The difference between acute pharyngitis and chronic pharyngitis

Written by Li Rui
Otolaryngology
Updated on November 03, 2024
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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.

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Written by Deng Bang Yu
Otolaryngology
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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.)

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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 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 Li Rui
Otolaryngology
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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 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.