Understanding Neck Swelling: When to Consult an ENT Specialist
Swelling in the neck that is not visibly apparent? I would like to ask the doctor, I have noticed swollen areas on both sides of my neck along the midline. They do not hurt when pressed firmly, and when I bend my head down, I can feel a movable lump on each side. This has been pr...
Dr. Zheng Jueyi Reply:
Hello: Regarding the unclear location you described, the areas on either side of the midline could potentially involve the thyroid gland, salivary glands, or lymph nodes. If there has been no increase in size, it is mostly indicative of a benign condition. However, if you are sti...[Read More] Understanding Neck Swelling: When to Consult an ENT Specialist
Thyroid Enlargement and Tonsil Stones: Surgical Options and Risks
Thyroid enlargement and tonsilloliths? Hello, I am currently in the ninth grade. During my health check in the first grade of junior high, I was found to have thyroid enlargement, and I was on medication for a while, but I stopped taking the medication in the second grade (becaus...
Dr. Zheng Jueyi Reply:
Hello, it is recommended that individuals with thyroid enlargement undergo regular ultrasound monitoring and blood tests at the endocrinology department. If thyroid function is normal, it should not affect the anesthesia during tonsillectomy. Additionally, the main risk associate...[Read More] Thyroid Enlargement and Tonsil Stones: Surgical Options and Risks
Why Does Tinnitus Intensify When Lying Down at Night?
Why does tinnitus become louder when lying down, making it difficult to sleep? Hello, Doctor: I live in the mountains, and at night, the sounds of insects may cover my tinnitus without me realizing it. However, every night I am awakened by a chirping sound that seems to hover abo...
Dr. Zheng Jueyi Reply:
Hello, if you have undergone numerous examinations and confirmed that your hearing is normal, the tinnitus that is more noticeable in quiet environments is likely benign. It is recommended to turn on the television or play music as a way to mask the sound, or to use distraction t...[Read More] Why Does Tinnitus Intensify When Lying Down at Night?
Understanding Neck Masses: When to Seek Further Evaluation
Neck mass Hello! About a year ago, I discovered a 1.5 cm mass located under my left ear in the neck area. I underwent an endoscopic examination at the ENT department, as well as a neck CT scan, blood tests, and ultrasound. The CT scan showed the mass to be approximately 1.0 cm, w...
Dr. Zheng Jueyi Reply:
Hello: If there are no significant changes in size, it is mostly a benign manifestation. However, it is still recommended to return to the original hospital for follow-up examinations every 3 to 6 months. Wishing you peace and health. Sincerely, Dr. Jue-Yi Cheng, Director of the ...[Read More] Understanding Neck Masses: When to Seek Further Evaluation
Understanding a Soft Neck Lump: Concerns for Your Mother's Health
A long mass on the left side of the neck? My mother is 61 years old. A few days ago, she suddenly felt a lump about halfway down the left side of her neck, approximately 2.5 cm in size. It is soft and movable, and pressing on it causes only slight discomfort. Her complexion doesn...
Dr. Zheng Jueyi Reply:
Hello, due to the larger size, it is recommended to visit the ENT department at the hospital for an examination to confirm the diagnosis. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Understanding a Soft Neck Lump: Concerns for Your Mother's Health
Hard Lump Behind Left Earlobe: Is It Related to Thyroid or Lymph Nodes?
There is a hard lump in the indentation behind the left earlobe? Hello Doctor: There is a small hard lump in the concave area behind my left earlobe. It does not hurt when pressed and has been present for several years. I have no other health issues. Last year, I was diagnosed wi...
Dr. Zheng Jueyi Reply:
Hi Mia: Hello, the hard lump located behind the left earlobe is most commonly associated with lymph nodes, salivary gland tumors, or cysts beneath the skin. Its correlation with the thyroid is relatively low. It is recommended that if it becomes painful or continues to grow, you ...[Read More] Hard Lump Behind Left Earlobe: Is It Related to Thyroid or Lymph Nodes?
Understanding Hyperthyroidism and Tonsil Stones: When to Seek Surgery
Hyperthyroidism with tonsilloliths? Hello, I have both conditions. I have previously taken medication for hyperthyroidism, but I found it troublesome, so I stopped taking the medication and didn't see a doctor. After almost a year, I recently discovered that I have tonsil st...
