight. However, if there is moderate to severe obstructive sleep apnea, it is recommended to take active measures. ...[Read More] Do You Need Treatment for Snoring? Understanding Risks and Solutions
Persistent Eye Pain and Ear Congestion: Seeking Answers in ENT Care
Eye pain, ear fullness, and sensitivity to loud sounds? Hello Doctor, I have been seeing doctors, but it seems that no one can piece everything together. I am experiencing pressure and pain in the upper part of my eyeballs and between my eyebrows, along with a feeling of ear full...
Dr. Ji Zhaoyun Reply:
Hello, common symptoms of sinusitis include nasal congestion, thick yellow nasal discharge, fever, facial pain, foul smell, and changes in smell, although not all symptoms may be present. Diagnostic methods include endoscopy and imaging studies. The symptoms you mentioned are not...[Read More] Persistent Eye Pain and Ear Congestion: Seeking Answers in ENT Care
Should You See a Neurologist for Tinnitus Lasting 6 Months?
Should I see a neurologist if I have had tinnitus for nearly six months? Doctor, I have been experiencing tinnitus for almost six months now, which became noticeable after a cold I had six months ago. The sound is similar to the "EEEE" noise produced by a CRT television...
Dr. Zheng Jueyi Reply:
Hello: Generally, if both the hearing test and auditory brainstem response test are normal, it indicates that the auditory nerve function is normal. The likelihood of tinnitus caused by a tumor is low. However, if you are still concerned, you may consider further evaluation at a ...[Read More] Should You See a Neurologist for Tinnitus Lasting 6 Months?
Understanding Chronic Sinusitis and Its Surgical Options for Relief
Endoscopic Surgery for Chronic Sinusitis Hello Dr. Li, I have allergic rhinitis with hypertrophy, and due to severe fatigue and excessive daytime sleepiness, I have been diagnosed with moderate to severe obstructive sleep apnea (OSA). Although CPAP (which can be adjusted to norma...
Dr. Li Jiaxuan Reply:
Your issue is that the pus in the sinuses does not easily drain into the nasal cavity, but when more mucus enters the sinuses, it can cause swelling and discomfort. These are likely symptoms of chronic sinusitis. However, there is still a possibility of recurrence after surgery f...[Read More] Understanding Chronic Sinusitis and Its Surgical Options for Relief
Understanding Nasal Congestion: Causes, Treatments, and Solutions
Nasal allergy issues? Hello Doctor, I have been troubled by nasal congestion for over ten years. I don't have much nasal discharge or frequent sneezing, but the congestion is unbearable. During the day, aside from when I have a cold, my nose is generally clear, though someti...
Dr. Zheng Jueyi Reply:
Hello, 1. Based on the symptoms, the primary issue is nasal congestion, with no significant sneezing or nasal discharge, which may not necessarily indicate allergic rhinitis. A medical examination is required for proper diagnosis. 2. It may be necessary to check for issues suc...[Read More] Understanding Nasal Congestion: Causes, Treatments, and Solutions
Exploring Treatment Options for OSA Beyond ENT Specialists
Lack of sleep and eye fatigue..? Hello doctor, I have obstructive sleep apnea (OSA), and despite undergoing several surgeries, my apnea-hypopnea index (AHI) is still mild, but I continue to have poor sleep (I sleep deeply and rarely wake up). An endoscopy revealed that even durin...
Dr. Li Jiaxuan Reply:
It is recommended to consult an otolaryngologist at a medical center. Thank you.[Read More] Exploring Treatment Options for OSA Beyond ENT Specialists