Acute pharyngitis clinical manifestations

Written by Zhang Jun
Otolaryngology
Updated on December 13, 2024
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Acute pharyngitis is caused by the invasion of viruses or bacteria after a decline in the body's immunity and resistance, leading to acute mucosal lesions in the pharyngeal area. Patients will experience sudden high fever with a body temperature above 38 degrees Celsius, severe pain in the throat, primarily pain during swallowing, and symptoms including dryness, itching, foreign body sensation, obstruction, burning sensation, and irritative cough in the throat. Patients may also exhibit symptoms of coughing phlegm and blood-streaked sputum. Examination with an electronic laryngoscope reveals congested and edematous mucosa in the throat, particularly noticeable on the soft palate and uvula, with yellow purulent secretions found on the posterior pharyngeal wall and base of the tongue. Treatment involves symptomatic anti-inflammatory therapy, where patients may take cephalosporin antibiotics orally or through infusion, which yields good results. Additionally, nebulized inhalation is used to alleviate local congestion and edema, with gradual recovery expected in about seven to ten days. (Medication should be used under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What are the symptoms of acute pharyngitis?

Acute pharyngitis is a relatively common ENT (ear, nose, and throat) disease with a variety of clinical symptoms. The most common symptoms include sore throat, a foreign body sensation in the throat, and fever. Some patients may experience swallowing obstruction and breathing difficulties, and there is considerable individual variability in specific symptoms. Generally, it is recommended to conduct a laryngoscopy and complete blood count to determine the specific degree and type of the inflammatory response. In terms of treatment, oral medication is primarily used, which can be supplemented with nebulization. If the inflammatory response is particularly severe and oral medication is ineffective, intravenous therapy may need to be considered.

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Written by Li Rui
Otolaryngology
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Which department should I go to for acute pharyngitis?

For acute pharyngitis, it is advisable to visit the otolaryngology department, as acute pharyngitis is primarily caused by an acute bacterial infection, mainly leading to throat pain. In severe cases, it can cause edema of the pharyngeal mucosa, affecting swallowing or breathing, and is one of the more common throat diseases. Regarding treatment, an indirect laryngoscopy should first be performed to assess the degree of inflammation in the pharyngeal mucosa, especially to determine if there are any obstructions in the throat. Additionally, routine blood tests and inflammatory protein tests should be conducted to help determine the type and extent of the inflammatory response. In terms of medication, treatment is generally dominated by antibiotics, preferably administered orally, and supplemented by nebulization and traditional Chinese medicine. Typically, the treatment period is about one week, but there are individual differences, so it is necessary to return to the otolaryngology department for follow-up to dynamically observe the recovery. (Medications should be used under the guidance of a physician.)

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Written by Xu Qing Tian
Otolaryngology
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What should be paid attention to for acute pharyngitis?

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 Li Rui
Otolaryngology
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What diet should someone with acute pharyngitis follow?

Acute pharyngitis is a relatively common ENT disease. Dietary recommendations mainly include light, soft, or semi-liquid foods, plenty of vegetables, and fruits. It’s advised to avoid spicy, irritant foods, allergenic foods, and excessively hard foods. Generally, patients with acute pharyngitis should visit an ENT department. Blood routine tests and laryngoscopy can be conducted to assess the specific condition of the disease. Treatment often includes the use of antibiotics to fight infection, and can be accompanied by nebulization. During the treatment process, regular check-ups are necessary to observe the recovery of the condition.

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Written by Li Rui
Otolaryngology
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How long does it take for the follicles of acute pharyngitis to subside?

If it is just a simple case of acute pharyngitis causing lymph follicles, generally, the regression time is about one to two weeks. However, some patients may experience persistent lymph follicles after another outbreak of acute pharyngitis. Or, if there has been chronic pharyngitis before, the likelihood of proliferation of lymph follicles is relatively higher. Firstly, it is important to assess the specific degree and symptoms. If one does not feel significantly uncomfortable, regular laryngoscopic examinations are usually sufficient. If symptoms of pharyngitis are present, it is advisable to use oral medications and nebulization therapy. Overall, it does not pose a significant risk to health; it is just necessary to regularly monitor and observe any changes in the condition.