Chronic Pharyngitis Formation Mechanism

Written by Li Rui
Otolaryngology
Updated on February 05, 2025
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Chronic pharyngitis is a relatively common otolaryngological disease, caused by many factors. It might be due to an untreated cold or acute pharyngitis. It can also be caused by long-term exposure to external irritants, improper diet, frequent consumption of spicy and stimulating food, or mucosal lesions in the throat area. For treatment, it is first advised to conduct a laryngoscopy to evaluate the specific condition of the pharyngitis. Generally, oral traditional Chinese medicine is considered, and it is recommended to combine this with nebulizer treatment. The treatment period is usually about one to two weeks. After medication treatment, regular follow-ups are necessary to observe the treatment effects. (Specific medications should be used under the guidance of a doctor.)

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Written by Li Mao Cai
Otolaryngology
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Symptoms of acute pharyngitis

The symptoms of acute pharyngitis are multifaceted. Initially, the onset of the disease is quite sudden. The main symptoms start with dryness, heat, and liver pain, which is the most common description by patients. Furthermore, there is a sensation of a foreign object in the throat, leading to exacerbated pain when coughing. This pain is particularly noticeable during swallowing, making it difficult to even eat or swallow saliva. Additionally, this pain can radiate to the sides, commonly causing ear pain when chewing or eating, resulting in both throat and ear pain. Systemic symptoms can resemble those of a cold, such as mild fever, high body temperature, headache, loss of appetite, and general weakness.

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Written by Xu Qing Tian
Otolaryngology
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How long will it take for pharyngitis to heal?

Pharyngitis is a common and frequently occurring disease in daily life, divided into acute pharyngitis and chronic pharyngitis. Patients with acute pharyngitis experience sudden onset, often due to bacterial infection, or triggered by exposure to cold or a cold. The patient's throat will exhibit acute congestion and inflammation, with symptoms primarily including sore throat, dry throat, and a sensation of a foreign body in the throat. Usually, after symptomatic treatments such as anti-inflammation, throat clearing, and unblocking orifices, the patient's symptoms can generally be relieved within 5-7 days. On the other hand, patients with chronic pharyngitis are mainly treated through daily protection, avoiding excessive use of the voice, and a comprehensive treatment method that includes quitting smoking and alcohol.

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Written by Zhang Jun
Otolaryngology
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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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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 Mao Cai
Otolaryngology
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What are the symptoms of pharyngitis?

There are many symptoms of pharyngitis, and the specific symptoms can vary from person to person. The most common ones include the following. The first is a foreign body sensation, which is a sensation of a foreign object in the throat, feeling like there is always something that cannot be coughed up or swallowed, which is very typical. Another one is the empty swallow syndrome, meaning that some people feel like there is something that cannot be swallowed when swallowing saliva without food. Empty swallowing refers to just swallowing saliva in this way, feeling more and more like there’s something stuck as one swallows, which is similar to the foreign body sensation and is also a manifestation of the swallowing action. The third symptom is a dry and itchy throat. Some people also experience symptoms such as feeling nauseous and wanting to gag when brushing their teeth in the morning. Therefore, the symptoms of pharyngitis do not manifest exactly the same in everyone; some people may experience several symptoms, while others may have one predominant symptom.