

Li Rui

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 come there is bleeding from nasal polyps?
Patients with nasal polyps experiencing nosebleeds can have many causes. It might be due to hemorrhagic polyps, erosion of the nasal mucosa, dry nasal cavities, or rupture of small blood vessels. Some patients may have sinusitis accompanying their nasal polyps, with significant inflammatory responses that could also lead to nosebleeds. However, it's necessary to check for other conditions, such as nasopharyngeal angiofibroma, malignant tumors in the nasal cavity or sinuses, nasopharyngeal carcinoma, or blood disorders like coagulation dysfunction and thrombocytopenia. It is advisable to visit an ENT specialist and undergo nasopharyngoscopy, sinus CT scans, blood tests, and coagulation function tests to make an accurate diagnosis.

Is sinusitis contagious?
Sinusitis is not a contagious disease and does not have definite transmissibility, as sinusitis is mainly due to acute or chronic bacterial infections. A small portion of patients suffer from fungal sinusitis caused by fungal infections. Generally speaking, sinusitis is an inflammatory response and is not contagious, so it does not qualify as a communicable disease. In terms of treatment, conservative drug treatment is the primary approach, with oral medications and nasal sprays being the first choice, along with the use of saline or separated seawater for irrigation. Generally, conditions can be effectively controlled with medication. For cases of fungal infection, or chronic sinusitis where conservative drug treatment is ineffective, it may be advisable to consider endoscopic sinus surgery, which generally involves minimally invasive procedures with relatively minimal trauma and good outcomes.

Can you eat fish with enlarged adenoids?
Patients with adenoid hypertrophy can eat fish, as fish is a common type of meat and does not have side effects on the condition of adenoid hypertrophy, nor does it affect the treatment outcome of adenoid hypertrophy. There is also no direct conflict with the medications used to treat adenoid hypertrophy. For patients with significant adenoid enlargement accompanied by related clinical symptoms, such as nasal congestion, mouth breathing, and snoring during sleep, timely treatment is necessary. Most patients can opt for treatment with oral medications combined with nasal spray medications. If conservative medical treatment is ineffective and the condition is severe, surgical removal might be considered.

Can nasopharyngeal carcinoma patients eat durian?
Patients with nasopharyngeal carcinoma can eat durian, which is a common fruit. Durian has no side effects on the condition of nasopharyngeal carcinoma and does not affect the treatment efficacy. For patients with nasopharyngeal carcinoma, it is recommended to have a light diet, consume high-protein and low-fat foods, and eat more vegetables and fruits. In terms of treatment, radiation therapy is commonly used at present. Some patients may also need to combine chemotherapy. During the treatment process, regular check-ups are necessary to observe the recovery of the condition. If it is an early-stage lesion, the treatment effect is relatively good. If it is a mid-to-late stage lesion, the overall treatment is more challenging, and the effects may also be poorer.

What to do during a chronic rhinitis attack?
Chronic rhinitis is a relatively common otolaryngological disease. An acute exacerbation of chronic rhinitis may lead to related clinical symptoms, which often include nasal congestion, runny nose, headache, dizziness, and reduced sense of smell. Some patients may experience nasal discharge flowing backward. After the onset of symptoms, it is advisable to visit an otolaryngology department. Routine blood tests and nasal endoscopy can be performed to help initially assess the severity of the condition. Generally, nasal spray medications can be chosen for treatment, and some patients may also need to combine this with oral medications. Additionally, rinsing the nasal cavity with saline solution can also serve as a supportive treatment. The treatment period generally lasts about one to two weeks, and regular follow-up visits are needed to monitor the treatment effect.

Can people with vocal cord polyps eat sea cucumber?
Vocal cord polyps are a relatively common otolaryngological disease with various clinical symptoms, the most common being hoarseness, which may be caused by excessive use of the voice. In terms of diet, sea cucumbers are safe to eat. Sea cucumber is a common type of seafood and does not have specific side effects on vocal cord polyps, nor does it affect the treatment effectiveness of vocal cord polyps. Generally, there is no direct conflict with the medications used to treat vocal cord polyps, so patients with vocal cord polyps can eat sea cucumbers normally. However, it is advised not to consume particularly spicy foods, and it is mainly necessary to complement with medication treatment or surgical treatment.

Can I eat bayberry if I have acute pharyngitis?
Patients with acute pharyngitis can eat bayberries. Acute pharyngitis is caused by acute bacterial infection and inflammation. In terms of diet, it is generally safe to eat conventional fruits, but do not consume spicy and irritating food or food that easily causes allergies. Most patients will gradually improve through dietary adjustments and medication. However, during the treatment process, regular check-ups are necessary. Blood routine tests and indirect laryngoscopy can help assess the severity of the condition and the effectiveness of the medication. Overall, most patients need to consider using antibiotics and can also combine this with nebulizer treatment. With timely treatment, the condition will gradually improve.

Is turbinate reduction ablation a good procedure?
Enlarged turbinates are a relatively common ENT disorder. If standard medical treatment is ineffective, considering turbinate reduction surgery might be an option. Generally, this is a fairly common minor procedure and is minimally invasive, having little significant impact on overall health. After surgery, most patients experience a reduction in the size of the turbinates and a relief in clinical symptoms. However, individual treatment results can vary. While most patients respond well to the surgery, a small number may not achieve ideal results and might need to continue with oral medications and other treatments. (Please use medication under the guidance of a physician.)

How to treat otitis media?
Otitis media is a relatively common ENT disease, with various clinical classifications including chronic otitis media, acute otitis media, secretory otitis media, and cholesteatoma-type otitis media. Different types of otitis media require different treatment plans. Some patients may consider oral medication, some may need ear drops for ear bath treatment, some may require tympanocentesis, and others might need surgical treatment. Therefore, after the onset of the condition, it is necessary to visit an ENT department for diagnostic tests such as audiological testing and endoscopic examination of the ear. Some patients may also need a CT scan to determine the specific severity of the condition and tailor the treatment accordingly.

Early symptoms of recurrent vocal cord polyps
Vocal cord polyps are a relatively common otolaryngological disease. If vocal cord polyps recur, they can cause related clinical symptoms, the most common being a hoarse voice. Some patients experience persistent hoarseness, while others have sporadic hoarseness. Moreover, the hoarseness generally becomes more pronounced after excessive use of the voice. In terms of treatment, the first step is to visit an otolaryngologist. It is recommended to undergo a laryngoscopy to examine the size of the polyp in detail. If the polyp is relatively small, conservative treatment may be considered, commonly involving oral medication combined with nebulization therapy. However, if the polyp is particularly large, surgery might be necessary.