Sputum, Otolaryngology FAQ

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Understanding White Foamy Sputum: Causes and Concerns in ENT Health

White frothy sputum Hello, doctor. About six months ago, an X-ray revealed that I had phlegm accumulation in my lungs. The doctor prescribed antibiotics, and I improved significantly. However, after a recent cold, I have been experiencing an increased amount of phlegm regardless ...


Dr. Ji Zhaoyun Reply:
Hello, thank you for providing a detailed description of your symptoms. Based on your description, you have recently experienced a significant amount of foamy white sputum, which may be related to various factors. Here are some possible causes and recommendations, but please be s...

[Read More] Understanding White Foamy Sputum: Causes and Concerns in ENT Health


Understanding Nasopharyngeal Cancer: Blood in Throat Symptoms Explained

Hello, doctor? Hello, doctor. I would like to ask if nasopharyngeal carcinoma always presents with blood when clearing the throat, or is it only noticeable in the first morning cough? For a while, I noticed a faint red color in my throat when I cleared it before brushing my teeth...


Dr. Zheng Jueyi Reply:
Hello, it is common to find blood in the first sputum of the morning; however, any concerns about abnormalities should primarily be assessed by a physician after examining the nasopharynx.

[Read More] Understanding Nasopharyngeal Cancer: Blood in Throat Symptoms Explained


How to Differentiate Between Viral and Bacterial Infections in Throat Issues

Sore throat due to a cold? Hello, doctor. I've been experiencing a runny nose, swollen throat, severe throat pain, and yellow phlegm and nasal discharge for the past few days. I saw a doctor who said it was a viral infection. I would like to ask how to differentiate between ...


Dr. Zheng Jueyi Reply:
Hello, it is possible that a bacterial infection may require the use of antibiotics. Clinicians will evaluate multiple factors, such as the presence of purulent sputum, purulent nasal discharge, fever, as well as the results of physical examinations and the progression of the ill...

[Read More] How to Differentiate Between Viral and Bacterial Infections in Throat Issues


Understanding Unilateral Tonsil Swelling: Causes and Concerns

Unilateral tonsillitis Hello, doctor. My left tonsil is very swollen; I can only see a little bit from the outside. While showering, I gently pushed on it with my hand, and I expelled about the size of a pinky finger, with a little bit of blood afterward. The next morning, my fir...


Dr. Li Jiaxuan Reply:
The discharge is a sticky secretion that resembles post-nasal drip. If it is a white, comedonal secretion, it may indicate inflammation or cancer. The material expelled usually has a foul odor. It is recommended that you seek treatment at an otolaryngology clinic. Wishing you goo...

[Read More] Understanding Unilateral Tonsil Swelling: Causes and Concerns


Brown Phlegm with Hard Clumps: Possible Causes and Concerns

Brownish hard lumps in sputum? Hello, doctor. I often have brownish hard lumps in my sputum, and occasionally there are small streaks of blood, but I do not cough. I typically expectorate every 1-2 days, and it feels like something is stuck or prickly in my throat, prompting me t...


Dr. Zheng Jueyi Reply:
Hello, the presence of blood-streaked or clotted mucus may be associated with various issues in the upper or lower respiratory tract. If it persists without improvement, it is advisable to seek evaluation from an otolaryngologist, pulmonologist, and gastroenterologist.

[Read More] Brown Phlegm with Hard Clumps: Possible Causes and Concerns


Understanding Blood-Streaked Phlegm: When to Seek ENT Evaluation

Sputum with blood streaks? Hello doctor, my wife has been experiencing phlegm in her throat every morning for the past two weeks. After coughing it up, she notices yellow phlegm with a little bit of blood streaks. Additionally, her throat feels dry and somewhat tight, and her voi...


Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic for laryngoscopy, and sputum tests can also be conducted. Women over 45 years old with a family history of lung cancer may undergo low-dose computed tomography of the lungs. Wishing you good health.

[Read More] Understanding Blood-Streaked Phlegm: When to Seek ENT Evaluation


Persistent Throat and Nasal Symptoms: When to Consider Cancer Screening

Nasal symptoms Hello doctor, I have been experiencing persistent nasal discharge, a sensation of a foreign body in my throat, and difficulty coughing up phlegm for the past two months. I often feel the need to clear my throat, and the phlegm has been blood-tinged. Recently, my na...


Dr. Zheng Jueyi Reply:
If there is blood in the sputum, it is recommended to visit an otolaryngologist or a pulmonologist for examination.

[Read More] Persistent Throat and Nasal Symptoms: When to Consider Cancer Screening


Understanding Changes in Phlegm Color: What It Means for Your Health

Changes in sputum color On Friday, I developed a throat infection that led to gastroenteritis, so I visited a nearby pediatric clinic. On the day of the visit, the color of my phlegm was still clear. After taking medication for two days, it started to turn slightly yellow, and I ...


Dr. Ji Zhaoyun Reply:
Hello, if you are consistently experiencing blood-streaked sputum, it is advisable to consult an otolaryngologist (ENT specialist) for further evaluation.

[Read More] Understanding Changes in Phlegm Color: What It Means for Your Health


Understanding Phlegm Color: Is It Normal to Cough Up Brown-tinged Mucus?

The color of sputum? Waking up to cough up phlegm that is transparent but mixed with a slight light brown color, followed by clear phlegm, can be concerning. Given that you have chronic rhinitis, this could be related to post-nasal drip, which often leads to the accumulation of m...


Dr. Zheng Jueyi Reply:
Hello, if you continue to have colored sputum, it is advisable to seek medical evaluation to check for infections or other conditions. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health an...

