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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
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.)
How many days does suppurative tonsillitis generally cause fever?
Purulent tonsillitis generally causes fever that lasts for three to five days, and patients will experience persistent high fever with body temperatures above 38°C. Purulent tonsillitis is caused by a systemic and throat symptom due to infection with hemolytic streptococcus following a decrease in the body's immunity and resistance. Patients will experience sudden high fever, body temperatures above 38°C, and severe throat pain primarily around the tonsils. Additionally, patients may experience dryness, itchiness, a sensation of a foreign body, a feeling of obstruction, and irritative cough in the throat area. Upon examination, significant congestion and swelling in the throat, enlarged tonsils, and pus plugs covering the surface can be found. In treatment, since tonsillitis is generally a bacterial infection, patients can benefit significantly from orally administered cephalosporin antibiotics. Moreover, patients need to follow a bland diet, abstain from smoking and alcohol, and avoid spicy and irritating foods. Improvement is generally seen around one week. (Medication should be used under the guidance of a doctor.)
How is turbinate hypertrophy caused?
The most common cause of turbinates hypertrophy in clinical practice is chronic rhinitis. Chronic rhinitis is nasal symptoms caused by unresolved acute rhinitis. Patients will experience bilateral turbinates hypertrophy and poor contractile effects of the constrictor muscle. Patients will also experience alternating bilateral nasal congestion, which is lighter during physical activities in the day and more severe at night when it's quiet. In terms of treatment, patients need to initially take some proprietary Chinese medicines orally. Additionally, the nasal cavity needs to be treated with nebulized inhalation to alleviate local congestion and edema. Patients also need to exercise to restore the function of the turbinates mucous membrane to enhance immunity and resistance, and only then can allergic rhinitis be gradually cured. (Please use medication under the guidance of a professional physician, and do not self-medicate blindly.)