Understanding Sleep Apnea, Nasal Congestion, and Headaches: A Patient's Journey
Recent issues with sleep apnea and nasal allergies have been causing headaches? Hello, doctor. I am 30 years old and currently weigh 93 kg. My nose has been persistently congested. I have suffered from sleep apnea for a long time (I have undergone two tests, and the most recent r...
Dr. Li Jiaxuan Reply:
1. I would like to ask why my nose is stuffy even though I don't have much mucus. It is always congested when I sleep. Is this due to nasal allergies? A deviated septum or turbinate hypertrophy could be possible causes, and chronic allergies can lead to turbinate hypertrophy...[Read More] Understanding Sleep Apnea, Nasal Congestion, and Headaches: A Patient's Journey
Understanding Non-Specific Dizziness: Causes and Management Strategies
Nonspecific dizziness Hello doctor, I have been experiencing dizziness for over two years (a floating sensation, like being on a boat, without tinnitus or vertigo, and I feel dizzy every day). I have undergone many tests previously, which have ruled out issues with my head and in...
Dr. Zheng Jueyi Reply:
Hello, there are many factors that can cause dizziness. If you have already undergone numerous examinations, more serious factors can be ruled out, but it is currently difficult to determine the cause of your dizziness. Regarding the adjustment of the positive pressure ventilator...[Read More] Understanding Non-Specific Dizziness: Causes and Management Strategies
Managing Dizziness Linked to Sleep Apnea: A Patient's Journey
Dizziness caused by sleep apnea? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans of the brain and neck, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter mo...
Dr. Zheng Jueyi Reply:
Hello, if you have already undergone many tests to rule out more serious issues and are still experiencing dizziness, it is currently recommended that you continue using a positive pressure ventilator to improve sleep apnea. Additionally, dietary control and exercise may be neces...[Read More] Managing Dizziness Linked to Sleep Apnea: A Patient's Journey
Understanding Sleep-Related Breathing Difficulties: Causes and Solutions
Difficulty breathing during sleep? Hello, doctor. I would like to ask you a question. Since high school, I have occasionally experienced symptoms of shortness of breath while sleeping. I can feel myself desperately trying to breathe in my sleep, but I can't get enough air, a...
Dr. Li Jiaxuan Reply:
It is recommended to undergo multiple sleep physiological tests and endoscopic examinations, as sleep apnea or issues with sleep quality could be present. Given your age, there is also a possibility of adenoid hypertrophy. Wishing you good health.[Read More] Understanding Sleep-Related Breathing Difficulties: Causes and Solutions
Persistent Swelling of Right Tonsil: When to Worry?
The right tonsil is more swollen? A month ago, I noticed that the right side of my tonsil was swollen, and I experienced pain in my throat on the right side when swallowing saliva. I visited a doctor who said it was just inflammation and prescribed anti-inflammatory medication. A...
Dr. Ji Zhaoyun Reply:
Hello, regarding your question about the tonsils, it is possible for them to be of different sizes on each side, but medical evaluation is necessary. An otolaryngologist (ENT specialist) should determine whether this is simply a size difference or swelling, as there can be severa...[Read More] Persistent Swelling of Right Tonsil: When to Worry?
Understanding Unilateral Tonsillectomy and Sleep Apnea Diagnosis
Unilateral tonsillectomy diagnosis issues? Hello, doctor. Initially, I had two small yellowish bumps on my tonsils that looked like pus-filled sacs. Before this, I only experienced pain when swallowing, but I did not have any cold or fever. When I went for a consultation, the doc...
Dr. Li Jiaxuan Reply:
Unilateral tonsillar hypertrophy may also lead to obstructive sleep apnea. This could be a concern that your physician has identified, and it would be advisable to discuss this further with your surgeon. Wishing you a safe and smooth recovery.[Read More] Understanding Unilateral Tonsillectomy and Sleep Apnea Diagnosis
Unilateral Tonsil Enlargement Without Pain: What You Should Know
Unilateral enlargement of the tonsil without pain? Hello, Doctor. Recently, I noticed that my right tonsil appears slightly enlarged, as shown in the attached image (https://imgur.com/a/2OGcm) (taken in front of a mirror). I do not experience any pain when swallowing or at other ...
