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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
How to alleviate Meniere's disease attacks?
Ménière's disease is a relatively common otolaryngological condition, primarily caused by the accumulation of fluid in the inner lymphatic sac. During the acute phase, it may cause symptoms such as tinnitus, hearing loss, vertigo, nausea, and vomiting. If the condition is not particularly severe, some patients can alleviate their symptoms by ensuring rest and avoiding external stimuli. If the condition is more serious, it is necessary to visit an otolaryngologist. Generally, treatment considerations include oral anti-vertigo medications, and some patients may need to consider using diuretics or corticosteroids. Most patients gradually improve with timely medication treatment. (Please follow the doctor's prescription when taking medication.)
What is suppurative tonsillitis?
Purulent tonsillitis is generally caused by an acute bacterial infection, though a small number of patients may also have a viral infection. It is a relatively common disease in the field of otolaryngology. In terms of examination, the first step is to perform an indirect laryngoscopy to observe the extent of inflammation in the throat. In addition, a complete blood count and inflammatory protein tests can be considered to help assess the severity of the inflammatory response. Additionally, bacterial culture and drug sensitivity tests of the purulent secretion can be considered, allowing for a more targeted choice of medication. Empirical treatment mainly involves the use of antibiotics to combat the infection, and it is recommended to combine this with nebulization. Oral administration of traditional Chinese medicine can also be used as supplementary treatment, generally needing about one week. Note: Medication should be used under the guidance of a doctor.
Can chronic rhinitis be cured?
Chronic rhinitis primarily focuses on controlling the condition and relieving symptoms. Current treatment methods mainly involve medication, generally using oral drugs and nasal sprays to improve nasal symptoms. Additionally, physiological saline can be used to rinse the nasal cavity. Overall, most cases can be effectively controlled and alleviated through medication. If the nasal turbinates are particularly enlarged and conservative medical treatment is ineffective, surgical treatment can be considered. However, both medication and surgery mainly aim at control rather than cure. With the existing medical approaches, it is challenging to completely cure chronic rhinitis. Generally, it is considered a common and not particularly severe condition.
Precautions for Meniere's Disease
The first consideration for Ménière's disease is to try to avoid emotional fluctuations and maintain a pleasant mood. Emotional fluctuations can potentially trigger an acute attack of Ménière’s disease. Secondly, one should avoid noisy environments as much as possible, ensure rest, and improve sleep. Thirdly, in daily life, avoid consuming coffee, strong tea, cola, and try not to eat stimulating foods, as these factors may induce or aggravate the existing condition. Fourthly, regular check-ups at an otolaryngology (ENT) department are necessary to monitor any changes in hearing, as some patients might experience a gradual decline in hearing.
Is pharyngitis prone to recurrence?
Pharyngitis is a relatively common otolaryngological disease that tends to recur. The most common causes are acute bacterial or viral infections. It can also be triggered by a cold, and some patients are affected because they often come into contact with irritants or chemical substances. A small number of patients suffer due to spicy diets or the consumption of other allergenic foods. Generally, symptoms can be significantly improved through standardized medical treatment. For example, throat pain and the sensation of a foreign body in the throat can be alleviated, but there is a tendency for recurrence. Additionally, some patients may experience inflammatory reactions in other parts of the body. (The use of medications should be guided by a professional doctor.)
How to alleviate sinusitis?
The acute phase of sinusitis largely depends on the extent of the inflammation. If the inflammation is mild and the symptoms are atypical or slight, saline nasal irrigation can be considered. If the inflammatory reaction is severe and accompanied by clear symptoms like nasal congestion, purulent nasal discharge, headaches, and dizziness, then medical treatment should be considered. Generally, the treatment consists primarily of oral antibiotics, along with traditional Chinese medicines and mucolytics, supplemented with nasal sprays. Regular follow-ups are advised, and the treatment period usually ranges from one to two weeks. If standardized medication does not work, or in the case of fungal sinusitis, surgery may be necessary.
How to treat acute tonsillitis?
Acute tonsillitis is mainly caused by an acute bacterial infection, with the most common symptoms being sudden throat pain, and significant redness and congestion of the tonsils, which may also include pus formation if severe. In terms of treatment, oral medication is primarily preferred, generally focusing on antibiotics, and may include nebulization as well as traditional Chinese oral medications. If inflammation is particularly severe and oral medications are ineffective, infusion therapy may be considered. Some patients may also experience fever, thus requiring physical cooling methods, and if the temperature exceeds 38.5 degrees Celsius, antipyretic medications should be considered, along with regular blood tests.
What is nasopharyngeal carcinoma?
Nasopharyngeal carcinoma is a relatively common malignant tumor in the nasopharyngeal area, and the main pathological type is predominantly squamous carcinoma, most of which are poorly differentiated squamous carcinomas, constituting the most common malignant tumor in the nasopharyngeal area. Currently, the primary treatment option is radiotherapy, which is the most important; some patients may need to consider concurrent or adjuvant chemotherapy. If drug and radiotherapy treatments are ineffective, or if there is cervical lymph node metastasis, and for some patients where chemoradiotherapy fails with residual lesions, surgery may be considered. However, currently, the surgical treatment approach is generally not very mature and is somewhat controversial, thus it requires treatment at major hospitals.
What are the symptoms of turbinate hypertrophy?
The symptoms of turbinate hypertrophy vary among individuals. Some patients just have simple turbinate hypertrophy with no obvious clinical symptoms, while others may experience nasal congestion, runny nose, reduced sense of smell, headaches, dizziness, and memory decline. However, generally speaking, most cases are not very severe. It is necessary to visit an otolaryngology department for a nasopharyngoscopy to ascertain the specific extent of the hypertrophy, and to check for any nasal inflammation, sinusitis, or nasal neoplasms. In terms of treatment, most patients primarily receive oral medications and nasal spray treatments. A small number of patients may need to consider surgical treatment. (Please use medications under the guidance of a doctor.)
What is acute sinusitis?
Acute sinusitis is an acute inflammatory response of the sinuses caused by a sudden bacterial infection. Clinically, the most common sites of lesion are the maxillary sinuses and ethmoid sinuses, though some patients may also experience inflammation in the frontal sinuses or sphenoid sinuses. The main symptoms include sudden nasal congestion, purulent nasal discharge, headaches, dizziness, and reduced sense of smell. If the inflammatory response is particularly severe, it may also affect vision or cause fever and a feeling of heaviness in the head. Overall, it is considered to be an acute inflammatory response, primarily treated clinically with antibiotics to counter the infection, along with the use of nasal sprays and nasal irrigation, typically with saline solution. Regular follow-up checks are required, and the recovery period generally lasts about one to two weeks. (Medication should be used under the guidance of a doctor based on specific circumstances.)