Is acute pharyngitis contagious?

Written by Deng Bang Yu
Otolaryngology
Updated on September 06, 2024
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Acute pharyngitis is an acute infectious inflammation of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Acute pharyngitis can occur independently or as part of an upper respiratory tract infection. In its early stages, acute pharyngitis is primarily a viral infection, or a mixed infection of viruses and bacteria. In the later stages of acute pharyngitis, bacterial infection often occurs secondarily. Acute pharyngitis is contagious and tends to occur mainly in winter or spring. The contagion is not by reverse transmission but is generally infectious. Wearing masks or avoiding close contact can generally prevent it, and special isolation measures are usually unnecessary for prevention.

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Written by Li Rui
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How to deal with chronic pharyngitis?

Chronic pharyngitis is a relatively common disease in otorhinolaryngology. First, it is necessary to assess the specific extent of inflammation. It is advisable to visit an otorhinolaryngology clinic for a laryngoscopic examination. If the inflammatory response is mild and personal symptoms are not particularly noticeable, regular follow-up and observation are generally recommended. Additionally, dietary control is necessary, including avoiding smoking, alcohol, and spicy or irritating foods. If the inflammatory response is significant and personal symptoms are severe, medical treatment should be considered. Currently, treatment mainly involves nebulization and oral administration of traditional Chinese medicines, along with self-regulation. Some patients may also consider traditional Chinese medicine treatments. (Medications should be used under the guidance of a doctor based on specific conditions.)

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How to treat pharyngitis in children?

Pediatric pharyngitis can generally be caused by viral or bacterial infections. In cases where a viral infection is suspected, antiviral medications can be taken orally, and some traditional Chinese medicines that reduce throat swelling, clear heat, and detoxify can also be used; there are many varieties. If a bacterial infection is suspected, antibiotics such as cefuroxime and cefaclor should be used. It is also important to monitor body temperature and provide timely fever reduction treatment if fever is present. Medication must be administered under the guidance of a doctor.

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How is chronic pharyngitis diagnosed?

Examinations for chronic pharyngitis are mainly divided into two categories. The first is imaging endoscopy, and the second is blood tests. Imaging endoscopies include CT scans of the neck or larynx. Indirect laryngoscopy or fiber laryngoscopy are also types of endoscopic examinations. The main purpose of these exams is to assess whether there are any organic lesions in the pharyngeal and neck area, such as new growths in the pharynx or cysts and other tumorous changes. Blood tests primarily involve routine blood tests and inflammatory response proteins. The main purpose is to determine if there is an acute bacterial or viral infection and to assess the level of inflammatory response. Generally, these two types of examinations, when considered together, can definitively diagnose the condition.

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Written by Li Mao Cai
Otolaryngology
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Symptoms of Chronic Pharyngitis

Chronic pharyngitis is a very common disease in otolaryngology, and the symptoms described by patients at the time of consultation are also diverse. The most common symptoms include dry throat, sore throat, and a foreign body sensation in the throat. Many people describe that they can neither cough it out nor swallow it down. Others say there is a feeling of obstruction when swallowing. This sensation of obstruction when swallowing refers to the feeling of blockage when simply swallowing saliva, but there is no problem with eating or drinking water, which is also called a feeling of obstruction during dry swallowing. Some people also experience notable pain, especially during acute episodes of chronic pharyngitis. Additionally, some experience nausea or retching while brushing their teeth in the morning, among other symptoms. Furthermore, pharyngitis often accompanies other primary diseases or symptoms, such as post-nasal drip, vomiting white sticky phlegm, and some people experiencing snoring during sleep, all of which are direct or indirect symptoms of pharyngitis.

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Does pharyngitis cause a fever?

Pharyngitis generally involves fever symptoms in acute cases. Acute pharyngitis results from a lowered immune and resistance response, leading to viral or bacterial infections that cause both local symptoms in the throat and systemic symptoms. Patients may experience high fever, with body temperatures above 38°C (100.4°F), and severe throat pain, primarily during swallowing, leading to refusal to eat due to intense throat pain. Additionally, patients may feel a blockage or foreign body sensation in the throat. Upon examination with an electronic laryngoscope, the mucous membrane in the throat area can be seen as congested and swollen, especially around the soft palate and uvula. Pus-filled secretions may also be present on the posterior pharyngeal wall. Regarding treatment, if the patient's temperature exceeds 38°C, antipyretic medications are required; if below 38°C, wiping the body with warm water can be used. Anti-inflammatory treatment should also be administered based on symptoms, and recovery can generally be expected within a week. (Please use medication under the guidance of a professional physician.)