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 Zhang Jun
Otolaryngology
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How many days will it take for the fever from pharyngitis to subside?

Fever caused by pharyngitis is generally due to reduced immunity and resistance, resulting from viral or bacterial infection. Typically, this causes the patient to experience sudden high fever, with body temperatures above 38°C, and the fever may last for three to five days. Symptoms also include swelling and pain in the throat, muscle fatigue, muscle soreness, dryness, itching, and a foreign body sensation in the throat. Common pathogens include Streptococcus pyogenes or Coxsackie virus. Examination may reveal obvious congestive edema of the pharyngeal mucosa, and yellow purulent secretions on the posterior pharyngeal wall. Treatment primarily involves symptomatic anti-inflammatory therapy, with good results from oral cephalosporin antibiotics. Additionally, treatment may include nebulized corticosteroids, with gradual improvement typically occurring over about a week.

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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.)

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Written by Li Rui
Otolaryngology
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How to maintain daily care for pharyngitis

Pharyngitis is a relatively common otolaryngological disease. In daily life, it is first necessary to maintain a bland diet, avoid spicy and irritating foods, refrain from smoking, and abstain from alcohol. In terms of treatment, most patients can opt for oral traditional Chinese medicine, and this can be supplemented with nebulization. Throughout the medication process, it is necessary to regularly revisit the ENT (Ear, Nose, and Throat) department to monitor the specific effects of the treatment. It is also advisable to minimize speaking. Frequent overuse of the voice can exacerbate the symptoms of pharyngitis and may even trigger an acute episode of chronic pharyngitis. Overall, pharyngitis can generally be well-managed and alleviated through these daily regimens and medical treatments. (Please use medication under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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What department should I visit for pharyngitis?

Pharyngitis is a common and frequent disease in otolaryngology head and neck surgery, so it is primarily necessary to visit the department of otolaryngology head and neck surgery for diagnosis and treatment. In hospitals with more specialized departments, one can also directly visit the pharyngology department for diagnosis and treatment. It is important to understand that there are many causes of pharyngitis, such as gastroesophageal reflux disease. Besides seeing an otolaryngologist, it might also be necessary to consult with gastroenterology or thoracic surgery, as these are related departments. If the pharyngitis is caused by an allergic disease and involves allergic factors, in addition to visiting otolaryngology, it may be necessary to consult other departments such as the department of allergic diseases or respiratory medicine, depending on the specific circumstances. In summary, the primary department to consult for pharyngitis is otolaryngology head and neck surgery.

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Written by Li Rui
Otolaryngology
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Does pharyngitis have phlegm?

Pharyngitis presents with a variety of symptoms. Some patients may experience phlegm, along with coughing, sore throat, and a foreign body sensation in the throat. Some may also have difficulty swallowing, fever, and difficulty breathing. There is significant individual variation in specific clinical symptoms. After onset, it is advisable to visit an otolaryngologist. Routine blood tests and laryngoscopy can be performed to help initially determine the specific cause and extent of the condition. Most patients can consider oral medication treatment, and can also combine this with nebulization. During the treatment process, regular follow-up examinations are needed to observe the treatment effects. (Specific medications should be taken under the guidance of a physician.)