

Li Rui

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

Sore throat without cold symptoms
Sore throat is a relatively common clinical symptom, with many causes. If the duration is short, it could be due to acute pharyngitis, acute tonsillitis, or acute epiglottitis. If the condition lasts longer or recurs frequently, it may be caused by chronic pharyngitis or chronic tonsillitis. Therefore, after the onset, it is necessary to visit an otolaryngology department for diagnosis, where a laryngoscope examination and routine blood tests can be performed to clarify the specific cause, before targeted treatment can be administered. Regular follow-ups are also needed to monitor the treatment effects.

How to completely cure seasonal rhinitis?
Seasonal rhinitis is mainly caused by allergic reactions, which are related to the body's exposure to external allergens. It is recommended that individuals seek care from an otorhinolaryngologist after experiencing allergies, to conduct external allergen screening and identify specific allergens. Most patients can only control their condition and alleviate symptoms. If it is a case of a dust mite allergy of grade three or above, desensitization treatment can be considered. After desensitization, some patients may achieve clinical cure, but others might only see improved symptoms without a complete cure. Overall, regular follow-up is necessary to monitor changes in the condition, and contact with allergenic substances should be avoided as much as possible.

Does chronic tonsillitis cause headaches?
Chronic tonsillitis generally does not cause headaches, as the main cause of chronic tonsillitis is repeated inflammation of the tonsils. The primary symptoms are sore throat and a sensation of a foreign body in the throat. Some people may also experience snoring and breathing through the mouth while sleeping, but overall, the main manifestations of this disease are in the throat area, so the clinical symptoms are primarily those related to the throat. Generally, it does not lead to headaches. If there is a cold, sinusitis, or rhinitis accompanying it, headaches may occur. However, the specific causes of the condition should be assessed by visiting an otolaryngology department to determine and apply the correct treatment.

Can people with Ménière's disease drink milk?
Ménière's disease is a relatively common otolaryngological condition, and its clinical onset mechanism may be related to fluid accumulation in the membranous labyrinth. Symptoms are varied, with the most common being tinnitus, vertigo, nausea, vomiting, and hearing loss. Generally speaking, it is acceptable to consume milk as it is not significantly irritating and does not directly worsen the condition of Ménière's disease. Furthermore, there is no direct conflict between milk and the medications or other treatment plans for Ménière’s disease. Therefore, it is safe to consume milk, which is also rich in nutrients and can help boost the body's immunity and meet its nutritional needs.

How is suppurative tonsillitis treated?
Acute suppurative tonsillitis is primarily considered to be caused by acute bacterial infections. In such cases, it is primarily necessary to conduct a complete blood count test. The main purpose of this test is to examine the increased levels of white blood cells and inflammatory response proteins. If the inflammatory response is not particularly prominent, oral antibiotics are generally sufficient, and this can be supplemented with nebulization and the oral administration of traditional Chinese medicines for auxiliary treatment. If the complete blood count indicates a particularly severe inflammatory response and the symptoms are also prominent, intravenous therapy may need to be considered. In cases where conservative treatment is ineffective and particularly severe, further hospital treatment and systematic examination may be required for an accurate assessment of the condition.

What are the symptoms of laryngitis?
Laryngitis is a relatively common clinical disease with a variety of symptoms and individual differences. Common symptoms include pain in the throat area. If the pain is severe and accompanied by noticeable swelling, it may affect swallowing and breathing, and could lead to swallowing obstruction and breathing difficulties. Another common symptom is hoarseness, especially seen in acute laryngitis, as it can cause congestion and swelling of the vocal cords, which easily leads to hoarseness. Generally, when symptoms of laryngitis appear, it is advisable to visit an otolaryngology department promptly for a laryngoscopy to assess the extent of the inflammatory response.

Can you drink alcohol with pharyngitis?
People with pharyngitis should not drink alcohol, as pharyngitis is mainly divided into two types: chronic pharyngitis and acute pharyngitis. Both types should avoid alcohol consumption. Alcohol can significantly irritate the mucous membranes of the throat, especially in cases with existing inflammation. Drinking alcohol can directly stimulate the mucous membranes of the throat, causing redness, pain, and potentially triggering an acute episode of pharyngitis or exacerbating the existing inflammatory response. In general, it is necessary to seek timely treatment for pharyngitis, along with regular follow-up exams. Diet management is important, and patients should avoid smoking, drinking alcohol, and consuming spicy or irritating foods. Regular laryngoscope check-ups are recommended to monitor changes.

The difference between acute pharyngitis and chronic pharyngitis
The differentiation between acute pharyngitis and chronic pharyngitis mainly involves the following aspects: First, the onset duration. Generally, acute pharyngitis has a short onset, often sudden, and typically lasts about a week; whereas chronic pharyngitis tends to have a longer duration of illness, possibly involving repeated episodes, usually lasting from one to three months or more. Second, in terms of clinical symptoms, acute pharyngitis usually presents sudden onset of throat pain, which can be relatively severe; chronic pharyngitis may involve pain, but it is generally milder and recurrent, fluctuating, with some patients experiencing a sensation of a foreign body or itchiness in the throat. Third, it can be diagnosed through laryngoscopic examination.

How many days of fever for chronic tonsillitis?
Chronic tonsillitis generally does not cause fever, but if chronic tonsillitis has an acute attack, it may cause fever. This situation is mainly due to an acute bacterial infection, with common symptoms including sudden sore throat, swollen tonsils, and pus formation, which may be accompanied by fever. Generally, the duration of the fever varies from person to person, typically around 3 days. During the acute episode, timely medicinal treatment should be considered, primarily with antibiotics. If the body temperature exceeds 38.5 degrees Celsius, fever-reducing medications should be considered. It is also necessary to monitor the patient's blood routine and temperature fluctuations, with regular check-ups.

How to treat chronic laryngitis?
The treatment of chronic laryngitis is generally conservative. Clinically, it usually starts with a laryngoscopy to examine the specific lesions and severity in the throat area. It is also recommended to observe specific clinical symptoms. If the symptoms are mild and do not affect daily life, observation and dietary adjustments may be considered. Additionally, for more pronounced symptoms, such as throat pain and the sensation of a foreign body, medication treatment should be considered. Currently, oral traditional Chinese medicine is commonly used in conjunction with nebulization therapy. Regular laryngoscopy follow-ups are advised to monitor changes in the throat and vocal cords. Overall, it is considered a relatively common condition.