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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
Is laryngitis serious?
Laryngitis is a relatively common otolaryngology disease, and generally, it is not particularly severe. The more common types of laryngitis include acute laryngitis and chronic laryngitis. Clinically, it mainly manifests as sore throat, hoarseness, and a foreign body sensation in the throat. In terms of treatment, medication remains the main approach. For acute laryngitis, oral antibiotics can be considered, commonly cephalosporins or penicillins. For chronic laryngitis, taking traditional Chinese medicine orally can be considered, and it is advisable to combine this with nebulizer therapy, with regular follow-ups to monitor recovery. (Medication should be used under the guidance of a doctor.)
What is the best treatment for sinusitis?
The treatment of sinusitis is currently divided into two main categories: conservative treatment and surgical treatment. The specific choice of treatment mainly depends on the severity and type of sinusitis. For fungal sinusitis, conservative treatment generally does not yield good results. If the patient's condition permits and their physical health can tolerate surgery, it is generally recommended to perform sinus opening surgery under endoscopy. For bacterial sinusitis with mild inflammation, unclear symptoms, or relatively mild symptoms, conservative drug treatment can be considered. This usually involves oral medications and nasal sprays, and saline nasal irrigation can also be considered. If the inflammatory response is more severe and the symptoms are typical, and conservative treatment is ineffective, sinus opening surgery should be considered. Currently, minimally invasive surgery under endoscopy is employed, which generally yields precise results, causes less damage, and allows for a quicker recovery.
How to Test for Allergens in Allergic Rhinitis
Allergic rhinitis is considered an autoimmune disease, mainly triggered by the body's immune response after contact with allergens, leading to related clinical symptoms such as itchy nose, runny nose, and sneezing. Generally, it is necessary to conduct an allergen test. Currently, there are mainly two methods for allergen screening. The first is the skin prick test, and the second is a blood test. Both methods are commonly used clinically. Relatively speaking, the skin prick test may induce higher risks of side effects or allergies. Some patients may need to undergo both tests and look at the results comprehensively, but most patients can choose one of the two.
How to reduce swollen nasal turbinates?
Enlarged turbinates are a relatively common clinical symptom, with numerous potential causes. If the enlargement is simply physiological, it generally does not require special treatment. However, if it is due to an inflammatory reaction, such as rhinitis or sinusitis, this can lead to corresponding clinical symptoms like nasal congestion, runny nose, and reduced sense of smell, necessitating consideration of medication. Common treatments include oral medications and corticosteroid nasal sprays, typically over a treatment cycle of about one to two weeks. Additionally, rinsing the nasal cavity with saline solution can be beneficial. With standardized treatment, most cases will gradually decrease in swelling. (Medications should be used under the guidance of a doctor based on specific conditions.)
Do allergic rhinitis need to be treated?
Allergic rhinitis generally requires treatment, but it also needs to be combined with clinical symptoms and the degree of inflammatory response. If the symptoms of allergic rhinitis are not severe and the inflammatory response is very mild, this situation may consider avoiding contact with allergens and then regularly re-examining to observe changes in the condition. If the symptoms are relatively obvious, such as frequent itching in the nose, running clear nasal discharge, sneezing, and a more severe inflammatory response, it is indeed necessary to consider timely treatment. In terms of treatment, medication is the main method, such as using oral medications and nasal spray medications for anti-allergy treatment. A small number of patients may consider desensitization treatment or surgical treatment. However, most patients still focus on controlling and alleviating the condition, and it is difficult to cure completely. (Please use medication under the guidance of a professional physician)
Is allergic rhinitis hereditary?
Allergic rhinitis indeed may have a certain genetic predisposition, but it is not absolute. Generally, it is associated with an imbalance in one's immune system. In terms of treatment, it is necessary first to perform an allergen test to identify specific allergens and try to avoid exposure to them in daily life. One can also consider medication, commonly using nasal sprays and oral medications, primarily targeted antiallergic treatment to control and alleviate the condition and stabilize symptoms. However, generally speaking, most patients cannot be completely cured. If both parents have allergic rhinitis, there is a relatively higher likelihood of passing it on to their children. Therefore, timely prevention and appropriate treatment measures are also necessary. Note: Medications should be used under the guidance of a doctor.
Can chronic rhinitis be completely cured?
Chronic rhinitis is a relatively common otolaryngological disease with numerous clinical symptoms. Common symptoms include nasal congestion, reduced sense of smell, headache, dizziness, and sometimes nasal discharge may contain blood. In terms of treatment, oral medications and nasal sprays are commonly used, along with saline nasal irrigation. However, it is currently difficult to achieve a complete cure, and there are cases of recurrent attacks. Generally, during stable periods of the disease, regular check-ups are the main approach. If there is an acute attack of chronic rhinitis, targeted medication treatment should be considered. In daily life, saline nasal irrigation can be used, and it is advisable to avoid colds and refrain from eating spicy and irritating foods.
Is otolithiasis prone to recurrence?
Ear stone disease, also known as benign paroxysmal positional vertigo, is a relatively common otolaryngological condition that tends to recur. According to the current treatment protocols, the first consideration is manual repositioning treatment. After standardized manual repositioning treatment, most patients can gradually recover and alleviate their symptoms. Some patients respond very well and can recover immediately after manual repositioning, but there is a possibility of recurrence. Therefore, regular otolaryngological check-ups are necessary, and the head must not be subjected to external impacts. In the short term, avoid vigorous exercise and monitor the recovery of the condition.
Do people with nasopharyngeal carcinoma lose weight?
Some patients with nasopharyngeal carcinoma may experience weight loss, but individual differences exist. This is somewhat related to the condition itself as well as to the individual's resistance and their baseline physical fitness. If the condition is detected early and the clinical symptoms are not particularly obvious, most patients will not show significant weight loss, and many people may not have noticeable symptoms. If the condition is severe, and diet and nutrition are not properly managed in a timely manner, patients may experience weight loss, especially in advanced stages of the illness. This can result in a cachectic-like state, which poses greater challenges for treatment. It is necessary to seek medical attention promptly, assess the physical condition, and consider the need for radiotherapy and chemotherapy.
How long does acute pharyngitis take to heal by itself?
The recovery time for acute pharyngitis is generally about a week. Some patients can recover on their own, which typically takes about a week. However, some patients cannot recover on their own, especially those with severe acute inflammatory responses and prominent clinical symptoms, particularly when accompanied by significant acute bacterial or viral infections. In such cases, medication treatment is likely necessary. Relying solely on one's natural immunity might be relatively ineffective; therefore, considering timely targeted medication treatment is necessary. Additionally, the use of nebulization and traditional Chinese oral medications, regular blood tests, and laryngoscope examinations to monitor recovery are recommended. It is also advised to maintain a light diet and avoid smoking and drinking. (Note: Medications should be used under the guidance of a doctor based on the specific circumstances.)