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 Deng Bang Yu
Otolaryngology
1min 9sec home-news-image

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 Deng Bang Yu
Otolaryngology
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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.

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Written by Li Rui
Otolaryngology
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The difference between acute pharyngitis and chronic pharyngitis.

The difference between acute pharyngitis and chronic pharyngitis mainly lies in the following aspects: The first is the onset time. Acute pharyngitis generally refers to a sudden inflammatory reaction of the throat, usually lasting for a short duration, about a week, and generally does not exceed a week. Conversely, chronic pharyngitis lasts longer, possibly recurring with repeated throat pain and a foreign body sensation, but the symptoms are generally not very severe, lasting about three months or more, primarily characterized by repeated occurrences. The second aspect is the symptoms, which differ in the mildness of throat pain. Chronic pharyngitis generally involves mild throat pain, and there may also be a sensation of a foreign body in the throat. Acute pharyngitis, on the other hand, is mainly characterized by acute throat pain, with relatively short duration but severe symptoms. Third, it can be determined through a routine blood test. Acute pharyngitis often involves acute bacterial or viral infections, possibly with elevated white blood cells. Chronic pharyngitis generally results from non-bacterial, non-viral infections, with blood tests usually being normal. These aspects together can generally provide a basic diagnosis.

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Written by Yan Xin Liang
Pediatrics
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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.

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Written by Deng Bang Yu
Otolaryngology
1min 21sec home-news-image

The differences between chronic pharyngitis and acute pharyngitis

There is a fundamental difference between the two; chronic pharyngitis is a chronic inflammatory disease, while acute pharyngitis is an acute inflammatory disease. Furthermore, the symptoms of chronic pharyngitis are not very prominent in clinical settings, presenting only as a foreign body sensation or other discomforts. In contrast, the symptoms of acute pharyngitis are quite significant, such as sore throat, and may even include systemic symptoms like chills and fever. Thirdly, during examination of chronic pharyngitis, one can observe congestion of the pharyngeal mucosa, which is a type of chronic congestion. However, the congestion in acute inflammation is acute and very pronounced. There are also significant differences in treatment. For chronic inflammation, the clinical approach mainly involves administering heat-clearing and detoxifying traditional Chinese medicines, and sometimes no medication is used at all; just focus on hydrating locally without the need for any special medication. In contrast, acute pharyngitis requires medication to manage the acute inflammatory symptoms. In summary, there are fundamental differences between chronic and acute pharyngitis, whether it is in symptoms, treatment, or the pathological state of the mucosa.