Post-Laser Treatment for Oral Leukoplakia: Key Questions Answered
After laser treatment for oral leukoplakia? Hello Dr. Cheng, my father visited the ENT department at Chang Gung Memorial Hospital at the beginning of the month. During his initial consultation, a biopsy was performed, and during the second visit, the doctor informed us that the b...
Dr. Zheng Jueyi Reply:
Hello, 1. The severity of leukoplakia is not related to the extent of the affected areas. 2. An experienced physician can visually assess whether there may be an issue and choose to perform a biopsy on the potentially problematic areas; however, the definitive diagnosis of ora...[Read More] Post-Laser Treatment for Oral Leukoplakia: Key Questions Answered
Slow Healing Gum Wound: Concerns About Oral Health and Cancer Risk
The hole on the inner side of my left gum has not healed for almost a month? Hello Doctor: About a month ago, I noticed a small bump on the inner side of my left gum near the tongue. I thought it might be due to excessive heat in my body, so I tried to pop it to let the blood out...
Dr. Xu Yingzhuo Reply:
If it has not improved for a long time (over two weeks), it is advisable to perform a biopsy. If there is a neck mass, a fine needle aspiration can be done first to check for any abnormal cells.[Read More] Slow Healing Gum Wound: Concerns About Oral Health and Cancer Risk
Understanding Ear and Oral Lesions After Long Phone Calls: When to Seek Help
After the phone call, there are "bumps" appearing on the ear? Hello, doctor :) I worked part-time the day before yesterday, and my job involved making phone calls for about three hours. After that, my ear felt a bit sore, but I didn't pay much attention to it. Howe...
Dr. Zheng Jueyi Reply:
Hi Xiao M: 1. It could be an outer ear canal inflammation or folliculitis. You can observe it for now, but if the pain persists, it is advisable to seek medical evaluation. 2. It may be inflammation or stones in the small salivary glands at the floor of the mouth. Rinsing your mo...[Read More] Understanding Ear and Oral Lesions After Long Phone Calls: When to Seek Help
Understanding Lumps Near the Jaw: Causes and Concerns for Ear and Throat Issues
There is a 2-3 cm swelling at the junction of the lower jaw and the posterior neck, 3 cm below the right ear? Dear Dr. Cheng, Two weeks ago, I woke up to find a "sudden lump about 2-3 cm" at the junction of my right jaw and the back of my neck, approximately 3 cm below...
Dr. Zheng Jueyi Reply:
Dear Ah Kai, Based on the symptoms you described, it appears that you may be experiencing lymphadenopathy. The most common causes are infections in the head and neck region, such as infections of the ear or teeth. An endoscopic examination typically only requires entry through o...[Read More] Understanding Lumps Near the Jaw: Causes and Concerns for Ear and Throat Issues
White Coating on Tongue and Unexplained Fever: What Could It Mean?
White coating on the tongue and body heat? I would like to ask the doctor, I previously noticed a white coating on my tongue, and sometimes there is a slight yellowish tint in the middle of my tongue. However, at times the yellowish tint disappears, leaving only the white coating...
Dr. Zheng Jueyi Reply:
Hello, the presence of white coating on the tongue may be caused by dietary factors or infections from fungi or bacteria. Sometimes, abnormalities in the immune system can trigger these infections. If you frequently experience night sweats or unexplained fevers, it is advisable t...[Read More] White Coating on Tongue and Unexplained Fever: What Could It Mean?
Understanding Lingual Pain: Causes and Solutions for Tongue Discomfort
Tongue pain discomfort? Hello Doctor: Since July, I have been experiencing involuntary scraping of the left edge of my tongue by my teeth. However, the wounds are not very noticeable. At times, the left side of my tongue feels dry, burning, and tingling, and when the pain is seve...
Dr. Xu Jiazhen Reply:
Hello: Your issue should be considered in two parts. The first part concerns the wound and dental issues, which you are already addressing. However, I would like to remind you that teeth grinding does not occur without reason. The second part pertains to the underlying causes. I ...[Read More] Understanding Lingual Pain: Causes and Solutions for Tongue Discomfort
Two Months of Throat Pain: Causes and Concerns About Cancer Risk
Sore throat for two months? Hello doctor, I have been experiencing throat pain for two months, and the sensation is quite strange; sometimes it feels sharp. It also hurts when I swallow, similar to throat inflammation during a cold. I often feel very fatigued and dizzy, and my to...
