Understanding Blood in Sputum: ENT Concerns and Follow-Up Questions
Nasal and pharyngeal examination and issues related to hemoptysis? Hello Doctor, during my health check-up last August, the screening for nasopharyngeal carcinoma showed that my EB IGA levels were in the gray zone (not exceeding the threshold but slightly elevated). Concerned abo...
Dr. Zheng Jueyi Reply:
Hello, 1. The throat mirror can also be used to observe the nasopharynx; if there are uncertainties or needs, the physician will perform an endoscopic examination. 2. Routine blood tests can only provide a reference for whether one is in a high-risk group; the current diagnosi...[Read More] Understanding Blood in Sputum: ENT Concerns and Follow-Up Questions
Understanding Hemoptysis and Throat Discomfort: Causes and Next Steps
After coughing up blood, there is a sensation of a foreign body in the throat, accompanied by throat pain similar to that of a cold? I have experienced several instances of coughing up blood, which seem to occur after consuming crispy fried foods or fibrous vegetables. I feel as ...
Dr. Zheng Jueyi Reply:
Hello: During a gastroscopy, air is introduced to expand the esophagus, allowing for examination of narrowed areas or folds, unless the lesion is extremely small, which may make it difficult to detect. If multiple examinations show no significant abnormalities, it is indeed possi...[Read More] Understanding Hemoptysis and Throat Discomfort: Causes and Next Steps
High EBV Levels and Nasopharyngeal Cancer: What You Need to Know
Elevated EBV index in nasopharyngeal carcinoma? Hello, during my recent health check-up, my EBV (IgA) level was 17.31, with a reference value of (<6.0). The nasopharyngoscopy showed no abnormalities. I have not experienced any of the early symptoms such as neck lumps, blood-st...
Dr. Zheng Jueyi Reply:
Hello: The IgA test is generally not related to short-term infections. However, if the nasopharyngoscopy shows no abnormalities, you may consider regular monitoring. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoy...[Read More] High EBV Levels and Nasopharyngeal Cancer: What You Need to Know
Understanding the Differences Between Rigid and Flexible Nasopharyngoscopy
Nasal and pharyngeal examination Previously, there were blood streaks in my phlegm, which was yellow. I later went to a nearby clinic and underwent a nasopharyngoscopy with a rigid endoscope. I would like to ask if there is a difference in accuracy between rigid and flexible endo...
Dr. Zheng Jueyi Reply:
Hello: The examination of the nasopharynx can be performed using either a rigid or flexible endoscope. If the nasopharynx appears normal and there is persistent sputum with blood streaks, it may be necessary to consider referral to a pulmonologist or gastroenterologist for relate...[Read More] Understanding the Differences Between Rigid and Flexible Nasopharyngoscopy
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
Morning Throat Discomfort: Understanding Brown and Rust-Colored Phlegm
Sore throat with morning phlegm that is brownish and rusty in color? I have been experiencing throat discomfort for the past two weeks, primarily upon waking up. The first few sputum samples in the morning are brownish and rust-colored, but throughout the day, the sputum is clear...
Dr. Zheng Jueyi Reply:
Hello, if you only have purulent sputum in the morning, it is commonly associated with post-nasal drip or gastroesophageal reflux. It is advisable to first address any nasal allergy symptoms. Generally, sinusitis tends to present with yellow purulent nasal discharge throughout th...[Read More] Morning Throat Discomfort: Understanding Brown and Rust-Colored Phlegm
Chronic Throat Inflammation: When Does It Lead to Throat Cancer?
Chronic pharyngitis caused by gastroesophageal reflux disease (GERD)? Hello Doctor: This is my second inquiry. I would like to know under what circumstances chronic pharyngitis can progress to pharyngeal cancer. Currently, I have recurrent throat inflammation that fluctuates, acc...
Dr. Zheng Jueyi Reply:
Hello: Throat cancer is often related to long-term chronic irritation, with chronic pharyngitis being one of the factors. Smoking, air pollution, and other related issues can contribute as well. If gastroesophageal reflux persists without improvement, it is recommended to continu...[Read More] Chronic Throat Inflammation: When Does It Lead to Throat Cancer?
Post-Fever Sore Throat with Blood-tinged Phlegm: What to Do?
