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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 medicine should be taken for otolithiasis?
Ear stone syndrome is a relatively common otolaryngological condition, clinically referred to as benign paroxysmal positional vertigo. The main symptom is brief vertigo that occurs during changes in body position, usually lasting about ten seconds. The vertigo quickly subsides once the body position is stabilized, and there are generally no symptoms of tinnitus or hearing loss. In terms of treatment, medication is not recommended as the first option. Most patients can recover after manual repositioning treatment. If manual repositioning is ineffective, mechanical chair repositioning may be considered. If the condition still does not improve, oral anti-vertigo medications, which inhibit vestibular function and control vertigo, may be considered. (The use of medications should be carried out under the guidance of a professional doctor.)
What should I do if I have a fever with suppurative tonsillitis?
Acute purulent tonsillitis often comes with a fever, which is generally caused by an acute bacterial infection. The first step is to check the body temperature. If the temperature exceeds 38.5 degrees Celsius, consider using antipyretic medication. It is also advised to perform a routine blood test to assess the extent of the inflammatory response. Typically, antibiotic treatment is considered to combat the infection, and this may be accompanied by nebulization and the oral intake of traditional Chinese medicine. Most patients can effectively recover with timely treatment. If the treatment does not yield good results, further hospitalization and intravenous therapy might be necessary, along with investigating the possibility of infectious mononucleosis. (Medication should be used under the guidance of a doctor.)
What should I do about auricular keloids?
Auricular keloids are a relatively common clinical condition, which may be related to an individual's scar constitution. Firstly, it is necessary to examine the size of the keloid. If the keloid is small, without obvious enlarging, redness, pain, infection, or inflammation, this situation generally can be considered for observation followed by regular ENT (ear, nose, and throat) specialist follow-ups to check for any rapid growth. However, if the keloid is large and progressively growing, surgical removal should be considered. After the surgery, local superficial radiation therapy can be considered to help prevent postoperative recurrence.
Clinical Manifestations of Otolithiasis
Benign paroxysmal positional vertigo (BPPV) is a relatively common ENT disorder, clinically characterized by recurrent episodes of vertigo associated with changes in body or head position. Typically, vertigo can be induced when the head is tilted toward a certain direction, but the duration of vertigo is brief, usually disappearing within a few seconds once the head position is stabilized. However, it tends to recur and does not accompany tinnitus, hearing loss, or headaches. Therefore, it is necessary to consult an ENT or neurology department, allowing experienced doctors to make a targeted assessment.
What is Ménière's disease?
Meniere's disease is a relatively common otolaryngological condition, related to the accumulation of fluid in the inner lymph sac or hydrops of the membranous labyrinth. There is some individual variability in clinical symptoms, with the most common symptoms being tinnitus, hearing loss, a feeling of ear fullness, and vertigo. Generally, the duration of the condition lasts about 20 minutes to half a day. Some patients may experience more severe vertigo, while others may have milder symptoms, depending on individual reactions and the severity of the condition. Most patients have recurrent episodes. In terms of treatment, most patients can consider conservative treatment, but surgical treatment may be necessary for a small number of patients who do not respond well to conservative therapy.
What department should I go to for allergic rhinitis?
Allergic rhinitis is recommended to consult an otorhinolaryngology department. Currently, allergic rhinitis is mainly due to an imbalance in one's own immune system, which, upon contact with external allergens, triggers an allergic reaction in the body. It is a relatively common nasal disease, hence the recommendation to visit an otorhinolaryngology department. Regarding examinations, allergen testing and nasal endoscopy are required. The main purpose is to identify the relevant allergens and to determine the presence of any neoplasms in the nasal and nasopharyngeal areas, such as nasal polyps. In terms of treatment, it primarily involves medication. Currently, the treatment mainly considers the use of oral medications and nasal spray medications for allergy treatment. Additionally, the use of saline to rinse the nasal cavity can be considered, along with regular follow-ups. However, overall, most patients with allergic rhinitis focus on controlling the condition, as it is difficult to completely cure.
What should I do about otolithiasis?
Ear stone disease, also known as benign paroxysmal positional vertigo, is a common otolaryngologic condition. The main clinical manifestation is positional vertigo related to changes in body position, which generally lasts for a short duration, about a few seconds. The vertigo symptoms quickly disappear after the head is stabilized, and there are no accompanying symptoms such as tinnitus, headaches, dizziness, or hearing loss. In terms of treatment, manual repositioning is the first choice, and most patients can recover directly after undergoing manual repositioning treatment. A small number of patients may need to consider machine repositioning or oral medication treatment.