

Li Rui

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

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.

Causes of Acute Pharyngitis
The causes of acute pharyngitis are various. Clinically, the most common cause is acute bacterial infection, followed by acute viral infections. It may also be related to poor resistance of the body or induced by a cold. Therefore, it is essential to first identify the specific pathogenic causes and conduct routine blood tests to examine the degree of redness and swelling in the throat. In terms of treatment, oral medication is generally preferred. Additionally, the use of traditional Chinese medicine and nebulization therapy can be considered for their supplementary therapeutic effects. After identifying the causes, timely treatment is necessary, along with regular follow-ups to monitor the recovery process.

Can pharyngitis be cured?
There are several types of pharyngitis, and the overall approach to treatment is primarily focused on symptom control. The more common types of pharyngitis include acute pharyngitis, chronic pharyngitis, and allergic pharyngitis. During the acute phase, it is advisable to consider a complete blood count to determine whether the infection is bacterial or viral. Once the type of infection is confirmed, targeted anti-infection treatment can be administered. For example, antibiotics are used for bacterial infections, and antiviral medications are considered for viral infections. For chronic pharyngitis, treatment generally involves nebulization and the use of traditional Chinese medicines. If the condition is mild, regular check-ups may suffice without the need for long-term medication use. However, for any type of pharyngitis, treatment currently focuses on controlling symptoms, stabilizing the condition, and alleviation. It is difficult to achieve a cure or prevent recurrence completely. (Medications should be used under the guidance of a doctor, based on the specific situation.)

Symptoms of chronic pharyngitis outbreak
The symptoms of chronic pharyngitis can vary widely and there is significant individual variation. Some people have pronounced symptoms during an attack, while others may not exhibit particularly noticeable or typical symptoms. Clinically common symptoms include a sudden or recurrent sensation of a foreign body in the throat, burning, and itching. A small number of patients may also experience coughing, mainly dry cough, and possibly a sensation of throat obstruction. However, normal swallowing, eating, and drinking are not directly affected; the main issue is an abnormal sensation. Overall, it is a common condition that can be confirmed and assessed through a laryngoscopy exam. Treatment primarily involves oral medications and nebulization therapy. Regular follow-ups, a light diet, and avoiding spicy and irritating substances are recommended. Smoking and drinking alcohol should be avoided.

What department should I go to for pharyngitis?
It is recommended to visit the Department of Otorhinolaryngology for pharyngitis, as the main manifestation of pharyngitis is the inflammatory response in the pharyngeal area, which may be related to bacterial or viral infections. Additionally, it could be caused by one's lifestyle, diet, or external irritants leading to inflammation of the pharyngeal mucosa. Common symptoms include recurrent pain in the throat, a foreign body sensation or burning sensation in the throat, and during the acute inflammatory phase, some patients may also experience fever or have difficulties swallowing and breathing. These symptoms fall within the scope of diagnosis and treatment by the Department of Otorhinolaryngology. Therefore, it is advised to visit this department for pharyngitis, and some individuals may further need to consider undergoing laryngoscopy and routine blood tests for targeted treatment.

How is nasopharyngeal carcinoma diagnosed?
The examination of nasopharyngeal carcinoma is mainly divided into two major categories. The first category is imaging examinations, and the second category is pathological biopsy tests. Imaging examinations primarily involve performing a CT or MRI of the nasopharyngeal area to determine the scope of the cancerous changes in the nasopharynx, which is quite helpful for clinical staging and typing. It also plays a role in designing targeted therapy for subsequent radiation treatment. Pathological testing is an important means for diagnosing nasopharyngeal carcinoma. Generally, it requires a nasopharyngoscopy. If cancerous changes are suspected during the nasopharyngoscopy, a pathological biopsy can be taken simultaneously. After the biopsy, the specific differentiation degree and type of cancer can be determined. Then, in conjunction with the imaging examinations, a plan for radiotherapy and chemotherapy can be formulated.

What are the symptoms of otolithiasis?
Benign Paroxysmal Positional Vertigo (BPPV), also known as otolithiasis, is most commonly characterized by recurrent episodes of vertigo. Typically, these episodes of vertigo are short-lived, lasting just a few seconds, and are closely related to changes in body or head position. Vertigo can be triggered by changes in head position and quickly disappears once the head is stabilized. Furthermore, there are no accompanying symptoms of tinnitus, headache, dizziness, or loss of consciousness. Diagnosis can be confirmed through clinical symptoms and positional testing. After diagnosis, manual repositioning treatments can be considered, and most patients respond well to this treatment.