Steroid nasal spray, Otolaryngology FAQ

Share to:
Understanding Chronic Nasal and Throat Issues: Causes and Solutions

Throat and nasal issues? Hello Doctor, I have a somewhat complex issue that has been bothering me, so I would like to seek your advice. Symptoms: 1. I have persistent clear nasal discharge (not thick), and occasionally experience unexplained nasal congestion. 2. I feel like t...


Dr. Ji Zhaoyun Reply:
Hello, thank you for detailing your symptoms and concerns. Here are some possible suggestions and considerations, but please be sure to consult your specialist in person for a personalized diagnosis and treatment plan, as online consultations cannot replace an in-person examinati...

[Read More] Understanding Chronic Nasal and Throat Issues: Causes and Solutions


Understanding Allergic Rhinitis: Symptoms, Breathing Issues, and Solutions

Allergic rhinitis issues Hello, Doctor. I would like to ask you some questions (I have quite a few, and sometimes when I go to see a doctor, I don't know how to explain everything in detail from start to finish. Thank you for your help!): Symptoms: I have been troubled by ...


Dr. Zheng Jueyi Reply:
1. It may take time to get used to breathing through the nose; increasing physical activity and practice can help. 2. There are many potential causes for chest tightness; if concerned, it is advisable to consult a pulmonologist, cardiologist, or gastroenterologist to check for ...

[Read More] Understanding Allergic Rhinitis: Symptoms, Breathing Issues, and Solutions


Effective Strategies to Prevent Nosebleeds and Manage Symptoms

How to prevent nasal mucosal bleeding? Hello Doctor, I have been experiencing intermittent nosebleeds since childhood, which have caused me significant distress in my daily life. The bleeding occurs repeatedly on the same side, and I have noticed that as I age, the volume of bloo...


Dr. Ji Zhaoyun Reply:
Hello, based on your description, there are many causes of nosebleeds, with the most common being thin nasal mucosa due to forceful nose blowing. However, conditions such as nasopharyngeal or nasal cavity tumors (like nasopharyngeal carcinoma), sinusitis, fungal infections, aller...

[Read More] Effective Strategies to Prevent Nosebleeds and Manage Symptoms


Managing Persistent Cough and Throat Phlegm from Allergic Rhinitis

Nasal allergies Hello Doctor: I have a history of nasal allergies, and recently I've been coughing non-stop, both in the morning and at night. I feel like there's phlegm in my throat, but when I cough it up, it's white. Occasionally, I also taste nasal mucus. I...


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

[Read More] Managing Persistent Cough and Throat Phlegm from Allergic Rhinitis


Understanding Steroid Nasal Sprays for Tinnitus Relief and Treatment Options

Steroid nasal spray Due to pulsatile tinnitus, the physician initially determined that it was caused by nasal congestion and prescribed a nasal spray. Should it be used daily or only when tinnitus occurs? Does long-term use have a curative effect, or is it only a temporary relief...


Dr. Li Jiaxuan Reply:
Continue to spray for a while, and once symptoms improve, you can switch to intermittent spraying. Surgery may provide relief, but symptoms may not completely disappear. Wishing you well.

[Read More] Understanding Steroid Nasal Sprays for Tinnitus Relief and Treatment Options


Distinguishing Between Sinusitis and Allergic Rhinitis Symptoms

Sinusitis and Allergic Rhinitis Hello Doctor, I have been experiencing significant nasal congestion and swelling over the past week. I have previously been diagnosed with allergic rhinitis, but I have never felt such pronounced discomfort before. I researched that sinusitis can a...


Dr. Ji Zhaoyun Reply:
Hello, common symptoms of sinusitis include nasal congestion, yellow-green 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. If acute sinusitis persists despit...

[Read More] Distinguishing Between Sinusitis and Allergic Rhinitis Symptoms


Understanding Eustachian Tube Dysfunction: Causes and Solutions

Eustachian tube issues (blockage and echo sensation) Hello Doctor, I started experiencing a feeling of fullness in my right ear about the beginning of last month, along with echoing while speaking and hearing sounds. My left ear feels similarly blocked but without echo. Both ears...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3) Otitis me...

[Read More] Understanding Eustachian Tube Dysfunction: Causes and Solutions


Managing Allergic Rhinitis: Exercise, Medications, and Effective Solutions

Nasal allergy Hello, I have been troubled by perennial allergic rhinitis for a long time. A year and a half ago, I underwent surgery for a deviated septum at Far Eastern Memorial Hospital. I feel that my breathing has become smoother, but my morning nasal allergies have not impro...


