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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 is suppurative tonsillitis treated?
Acute suppurative tonsillitis is primarily considered to be caused by acute bacterial infections. In such cases, it is primarily necessary to conduct a complete blood count test. The main purpose of this test is to examine the increased levels of white blood cells and inflammatory response proteins. If the inflammatory response is not particularly prominent, oral antibiotics are generally sufficient, and this can be supplemented with nebulization and the oral administration of traditional Chinese medicines for auxiliary treatment. If the complete blood count indicates a particularly severe inflammatory response and the symptoms are also prominent, intravenous therapy may need to be considered. In cases where conservative treatment is ineffective and particularly severe, further hospital treatment and systematic examination may be required for an accurate assessment of the condition.
What are the symptoms of laryngitis?
Laryngitis is a relatively common clinical disease with a variety of symptoms and individual differences. Common symptoms include pain in the throat area. If the pain is severe and accompanied by noticeable swelling, it may affect swallowing and breathing, and could lead to swallowing obstruction and breathing difficulties. Another common symptom is hoarseness, especially seen in acute laryngitis, as it can cause congestion and swelling of the vocal cords, which easily leads to hoarseness. Generally, when symptoms of laryngitis appear, it is advisable to visit an otolaryngology department promptly for a laryngoscopy to assess the extent of the inflammatory response.
Can you drink alcohol with pharyngitis?
People with pharyngitis should not drink alcohol, as pharyngitis is mainly divided into two types: chronic pharyngitis and acute pharyngitis. Both types should avoid alcohol consumption. Alcohol can significantly irritate the mucous membranes of the throat, especially in cases with existing inflammation. Drinking alcohol can directly stimulate the mucous membranes of the throat, causing redness, pain, and potentially triggering an acute episode of pharyngitis or exacerbating the existing inflammatory response. In general, it is necessary to seek timely treatment for pharyngitis, along with regular follow-up exams. Diet management is important, and patients should avoid smoking, drinking alcohol, and consuming spicy or irritating foods. Regular laryngoscope check-ups are recommended to monitor changes.
The difference between acute pharyngitis and chronic pharyngitis
The differentiation between acute pharyngitis and chronic pharyngitis mainly involves the following aspects: First, the onset duration. Generally, acute pharyngitis has a short onset, often sudden, and typically lasts about a week; whereas chronic pharyngitis tends to have a longer duration of illness, possibly involving repeated episodes, usually lasting from one to three months or more. Second, in terms of clinical symptoms, acute pharyngitis usually presents sudden onset of throat pain, which can be relatively severe; chronic pharyngitis may involve pain, but it is generally milder and recurrent, fluctuating, with some patients experiencing a sensation of a foreign body or itchiness in the throat. Third, it can be diagnosed through laryngoscopic examination.
How many days of fever for chronic tonsillitis?
Chronic tonsillitis generally does not cause fever, but if chronic tonsillitis has an acute attack, it may cause fever. This situation is mainly due to an acute bacterial infection, with common symptoms including sudden sore throat, swollen tonsils, and pus formation, which may be accompanied by fever. Generally, the duration of the fever varies from person to person, typically around 3 days. During the acute episode, timely medicinal treatment should be considered, primarily with antibiotics. If the body temperature exceeds 38.5 degrees Celsius, fever-reducing medications should be considered. It is also necessary to monitor the patient's blood routine and temperature fluctuations, with regular check-ups.
How to treat chronic laryngitis?
The treatment of chronic laryngitis is generally conservative. Clinically, it usually starts with a laryngoscopy to examine the specific lesions and severity in the throat area. It is also recommended to observe specific clinical symptoms. If the symptoms are mild and do not affect daily life, observation and dietary adjustments may be considered. Additionally, for more pronounced symptoms, such as throat pain and the sensation of a foreign body, medication treatment should be considered. Currently, oral traditional Chinese medicine is commonly used in conjunction with nebulization therapy. Regular laryngoscopy follow-ups are advised to monitor changes in the throat and vocal cords. Overall, it is considered a relatively common condition.
Is minimally invasive surgery for enlarged turbinates painful?
Enlarged turbinates are a relatively common clinical manifestation. There are many causes of enlarged turbinates, with the most common being rhinitis, sinusitis, and physiological hypertrophy. In terms of treatment, most patients may consider conservative drug treatment. If the effects of conservative drug treatment are not satisfactory, surgery may be considered. Currently, minimally invasive surgery, such as partial turbinectomy or ablation under nasal endoscopy, is mainly considered. Generally, there will be some pain during the surgery, but the pain is usually not particularly severe and can typically be managed with local anesthesia. Post-surgery, there may be some pain, but most patients can tolerate it. If the pain is particularly severe, oral pain medications can be considered.
Can otolithiasis heal itself?
Otolithiasis is a relatively common otolaryngological disease, clinically referred to as benign paroxysmal positional vertigo. This condition is mainly caused by lesions in the inner ear, vestibule, or semicircular canals. Some patients may recover on their own, but regular follow-ups are needed during the recovery period to monitor changes in the condition. If clinical symptoms are severe and recur frequently, it is recommended to actively seek timely treatment. Currently, manual repositioning therapy is commonly used. However, if manual repositioning therapy is not effective for some patients, mechanical chair repositioning may be an option. Additionally, some patients may need to combine treatment with medications. However, a very small number of patients who do not respond to conservative treatment may need to consider surgery.
What should be paid attention to with sinusitis?
The precautions for sinusitis mainly include the following aspects: First, it is important to determine the degree and type of sinusitis. Currently, sinusitis is primarily classified into two main types: fungal sinusitis and bacterial sinusitis. It is recommended to assess the severity of the inflammation. For mild inflammation, conservative treatment is generally considered. For severe inflammation or fungal sinusitis, surgery may be necessary. Second, it is important to take precautions in daily life to avoid exacerbating sinusitis, especially by avoiding colds and opting for a lighter diet. Third, monitor the recovery of sinusitis in daily life and check for any possible complications. Therefore, it is necessary to visit an otolaryngology (ENT) clinic regularly for follow-up.
How to treat allergic rhinitis?
The treatment of allergic rhinitis is currently mainly divided into three categories: The first category is pharmacotherapy, the second is desensitization therapy, and the third is surgical treatment. Pharmacotherapy generally focuses on nasal sprays and oral medications, which are targeted anti-allergy treatments. This method primarily controls and stabilizes the symptoms but is unlikely to provide a cure. Desensitization therapy is mainly suitable for patients who are solely allergic to mites. Some patients may achieve a cure after undergoing desensitization therapy. Surgical treatment can also be considered, but it is not the first choice. It is mainly used for patients who do not respond well to conservative medication and have particularly severe symptoms. In such cases, surgery might be considered because, whether through pharmacotherapy or surgical treatment, most patients aim primarily to control the disease rather than achieving a cure. (Please use medication under the guidance of a doctor)