Does chronic pharyngitis cause a fever?

Written by Li Rui
Otolaryngology
Updated on June 18, 2025
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Chronic pharyngitis generally does not cause fever. The symptoms of chronic pharyngitis are various, with the most common being sore throat, a sensation of a foreign body in the throat, and burning sensation. Some patients might also experience nausea and vomiting. However, it generally does not cause fever. If it is an acute episode of chronic pharyngitis, it could possibly be due to an acute bacterial infection or inflammation, which might lead to fever. Some patients might even exhibit high fever, and it is necessary to consider timely medical treatment. At the same time, physical cooling can be used in conjunction with medication. Generally, through standard medical treatment, conditions can gradually recover and relieve. (Please administer medication under the guidance of a professional physician and do not self-medicate blindly.)

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Written by Xu Qing Tian
Otolaryngology
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How to manage chronic pharyngitis

Chronic pharyngitis is a common and frequently occurring disease in daily life, mainly characterized by the proliferation of lymphatic follicles and mucosal congestion in the throat area. How to care for chronic pharyngitis? First, we should maintain oral hygiene by frequently rinsing after meals to prevent the growth of bacteria in the mouth. Additionally, rinsing with light saltwater daily can clean the oral cavity and alleviate the congestion of the mucous membrane in the throat area. For patients with throat pain and those with feverish pharyngitis, appropriate medications are usually selected for treatment. Remedies like fat sea, wild chrysanthemum, and honeysuckle brewed in water also have positive effects on the treatment of chronic pharyngitis. (The use of medications should be carried out under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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The harm of chronic pharyngitis

Chronic pharyngitis is a relatively common disease in otolaryngology, and overall, its harmfulness is not particularly great because the main cause of the disease is ordinary chronic inflammation. Therefore, the main harm is that it can easily cause discomfort in the throat. The more common symptoms include recurring sore throat, a foreign body sensation and burning sensation in the throat area. Some people may also experience itching in the throat and coughing. Laryngoscopic examination is a fairly routine method of examination, and in general, the severity of the condition can be assessed through laryngoscopy. Consideration should also be given to drug treatment, generally focusing on nebulization and oral administration of traditional Chinese medicine, as well as maintaining a light diet, refraining from smoking and drinking alcohol, and regular follow-up check-ups.

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Written by Xu Qing Tian
Otolaryngology
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Does chronic pharyngitis cause bad breath?

Chronic pharyngitis is a common and frequent disease in otolaryngology. The main symptoms of chronic pharyngitis include dry throat, itchy throat, foreign body sensation in the throat, and sore throat. Some patients may also experience bad breath, which is mainly caused by the proliferation of bacteria in the mouth. In treating chronic pharyngitis, the primary approach is to address the cause. For example, if the patient frequently smokes, drinks alcohol, or consumes spicy, stimulating foods and cold drinks, it is necessary to avoid such habits. Additionally, rinsing the mouth with saline can help maintain oral hygiene. Furthermore, regular exercise is recommended to enhance the patient's physical condition to resist chronic pharyngitis and reduce its occurrence.

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Written by Li Mao Cai
Otolaryngology
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Chronic pharyngitis is classified into several types.

Chronic pharyngitis, based on pathological conditions, is divided into three types. The first type is chronic simple pharyngitis, which is also the most common type we usually refer to. It mainly involves chronic congestion of the pharyngeal mucosa and hyperplasia of lymphatic follicles on the posterior pharyngeal wall. The second type is chronic hypertrophic pharyngitis, which can be observed during examination as congested and thickened pharyngeal mucosa with proliferating lymphatic tissue, appearing rather thick. The third type is atrophic and dry pharyngitis, which is relatively rare in clinical cases and often accompanies atrophic rhinitis. A primary symptom is dryness in the throat because the pathological changes mainly involve a decrease in the secretory function of the glandular tissues in the pharynx, resulting in reduced secretions and the mucosa becoming atrophic and thin. Based on the different causes of the condition, it can also be divided into several types. One type is simple pharyngitis, also referred to as chronic simple pharyngitis, related to smoking, drinking, air pollution, and excessive talking. Another type is reflux pharyngitis, which is now also a disease with a relatively high incidence rate, mainly caused by gastroesophageal reflux leading to chronic inflammation of the stomach and damage to the mucous membrane of the pharynx and throat, known as reflux pharyngitis. Additionally, some cases are secondary to rhinitis and sinusitis, due to the long-term discomfort in the throat caused by the backflow of nasal discharge, leading to chronic inflammatory responses; this is also a type of secondary pharyngitis.

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Written by Li Mao Cai
Otolaryngology
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Causes of chronic pharyngitis

Chronic pharyngitis is a very common disease in otolaryngology, with many specific causes that are not singular. Its causes are mainly related to lifestyle habits, diet, and some secondary and primary diseases. Common causes include smoking, alcohol consumption, consumption of spicy and irritating food, staying up late, high psychological stress, and significant emotional fluctuations, all of which can lead to chronic pharyngitis. Another cause is secondary pharyngitis, which results from primary diseases such as chronic rhinitis and sinusitis. Due to the long-term backflow of nasal discharge, which flows back into the throat and irritates the mucous membrane, a chronic inflammatory response is produced. This is also a common cause of chronic pharyngitis. Furthermore, there is reflux pharyngitis, which is also a type of chronic pharyngitis. Some people have stomach diseases and reflux esophagitis, where long-term acid reflux leads to damage in the mucous membranes of the throat, causing chronic inflammation with symptoms such as a foreign body sensation, burning sensation, and throat dryness. Therefore, there are many causes of chronic pharyngitis, including both primary and secondary reasons. A specific diagnosis needs to be made by a doctor based on a thorough medical history and physical examination.