Dr. Zheng Jueyi Reply:
Hello, allergic rhinitis is related to one's constitution, and exercise can improve some symptoms. If you are currently mainly doing anaerobic exercise, you may consider increasing aerobic exercise to enhance cardiovascular and pulmonary function. However, increasing the amo...

[Read More] Managing Allergic Rhinitis: Exercise, Medications, and Effective Solutions


Understanding Throat Pain and Tongue Ulcers: Insights from an ENT Specialist

Left-sided throat pain and a sore on the tongue? Hello Dr. Zheng, I sometimes experience excessive nasal discharge and a slight pain in the left side of my throat after staying up late. I visited an ENT specialist in the morning, initially thinking that my left tonsil might be in...


Dr. Zheng Jueyi Reply:
Hello! A hole on the side of the tongue may potentially cause pain in the throat on the same side, as they are innervated by the same sensory nerve. You can start with medication and monitor the situation. As for allergic rhinitis, long-term use of corticosteroid nasal sprays is ...

[Read More] Understanding Throat Pain and Tongue Ulcers: Insights from an ENT Specialist


Mixing Different Steroid Nasal Sprays: Is It Safe for Allergies?

Steroid nasal spray I visited different clinics for treatment, and due to my allergies, the doctors prescribed nasal sprays. At the first clinic, I was given "Tessalon Nasal Spray," which contains Triamcinolone acetonide, and the second bottle was "Loxonin Nasal Sp...


Dr. Zheng Jueyi Reply:
Hello: It is recommended to start with a single nasal corticosteroid and evaluate its effectiveness before deciding whether to switch or continue using it during a follow-up visit. As for allergic rhinitis, a continuous prescription can be issued, but generally, it requires stabl...

[Read More] Mixing Different Steroid Nasal Sprays: Is It Safe for Allergies?


Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Tinnitus issues Hello Dr. Li, I would like to inquire about my tinnitus issue. About four months ago, I started experiencing nightmares every night, waking up with low-frequency tinnitus that syncs with my heartbeat. The louder the tinnitus becomes, the higher my body temperatur...


Dr. Li Jiaxuan Reply:
Tinnitus due to cardiac issues is often related to vascular disorders. Please check if your blood pressure is elevated. If you wish to pursue further examination, it is recommended to undergo an MRA (Magnetic Resonance Angiography) scan. Wishing you good health.

[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options


Can Long-Term Use of Steroid Nasal Sprays Cause Nasal Turbinate Hypertrophy?

Can steroid nasal sprays be used long-term? Can they cause turbinate hypertrophy or hyperplasia? Hello Doctor: I had severe chronic sinusitis (allergic) during my childhood, which improved on its own around middle school. In recent years, I have experienced mild nasal congestion ...


Dr. Ji Zhaoyun Reply:
Hello, regarding allergic rhinitis: The primary triggers are genetic predisposition and environmental allergens. If one parent has allergic rhinitis, the likelihood of their children developing it is four times higher. Treatment typically begins with oral medications and nasal sp...

[Read More] Can Long-Term Use of Steroid Nasal Sprays Cause Nasal Turbinate Hypertrophy?


Effective Treatments for Eustachian Tube Dysfunction: A Comprehensive Guide

Treatment of Eustachian Tube Dysfunction I have a history of allergic conditions (most commonly allergic conjunctivitis, rhinitis, and eczema, but no records of drug or food allergies), and I have been continuously using a steroid nasal spray (which my doctor said is for maintena...


Dr. Zheng Jueyi Reply:
Hello: The symptoms still resemble issues related to Eustachian tube dysfunction. Currently, there are no effective medications or surgical options available for improvement. If there are allergies, it is recommended to continue managing allergic rhinitis effectively, along with ...

[Read More] Effective Treatments for Eustachian Tube Dysfunction: A Comprehensive Guide


Understanding Seasonal Nasal Allergies: Symptoms and Management Tips

Nasal allergy issues? Hello, doctor. Since I was young, doctors at the clinic have told me that I have nasal allergies. However, I have noticed that my condition has worsened over the past two years, so I went to the hospital for a consultation. The doctor arranged for me to have...


