How to treat chronic pharyngitis?

Written by Yao Jun
Otolaryngology - Head and Neck Surgery
Updated on September 01, 2024
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Chronic pharyngitis is a common disease in the otolaryngology head and neck surgery. It mainly involves inflammation of the mucous membrane, submucosal tissue, and adjacent lymphatic tissue of the pharynx. It is a common and frequently occurring disease that is related to dietary habits, climatic environment, and infections such as bacteria and viruses. Therefore, patients with chronic pharyngitis should avoid spicy and stimulating foods, drink more water, and consume cooling foods that relieve heat. During severe cases, some heat-clearing and detoxifying traditional Chinese medicines can be used. If there are systemic symptoms, anti-inflammatory medicines may also be taken. Avoid smoking, drinking alcohol, and staying up late. Paying attention to oral hygiene can help in the treatment and alleviation of chronic pharyngitis.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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How to treat acute pharyngitis?

Acute pharyngitis is the acute inflammation of the mucosa and submucosal tissues of the pharynx, and it often comes with systemic symptoms. For patients without systemic symptoms or those who have mild symptoms, local treatments such as mouthwash with cleaning and sterilizing effects, various lozenges, or traditional Chinese medicine can be used. Through oral antiviral drugs or antibiotics, severe systemic symptoms such as high fever require bed rest, plenty of fluids, and soft foods. Antiviral drugs or antibiotics can be administered through the meridian pathways. If the patient has a high fever, physical methods to reduce fever can be used, as well as corticosteroids for reducing temperature.

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Written by Li Rui
Otolaryngology
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Acute pharyngitis how long to heal by itself

The recovery period for acute pharyngitis generally lasts about a week, but there is also some individual variation. If the inflammatory response is relatively localized and the subjective symptoms are not particularly pronounced, the recovery time can be shorter, roughly three to five days. If the inflammatory response is particularly severe and the patient's subjective symptoms are also more pronounced, the recovery period will relatively extend, possibly requiring more than a week. Firstly, it is important to consider timely treatment; if the inflammation is severe and bacterial infection is involved, the use of antibiotics should be considered. This can be supplemented with nebulization and the oral administration of traditional Chinese medicine. Regular follow-ups to observe the recovery status are necessary. (Specific medications should be used under the guidance of a physician.)

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Written by Zhang Jun
Otolaryngology
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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.)

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Written by Li Rui
Otolaryngology
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Check which items for pharyngitis

Pharyngitis is a relatively common otolaryngological disease, requiring a visit to the otolaryngology department, where routine blood tests and an indirect laryngoscopy can initially assess the severity of the condition. However, some patients may have more complex conditions and may need additional examinations such as a fiberoptic laryngoscopy or an electronic laryngoscopy. Through these examinations, the changes in the throat can be more accurately diagnosed, which then allows for targeted treatment. Most patients can opt for oral medication, combined with nebulization therapy. During the treatment process, regular follow-ups are necessary to monitor the recovery process, and a bland diet is advised, avoiding spicy and stimulating foods.

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Written by Zhang Jun
Otolaryngology
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How to deal with pharyngitis?

Pharyngitis, under general circumstances, stems from acute inflammatory irritation, causing symptoms in the pharyngeal area. It is commonly caused by bacterial or viral infections, such as Coxsackievirus or streptococcus hemolyticus. It triggers sudden high fevers in patients, with temperatures above 38.5°C, and severe pain in the throat, primarily during swallowing. Additionally, patients may experience dryness, itchiness, burning sensation, foreign body sensation, obstruction, and hoarseness in the throat, and in severe cases, it can lead to irritative coughing. Patients may present with mucosal rupture, evidenced by blood-streaked sputum. Examination may reveal congested and swollen pharyngeal mucosa, often covered with yellow secretions. In terms of treatment, initial steps include a routine blood test. If there is an increase in white blood cells, oral antibiotics, such as cephalosporins, are recommended. An increase in lymphocytes may indicate a viral infection, in which symptomatic antiviral treatment is advised. Patients should adhere to a bland diet, avoid spicy and irritating foods, and abstain from smoking and alcohol. Recovery typically occurs within about a week. (The use of medication should be carried out under the guidance of a professional doctor.)