Do you need a laryngoscopy for pharyngitis?

Written by Deng Bang Yu
Otolaryngology
Updated on September 27, 2024
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Pharyngitis refers to the inflammation of the mucous membrane of the throat, which can be acute or chronic. Clinically, it mainly presents symptoms such as throat pain and a foreign body sensation in the throat, along with other symptoms. Pharyngitis can generally be diagnosed through a local examination or laryngoscopy, which fulfills clinical requirements. For recurrent pharyngitis or clinically severe cases, an electronic laryngoscopy may be necessary to check for any growths in the pharynx or on the vocal cords, as this examination can clearly determine the condition and guide clinical treatment. Therefore, it is necessary to perform a laryngoscopy for pharyngitis.

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How is acute pharyngitis treated?

The treatment of acute pharyngitis is based on its causes and symptoms. First, it is recommended to gargle with mouthwash, which helps alleviate some throat symptoms. Additionally, it is important to rest, drink plenty of fluids, consume a liquid diet, and avoid foods that are too hot or too harsh to reduce irritation to the throat. Also, minimize speaking to allow the vocal cords to rest thoroughly, which can help alleviate symptoms of hoarseness. In terms of medication, the treatment primarily involves anti-inflammatory and antiviral therapies. Doctors will select the appropriate medication based on your drug sensitivity, routine medication experience, and the seasonal characteristics of the outbreak. Nebulized inhalation treatment is also necessary, which can relieve swelling of the throat mucosa, reduce mucosal swelling, and has an anti-inflammatory effect. If the condition is severe, systemic antibiotics and corticosteroids may be added, and traditional Chinese medicine lozenges can be used to support symptomatic treatment.

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Are laryngitis and pharyngitis the same?

Laryngitis and pharyngitis are common diseases in otolaryngology, occurring in different parts of the throat. Laryngitis primarily affects the mucous membrane and vocal cords of the larynx, causing congestion and swelling of the surface mucosa. The most typical symptom in patients is hoarseness, and some may experience coughing and phlegm among other related symptoms. Meanwhile, patients with chronic pharyngitis primarily present symptoms like a foreign body sensation in the throat, dryness, soreness, and a burning sensation. When these symptoms appear, an initial diagnostic step can be through a digital nasopharyngoscope to confirm the patient's condition, followed by symptomatic treatment with throat-soothing medications under a physician’s guidance. In daily life, it is also important to protect the voice by avoiding loud talking or shouting, and maintaining a light diet, which helps protect the mucous membranes of the throat from inflammation and prevent the aforementioned symptoms.

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Can you eat mangoes with pharyngitis?

Pharyngitis is a relatively common ENT disease. Generally, patients with pharyngitis can eat mangoes, but they should not consume them if they have a mango allergy. Overall, mangoes do not have direct irritants, do not adversely affect the condition of pharyngitis, and do not impact the treatment's effectiveness. Most patients can normally consume fruits. Additionally, it is recommended to eat a lighter diet, avoid spicy and stimulating foods, and refrain from smoking and drinking alcohol. With timely medical treatment, most patients' conditions will gradually improve, but it is currently difficult to completely cure and may recur.

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How should pharyngitis be treated?

Pharyngitis refers to the chronic inflammation of the mucosa and submucosa in the throat, which can extend to the lymphatic tissue around the pharynx. The causes of pharyngitis may include bacterial infection, viral infection, environmental factors, and the patient's diet and lifestyle habits. It may also be related to excessive use of the voice or excessive talking. Traditional Chinese medicine considers it a type of heat syndrome. Therefore, one should avoid spicy and irritating foods, avoid shouting loudly, drink plenty of water, gargle with salt water, maintain oral hygiene, and consume foods that clear heat, detoxify, strengthen the spleen, and stimulate the appetite. Avoid smoking, drinking alcohol, staying up late, and overheating. Under the guidance of a doctor or pharmacist, one may use some traditional Chinese medicines that clear heat and detoxify. If pharyngitis is accompanied by symptoms such as pain and fever, taking anti-inflammatory medications can enhance the treatment effect.

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How long does acute pharyngitis take to heal on its own?

Acute pharyngitis usually heals on its own in about 10 days under normal circumstances. Acute pharyngitis is caused by viral or bacterial infection following weakened immunity and resistance. Symptoms include sudden onset of high fever with temperatures above 38.5°C, severe throat pain, hoarse voice, and a barking cough. In severe cases, the patient may experience suffocation and even death. Acute pharyngitis is more common in children, whose throat mucosa is relatively loose, making it especially prone to swelling during inflammatory infections. In treatment, the patient first needs a routine blood test. If there is an increase in white blood cells, it suggests a bacterial infection, and oral antibiotics are required. If lymphocytes are increased, it indicates a viral infection, and the patient can be treated with oral ribavirin granules, which are effective. (The use of medications should be under the guidance of a doctor.)