Chronic pharyngitis?

Written by Li Rui
Otolaryngology
Updated on May 08, 2025
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Chronic pharyngitis is a relatively common otolaryngology disease with many clinical symptoms. The most common symptoms are a sensation of a foreign body in the throat, throat pain, and possibly accompanied by swallowing obstruction and difficulty breathing. A laryngoscopy can be conducted to assess the extent of the inflammation. Most patients can consider oral medication, primarily traditional Chinese medicine, combined with nebulization. In terms of diet, it is recommended to eat lightly and avoid spicy and irritating foods, smoking, and drinking alcohol. Furthermore, regular follow-ups are necessary to observe changes in the condition. Currently, it is still difficult to completely cure, and the main focus is on controlling and alleviating symptoms. (The use of medication should be under the guidance of a professional doctor.)

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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.)

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How to treat acute pharyngitis?

Acute pharyngitis is caused by viral or bacterial infections following a decrease in the body's immunity and resistance. Patients will experience sudden high fever with body temperature above 38°C, severe throat pain, and may also have symptoms of dry throat, itchy throat, foreign body sensation in the throat, obstruction, breathing difficulties, and hoarseness. Upon examination, congestion and swelling of the soft palate and uvula can be observed, and yellow secretions may be found on the throat wall. In terms of treatment, patients should first go to the hospital for a routine blood test, which generally indicates a bacterial infection. Patients can take oral cephalosporin antibiotics, which are effective. Treatment also involves nebulizer inhalation to alleviate throat congestion and swelling. A light diet, quitting smoking, and abstaining from alcohol can contribute to gradual improvement and recovery within about a week. (Medications should be used under the guidance of a doctor.)

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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.

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What is the difference between acute pharyngitis and chronic pharyngitis?

The differences between acute and chronic pharyngitis are quite distinct. Acute pharyngitis comes on suddenly, and patients typically experience sudden high fever, severe throat pain, along with symptoms like dizziness, headache, cough, and nasal congestion. Examination may reveal swelling and prominent congestion in the soft palate and uvula, and yellowish secretions on the pharyngeal walls. In contrast, chronic pharyngitis primarily presents with localized symptoms and lacks systemic symptoms. Patients may experience dryness, pain, itchiness in the throat, sensations of a foreign body or obstruction, burning sensation, and irritative cough. In terms of treatment, acute pharyngitis initially requires a routine blood test to determine whether the infection is bacterial or viral, and symptomatic treatment can then lead to recovery. Chronic pharyngitis mainly requires the management of gastrointestinal function, along with a mild diet avoiding spicy and irritating foods, physical exercise, and avoiding colds. Additionally, nebulized inhalation can be used to alleviate local congestion and edema, gradually relieving symptoms and preventing recurrence.

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Can pharyngitis cause coughing?

Pharyngitis refers to the inflammation of the mucous membrane of the pharynx. There are many clinical causes of pharyngitis, such as allergic pharyngitis, reflux pharyngitis, and infectious pharyngitis. Regardless of the type, pharyngitis can lead to clinical symptoms such as coughing and throat clearing actions, especially intense dry coughs in allergic pharyngitis, which tend to last a long time. For infectious pharyngitis, the coughing duration is short and the coughs are less intense. Therefore, it is certain that pharyngitis can cause coughing. Clinically, different types of medication are used to treat coughs caused by different types of pharyngitis. For coughs caused by allergies, anti-allergy treatments are required, and for coughs caused by reflux pharyngitis, medications that suppress stomach acid are needed.