

Li Rui

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

Does nasopharyngeal carcinoma cause coughing?
Nasopharyngeal carcinoma is a relatively common type of malignancy in the head and neck area, and a small number of patients may experience coughing, mainly because the secretions from the nasopharyngeal carcinoma can enter the throat through the posterior nasal aperture, causing an irritative cough. Overall, the occurrence of this symptom is relatively rare. More common symptoms include nasal congestion, bloody nasal discharge, with some patients experiencing headaches or enlarged cervical lymph nodes, and changes in vision. After diagnosis, it is recommended to visit the otolaryngology or oncology departments promptly to assess the severity of the condition. Most patients need to consider radiotherapy and chemotherapy, and regular follow-ups are necessary to monitor treatment outcomes.

Can a deviated nasal septum become cancerous?
A deviated nasal septum does not lead to cancer, as the main cause of a deviated nasal septum is either congenital malformation or trauma resulting in nasal fractures or deviations. The primary site of deviation is the cartilage of the nasal septum or the posterior bony part. This may lead to narrowing of the nasal passageway, potentially causing symptoms such as nasal congestion, headaches, and nosebleeds. However, overall, this condition is benign and unlikely to become cancerous. In terms of treatment, minor deviations might not require any intervention, but prominent deviations causing clinical symptoms might necessitate surgical correction.

Do people with throat cancer lose weight?
Throat cancer is a relatively common ENT disease. Some throat cancer patients may experience weight loss, mainly in the middle and late stages of the disease. This is because these patients generally have a more severe condition, possibly leading to insufficient nutrition. Additionally, throat cancer might affect normal swallowing, thus further accentuating weight loss. Early stage throat cancer, generally, does not lead to significant weight loss. For middle and late-stage patients, comprehensive treatment plans including surgery, radiation therapy, and chemotherapy need to be considered. After treatment, long-term and regular follow-up exams are necessary to monitor the treatment effects. Overall, the earlier the detection and the more timely the treatment, the better the outcomes.

Do nasal polyps need surgical removal?
Nasal polyps are a relatively common otolaryngological condition, and the treatment methods are generally divided into two categories. The first category is surgical treatment, and the second is conservative medical treatment. Therefore, the choice of treatment mainly depends on the severity of the patient's condition, the patient's own wishes, and their overall health. If the condition is mild and the clinical symptoms are not obvious, medical treatment can be considered first to see the effects. If the condition is severe, the nasal polyps are extensive, and the clinical symptoms are clear, and if there is no effect after standardized conservative medical treatment, surgical removal should be considered.

Can nasal polyps be treated conservatively?
Nasal polyps are a relatively common otolaryngologic condition. Some patients may consider conservative treatment, particularly when the severity of the nasal polyps is mild. If, after standard conservative medication treatment, the severity of the nasal polyps does not gradually improve but instead worsens, or if the initial severity of the nasal polyps is high, conservative medication treatment may not be effective. In such cases, surgical treatment should be considered. Currently, the most common procedure is endoscopic nasal polyp removal surgery, which is a minimally invasive surgery. Overall, the surgery tends to have good outcomes and relatively minor damage. However, it requires regular check-ups to monitor the effectiveness of the surgery.

Is stage 2 laryngeal cancer considered early stage?
Throat cancer is a relatively common otolaryngological disease, and clinically it is divided into four stages: stage I, stage II, stage III, and stage IV. Stage II is considered mid-stage, while stages III and IV are considered late-stage or very late-stage. In terms of treatment, most patients can opt for surgical removal. After the surgery, the pathological biopsy results, combined with the presence of lymph node metastasis in the neck and preoperative CT scans, are considered comprehensively. Some patients may solely undergo surgery as their treatment, while others may require additional radiotherapy after surgery. The main aim is to reduce the chances of postoperative recurrence, and it is necessary to undergo regular long-term check-ups, generally recommended every three months, to confirm whether there is any recurrence after the surgery.

What medicine to take for nasal polyps?
There are quite a few methods for treating nasal polyps, and currently, they are mainly divided into two major categories on the clinical level: the first category is surgical removal, and the second category is conservative medicinal treatment. If the extent of the nasal polyps is relatively small and there are no significant clinical symptoms, this situation could be considered for medication treatment. Currently, the first choice is still nasal spray, primarily corticosteroid nasal sprays, which help reduce nasal polyps and alleviate clinical symptoms. If accompanied by sinusitis or rhinitis, it is recommended to combine it with oral medications, commonly used medications include antibiotics or traditional Chinese medicine preparations, and overall, it is a relatively common disease. If the range of nasal polyps is extensive, and the inflammatory response is severe, accompanied by obvious clinical symptoms, this situation might require surgical treatment, as purely medicinal treatment might indeed not be particularly ideal. (Specific medication use should be conducted under the guidance of a doctor.)

Is throat cancer prone to metastasize to the lungs?
Laryngeal cancer is a relatively common type of malignant tumor in the head and neck region. In its advanced stages, laryngeal cancer tends to metastasize, though the likelihood of metastasis to the lungs is relatively low. The most common type of metastasis occurs in the cervical lymph nodes, but some patients may also experience liver metastases, and bone metastases are also possible. The specific details of metastasis vary from person to person. It is crucial to seek medical attention from an otolaryngologist as soon as the disease manifests. If metastasis has occurred, the condition is generally more advanced and severe. In terms of treatment, most patients primarily receive a combination of radiotherapy and chemotherapy, while some may only undergo palliative treatment, which generally has poorer outcomes.

What is the cause of bleeding from nasal polyps?
Nasal polyps are a relatively common clinical disease, with various symptoms. Common symptoms include bleeding, as well as nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. The bleeding caused by nasal polyps may be due to the condition of the polyps themselves, with some patients experiencing bleeding polyps that bleed repeatedly. It could also be due to inflammation associated with the polyps, or erosion of the nasal mucosa or small blood vessels in the nasal cavity rupturing and causing bleeding. Therefore, when such symptoms occur, it is necessary to visit an otolaryngology (ENT) department for tests such as a complete blood count, coagulation function tests, nasopharyngoscopy, and a sinus CT scan to determine the specific cause of the condition.

Chronic rhinitis headache symptoms
Chronic rhinitis is a relatively common clinical disease with various symptoms. Some patients may experience headaches, which are mainly caused by inflammatory reactions. It could also be due to poor ventilation in the nasal cavity, leading to headaches. Generally, it is accompanied by other symptoms such as nasal congestion, runny nose, reduced sense of smell, dizziness, and there might also be bloody nasal discharge or nasal drip. Therefore, upon noticing these symptoms, it is necessary to visit an otolaryngologist (ENT doctor) for relevant diagnostic tests to clarify the specific condition. Most patients can choose oral medications or nasal sprays for treatment and require regular follow-up to observe the effects. (Specific medications should be used under the guidance of a doctor.)