What department should I go to for pharyngitis?

Written by Li Rui
Otolaryngology
Updated on September 09, 2024
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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.

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Written by Deng Bang Yu
Otolaryngology
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Does pharyngitis spread?

Pharyngitis refers to the acute and chronic inflammation of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Clinically, it mainly presents as a sore throat or a foreign body sensation in the throat, among other discomforts. Acute pharyngitis should be noted for its certain contagiousness, primarily due to viral infections, bacterial infections, or a combination of both, thus it is contagious. Appropriate precautions such as isolation measures, like wearing masks, should be considered. As for chronic pharyngitis, it is not contagious, so special isolation measures are not necessary. Regarding pharyngitis accompanying other diseases, such as reflux pharyngitis which may also involve Helicobacter pylori infection of the stomach, some literature reports suggest that Helicobacter pylori can be contagious during chronic pharyngitis, but this has not been fully confirmed and is only based on some reports. In summary, acute pharyngitis is confirmed to be contagious, while chronic pharyngitis is currently not contagious.

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Written by Zhang Jun
Otolaryngology
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Symptoms of acute pharyngitis

Acute pharyngitis is caused by a Coxsackievirus infection following a decrease in the body's immunity and resistance, leading to symptoms in the throat as well as general body symptoms. Patients will experience sudden high fever, with body temperature above 38°C, dizziness, headache, severe throat pain, primarily pain during swallowing. Additionally, patients may also experience dry throat, itching throat, a sensation of a foreign body in the throat, a sense of obstruction, a burning sensation, and irritative cough. The condition generally occurs in autumn and is more common in children. For treatment, patients should first go to the hospital for an examination using an electronic laryngoscope and complete a blood count test. If diagnosed with pharyngitis, symptomatic anti-inflammatory treatment should be administered. As it is generally a viral infection, symptomatic antiviral treatment can be effective. Additionally, nebulized inhalation is used to alleviate local congestion and edema. A light diet, avoiding spicy and irritating foods, generally leads to gradual recovery within about a week.

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Written by Li Rui
Otolaryngology
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The difference between acute pharyngitis and chronic pharyngitis.

The difference between acute pharyngitis and chronic pharyngitis mainly lies in the following aspects: The first is the onset time. Acute pharyngitis generally refers to a sudden inflammatory reaction of the throat, usually lasting for a short duration, about a week, and generally does not exceed a week. Conversely, chronic pharyngitis lasts longer, possibly recurring with repeated throat pain and a foreign body sensation, but the symptoms are generally not very severe, lasting about three months or more, primarily characterized by repeated occurrences. The second aspect is the symptoms, which differ in the mildness of throat pain. Chronic pharyngitis generally involves mild throat pain, and there may also be a sensation of a foreign body in the throat. Acute pharyngitis, on the other hand, is mainly characterized by acute throat pain, with relatively short duration but severe symptoms. Third, it can be determined through a routine blood test. Acute pharyngitis often involves acute bacterial or viral infections, possibly with elevated white blood cells. Chronic pharyngitis generally results from non-bacterial, non-viral infections, with blood tests usually being normal. These aspects together can generally provide a basic diagnosis.

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Written by Li Rui
Otolaryngology
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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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Written by Li Rui
Otolaryngology
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How long does acute pharyngitis take to heal by itself?

The recovery time for acute pharyngitis is generally about a week. Some patients can recover on their own, which typically takes about a week. However, some patients cannot recover on their own, especially those with severe acute inflammatory responses and prominent clinical symptoms, particularly when accompanied by significant acute bacterial or viral infections. In such cases, medication treatment is likely necessary. Relying solely on one's natural immunity might be relatively ineffective; therefore, considering timely targeted medication treatment is necessary. Additionally, the use of nebulization and traditional Chinese oral medications, regular blood tests, and laryngoscope examinations to monitor recovery are recommended. It is also advised to maintain a light diet and avoid smoking and drinking. (Note: Medications should be used under the guidance of a doctor based on the specific circumstances.)