Chronic pharyngitis is classified into several types.

Written by Li Mao Cai
Otolaryngology
Updated on September 04, 2024
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Chronic pharyngitis, based on pathological conditions, is divided into three types. The first type is chronic simple pharyngitis, which is also the most common type we usually refer to. It mainly involves chronic congestion of the pharyngeal mucosa and hyperplasia of lymphatic follicles on the posterior pharyngeal wall. The second type is chronic hypertrophic pharyngitis, which can be observed during examination as congested and thickened pharyngeal mucosa with proliferating lymphatic tissue, appearing rather thick. The third type is atrophic and dry pharyngitis, which is relatively rare in clinical cases and often accompanies atrophic rhinitis. A primary symptom is dryness in the throat because the pathological changes mainly involve a decrease in the secretory function of the glandular tissues in the pharynx, resulting in reduced secretions and the mucosa becoming atrophic and thin. Based on the different causes of the condition, it can also be divided into several types. One type is simple pharyngitis, also referred to as chronic simple pharyngitis, related to smoking, drinking, air pollution, and excessive talking. Another type is reflux pharyngitis, which is now also a disease with a relatively high incidence rate, mainly caused by gastroesophageal reflux leading to chronic inflammation of the stomach and damage to the mucous membrane of the pharynx and throat, known as reflux pharyngitis. Additionally, some cases are secondary to rhinitis and sinusitis, due to the long-term discomfort in the throat caused by the backflow of nasal discharge, leading to chronic inflammatory responses; this is also a type of secondary pharyngitis.

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Written by Li Mao Cai
Otolaryngology
1min 26sec home-news-image

Causes of chronic pharyngitis

Chronic pharyngitis is a very common disease in otolaryngology, with many specific causes that are not singular. Its causes are mainly related to lifestyle habits, diet, and some secondary and primary diseases. Common causes include smoking, alcohol consumption, consumption of spicy and irritating food, staying up late, high psychological stress, and significant emotional fluctuations, all of which can lead to chronic pharyngitis. Another cause is secondary pharyngitis, which results from primary diseases such as chronic rhinitis and sinusitis. Due to the long-term backflow of nasal discharge, which flows back into the throat and irritates the mucous membrane, a chronic inflammatory response is produced. This is also a common cause of chronic pharyngitis. Furthermore, there is reflux pharyngitis, which is also a type of chronic pharyngitis. Some people have stomach diseases and reflux esophagitis, where long-term acid reflux leads to damage in the mucous membranes of the throat, causing chronic inflammation with symptoms such as a foreign body sensation, burning sensation, and throat dryness. Therefore, there are many causes of chronic pharyngitis, including both primary and secondary reasons. A specific diagnosis needs to be made by a doctor based on a thorough medical history and physical examination.

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Written by Li Mao Cai
Otolaryngology
1min 45sec home-news-image

Chronic pharyngitis is classified into several types.

Chronic pharyngitis, based on pathological conditions, is divided into three types. The first type is chronic simple pharyngitis, which is also the most common type we usually refer to. It mainly involves chronic congestion of the pharyngeal mucosa and hyperplasia of lymphatic follicles on the posterior pharyngeal wall. The second type is chronic hypertrophic pharyngitis, which can be observed during examination as congested and thickened pharyngeal mucosa with proliferating lymphatic tissue, appearing rather thick. The third type is atrophic and dry pharyngitis, which is relatively rare in clinical cases and often accompanies atrophic rhinitis. A primary symptom is dryness in the throat because the pathological changes mainly involve a decrease in the secretory function of the glandular tissues in the pharynx, resulting in reduced secretions and the mucosa becoming atrophic and thin. Based on the different causes of the condition, it can also be divided into several types. One type is simple pharyngitis, also referred to as chronic simple pharyngitis, related to smoking, drinking, air pollution, and excessive talking. Another type is reflux pharyngitis, which is now also a disease with a relatively high incidence rate, mainly caused by gastroesophageal reflux leading to chronic inflammation of the stomach and damage to the mucous membrane of the pharynx and throat, known as reflux pharyngitis. Additionally, some cases are secondary to rhinitis and sinusitis, due to the long-term discomfort in the throat caused by the backflow of nasal discharge, leading to chronic inflammatory responses; this is also a type of secondary pharyngitis.

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Written by Zhang Jun
Otolaryngology
1min 4sec home-news-image

Causes of Chronic Pharyngitis Flare-ups

Chronic pharyngitis has many causes, and common clinical causes include the following: First, it is caused by repeated inflammatory stimulation, commonly seen with acute pharyngitis and acute tonsillitis; second, it is due to long-term spicy diet stimulation, gastrointestinal dysfunction, and acid reflux stimulation. The acid liquid and vapors from reflux can irritate the mucosa of the throat, causing congestion, edema, and proliferation of lymphatic follicles in the mucosal lining. This leads to symptoms such as dry throat, sore throat, itchy throat, a foreign body sensation in the throat, a sensation of obstruction, and a burning sensation. Therefore, in treatment, patients first need to exercise, avoid colds, avoid inflammatory invasions, and at the same time, they need a light diet, to quit smoking and drinking, avoid spicy and irritating foods, regulate gastrointestinal function, and avoid acid reflux to gradually improve and prevent recurrent episodes.

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Written by Deng Bang Yu
Otolaryngology
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Is chronic pharyngitis contagious?

Chronic pharyngitis is a chronic inflammatory disease of the pharyngeal mucosa. This inflammatory condition may evolve from an acute infection, be allergic in nature, or stem from esophageal acid reflux. It is important to note that this type of chronic inflammation is not contagious; it does not spread, so no isolation measures are needed. Thus, it is important to focus on active treatment and consume plenty of water to prevent the worsening of chronic pharyngitis or frequent recurrent episodes, which could exacerbate the condition.

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Written by Zhang Jun
Otolaryngology
1min 8sec home-news-image

Symptoms of chronic pharyngitis

Chronic pharyngitis is caused by a variety of reasons, leading to congestion, edema, and lymph follicle proliferation in the mucous membrane and submucosal tissue of the throat. Common causes include repeated inflammatory stimulation, intake of spicy foods, and local symptoms caused by gastric acid reflux. Patients may experience dryness, pain, itching, foreign body sensation, obstruction feeling, burning sensation, irritating dry cough, and hoarseness in the throat. In severe cases, there may even be blood in the sputum. During examination, swelling of the uvula and significant proliferation of lymph follicles can be found in areas such as the lateral pharyngeal wall, posterior pharyngeal wall, and the base of the tongue. In terms of treatment, patients need to first identify the cause, adopt a light diet, quit smoking and alcohol, exercise, avoid colds, and maintain a regular diet with post-meal physical activity for gradual improvement and to prevent recurrence.