

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

What are the symptoms of sinusitis?
The symptoms of sinusitis vary significantly between individuals. In cases of mild inflammation, there may be no symptoms, and the condition might only be discovered during a physical examination or through a head or sinus CT scan. However, in some patients with more severe inflammatory reactions, clinical symptoms can occur. Common clinical symptoms include nasal congestion, thick nasal discharge, reduced sense of smell, headache, dizziness, as well as potential facial pain, numbness, and vertigo. Some individuals may also experience changes in vision or field of vision. Generally, sinusitis is a common disease. Usually, it can be diagnosed based on clinical symptoms and examination of the nasal cavity. Some patients may need to undergo a CT scan, and in severe cases, surgery might be considered necessary.

Is medication effective for chronic rhinitis?
Most patients with chronic rhinitis find oral medications somewhat effective, but the specific effects and outcomes can vary from person to person. Some may experience good results, while others may find the effects not particularly satisfactory and may need to consider using nasal sprays or saline nasal irrigations. The main function is to improve nasal ventilation, alleviate nasal inflammation, and reduce or dilute nasal secretions. Overall, the primary approach to managing chronic rhinitis is controlling and alleviating the condition, as neither medical nor surgical treatments can cure it completely. The main strategy is regular check-ups, avoiding colds, avoiding irritants, and monitoring to control and relieve symptoms. (Please use medications under the guidance of a professional physician and do not medicate blindly.)

Acute tonsillitis signs and symptoms
The symptoms of acute tonsillitis are quite varied, with the most common symptom being pain in the tonsil area. Clinically, sudden onset of redness and pain in the tonsil area may occur, and in severe cases, there might also be fever, or swallowing or breathing difficulties. Overall, it is considered a common illness. Upon examination, the mucous membranes of the throat can be observed to have acute congestion, and the tonsils may be red and swollen to a first or second degree. In more severe cases, there might be third-degree swelling, and some patients may experience purulent infections in the tonsil area, which would require consideration for timely antibiotic treatment and regular follow-up examinations.

Chronic rhinitis symptoms
Chronic rhinitis is a relatively common otolaryngological disease with various clinical symptoms and individual differences. The common symptoms include nasal congestion, runny nose, reduced sense of smell, headache, dizziness, and some patients may also experience a decline in memory. Generally, the symptoms of chronic rhinitis are not particularly severe, and the harm to physical health is not particularly significant. For diagnosis, nasopharyngoscopy and sinus CT can be performed to assess the specific severity of the condition. In terms of treatment, it generally involves oral medications and nasal sprays, and regular follow-ups are needed to monitor the recovery process.

Can vestibular neuritis cause high blood pressure?
Otolithiasis is a relatively common otolaryngologic disease, clinically known as benign paroxysmal positional vertigo. Clinically, it mainly manifests as transient dizziness, but the duration is generally short, and most patients do not experience an increase in blood pressure. If the symptoms of dizziness are particularly severe and the patient is quite anxious, it may cause a temporary increase in blood pressure. However, if the symptoms of dizziness subside, the blood pressure will also decrease. This situation is relatively more pronounced in patients with hypertension. The treatment for otolithiasis primarily involves manual repositioning therapy, which is quite effective for most patients, although a small number of patients may need to combine it with oral medication.

What is the best treatment for allergic rhinitis?
There are various treatment options for allergic rhinitis. Firstly, it is advisable to perform allergen testing. If the allergy is due to dust mites, desensitization treatment could be considered, which may completely cure some patients. If other allergens are involved, or if no specific allergens can be detected, treatment primarily involves oral medications and sprays, which is a commonly used method, but may lead to recurrent symptoms. Drug treatment mainly aims to control the condition and stabilize symptoms rather than cure them. In cases where conventional drug treatment is ineffective, surgery might be considered for a small number of patients, but it generally does not cure the condition either. Most patients focus on controlling the condition and stabilizing symptoms, requiring long-term follow-up and avoiding contact with allergens.

How long does acute tonsillitis last?
The treatment for acute tonsillitis generally lasts about a week. This condition also relates to the patient's physical constitution, their own resistance to illness, and the degree of inflammation, which means there are individual differences. If a person has good resistance and the inflammation is not particularly severe, noticeable relief can typically be achieved in about three days. Conversely, if someone's physical condition is generally poorer and the inflammation is more severe, the condition might require more than a week to improve. In terms of medication, antibiotics are primarily used, supplemented with nebulization and the oral administration of traditional Chinese medicines. It is necessary to regularly monitor complete blood counts to observe the degree of recovery and changes in the inflammatory response.

Meniere's Disease Clinical Manifestations
Meniere's disease is a relatively common otolaryngological condition with various clinical symptoms. The most common symptoms include recurrent tinnitus, decreased hearing, and a feeling of fullness in the ear, often accompanied by vertigo. However, the duration of vertigo typically lasts about 20 minutes to half a day. This condition may recur, primarily manifesting as fluctuating hearing loss. Emotional excitement, spicy foods, strong tea, coffee, and other beverages also play a significant role in triggering these symptoms. When such symptoms occur, it is crucial to seek timely medical attention from an otolaryngologist for relevant examinations and treatment.

Can chronic rhinitis be cured completely?
Chronic rhinitis is a relatively common otolaryngological disease, and there are many treatment methods available at present. However, existing medical measures mainly focus on controlling symptoms and alleviating the condition, and it is very difficult to achieve a complete cure. Most patients undergo treatment with oral medications and nasal sprays, after which symptoms generally tend to reduce and the degree of inflammatory response also declines. Nonetheless, a complete cure is still elusive; the main goal is to reduce the frequency of acute attacks of chronic rhinitis, relieve clinical symptoms, and prevent significant impact on daily life. Overall, it is considered a common chronic disease that does not pose a significant threat to overall health. (Please consult a professional physician for medication guidance and avoid self-medicating.)

Early symptoms of nasopharyngeal carcinoma
The symptoms of nasal cancer can be numerous. In the early stages, symptoms might not be apparent because the area affected is relatively small, which can make the symptoms unclear. Possible symptoms include bloody nasal discharge and poor nasal airflow. Some patients might experience a foreign body sensation in the nasopharyngeal area. The most important thing, however, is to use diagnostic aids to make an assessment. This can include a nasopharyngoscopy, an enhanced CT of the nasopharynx, or an enhanced MRI to preliminarily determine the presence of a tumor. If a tumor is suspected, it is possible to consider performing a biopsy and lab tests under endoscopy. Only after completing the biopsy and lab tests can it be confirmed whether it is nasopharyngeal cancer, and then further treatment plans can be considered.