

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

Can chronic rhinitis cause coughing?
Chronic rhinitis has a variety of symptoms. Some patients may experience coughing, which is mainly caused by the backflow of nasal discharge irritating the throat. Other common symptoms include nasal congestion, runny nose, reduced sense of smell, as well as possible headache and blood-tinged nasal mucus. After the condition of chronic rhinitis appears, it is necessary to visit an otolaryngology clinic. Diagnostic steps can include nasopharyngoscopy and routine blood tests, which help to clarify the specific severity of the condition. Some patients may also need a sinus CT scan to determine the presence of any sinus pathology. Once the condition is diagnosed, targeted treatment can be administered, commonly involving oral medications and nasal sprays. Regular follow-up is needed to monitor the effectiveness of the treatment.

What should be noted for turbinate hypertrophy?
Patients with enlarged turbinates should pay attention to the following aspects: First, they need to visit an otolaryngologist regularly to observe changes in their condition. If accompanied by related clinical symptoms, medication should be considered. Second, in daily life, nasal irrigation with saline can be used to reduce the retention of nasal secretions, improve clinical symptoms, and alleviate the severity of enlarged turbinates. Third, it is important to avoid exposure to external irritants in daily life as much as possible and to avoid catching colds, as these factors can exacerbate the existing condition. Overall, enlarged turbinates are a common condition, and with timely treatment, the condition will gradually improve.

Is sinusitis serious?
Sinusitis is a relatively common otolaryngological disease and generally is not very severe. The main clinical symptoms include nasal congestion with thick nasal discharge, reduced sense of smell, headache, and dizziness. After onset, it is necessary to visit an otolaryngology department for a sinus CT scan to help determine the extent of the lesion. If the inflammatory response is localized and the clinical symptoms are mild, conservative medical treatment can be considered. Common treatments include oral medications and nasal sprays. During treatment, regular follow-ups are needed to observe the effects. If the inflammatory response is severe and conservative medical treatment is ineffective, surgical treatment may need to be considered.

Can nasal polyps be seen with the naked eye?
Nasal polyps are a relatively common otolaryngological disease with a high incidence rate clinically. The symptoms are numerous and may include nasal congestion, runny nose, reduced sense of smell, headache, and dizziness. For some patients, the polyps can be seen with the naked eye during examination, especially if there are many polyps or if they are located near the front of the nose. Generally, after using an anterior rhinoscope to widen the nostrils, the polyps can be seen. However, in some cases, the polyps grow in hidden areas, such as in the olfactory region or within the sinuses, making them difficult to detect with the naked eye. In such cases, a nasopharyngoscopy or sinus CT scan can be performed for more accurate diagnosis.

Do small nasal polyps need surgery?
Nasal polyps are a relatively common nasal disease. In terms of treatment, if the nasal polyps are minimal, surgery may not be necessary initially. The first consideration can be conservative drug treatment. After timely medication, most patients may find their nasal polyps gradually shrink and might even disappear. However, regular follow-ups are required to monitor changes in the condition. If the nasal polyps do not improve with conservative drug treatment, surgical removal should be considered. Currently, endoscopic surgery is commonly used, which is a minimally invasive procedure with relatively mild damage, shorter recovery time, and generally good treatment outcomes. (Please use medication under the guidance of a professional physician.)

Can nasal polyps be seen on an X-ray?
Nasal polyps are a relatively common otolaryngology disease, which can be comprehensively assessed through nasal endoscopy or sinus CT scan. Generally speaking, nasal endoscopy is more intuitive, allowing direct observation of the extent and severity of polyps within the nasal cavity. If a sinus CT scan is performed, it has diagnostic and reference value for multiple nasal polyps, but it might not be very clear if there are only a few polyps. In terms of treatment, if there are numerous nasal polyps and medication is ineffective, surgical treatment should be considered. If the nasal polyps are limited and the clinical symptoms are mild, medical conservative treatment is recommended, but regular follow-up examinations are necessary to monitor the effect. (Specific medications should be used under the guidance of a doctor.)

Can you exercise with otolithiasis?
Patients with otolithiasis should avoid strenuous exercise during their episodes, as such activities may trigger an acute attack, leading to symptoms like dizziness, nausea, and vomiting, which can be severe in some cases. Therefore, it is crucial to rest after the onset of symptoms and then visit an otolaryngologist as soon as possible to determine the specific condition. In terms of treatment, most patients may consider manual repositioning therapies, which can gradually improve symptoms. However, there is also a possibility of recurrent attacks, so regular long-term follow-ups are essential to monitor recovery.

Can throat cancer be contagious?
Laryngeal cancer is not contagious. Current medical evidence and research indicate that laryngeal cancer does not have a definitive contagious nature. There are many factors involved in the onset of laryngeal cancer, and clinically, the possible inducing factors have not been completely determined yet. These factors may include having a family history, or frequent exposure to radioactive or chemical substances, as well as potentially due to long-term smoking and drinking, which are risk factors that could lead to the disease. Overall, the exact cause of the disease is not particularly clear, but regardless of the factor, no contagious nature has been found. Therefore, laryngeal cancer is not infectious and is not considered a communicable disease. In terms of treatment, surgery is primarily considered, and some cases may also require consideration of radiotherapy or chemotherapy. Generally, it is regarded as a relatively common malignant tumor of the head and neck.

Can vocal cord polyps eat eggs?
Vocal cord polyps are a relatively common ENT disease with various clinical symptoms, the most common being hoarseness. If the vocal cord polyps are small, conservative treatment can be considered. If the polyps are large and conservative treatment is ineffective, surgical removal may be necessary. Regarding diet, eggs can be consumed. Eggs do not worsen the condition of vocal cord polyps nor do they affect the treatment outcomes. Overall, it is recommended to maintain a light diet, avoid spicy and irritating foods, and refrain from smoking and drinking alcohol. After treatment, it is also necessary to regularly re-examine the larynx to monitor changes in the condition.

Treatment of nasopharyngeal carcinoma
Nasopharyngeal cancer is a relatively common type of malignant tumor in the head and neck area. The most commonly used treatment method is primarily radiotherapy, and some patients also need to combine chemotherapy. Overall, most patients can be controlled and relieved after comprehensive treatment with radiotherapy and chemotherapy. Existing clinical evidence shows that for recurrent nasopharyngeal cancer, some patients may consider surgical treatment. However, the indications for surgery are quite narrow and can only be carried out in top hospitals. Therefore, a comprehensive assessment is necessary before further determination and implementation can be considered.