Vocal cords, Otolaryngology FAQ

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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


Morning Hoarseness After Tonsillitis: Causes and Recovery Time

Hoarseness in the morning due to tonsillitis? Hello, doctor. Last Friday, I went to the clinic because I was experiencing pain when swallowing saliva. The doctor diagnosed me with tonsillitis. I didn't have a fever or other symptoms, and after taking antibiotics for about th...


Dr. Zheng Jueyi Reply:
Hello, laryngeal edema and inflammation commonly occur due to multiple infections, and it usually takes about a week to gradually recover. However, hoarseness caused by laryngeal cancer tends to persist. If the hoarseness lasts for more than a week without improvement, it is advi...

[Read More] Morning Hoarseness After Tonsillitis: Causes and Recovery Time


Persistent Throat Discomfort and Brown Mucus: Possible Causes and Solutions

Sore throat with brownish, stringy (or small clumpy) phlegm? Hello Doctor, I have been experiencing a persistent sensation of something stuck in my throat along with phlegm for nearly two months. The phlegm does not resemble the typical yellow or green color seen in common colds;...


Dr. Ji Zhaoyun Reply:
Hello, based on the symptoms you described, you have undergone a series of evaluations, including assessments from otolaryngology, pulmonology, and gastroenterology, and it has been found that you have moderate gastroesophageal reflux disease (GERD). Here are some possible causes...

[Read More] Persistent Throat Discomfort and Brown Mucus: Possible Causes and Solutions


Sudden Loss of Voice After Cold: Causes and Remedies

Sudden loss of voice (complete aphonia) after a cold? Hello Doctor: I started experiencing cold symptoms last Tuesday (March 12) including fever, runny nose, sore throat, nasopharyngeal inflammation, cough, and phlegm. Yesterday, due to persistent coughing, I took cough syrup con...


Dr. Zheng Jueyi Reply:
Hello, a common cause of sudden loss of voice is related to edema of the vocal cords or surrounding tissues. Oral corticosteroids can be taken, and symptoms usually improve gradually within a week. This condition is not related to cough syrup. It is recommended to drink plenty of...

[Read More] Sudden Loss of Voice After Cold: Causes and Remedies


Understanding Lymph Node Swelling and Nasopharyngitis Symptoms

Is there a possibility of developing nasopharyngeal carcinoma? Hello Doctor: In December, I noticed swelling of about three lymph nodes on the right side of my neck (they are palpable, with one being larger, approximately 1.5 cm, located in the upper neck). After an ultrasound, t...


Dr. Ji Zhaoyun Reply:
Hello, 1. My lymph nodes have become larger and more numerous. Is this related to fever and infection? > Based on the description, this is a very likely cause. 2. Is thick yellow phlegm or pus in the nasopharynx really rare? I researched nasopharyngitis and found it to be q...

[Read More] Understanding Lymph Node Swelling and Nasopharyngitis Symptoms


Understanding Vocal Cord Issues: Causes of Hoarseness and Pain

Vocal cords hoarseness? I have had a hoarse voice for over six months. During this time, I have visited various specialists, including otolaryngologists, gastroenterologists, psychiatrists, and neurologists, but none have been helpful. Initially, a clinic performed an endoscopy a...


Dr. Ji Zhaoyun Reply:
Hello, sometimes when patients undergo examinations, if they are very nervous, it is indeed possible for their vocal cords to not function properly, which may resemble vocal cord paralysis. Additionally, acute inflammation can also lead to temporary dysfunction of the vocal cords...

[Read More] Understanding Vocal Cord Issues: Causes of Hoarseness and Pain


Understanding Right Vocal Cord Paralysis: Causes, Diagnosis, and Recovery

Right vocal cord paralysis? Hello Dr. Cheng, On January 13, 2023, I visited a regional hospital in Yunlin due to a cold and cough. During the examination, the physician inadvertently discovered that my right vocal cord exhibited signs of paralysis using a nasal endoscope (my voi...


Dr. Zheng Jueyi Reply:
Hello, I agree with the second point regarding the clinical judgment of the two physicians. If there is improvement, outpatient follow-up observation can continue. Whether further examinations are needed should be determined by the clinical physician based on changes in symptoms.

