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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
The difference between acute pharyngitis and chronic pharyngitis.
The difference between acute pharyngitis and chronic pharyngitis mainly lies in the following aspects: The first is the onset time. Acute pharyngitis generally refers to a sudden inflammatory reaction of the throat, usually lasting for a short duration, about a week, and generally does not exceed a week. Conversely, chronic pharyngitis lasts longer, possibly recurring with repeated throat pain and a foreign body sensation, but the symptoms are generally not very severe, lasting about three months or more, primarily characterized by repeated occurrences. The second aspect is the symptoms, which differ in the mildness of throat pain. Chronic pharyngitis generally involves mild throat pain, and there may also be a sensation of a foreign body in the throat. Acute pharyngitis, on the other hand, is mainly characterized by acute throat pain, with relatively short duration but severe symptoms. Third, it can be determined through a routine blood test. Acute pharyngitis often involves acute bacterial or viral infections, possibly with elevated white blood cells. Chronic pharyngitis generally results from non-bacterial, non-viral infections, with blood tests usually being normal. These aspects together can generally provide a basic diagnosis.
Is chronic pharyngitis easy to cure?
Chronic pharyngitis currently primarily focuses on controlling and alleviating symptoms. Based on existing treatment methods and medical solutions, it cannot be completely cured. Treatment mainly involves oral medications, and can also include nebulization and dietary adjustments. Patients should avoid smoking, drinking alcohol, and consuming spicy irritants. Additionally, regular laryngoscopic examinations are necessary to check for other potential abnormalities in the throat. However, overall, the condition cannot be completely cured, but it is generally not very severe and does not significantly impact overall health and safety. Nevertheless, it is important to have regular follow-up visits to check for any other changes in the condition.
Can chronic rhinitis be treated with surgery?
Some cases of chronic rhinitis can be treated surgically, but overall, surgery is not the first choice for treating rhinitis. For most patients with chronic rhinitis, conservative treatment is generally preferred, which may include oral medications, sprays, and consistent nasal cleansing. Generally, through these standard conservative treatments, most patients can experience significant control and relief of their rhinitis. If standard conservative drug treatments are ineffective, and there is significant turbinate hypertrophy affecting normal nasal ventilation, surgery can be considered. Currently, minimally invasive surgeries under endoscopy are primarily used. Overall, these surgeries are not highly traumatic and can effectively improve symptoms. However, it is difficult to guarantee a complete cure, whether through medication or surgery.
What causes laryngitis?
Laryngitis is a relatively common ENT disease with various clinical symptoms. Common symptoms include sore throat, foreign body sensation in the throat, and burning sensation. Some patients may also experience swallowing obstruction, difficulty breathing, and hoarseness. Regarding the causes, it could be due to an acute viral infection, or an acute bacterial infection leading to inflammation. Some patients are affected due to improper diet or exposure to external irritants. In such cases, it is necessary to visit an ENT department promptly for a laryngoscopy and routine blood tests to assess the severity of the condition.
Should sinusitis use hot compress or cold compress?
Generally speaking, neither cold nor hot compresses are necessary for sinusitis, because sinusitis is mainly an acute or chronic bacterial infection of the sinuses. Common symptoms include nasal congestion, purulent nasal discharge, and reduced sense of smell. Some people may also experience headaches and dizziness. The main treatment is still medication, and it is also possible to consider rinsing the nasal cavity with saline solution, regular follow-ups, and if the inflammation is severe, sinus opening surgery may need to be considered, which currently mainly involves endoscopic sinus surgery. Overall, neither hot nor cold compresses have a therapeutic effect on sinusitis, so they are not recommended.
Recurrent fever due to suppurative tonsillitis
Acute suppurative tonsillitis is primarily caused by acute bacterial infection, which may cause recurrent fever and sore throat. Initially, a routine blood test is required to determine the extent of the inflammatory response. If the inflammation is severe, it is necessary to consider timely antibiotic treatment for infection, with commonly used antibiotics being cephalosporins or penicillins. If the body temperature exceeds 38.5℃, antipyretic medication should also be considered. Generally, the treatment period is about one week, and it is necessary to regularly recheck the routine blood test and perform laryngoscopic examinations to dynamically assess the recovery of the condition.
Is it necessary to have an infusion for laryngitis?
Laryngitis is a relatively common ENT disease with various clinical symptoms. Common symptoms include sore throat and a foreign body sensation in the throat, and some patients may also experience fever. In terms of treatment, most patients do not require intravenous therapy. Typically, oral medication is the primary treatment, which can be supplemented with nebulization therapy. However, regular follow-ups are necessary during treatment to monitor the effectiveness. In cases where the inflammatory response is particularly severe and the clinical symptoms are more pronounced, such as hoarseness and difficulty breathing, some patients may need to consider intravenous therapy. Overall, however, the proportion of patients requiring intravenous therapy is relatively small. (Please use medication under the guidance of a doctor)
What should I do if I have laryngitis and a fever?
If there is a case of laryngitis accompanied by fever, it is relatively common, mainly due to acute bacterial infection. It is advisable to consider routine blood tests and laryngoscope examination, primarily to assess the extent of the specific infection and inflammation. In terms of treatment, it generally focuses on antibiotic therapy to combat the infection. Most patients are treated with oral medications. If the inflammatory response is particularly severe, intravenous infusion therapy may be considered. If the fever exceeds 38.5℃, it may be necessary to use antipyretic drugs for treatment. If the temperature is below 38.5℃, physical cooling methods are generally used, along with regular follow-ups to observe the effects. (The use of medications should be under the guidance of a doctor.)
How to relieve pain from acute otitis media?
Acute otitis media commonly leads to pain, and it can also cause feelings of ear blockage, decreased hearing, and secretions in the ear canal. If the pain is significant, it is primarily considered to be caused by acute infection and inflammation. Initial treatment involves timely anti-infection therapy, predominantly with antibiotics, taken orally. If the inflammation is severe, infusion therapy may be necessary, and ear drops can also be considered. If, after anti-infection treatment, the pain still hasn't significantly relieved, painkillers can be considered. Generally, the treatment period is about a week, and regular follow-up checks with an otoscope and maintaining dryness in the outer ear canal are necessary. (Medications should be used under the guidance of a doctor based on specific conditions.)
The main symptoms of Meniere's disease
Meniere's disease is a relatively common ENT disorder, primarily caused by fluid accumulation in the labyrinth. It presents with various clinical symptoms. Common symptoms include recurrent vertigo, which usually lasts for several hours. There may also be tinnitus, a feeling of ear fullness, and decreased hearing. Severe cases may experience nausea and vomiting. In terms of treatment, most patients can be managed with medications, and dietary adjustments are also necessary, including no smoking, no alcohol, low salt diet, and avoiding emotional stress. If standard medication treatment is ineffective, surgical treatment may be considered. (Specific medications should be used under the guidance of a doctor.)