Dr. Hu Kexin Reply:
If you have had a sore throat for 2 months, although it may not necessarily be throat cancer or oral cancer, it is still advisable to visit a hospital and consult an otolaryngologist for a thorough examination.[Read More] Two Months of Throat Pain: Causes and Concerns About Cancer Risk
Understanding Ear Congestion, Nasal Blockage, and Prolonged Headaches
Ear congestion, nasal congestion, and headaches lasting more than two weeks? Hello: I have been experiencing headaches for over two weeks, along with nasal congestion and a sensation of phlegm in my throat, which makes swallowing somewhat difficult but does not affect my ability ...
Dr. Xu Jiazhen Reply:
Hello: If you have just given birth, it is common to see instances of Eustachian tube obstruction due to the congestion of the mucous membranes not completely resolving. However, since you also have poor vision and headaches, it is important to consider whether there are other is...[Read More] Understanding Ear Congestion, Nasal Blockage, and Prolonged Headaches
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
Managing Recurring Tongue Base Mucoceles: Surgical Options and Alternatives
The base of the tongue is suspected to have a "mucous cyst." Hello Doctor: I underwent cyst excision surgery at the base of my tongue in May and July of last year. The first report indicated "Oral cavity, tongue base, biopsy, consistent with fibroepithelial polyp.&...
Dr. Hu Kexin Reply:
Hello: The pathology reports from these two surgeries appear to be benign. If the swelling at the base of your tongue does not seem malignant and has not caused any symptoms, it is recommended that you discuss with your attending physician whether surgery is necessary.[Read More] Managing Recurring Tongue Base Mucoceles: Surgical Options and Alternatives
Understanding Tongue Granulomas: Are They Tumors and What to Expect?
Lingual granuloma Hello, I previously discovered a raised lump on the side of my tongue, approximately one centimeter in size. After a biopsy in the outpatient clinic, it was suspected to be something concerning. Subsequently, I underwent laser excision, and upon follow-up, the d...
Dr. Zheng Jueyi Reply:
Dear Chen, Hello. Granulomas are a type of benign tumor, often caused by repeated infections or friction, commonly resulting from dental abrasion. If you frequently bite the same area or experience ulcers, it is advisable to have a dental examination to assess the condition of y...[Read More] Understanding Tongue Granulomas: Are They Tumors and What to Expect?
Understanding Tongue Growth: Polyp or Cancer Concerns?
There is a growth on the side of the tongue? Hello, Director Hsu. A relative has a growth on the side of their tongue (approximately one centimeter in size, raised like a mound). Since it has been there for a few months, we would like to understand whether this is a polyp or tong...
Dr. Xu Jiazhen Reply:
Hello: A small tumor has developed on the tongue. It is generally recommended to have it removed, as the characteristics of the oral mucosa can pose a risk of malignancy. It is better to address it sooner rather than later. Sincerely, Hsu Chia-Chen.[Read More] Understanding Tongue Growth: Polyp or Cancer Concerns?
Understanding Darkened Taste Buds: Causes and Concerns
Blackened taste buds I have recently noticed that the taste buds on the tip of my tongue have changed color and appear darker, almost like little black spots. There are also some on the sides of my tongue. Is this normal?
Dr. Zheng Jueyi Reply:
Dear Kexin: It may be caused by pigment deposition from diet or a fungal infection. You can try rinsing your mouth more frequently after meals. If there is no improvement, it is advisable to seek medical evaluation from a physician. Wishing you safety and health. Sincerely, Dr. Z...[Read More] Understanding Darkened Taste Buds: Causes and Concerns
Understanding White Spots on the Tongue: When to See a Doctor
White spots on the tongue? I have been eating hot pot frequently, but it's not spicy. However, I have noticed two round white spots on my tongue that are a different color, and they don't hurt. What could this be? Should I see a doctor?
