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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 is Meniere's disease diagnosed?
Ménière's disease is a relatively common otolaryngology condition. It is recommended to visit an otolaryngology clinic upon onset, where various supplementary tests should be conducted. Commonly used tests include hearing tests, cochlear electrograms, and MRI of the inner ear. Some patients may also need to undergo vestibular function tests. With these supplementary tests and clinical symptoms, combined with the doctor's experience, a definitive diagnosis can be made. In terms of treatment, most patients may opt for conservative medication. Oral medications are commonly used, but for some patients with severe conditions and clear clinical symptoms who do not respond well to standard medical treatment, surgery may need to be considered.
Can hypertrophic turbinates be seen with the naked eye?
Enlarged turbinates are a relatively common clinical manifestation and can usually be seen through visual inspection. Generally, the enlargement is primarily of the inferior turbinates. With the use of an anterior rhinoscope to open the nostrils, one can directly observe the extent of inferior turbinate enlargement. This also helps to clarify its relationship with the nasal cavity and aids in the diagnosis of potential rhinitis or sinusitis. In terms of treatment, if the enlargement is simply physiological without significant clinical symptoms, treatment might not be necessary, but regular follow-ups to monitor the condition are advised. If the enlargement is due to an inflammatory reaction, consideration may be given to oral medications and nasal sprays, along with rinsing the nasal cavity with saline solution. (Please use medication under the guidance of a doctor.)
Is acute pharyngitis serious?
Acute pharyngitis is a relatively common ENT (Ear, Nose, and Throat) disease. Whether it is severe or not depends on the extent of the inflammatory response. Generally, most patients are not too severe, mainly because it is caused by an acute bacterial or viral infection. In clinical practice, bacterial infections are more common. The main symptom is sudden throat pain. If the inflammatory response is more severe, it can cause more serious pharyngitis, which may affect swallowing and breathing, and cause edema in the mucous membrane of the throat. If it is particularly severe, fever may also occur. It is necessary to visit the ENT department to check the specific extent of infection and inflammation in the throat, conduct a routine blood test, and make a more accurate comprehensive assessment.
Permanent cure for allergic rhinitis
Currently, most cases of allergic rhinitis are difficult to cure completely. According to existing medical methods and research, if it's solely a mite allergy, some patients can consider undergoing desensitization treatment, which involves taking medication subcutaneously or sublingually over a long period, approximately two to three years. Overall, some patients can achieve a cure, but if it's other allergies or if the allergen cannot be clearly identified with current medical methods, the primary approach is control of symptoms using conventional medications. Whether it's medical treatment or surgical intervention, it's still difficult to achieve a complete cure. Thus, generally speaking, the treatment of most cases of allergic rhinitis focuses on control and alleviation.
Can people with chronic rhinitis swim?
People with chronic rhinitis can swim, but it is advisable to refrain from swimming during an acute flare-up. If it's just ordinary chronic rhinitis without noticeable acute inflammation, swimming is possible and may even be somewhat beneficial for rhinitis. However, attention should be paid to the cleanliness and hygiene of the swimming pool. If the pool is not up to hygiene standards, water entering the nasal passages can exacerbate existing rhinitis or trigger an acute flare-up. Therefore, this is a point of concern. If it's just ordinary chronic rhinitis and the pool meets swimming standards, swimming should be fine and not particularly harmful to either rhinitis or overall health.
Is laryngitis serious?
Laryngitis is a relatively common otolaryngology disease, and generally, it is not particularly severe. The more common types of laryngitis include acute laryngitis and chronic laryngitis. Clinically, it mainly manifests as sore throat, hoarseness, and a foreign body sensation in the throat. In terms of treatment, medication remains the main approach. For acute laryngitis, oral antibiotics can be considered, commonly cephalosporins or penicillins. For chronic laryngitis, taking traditional Chinese medicine orally can be considered, and it is advisable to combine this with nebulizer therapy, with regular follow-ups to monitor recovery. (Medication should be used under the guidance of a doctor.)
What is the best treatment for sinusitis?
The treatment of sinusitis is currently divided into two main categories: conservative treatment and surgical treatment. The specific choice of treatment mainly depends on the severity and type of sinusitis. For fungal sinusitis, conservative treatment generally does not yield good results. If the patient's condition permits and their physical health can tolerate surgery, it is generally recommended to perform sinus opening surgery under endoscopy. For bacterial sinusitis with mild inflammation, unclear symptoms, or relatively mild symptoms, conservative drug treatment can be considered. This usually involves oral medications and nasal sprays, and saline nasal irrigation can also be considered. If the inflammatory response is more severe and the symptoms are typical, and conservative treatment is ineffective, sinus opening surgery should be considered. Currently, minimally invasive surgery under endoscopy is employed, which generally yields precise results, causes less damage, and allows for a quicker recovery.
How to Test for Allergens in Allergic Rhinitis
Allergic rhinitis is considered an autoimmune disease, mainly triggered by the body's immune response after contact with allergens, leading to related clinical symptoms such as itchy nose, runny nose, and sneezing. Generally, it is necessary to conduct an allergen test. Currently, there are mainly two methods for allergen screening. The first is the skin prick test, and the second is a blood test. Both methods are commonly used clinically. Relatively speaking, the skin prick test may induce higher risks of side effects or allergies. Some patients may need to undergo both tests and look at the results comprehensively, but most patients can choose one of the two.
How to reduce swollen nasal turbinates?
Enlarged turbinates are a relatively common clinical symptom, with numerous potential causes. If the enlargement is simply physiological, it generally does not require special treatment. However, if it is due to an inflammatory reaction, such as rhinitis or sinusitis, this can lead to corresponding clinical symptoms like nasal congestion, runny nose, and reduced sense of smell, necessitating consideration of medication. Common treatments include oral medications and corticosteroid nasal sprays, typically over a treatment cycle of about one to two weeks. Additionally, rinsing the nasal cavity with saline solution can be beneficial. With standardized treatment, most cases will gradually decrease in swelling. (Medications should be used under the guidance of a doctor based on specific conditions.)
Do allergic rhinitis need to be treated?
Allergic rhinitis generally requires treatment, but it also needs to be combined with clinical symptoms and the degree of inflammatory response. If the symptoms of allergic rhinitis are not severe and the inflammatory response is very mild, this situation may consider avoiding contact with allergens and then regularly re-examining to observe changes in the condition. If the symptoms are relatively obvious, such as frequent itching in the nose, running clear nasal discharge, sneezing, and a more severe inflammatory response, it is indeed necessary to consider timely treatment. In terms of treatment, medication is the main method, such as using oral medications and nasal spray medications for anti-allergy treatment. A small number of patients may consider desensitization treatment or surgical treatment. However, most patients still focus on controlling and alleviating the condition, and it is difficult to cure completely. (Please use medication under the guidance of a professional physician)