[Read More] Understanding Right Vocal Cord Paralysis: Causes, Diagnosis, and Recovery


Managing Persistent Throat Inflammation After COVID-19 Recovery

Recurrent throat inflammation after COVID-19? Hello Doctor: I originally wanted to make an appointment yesterday, but you were fully booked. I would like to ask about my condition. I tested positive for COVID-19 on June 2 and have been testing negative on rapid tests for about a ...


Dr. Zheng Jueyi Reply:
Hello, the recurring symptoms that have not improved may be related to your immune system not having fully recovered. In addition to medication treatment, it is important to enhance dietary adjustments (such as increasing water intake and reducing sweets) and to maintain a regula...

[Read More] Managing Persistent Throat Inflammation After COVID-19 Recovery


Feeling of Throat Obstruction After Singing: Causes and Solutions

Feeling of a foreign body in the throat after singing? Hello, doctor. I sang a few songs yesterday evening, but it wasn't too intense. However, I did clear my throat forcefully a few times. As a result, I woke up three times last night, unsure if it was due to a sore throat....


Dr. Li Jiaxuan Reply:
It is recommended to visit an otolaryngology clinic to check for any inflammation or injury to the vocal cords. Wishing you good health.

[Read More] Feeling of Throat Obstruction After Singing: Causes and Solutions


Impact of Acid Reflux on Vocal Cords: Long-Term Effects and Recovery

Vocal cords and gastroesophageal reflux disease (GERD)? Due to stress, I developed gastroesophageal reflux disease (GERD) which caused hoarseness for about a year and a half. Recently, my acid levels have been better controlled, but my voice still doesn't feel fully restored...


Dr. Zheng Jueyi Reply:
Hello: Long-term gastroesophageal reflux can lead to laryngitis, but there are many factors that can cause hoarseness. If your voice does not improve, it is recommended to visit an otolaryngologist for evaluation. Wishing you peace and health. Sincerely, Dr. Cheng Jue-Yi, Directo...

[Read More] Impact of Acid Reflux on Vocal Cords: Long-Term Effects and Recovery


Persistent Throat Sensation: Causes and Solutions for Discomfort

There is a constant sensation of something in the throat? Hello doctor, for the past two months, I've been feeling like there's something stuck in my throat, and speaking feels "very" laborious. I went to the hospital for an endoscopy, and the doctor said my v...


Dr. Zheng Jueyi Reply:
Hello, common factors related to chronic pharyngitis include not only the use of medications but also dietary management. It is recommended to reduce the intake of coffee, tea, and sweets to minimize gastroesophageal reflux, and to maintain a healthy lifestyle. Wishing you peace ...

[Read More] Persistent Throat Sensation: Causes and Solutions for Discomfort


Understanding Persistent Throat Pain: Causes and When to Seek Help

Throat issues Hello Doctor, I would like to consult you. I have been experiencing a sensation of foreign body and pain in my throat and pharyngeal wall for the past three months. The symptoms seem to be getting more painful and severe. I have been taking medication during this pe...


Dr. Zheng Jueyi Reply:
Hello, if you are concerned, you may return for a follow-up appointment for a physician's examination. If the otolaryngological examination or laryngoscopy shows no significant abnormalities, a tumor can be temporarily ruled out. If you still have concerns, you may consider ...

[Read More] Understanding Persistent Throat Pain: Causes and When to Seek Help


Understanding Post-Tonsillectomy Symptoms: Addressing Throat Discomfort

Oral issues Hello Doctor, I would like to consult you. It has been three months since I had my bilateral tonsillectomy. From the beginning, even before the surgery, I felt discomfort primarily on the left side. After the surgery, I still have a sensation of a foreign body and mil...


Dr. Zheng Jueyi Reply:
Hello: Upon initial examination, there appear to be no obvious abnormalities, and the clinical physician has reviewed the case with no significant issues identified. The possibility of foreign body sensation can be largely ruled out. There are many factors that can cause this sen...

[Read More] Understanding Post-Tonsillectomy Symptoms: Addressing Throat Discomfort


Understanding Treatment Options for Incomplete Vocal Cord Closure

Treatment options for incomplete vocal fold closure? Hello, I have had a hoarseness issue since childhood. After an examination at a major hospital, it was found that I have incomplete closure of the vocal cords. Despite undergoing speech therapy, there has been no improvement. T...