Dr. Hu Kexin Reply:
It is recommended that you first consult an otolaryngologist for examination and treatment.[Read More] Understanding White Spots on the Tongue: When to See a Doctor
Understanding Tongue Base Tumors: Treatment Options and Consequences
Base of tongue tumor I would like to ask about my father's recent recurrence of a tumor at the base of his tongue. Some doctors have suggested that it is sufficient to excise the tumor along with a 2-centimeter margin, while others recommend a total glossectomy and laryngect...
Dr. Hu Kexin Reply:
The surgical approach and the nature of the tumor (such as benign or malignant, pathological characteristics, etc.) are related, so it is recommended that you consult your attending physician for more detailed information. Total glossectomy and total laryngectomy are different pr...[Read More] Understanding Tongue Base Tumors: Treatment Options and Consequences
Understanding Recurrent Tongue Ulcers: Causes and Treatment Options
Glossitis issues Hello, Dr. Yeh. I would like to ask you a question. Recently, I have been experiencing recurrent sores on my tongue. They are not painful, but they keep appearing and disappearing. The symptoms start with a small sore, about 0.5 to 1 mm, which gradually enlarges ...
Dr. Ye Dawei Reply:
Dear Sir/Madam: Individuals with weakened immune systems or changes in personal constitution often experience this condition. It is recommended to visit an otolaryngology clinic for examination. Dr. Yeh Da-Wei, Head of the Department of Otolaryngology, Hsinchu Hospital.[Read More] Understanding Recurrent Tongue Ulcers: Causes and Treatment Options
Is Sleeping on Your Stomach Safe? ENT Concerns and Solutions Explained
Is sleeping face down (prone position) good for you? Hello, Dr. Hsu: When I sleep lying down, I feel like my uvula gets obstructed during inhalation, causing a sensation of difficulty breathing. Therefore, I have switched to sleeping on my stomach. I would like to ask you what ad...
Dr. Xu Jiazhen Reply:
A small number of patients experience this type of disturbance during sleep, and the causes are often not solely due to enlarged uvula. Most cases are caused by a narrowing of the entire pharyngeal passage, which may include hypertrophy of the base of the tongue, and occasionally...[Read More] Is Sleeping on Your Stomach Safe? ENT Concerns and Solutions Explained
Understanding Tongue Blisters: When to See an ENT Specialist
Tongue issues? Hello Dr. Zheng, I recently noticed a blister forming under my tongue. It was initially small, so I didn't pay much attention to it, but suddenly it has grown larger in the past few days, making it somewhat inconvenient for me to eat. I'm worried about ac...
Dr. Zheng Jueyi Reply:
Dear Xiao Qiao, Hello, based on the symptoms you described, it seems that you may have a cyst in the minor salivary glands located at the floor of the mouth. This is often caused by inflammation leading to the obstruction of the ducts of these minor salivary glands. After eating...[Read More] Understanding Tongue Blisters: When to See an ENT Specialist
Understanding Tongue Numbness: Causes and Solutions in ENT
Numbness of the tongue? Hello, Director Yeh: I have been experiencing frequent tingling in my tongue for about a month. Is this related to the immune system? How should I address this? Thank you, and best wishes to you.
Dr. Ye Dawei Reply:
Dear Sir/Madam: It is related. Please visit the Otolaryngology outpatient clinic for an examination. Dr. Yeh Da-wei, Head of the Otolaryngology Department, Hsinchu Hospital.[Read More] Understanding Tongue Numbness: Causes and Solutions in ENT
Symptoms of HIV and Oral Cancer: What to Look Out For
What are the early symptoms of HIV or oral cancer? Hello Doctor: In mid-June, I had an oral candidiasis and lost 6 kilograms in two months. However, after applying the medication for three days, I was completely cured, and there has been no recurrence since then. I also underwent...
Dr. Chen Jianzhi Reply:
Dear Inquirer, Based on your literal question, oral lesions associated with HIV primarily manifest as candidiasis, while oral cancer is characterized by mass-like lesions. However, most painful oral lesions are benign, and only a very small number that do not heal within a month...[Read More] Symptoms of HIV and Oral Cancer: What to Look Out For