Acute pharyngitis clinical manifestations

Written by Zhang Jun
Otolaryngology
Updated on December 13, 2024
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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 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 Deng Bang Yu
Otolaryngology
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Does acute pharyngitis recur easily?

Relatively easy. Acute pharyngitis is an acute inflammatory disease of the pharyngeal mucosa, and acute pharyngitis can also be part of an upper respiratory tract infection. Clinically, the main manifestations of acute pharyngitis are pain in the throat, and severe cases may exhibit symptoms like chills and fever. We can observe that the mucous membrane of the throat is highly congested, and there may even be purulent secretions. After treating acute pharyngitis clinically, it is relatively easy for it to recur. This is because our usual diet of spicy and irritating foods, or foods that are too cold or too hot, can adversely stimulate the mucous membrane of the throat. At the same time, if we are prone to catching colds, the cold itself will affect the mucous membrane of the pharynx, thus making acute pharyngitis clinically prone to recurrence.

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Written by Deng Bang Yu
Otolaryngology
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Can you smoke with acute pharyngitis?

Acute pharyngitis is an acute inflammatory disease of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Initially, it is a viral infection or a mixed infection of viruses and bacteria; in later stages, when secondary infections occur, it may entirely turn into a bacterial infection. During acute pharyngitis, there is pain in the pharyngeal region, and the pharyngeal mucosa becomes congested and swollen. We must advise patients not to smoke as it further irritates and exacerbates the congestion and swelling of the pharyngeal mucosa, worsening the condition of acute pharyngitis. Smoking can even cause the infection in the pharynx to spread to the lower airways, leading to tracheitis, bronchitis, and pneumonia; therefore, smoking should be avoided during acute pharyngitis.

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Written by Li Rui
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Do you need injections for acute pharyngitis?

Acute pharyngitis does not necessarily require injections. The decision to administer injections should consider the condition and the patient's own state comprehensively. Generally, for most patients with mild inflammatory responses and not particularly obvious symptoms, the first consideration is still drug treatment. Currently, the main treatments are oral antibiotics and traditional Chinese medicine. It is also recommended to complement treatment with nebulization. Attention should also be paid to diet; smoking and drinking alcohol should be avoided, as should spicy and irritating foods. It is preferable to stick to soft, liquid or semi-liquid diets, with lighter foods being better. If the inflammatory response is particularly severe and conservative treatment with oral medications is ineffective, then injections or intravenous therapies may be considered.

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Written by Li Rui
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Which department should I go to for acute pharyngitis?

For acute pharyngitis, it is advisable to visit the otolaryngology department, as acute pharyngitis is primarily caused by an acute bacterial infection, mainly leading to throat pain. In severe cases, it can cause edema of the pharyngeal mucosa, affecting swallowing or breathing, and is one of the more common throat diseases. Regarding treatment, an indirect laryngoscopy should first be performed to assess the degree of inflammation in the pharyngeal mucosa, especially to determine if there are any obstructions in the throat. Additionally, routine blood tests and inflammatory protein tests should be conducted to help determine the type and extent of the inflammatory response. In terms of medication, treatment is generally dominated by antibiotics, preferably administered orally, and supplemented by nebulization and traditional Chinese medicine. Typically, the treatment period is about one week, but there are individual differences, so it is necessary to return to the otolaryngology department for follow-up to dynamically observe the recovery. (Medications should be used under the guidance of a physician.)