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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
How to alleviate sinusitis?
The acute phase of sinusitis largely depends on the extent of the inflammation. If the inflammation is mild and the symptoms are atypical or slight, saline nasal irrigation can be considered. If the inflammatory reaction is severe and accompanied by clear symptoms like nasal congestion, purulent nasal discharge, headaches, and dizziness, then medical treatment should be considered. Generally, the treatment consists primarily of oral antibiotics, along with traditional Chinese medicines and mucolytics, supplemented with nasal sprays. Regular follow-ups are advised, and the treatment period usually ranges from one to two weeks. If standardized medication does not work, or in the case of fungal sinusitis, surgery may be necessary.
How to treat acute tonsillitis?
Acute tonsillitis is mainly caused by an acute bacterial infection, with the most common symptoms being sudden throat pain, and significant redness and congestion of the tonsils, which may also include pus formation if severe. In terms of treatment, oral medication is primarily preferred, generally focusing on antibiotics, and may include nebulization as well as traditional Chinese oral medications. If inflammation is particularly severe and oral medications are ineffective, infusion therapy may be considered. Some patients may also experience fever, thus requiring physical cooling methods, and if the temperature exceeds 38.5 degrees Celsius, antipyretic medications should be considered, along with regular blood tests.
What is nasopharyngeal carcinoma?
Nasopharyngeal carcinoma is a relatively common malignant tumor in the nasopharyngeal area, and the main pathological type is predominantly squamous carcinoma, most of which are poorly differentiated squamous carcinomas, constituting the most common malignant tumor in the nasopharyngeal area. Currently, the primary treatment option is radiotherapy, which is the most important; some patients may need to consider concurrent or adjuvant chemotherapy. If drug and radiotherapy treatments are ineffective, or if there is cervical lymph node metastasis, and for some patients where chemoradiotherapy fails with residual lesions, surgery may be considered. However, currently, the surgical treatment approach is generally not very mature and is somewhat controversial, thus it requires treatment at major hospitals.
What are the symptoms of turbinate hypertrophy?
The symptoms of turbinate hypertrophy vary among individuals. Some patients just have simple turbinate hypertrophy with no obvious clinical symptoms, while others may experience nasal congestion, runny nose, reduced sense of smell, headaches, dizziness, and memory decline. However, generally speaking, most cases are not very severe. It is necessary to visit an otolaryngology department for a nasopharyngoscopy to ascertain the specific extent of the hypertrophy, and to check for any nasal inflammation, sinusitis, or nasal neoplasms. In terms of treatment, most patients primarily receive oral medications and nasal spray treatments. A small number of patients may need to consider surgical treatment. (Please use medications under the guidance of a doctor.)
What is acute sinusitis?
Acute sinusitis is an acute inflammatory response of the sinuses caused by a sudden bacterial infection. Clinically, the most common sites of lesion are the maxillary sinuses and ethmoid sinuses, though some patients may also experience inflammation in the frontal sinuses or sphenoid sinuses. The main symptoms include sudden nasal congestion, purulent nasal discharge, headaches, dizziness, and reduced sense of smell. If the inflammatory response is particularly severe, it may also affect vision or cause fever and a feeling of heaviness in the head. Overall, it is considered to be an acute inflammatory response, primarily treated clinically with antibiotics to counter the infection, along with the use of nasal sprays and nasal irrigation, typically with saline solution. Regular follow-up checks are required, and the recovery period generally lasts about one to two weeks. (Medication should be used under the guidance of a doctor based on specific circumstances.)
What are the symptoms of sinusitis?
The symptoms of sinusitis vary significantly between individuals. In cases of mild inflammation, there may be no symptoms, and the condition might only be discovered during a physical examination or through a head or sinus CT scan. However, in some patients with more severe inflammatory reactions, clinical symptoms can occur. Common clinical symptoms include nasal congestion, thick nasal discharge, reduced sense of smell, headache, dizziness, as well as potential facial pain, numbness, and vertigo. Some individuals may also experience changes in vision or field of vision. Generally, sinusitis is a common disease. Usually, it can be diagnosed based on clinical symptoms and examination of the nasal cavity. Some patients may need to undergo a CT scan, and in severe cases, surgery might be considered necessary.
Is medication effective for chronic rhinitis?
Most patients with chronic rhinitis find oral medications somewhat effective, but the specific effects and outcomes can vary from person to person. Some may experience good results, while others may find the effects not particularly satisfactory and may need to consider using nasal sprays or saline nasal irrigations. The main function is to improve nasal ventilation, alleviate nasal inflammation, and reduce or dilute nasal secretions. Overall, the primary approach to managing chronic rhinitis is controlling and alleviating the condition, as neither medical nor surgical treatments can cure it completely. The main strategy is regular check-ups, avoiding colds, avoiding irritants, and monitoring to control and relieve symptoms. (Please use medications under the guidance of a professional physician and do not medicate blindly.)
Acute tonsillitis signs and symptoms
The symptoms of acute tonsillitis are quite varied, with the most common symptom being pain in the tonsil area. Clinically, sudden onset of redness and pain in the tonsil area may occur, and in severe cases, there might also be fever, or swallowing or breathing difficulties. Overall, it is considered a common illness. Upon examination, the mucous membranes of the throat can be observed to have acute congestion, and the tonsils may be red and swollen to a first or second degree. In more severe cases, there might be third-degree swelling, and some patients may experience purulent infections in the tonsil area, which would require consideration for timely antibiotic treatment and regular follow-up examinations.
Chronic rhinitis symptoms
Chronic rhinitis is a relatively common otolaryngological disease with various clinical symptoms and individual differences. The common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, dizziness, and some patients may also experience a decline in memory. Generally, the symptoms of chronic rhinitis are not particularly severe, and the harm to physical health is not particularly significant. For diagnosis, nasopharyngoscopy and sinus CT can be performed to assess the specific severity of the condition. In terms of treatment, it generally involves oral medications and nasal sprays, and regular follow-ups are needed to monitor the recovery process.
Can vestibular neuritis cause high blood pressure?
Otolithiasis is a relatively common otolaryngologic disease, clinically known as benign paroxysmal positional vertigo. Clinically, it mainly manifests as transient dizziness, but the duration is generally short, and most patients do not experience an increase in blood pressure. If the symptoms of dizziness are particularly severe and the patient is quite anxious, it may cause a temporary increase in blood pressure. However, if the symptoms of dizziness subside, the blood pressure will also decrease. This situation is relatively more pronounced in patients with hypertension. The treatment for otolithiasis primarily involves manual repositioning therapy, which is quite effective for most patients, although a small number of patients may need to combine it with oral medication.