Dr. Ji Zhaoyun Reply:
Hello Mr. Chen, 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; 3) Recurrent tonsillitis, which is internat...[Read More] Unilateral Tonsil Enlargement Without Pain: What You Should Know
Understanding Sleep Apnea: Its Impact on Daily Dizziness and Health
Sleep Apnea Hello, doctor. I previously inquired about my sleep apnea condition. I didn't initially think it was sleep apnea. I underwent several tests including liver and kidney ultrasound, electrocardiogram (ECG), 24-hour Holter monitoring, exercise stress test, echocardio...
Dr. Li Jiaxuan Reply:
Have you undergone a sleep study? There are many reasons that can cause dizziness, and dizziness during sleep interruptions is often due to poor sleep quality. Therefore, your description does suggest that it is possible. Clinically, when dizziness symptoms are so pronounced, it ...[Read More] Understanding Sleep Apnea: Its Impact on Daily Dizziness and Health
Understanding Sleep Apnea: Symptoms, Concerns, and When to Seek Help
Sleep apnea? Hello doctor, my situation is that during sleep, it feels like I forget how to breathe when my breathing stops, and I also experience a buzzing sound in my head. Although I can resume breathing by turning over, my body feels very heavy and it's difficult to turn...
Dr. Li Jiaxuan Reply:
You can first visit the otolaryngology outpatient clinic for a physical examination. If the structure is conducive to snoring, further sleep studies can be conducted. Wishing you well.[Read More] Understanding Sleep Apnea: Symptoms, Concerns, and When to Seek Help
Understanding Dizziness from Sleep Apnea: Causes and Solutions
Dizziness caused by sleep apnea? Hello, doctor. I have been experiencing dizziness for over a year since February of last year. Initially, I thought it was due to a cold, but after more than a month, I realized something was wrong and went to see a doctor. At first, the doctor be...
Dr. Li Jiaxuan Reply:
Dizziness can have many other causes such as inner ear imbalance, vascular constriction, or heart problems. It is recommended to consult an otolaryngologist, neurologist, and cardiologist to rule out other causes of dizziness before proceeding with treatment. Wishing you good hea...[Read More] Understanding Dizziness from Sleep Apnea: Causes and Solutions
Understanding Nasal Turbinate Hypertrophy and Its Impact on Sleep Quality
Is it caused by turbinate hypertrophy? Hello, doctor. The patient has hypertrophy of both the middle and inferior turbinates. During the day while awake, only one side is more congested, but it is not completely blocked, so they rarely feel difficulty breathing. However, once the...
Dr. Ji Zhaoyun Reply:
Hello, sir. Regarding your questions: 1. If there is hypertrophy of the middle and inferior turbinates, can symptoms still occur even without obstructive sleep apnea (OSA)? (I have undergone neurological examinations, MRI, and cardiology assessments with no issues, and I do not...[Read More] Understanding Nasal Turbinate Hypertrophy and Its Impact on Sleep Quality
Understanding Sleep Apnea: Symptoms, Causes, and Weight Loss Impact
Sleep Apnea Hello, doctor. Recently, for the past month, I often make sounds similar to snoring just before I fall asleep, which startles me awake. Sometimes I also suddenly gasp for air, and the same thing happens again, resulting in poor sleep quality. I have researched a lot a...
Dr. Zheng Jueyi Reply:
Hello, if you frequently wake up in the middle of the night or have poor sleep quality, it is recommended to schedule a polysomnography at a hospital to determine if there is an issue with sleep apnea. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Dep...[Read More] Understanding Sleep Apnea: Symptoms, Causes, and Weight Loss Impact
Understanding Tinnitus: Diagnosis and Treatment Options Explained
Tinnitus treatment I have been experiencing tinnitus for over a month now. Previously, I visited your hospital for an examination, where only a standard hearing test was arranged. The doctor stated that there were no abnormalities, but the cause of the tinnitus was not identified...
Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could potentially be due to: 1) Eustachian tube dysfunction: This is common and can occur not only during flights, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss: Howev...[Read More] Understanding Tinnitus: Diagnosis and Treatment Options Explained
Understanding Snoring and Breathing Issues During Sleep
Nasal issues Hello Doctor: I snore while sleeping, and when I sleep on my back, I feel like there is an obstruction during exhalation, but inhalation is smooth. When I sleep on my side, I do not have any difficulty exhaling. What could be causing this situation?