[Read More] Understanding Phlegm Color: Is It Normal to Cough Up Brown-tinged Mucus?


Managing Persistent Cough After COVID-19: A Guide for Patients

I have been coughing for three and a half months. How should I manage it? Hello, Doctor. I am currently in Chicago, USA. Since last Christmas, I have been experiencing cold symptoms (sore throat, fatigue, nasal congestion, and mild diarrhea). I took over-the-counter cold medicati...


Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be due to 1. chronic pharyngitis. It is recommended to seek medical attention for a laryngoscopy examination (to rule out any masses) and medication treatment. In addition to medication, daily lifestyle precautions include avoiding lying dow...

[Read More] Managing Persistent Cough After COVID-19: A Guide for Patients


Understanding Hemoptysis: Causes and Concerns in ENT Health

Sputum issues; hemoptysis? Hello Doctor: Recently, I have been intermittently coughing up blood-tinged sputum, about 4-5 times a day, and it takes around 3-4 attempts before I feel clear. Today, I visited a Chinese medicine clinic where I underwent a chest X-ray and an electrocar...


Dr. Li Jiaxuan Reply:
There is still a possibility of gastrointestinal bleeding, so it is recommended to seek medical treatment as soon as possible. Wishing you good health.

[Read More] Understanding Hemoptysis: Causes and Concerns in ENT Health


Persistent Throat Irritation: Causes and Solutions for Mucus Issues

There is phlegm in the throat that feels itchy? In recent months, I have frequently felt like there is phlegm in my throat, which is itchy and makes me want to cough. The color of the phlegm is clear and stringy. Sometimes I cough to the point of feeling a bit nauseous. At times ...


Dr. Ji Zhaoyun Reply:
Hello, the situation you described may be indicative of chronic pharyngitis. It is recommended to undergo laryngoscopy to rule out any masses, as well as to consider pharmacological treatment. If there is blood-streaked sputum, further examination of the chest and gastrointestina...

[Read More] Persistent Throat Irritation: Causes and Solutions for Mucus Issues


Understanding Persistent Cough with Foamy Sputum: Causes and Relief

Persistent production of frothy sputum? Hello, recently my throat has been very itchy. When I am standing or sitting, it's manageable and I only cough occasionally, but as soon as I lean back or lie down, I start to cough frequently. Each time, I cough up thick, foamy sputum...


Dr. Zheng Jueyi Reply:
Hello: Commonly associated with post-nasal drip or gastroesophageal reflux, persistent secretions can lead to coughing or phlegm. If symptoms persist without improvement, it is recommended to visit an otolaryngologist for examination and treatment. Wishing you safety and health. ...

[Read More] Understanding Persistent Cough with Foamy Sputum: Causes and Relief


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


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 Nosebleeds with Blood: Causes and Concerns

Nasal discharge with blood? Hello doctor, I would like to ask about a recent issue. I've been experiencing nosebleeds accompanied by blood, and I feel discomfort in my back when I cough. Could you please let me know what this might indicate?


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

[Read More] Understanding Nosebleeds with Blood: Causes and Concerns


Understanding Phlegm Color: When to Seek Medical Attention

The color of sputum? Hello, I would like to inquire; today, July 26, I felt very hot and ate ice. In the evening, I started to have a runny nose, sneezing, itchy nose, and a heavy head. After taking a combination cold medicine three times, I felt better. On June 29, after eating ...


Dr. Zheng Jueyi Reply:
Hello: If you continue to have yellow-green sputum, it may indicate a bacterial infection. It is recommended to visit a clinic or hospital for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, ...

[Read More] Understanding Phlegm Color: When to Seek Medical Attention


Understanding Complex ENT Symptoms: Blood in Phlegm and Respiratory Issues

Could you please provide more details about your issue? It seems quite complex, and I'd be happy to help you understand it better? Doctor, for the first three years, I noticed blood in my first morning sputum and was worried about nasopharyngeal cancer. Later, I went to a la...


Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, the throat appears to have normal tonsillar lymphoid tissue. If the breathing issues persist without improvement, you may follow up with an infectious disease specialist or a pulmonologist for further evaluation. Wishing you safety and good health...

[Read More] Understanding Complex ENT Symptoms: Blood in Phlegm and Respiratory Issues


Understanding Nasopharyngeal Tissue Hyperplasia and Bleeding Issues

Nasal pharyngeal tissue hyperplasia with bleeding? Hello Doctor, two years ago I discovered a mass in my nasopharynx, and after a biopsy, it was confirmed to be tissue hyperplasia. After three follow-up visits, the doctor said there was no major concern and that I could stop the ...


Dr. Zheng Jueyi Reply:
Hello: If you experience nosebleeds or persistent blood-tinged sputum, it is recommended to continue follow-up visits for examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of H...

[Read More] Understanding Nasopharyngeal Tissue Hyperplasia and Bleeding Issues


Understanding Blood in Phlegm: When to Seek ENT Care

Suctioning produces blood? Hello, I would like to inquire about a situation where I have noticed bright red blood in the mucus I expel from my nasal cavity. It's not just streaks of blood, and this has been happening for over a week. I have visited an otolaryngologist twice ...


Dr. Zheng Jueyi Reply:
Hello, if the otolaryngology endoscopic examination shows no obvious abnormalities, but you still have persistent blood-tinged sputum, it is recommended to consult a pulmonologist to assess for any lower respiratory tract issues. Wishing you safety and health. Sincerely, Dr. Chen...

[Read More] Understanding Blood in Phlegm: When to Seek ENT Care


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