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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
Should sinusitis use hot compress or cold compress?
Generally speaking, neither cold nor hot compresses are necessary for sinusitis, because sinusitis is mainly an acute or chronic bacterial infection of the sinuses. Common symptoms include nasal congestion, purulent nasal discharge, and reduced sense of smell. Some people may also experience headaches and dizziness. The main treatment is still medication, and it is also possible to consider rinsing the nasal cavity with saline solution, regular follow-ups, and if the inflammation is severe, sinus opening surgery may need to be considered, which currently mainly involves endoscopic sinus surgery. Overall, neither hot nor cold compresses have a therapeutic effect on sinusitis, so they are not recommended.
Recurrent fever due to suppurative tonsillitis
Acute suppurative tonsillitis is primarily caused by acute bacterial infection, which may cause recurrent fever and sore throat. Initially, a routine blood test is required to determine the extent of the inflammatory response. If the inflammation is severe, it is necessary to consider timely antibiotic treatment for infection, with commonly used antibiotics being cephalosporins or penicillins. If the body temperature exceeds 38.5℃, antipyretic medication should also be considered. Generally, the treatment period is about one week, and it is necessary to regularly recheck the routine blood test and perform laryngoscopic examinations to dynamically assess the recovery of the condition.
Is it necessary to have an infusion for laryngitis?
Laryngitis is a relatively common ENT disease with various clinical symptoms. Common symptoms include sore throat and a foreign body sensation in the throat, and some patients may also experience fever. In terms of treatment, most patients do not require intravenous therapy. Typically, oral medication is the primary treatment, which can be supplemented with nebulization therapy. However, regular follow-ups are necessary during treatment to monitor the effectiveness. In cases where the inflammatory response is particularly severe and the clinical symptoms are more pronounced, such as hoarseness and difficulty breathing, some patients may need to consider intravenous therapy. Overall, however, the proportion of patients requiring intravenous therapy is relatively small. (Please use medication under the guidance of a doctor)
What should I do if I have laryngitis and a fever?
If there is a case of laryngitis accompanied by fever, it is relatively common, mainly due to acute bacterial infection. It is advisable to consider routine blood tests and laryngoscope examination, primarily to assess the extent of the specific infection and inflammation. In terms of treatment, it generally focuses on antibiotic therapy to combat the infection. Most patients are treated with oral medications. If the inflammatory response is particularly severe, intravenous infusion therapy may be considered. If the fever exceeds 38.5℃, it may be necessary to use antipyretic drugs for treatment. If the temperature is below 38.5℃, physical cooling methods are generally used, along with regular follow-ups to observe the effects. (The use of medications should be under the guidance of a doctor.)
How to relieve pain from acute otitis media?
Acute otitis media commonly leads to pain, and it can also cause feelings of ear blockage, decreased hearing, and secretions in the ear canal. If the pain is significant, it is primarily considered to be caused by acute infection and inflammation. Initial treatment involves timely anti-infection therapy, predominantly with antibiotics, taken orally. If the inflammation is severe, infusion therapy may be necessary, and ear drops can also be considered. If, after anti-infection treatment, the pain still hasn't significantly relieved, painkillers can be considered. Generally, the treatment period is about a week, and regular follow-up checks with an otoscope and maintaining dryness in the outer ear canal are necessary. (Medications should be used under the guidance of a doctor based on specific conditions.)
The main symptoms of Meniere's disease
Meniere's disease is a relatively common ENT disorder, primarily caused by fluid accumulation in the labyrinth. It presents with various clinical symptoms. Common symptoms include recurrent vertigo, which usually lasts for several hours. There may also be tinnitus, a feeling of ear fullness, and decreased hearing. Severe cases may experience nausea and vomiting. In terms of treatment, most patients can be managed with medications, and dietary adjustments are also necessary, including no smoking, no alcohol, low salt diet, and avoiding emotional stress. If standard medication treatment is ineffective, surgical treatment may be considered. (Specific medications should be used under the guidance of a doctor.)
Symptoms of turbinate hypertrophy
Turbinate hypertrophy is a relatively common disease, with significant individual differences in symptoms. Some patients simply have hypertrophy without obvious clinical manifestations, and it is only discovered during physical examinations or nasopharyngoscopy; Some patients may develop corresponding clinical symptoms, the most common being nasal congestion, runny nose, reduced sense of smell, snoring during sleep, and a foreign body sensation in the nasal cavity. In such cases, it is necessary to perform a sinus CT and nasopharyngoscopy to assess the severity of the condition. Generally, treatment options include oral medications and nasal sprays. Additionally, rinsing the nasal cavity with saline and regular follow-up observations to assess effectiveness are recommended.
Symptoms of Allergic Rhinitis
The symptoms of allergic rhinitis are numerous. Common clinical symptoms include repetitive itching of the nose, runny nose, and sneezing, which can occur consecutively several times and are directly triggered by contact with allergens. Common allergens include dust, pollen, seafood, and pets. If the allergic reaction is severe, contact with these allergens can quickly trigger the aforementioned clinical symptoms, characterized by sudden onset of nose itching, clear nasal discharge, and sneezing. In terms of treatment, oral medications and nasal sprays are primarily used. A small portion of patients might consider desensitization therapy or surgical treatment, but it is generally difficult to achieve a complete cure.
How to completely cure allergic rhinitis?
For allergic rhinitis, most patients mainly focus on controlling and stabilizing the condition, and only a small portion of them can be completely cured, mainly those who are solely allergic to mites. It is advisable to first undergo allergy testing. If the test results show only a simple mite allergy, and the allergic reaction is severe (exceeding three levels), desensitization treatment could be considered. Currently, this mainly involves sublingual immunotherapy or subcutaneous injections. Most patients can achieve clinical cure with this treatment; however, a minority may only experience relief without achieving complete cure. Overall, for allergic rhinitis, most patients cannot be completely cured. (Use of medication should be under the guidance of a doctor.)
Can people with chronic rhinitis donate blood?
Patients with chronic rhinitis can donate blood. Overall, chronic rhinitis primarily causes inflammation of the nasal mucosa or inferior turbinates, and it does not greatly affect overall health, mainly presenting with localized symptoms in the nose such as nasal congestion, runny nose, and sneezing. Generally, it does not directly impact the blood. Before donating blood, it is possible to conduct some related blood tests to check for other diseases. If the criteria are met, one can normally donate blood. Therefore, there are no contraindications for blood donation in patients with chronic rhinitis, as long as they meet the requirements. Moreover, donating blood to a certain extent is actually beneficial for health.