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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 should vocal cord nodules be treated?
The treatment of vocal cord nodules mainly prioritizes conservative management, focusing on pharmacotherapy and simultaneously recommending voice training. Regarding medications, oral traditional Chinese medicines are commonly used, along with inhaled corticosteroids, generally requiring one to two weeks of treatment. Additionally, voice training is necessary to avoid excessive voice use, as it can exacerbate symptoms of hoarseness and lead to recurrent vocal cord nodules. If standardized medication treatments fail and severe hoarseness prevails, a small proportion of patients might consider undergoing vocal cord nodule removal surgery under laryngoscopy. Overall, surgery is not the first option, but its results are relatively definitive.
How to care for vocal cord polyps symptoms
The more common symptoms of vocal cord polyps include hoarseness and a recurring sensation of a foreign body in the throat, which is generally a common condition. In daily life, it is necessary to speak as little as possible and avoid overusing the voice, as symptoms such as hoarseness from excessive voice use can significantly worsen and potentially promote further growth of the polyps. It is also recommended to follow a bland diet and avoid spicy and irritating foods, as frequent consumption of spicy foods can exacerbate throat inflammation. Regular follow-up examinations, such as laryngoscopic inspections to observe changes in the polyps, are necessary. If the polyps are large, surgical removal may need to be considered. If they are small, medication and nebulizer treatments can be considered initially to observe the effects.
Can you drink alcohol with otitis media?
Otitis media should not be accompanied by alcohol consumption. There are various types of otitis media, the more common ones being secretory otitis media, acute otitis media, purulent otitis media, and cholesteatoma-type otitis media, generally categorized as inflammatory reactions of the middle ear diseases. Drinking alcohol can potentially exacerbate the inflammatory response. Furthermore, if alcohol is consumed during treatment, it may lead to poor therapeutic effects and potentially harmful interactions with the medications being used, severely endangering health. For example, drinking alcohol while using cephalosporins may trigger a disulfiram-like reaction, which can be severe and potentially life-threatening. Therefore, during otitis media, it is advised not to drink alcohol and to keep the external auditory canal dry and free from water.
Does nasopharyngeal carcinoma cause coughing?
Nasopharyngeal carcinoma is a relatively common type of malignancy in the head and neck area, and a small number of patients may experience coughing, mainly because the secretions from the nasopharyngeal carcinoma can enter the throat through the posterior nasal aperture, causing an irritative cough. Overall, the occurrence of this symptom is relatively rare. More common symptoms include nasal congestion, bloody nasal discharge, with some patients experiencing headaches or enlarged cervical lymph nodes, and changes in vision. After diagnosis, it is recommended to visit the otolaryngology or oncology departments promptly to assess the severity of the condition. Most patients need to consider radiotherapy and chemotherapy, and regular follow-ups are necessary to monitor treatment outcomes.
Can a deviated nasal septum become cancerous?
A deviated nasal septum does not lead to cancer, as the main cause of a deviated nasal septum is either congenital malformation or trauma resulting in nasal fractures or deviations. The primary site of deviation is the cartilage of the nasal septum or the posterior bony part. This may lead to narrowing of the nasal passageway, potentially causing symptoms such as nasal congestion, headaches, and nosebleeds. However, overall, this condition is benign and unlikely to become cancerous. In terms of treatment, minor deviations might not require any intervention, but prominent deviations causing clinical symptoms might necessitate surgical correction.
Do people with throat cancer lose weight?
Throat cancer is a relatively common ENT disease. Some throat cancer patients may experience weight loss, mainly in the middle and late stages of the disease. This is because these patients generally have a more severe condition, possibly leading to insufficient nutrition. Additionally, throat cancer might affect normal swallowing, thus further accentuating weight loss. Early stage throat cancer, generally, does not lead to significant weight loss. For middle and late-stage patients, comprehensive treatment plans including surgery, radiation therapy, and chemotherapy need to be considered. After treatment, long-term and regular follow-up exams are necessary to monitor the treatment effects. Overall, the earlier the detection and the more timely the treatment, the better the outcomes.
Do nasal polyps need surgical removal?
Nasal polyps are a relatively common otolaryngological condition, and the treatment methods are generally divided into two categories. The first category is surgical treatment, and the second is conservative medical treatment. Therefore, the choice of treatment mainly depends on the severity of the patient's condition, the patient's own wishes, and their overall health. If the condition is mild and the clinical symptoms are not obvious, medical treatment can be considered first to see the effects. If the condition is severe, the nasal polyps are extensive, and the clinical symptoms are clear, and if there is no effect after standardized conservative medical treatment, surgical removal should be considered.
Can nasal polyps be treated conservatively?
Nasal polyps are a relatively common otolaryngologic condition. Some patients may consider conservative treatment, particularly when the severity of the nasal polyps is mild. If, after standard conservative medication treatment, the severity of the nasal polyps does not gradually improve but instead worsens, or if the initial severity of the nasal polyps is high, conservative medication treatment may not be effective. In such cases, surgical treatment should be considered. Currently, the most common procedure is endoscopic nasal polyp removal surgery, which is a minimally invasive surgery. Overall, the surgery tends to have good outcomes and relatively minor damage. However, it requires regular check-ups to monitor the effectiveness of the surgery.
Is stage 2 laryngeal cancer considered early stage?
Throat cancer is a relatively common otolaryngological disease, and clinically it is divided into four stages: stage I, stage II, stage III, and stage IV. Stage II is considered mid-stage, while stages III and IV are considered late-stage or very late-stage. In terms of treatment, most patients can opt for surgical removal. After the surgery, the pathological biopsy results, combined with the presence of lymph node metastasis in the neck and preoperative CT scans, are considered comprehensively. Some patients may solely undergo surgery as their treatment, while others may require additional radiotherapy after surgery. The main aim is to reduce the chances of postoperative recurrence, and it is necessary to undergo regular long-term check-ups, generally recommended every three months, to confirm whether there is any recurrence after the surgery.
What medicine to take for nasal polyps?
There are quite a few methods for treating nasal polyps, and currently, they are mainly divided into two major categories on the clinical level: the first category is surgical removal, and the second category is conservative medicinal treatment. If the extent of the nasal polyps is relatively small and there are no significant clinical symptoms, this situation could be considered for medication treatment. Currently, the first choice is still nasal spray, primarily corticosteroid nasal sprays, which help reduce nasal polyps and alleviate clinical symptoms. If accompanied by sinusitis or rhinitis, it is recommended to combine it with oral medications, commonly used medications include antibiotics or traditional Chinese medicine preparations, and overall, it is a relatively common disease. If the range of nasal polyps is extensive, and the inflammatory response is severe, accompanied by obvious clinical symptoms, this situation might require surgical treatment, as purely medicinal treatment might indeed not be particularly ideal. (Specific medication use should be conducted under the guidance of a doctor.)