Tonsils, Otolaryngology FAQ - Page 2

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Understanding Asymmetrical Tonsils: Concerns and Insights

The tonsils are asymmetrical in size? Hello Doctor, I have been feeling a bit uncomfortable on the right side (I saw tonsil stones in the mirror). I noticed that my right tonsil is larger. After visiting the doctor and having the stones removed (the doctor mentioned there is stil...


Dr. Zheng Jueyi Reply:
Hello, if you are unable to determine the issue, it is advisable to visit an otolaryngology clinic for a medical examination and confirmation.

[Read More] Understanding Asymmetrical Tonsils: Concerns and Insights


Understanding Growth Near Tonsils: What You Need to Know

A lump near the tonsils (see attached image)? Hello Doctor, I have noticed a growth near my tonsils over the past few days, as shown in the image: https://imgur.com/a/tZB30q2. A few days ago, I had a cold and consulted a doctor, during which I mentioned this area. The doctor info...


Dr. Zheng Jueyi Reply:
Hello, it initially appears to be lymphoid tissue of the tonsils. If you have concerns or notice any persistent changes, it is advisable to consult an otolaryngologist for further evaluation.

[Read More] Understanding Growth Near Tonsils: What You Need to Know


Understanding Throat Bumps: Are They Caused by Acid Reflux?

Small lump in the throat? I have been experiencing throat reflux issues for the past month, and recently I noticed small lumps near the area below my tonsils. Could this be caused by throat reflux leading to throat inflammation? Thank you, doctor.


Dr. Zheng Jueyi Reply:
Hello, the tonsillar lymphoid tissue is commonly found and may become inflamed and enlarged due to pharyngeal reflux. If you have concerns or symptoms, it is advisable to consult an otolaryngologist for an examination.

[Read More] Understanding Throat Bumps: Are They Caused by Acid Reflux?


Understanding Non-Painful White or Yellow Patches on Tonsils

The tonsils have white (or yellow) patches, but there is no pain? Hello, Doctor. I had a case of purulent tonsillitis due to influenza at the beginning of June 2023 (which often happens whenever I get sick). After that, I was diagnosed with COVID-19 before fully recovering from t...


Dr. Ji Zhaoyun Reply:
Hello, regarding the conditions for tonsillectomy that you mentioned, they are generally as follows: 1) Enlarged tonsils causing respiratory issues or conditions such as sleep apnea; 2) Presence of malignant tumors; 3) Recurrent tonsillitis (as you mentioned). Internationally rec...

[Read More] Understanding Non-Painful White or Yellow Patches on Tonsils


Understanding Tonsil Surgery: Techniques, Pain Management, and Options

Regarding tonsillectomy methods? Hello, Doctor: Recently, I have been looking for information about tonsillectomy. Although it is considered a minor procedure compared to other major surgeries, I have seen many people online consistently stating that the postoperative experience ...


Dr. Zheng Jueyi Reply:
Currently, there are various energy devices available, such as low-temperature plasma knives and cold ablation probes, which can provide a lower temperature compared to traditional electrosurgical knives, resulting in less thermal damage to tissues and consequently milder postope...

[Read More] Understanding Tonsil Surgery: Techniques, Pain Management, and Options


Severe Throat Pain During Colds: Chronic Inflammation or Cyst?

Severe throat pain due to a cold? Every time I catch a cold, it starts with my throat, and the pain is so severe that I don't want to speak, and swallowing saliva is extremely painful. I previously mentioned this issue to a doctor, who used a nasopharyngoscope and noted that...


Dr. Zheng Jueyi Reply:
Chronic pharyngitis or cysts often present with a sensation of a lump in the throat, while severe pain is usually associated with acute infections, such as acute tonsillitis or acute nasopharyngitis. If pain persists or there is difficulty swallowing, it is advisable to seek eval...

[Read More] Severe Throat Pain During Colds: Chronic Inflammation or Cyst?


Understanding Left-Sided Tongue Base Lesions: Causes and Concerns

Left-sided mass at the base of the tongue? Hello Doctor, due to recent tonsillitis, I have been paying more attention to my oral condition. The link contains two photos of my recent self-examination of my mouth. I would like to inquire about the following conditions: 1. What coul...


Dr. Li Jiaxuan Reply:
The red protrusion in the tonsillar crypt is recommended for outpatient evaluation (sorry, the photo is not very clear). Wishing you well.

