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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 acute pharyngitis heal by itself?
Acute pharyngitis may recover on its own, but there are individual differences. This mainly relates to the degree of the acute inflammatory response, the severity of the condition itself, and the patient's own resistance. If the inflammatory response is mild, the subjective symptoms are not obvious, and the patient's own resistance is strong, it is indeed possible for recovery to occur on its own. The recovery time is approximately 3 days to a week. If the inflammatory response is particularly severe, the patient's resistance is poor, and the subjective symptoms are quite noticeable, it is recommended to seek timely treatment. A routine blood test should be conducted to assess the specific degree and type of inflammation. Treatment should primarily involve oral medication, supplemented by nebulization. Some patients may also consider traditional Chinese medicine treatments. Regular follow-ups are necessary, and the treatment period is approximately one week.
What should I do if otolithiasis frequently recurs?
Ear stone disease, also known as benign paroxysmal positional vertigo, primarily manifests as brief episodes of dizziness that can occur with changes in body position. The dizzy spells usually last about ten seconds and tend to quickly subside once the head or body position is stabilized, although recurring episodes are possible. In cases of recurrent attacks, timely treatment is necessary. Currently, the more common treatment method is manual repositioning. Most patients gradually recover after undergoing manual repositioning treatment. If the results of manual repositioning are unsatisfactory, treatment may also include medication and rotary chair repositioning devices. However, a very small portion of patients, who do not respond to standardized conservative treatments, may need to consider surgical options. (The use of medication should be under the guidance of a professional doctor.)
Where is the best place to treat nasopharyngeal carcinoma?
Nasopharyngeal carcinoma currently mainly considers radiation therapy and chemotherapy, with radiation therapy as the primary treatment. It requires staging and typing based on different ranges of lesions and pathological biopsy types. After determining the stage and type, further radiation and chemotherapy plans can be established. At present, radiation therapy is the most important. Most patients need concurrent chemotherapy or adjuvant chemotherapy and require regular follow-ups. For some patients with cervical lymph node metastasis or recurrence of nasopharyngeal carcinoma after radiation therapy, who cannot undergo radiation or chemotherapy again or for whom radiation and chemotherapy have failed, surgery may be considered. However, surgery is generally not the first choice and its effectiveness is not particularly certain.
Is nasopharyngeal carcinoma contagious?
Nasopharyngeal carcinoma currently has no definite transmissibility, and the exact cause of nasopharyngeal cancer is not particularly clear. Clinical studies have shown that there is a certain relationship between nasopharyngeal carcinoma and EB virus infection, but it may also be related to other factors, such as familial heredity or living environment. Exposure to radioactive or chemical substances may also have a certain impact. Currently, there is no evidence to suggest that there is genetic or absolute contagion. Overall, in terms of treatment, radiotherapy is mainly used, and some patients need to be combined with chemotherapy. Generally, the five-year survival rate is relatively high among early-stage patients. If the disease staging is later and the differentiation is poor, the treatment difficulty and treatment effect are relatively worse.
How to treat nasal hemorrhagic angioma?
There are many causes of nosebleeds. If the bleeding is caused by a hemangioma, surgery is generally required. After the surgical removal of the hemangioma, hemostatic treatment can usually be carried out. If the hemangioma is particularly small, some patients may also consider nasal packing for compression hemostasis. After compression by packing, some patients may have the hemangioma occluded and then stop bleeding. However, regular follow-ups are still needed in this situation, as some patients may experience recurrent conditions, and regular nasal endoscopy checks are required to observe any changes in the nasal and sinus conditions. Additionally, routine blood tests and coagulation function tests should be conducted to rule out any blood diseases.
Can you drink alcohol with Meniere's disease?
Meniere's disease is a relatively common inner ear disorder, primarily caused by the accumulation of fluid in the inner lymph sac. It presents with various symptoms, most commonly dizziness, tinnitus, hearing loss, nausea, vomiting, and a feeling of fullness in the ears. It is recommended to eat more vegetables and fruits, and to follow a light diet. Alcohol should be avoided as it has a strong irritant effect, and drinking can potentially trigger an acute attack of Meniere's disease. Additionally, smoking, drinking coffee or strong tea, and consuming cola should also be avoided. These unhealthy lifestyle habits can potentially worsen the condition, and some patients may need to consider surgical treatment.
Allergic rhinitis should be seen in the department of otolaryngology.
It is recommended to see an otolaryngologist for allergic rhinitis, as it is a relatively common nasal disease. The clinical symptoms include an itchy nose, runny clear nasal discharge, and frequent sneezing. Regarding treatment, it mainly involves oral medications and nasal sprays, specifically targeted anti-allergy treatments, and allergen screening can also be conducted. In daily life, it is necessary to avoid contact with allergens as much as possible. For patients who are solely allergic to mites, desensitization treatments can be considered, which may effectively cure the condition in some patients, although individual differences exist.
The most common type of laryngeal cancer
At present, laryngeal cancer is classified based on anatomical location into three main types, with glottic cancer being the most common. Supraglottic and subglottic cancers are relatively less common. The primary symptom of glottic cancer is hoarseness, which can be noticeable in the early stages. Therefore, generally, the earlier the disease is diagnosed, the better the treatment outcome may be. Additionally, laryngeal cancer is also classified by pathological types. The main pathological type is squamous cell carcinoma. Overall, surgical treatment is the most important, but depending on the patient's stage and type of cancer, a combination of radiation and chemotherapy might be necessary.
The Difference Between Throat Cancer and Esophageal Cancer
Throat cancer and esophageal cancer have essential differences, starting with the specific location of the disease. Throat cancer primarily occurs in the glottis and the supraglottic area, while esophageal cancer mainly occurs in the esophagus. Typically, the symptoms of throat cancer may be more characteristic, the most common being a foreign body sensation in the throat, throat pain, and hoarseness. Particularly, glottic throat cancer symptoms are more pronounced, which might include persistent and noticeable hoarseness. The primary symptoms of esophageal cancer are pain below the neck, which may be accompanied by difficulty swallowing or swallowing obstruction. For diagnosis, throat cancer is primarily assessed via laryngoscopy, while esophageal cancer is typically evaluated through gastroscopy. In terms of treatment, the approach generally focuses on surgery, potentially supplemented by radiotherapy and chemotherapy.
What are the allergens of allergic rhinitis?
Allergic rhinitis is a relatively common otolaryngological disease with various clinical symptoms. The most common symptoms include itchy nose, clear nasal discharge, and sneezing. It is advisable to consider allergen testing. Common allergens in clinical settings include seafood, cats, dogs, pollen, and there may also be dust, mugwort, and pigweed. There is generally significant individual variation, and clear identification can be acquired through skin prick tests or blood tests. Once identified, it is necessary to avoid contact with the allergens in daily life as much as possible. Additionally, if the clinical symptoms are severe, it may be necessary to combine oral medications and nasal sprays for targeted treatment.