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102
Zhang Jun
Otolaryngology
About me
Engaged in the field of otolaryngology for ten years, pursued further training at the Second Hospital of Harbin Medical University, under the tutelage of Professor Jin Dejun.
Proficient in diseases
Rhinitis, sinusitis, nasal hypertrophy, nasal polyps, acute and chronic pharyngitis, acute and chronic tonsillitis, epiglottitis, laryngitis, vocal cord nodules, vocal cord polyps, laryngeal tumors.
Voices
How to deal with pharyngitis?
Pharyngitis, under general circumstances, stems from acute inflammatory irritation, causing symptoms in the pharyngeal area. It is commonly caused by bacterial or viral infections, such as Coxsackievirus or streptococcus hemolyticus. It triggers sudden high fevers in patients, with temperatures above 38.5°C, and severe pain in the throat, primarily during swallowing. Additionally, patients may experience dryness, itchiness, burning sensation, foreign body sensation, obstruction, and hoarseness in the throat, and in severe cases, it can lead to irritative coughing. Patients may present with mucosal rupture, evidenced by blood-streaked sputum. Examination may reveal congested and swollen pharyngeal mucosa, often covered with yellow secretions. In terms of treatment, initial steps include a routine blood test. If there is an increase in white blood cells, oral antibiotics, such as cephalosporins, are recommended. An increase in lymphocytes may indicate a viral infection, in which symptomatic antiviral treatment is advised. Patients should adhere to a bland diet, avoid spicy and irritating foods, and abstain from smoking and alcohol. Recovery typically occurs within about a week. (The use of medication should be carried out under the guidance of a professional doctor.)
Symptoms of Chronic Rhinitis
Chronic rhinitis is generally caused by the prolongation of acute rhinitis or recurrent attacks, resulting in nasal symptoms. Patients may experience bilateral nasal congestion, which alternates, being less severe during physical activity in the daytime and more severe at night when quiet. Additionally, mucous-like discharge can occur in the nasal cavity. When accompanied by bacterial infection, yellow or green discharge may appear. During examination, patients may find significant congestion and edema on the middle and inferior turbinates, and abnormal secretions adhering to the middle nasal meatus or common nasal channel. In treatment, chronic rhinitis can initially be managed with nebulized inhalation to alleviate congestion and edema of the turbinates. Concurrently, exercising can enhance immunity and resistance, restore the function of the nasal mucosa, and subsequently lead to recovery from chronic rhinitis.
What department should I go to for laryngitis?
Laryngitis requires an examination by an otolaryngologist. It is an emergency in the field of otolaryngology and is common in infants and young children. It can cause sudden high fever in patients, with body temperature above 38.5℃, severe throat pain, breathing difficulties, and painful swallowing. In severe cases, it may also lead to a barking cough, choking, and even death. If a patient exhibits the above symptoms, an initial test with an electronic laryngoscopy can reveal significant congestion and edema of the vocal cords. In terms of treatment, laryngitis primarily requires symptomatic anti-inflammatory treatment to reduce inflammation. It is also necessary to locally apply corticosteroids to lessen the congestion and swelling of the vocal cords and avoid breathing difficulties. During treatment, the patient's breathing should be closely monitored, and if choking occurs, a tracheotomy may be needed. (Please use medication under the guidance of a professional physician and avoid self-medication.)
Does laryngitis cause a fever?
Laryngitis can cause fever and is considered an emergency in otolaryngology, prevalently seen in infants and young children. It can lead to sudden high fever, with temperatures above 38°C, severe throat pain, hoarse voice, bark-like coughing, and in severe cases, it can cause breathing difficulties, and even lead to choking and death. Examination may reveal evident congestion and swelling of the bilateral vocal cords, and incomplete closure of the glottis, resulting in the hoarseness of the voice. In terms of treatment, it is primarily necessary to use anti-inflammatory treatment targeted at symptoms, as laryngitis is generally caused by a bacterial infection, so patients can effectively use oral cephalosporin antibiotics. Additionally, corticosteroids are also used to reduce local congestion and swelling. During treatment, it is essential to closely monitor the patient's temperature and respiratory condition. If the temperature exceeds 38.5°C, antipyretic medication should be administered, and in cases of breathing difficulties, tracheotomy may be necessary. (Medications should be used under the guidance of a doctor.)
How is laryngitis treated?
Laryngitis in treatment primarily requires symptomatic anti-inflammatory therapy to eliminate inflammation. Laryngitis is an ENT emergency, commonly seen in infants and young children, and can lead to sudden high fever, hoarseness, severe throat pain, and breathing difficulties. In severe cases, it may also present with a barking cough, choking, and even death. When examining with a laryngoscope, notable bilateral vocal cord congestion and edema can be observed. For treatment, patients firstly need a complete blood count; if there is an increase in white blood cells, a bacterial infection may be considered, and oral or intravenous antibiotics may be administered. If lymphocytes are elevated, symptomatic antiviral treatment should be conducted. Patients also need to use corticosteroids to reduce congestion and edema in the throat area. During treatment, closely monitor the patient's breathing, and if breathing difficulties occur, a tracheotomy may be necessary. (Please administer medications under the guidance of a professional physician and do not medicate blindly.)
