Pharyngotonsillitis

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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How should pharyngitis be treated?

Pharyngitis refers to the chronic inflammation of the mucosa and submucosa in the throat, which can extend to the lymphatic tissue around the pharynx. The causes of pharyngitis may include bacterial infection, viral infection, environmental factors, and the patient's diet and lifestyle habits. It may also be related to excessive use of the voice or excessive talking. Traditional Chinese medicine considers it a type of heat syndrome. Therefore, one should avoid spicy and irritating foods, avoid shouting loudly, drink plenty of water, gargle with salt water, maintain oral hygiene, and consume foods that clear heat, detoxify, strengthen the spleen, and stimulate the appetite. Avoid smoking, drinking alcohol, staying up late, and overheating. Under the guidance of a doctor or pharmacist, one may use some traditional Chinese medicines that clear heat and detoxify. If pharyngitis is accompanied by symptoms such as pain and fever, taking anti-inflammatory medications can enhance the treatment effect.

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Written by Li Rui
Otolaryngology
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How to maintain daily care for pharyngitis

Pharyngitis is a relatively common otolaryngological disease. In daily life, it is first necessary to maintain a bland diet, avoid spicy and irritating foods, refrain from smoking, and abstain from alcohol. In terms of treatment, most patients can opt for oral traditional Chinese medicine, and this can be supplemented with nebulization. Throughout the medication process, it is necessary to regularly revisit the ENT (Ear, Nose, and Throat) department to monitor the specific effects of the treatment. It is also advisable to minimize speaking. Frequent overuse of the voice can exacerbate the symptoms of pharyngitis and may even trigger an acute episode of chronic pharyngitis. Overall, pharyngitis can generally be well-managed and alleviated through these daily regimens and medical treatments. (Please use medication under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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What is acute pharyngitis?

Acute pharyngitis is mainly caused by acute viral or bacterial infection, leading to inflammation and resulting in the swelling and reddening of the mucous membrane in the throat. Common symptoms include sudden onset of throat pain and swelling. If the inflammatory response is significant, it may also be accompanied by fever, difficulty swallowing, a sense of obstruction, or breathing difficulties. Generally, it is a common disease. It may be advisable to conduct a laryngoscopy to inspect the extent of inflammation in the throat and perform a routine blood test to determine whether it is an acute bacterial or viral infection. In terms of treatment, oral medication is usually preferred, and nebulization or traditional Chinese medicine can be considered to target the infection. (Please use medication under the guidance of a professional physician and do not self-medicate.)

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Written by Li Rui
Otolaryngology
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How to cure pharyngitis completely?

Pharyngitis is divided into several types, with chronic pharyngitis and acute pharyngitis being the more commonly encountered in clinical settings. In terms of treatment, chronic pharyngitis is currently difficult to cure completely. Generally, treatment focuses on controlling the condition, alleviating inflammation, and improving symptoms. The existing treatment methods primarily involve oral traditional Chinese medicine formulas, and may also include nebulization and dietary adjustments. Some patients may opt for traditional Chinese medicine treatments. However, overall, treatment mainly aims at control and relief, and it is still challenging to completely cure chronic pharyngitis with existing medical approaches. Acute pharyngitis, on the other hand, is generally treated with antibiotics or antiviral medications, typically over a period of about one week. Overall, the treatment results are quite good, but there can still be a certain degree of recurrence.

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Written by Deng Bang Yu
Otolaryngology
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What department should I visit for pharyngitis?

Pharyngitis is a common and frequent disease in otolaryngology head and neck surgery, so it is primarily necessary to visit the department of otolaryngology head and neck surgery for diagnosis and treatment. In hospitals with more specialized departments, one can also directly visit the pharyngology department for diagnosis and treatment. It is important to understand that there are many causes of pharyngitis, such as gastroesophageal reflux disease. Besides seeing an otolaryngologist, it might also be necessary to consult with gastroenterology or thoracic surgery, as these are related departments. If the pharyngitis is caused by an allergic disease and involves allergic factors, in addition to visiting otolaryngology, it may be necessary to consult other departments such as the department of allergic diseases or respiratory medicine, depending on the specific circumstances. In summary, the primary department to consult for pharyngitis is otolaryngology head and neck surgery.