After recovering from a cold and fever, if you still have a sore throat with blood-tinged sputum, it is important to seek medical attention? Two nights ago, I had a fever, which subsided the next day, but I still have a sore throat with thick phlegm that has blood streaks. In the...
Dr. Zheng Jueyi Reply:
Hello: 1. Ketotifen is an anti-inflammatory medication that can be taken first and observed. 2. It is recommended to drink plenty of water and take the medication. 3. If blood-tinged sputum is caused by microvascular rupture in the throat, it should gradually improve after the co...[Read More] Post-Fever Sore Throat with Blood-tinged Phlegm: What to Do?
Persistent Cough and Occasional Ear Pressure: What to Know
Coughing for three weeks with some tinnitus? Hello, Doctor. I have been coughing for over three weeks now without improvement. At first, I thought it was a sign of a cold, but it has persisted with only a scratchy throat and occasional cough, along with some sputum that is colorl...
Dr. Zheng Jueyi Reply:
Hello: Coughing is often associated with respiratory sensitivity following a cold, and tinnitus may be related to dysfunction of the Eustachian tube. If symptoms persist without improvement, it is advisable to seek medical evaluation. Wishing you safety and health. Sincerely, Dr....[Read More] Persistent Cough and Occasional Ear Pressure: What to Know
Is Blood in Sputum Normal After Pituitary Surgery?
Is it normal to have blood in phlegm after pituitary surgery? Dear Doctor: I had pituitary adenoma surgery almost three weeks ago. Initially, I was coughing up phlegm that had bright red blood in it, but it has gradually decreased. Now, I occasionally cough up phlegm with brownis...
Dr. Zheng Jueyi Reply:
Hello: If there is persistent bleeding, it is recommended to continue follow-up visits for further examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Is Blood in Sputum Normal After Pituitary Surgery?
Do I Need a Follow-Up for Tonsillitis Symptoms and Possible Complications?
Is a follow-up appointment necessary for tonsillitis? I previously had a problem with oral blisters for about a month. After seeking medical attention, I was prescribed B vitamins, which led to significant improvement. However, I still occasionally experience oral blisters. On th...
Dr. Zheng Jueyi Reply:
Hello, if you continue to experience purulent sputum or incomplete urination, it may still be related to an infection. If there is no improvement, please return to the clinic for a medical examination. The clinic physician will determine whether further evaluation at a hospital i...[Read More] Do I Need a Follow-Up for Tonsillitis Symptoms and Possible Complications?
Exploring Further Tests for Chronic Throat Issues and Lymph Node Swelling
What other tests can be performed? Two months ago, I suddenly experienced a sensation of something stuck in my throat, which an ENT specialist diagnosed as chronic pharyngitis, and it has not improved since. Subsequently, I developed chest tightness along with a cough, which was ...
Dr. Ji Zhaoyun Reply:
Hello NIMI, based on your description, the cervical lymph nodes can undergo ultrasound examination in the otolaryngology department. If necessary, fine needle aspiration for cytological examination will be determined by the physician based on the ultrasound results, not solely on...[Read More] Exploring Further Tests for Chronic Throat Issues and Lymph Node Swelling
Understanding Elevated EB IgA Levels: What You Need to Know
Elevated EB IgA Index Issue Hello Doctor, thank you for your response. Five years ago, during a company health screening, my VCA IgA was positive. I underwent a nasopharyngoscopy and biopsy, which were normal, so I didn't pay much attention to it. Today, five years later, I ...
Dr. Ji Zhaoyun Reply:
Hello, Xiao Chen. The index for nasopharyngeal carcinoma is the "EBV titer," which includes the VCA IgA and EA IgA you mentioned. However, a high "EBV titer" does not necessarily indicate nasopharyngeal carcinoma, as there are many cases where individuals are ...[Read More] Understanding Elevated EB IgA Levels: What You Need to Know
Bilateral Lymphadenopathy Behind Ears: Symptoms and Concerns Explained
Bilateral posterior auricular lymphadenopathy, measuring 1.5 cm on the left side and 2.5 cm on the right side? On July 20, a lump was discovered. The situation is a bit lengthy: on June 18, I had a cough and wheezing for three days, after which I took a licorice compound and bare...
