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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
Does Meniere's disease require long-term medication?
Meniere's disease is a relatively common otolaryngological condition, primarily characterized by recurrent episodes of vertigo, tinnitus, and hearing loss. Generally, conservative treatment with medications is considered, but most patients only require medication during acute episodes. In daily life, it is necessary to adjust one's diet to avoid spicy and stimulating foods, follow a low-salt diet, and avoid consuming coffee, strong tea, alcohol, and smoking. Most patients can control and alleviate their symptoms through these adjustments without the need for long-term medication. If the results are not satisfactory, some patients may need to consider surgical treatment. (Specific medication use should be conducted under the guidance of a doctor.)
The difference between chronic rhinitis and allergic rhinitis
The differences between chronic rhinitis and allergic rhinitis are quite significant. Firstly, we need to consider the causes of the diseases. Allergic rhinitis is mainly caused by the body's own immune response, primarily due to allergens the body encounters externally, which trigger this immune response. Chronic rhinitis, on the other hand, is primarily associated with local inflammation of the nasal mucosa and turbinates, and generally, it is not directly related to the body's own immune system. Another difference lies in the symptoms. The main symptoms of chronic rhinitis include nasal congestion and runny nose, with some patients possibly experiencing headaches or dizziness. In contrast, symptoms of allergic rhinitis mainly include itchy nose, sneezing, and clear nasal discharge, with some patients possibly experiencing nasal congestion. In such cases, it is necessary to visit an otolaryngologist, allowing an experienced doctor to make a diagnosis, supplemented by additional diagnostic tests.
What symptoms does chronic rhinitis have?
Chronic rhinitis is a relatively common otolaryngological disease and is part of the chronic disease category. It has numerous clinical symptoms, with the more common ones being nasal congestion, runny nose, and sneezing. Some patients may also experience bloody nasal discharge, headaches, dizziness, reduced sense of smell, and memory decline. A few patients might snore during sleep due to poor nasal ventilation. In terms of treatment, most patients primarily receive pharmacological therapy, commonly using nasal sprays and oral medications. For a small number of patients who do not respond well to conservative medication treatment, surgical intervention might be considered. (Specific medication use should be conducted under the guidance of a doctor.)
What should be noted about Meniere's disease?
Ménière's disease is a relatively common ENT disorder, which is associated with the accumulation of endolymph in the inner ear labyrinth. The onset of the disease may vary among individuals and is mostly related to external stimuli. In daily life, it is necessary to maintain a light diet and avoid foods that are easily stimulating. Do not drink coffee, strong tea, carbonated drinks, or beverages containing stimulants. It is also necessary to ensure adequate sleep and avoid long-term exposure to noisy environments. It is recommended to keep a pleasant mood and avoid excessive irritability.
Symptoms of pharyngitis
Pharyngitis is a relatively common throat disease, which has various clinical symptoms and individual differences. Common symptoms include repeated sore throat, a sensation of a foreign body in the throat, and possibly acid reflux and burping. Overall, the symptoms are diverse and vary from person to person. In terms of treatment, it usually begins with a laryngoscopy to visually assess the extent of inflammation in the throat. Blood tests are also recommended to determine whether the infection is bacterial or viral. Once the type of infection is confirmed, targeted anti-infection treatment can be considered. This can be supplemented with nebulization and the oral administration of proprietary Chinese medicines, which help in treatment. However, regular follow-up examinations are necessary after treatment, as some patients may experience recurrent and fluctuating symptoms. (Specific medications should be used under the guidance of a doctor.)
How is chronic pharyngitis diagnosed?
Examinations for chronic pharyngitis are mainly divided into two categories. The first is imaging endoscopy, and the second is blood tests. Imaging endoscopies include CT scans of the neck or larynx. Indirect laryngoscopy or fiber laryngoscopy are also types of endoscopic examinations. The main purpose of these exams is to assess whether there are any organic lesions in the pharyngeal and neck area, such as new growths in the pharynx or cysts and other tumorous changes. Blood tests primarily involve routine blood tests and inflammatory response proteins. The main purpose is to determine if there is an acute bacterial or viral infection and to assess the level of inflammatory response. Generally, these two types of examinations, when considered together, can definitively diagnose the condition.
Nasal turbinate hypertrophy treatment methods
Nasal turbinate hypertrophy is considered a clinical symptom rather than an independent disease. There are many causes for nasal turbinate hypertrophy, including physiological hypertrophy, chronic rhinitis, acute rhinitis, sinusitis, allergic rhinitis, or exposure to external irritants. In terms of treatment, it is first necessary to examine the clinical symptoms. If it is only simple turbinate hypertrophy without any clinical manifestations, it is generally recommended to regularly check up without necessarily needing medication. If the hypertrophy is due to an inflammatory response with clear clinical symptoms, it may be necessary to consider the use of oral medications, nasal spray medications, and flushing the nasal cavity with saline solution, with regular check-ups to monitor the condition.
Is massage effective for enlarged turbinates?
Turbinate hypertrophy is a common clinical symptom of the turbinates. Generally speaking, the effect of treating turbinate hypertrophy through massage is not good, because it is difficult for massage to directly affect the inside of the nasal cavity, and there is no direct impact and effect on the hypertrophy of the turbinates. The first step in addressing turbinate hypertrophy is to examine the causes and the extent of the enlargement. If the enlargement is mild and there are no obvious clinical symptoms, it is generally advised to regularly review and observe changes. However, if the turbinate hypertrophy is more pronounced and accompanied by related clinical symptoms such as nasal congestion, runny nose, and reduced sense of smell, it is necessary to perform a nasopharyngoscope examination to investigate the specific causes of the condition. Treatment typically involves oral medications and nasal sprays, and regular check-ups are also necessary. (Please follow the guidance of a specialist doctor for specific medications and do not self-medicate.)
How to check for allergens in allergic rhinitis
Allergic rhinitis can be screened for allergens. Currently, allergy testing is mainly conducted through two methods. The first method is blood testing, and the second method is a skin prick test. Blood testing is more commonly used and typically involves various allergens, such as dust, pollen, pets, hair, and it could also be due to allergies to seafood or mold, plants. Both skin prick tests and blood tests can be used. If one method does not provide sufficiently clear results, both types of allergen tests can be performed simultaneously for a more accurate comparison.
How to relieve pharyngitis?
Pharyngitis is a relatively common otolaryngology disease, with many types. The most common types include acute pharyngitis, chronic pharyngitis, and allergic pharyngitis. Different types of inflammatory responses require different treatment plans. For acute pharyngitis, it is generally necessary to consider using antibiotics for anti-infection treatment; for chronic pharyngitis, oral traditional Chinese medicine combined with nebulization can be considered; for allergic pharyngitis, anti-allergic medication should be considered. During the treatment process, regular follow-ups are necessary to monitor the recovery of the condition. At the same time, a light diet is required, and smoking and drinking should be avoided. (Please use medications under the guidance of a doctor.)