What should I do if I have laryngitis and a fever?

Written by Li Rui
Otolaryngology
Updated on September 04, 2024
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If there is a case of laryngitis accompanied by fever, it is relatively common, mainly due to acute bacterial infection. It is advisable to consider routine blood tests and laryngoscope examination, primarily to assess the extent of the specific infection and inflammation.

In terms of treatment, it generally focuses on antibiotic therapy to combat the infection. Most patients are treated with oral medications. If the inflammatory response is particularly severe, intravenous infusion therapy may be considered. If the fever exceeds 38.5℃, it may be necessary to use antipyretic drugs for treatment. If the temperature is below 38.5℃, physical cooling methods are generally used, along with regular follow-ups to observe the effects.

(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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What are the symptoms of laryngitis?

Laryngitis is a relatively common clinical disease with a variety of symptoms and individual differences. Common symptoms include pain in the throat area. If the pain is severe and accompanied by noticeable swelling, it may affect swallowing and breathing, and could lead to swallowing obstruction and breathing difficulties. Another common symptom is hoarseness, especially seen in acute laryngitis, as it can cause congestion and swelling of the vocal cords, which easily leads to hoarseness. Generally, when symptoms of laryngitis appear, it is advisable to visit an otolaryngology department promptly for a laryngoscopy to assess the extent of the inflammatory response.

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Written by Bai Yan Hui
Pediatrics
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What foods should not be eaten with laryngitis?

If it's just a simple case of laryngitis, depending on the general condition of the child, if it's only hoarseness and the overall symptoms are not severe, there are usually no special restrictions. However, if there is significant laryngeal obstruction, difficulty in swallowing, or difficulty in breathing, a liquid diet should be the main focus. A light diet is easier for the child to accept and helps with a quicker recovery. The general rule is to avoid spicy and irritating foods temporarily, as these can exacerbate swelling in the throat and hinder recovery. This is something that needs attention.

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Written by Zhang Jun
Otolaryngology
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How is laryngitis treated?

Laryngitis in treatment primarily requires symptomatic anti-inflammatory therapy to eliminate inflammation. Laryngitis is an ENT emergency, commonly seen in infants and young children, and can lead to sudden high fever, hoarseness, severe throat pain, and breathing difficulties. In severe cases, it may also present with a barking cough, choking, and even death. When examining with a laryngoscope, notable bilateral vocal cord congestion and edema can be observed. For treatment, patients firstly need a complete blood count; if there is an increase in white blood cells, a bacterial infection may be considered, and oral or intravenous antibiotics may be administered. If lymphocytes are elevated, symptomatic antiviral treatment should be conducted. Patients also need to use corticosteroids to reduce congestion and edema in the throat area. During treatment, closely monitor the patient's breathing, and if breathing difficulties occur, a tracheotomy may be necessary. (Please administer medications under the guidance of a professional physician and do not medicate blindly.)

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Written by Zhang Jun
Otolaryngology
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What to eat for laryngitis

Laryngitis is an emergency in otolaryngology, commonly seen in infants and toddlers. Generally, it is caused by acute inflammation that irritates the pharyngeal mucosa, mainly the vocal cords, leading to congestion and edema of the pharyngeal mucosa. Patients may exhibit sudden high fever, with a body temperature above 38°C, severe sore throat, hoarse voice, bark-like cough, and in severe cases, it may cause breathing difficulties or even lead to suffocation and death. Examination with an electronic laryngoscope can reveal severe edema of the bilateral vocal cords and incomplete closure of the glottis. In treatment, laryngitis initially requires symptomatic anti-inflammatory treatment. A routine blood test should be conducted; if there is an increase in white blood cells and neutrophils, a bacterial infection should be considered, and oral administration of cephalosporins or penicillin antibiotics is effective. If lymphocytes are elevated, the patient should receive symptomatic antiviral treatment, which is also effective. Additionally, nebulized inhalation should be used to help reduce local congestion and edema. A bland diet should be maintained, avoiding spicy and irritating foods. Recovery is typically within about a week. (Please take medication under the guidance of a doctor.)

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Written by Xu Qing Tian
Otolaryngology
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Can I eat eggs with laryngitis?

Patients with laryngitis can eat eggs. Laryngitis is a common and frequent disease in otolaryngology, and it is divided into acute laryngitis and chronic laryngitis. The main causes of chronic laryngitis are long-term smoking, drinking, and physical and chemical stimulations, leading to chronic inflammation and congestion of the laryngeal mucosa. Patients will experience obvious foreign body sensation in the throat, hoarseness, and irritative cough among other symptoms. Acute laryngitis can be secondary to chronic laryngitis. When symptoms such as catching a cold or colds occur, patients will usually develop acute laryngitis, characterized by hoarseness and difficulty breathing. We should follow the physician’s guidance, promptly use an adequate amount of antibiotics and steroids for symptomatic treatment, and eliminate inflammation and edema of the throat mucosa to avoid laryngeal obstruction.