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Xu Qing Tian
Otolaryngology
About me
Specializing in Otorhinolaryngology at Ma'anshan Municipal People's Hospital, with ten years of experience, graduated from Wan Nan Medical College, has been awarded honors such as Outstanding Individual of the Hospital and Best Teaching Supervisor
Proficient in diseases
Acute and chronic sinusitis, acute and chronic rhinitis, acute and chronic pharyngitis, pharyngitis, vocal cord polyps, vocal cord nodules, nasal polyps, pharyngeal tumors, otitis media, tympanic membrane perforation, cholesteatoma, epistaxis, sleep apnea treatment
Voices
What should I do about a dry cough from acute pharyngitis?
Acute pharyngitis is a common disease in the field of otolaryngology, with many patients experiencing symptoms such as dry cough, foreign body sensation in the throat, sore throat, coughing, and phlegm. Upon the onset of these symptoms, it is first recommended to use appropriate oral or intravenous antibiotics for anti-inflammatory symptomatic treatment to alleviate congestion and edema of the pharyngeal mucosa. Additionally, honeysuckle, wild chrysanthemum, Sterculia lychnophora (fat sea), or drinking water infused with pomelo and ginseng can be very effective in treating dry cough caused by pharyngitis. In daily life, it is also important to avoid smoking and alcohol, spicy and irritating foods, and cold drinks to keep the pharyngitis under control.
Can Meniere's disease be cured?
Meniere's disease is a common ENT disorder, and in principle, Meniere's disease can be cured, but it is prone to recurrent attacks. We also call Meniere's disease as endolymphatic hydrops, which is caused by swelling of the inner ear's labyrinth and leads to episodic vertigo. Additionally, the main symptoms in patients are fluctuating hearing loss and tinnitus. During an attack, it is crucial for patients to visit the hospital promptly for a diagnosis, involving cranial MRI and high-resolution CT scans of the temporal bone, to confirm the disease and exclude intracranial and auditory nerve tumor occupancy. Currently, the main treatments involve using vestibular suppressant and vasodilating medications to improve symptoms of vertigo and hearing loss.
How to manage chronic pharyngitis
Chronic pharyngitis is a common and frequently occurring disease in daily life, mainly characterized by the proliferation of lymphatic follicles and mucosal congestion in the throat area. How to care for chronic pharyngitis? First, we should maintain oral hygiene by frequently rinsing after meals to prevent the growth of bacteria in the mouth. Additionally, rinsing with light saltwater daily can clean the oral cavity and alleviate the congestion of the mucous membrane in the throat area. For patients with throat pain and those with feverish pharyngitis, appropriate medications are usually selected for treatment. Remedies like fat sea, wild chrysanthemum, and honeysuckle brewed in water also have positive effects on the treatment of chronic pharyngitis. (The use of medications should be carried out under the guidance of a doctor.)
How to test for allergens in allergic rhinitis?
Allergic rhinitis is very common in daily life, and its main trigger is the inhalation of allergens in the air by patients. In the south, the allergens are mostly mite allergies, with an incidence rate of over 90%. In daily life, allergic rhinitis can also be caused by food, hair, pollen, and other allergens. The most common method to identify allergens for allergic rhinitis is the use of an allergen test kit, through a skin prick test to determine the patient's allergens and the degree of allergy, etc. A series of targeted anti-allergy treatments can then be carried out to achieve a cure for allergic rhinitis.
Causes of Mite Allergic Rhinitis
Allergic rhinitis caused by mites is a common ailment in daily life, often occurring in southern regions, with over 90% being allergic to dust mites. Allergens can be identified through allergen tests. Patients with allergic rhinitis often experience a series of symptoms such as nasal itchiness, runny nose, and sneezing. After confirming an allergy to dust mites, it is important to frequently wash and sun-dry bedding in daily life, keep bed hygiene products clean, and prevent mite breeding that triggers allergic rhinitis. If an allergic rhinitis episode occurs, the patient can use steroid nasal sprays and oral antiallergic medications to control the onset of allergic rhinitis. (Specific medications should be used under the guidance of a physician.)
