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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
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.)
Can you eat mangoes with pharyngitis?
Pharyngitis is a relatively common ENT disease. Generally, patients with pharyngitis can eat mangoes, but they should not consume them if they have a mango allergy. Overall, mangoes do not have direct irritants, do not adversely affect the condition of pharyngitis, and do not impact the treatment's effectiveness. Most patients can normally consume fruits. Additionally, it is recommended to eat a lighter diet, avoid spicy and stimulating foods, and refrain from smoking and drinking alcohol. With timely medical treatment, most patients' conditions will gradually improve, but it is currently difficult to completely cure and may recur.
Conservative treatment methods for nasal polyps
Conservative treatment for nasal polyps is mainly applicable to cases with smaller range and less severe symptoms. Generally, it is advisable to begin with some nasal endoscopy to assess the extent of the condition. The primary treatment method considered is nasal sprays, particularly corticosteroid nasal sprays, and additionally, physiological saline can be used to cleanse the nasal cavity. If accompanied by rhinitis and sinusitis, it may also be necessary to consider treatment with oral medication. Overall, most patients see some effectiveness with conservative treatment, but there may be recurrence or cases where conservative treatment is not effective, and surgery might be considered as an option.
Does acute pharyngitis require rest?
Acute pharyngitis is a relatively common ENT (Ear, Nose, and Throat) disease, primarily caused by acute bacterial infection. After the onset, it is crucial to ensure rest as overexertion can exacerbate the severity of acute pharyngitis and may also affect the treatment outcome. In terms of pharmacotherapy, oral medications are commonly used, and can be combined with nebulizer therapy. During the treatment process, regular follow-ups and observation of the treatment effects are necessary. However, a small portion of patients with severe conditions may not respond well to oral medications, necessitating consideration of infusion therapy. The treatment period is generally around one week.
Why does vocal cord polyp surgery require general anesthesia?
Vocal cord polyps are a relatively common type of ENT (Ear, Nose, and Throat) disorder. For larger polyps where conservative treatment with medication is ineffective, surgical treatment should be considered. Currently, the main surgical procedure is the excision of vocal cord polyps under a supported laryngoscope, which requires general anesthesia. This is because the procedure is difficult for patients to endure without general anesthesia, as the supported laryngoscope is a type of metal tube that needs to be inserted through the mouth into the pharynx. Local anesthesia would be insufficient as patients might struggle to cooperate and tolerate the pain or nausea, hence general anesthesia is necessary for the surgery.
Post-laser sequelae of turbinate hypertrophy
Using laser treatment for hypertrophic turbinates can potentially lead to complications, the more common ones being nasal dryness and mucosal erosion. It may also cause recurring nasal bleeding. Additionally, some patients might experience a burning sensation or the feeling of a foreign body in the nasal cavity. More serious cases could lead to a nasal septum perforation. Hence, the specific complications vary from individual to individual. After surgery, it is necessary to have regular check-ups at the otolaryngology department, where procedures like nasal endoscopy and routine blood tests can help in assessing the condition. In the event of complications, timely and targeted treatment should be administered to mitigate the severity of these complications and improve the patient's quality of life.
Does otolithiasis require hospitalization?
Most patients with vestibular neuritis do not need hospitalization. Only in cases where the condition is particularly severe and has significantly impacted normal life, is hospitalization considered. The symptoms of vestibular neuritis are generally short-lived, with most patients experiencing transient vertigo related to changes in body position. When the body position is stabilized, the vertigo symptoms quickly alleviate. Therefore, outpatient treatment is generally considered, where a repositioning test can be conducted during the outpatient visit to identify the specific affected semicircular canal. Once identified, targeted manual repositioning treatment can be administered, with regular follow-ups needed to monitor the treatment effects.
Can people with vocal cord polyps eat spicy food?
Vocal cord polyps are a relatively common otolaryngological condition. It is advised to avoid spicy foods in the diet. This type of food tends to irritate the vocal cords significantly, potentially causing congestion and edema in the vocal cords, and aggravating the condition of the vocal cord polyps. Moreover, it may also lead to further worsening of hoarseness. Some patients may even develop acute pharyngitis, which can cause throat pain, breathing difficulties, and possibly even fever. After the onset of vocal cord polyps, it is necessary for patients to visit an otolaryngology department, undergo a laryngoscopy to assess the condition, and consider medical conservative treatment or surgical removal depending on the case.