Dr. Li Jiaxuan Reply:
Sleep apnea or simple snoring may warrant a recommendation for outpatient evaluation and the arrangement of a polysomnography. Wishing you good health![Read More] Understanding Snoring and Breathing Issues During Sleep
Understanding Tinnitus: Causes, Treatments, and Next Steps
Tinnitus issues Hello Doctor: I have been experiencing tinnitus several times a day for almost a year, and it is only in one ear. It also causes my speech to have a severe nasal quality, which greatly affects my daily life. I have seen a doctor who said there are no abnormalities...
Dr. Ji Zhaoyun Reply:
Hello, The issues you mentioned could possibly be due to 1) poor Eustachian tube function or 2) otitis media: a) acute otitis media, which often occurs alongside upper respiratory infections (such as colds) and sinusitis, and in severe cases, may lead to ear discharge; b) chron...[Read More] Understanding Tinnitus: Causes, Treatments, and Next Steps
Understanding Enlarged Tonsils and Related Health Issues in Children
Pediatric tonsils Hello, Doctor: My child had poor sleep and often snored during infancy. We thought it was due to his flat nose, as he was born with a low nasal bridge. Now he is over 7 years old and in first grade. Recently, he has been experiencing frequent nosebleeds in the m...
Dr. Li Jiaxuan Reply:
Nasal allergies can lead to thinner nasal mucosa and dark circles under the eyes. An endoscopic examination can be performed in the outpatient clinic. Children often have enlarged tonsils, adenoids, or a thicker chin, which can predispose them to obstructive sleep apnea. For mode...[Read More] Understanding Enlarged Tonsils and Related Health Issues in Children
Understanding Dizziness and Sleep Apnea: A Comprehensive Guide
Dizziness, sleep apnea? Hello Doctor, I suddenly started experiencing dizziness at the beginning of February this year (I weighed 116 kg at that time), with sensations similar to an earthquake and feeling like I was going up and down in an elevator. I underwent numerous tests (bl...
Dr. Zheng Jueyi Reply:
Hello: According to the current report, there is still severe obstructive sleep apnea, which may be related to dizziness. If not contraindicated, it is still recommended to use CPAP, along with weight loss and sleeping on one's side. Weight reduction will definitely improve ...[Read More] Understanding Dizziness and Sleep Apnea: A Comprehensive Guide
Understanding Tonsil Stones: Surgical Risks, Recovery, and Insurance Coverage
Tonsil stones After the consultation, due to the stones being more deeply embedded, outpatient treatment to remove the stones is not possible, and hospitalization for a tonsillectomy is required. The physician mentioned that there is no immediate necessity for surgery but advised...
Dr. Ji Zhaoyun Reply:
Hello Ms. Chen, regarding your inquiry about the conditions for tonsillectomy, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsillitis, which is internat...[Read More] Understanding Tonsil Stones: Surgical Risks, Recovery, and Insurance Coverage
Understanding Tonsil Stones: Surgery Risks and Insurance Coverage in Taiwan
Tonsil stones After the consultation, due to the stones being more deeply embedded, outpatient treatment to remove the stones is not possible. Hospitalization for a tonsillectomy is required. The physician mentioned that there is no immediate necessity for surgery but advised mon...
Dr. Ji Zhaoyun Reply:
Hello Ms. Chen, regarding the criteria for tonsillectomy that you inquired about, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as obstructive sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsillitis, which is inter...[Read More] Understanding Tonsil Stones: Surgery Risks and Insurance Coverage in Taiwan
Understanding Uvula Issues: Symptoms, Solutions, and PSG Testing Explained
Uvular issues Hello Doctor, At the beginning of June, I suddenly became aware of the presence of my uvula, especially when I cough and my tongue goes up, causing my tongue to touch the uvula. This feels very uncomfortable. Question 1: What methods can help resolve this issue?...
Dr. Li Jiaxuan Reply:
The size of the uvula is typically congenital, but upper respiratory infections or coughing can cause swelling of the uvula, leading to a sensation of its presence. However, the underlying cause must be determined to decide on the appropriate treatment. Polysomnography (PSG) is o...[Read More] Understanding Uvula Issues: Symptoms, Solutions, and PSG Testing Explained