Sputum, Otolaryngology FAQ - Page 3

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Understanding Blood in Sputum: Causes and When to Seek Help

Hemoptysis (coughing up blood) There is no cough, but on the afternoon of the 18th, I coughed up a phlegm that contained blood (not just blood streaks), and the phlegm in the morning of the 18th had blood streaks. What could be the cause?


Dr. Zheng Jueyi Reply:
Hello: If you continue to have blood in your sputum, it is recommended to seek medical examination. Wishing you safety and health. Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Understanding Blood in Sputum: Causes and When to Seek Help


Understanding Blood-Streaked Phlegm: When to Seek Medical Attention

Sputum with blood streaks? Doctor, I have a question. I felt unwell on New Year's Day this year, and after a few days, I gradually improved. At first, there was blood in my phlegm, and when I saw a doctor, they said it was a cold. However, even now, I still occasionally noti...


Dr. Zheng Jueyi Reply:
Hello, if there are persistent blood streaks in the sputum, it is recommended to visit the hospital's pulmonology and otolaryngology departments. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Minis...

[Read More] Understanding Blood-Streaked Phlegm: When to Seek Medical Attention


Understanding Blood in Phlegm: Causes and Concerns During a Cold

I have a slight cold, and my phlegm is tinged with blood? Hello Doctor: Recently, I've been feeling a bit under the weather with a cold. My throat feels dry, and I've noticed blood in my phlegm, especially in the mornings. I can feel thick phlegm near my nasal cavity, a...


Dr. Zheng Jueyi Reply:
Hello: The most common cause of bleeding is the rupture of microvessels in the nasal mucosa. If bleeding persists, it is advisable to seek medical attention for a thorough examination. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Head of the Department of Otolaryng...

[Read More] Understanding Blood in Phlegm: Causes and Concerns During a Cold


Understanding Post-Surgical Nasal Bleeding: Causes and Management

Nasal sinus residual blood drainage Hello, due to an oral surgery (this time no nasal surgery was performed), which lasted about 9 hours, the doctor mentioned that postoperative bleeding could flow into the sinus cavities and would gradually be expelled. Immediately after the sur...


Dr. Zheng Jueyi Reply:
Hello: Generally, blood clots appear dark red and do not continue to flow. If they are bright red and in large amounts, it may indicate rebleeding. The duration for complete evacuation depends on the extent of the surgery, and you may consult the surgeon for more information. Pai...

[Read More] Understanding Post-Surgical Nasal Bleeding: Causes and Management


Persistent Cough with Phlegm: Seeking Relief for Throat Irritation

Cough with sputum? I have a scratchy throat and a cough, and when I cough up phlegm, it's white with some yellow. I also have sneezing but no nasal discharge, and I feel a bit congested. I had the same situation last year, went to the hospital for an X-ray and sputum tests, ...


Dr. Zheng Jueyi Reply:
Hello, it is recommended that you still visit the hospital for an examination. Common causes include chronic sinusitis, asthma, or gastroesophageal reflux disease (GERD). You may also consult an otolaryngologist or a pulmonologist for further evaluation. Wishing you safety and go...

[Read More] Persistent Cough with Phlegm: Seeking Relief for Throat Irritation


Understanding Blood in Throat Upon Waking: Causes and Solutions

Coughing up blood upon waking up? 1. About a month ago, one night while I was sleeping, I felt something foreign in my throat. After I coughed it out, I saw it was a yellowish-green chunk that smelled very bad. Following that, I noticed blood in my saliva, but it stopped after I ...


Dr. Zheng Jueyi Reply:
Hi Xiao Gu: Chronic pharyngitis can indeed cause symptoms such as dryness in the throat, a sensation of a foreign body, and an increased feeling of mucus. However, it is generally uncommon to have blood in the sputum. If the symptoms persist, it is advisable to visit an otolary...

[Read More] Understanding Blood in Throat Upon Waking: Causes and Solutions


Understanding Blood-Streaked Phlegm: Causes and Concerns After a Cold

Cold and cough, later discovering blood streaks in the sputum? Hello, Doctor. I started experiencing a sore throat around January 8th, which progressed to a cough with nasal discharge after about two days. I did not have a fever, but my throat felt slightly painful. I had a dry c...


Dr. Zheng Jueyi Reply:
Dear Alan: Hello, if you only notice blood in your sputum for a short period, it is mostly due to microvascular rupture as the doctor mentioned. You can take medication and observe the situation. If the bleeding continues, then it would be necessary to go to the hospital for fu...