How long does acute pharyngitis take to heal on its own?
Acute pharyngitis usually heals on its own in about 10 days under normal circumstances. Acute pharyngitis is caused by viral or bacterial infection following weakened immunity and resistance. Symptoms include sudden onset of high fever with temperatures above 38.5°C, severe throat pain, hoarse voice, and a barking cough. In severe cases, the patient may experience suffocation and even death. Acute pharyngitis is more common in children, whose throat mucosa is relatively loose, making it especially prone to swelling during inflammatory infections. In treatment, the patient first needs a routine blood test. If there is an increase in white blood cells, it suggests a bacterial infection, and oral antibiotics are required. If lymphocytes are increased, it indicates a viral infection, and the patient can be treated with oral ribavirin granules, which are effective. (The use of medications should be under the guidance of a doctor.)
Do you have a cough from laryngitis?
Laryngitis can cause severe coughing. Laryngitis is caused by acute inflammation that affects the throat, primarily the vocal cords, leading to sudden high fevers over 38.5°C. Patients experience severe throat pain, hoarseness, irritating coughs, bark-like coughs, and in severe cases, it can lead to difficulty breathing, choking, and even death. Generally, laryngitis is more common in infants and young children and can spread through the respiratory or digestive tract. During an examination with a laryngoscope, congested and swollen bilateral vocal cords are apparent, with good mobility but incomplete closure. In terms of treatment, symptomatic anti-inflammatory treatment is necessary for laryngitis. This can include oral or intravenous antibiotics, such as cephalosporins, which are effective. Additionally, corticosteroids are used to reduce local congestion and swelling. A light diet is recommended, and gradual improvement is usually seen within a week. (The use of medication should be carried out under the guidance of a professional doctor.)
What to eat for laryngitis
Laryngitis is an emergency in otolaryngology, commonly seen in infants and toddlers. Generally, it is caused by acute inflammation that irritates the pharyngeal mucosa, mainly the vocal cords, leading to congestion and edema of the pharyngeal mucosa. Patients may exhibit sudden high fever, with a body temperature above 38°C, severe sore throat, hoarse voice, bark-like cough, and in severe cases, it may cause breathing difficulties or even lead to suffocation and death. Examination with an electronic laryngoscope can reveal severe edema of the bilateral vocal cords and incomplete closure of the glottis. In treatment, laryngitis initially requires symptomatic anti-inflammatory treatment. A routine blood test should be conducted; if there is an increase in white blood cells and neutrophils, a bacterial infection should be considered, and oral administration of cephalosporins or penicillin antibiotics is effective. If lymphocytes are elevated, the patient should receive symptomatic antiviral treatment, which is also effective. Additionally, nebulized inhalation should be used to help reduce local congestion and edema. A bland diet should be maintained, avoiding spicy and irritating foods. Recovery is typically within about a week. (Please take medication under the guidance of a doctor.)
What are oral ulcers like?
Oral ulcers refer to localized lesions occurring on the oral mucous membranes, such as the inner cheeks, the underside of the tongue, and the mucous membrane of the tongue. There are various causes of oral ulcers. Commonly seen causes in clinical practice include repeated dental calculus, irritation from dental caries, prolonged intake of spicy foods, gastrointestinal dysfunction, acid reflux irritation, and endocrine disorders. Nutritional deficiencies due to selective eating can also lead to such mucosal lesions. Upon examination, scattered, isolated, crater-like ulcers can be found in any part of the oral cavity. The pain is significant in the affected areas, and bloody secretions may be observed when pressed. For treatment, patients are initially advised to use watermelon frost spray for external application, which has been found to be effective. Additionally, maintaining a bland diet, abstaining from smoking and alcohol, avoiding spicy foods, and controlling acid reflux with regular meals can gradually lead to improvement. (Note: The use of medications should be carried out under the guidance of a professional doctor.)
Can rhinitis cause yellow nasal discharge?
Rhinits can cause the discharge of yellow nasal mucus. Rhinits is due to the symptoms in the nasal cavity and overall body caused by bacterial or viral infections when the body's immunity and resistance are low. The patient may experience sudden high fever, with body temperatures above 38.5 degrees Celsius, bilateral nasal congestion that alternates, and yellow purulent discharge from the nasal passages. Upon examination, significant congestion of the bilateral inferior turbinates can be detected, and yellow purulent discharge adhering inside the nasal cavity can be found. In terms of treatment, patients first need to undergo a routine blood test. If there is an increase in white blood cells, bacterial infection should be considered, and oral antibiotics should be administered. If there is an increase in lymphocytes, a viral infection should be considered, and antiviral medications should be taken orally. Additionally, patients should adhere to a light diet, abstain from smoking and alcohol, avoid spicy and irritating foods, drink plenty of water, and rest well for gradual recovery. (The use of medications should be under the guidance of a doctor.)