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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
Which department should I go to for acute pharyngitis?
For acute pharyngitis, it is advisable to visit the otolaryngology department, as acute pharyngitis is primarily caused by an acute bacterial infection, mainly leading to throat pain. In severe cases, it can cause edema of the pharyngeal mucosa, affecting swallowing or breathing, and is one of the more common throat diseases. Regarding treatment, an indirect laryngoscopy should first be performed to assess the degree of inflammation in the pharyngeal mucosa, especially to determine if there are any obstructions in the throat. Additionally, routine blood tests and inflammatory protein tests should be conducted to help determine the type and extent of the inflammatory response. In terms of medication, treatment is generally dominated by antibiotics, preferably administered orally, and supplemented by nebulization and traditional Chinese medicine. Typically, the treatment period is about one week, but there are individual differences, so it is necessary to return to the otolaryngology department for follow-up to dynamically observe the recovery. (Medications should be used under the guidance of a physician.)
Can pharyngitis not be cured?
There are many treatment methods for pharyngitis, but it is still difficult to cure completely and may recur frequently. After the onset, it is recommended to visit an otolaryngology clinic where you can have routine blood tests and laryngoscopic examinations, which help to preliminarily determine the severity of the condition. Generally, oral medication can be considered, along with nebulization therapy. During treatment, regular follow-up is necessary to monitor the effects. Most patients will gradually improve with timely medication. In terms of diet, it should be light; avoid spicy and irritative foods, smoking, and drinking alcohol. (Specific medications should be taken under the guidance of a physician.)
How to normally regulate chronic rhinitis?
Chronic rhinitis is a relatively common otolaryngologic disease that requires attention in daily life. First, in terms of diet, it should be light, avoiding spicy and irritating foods and allergenic foods, which may affect the condition of rhinitis. Second, consider using saline or physiological seawater to rinse the nasal cavity, generally recommended to wash two to three times daily. This helps improve nasal ventilation and reduce the retention of nasal secretions. Third, it is necessary to regularly visit the otolaryngology outpatient department to check the changes in the condition and clarify the treatment effects. (Medication use should be conducted under the guidance of a professional doctor.)
What medicine is good for a deviated nasal septum?
Nasal septum deviation is a relatively common ENT disorder, and typically it does not require medication for treatment. This is because the deviation of the nasal septum is primarily due to either bony or cartilaginous bends, which are difficult to effectively treat with medications. Medications cannot correct a deviated septum. If the nasal septum deviation is severe and accompanied by related clinical symptoms, surgery may be considered for correction. A common procedure is the endoscopic nasal septum deviation correction surgery, which is minimally invasive and generally has good outcomes. If the deviation is minor and does not present any clinical signs, observation may be sufficient without the need for specific treatment.
What should I do if nasal polyps are bleeding?
Nasal polyps accompanied by nasal bleeding can be caused by various reasons. It could possibly be hemorrhagic nasal polyps, or there might be dryness and erosion bleeding of the nasal mucosa, or bleeding due to rupture of small blood vessels, or inflammation-induced bleeding. Therefore, in such cases, it is necessary to promptly visit an otolaryngology department. Consider conducting a nasal endoscopy, routine blood tests, and coagulation function tests, which can help determine the severity of the nasal polyps and the cause of the nasal bleeding. If the extent of nasal bleeding is severe and the nasal polyps are widespread, surgical removal might be considered necessary. After surgery, regular follow-up checks are essential to monitor the recovery process.
Do vocal cord polyps require surgery?
Vocal cord polyps generally do not require surgery. If the polyps are relatively small or if the symptoms of hoarseness are not obvious, surgery is usually not necessary, and medication can be considered. The treatment is primarily through oral medications, combined with nebulization therapy. If possible, professional voice training can also be considered. Most patients can gradually recover through conservative treatment. However, if the polyps are large and cause noticeable hoarseness, surgery might be needed. Post-surgery, regular follow-ups are necessary, but such surgeries are usually minimally invasive, performed under a laryngoscope, and do not involve significant external injuries.
How to effectively treat vocal cord nodules?
Vocal cord nodules are a relatively common otolaryngological condition. In terms of treatment, it initially requires a laryngoscopic examination to assess the severity of the condition. Generally, conservative treatment is considered, commonly involving oral traditional Chinese medicine and nebulization therapy. Alongside medication, it's important to avoid excessive use of the voice and to engage in vocal rehabilitation training. Most patients will see gradual improvement in symptoms of hoarseness through these conservative treatments, and nodules may also gradually diminish in some cases. If standardized conservative treatments are ineffective and the symptoms of hoarseness are particularly severe, a small number of patients may consider surgical intervention.
Where is a good place to massage for nasal polyps to get better quickly?
Massage therapy is generally ineffective for treating nasal polyps, so no matter what type of massage is used, it is unlikely to have a notably positive effect on the treatment and recovery of nasal polyps. Currently, there are primarily two treatment options to consider: conservative treatment and surgical removal. If the polyps are numerous and widespread, and conservative treatment proves ineffective, then surgical removal, particularly minimally invasive surgery performed with an endoscope, should be considered. This type of surgery generally causes minimal damage and allows for a relatively quick recovery, with fairly definitive therapeutic outcomes. If the nasal polyps are small and localized, treatment usually starts with nasal sprays and oral medications, but regular check-ups are necessary to monitor for any changes.
Is nebulization good for chronic tonsillitis?
Chronic tonsillitis is a relatively common otolaryngology disease, with significant individual differences in clinical symptoms, which may include sore throat and a foreign body sensation in the throat. In terms of treatment, nebulization is a commonly used method and is generally effective as it can reduce inflammation and alleviate symptoms such as throat pain and foreign body sensations in the throat. If nebulization alone is ineffective, further evaluation with routine blood tests and laryngoscopy may be needed, possibly in addition to oral medication treatment. Diet should also be light, avoiding spicy and irritating foods, smoking, and drinking, with regular follow-ups.
Is nasal congestion the same as having a cold?
Nasal congestion is not necessarily a cold. Cold medicine has many symptoms, with nasal congestion being one of them. However, there could be more reasons for nasal congestion. A cold is just one factor causing nasal congestion. Other reasons might include chronic rhinitis, acute rhinitis, sinusitis, deviated nasal septum, and nasal polyps. Often, these conditions are primarily due to pathological changes in the nose itself. Therefore, it is recommended to visit an otolaryngology clinic, particularly for persistent nasal congestion, and consider undergoing a nasopharyngoscopy. If needed, a sinus CT may also be considered, along with symptom assessment and additional diagnostic tests, to make a more comprehensive and accurate evaluation.