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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
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.
Benign paroxysmal positional vertigo (BPPV) is a condition related to dizziness.
Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngological condition, clinically referred to as benign, paroxysmal, positional vertigo. It primarily occurs when tiny particles enter the semicircular canals, and with changes in body position, it can easily trigger episodes of vertigo. Generally, the duration of vertigo is quite brief, lasting about several seconds, and the symptoms of vertigo quickly disappear after the body or head is stabilized. However, it tends to be recurrent and generally does not accompany symptoms like tinnitus, headache, or hearing loss. Currently, a common treatment is manual repositioning, which helps most patients recover and alleviate their condition after being performed.
Treatment methods for Meniere's disease
Meniere's disease is a relatively common otolaryngological condition with various treatment options available. Most patients can consider conservative treatment with medications, typically administered orally. However, for some patients who have more severe conditions and frequent episodes, and for whom standard conservative treatment has not been effective, surgical treatment may also be considered. Nonetheless, the specific results of surgery can vary among individuals, and regular follow-up examinations are necessary after the surgery to monitor its effectiveness. In daily life, it is important to avoid external stimuli and prevent drastic emotional fluctuations. With proper routine management and treatment, the condition can be well controlled. (Medications should be administered under the guidance of a physician.)
The harm of chronic pharyngitis
Chronic pharyngitis is a relatively common disease in otolaryngology, and overall, its harmfulness is not particularly great because the main cause of the disease is ordinary chronic inflammation. Therefore, the main harm is that it can easily cause discomfort in the throat. The more common symptoms include recurring sore throat, a foreign body sensation and burning sensation in the throat area. Some people may also experience itching in the throat and coughing. Laryngoscopic examination is a fairly routine method of examination, and in general, the severity of the condition can be assessed through laryngoscopy. Consideration should also be given to drug treatment, generally focusing on nebulization and oral administration of traditional Chinese medicine, as well as maintaining a light diet, refraining from smoking and drinking alcohol, and regular follow-up check-ups.
What are the symptoms of throat cancer?
The symptoms of laryngeal cancer are quite varied, and there are some differences among different types of laryngeal cancer. For glottic laryngeal cancer, a common symptom is hoarseness because the cancer primarily develops on the vocal cords. This can lead to incomplete closure of the vocal cords or restricted movement during speech, causing hoarseness. Symptoms generally appear early in the course of the disease for this type. For supraglottic or subglottic laryngeal cancer, symptoms may include throat pain, a feeling of a foreign body, and difficulties in swallowing and breathing. However, hoarseness generally appears later in these cases. The primary treatment is surgery, with some patients requiring consideration for radiotherapy and chemotherapy.
Which part to massage for acute pharyngitis?
Massage for acute pharyngitis, generally speaking, is not particularly effective, so it is not recommended in this regard. Acute pharyngitis is mainly due to acute bacterial or viral infections, leading to inflammation. The common clinical symptoms include sudden throat pain, swelling, and a foreign body sensation. If it is more severe, there may also be difficulty breathing. In such cases, it is first recommended to visit an ENT department to examine the extent of inflammation in the throat and conduct a routine blood test. If the inflammation is caused by a bacterial infection, the use of antibiotics should be considered; if it is due to a viral infection, antiviral drugs should be considered. At the same time, it is recommended to use nebulization and take oral proprietary Chinese medicines for adjunct therapy.
Can nasal spray reduce the swelling of enlarged turbinates?
Enlarged nasal turbinates are a relatively common clinical presentation, mainly considered to be related to physiological enlargement. It could also be due to chronic rhinitis, allergic rhinitis, or sinusitis. Initially, it is necessary to examine the specific clinical symptoms. If it is just simple enlargement without causing obvious clinical symptoms, this condition generally may not require special treatment; regular follow-ups and observation of the condition's changes are advised. If it causes related clinical manifestations, such as nasal congestion and runny nose, then medication treatment should be considered, commonly using nasal spray medications. Most patients will gradually see a reduction in the enlargement of the nasal turbinates and improvement in clinical symptoms after using the spray. (Medication should be used under the guidance of a professional doctor.)
Dietary restrictions for suppurative tonsillitis
For acute suppurative tonsillitis, dietary caution is indeed necessary. Avoid spicy and stimulating foods, smoking, alcohol, overly hard foods, and allergenic foods, as these can exacerbate existing inflammation and cause further throat pain. Timely medical treatment should be considered. Typically, a complete blood count test is recommended to assess the extent of the inflammatory response. Antibiotics, commonly cephalosporins or penicillins, are generally advised for treatment. Additionally, nebulizer therapy can be considered in conjunction with regular follow-up checks to observe the effects. (Medication should be taken under the guidance of a doctor.)