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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
Do vocal cord polyps cause a sensation of a foreign body?
A small subset of patients may feel a foreign body sensation in their vocal cord system. Generally, if the polyp is small, it is unlikely to cause a feeling of a foreign body. Most commonly, it causes hoarseness. If the sensation of a foreign body in the throat is prominent, this condition is primarily considered to be caused by chronic pharyngitis. Of course, if the vocal cord polyp is large, especially if it is a pedunculated vocal cord polyp, movement of the vocal cords, such as during speaking or breathing, may cause a sensation of a foreign body in the throat. It can also cause hoarseness, and more severe cases may be accompanied by nausea, vomiting, and difficulty breathing. If there are particularly severe and large bilateral vocal cord polyps, intense activity may lead to breathing difficulties and even cause suffocation due to impaired breathing.
How to treat sinusitis?
The treatment of sinusitis is mainly divided into two major categories. The first category is conservative treatment, and the second category is surgical treatment. Most patients consider conservative treatment because it can effectively control the condition and alleviate inflammation, and the overall effect is relatively good. In terms of medication, oral medications are primarily considered, commonly involving the use of antibiotics combined with nasal sprays and traditional Chinese medicine treatments. Additionally, physiological saline or seawater can be considered for nasal irrigation. Generally, the treatment period is about one to two weeks or more, and regular follow-ups are required. If it is fungal sinusitis, or if the effect of drug treatment for chronic sinusitis is not satisfactory, surgery may be considered. The surgery mainly involves minimally invasive sinus surgery under nasal endoscopy, which generally causes less damage and is quite effective.
Is the recurrence rate of nasal polyps high?
Nasal polyps are a relatively common otolaryngological disease. Generally, the recurrence rate of nasal polyps is not particularly high. However, some patients are more likely to experience recurrences, especially those with allergic rhinitis, sinusitis, or familial genetic factors. These patients are relatively more prone to recurrence. Additionally, incomplete surgery or failure to timely visit an otolaryngology clinic for postoperative nasal cavity cleaning can also lead to recurrence. After treatment, it is necessary to have regular check-ups to monitor the recovery of the condition. If early symptoms of recurrence appear, targeted conservative medical treatment can be administered. After such treatment, many patients' conditions can be well controlled.
What to eat with suppurative tonsillitis?
Purulent tonsillitis is a relatively common ENT disease with numerous clinical symptoms. Common symptoms include sore throat and swallowing obstruction; some patients may also experience fever or breathing difficulties. It is recommended to eat a light diet, with an emphasis on vegetables and fruits, such as lettuce, radishes, cabbage, apples, pears, and peaches. It is also advised to avoid spicy, stimulating foods and seafood. Treatment is generally medication-based, commonly involving antibiotics for infection, such as cephalosporins or penicillin antibiotics. Regular follow-up exams are necessary to monitor the effects. (Specific medications should be used under the guidance of a doctor.)
How should nasopharyngeal carcinoma be examined?
Nasopharyngeal carcinoma is a relatively common otolaryngological disease and is also considered as one of the common head and neck malignant tumors. For diagnosis, an initial examination that can be conducted is nasopharyngoscopy. Through nasopharyngeal endoscopy, most patients can see changes in the nasopharynx due to new growths, which suggests considering a pathological biopsy test. This helps in obtaining a pathological diagnosis and allows for analysis and typing of the pathology. At the same time, imaging exams are necessary, with nasopharyngeal CT or MRI being commonly used. Additionally, it is recommended to test for the Epstein-Barr virus, as some patients’ condition could be a result of a long-term infection with this virus.
Nasal polyps bleeding is a symptom.
Nasal polyps accompanied by bleeding can have various causes. It might be due to hemorrhagic polyps, bleeding from the nasal mucosa, rupture of small blood vessels due to dry nasal cavities, or potentially sinusitis associated with the nasal polyps causing the bleeding. A small number of patients may have blood disorders such as coagulation dysfunction or thrombocytopenia. In such cases, it is necessary to visit an ENT (Ear, Nose, and Throat) specialist for a nasopharyngoscope examination, complete blood count, and coagulation function tests to determine the specific causes of the condition, and then to proceed with targeted treatment. Surgery might be considered for some patients.
Which department should I go to for acute pharyngitis?
Acute pharyngitis is a relatively common otolaryngologic disease, thus it is recommended to consult an otolaryngologist. It is mainly caused by acute bacterial or viral infections leading to inflammation. There are numerous clinical symptoms, with the most common being sore throat, foreign body sensation in the throat, and it may also cause fever, swallowing obstruction, and breathing difficulties. In terms of treatment, after visiting the otolaryngology department, an initial diagnosis can generally be made based on routine blood tests and indirect laryngoscopy to assess the specific cause and severity of the condition. Treatment usually involves oral medication, and nebulization therapy may also be considered. The treatment period is typically about one week. After medication, regular follow-up checks are necessary to observe the effects. (Please use medications under the guidance of a doctor.)
Is the examination for otolithiasis painful?
Patients with vestibular disorders may experience some discomfort during examination, primarily manifesting as recurrent dizziness. Some patients may also experience nausea and vomiting. However, examination can determine the specific location of the affected semicircular canal. Once the location is identified, targeted manual repositioning treatment can be administered. The preferred treatment currently is manual repositioning, which generally has an ideal therapeutic effect. Most patients show significant improvement after manual repositioning treatment, but there might be recurrent episodes of the condition. In case of recurrence, it is necessary to seek medical advice again and undergo repositioning treatment.
What should I do if acute pharyngitis makes me feel like vomiting?
Acute pharyngitis is a relatively common otolaryngological disease with various clinical symptoms such as nausea and vomiting, which are common clinical manifestations. It can also cause sore throat, foreign body sensation in the throat, difficulty swallowing, or even breathing difficulties. Typically, acute pharyngitis is mainly caused by acute bacterial infection and inflammation. Examinations such as laryngoscopy and routine blood tests can be performed. The main purpose of these tests is to determine the specific extent and type of the inflammatory response. In terms of treatment, most patients may need to consider using antibiotics and anti-infection treatments. Additionally, treatments can be supplemented with nebulization and oral traditional Chinese medicine. After medication, regular follow-ups are necessary to observe the effects. (The use of medication should be under the guidance of a doctor.)
What medicine is effective for nasal polyps?
The treatment of nasal polyps currently mainly includes two types: conservative treatment and surgical treatment. For smaller, localized nasal polyps with relatively mild clinical symptoms, conservative drug treatment is primarily considered. Currently, corticosteroid nasal sprays are predominantly used, mainly to improve nasal ventilation, reduce mucosal edema, and shrink the nasal polyps. Some patients may even see the polyps disappear completely. However, there are also patients who do not respond well to this treatment, or have relatively large polyps. In these cases, conservative treatment may be less effective, and surgery might be considered. Presently, minimally invasive surgery under endoscopic guidance is commonly performed to remove nasal polyps, and generally, the outcomes are quite definite. (Answer for reference only, medications should be taken under the guidance of a professional physician and not self-administered.)