The difference between acute pharyngitis and chronic pharyngitis

Written by Li Rui
Otolaryngology
Updated on November 03, 2024
00:00
00:00

Acute pharyngitis and chronic pharyngitis are relatively common otolaryngological diseases, with certain differences between them.

First, in terms of the onset of the disease, chronic pharyngitis has a longer duration, generally more than three months, and is recurrent; whereas acute pharyngitis typically has a sudden onset and clinically usually lasts no more than a week.

There are also differences in clinical symptoms. The main manifestations of acute pharyngitis are sudden throat pain and a sensation of a foreign body in the throat, and some patients may also develop a fever. In contrast, chronic pharyngitis typically presents with a sensation of a foreign body and pain in the throat, which are generally not very severe and do not lead to fever.

The third point is the cause of the disease. Acute pharyngitis is generally caused by acute viral or bacterial infections, leading to congestion and swelling of the mucosa in the throat. Chronic pharyngitis, on the other hand, involves non-bacterial, non-viral inflammatory responses.

Other Voices

doctor image
home-news-image
Written by Zhang Jun
Otolaryngology
1min 15sec home-news-image

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.

doctor image
home-news-image
Written by Zhang Jun
Otolaryngology
1min 7sec home-news-image

How to take care of pharyngitis

Pharyngitis in usual care primarily involves identifying the causes of pharyngitis and preventing these triggers for gradual improvement and to avoid recurrent attacks. Common causes observed clinically include: First, congestion in the throat caused by changes in weather, smog, and smoke irritation. Second, symptoms in the throat caused by repeated acute inflammatory irritations, such as acute pharyngitis, acute tonsillitis, acute rhinitis, and sinusitis. Recurrent irritation by purulent secretions can lead to congestion and edema of the mucous membrane in the throat area. Third, long-term intake of spicy food leading to disturbances and disorders in the digestive system, commonly seen in stomach cancer, gastritis, gastric ulcers, and duodenal ulcers. Repeated irritation by acidic reflux and gases can also cause symptoms in the throat area. Therefore, in treatment, patients should first eliminate these triggers for gradual improvement and healing.

doctor image
home-news-image
Written by Yan Xin Liang
Pediatrics
39sec home-news-image

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.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
1min 8sec home-news-image

The difference between acute pharyngitis and chronic pharyngitis

Acute pharyngitis and chronic pharyngitis have fundamental differences, primarily in the nature of the diseases. Acute pharyngitis is acute, while chronic pharyngitis is chronic. Due to the different nature of the diseases, the clinical symptoms of acute and chronic pharyngitis also differ. Acute pharyngitis typically presents clinically with throat pain, whereas chronic pharyngitis usually manifests as dryness, itchiness in the throat, or a sensation of a foreign body in the throat, among other discomforts. Additionally, their treatments are different. For acute pharyngitis, antibiotics may be used if there is purulent sputum or a bacterial infection. In contrast, chronic pharyngitis generally does not involve the use of antibiotics; instead, treatment mainly consists of taking Chinese patent medicines that clear heat and detoxify the body. Thus, the differences between them are quite distinct. (Please consult a professional physician before using any medication; do not self-medicate.)

doctor image
home-news-image
Written by Xu Qing Tian
Otolaryngology
47sec home-news-image

Is nasopharyngitis pharyngitis or rhinitis?

Nasopharyngitis is caused by chronic inflammation in the nasal cavity of the patient, which leads to sore throat, burning sensation, rhinorrhea, and other related symptoms at the junction of the posterior nostrils and the nasopharynx. Nasopharyngitis is a borderline disease between pharyngitis and rhinitis. The primary treatment methods include antibiotic anti-inflammatory symptomatic treatment and steroids to reduce mucosal edema. Additionally, patients with rhinitis should avoid smoking, drinking alcohol, and consuming spicy and irritating foods in daily life to prevent worsening of nasopharyngitis symptoms. (Medication should be used under the guidance of a doctor.)