Dr. Ji Zhaoyun Reply:
Hello, if you are diagnosed with incomplete vocal cord closure and require surgery, you may consider options such as autologous fat injection, hyaluronic acid injection, or Gortex implantation. If you are contemplating surgical intervention, it is advisable to consult directly wi...

[Read More] Understanding Treatment Options for Incomplete Vocal Cord Closure


How to Communicate with Doctors About a Nail Stuck in Your Throat

Nail lodged in the throat? Hello Doctor, I have a habit of biting my nails. Once, while biting my nails, I sneezed and accidentally inhaled a nail. It seems to be lodged somewhere between my throat and trachea, possibly near the pharynx. The position shifts slightly when I eat or...


Dr. Zheng Jueyi Reply:
Hello: If the endoscopic examination shows no obvious foreign body or signs of inflammation and swelling, the likelihood of a foreign body being lodged is very low. As for the hoarseness and fatigue while speaking, it may be more related to the vocal cords and is generally not as...

[Read More] How to Communicate with Doctors About a Nail Stuck in Your Throat


Understanding Blood-tinged Mucus Flowing from Nasopharynx to Throat

Blood-tinged mucus draining from the nasopharynx into the throat? In October and November, I experienced blood streaks flowing down from my nasopharynx. I visited two ENT clinics, and both doctors performed nasal endoscopy. They noted that the microvessels inside my nasal cavity ...


Dr. Ji Zhaoyun Reply:
There are many causes of nosebleeds, with the most common being thin nasal mucosa resulting from forceful nose blowing. However, other potential causes include nasopharyngeal or nasal cavity tumors (such as nasopharyngeal carcinoma), sinusitis, fungal infections, allergic rhiniti...

[Read More] Understanding Blood-tinged Mucus Flowing from Nasopharynx to Throat


Understanding Outer Ear Pain: Causes and Remedies for Discomfort

Pain in the outer ear? Hello, doctor. I would like to ask you a question. I have been experiencing mild pain on the outer part of both ears, specifically on the upper outer area and near the inner side close to the head. The pain is not severe enough to require medication, but it...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could potentially be due to the following conditions: 1) Otitis externa 2) Migraine 3) Trigeminal neuralgia 4) Otitis media: a) Acute otitis media: often occurs alongside upper respiratory infections (colds), sinusitis, etc., and in severe cases, t...

[Read More] Understanding Outer Ear Pain: Causes and Remedies for Discomfort


Understanding Vocal Strain: Tips for Singers and Everyday Talkers

Vocal cords can easily feel fatigued? Hello, doctor. I would like to ask a few questions, and I apologize for taking up your time: 1. I am someone who loves listening to music, and while showering, melodies often play in my mind, causing my vocal cords to exert effort involunta...


Dr. Ji Zhaoyun Reply:
Hello, speech therapy is currently covered by health insurance, and many hospitals and clinics offer this service. If needed, it is best to seek consultation. It is advisable to avoid excessively loud, numerous, high-pitched, breathy, or fast speech. Wishing you peace and health.

[Read More] Understanding Vocal Strain: Tips for Singers and Everyday Talkers


Understanding Increased Coughing: Causes and Concerns in Adults

Increased frequency of coughing? Hello Dr. Cheng, I have recently noticed an increase in the frequency of my choking coughs, occurring about 1 to 2 times a week. In the past, I experienced choking coughs very infrequently. I have gastroesophageal reflux disease (GERD) and post-n...


Dr. Zheng Jueyi Reply:
Hello, generally, gastroesophageal reflux and post-nasal drip do not increase the frequency of choking coughs. If you are experiencing frequent choking, it is advisable to first consult an otolaryngologist to check for any structural issues, such as incomplete closure of the voca...

[Read More] Understanding Increased Coughing: Causes and Concerns in Adults


Voice Issues: Managing Allergies and Vocal Health for Singers

Voice problems I have been struggling with allergic rhinitis, and as someone who loves to sing, I noticed since last year that I can't produce falsetto. Occasionally, I also experience a sore throat and often have a dry throat. I would like to know what the problem might be ...


Dr. Zheng Jueyi Reply:
Hello, it is recommended to first visit an otolaryngologist to check if there are any issues with the vocal cords. If there are no problems, you can manage allergic rhinitis to reduce postnasal drip that affects your voice. Wishing you safety and health. Sincerely, Dr. Cheng Jue-...

[Read More] Voice Issues: Managing Allergies and Vocal Health for Singers


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