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Written by Li Mao Cai
Otolaryngology
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How is acute pharyngitis treated?

The treatment of acute pharyngitis is based on its causes and symptoms. First, it is recommended to gargle with mouthwash, which helps alleviate some throat symptoms. Additionally, it is important to rest, drink plenty of fluids, consume a liquid diet, and avoid foods that are too hot or too harsh to reduce irritation to the throat. Also, minimize speaking to allow the vocal cords to rest thoroughly, which can help alleviate symptoms of hoarseness. In terms of medication, the treatment primarily involves anti-inflammatory and antiviral therapies. Doctors will select the appropriate medication based on your drug sensitivity, routine medication experience, and the seasonal characteristics of the outbreak. Nebulized inhalation treatment is also necessary, which can relieve swelling of the throat mucosa, reduce mucosal swelling, and has an anti-inflammatory effect. If the condition is severe, systemic antibiotics and corticosteroids may be added, and traditional Chinese medicine lozenges can be used to support symptomatic treatment.

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Written by Deng Bang Yu
Otolaryngology
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How to maintain throat health in daily life?

Pharyngitis primarily refers to the acute or chronic inflammation of the mucous membrane in our throat. For the care of pharyngitis, we should pay attention to the following points: First, we need to be mindful of our diet, which should be light, nutritious, and easy to digest. We must avoid spicy and irritating foods, such as cigarettes, alcohol, and chili peppers. Second, we should engage in appropriate physical exercise to strengthen our constitution and avoid frequent upper respiratory infections. These conditions can prevent our pharyngitis from being effectively treated, or even cured. Thirdly, we should be cautious with certain special foods. For example, if our pharyngitis is caused by allergies, then we should minimize or avoid foods that can trigger allergies, such as fish, shrimp, and seafood. In conclusion, it is crucial to actively treat pharyngitis while also looking after oneself.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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What are the symptoms of pharyngitis?

Pharyngitis refers to the chronic inflammation of the mucous membrane and submucosal layer of the pharynx, which can extend to the lymphatic tissue adjacent to the pharynx. Its causes are related to bacterial infections, viral infections, environmental factors, and the dietary habits of the patient. In traditional Chinese medicine, it is considered to be caused by excessive internal heat. Thus, symptoms of pharyngitis can include dry throat, a sensation of heat, a foreign body sensation, discomfort when swallowing, and an irritating cough. In severe cases, it might lead to pain, coughing, and expectoration of phlegm, which are some of the main symptoms of pharyngitis. Severe cases might also involve throat pain and swelling of the submandibular lymph nodes.

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Written by Li Rui
Otolaryngology
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Acute pharyngitis how long to heal by itself

The recovery period for acute pharyngitis generally lasts about a week, but there is also some individual variation. If the inflammatory response is relatively localized and the subjective symptoms are not particularly pronounced, the recovery time can be shorter, roughly three to five days. If the inflammatory response is particularly severe and the patient's subjective symptoms are also more pronounced, the recovery period will relatively extend, possibly requiring more than a week. Firstly, it is important to consider timely treatment; if the inflammation is severe and bacterial infection is involved, the use of antibiotics should be considered. This can be supplemented with nebulization and the oral administration of traditional Chinese medicine. Regular follow-ups to observe the recovery status are necessary. (Specific medications should be used under the guidance of a physician.)

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Written by Zhang Jun
Otolaryngology
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How long does acute pharyngitis take to heal on its own?

Acute pharyngitis usually heals on its own in about 10 days under normal circumstances. Acute pharyngitis is caused by viral or bacterial infection following weakened immunity and resistance. Symptoms include sudden onset of high fever with temperatures above 38.5°C, severe throat pain, hoarse voice, and a barking cough. In severe cases, the patient may experience suffocation and even death. Acute pharyngitis is more common in children, whose throat mucosa is relatively loose, making it especially prone to swelling during inflammatory infections. In treatment, the patient first needs a routine blood test. If there is an increase in white blood cells, it suggests a bacterial infection, and oral antibiotics are required. If lymphocytes are increased, it indicates a viral infection, and the patient can be treated with oral ribavirin granules, which are effective. (The use of medications should be under the guidance of a doctor.)