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 Li Rui
Otolaryngology
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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.)

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Written by Deng Bang Yu
Otolaryngology
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Can I eat biscuits with acute pharyngitis?

Acute pharyngitis is an acute inflammatory disease of the pharynx, clinically characterized by soreness in the throat and sometimes symptoms such as chills and fever. Examination can reveal acute congestion of the pharyngeal mucosa, and the mucosa may also be edematous. Theoretically, it is permissible to eat biscuits during acute pharyngitis, as there are no specific contraindications. However, biscuits are generally dry and can be difficult to swallow because of the soreness in the throat during acute pharyngitis. If one must eat biscuits, they can be chewed thoroughly or dipped in water, and there are no absolute contraindications. It is important for patients with acute pharyngitis to maintain a light diet and drink plenty of water, but eating biscuits is allowable.

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Written by Li Rui
Otolaryngology
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Can bananas be eaten with acute pharyngitis?

Acute pharyngitis is a relatively common otolaryngological disease, mainly caused by acute bacterial or viral infections. Regarding diet, bananas can be eaten. Bananas are a common fruit and do not have direct side effects on acute pharyngitis, nor do they affect the treatment outcome of acute pharyngitis. There is also no interaction with medications used to treat acute pharyngitis, so it is safe to eat bananas normally. However, it is recommended to maintain a light diet, avoid spicy and irritant foods, refrain from smoking and drinking, and consider timely medical treatment. After medication treatment, it's important to observe the effects and have regular check-ups. (Please use medication under the guidance of a doctor to avoid indiscriminate use.)

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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 Deng Bang Yu
Otolaryngology
54sec home-news-image

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.