Dr. Zheng Jueyi Reply:
Hello: Tonsil stones are usually a result of benign chronic inflammation. Surgical removal is only necessary if there is persistent throat pain or a continuous sensation of a foreign body that affects quality of life. It is advisable to seek medical evaluation. Wishing you safety...[Read More] Understanding Hyperthyroidism and Tonsil Stones: When to Seek Surgery
Managing Hyperthyroidism and Tonsil Stones: Effective Solutions
Hyperthyroidism and tonsil stones? What should I do if I have hyperthyroidism and tonsil stones?
Dr. Zheng Jueyi Reply:
Hello: Hyperthyroidism can be managed and monitored by an internal medicine endocrinologist with medication. For tonsil stones, frequent gargling may help; however, if there is no improvement or if inflammation occurs frequently, you should consult an otolaryngologist to assess w...[Read More] Managing Hyperthyroidism and Tonsil Stones: Effective Solutions
Understanding Throat Issues: Pain, Swelling, and Symptoms Explained
Throat issues I initially had a sore throat and thought it was a cold, but the next day I noticed swelling next to my Adam's apple, feeling like there was a lump. I haven't had a fever, and my symptoms are similar to a common cold, including sore throat and phlegm. What...
Dr. Zheng Jueyi Reply:
Hello, it could possibly be an issue with the lymph nodes, a cyst, or the thyroid. If there is no improvement after a week, it is recommended to seek medical evaluation for a definitive diagnosis. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Departm...[Read More] Understanding Throat Issues: Pain, Swelling, and Symptoms Explained
Understanding Thyroglossal Duct Cyst in Children: Surgery and Imaging Options
Thyroglossal duct cyst Hello Doctor, my daughter is 6 years old and has been diagnosed with a thyroglossal duct cyst. After experiencing two severe colds, the cyst has become inflamed and enlarged. The doctor has recommended surgery, and she has already undergone an ultrasound. A...
Dr. Zheng Jueyi Reply:
Hi Carlo, Regarding the phenomenon of thyroid hyoid cyst combined with cyst inflammation and enlargement, surgical intervention is generally recommended to avoid recurrent inflammation. Additionally, arranging a computed tomography (CT) scan is a reasonable examination to confir...[Read More] Understanding Thyroglossal Duct Cyst in Children: Surgery and Imaging Options
Thyroid Hyperactivity: Is Sore Throat a Common Symptom?
After discovering hyperthyroidism, there is a dry and painful throat? Hello, I have been experiencing occasional hand tremors, rapid heartbeat, and unexplained weight loss during this time. Four days ago, I went for an examination and it appears to be hyperthyroidism (the tests a...
Dr. Zheng Jueyi Reply:
Hello: The symptoms of tremors, rapid heartbeat, and weight loss may be factors related to hyperthyroidism, and further follow-up with an endocrinologist in internal medicine may be necessary. However, the sore throat could possibly be caused by a cold or another viral infection,...[Read More] Thyroid Hyperactivity: Is Sore Throat a Common Symptom?
Pain in the Neck When Swallowing: Possible Causes and Solutions
Pain in the neck when swallowing saliva? Hello, doctor. I have been experiencing some pain in my neck when swallowing saliva, located on the lower left side of my throat near the clavicle, which seems to be close to the thyroid area. The pain is near the surface (but it’s not ski...
Dr. Zheng Jueyi Reply:
Hello, you may want to have an examination by an otolaryngologist first. The most common issue is chronic pharyngitis, which may be caused by gastroesophageal reflux, postnasal drip, or chronic irritation from smoking. Additionally, it could be due to a neck muscle strain, possib...[Read More] Pain in the Neck When Swallowing: Possible Causes and Solutions
Persistent Ear and Throat Pain: Seeking Medical Advice and Next Steps
Ear, nose, and throat symptoms. Please help clarify and provide some advice, thank you? Hello Doctor: My symptoms started at the end of August with a feeling of pressure and pain inside my right ear, and pain near the right side of my throat, particularly around the Adam's a...
Dr. Zheng Jueyi Reply:
Dear Allen: Hello, if you have already seen multiple doctors and undergone endoscopic examinations, ruling out the presence of tumors, the pain may be caused by chronic tonsillitis or chronic pharyngitis on the right side. It is recommended that, in addition to taking anti-infl...[Read More] Persistent Ear and Throat Pain: Seeking Medical Advice and Next Steps
Understanding Neck Lumps: When to Worry and ENT Insights
Please provide the content you would like me to translate into English? Hello, Doctor: 1. I have two lumps in my neck located above the Adam's apple. I have been regularly monitored by an otolaryngologist, who performed an endoscopic examination and indicated that they are...
