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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
Can Meniere's disease heal itself?
Meniere's disease is a relatively common inner ear disorder. Clinically, the common symptoms include dizziness, nausea, vomiting, tinnitus, and hearing loss, and patients may experience recurrent episodes. In terms of treatment, some patients can alleviate symptoms on their own. Generally, the duration of the condition lasts about half a day. If the condition is not particularly severe, patients can recover on their own, but recurrent episodes may still occur. For patients with more severe conditions and pronounced clinical symptoms, medication therapy should be considered. Most patients can consider oral medication, a minority may need intravenous therapy, and some patients who experience multiple recurrent episodes and do not respond well to conservative treatment may need to consider surgery. (Please follow a doctor's guidance regarding specific medication usage.)
Can vocal cord nodules cause a sore throat?
Vocal cord nodules do not cause sore throats. The symptoms of vocal cord nodules mainly manifest as hoarseness. Some patients experience episodic hoarseness, while others have persistent hoarseness. Moreover, the symptoms of hoarseness become more noticeable after excessive voice use. Some patients may also have laryngitis, which could lead to throat pain. Therefore, upon detecting vocal cord nodules, it is necessary to visit an otolaryngology clinic. An examination using a laryngoscope and routine blood tests can be conducted to assess the severity of the condition. Most patients can consider conservative treatment with medications; commonly used treatments include oral traditional Chinese medicine, combined with nebulization, and concurrent vocal rehabilitation training. (Please use medication under the guidance of a professional physician.)
What should I do if otolithiasis frequently occurs?
Benign paroxysmal positional vertigo (BPPV) is a relatively common otolaryngologic condition, with some patients experiencing recurrent episodes. After recurrent episodes occur, it is necessary to visit an otolaryngology department for a positional test. This test clarifies the specific location of the affected semicircular canal, and after confirmation, targeted manual repositioning treatments can be conducted. During the treatment process, regular follow-ups are required. At the same time, it is important to protect the head from severe external impacts, avoid vigorous activities in the short term, and ensure adequate rest. Many patients gradually improve and the probability of episodes progressively decreases following these adjustments and treatments.
Is nasopharyngeal carcinoma prone to metastasis?
Nasopharyngeal carcinoma is a relatively common type of malignant tumor in the head and neck area and is prone to metastasis. The most common metastasis site is the cervical lymph nodes. Some patients are diagnosed with nasopharyngeal carcinoma only after the discovery of cervical lymph node metastatic cancer. Additionally, some patients may experience intracranial metastasis or bone metastasis. Generally speaking, for patients with nasopharyngeal carcinoma, it is crucial to achieve early detection, early diagnosis, and early treatment. After treatment, long-term regular follow-up is necessary to help determine the presence of metastasis. Moreover, if metastasis is confirmed, comprehensive treatment should be combined.
Nasopharyngeal carcinoma brain metastasis symptoms
Nasopharyngeal carcinoma is a relatively common type of head and neck malignant tumor. If brain metastasis from nasopharyngeal carcinoma occurs, it may cause related clinical symptoms. Common symptoms include headaches, dizziness, decreased vision, and visual field defects. Additionally, some patients may experience fever, but there is significant variability in clinical symptoms among individuals. In such cases, it is necessary to visit departments such as otolaryngology, neurology, and oncology. A head MRI can be conducted to assess the extent of the condition. Generally, options like radiation therapy and chemotherapy are available. With timely treatment, some patients can still achieve a relatively long survival time.
The difference between nasal polyps and nasal cancer
Nasal polyps and nasal cancer are both relatively common otolaryngological diseases, but they belong to different types. Nasal polyps are benign lesions, which do not pose a significant risk to health, while nasal cancer is a malignant tumor, which comparatively poses a greater risk to health. In terms of examination, differentiation can be made through nasopharyngoscopy and sinus CT scans. Generally, nasal polyps tend to grow in the middle nasal passage and the olfactory area, whereas nasal cancer is more commonly found in the nasopharyngeal region or within the sinuses. Overall, these two diseases are fundamentally different, and it is advisable to visit an otolaryngologist for further examination and treatment.
Does nasal irrigation work for chronic rhinitis?
Patients with chronic rhinitis can benefit from nasal irrigation as it is effective in treatment, and some patients may experience particularly good results. Nasal irrigation helps reduce the retention of secretions in the nasal cavity, improves clinical symptoms, and can also help reduce the likelihood of acute flare-ups of chronic rhinitis. However, the specific treatment outcomes can vary among individuals, and some patients may still need to combine the treatment with medications. Common medications include oral drugs and nasal spray medications. Following this comprehensive treatment approach, most patients will gradually see their condition controlled and alleviated. However, it is currently difficult to completely cure chronic rhinitis, as it tends to recur. (Please take medications under the guidance of a professional physician.)
What are the symptoms of acute otitis media?
The symptoms of acute otitis media are quite varied, with common clinical symptoms including ear pain, itching, foreign body sensation, and a feeling of ear fullness. There may also be purulent discharge. If the inflammatory reaction is severe and not promptly treated, it can lead to tinnitus and hearing loss. In terms of diagnosis, an otoscopic examination can be conducted for a more direct and effective assessment. Treatment generally involves the use of antibiotics to combat infection, while also keeping the external ear canal dry and preventing water entry. The typical treatment period is about one week. Overall, effective control and relief can usually be achieved through standardized medication treatment.
Is it normal for vocal cord polyps to hurt?
Vocal cord polyps themselves do not cause significant pain. If pain occurs, it is necessary to consider the presence of pharyngitis or other issues causing throat pain. The main symptom of vocal cord polyps is hoarseness, which may be accompanied by a foreign body sensation in the throat, especially after excessive voice use or consuming spicy and irritating foods. These symptoms of hoarseness and throat foreign body sensation may further intensify. However, polyps alone do not cause pain. Therefore, if there is pain, it is necessary to investigate whether there are other pathological conditions. It is recommended to undergo a laryngoscopy for a more accurate diagnosis. If the polyps are relatively large, surgery may be considered for removal.
How to deal with nasal polyps?
Nasal polyps are a relatively common otolaryngological condition. Clinically, the first step is to assess the extent of the nasal polyps. If the polyps are few and there are no obvious clinical symptoms, medical treatment can be considered, and regular re-examinations with a nasopharyngoscope are needed to monitor the recovery. If there are numerous polyps and the response to standardized medication is poor, surgical removal might be necessary. Currently, endoscopic nasal polyp removal surgery is commonly used. Regular postoperative check-ups are also required to observe the recovery. Generally, it is advisable to rinse the nasal cavity with saline solution to aid in postoperative recovery. (The use of medication should be under the guidance of a professional doctor.)