[Read More] Understanding Left-Sided Tongue Base Lesions: Causes and Concerns


Severe Throat Pain During Colds: Chronic Inflammation or Cyst?

Severe throat pain due to a cold? Every time I catch a cold, it starts with my throat, which hurts so much that I don't want to talk, and swallowing is extremely painful. I previously mentioned this issue to a doctor, who used a nasogastric endoscope and noted that I often e...


Dr. Zheng Jueyi Reply:
Chronic pharyngitis or cysts often present with a sensation of a lump in the throat, while severe pain is usually associated with acute infections, such as acute tonsillitis or acute nasopharyngitis. If pain persists or there are difficulties swallowing, it is advisable to seek m...

[Read More] Severe Throat Pain During Colds: Chronic Inflammation or Cyst?


Severe Throat Pain During Colds: Chronic Inflammation or Cyst?

Severe throat pain due to a cold? Every time I catch a cold, it starts with my throat, which hurts so much that I don't want to speak, and swallowing is extremely painful. I previously mentioned this issue to a doctor, who used a nasogastric endoscope and noted that I often ...


Dr. Zheng Jueyi Reply:
Chronic pharyngitis or cysts often present with a sensation of a lump in the throat, while severe pain is usually associated with acute infections, such as acute tonsillitis or acute nasopharyngitis. If pain persists or if there is difficulty swallowing, it is recommended to seek...

[Read More] Severe Throat Pain During Colds: Chronic Inflammation or Cyst?


Understanding Asymmetrical Tonsils: When to Seek Medical Attention

There are polyp-like growths on the tonsils? Hello, Doctor. Recently, I have been experiencing a sore throat, so I used a flashlight to examine my oropharynx and noticed that my tonsils are asymmetrical. There is a small growth on the right side. I have attached a photo: https://...


Dr. Zheng Jueyi Reply:
Hello, it is common for the tonsils to be lymphoid tissue. If you have concerns or discomfort, you can visit an otolaryngologist for examination and confirmation.

[Read More] Understanding Asymmetrical Tonsils: When to Seek Medical Attention


Understanding Out-of-Pocket Costs for Antibiotics in Tonsillitis Treatment

Antibiotics for tonsillitis are self-paid? Hello, doctor. I have been taking medication for three days for my tonsillitis without improvement. Today, I visited another clinic near my home, where the doctor clearly informed me that I have a suppurative tonsillitis and need to take...


Dr. Zheng Jueyi Reply:
Hello, using antibiotics for tonsillitis is reasonable, but there are concerns about the cost. It is recommended to directly consult with your clinic physician.

[Read More] Understanding Out-of-Pocket Costs for Antibiotics in Tonsillitis Treatment


Neck Pain Radiating to Left Ear: Possible Causes and Next Steps

Pressing on the left side of the neck causes pain, and the discomfort has extended to the left ear? Hello Doctor: Since Saturday, June 3rd, I have been experiencing a slight pulsating sensation and pain on the left side of my neck, around the carotid artery area, when I press dow...


Dr. Zheng Jueyi Reply:
If you are unable to determine the symptoms, you may consider visiting a neurologist to evaluate for neuropathic pain, or you could see an otolaryngologist for further examination. Based on the clinical findings, the physician will assess whether a referral to another specialty i...

[Read More] Neck Pain Radiating to Left Ear: Possible Causes and Next Steps


Should I Remove My Enlarged Tonsil? Understanding Risks and Recommendations

The right tonsil is enlarged? I initially sought treatment for chronic pharyngitis caused by gastroesophageal reflux disease, but I unexpectedly discovered that my right tonsil is significantly larger than the left. This enlarged tissue has been present for many years, and I have...


Dr. Zheng Jueyi Reply:
Hello, if there are no obvious symptoms or if there are concurrent issues such as a neck mass, there may not be an urgent need for immediate removal. However, if the clinical physician assesses that removal is advisable and there are concerns about the potential for future malign...

[Read More] Should I Remove My Enlarged Tonsil? Understanding Risks and Recommendations


Understanding Prolonged Tonsillitis: Symptoms, Treatment, and Concerns

The tonsillitis has not improved from March 25, 2023, to April 4, 2023? On March 23, 2023, I initially experienced discomfort in my right tonsil and visited the ENT department on March 25 for examination, where I was diagnosed with acute tonsillitis. I was prescribed antibiotics ...


