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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 otolithiasis diagnosed?
Otolith disease is a relatively common otolaryngological disorder, clinically known as benign paroxysmal positional vertigo. In terms of diagnosis, the first step is to observe clinical symptoms. Otolith disease typically manifests as brief episodes of dizziness, lasting about a few seconds, and is clearly related to changes in body or head position. If the head position is stabilized, the symptoms of dizziness usually disappear quickly, and there is no tinnitus or hearing loss. Additional diagnostic tests can also be conducted, such as positional testing or vestibular function tests. During positional testing, a certain position might trigger a brief episode of dizziness, which helps in identifying the specific semicircular canal involved. In terms of treatment, manual repositioning can be considered, and it is generally quite effective for most patients.
How to completely cure chronic pharyngitis?
Chronic pharyngitis is a relatively common otolaryngological disease, and it is still difficult to achieve a complete cure at present. There are various treatment methods, among which oral Chinese patent medicine and nebulization treatment are commonly used. It is also advised to regulate the diet, avoid spicy and irritating foods, refrain from smoking and drinking alcohol, and regularly re-examine the throat with a laryngoscope to observe changes in the condition. However, with the existing medical procedures and treatment plans, it is still hard to completely cure and can be recurrent. Overall, chronic pharyngitis does not pose a significant risk to overall health. It mainly causes discomfort in the throat area, but most cases can be controlled and alleviated with standardized treatment. (Please use medications under the guidance of a professional physician, and do not self-medicate.)
Does acute pharyngitis cause fever?
Acute pharyngitis may cause a fever, but overall, the proportion of cases that develop a fever is relatively small. This is mainly because acute pharyngitis is caused by acute bacterial infections, with a small number of patients possibly experiencing concurrent acute viral infections leading to inflammation. Generally, the common symptoms include sudden onset of sore throat which may affect breathing or swallowing, such as a feeling of obstruction or a foreign body sensation in the throat. Some patients may experience fevers, typically seen in those with more severe inflammatory responses or who have been ill for a longer time without timely treatment. Generally, the fever is mild, though a small number of patients may experience high fever. The main treatment method is anti-infection therapy, and if the body temperature exceeds 38.5°C, it can be combined with antipyretic drugs. (Please consult a professional physician for medication use, and do not medicate blindly.)
Symptoms of laryngitis
Laryngitis is a relatively common otolaryngological disease with a variety of clinical symptoms and individual differences. Common symptoms include hoarseness, sore throat, and a foreign body sensation in the throat. Some patients may also experience swallowing obstruction and difficulty breathing. In such cases, it is advisable to visit an otolaryngologist for routine blood tests and a laryngoscopy to determine the specific extent of the condition. In terms of treatment, most patients may consider oral medication, and it is recommended to combine this with nebulization. If the inflammatory response is particularly severe and the clinical symptoms are evident, a small number of patients might need intravenous treatment. During treatment, regular follow-ups are necessary to monitor recovery. (Please use medication under the guidance of a qualified physician.)
How long does it take for the follicles of acute pharyngitis to subside?
If it is just a simple case of acute pharyngitis causing lymph follicles, generally, the regression time is about one to two weeks. However, some patients may experience persistent lymph follicles after another outbreak of acute pharyngitis. Or, if there has been chronic pharyngitis before, the likelihood of proliferation of lymph follicles is relatively higher. Firstly, it is important to assess the specific degree and symptoms. If one does not feel significantly uncomfortable, regular laryngoscopic examinations are usually sufficient. If symptoms of pharyngitis are present, it is advisable to use oral medications and nebulization therapy. Overall, it does not pose a significant risk to health; it is just necessary to regularly monitor and observe any changes in the condition.
What medicine should be taken for otolithiasis?
Ear stone syndrome is a relatively common otolaryngological condition, clinically referred to as benign paroxysmal positional vertigo. The main symptom is brief vertigo that occurs during changes in body position, usually lasting about ten seconds. The vertigo quickly subsides once the body position is stabilized, and there are generally no symptoms of tinnitus or hearing loss. In terms of treatment, medication is not recommended as the first option. Most patients can recover after manual repositioning treatment. If manual repositioning is ineffective, mechanical chair repositioning may be considered. If the condition still does not improve, oral anti-vertigo medications, which inhibit vestibular function and control vertigo, may be considered. (The use of medications should be carried out under the guidance of a professional doctor.)
What should I do if I have a fever with suppurative tonsillitis?
Acute purulent tonsillitis often comes with a fever, which is generally caused by an acute bacterial infection. The first step is to check the body temperature. If the temperature exceeds 38.5 degrees Celsius, consider using antipyretic medication. It is also advised to perform a routine blood test to assess the extent of the inflammatory response. Typically, antibiotic treatment is considered to combat the infection, and this may be accompanied by nebulization and the oral intake of traditional Chinese medicine. Most patients can effectively recover with timely treatment. If the treatment does not yield good results, further hospitalization and intravenous therapy might be necessary, along with investigating the possibility of infectious mononucleosis. (Medication should be used under the guidance of a doctor.)
What should I do about auricular keloids?
Auricular keloids are a relatively common clinical condition, which may be related to an individual's scar constitution. Firstly, it is necessary to examine the size of the keloid. If the keloid is small, without obvious enlarging, redness, pain, infection, or inflammation, this situation generally can be considered for observation followed by regular ENT (ear, nose, and throat) specialist follow-ups to check for any rapid growth. However, if the keloid is large and progressively growing, surgical removal should be considered. After the surgery, local superficial radiation therapy can be considered to help prevent postoperative recurrence.
Clinical Manifestations of Otolithiasis
Benign paroxysmal positional vertigo (BPPV) is a relatively common ENT disorder, clinically characterized by recurrent episodes of vertigo associated with changes in body or head position. Typically, vertigo can be induced when the head is tilted toward a certain direction, but the duration of vertigo is brief, usually disappearing within a few seconds once the head position is stabilized. However, it tends to recur and does not accompany tinnitus, hearing loss, or headaches. Therefore, it is necessary to consult an ENT or neurology department, allowing experienced doctors to make a targeted assessment.
What is Ménière's disease?
Meniere's disease is a relatively common otolaryngological condition, related to the accumulation of fluid in the inner lymph sac or hydrops of the membranous labyrinth. There is some individual variability in clinical symptoms, with the most common symptoms being tinnitus, hearing loss, a feeling of ear fullness, and vertigo. Generally, the duration of the condition lasts about 20 minutes to half a day. Some patients may experience more severe vertigo, while others may have milder symptoms, depending on individual reactions and the severity of the condition. Most patients have recurrent episodes. In terms of treatment, most patients can consider conservative treatment, but surgical treatment may be necessary for a small number of patients who do not respond well to conservative therapy.