The differences between chronic pharyngitis and acute pharyngitis

Written by Deng Bang Yu
Otolaryngology
Updated on September 02, 2024
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There is a fundamental difference between the two; chronic pharyngitis is a chronic inflammatory disease, while acute pharyngitis is an acute inflammatory disease. Furthermore, the symptoms of chronic pharyngitis are not very prominent in clinical settings, presenting only as a foreign body sensation or other discomforts. In contrast, the symptoms of acute pharyngitis are quite significant, such as sore throat, and may even include systemic symptoms like chills and fever. Thirdly, during examination of chronic pharyngitis, one can observe congestion of the pharyngeal mucosa, which is a type of chronic congestion. However, the congestion in acute inflammation is acute and very pronounced. There are also significant differences in treatment. For chronic inflammation, the clinical approach mainly involves administering heat-clearing and detoxifying traditional Chinese medicines, and sometimes no medication is used at all; just focus on hydrating locally without the need for any special medication. In contrast, acute pharyngitis requires medication to manage the acute inflammatory symptoms. In summary, there are fundamental differences between chronic and acute pharyngitis, whether it is in symptoms, treatment, or the pathological state of the mucosa.

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How to completely cure chronic pharyngitis?

Chronic pharyngitis currently cannot be completely cured. Generally, the approach is to control symptoms, alleviate the condition, and improve clinical manifestations. With the existing medical methods, whether it is Chinese medicine or Western medicine, the focus is on control, as current measures cannot achieve a complete cure. Chronic pharyngitis is primarily caused by chronic inflammation in the throat area. This disease is a relatively common chronic illness, and the nature of the disease determines its recurrent nature, which may also be accompanied by fluctuations in clinical symptoms. Overall, the treatment mainly involves oral medications, supplemented by nebulization. Lifestyle and dietary adjustments are also necessary. It is a common disease and does not pose a significant risk to overall health. Regular follow-up with laryngoscope examinations generally allows for control and stabilization of the condition.

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The difference between acute pharyngitis and chronic pharyngitis

The differentiation between acute pharyngitis and chronic pharyngitis mainly involves the following aspects: First, the onset duration. Generally, acute pharyngitis has a short onset, often sudden, and typically lasts about a week; whereas chronic pharyngitis tends to have a longer duration of illness, possibly involving repeated episodes, usually lasting from one to three months or more. Second, in terms of clinical symptoms, acute pharyngitis usually presents sudden onset of throat pain, which can be relatively severe; chronic pharyngitis may involve pain, but it is generally milder and recurrent, fluctuating, with some patients experiencing a sensation of a foreign body or itchiness in the throat. Third, it can be diagnosed through laryngoscopic examination.

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Symptoms of acute pharyngitis

The symptoms of acute pharyngitis are quite numerous, mainly due to bacterial infections, which are sudden. This easily leads to sore throat, foreign body sensation, and burning sensation. Some patients may have a severe inflammatory response, causing fever, and possibly even high fever. Due to significant throat swelling and pain, some patients may also experience difficulties in normal breathing and swallowing, leading to shortness of breath and a sensation of swallowing obstruction. Overall, the treatment is primarily focused on anti-infection. In addition, consideration can be given to combining nebulization and traditional Chinese medicine for treatment. The treatment period is about one week, and a bland diet is necessary, avoiding spicy and irritating foods, with regular ENT follow-ups. (For specific medication, please take drugs under the guidance of a professional physician and do not medicate blindly.)

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Symptoms of acute pharyngitis

The symptoms of acute pharyngitis are multifaceted. Initially, the onset of the disease is quite sudden. The main symptoms start with dryness, heat, and liver pain, which is the most common description by patients. Furthermore, there is a sensation of a foreign object in the throat, leading to exacerbated pain when coughing. This pain is particularly noticeable during swallowing, making it difficult to even eat or swallow saliva. Additionally, this pain can radiate to the sides, commonly causing ear pain when chewing or eating, resulting in both throat and ear pain. Systemic symptoms can resemble those of a cold, such as mild fever, high body temperature, headache, loss of appetite, and general weakness.

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What department should I go to for pharyngitis?

It is recommended to visit the Department of Otorhinolaryngology for pharyngitis, as the main manifestation of pharyngitis is the inflammatory response in the pharyngeal area, which may be related to bacterial or viral infections. Additionally, it could be caused by one's lifestyle, diet, or external irritants leading to inflammation of the pharyngeal mucosa. Common symptoms include recurrent pain in the throat, a foreign body sensation or burning sensation in the throat, and during the acute inflammatory phase, some patients may also experience fever or have difficulties swallowing and breathing. These symptoms fall within the scope of diagnosis and treatment by the Department of Otorhinolaryngology. Therefore, it is advised to visit this department for pharyngitis, and some individuals may further need to consider undergoing laryngoscopy and routine blood tests for targeted treatment.