[Read More] Understanding Blood-Streaked Phlegm: Causes and Concerns After a Cold


Understanding Blood-Streaked Nasal Mucus: Causes and Concerns

Blood in nasal mucus Hello Dr. Zheng, I have been experiencing nasal discharge with blood streaks for a month. The first occurrence, about two weeks ago, seemed to be from the anterior nasal vestibule, and I could wipe it away with tissue. Last week, it appeared to be from the na...


Dr. Zheng Jueyi Reply:
Hello: Allergic rhinitis can still cause blood-tinged nasal discharge due to microvascular rupture. As for nasopharyngeal carcinoma, the primary method of diagnosis involves endoscopic evaluation followed by biopsy of any suspicious areas. Blood tests can only reference EBV-IgA, ...

[Read More] Understanding Blood-Streaked Nasal Mucus: Causes and Concerns


Understanding Hard Lumps at the Back of the Neck: When to Seek Medical Advice

There is a small hard lump at the nape of the neck? Hello, Doctor: Since the end of July this year, I have been experiencing a feeling of fullness in my right ear. This is the second occurrence, as I had a similar issue two years ago. About a month ago, the ear fullness improved ...


Dr. Zheng Jueyi Reply:
Dear Hedy, Hello. The primary concern regarding Eustachian tube dysfunction is whether there is a tumor in the nasopharynx. However, if you have already undergone examinations at two different otolaryngology clinics, both of which returned normal results, and you have also had a...

[Read More] Understanding Hard Lumps at the Back of the Neck: When to Seek Medical Advice


Understanding Nasal Issues: Causes and Concerns for Your Health

Nasal issues? Hello Doctor: My mother experiences unilateral nasal bleeding when she blows her nose in the morning, and sometimes her sputum also contains blood (which seems to be post-nasal drip since there is no cough). The blood can be bright red or dark red, and by the aftern...


Dr. Zheng Jueyi Reply:
Hi Xiao Ru, 1. Nasal mucosal laceration is a common cause of nosebleeds. 2. Generally, sinusitis does not cause nasopharyngeal cancer. 3. Not necessarily. 4. If the teeth have already been evaluated by a dentist, it is less likely to be related to the nosebleed issue. 5. If the ...

[Read More] Understanding Nasal Issues: Causes and Concerns for Your Health


Understanding Nasopharyngeal Cancer: Coughing Blood and X-ray Findings

History of nasopharyngeal carcinoma, X-ray of the neck shows white spots, slight hemoptysis? Hello Doctor: My mother was diagnosed with nasopharyngeal cancer two years ago. After more than six months of chemotherapy and radiation therapy, she now has regular follow-up appointment...


Dr. Zheng Jueyi Reply:
Hello, based on your description, my main concern is the possibility of nasopharyngeal cancer recurrence or lung metastasis, which could be causing the bleeding. I recommend coordinating with your physician for relevant examinations to determine whether the bleeding is due to the...

[Read More] Understanding Nasopharyngeal Cancer: Coughing Blood and X-ray Findings


High Nasopharyngeal Cancer Screening Index: What You Need to Know

The screening index for nasopharyngeal carcinoma is excessively high? Hello, doctor. In October, I went to the hospital for a health check-up, and the report revealed that my blood test showed an elevated level of the nasopharyngeal carcinoma marker. The normal range for EB VCA I...


Dr. Zheng Jueyi Reply:
Dear: Hello, a high index for nasopharyngeal carcinoma does not necessarily indicate that one has the disease. The definitive diagnosis of nasopharyngeal carcinoma still requires a nasopharyngeal biopsy, which should then be sent for pathological examination to confirm the diagno...

[Read More] High Nasopharyngeal Cancer Screening Index: What You Need to Know


Morning Nasal Congestion and Bleeding: What You Need to Know

Nasal congestion in the morning, with the possibility of nosebleeds? Hello, doctor. The weather has been dry and snowy lately. A couple of days ago, while I was walking, I had a bit of a nosebleed (on the left side), but it stopped afterward. However, the next morning, I noticed ...


Dr. Zheng Jueyi Reply:
Dear Kevin: Hello, the causes of nosebleeds are mostly due to bleeding from the anterior nasal septum or the inferior turbinate. After a wound forms, it usually takes a few days to heal, during which scabbing may occur, leading to nasal congestion. Forcefully blowing the nose c...