Dr. Ji Zhaoyun Reply:
Hello, Xiao Yu. Based on your description, the current symptoms are: 1) Lymphadenopathy -> Most likely caused by a previous infection; 2) Hoarseness -> Suspected vocal cord lesions; 3) Twitching of the left corner of the mouth when smiling -> Suspected neurological issue...[Read More] Bilateral Lymphadenopathy Behind Ears: Symptoms and Concerns Explained
Understanding Blood-tinged Sputum: When to Seek Medical Advice
Hemoptysis issue 2 Thank you, Dr. Chi, for your careful response last time. Is it possible that bronchitis could cause blood-tinged sputum? If it only occurs two or three times in a month, is it necessary to see a doctor? If the blood-tinged sputum is due to coughing too hard and...
Dr. Ji Zhaoyun Reply:
Hello, Xiao Jia. Although you only experience blood-tinged sputum two or three times a month, it is indeed possible that bronchitis is causing this symptom. This is often due to excessive coughing leading to mucosal injury, and it is commonly accompanied by a sore throat. However...[Read More] Understanding Blood-tinged Sputum: When to Seek Medical Advice
Understanding Intermittent Hemoptysis: Causes and Concerns in ENT Issues
Hemoptysis issue Hello, Dr. Chi. Last week, I had a cold with productive cough, and for two consecutive days, there was blood in my sputum, which increased in amount. Then, the following day, I experienced a severe sore throat. I went to a pulmonologist for a chest X-ray, and the...
Dr. Ji Zhaoyun Reply:
Hello, Xiao Jia. Blood-streaked sputum may originate from several areas: 1) Nose: The nasal mucosa can become fragile due to allergies or infections, leading to ruptured blood vessels when forcefully blowing the nose, rubbing, picking, or coming into contact with allergens, res...[Read More] Understanding Intermittent Hemoptysis: Causes and Concerns in ENT Issues
Understanding Blood-Streaked Phlegm: Allergies or Something More?
Hemoptysis (coughing up blood) Hello, Doctor. I have a history of allergic rhinitis, but in the past few weeks, I have noticed some unusual symptoms. About a month ago, I started to intermittently smell a metallic or bloody odor, and I have been coughing up phlegm that occasional...
Dr. Ji Zhaoyun Reply:
Hello, if you continue to have blood in your sputum for more than a month after treatment, it is advisable to consider a "nasopharyngoscopy" examination in the otolaryngology department. This procedure allows for a clear view of the nasopharynx and other conditions in t...[Read More] Understanding Blood-Streaked Phlegm: Allergies or Something More?
Morning Phlegm with Blood: Causes and Concerns After a Cold
Coughing up blood-tinged phlegm in the morning? About 20 days ago, I had a cold that hasn't completely resolved. In the past two days, I've noticed blood in my sputum when I wake up in the morning. The first sputum was all blood, the second had less, and by the third, t...
Dr. Zheng Jueyi Reply:
Hello: If there is blood in the sputum, it is advisable to seek medical examination, as it may be related to bleeding from the nasal mucosa. However, other tumor-related issues must also be ruled out. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the...[Read More] Morning Phlegm with Blood: Causes and Concerns After a Cold
Understanding Sore Throat and Yellow-Green Phlegm with Blood: Causes and Remedies
Sore throat with yellow-green phlegm containing blood streaks? Last winter, I went to the clinic for an injection due to a cold, and most of my symptoms improved. However, I've been troubled by persistent phlegm. Recently, I might have caught something from a classmate; two ...
Dr. Zheng Jueyi Reply:
Hello, after catching a cold, it is recommended to drink plenty of water and limit sugary foods. As for the presence of blood in the sputum, it is often related to microvascular rupture caused by coughing. If there is no improvement, it is advisable to continue seeking medical ev...[Read More] Understanding Sore Throat and Yellow-Green Phlegm with Blood: Causes and Remedies
Understanding Yellow Phlegm with Blood: Causes and Concerns
Yellow sputum with blood? I have had mild respiratory obstruction (as noted in my company health check report) for quite a while. I feel a sensation of a foreign body in my throat and have a dry cough with white sputum. Today, I suddenly coughed up yellow sputum with blood.
Dr. Zheng Jueyi Reply:
Hello: If there is no improvement, it is recommended to seek medical examination. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding Yellow Phlegm with Blood: Causes and Concerns