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Li Rui
Otolaryngology
About me
Graduated from Shanghai Jiao Tong University School of Medicine, engaged in otorhinolaryngology head and neck surgery for more than four years.
Proficient in diseases
Diseases diagnosis and treatment in otolaryngology. Specialized in the diagnosis and treatment of chronic sinusitis, otitis media, head and neck tumors, and other diseases.
Voices
Can throat cancer be cured?
Throat cancer is a relatively common type of head and neck malignancy with a high clinical incidence. Most patients require surgical treatment, and some need comprehensive treatment combining radiotherapy and chemotherapy. Generally, patients diagnosed in the early stages have better treatment outcomes and higher five-year survival rates. Typically, achieving a five-year survival rate after standardized surgery or radiotherapy and chemotherapy is considered a clinical cure. However, the proportion of patients in the middle to late stages achieving this is relatively low. Therefore, regular follow-ups are necessary to monitor the recovery process, regardless of the stage or type of the disease.
Do people with a deviated nasal septum faint?
A simple deviation of the nasal septum generally does not cause people to faint. Common clinical symptoms of a deviated nasal septum include repeated nasal congestion, runny nose, and nosebleeds. Some patients may experience headaches, dizziness, and snoring during sleep, but generally, consciousness remains clear without episodes of fainting. If fainting occurs, it is necessary to investigate other potential issues, such as fluctuations in blood pressure, low blood sugar, or problems related to blood vessels or nerves in the head. It is generally advised to first consult with a neurology department to investigate the specific causes of the fainting. If the deviation of the nasal septum is severe, considering surgery might be an option.
How to treat sinusitis?
The treatment of sinusitis is mainly divided into three categories. The first category is observation and follow-up; the second category is medication treatment; the third is surgical treatment. If the sinusitis is very mild and does not have obvious clinical symptoms, and the nasal cavity is relatively clean, most of these cases can be considered for observation without particular treatment. If the inflammation is more pronounced, accompanied by nasal congestion, a runny nose, headache, and dizziness, most of these cases should consider medication treatment, which usually involves oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline can be considered. If the inflammatory response is particularly severe and symptoms are pronounced, and if standard medication treatment is ineffective, surgery may need to be considered. Currently, the main surgical option is endoscopic sinus surgery. Generally, this approach is quite effective, causes less damage, and allows for a relatively quick recovery.
Sore throat without cold symptoms
If it is just a simple sore throat without any other cold symptoms, it could possibly be due to an early stage cold, acute pharyngitis, acute laryngitis, acute tonsillitis, or acute epiglottitis. Some patients may also experience neurogenic pain in the throat area. Overall, there are many possible causes, and it's hard to determine based solely on symptoms. Therefore, it is recommended to visit an ENT (Ear, Nose, and Throat) specialist, who can perform an indirect laryngoscopy or a fiber optic laryngoscopy to clearly observe the specific condition and location of the disease within the throat. Additionally, a complete blood count test can be helpful in determining whether there is an acute bacterial or viral infection causing inflammation. If there is an acute infection causing inflammation, antibiotic treatment may be considered, along with regular follow-ups.
Does nasal turbinate hypertrophy easily cause nosebleeds?
If we are only talking about simple hypertrophy of the turbinates, it generally does not easily lead to nosebleeds. Enlarged turbinates might cause nasal congestion, runny nose, and could also lead to a decreased sense of smell, headaches, or dizziness, but some patients may not have obvious clinical symptoms and are only discovered during a physical examination. Therefore, patients with turbinate hypertrophy need to seek consultation at an otolaryngology department after experiencing relevant clinical symptoms. Examinations such as nasal endoscopy, routine blood tests, and sinus CT scans can be helpful in assessing the specific severity of the condition and the cause of the disease. Once diagnosed, targeted treatment can be administered and regular follow-ups are required to monitor the treatment effects.
What are the symptoms of sinusitis?
The clinical symptoms of sinusitis vary widely among individuals, and in general, it is considered a common illness. The most frequent clinical manifestations include nasal congestion, purulent nasal discharge, reduced sense of smell, headaches, and dizziness. Some patients may also experience facial pain and numbness; however, specific symptoms vary from person to person. Some may exhibit only one symptom, while others may experience two to three, or even multiple symptoms, with the disease demonstrating recurrent and fluctuating patterns. In terms of treatment, medication remains the primary approach, supplemented by nasal irrigation. Only a small fraction of patients, whose symptoms do not improve with conservative medication treatments or who suffer from particularly severe inflammatory reactions like fungal sinusitis, may consider surgery.
Is medication effective for treating otolithiasis?
Otolithiasis is a relatively common ENT disorder. For treatment, some patients may choose oral medication. After treatment with oral medications, symptoms can gradually be controlled and alleviated for most patients, although individual results may vary. If symptoms of otolithiasis are more pronounced, oral medication alone may not be effective, and manual repositioning treatment should be considered. After manual repositioning treatment, many patients can significantly control symptoms of vertigo, and should then undergo regular follow-up examinations, as some patients may experience recurrent episodes. (Medication should be taken under the guidance of a physician.)
Symptoms of pharyngitis and cough
Pharyngitis is a relatively common otolaryngological disease with various clinical symptoms. Common symptoms include cough, phlegm, sore throat, and a foreign body sensation in the throat. A small number of patients may experience fever, swallowing obstruction, and difficulty breathing. Therefore, it is necessary to visit the otolaryngology department after the onset of symptoms. Routine blood tests and laryngoscopy can be performed to help determine the specific cause and severity of the condition. Targeted treatment can then be administered, generally considering oral medications and possibly complemented with nebulization therapy. Regular follow-ups are necessary during the treatment process to monitor the recovery of the condition.
Can you smoke with vocal cord polyps?
Vocal cord polyps are a relatively common otolaryngological disease. It is advised not to smoke in daily life, as cigarettes contain many chemical substances that have direct irritative effects on the mucous membranes and vocal cords, potentially worsening the condition of vocal cord polyps and possibly leading to further hoarseness. Moreover, long-term smoking may also lead to cancerous changes in the vocal cords and cause laryngeal cancer. Therefore, for such patients, it is recommended to abstain from smoking and drinking, and to regularly visit an otolaryngologist for a laryngoscopic examination to check the status of the vocal cord polyps. Some patients may also require surgical removal of the polyps.
Can bananas be eaten with acute pharyngitis?
Acute pharyngitis is a relatively common otolaryngological disease, mainly caused by acute bacterial or viral infections. Regarding diet, bananas can be eaten. Bananas are a common fruit and do not have direct side effects on acute pharyngitis, nor do they affect the treatment outcome of acute pharyngitis. There is also no interaction with medications used to treat acute pharyngitis, so it is safe to eat bananas normally. However, it is recommended to maintain a light diet, avoid spicy and irritant foods, refrain from smoking and drinking, and consider timely medical treatment. After medication treatment, it's important to observe the effects and have regular check-ups. (Please use medication under the guidance of a doctor to avoid indiscriminate use.)