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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
What should I do if I have vomiting due to vestibular neuritis?
Otolithiasis is a relatively common otolaryngological disease. Clinically, symptoms such as nausea and vomiting may occur. When vomiting occurs, it is essential to ensure rest, avoid external stimuli, and refrain from vigorous exercise. Many patients find their symptoms gradually alleviating after rest. Additionally, a positional test can be conducted to determine the specific location of the lesion in the semicircular canals, followed by targeted manual repositioning treatment. If the condition is severe, with prominent symptoms of dizziness, nausea, and vomiting, oral anti-vertigo medications may be considered to help control the condition and alleviate symptoms. (The use of medications should be under the guidance of a professional doctor.)
Is surgery recommended for enlarged turbinates?
Nasal turbinate hypertrophy is a relatively common clinical presentation, with many possible causes. The most common causes include chronic rhinitis, acute rhinitis, and sinusitis, and it can also be due to osteogenic proliferation of the nasal conchae. After this condition occurs, it is first necessary to visit an otolaryngology department for a nasopharyngoscopy. Some patients may also need a CT scan to assess the severity of the condition. In terms of treatment, surgery is generally not considered first. Most patients can consider conservative treatment with medications, commonly using nasal spray drugs. The treatment period is generally about 1 to 2 weeks. If standardized medication treatment is ineffective, then surgery may be considered.
Can minimally invasive surgery be performed for laryngeal cancer?
Minimally invasive surgery for laryngeal cancer is an option only for a subset of patients, specifically those in the very early stages of the disease. Generally, this applies to cancers at stage T1 or those confined within the vocal cords. Procedures such as laser surgery or plasma surgery can be performed under the support of a laryngoscope. However, for cancers that are more extensive or at a later stage, minimally invasive surgery is not recommended due to the potential risks of incomplete tumor removal, tumor residue, and possibly affecting the effectiveness of subsequent treatments. Therefore, the selection for minimally invasive surgery must be under the assessment of an experienced surgeon, and regular follow-ups are necessary post-surgery to monitor for any residue or recurrence of the lesion.
Can people with nasal polyps drink alcohol?
Nasal polyps are a relatively common otolaryngological disease. It is advised that patients with nasal polyps should avoid drinking alcohol as it can be highly irritating. Alcohol has a direct stimulative effect on the nasal mucosa, which might exacerbate the condition of nasal polyps, potentially leading to nosebleeds or elevated blood pressure. These factors may harm overall health. Patients with nasal polyps should seek prompt medical attention from an otolaryngologist after the onset of symptoms. Examinations such as nasendoscopy and sinus CT scans can be conducted to assess the severity of the condition. Some patients might opt for conservative medical treatment, while others, for whom medication is ineffective, may need to consider surgical intervention.
Does sinusitis cause coughing?
Sinusitis may cause coughing since the condition presents with various symptoms. Common symptoms include nasal congestion, purulent nasal discharge, headaches, dizziness, reduced sense of smell, and postnasal drip. Some patients may experience coughing, often due to the postnasal drip where secretions from the nasal cavity and nasopharynx flow into the throat, leading to an irritating cough, typically a dry cough. This secretion irritates the throat, causing itchiness and resulting in a cough. Additionally, sinusitis can induce pharyngitis as the ear, nose, and throat are interconnected. Sinusitis may lead to conditions such as otitis media (middle ear infection) and pharyngitis, which can directly cause coughing. Hence, it is necessary to seek timely medical treatment at a hospital upon the onset of symptoms.
What should be noted for acute pharyngitis?
Acute pharyngitis is a relatively common otolaryngological disease, with most cases caused by acute bacterial infections, and a smaller portion caused by acute viral infections. In terms of treatment, it initially requires a laryngoscopic examination and a complete blood count to determine the specific cause and severity of the condition. If it is a bacterial infection, the use of antibiotics should be considered. If it is a viral infection, antiviral medications can be considered. Additionally, dietary habits should be light, avoiding spicy and irritating foods. In daily life habits, it is best to avoid smoking and drinking alcohol, and to avoid excessive use of the voice. During treatment, regular follow-up appointments are necessary to monitor the effectiveness of the treatment. (The use of medications should be under the guidance of a professional physician.)
What are the symptoms of acute sinusitis?
The symptoms of acute sinusitis are quite varied, with the most common ones being nasal congestion, purulent nasal discharge, headache, and dizziness. In severe cases, it may also cause facial swelling and numbness, but individual differences exist. Some patients may exhibit one or two of these symptoms, while others may have various additional symptoms, considering them comprehensively. Generally, it is primarily due to acute bacterial infection, and the main treatment is antibiotics to fight the infection. In addition, consideration can be given to combining traditional Chinese medicine and mucolytic agents for adjunctive treatment. Persistently rinsing the nasal cavity with saline solution can also help in the recovery of the condition. Generally, the treatment period requires about one to two weeks and needs regular follow-up to monitor for any recurrence. (The use of medications should be under the guidance of a physician.)
Can people with nasal polyps smoke?
Patients with nasal polyps are advised not to smoke, as cigarettes contain various chemicals that may directly irritate the nasal mucosa and cause related clinical symptoms, such as nasal congestion, runny nose, reduced sense of smell, and headaches or dizziness. For patients with nasal polyps, it is recommended to avoid smoking and drinking alcohol, and to avoid contact with irritative substances. If symptoms develop, it is important to seek medical attention at an otolaryngology department promptly. An endoscopic examination of the nose and a sinus CT scan can be performed to assess the severity of the condition. Generally, treatment might include oral medications and nasal sprays, and rinsing the nasal cavity with saline solution. However, if the condition is severe and does not respond well to conservative drug treatment, surgery may need to be considered.
Chronic rhinitis has no symptoms.
Chronic rhinitis is a relatively common otolaryngological disease. If there are currently no clinical symptoms, generally, it may not require special treatment, but regular follow-ups are necessary to monitor any changes in the condition. If the inflammatory reaction of chronic rhinitis is severe and accompanied by related clinical symptoms such as nasal congestion, runny nose, reduced sense of smell, headache, and dizziness, it is important to seek medical attention promptly. Procedures like nasal endoscopy, routine blood tests, and in some cases, a sinus CT scan might be needed. Common treatments include oral medications and nasal sprays. During the treatment, regular check-ups are essential to observe the recovery process. (Specific medications should be administered under the guidance of a doctor.)
Will nasal polyps grow back after they are removed?
Nasal polyps are a relatively common otolaryngological condition. In terms of treatment, one can consider medication or surgical intervention. If there are numerous polyps and the clinical symptoms are severe, and standardized medication does not yield good results, then surgical treatment should be considered. However, there is still a possibility of recurrence in some patients after surgical removal. The main surgical procedure currently used is endoscopic nasal polyp removal surgery, which is minimally invasive and generally yields good results for most patients. However, regular follow-ups are necessary because there is a possibility of recurrence, particularly in patients with eosinophilic polyps, who tend to have a higher chance of recurrence.