What should be paid attention to for acute pharyngitis?

Written by Xu Qing Tian
Otolaryngology
Updated on March 09, 2025
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Acute pharyngitis is a common and frequently occurring disease in otolaryngology. The main symptoms of acute pharyngitis include sore throat, dry throat, burning sensation in the throat, and itchiness. The main pathogens often include hemolytic streptococcus or Coxsackievirus. When acute pharyngitis occurs, it is first advised to avoid exposure to smoking, alcohol, irritative and spicy foods to prevent further irritation and congestion of the throat mucosa. Additionally, maintaining oral hygiene is required to prevent bacterial proliferation. Gargling with saline water can help keep the oral cavity clean. Also, sensitive antibiotics may be used orally or intravenously to eliminate acute inflammation. (Medicine should be used under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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What are the symptoms of acute pharyngitis?

Acute pharyngitis is caused by the invasion of bacteria or viruses due to weakened immunity and resistance in the body, leading to systemic symptoms and symptoms in the throat area. Patients may experience sudden high fever, with body temperature above 38.5°C, dizziness, headache, dryness and pain in the throat, as well as a sensation of obstruction and foreign body in the throat. Examination may reveal significant congestion and swelling in the throat, with yellow secretions adhering to the soft palate and pharyngeal wall. For treatment, patients initially need a complete blood count test; if there is an increase in white blood cells, oral antibiotics such as cefixime and amoxicillin are needed. If lymphocytes are elevated, oral administration of ribavirin granules is required, which has good effects. Nebulization can also be used concurrently to alleviate local congestion and swelling, and recovery can generally begin within about a week. Note: Medications should be used under the guidance of a doctor.

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Written by Li Rui
Otolaryngology
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Do you need injections for acute pharyngitis?

Acute pharyngitis does not necessarily require injections. The decision to administer injections should consider the condition and the patient's own state comprehensively. Generally, for most patients with mild inflammatory responses and not particularly obvious symptoms, the first consideration is still drug treatment. Currently, the main treatments are oral antibiotics and traditional Chinese medicine. It is also recommended to complement treatment with nebulization. Attention should also be paid to diet; smoking and drinking alcohol should be avoided, as should spicy and irritating foods. It is preferable to stick to soft, liquid or semi-liquid diets, with lighter foods being better. If the inflammatory response is particularly severe and conservative treatment with oral medications is ineffective, then injections or intravenous therapies may be considered.

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Written by Li Rui
Otolaryngology
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Does acute pharyngitis require rest?

Acute pharyngitis is a relatively common ENT (Ear, Nose, and Throat) disease, primarily caused by acute bacterial infection. After the onset, it is crucial to ensure rest as overexertion can exacerbate the severity of acute pharyngitis and may also affect the treatment outcome. In terms of pharmacotherapy, oral medications are commonly used, and can be combined with nebulizer therapy. During the treatment process, regular follow-ups and observation of the treatment effects are necessary. However, a small portion of patients with severe conditions may not respond well to oral medications, necessitating consideration of infusion therapy. The treatment period is generally around one week.

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Written by Li Rui
Otolaryngology
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Can I eat biscuits with acute pharyngitis?

Acute pharyngitis is a relatively common ENT disease with various clinical symptoms. The more common symptoms include sore throat, foreign body sensation, fever, and swallowing obstruction. Regarding diet, it is generally advised to eat fewer biscuits, as biscuits are quite dry and may exacerbate the condition of pharyngitis. It is recommended to consume more vegetables and fruits, focusing on a light, soft, or semi-liquid diet. Medication treatment should also be considered. If the inflammation is caused by a bacterial infection, antibiotics may be considered. If it is caused by a viral infection, antiviral medications should be considered. Nebulization therapy is also recommended, and typically, the treatment period is about one week. (Please use medications under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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Is acute pharyngitis contagious?

Acute pharyngitis can be contagious. Generally, it can spread through the respiratory or digestive systems. If the patient shows symptoms of fever and throat pain, isolation is required. Typically, isolation lasts for 3-5 days. Acute pharyngitis is caused by a viral or bacterial infection, leading to symptoms in the throat as well as systemic symptoms. The patient may experience sudden high fever, with body temperature above 38°C, and severe throat pain. Other symptoms include dry throat, sore throat, itchy throat, sensation of a foreign body in the throat, and a feeling of obstruction. During an examination with an electronic laryngoscope, the mucous membranes in the throat may be found to be congested and significantly swollen, with pus-like secretions present on the posterior pharyngeal wall. For treatment, an examination using an electronic laryngoscope and a routine blood test are first required. If there is an increase in white blood cells, symptomatic anti-inflammatory treatment and oral antibiotics are needed. If lymphocytes are elevated, symptomatic antiviral treatment is required, and recovery can generally occur within about a week. (The use of medications should be under the guidance of a professional doctor.)