[Read More] Morning Nasal Congestion and Bleeding: What You Need to Know


Persistent Phlegm in Throat: Causes and Solutions Explained

Constant phlegm in the throat? Dear Doctor: I have had phlegm in my throat for many years, and seeing doctors hasn't helped. Some doctors have suctioned the phlegm during the visit, but it returns shortly after. The doctors haven't explained why this happens. Additional...


Dr. Xu Yingzhuo Reply:
There are many reasons for persistent phlegm in the throat, and the first step is to determine the source of the phlegm. The throat serves as a crossroads, connecting the nasal cavity and oral cavity above, and the esophagus and lungs below. Therefore, any issue in these areas ca...

[Read More] Persistent Phlegm in Throat: Causes and Solutions Explained


Persistent Nosebleeds: Causes, Concerns, and When to Seek Help

Recent occurrences of nosebleeds? Hello Dr. Cheng, Recently, I have noticed blood in my nasal mucus. Although I have experienced nosebleeds in the past, I have never encountered a situation like this where it does not heal. Each time I blow my nose, there are streaks of blood ra...


Dr. Zheng Jueyi Reply:
Dear Nick, Regarding nasal bleeding, most of the bleeding occurs at the anterior part of the nasal septum, as this area is a convergence point for blood vessels. It can be caused by dry weather, trauma, or hypertension, leading to the rupture of blood vessels. Nasopharyngeal car...

[Read More] Persistent Nosebleeds: Causes, Concerns, and When to Seek Help


Understanding Blood-Streaked Phlegm: When to Seek Medical Help

Coughing up saliva with blood streaks? I previously had a cold and coughed up phlegm that contained blood. However, over the past few days, I have visited several hospitals and consulted different specialists. I underwent a nasopharyngoscopy (not sure what it's called), but ...


Dr. Chen Jianzhi Reply:
Dear Inquirer, I understand your concerns based on your description. It seems that the real source of your worry may be the "hidden enemy lurking in unknown places." To address your doubts, I would like to clarify a few questions: 1. When do you typically notice bloo...

[Read More] Understanding Blood-Streaked Phlegm: When to Seek Medical Help


Understanding Coughing Up Blood: Causes and Concerns in ENT Health

Coughing up saliva with blood streaks? Dear Inquirer, I understand your concerns based on your description. It seems that the real source of your worry may be the "hidden enemy lurking in unknown places." To address your doubts, I would like to clarify a few questions:...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your description, it is highly unlikely that you are suffering from lung cancer or nasopharyngeal cancer, as hemoptysis caused by cancer does not improve with medication or worsen with the consumption of cold water. It seems that you may be experiencing c...

[Read More] Understanding Coughing Up Blood: Causes and Concerns in ENT Health


Understanding Blood in Phlegm: Possible Causes and When to Seek Help

Sputum with blood clots? My aunt has blood clots in her sputum but does not have a sore throat. She has mild cold symptoms (sneezing) and has not seen a doctor. What could this condition possibly be?


Dr. Hu Kexin Reply:
Hello: In response to your question, the presence of blood clots in sputum can have multiple causes, including respiratory tract inflammation, small vessel rupture, or even cancer. It is advisable to visit a hospital for a thorough examination.

[Read More] Understanding Blood in Phlegm: Possible Causes and When to Seek Help


Understanding Stage IV Throat Cancer: Prognosis and Treatment Options

What is stage IV laryngeal cancer? Hello, Dr. Yeh. My father recently visited the hospital due to discomfort in his throat, and the initial diagnosis is stage IV throat cancer. Can throat cancer be cured? What does stage IV mean? Is there a risk to his life?


Dr. Ye Dawei Reply:
1. Radiation therapy + chemotherapy 2. It has metastasized. 3. Laryngeal cancer can be detected early. The larynx is the human organ for voice production, composed of hard tissue, cartilage, and soft tissue, located at the upper end of the trachea. The main functions of the l...

[Read More] Understanding Stage IV Throat Cancer: Prognosis and Treatment Options


Blood in Sputum: What It Means for Your Throat and Lungs

Coughing up blood?! Hello, doctor... Recently, when I wake up in the morning and brush my teeth, I always notice that there are streaks of blood in my sputum. This has been happening for about two to three days. Is there an issue with my throat or bronchi? I also have a slight so...


Dr. Ye Dawei Reply:
Sir, the situations you have hypothesized are all possible. I recommend that you visit an otolaryngologist for an examination to determine the issue.

[Read More] Blood in Sputum: What It Means for Your Throat and Lungs


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