Can laryngitis cause a fever?
Patients with laryngitis may experience fever. Laryngitis is caused by exposure to cold, consumption of spicy and irritating food, smoking, drinking, and other external factors, leading to edema and congestion of the laryngeal mucosa. The main symptoms in patients include hoarseness, sore throat, foreign body sensation, cough, and fever. Therefore, patients may develop fever when they contract laryngitis due to infections and inflammation. The primary treatment methods for laryngitis patients include antibiotics, anti-inflammatory drugs, steroids, and treatments to reduce swelling. By choosing sensitive antibiotics, the symptoms of laryngitis can be quickly alleviated, improving hoarseness and fever among other related conditions. Note: Medications should be used under the guidance of a doctor.
The difference between vocal cord nodules and polyps
Vocal cord nodules are often bilateral symmetrical tiny nodules, while vocal cord polyps can be unilateral or bilateral. Vocal cord nodules commonly affect teachers, singers, orators, and other professions that involve excessive use of the voice. Vocal cord polyps, however, can be seen in all kinds of people. For vocal cord nodules, treatment usually begins with medication. If medication is ineffective, surgical treatment may be considered. For patients with vocal cord polyps, the most common treatment method is surgical removal of the polyps. Post-surgery, it is crucial to protect the voice and maintain silence to aid recovery. Generally, both vocal cord nodules and polyps can be cured.
Is reflux esophagitis related to nasal discharge reflux?
Gastroesophageal reflux disease (GERD) and nasal discharge reflux are usually not directly related. GERD is caused by excessive gastric acid secretion due to chronic gastritis and gastric ulcers in patients, which refluxes into the esophagus and throat, causing reflux esophagitis. Nasal discharge reflux, on the other hand, is mainly related to chronic sinusitis in patients, both of which can cause inflammation and discomfort in the patient's throat. For patients with GERD, the main treatment involves controlling acid suppression through medication. Common medications include proton pump inhibitors and comprehensive gastric acid relaxants. Additionally, for patients experiencing nasal discharge reflux, diagnosis is primarily through nasal endoscopy and paranasal sinus CT scan. For patients with sinusitis, treatment usually requires medications and surgery to open the sinus passages to improve symptoms and achieve healing.
Can Meniere's disease be fatal?
Meniere's disease is not life-threatening. Also known as Meniere's disease, it is caused by fluid accumulation in the inner ear labyrinth, leading to symptoms such as tinnitus, fluctuating hearing loss, revolving vision, and vertigo. When Meniere's disease occurs, we should first perform comprehensive examinations like cranial MRI and high-resolution CT of the temporal bone to confirm the diagnosis. Treatment primarily involves vasodilators, nerve nutrition, hormones, and vestibular suppressants to improve local symptoms. Additionally, during an episode, it is advisable to rest in a supine position, ensure adequate rest, avoid staying up late, and maintain a light diet to alleviate symptoms.
What is sinusitis?
Sinusitis is a nonspecific inflammation of the sinus mucosa, a common and frequently occurring illness. Its onset is often due to diseases of the nasal cavity such as nasal polyps, allergic rhinitis, deviated nasal septum, hypertrophy of the nasal turbinates, or nasal cavity tumors that block the sinus ostia, all of which can lead to sinusitis. Patients with sinusitis typically experience symptoms such as nasal congestion, purulent nasal discharge, and headaches. Usually, a diagnosis requires sinus CT scans, either plain or enhanced, to confirm the occurrence of sinusitis. Once diagnosed, most cases of sinusitis can be alleviated with oral medication. However, a small number of patients who are difficult to cure may need surgery to open the sinus ostia and maintain drainage, thus curing the sinusitis.