Acute pharyngitis clinical symptoms

Written by Li Rui
Otolaryngology
Updated on April 12, 2025
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Acute pharyngitis is a relatively common otolaryngologic disease with various clinical symptoms and individual differences. Common symptoms include sudden onset of sore throat, and some patients may experience severe pain. There may also be a sensation of swallowing obstruction and difficulty breathing. In more severe cases, fever may occur. Upon these symptoms, it is necessary to promptly visit an otolaryngologist for routine blood tests and laryngoscopic examinations to determine the specific extent and type of infection and inflammation. Treatment generally focuses on antibiotic therapy to combat infection, and nebulizer therapy can also be used. (Specific medications should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Is acute pharyngitis contagious?

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
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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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.

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Written by Li Rui
Otolaryngology
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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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Written by Li Rui
Otolaryngology
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Can pharyngitis be cured?

There are several types of pharyngitis, and the overall approach to treatment is primarily focused on symptom control. The more common types of pharyngitis include acute pharyngitis, chronic pharyngitis, and allergic pharyngitis. During the acute phase, it is advisable to consider a complete blood count to determine whether the infection is bacterial or viral. Once the type of infection is confirmed, targeted anti-infection treatment can be administered. For example, antibiotics are used for bacterial infections, and antiviral medications are considered for viral infections. For chronic pharyngitis, treatment generally involves nebulization and the use of traditional Chinese medicines. If the condition is mild, regular check-ups may suffice without the need for long-term medication use. However, for any type of pharyngitis, treatment currently focuses on controlling symptoms, stabilizing the condition, and alleviation. It is difficult to achieve a cure or prevent recurrence completely. (Medications should be used under the guidance of a doctor, based on the specific situation.)