What should be paid attention to for acute pharyngitis?

Written by Xu Qing Tian
Otolaryngology
Updated on March 09, 2025
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Acute pharyngitis is a common and frequently occurring disease in otolaryngology. The main symptoms of acute pharyngitis include sore throat, dry throat, burning sensation in the throat, and itchiness. The main pathogens often include hemolytic streptococcus or Coxsackievirus. When acute pharyngitis occurs, it is first advised to avoid exposure to smoking, alcohol, irritative and spicy foods to prevent further irritation and congestion of the throat mucosa. Additionally, maintaining oral hygiene is required to prevent bacterial proliferation. Gargling with saline water can help keep the oral cavity clean. Also, sensitive antibiotics may be used orally or intravenously to eliminate acute inflammation. (Medicine should be used under the guidance of a doctor.)

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Written by Li Rui
Otolaryngology
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Does acute pharyngitis have phlegm?

The symptoms of acute pharyngitis are numerous and can cause coughing and expectoration, as well as sore throat, foreign body sensation in the throat, fever, swallowing obstruction, and difficulty breathing. There is significant individual variation in specific symptoms. After the onset of the disease, it is necessary to visit an otolaryngology department, where routine blood tests and indirect laryngoscopy can be conducted to assess the severity of the condition. In terms of medication treatment, oral medications are commonly used at present, and can be combined with nebulizer therapy. During the treatment process, regular follow-ups are needed to observe the recovery of the condition. Most patients will gradually improve after timely medical treatment.

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Written by Li Rui
Otolaryngology
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Which part to massage for acute pharyngitis?

Massage for acute pharyngitis, generally speaking, is not particularly effective, so it is not recommended in this regard. Acute pharyngitis is mainly due to acute bacterial or viral infections, leading to inflammation. The common clinical symptoms include sudden throat pain, swelling, and a foreign body sensation. If it is more severe, there may also be difficulty breathing. In such cases, it is first recommended to visit an ENT department to examine the extent of inflammation in the throat and conduct a routine blood test. If the inflammation is caused by a bacterial infection, the use of antibiotics should be considered; if it is due to a viral infection, antiviral drugs should be considered. At the same time, it is recommended to use nebulization and take oral proprietary Chinese medicines for adjunct therapy.

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Written by Xu Qing Tian
Otolaryngology
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What should I do about a dry cough from acute pharyngitis?

Acute pharyngitis is a common disease in the field of otolaryngology, with many patients experiencing symptoms such as dry cough, foreign body sensation in the throat, sore throat, coughing, and phlegm. Upon the onset of these symptoms, it is first recommended to use appropriate oral or intravenous antibiotics for anti-inflammatory symptomatic treatment to alleviate congestion and edema of the pharyngeal mucosa. Additionally, honeysuckle, wild chrysanthemum, Sterculia lychnophora (fat sea), or drinking water infused with pomelo and ginseng can be very effective in treating dry cough caused by pharyngitis. In daily life, it is also important to avoid smoking and alcohol, spicy and irritating foods, and cold drinks to keep the pharyngitis under control.

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Written by Zhang Jun
Otolaryngology
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Acute pharyngitis clinical manifestations

Acute pharyngitis is caused by the invasion of viruses or bacteria after a decline in the body's immunity and resistance, leading to acute mucosal lesions in the pharyngeal area. Patients will experience sudden high fever with a body temperature above 38 degrees Celsius, severe pain in the throat, primarily pain during swallowing, and symptoms including dryness, itching, foreign body sensation, obstruction, burning sensation, and irritative cough in the throat. Patients may also exhibit symptoms of coughing phlegm and blood-streaked sputum. Examination with an electronic laryngoscope reveals congested and edematous mucosa in the throat, particularly noticeable on the soft palate and uvula, with yellow purulent secretions found on the posterior pharyngeal wall and base of the tongue. Treatment involves symptomatic anti-inflammatory therapy, where patients may take cephalosporin antibiotics orally or through infusion, which yields good results. Additionally, nebulized inhalation is used to alleviate local congestion and edema, with gradual recovery expected in about seven to ten days. (Medication should be used under the guidance of a doctor.)

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Written by Zhang Jun
Otolaryngology
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What should you avoid eating if you have acute pharyngitis?

In the diet for acute pharyngitis, patients need to eat as little as possible or avoid spicy and irritating foods, such as onions, ginger, garlic, fish, shrimp, crab, seafood, barbecue, and alcohol. They should also avoid acidic fruits, such as tangerines, grapefruits, and oranges, as these foods can cause sudden congestion and swelling of the mucous membrane in the throat. This can lead to increased throat pain, as well as sensations of a foreign body, obstruction, and burning in the throat. Acute pharyngitis occurs when a virus or bacteria invades due to lowered immunity and resistance in the body, causing symptoms in the throat. Patients may experience fever, swelling, pain in the throat, and a foreign body sensation, primarily characterized by painful swallowing. Treatment initially requires symptomatic anti-inflammatory treatment, combined with nebulized inhalation, which has good therapeutic effects. A light diet and abstaining from smoking and alcohol will gradually lead to improvement.