Dr. Ji Zhaoyun Reply:
Hello, regarding nasal allergies, here is a brief overview: The main triggering factors are genetic predisposition and environmental allergens. If one parent has allergic rhinitis, the likelihood of their children developing allergic rhinitis increases fourfold. Common allergens ...

[Read More] Understanding Seasonal Nasal Allergies: Symptoms and Management Tips


Understanding Allergic Rhinitis: Treatment Options and Long-Term Management

Allergic rhinitis 1. I would like to ask why the medications and treatment methods prescribed by the nearby small clinic were completely ineffective in controlling my nasal congestion and runny nose, and I had to go to a more distant regional hospital to manage my symptoms. Is th...


Dr. Zheng Jueyi Reply:
Hello, allergic rhinitis is related to individual constitution and climate. Long-term use of medication does not have significant side effects; however, since the drugs are metabolized by the kidneys, caution is advised for those with impaired renal function. If symptoms persist ...

[Read More] Understanding Allergic Rhinitis: Treatment Options and Long-Term Management


Effective Strategies to Alleviate Allergic Rhinitis Symptoms

Allergic rhinitis Recently, I have been experiencing frequent sneezing every morning right after I wake up, along with a sensation in my nose as if I have inhaled water. My throat is also filled with phlegm, and I have a runny nose, which leads me to constantly rub my nose. These...


Dr. Zheng Jueyi Reply:
Hello, it is likely allergic rhinitis. The most effective treatment is the use of corticosteroid nasal sprays and oral antihistamines. Engaging in regular exercise can also help improve your overall condition. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director o...

[Read More] Effective Strategies to Alleviate Allergic Rhinitis Symptoms


Understanding Nasal Allergies: Steroid Nasal Spray Use and Side Effects

Nasal allergy Hello: Due to severe nasal allergies, my doctor prescribed a nasal spray for me. However, nasal sprays contain steroids, and I am concerned about potential side effects from long-term use, such as swelling. How long should I use it before I can stop? Thank you.


Dr. Zheng Jueyi Reply:
Dear Ms. Chang, Hello, the use of intranasal corticosteroids is very safe, and the amount absorbed by the body is minimal, allowing for long-term use. As for the duration of use, it can generally be determined based on clinical symptoms or discussed with a physician before disco...

[Read More] Understanding Nasal Allergies: Steroid Nasal Spray Use and Side Effects


Understanding Anosmia: Treatment Options for Loss of Smell

Loss of smell Hello Dr. Cheng, My father lost his sense of smell after a severe cold around April 2012. He has been treated for sinusitis, but his loss of smell has not improved. In late December, he underwent a CT scan of his nose at this hospital, and the report indicated that...


Dr. Zheng Jueyi Reply:
Dear Coco, Hello, I apologize that there is currently no effective treatment for anosmia. If a CT scan has been performed to rule out tumors or sinusitis as causes of obstructive smell loss, and it is suspected that the olfactory nerve atrophy is due to a viral infection, short-...

[Read More] Understanding Anosmia: Treatment Options for Loss of Smell


Understanding Allergic Rhinitis in Children: Symptoms, Treatment, and Risks

Allergic rhinitis Hello Dr. Hsu, My son, who is in sixth grade this year, often experiences nasal congestion and sneezing. Could this be a sign of allergic rhinitis? How should it be treated? Is it possible to completely cure it? If we ignore this issue, what kind of complicatio...


Dr. Xu Yingzhuo Reply:
Hello, Xiao Ma: Your son's symptoms are indeed indicative of allergic rhinitis. Generally, it can be treated with medications and steroid nasal sprays that do not have systemic side effects. Since this is due to his inherent constitution, it cannot be completely cured, much ...

[Read More] Understanding Allergic Rhinitis in Children: Symptoms, Treatment, and Risks


Managing Nasal Issues: Tips for Relief and Prevention After Surgery

There are many issues with the nose; please help me, doctor. Thank you? Hello Doctor: 1. I underwent surgery for turbinate hypertrophy and a deviated septum in September of the year before last (I also have allergy issues). However, I often experience nasal congestion only on t...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, here is the response. Sleeping on one side can alleviate nasal congestion on that side, which is related to changes in blood flow due to gravity. There are other methods to relieve nasal congestion, but they do not have significant ...

[Read More] Managing Nasal Issues: Tips for Relief and Prevention After Surgery


Page Next