Dr. Zheng Jueyi Reply:
Hello, if the lymph nodes in the neck have been monitored for several years and have been examined by different physicians, all of whom believe they are normal lymph node changes, it is likely that these changes are mostly benign. In cases of malignancy, lymph nodes typically con...[Read More] Understanding Neck Lumps: When to Worry and ENT Insights
Understanding Neck Lumps: When to Worry About Lymph Nodes
There is a small lump in the neck? Hello Doctor, I have a round, movable, painless lump in my left neck that I have been able to feel for at least three years, and it hasn't changed in size. I consulted with an ENT specialist, who said it is likely just a lymph node. The doc...
Dr. Zheng Jueyi Reply:
Dear Kaining: Based on your description and the examination results from the clinic, it appears to be a lymph node without a doubt. Additionally, the fact that it is mobile and has not shown significant enlargement over the past three years suggests it is likely a benign lymph no...[Read More] Understanding Neck Lumps: When to Worry About Lymph Nodes
Post-Meal Discomfort: Difficulty Swallowing and Breathing Issues Explained
Experiencing discomfort after eating, often accompanied by frequent swallowing of saliva? Hello, doctor: After I eat, I often experience belching and have a constant urge to swallow saliva, even when there is none. I tend to swallow forcefully, and sometimes I have difficulty swa...
Dr. Xu Jiazhen Reply:
Hello: From your letter, it is difficult to determine which specific disease is diagnosed. However, if you have been experiencing persistent swallowing difficulties, I would consider several possible factors. First, it is important to consider tumors or lesions in the hypopharynx...[Read More] Post-Meal Discomfort: Difficulty Swallowing and Breathing Issues Explained
Understanding Recurring Dizziness and Facial Pain: ENT Insights
Dizziness and facial pain? Hello Doctor: I have been experiencing recurrent dizziness for about three years, particularly discomfort and occasional pain in the back of my neck. Each episode lasts approximately two weeks and is accompanied by a general feeling of warmth and night ...
Dr. Xu Yingzhuo Reply:
It is difficult to determine; a medical center should be consulted for professional testing.[Read More] Understanding Recurring Dizziness and Facial Pain: ENT Insights
Understanding Pulsatile Tinnitus: Causes and Concerns for Your Left Ear
Issues with the left ear? Hello Doctor: I have been hearing a heartbeat sound in my left ear for the past few days, and as a result, I can't sleep. What could be the cause of this? Is it related to my thyroid? <I apologize for forgetting to include my email address in the...
Dr. Xu Yingzhuo Reply:
Dear Ms. Huang, There are many causes of pulsatile tinnitus (tinnitus that is synchronized with the heartbeat), with common ones including arteriovenous malformations in the ear or brain, tympanic membrane or jugular vein hemangiomas, high carotid artery position, residual stape...[Read More] Understanding Pulsatile Tinnitus: Causes and Concerns for Your Left Ear
Understanding Hoarseness: When Vocal Cords Appear Normal
Normal vocal cords but hoarse voice? Hello Doctor: About three years ago, I noticed a change in my voice. Initially, I had difficulty reaching high notes, and my voice would sometimes disappear, but I could speak normally; it was only when singing that I encountered problems. Gra...
Dr. Xu Jiazhen Reply:
There are many reasons for changes in voice. As you mentioned, losing your voice can indeed cause significant distress. In addition to using a laryngoscope for visual examination, there are several other methods available for further analysis. The vocal cords do not simply functi...[Read More] Understanding Hoarseness: When Vocal Cords Appear Normal
Post-Thyroid Tumor Surgery: Challenges of Oral Feeding After 1 Year
One year and three months after thyroid tumor surgery, the patient has been unable to eat orally? Hello, Director. My mother underwent thyroid tumor surgery on June 18, 1999. It has been 1 year and 3 months since she has been unable to eat orally (due to choking on liquids on Sep...
Dr. Xu Jiazhen Reply:
Hello! The recurrent laryngeal nerve, which controls the movement of both vocal cords, is located near the thyroid gland. When removing a tumor, it is important to consider the position of the nerve, as this often leads to bilateral vocal cord paralysis postoperatively. One possi...[Read More] Post-Thyroid Tumor Surgery: Challenges of Oral Feeding After 1 Year