Coughing is generally caused by chronic pharyngitis or acute pharyngitis.

Written by Wang Chun Mei
Pulmonology
Updated on May 02, 2025
00:00
00:00

Coughing in clinical practice can be triggered by many factors and is quite complex. Conditions like chronic pharyngitis and acute pharyngitis can cause various degrees of cough symptoms. Therefore, clinically, it cannot be stated definitively whether a cough is caused by chronic pharyngitis or acute pharyngitis. The factors involved are not limited to these two; it could be due to physical and chemical irritants, or other inflammatory lesions in the respiratory system, all of which can cause varying degrees of coughing in patients. It is also common for many patients to have both chronic pharyngitis or acute pharyngitis along with conditions like acute bronchitis or chronic bronchitis. Thus, a singular cough cannot be pinned down to either chronic or acute pharyngitis without considering the related medical history, clinical manifestations, and some auxiliary examinations to make a proper diagnosis.

Other Voices

doctor image
home-news-image
Written by Zhang Jun
Otolaryngology
1min 17sec home-news-image

Does pharyngitis cause a fever?

Pharyngitis generally involves fever symptoms in acute cases. Acute pharyngitis results from a lowered immune and resistance response, leading to viral or bacterial infections that cause both local symptoms in the throat and systemic symptoms. Patients may experience high fever, with body temperatures above 38°C (100.4°F), and severe throat pain, primarily during swallowing, leading to refusal to eat due to intense throat pain. Additionally, patients may feel a blockage or foreign body sensation in the throat. Upon examination with an electronic laryngoscope, the mucous membrane in the throat area can be seen as congested and swollen, especially around the soft palate and uvula. Pus-filled secretions may also be present on the posterior pharyngeal wall. Regarding treatment, if the patient's temperature exceeds 38°C, antipyretic medications are required; if below 38°C, wiping the body with warm water can be used. Anti-inflammatory treatment should also be administered based on symptoms, and recovery can generally be expected within a week. (Please use medication under the guidance of a professional physician.)

doctor image
home-news-image
Written by Xu Qing Tian
Otolaryngology
47sec home-news-image

Is nasopharyngitis pharyngitis or rhinitis?

Nasopharyngitis is caused by chronic inflammation in the nasal cavity of the patient, which leads to sore throat, burning sensation, rhinorrhea, and other related symptoms at the junction of the posterior nostrils and the nasopharynx. Nasopharyngitis is a borderline disease between pharyngitis and rhinitis. The primary treatment methods include antibiotic anti-inflammatory symptomatic treatment and steroids to reduce mucosal edema. Additionally, patients with rhinitis should avoid smoking, drinking alcohol, and consuming spicy and irritating foods in daily life to prevent worsening of nasopharyngitis symptoms. (Medication should be used under the guidance of a doctor.)

doctor image
home-news-image
Written by Li Rui
Otolaryngology
49sec home-news-image

The difference between acute pharyngitis and chronic pharyngitis

The differentiation between acute pharyngitis and chronic pharyngitis mainly involves the following aspects: First, the onset duration. Generally, acute pharyngitis has a short onset, often sudden, and typically lasts about a week; whereas chronic pharyngitis tends to have a longer duration of illness, possibly involving repeated episodes, usually lasting from one to three months or more. Second, in terms of clinical symptoms, acute pharyngitis usually presents sudden onset of throat pain, which can be relatively severe; chronic pharyngitis may involve pain, but it is generally milder and recurrent, fluctuating, with some patients experiencing a sensation of a foreign body or itchiness in the throat. Third, it can be diagnosed through laryngoscopic examination.

doctor image
home-news-image
Written by Li Rui
Otolaryngology
1min 1sec home-news-image

Symptoms of acute pharyngitis

The symptoms of acute pharyngitis are quite numerous, mainly due to bacterial infections, which are sudden. This easily leads to sore throat, foreign body sensation, and burning sensation. Some patients may have a severe inflammatory response, causing fever, and possibly even high fever. Due to significant throat swelling and pain, some patients may also experience difficulties in normal breathing and swallowing, leading to shortness of breath and a sensation of swallowing obstruction. Overall, the treatment is primarily focused on anti-infection. In addition, consideration can be given to combining nebulization and traditional Chinese medicine for treatment. The treatment period is about one week, and a bland diet is necessary, avoiding spicy and irritating foods, with regular ENT follow-ups. (For specific medication, please take drugs under the guidance of a professional physician and do not medicate blindly.)

doctor image
home-news-image
Written by Zhang Jun
Otolaryngology
1min 4sec home-news-image

How to treat acute pharyngitis?

Acute pharyngitis is caused by viral or bacterial infections following a decrease in the body's immunity and resistance. Patients will experience sudden high fever with body temperature above 38°C, severe throat pain, and may also have symptoms of dry throat, itchy throat, foreign body sensation in the throat, obstruction, breathing difficulties, and hoarseness. Upon examination, congestion and swelling of the soft palate and uvula can be observed, and yellow secretions may be found on the throat wall. In terms of treatment, patients should first go to the hospital for a routine blood test, which generally indicates a bacterial infection. Patients can take oral cephalosporin antibiotics, which are effective. Treatment also involves nebulizer inhalation to alleviate throat congestion and swelling. A light diet, quitting smoking, and abstaining from alcohol can contribute to gradual improvement and recovery within about a week. (Medications should be used under the guidance of a doctor.)