Dr. Li Jiaxuan Reply:
It is recommended to undergo imaging studies and bacterial culture for the ruptured membrane of the tonsils, as it is prone to recurrent infections. Wishing you good health.

[Read More] Understanding Prolonged Tonsillitis: Symptoms, Treatment, and Concerns


Can Post-Nasal Drip Cause Tonsillitis? Understanding Your Treatment Options

Can postnasal drip cause tonsillitis? Hello, doctor. I would like to ask about my symptoms of post-nasal drip that have persisted for one to two years. A few days ago, I had a CT scan that revealed chronic inflammation in my left sinus. I also underwent a nasopharyngoscopy, which...


Dr. Li Jiaxuan Reply:
Frequent inflammation of the tonsils or severe symptoms of inflammation may warrant consideration for tonsillectomy. Similarly, the decision to perform surgery for sinusitis can be based on the severity of the condition. Chronic sinusitis can indeed lead to tonsillitis. It is adv...

[Read More] Can Post-Nasal Drip Cause Tonsillitis? Understanding Your Treatment Options


Exploring Tonsillectomy Options for Patients with Anesthesia Anxiety

Hello doctor, I want to have my chronic tonsillitis treated with a tonsillectomy, but I am afraid of general anesthesia and hesitant to undergo the surgery? Hello Dr. Cheng, I have a severe fear of general anesthesia that affects my ability to eat. I have a history of G6PD defici...


Dr. Zheng Jueyi Reply:
Hello, currently, tonsillectomy surgeries require general anesthesia for safety, and the anesthesia is managed by a professional anesthesiologist. If you have any questions, you can consult at the hospital.

[Read More] Exploring Tonsillectomy Options for Patients with Anesthesia Anxiety


Understanding Oral Ulcers: Causes, Symptoms, and When to Seek Help

Oral issues Hello Doctor: This week, I suddenly developed 5 or 6 ulcers in my mouth, one of which is located near my tonsils and is causing some throat pain. Today, I also noticed that one of the ulcers was bleeding, although it was only for a moment and not continuous. I would l...


Dr. Li Jiaxuan Reply:
1. Deep oral ulcers may bleed. 2. The causes of oral ulcers include enteroviruses or gingival viruses. Wounds that do not heal for more than two weeks should raise suspicion for precancerous lesions. HIV testing should be done through a blood test. Wishing you peace and safety.

[Read More] Understanding Oral Ulcers: Causes, Symptoms, and When to Seek Help


Chronic Oral Ulcers: Seeking Effective Solutions and Diagnosis

Oral ulcers that cannot be cured for a long time? Hello Doctor, I have been suffering from recurrent oral ulcers for a long time. The symptoms are as follows: I easily develop 5 to 10 ulcers at a time, and sometimes they are widely distributed around the hard palate and throat, a...


Dr. Li Jiaxuan Reply:
Blood tests are typically conducted to assess immune system function, and biopsies can be performed to determine the presence of fungal infections or changes in epithelial cells. Wishing you well.

[Read More] Chronic Oral Ulcers: Seeking Effective Solutions and Diagnosis


Understanding Unilateral Tonsil Enlargement: Symptoms and Concerns

Unilateral tonsillar enlargement? Hello, doctor. I started experiencing a sore throat yesterday and upon checking, I noticed that the tonsils outlined in green do not hurt, which I assume is normal (my personal layman's judgment). The tonsils outlined in orange are inflamed,...


Dr. Zheng Jueyi Reply:
Hello, it initially appears to be tonsillitis, with no obvious pus formation. If you are concerned about a possible COVID-19 connection, you may perform a self-administered rapid test. The need for antibiotics should be determined by a clinical physician. It is recommended to tak...

[Read More] Understanding Unilateral Tonsil Enlargement: Symptoms and Concerns


Understanding Geographic Tongue: When to Seek Medical Advice

Questions related to geographic tongue? I have a problem with geographic tongue that has been ongoing for about a year. I visited a clinic, and the doctor told me not to worry about it since there is no treatment available. A year has passed, and the geographic tongue continues t...


Dr. Zheng Jueyi Reply:
Hello, if there are no obvious ulcers or pain, you can start with self-observation. However, if the pain persists or there is significant redness and swelling, it is advisable to visit an otolaryngologist for an examination. If the symptoms continue to recur, they may be related ...

[Read More] Understanding Geographic Tongue: When to Seek Medical Advice


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