Symptoms of pharyngitis

Written by Li Rui
Otolaryngology
Updated on September 13, 2024
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Pharyngitis is a relatively common throat disease, which has various clinical symptoms and individual differences. Common symptoms include repeated sore throat, a sensation of a foreign body in the throat, and possibly acid reflux and burping. Overall, the symptoms are diverse and vary from person to person. In terms of treatment, it usually begins with a laryngoscopy to visually assess the extent of inflammation in the throat. Blood tests are also recommended to determine whether the infection is bacterial or viral. Once the type of infection is confirmed, targeted anti-infection treatment can be considered. This can be supplemented with nebulization and the oral administration of proprietary Chinese medicines, which help in treatment. However, regular follow-up examinations are necessary after treatment, as some patients may experience recurrent and fluctuating symptoms. (Specific medications should be used under the guidance of a doctor.)

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How to treat acute pharyngitis?

Acute pharyngitis is the acute inflammation of the mucosa and submucosal tissues of the pharynx, and it often comes with systemic symptoms. For patients without systemic symptoms or those who have mild symptoms, local treatments such as mouthwash with cleaning and sterilizing effects, various lozenges, or traditional Chinese medicine can be used. Through oral antiviral drugs or antibiotics, severe systemic symptoms such as high fever require bed rest, plenty of fluids, and soft foods. Antiviral drugs or antibiotics can be administered through the meridian pathways. If the patient has a high fever, physical methods to reduce fever can be used, as well as corticosteroids for reducing temperature.

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How to deal with pharyngitis?

Pharyngitis, under general circumstances, stems from acute inflammatory irritation, causing symptoms in the pharyngeal area. It is commonly caused by bacterial or viral infections, such as Coxsackievirus or streptococcus hemolyticus. It triggers sudden high fevers in patients, with temperatures above 38.5°C, and severe pain in the throat, primarily during swallowing. Additionally, patients may experience dryness, itchiness, burning sensation, foreign body sensation, obstruction, and hoarseness in the throat, and in severe cases, it can lead to irritative coughing. Patients may present with mucosal rupture, evidenced by blood-streaked sputum. Examination may reveal congested and swollen pharyngeal mucosa, often covered with yellow secretions. In terms of treatment, initial steps include a routine blood test. If there is an increase in white blood cells, oral antibiotics, such as cephalosporins, are recommended. An increase in lymphocytes may indicate a viral infection, in which symptomatic antiviral treatment is advised. Patients should adhere to a bland diet, avoid spicy and irritating foods, and abstain from smoking and alcohol. Recovery typically occurs within about a week. (The use of medication should be carried out under the guidance of a professional doctor.)

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Otolaryngology
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How to cure pharyngitis completely?

Pharyngitis is divided into several types, with chronic pharyngitis and acute pharyngitis being the more commonly encountered in clinical settings. In terms of treatment, chronic pharyngitis is currently difficult to cure completely. Generally, treatment focuses on controlling the condition, alleviating inflammation, and improving symptoms. The existing treatment methods primarily involve oral traditional Chinese medicine formulas, and may also include nebulization and dietary adjustments. Some patients may opt for traditional Chinese medicine treatments. However, overall, treatment mainly aims at control and relief, and it is still challenging to completely cure chronic pharyngitis with existing medical approaches. Acute pharyngitis, on the other hand, is generally treated with antibiotics or antiviral medications, typically over a period of about one week. Overall, the treatment results are quite good, but there can still be a certain degree of recurrence.

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Are laryngitis and pharyngitis the same?

Laryngitis and pharyngitis are common diseases in otolaryngology, occurring in different parts of the throat. Laryngitis primarily affects the mucous membrane and vocal cords of the larynx, causing congestion and swelling of the surface mucosa. The most typical symptom in patients is hoarseness, and some may experience coughing and phlegm among other related symptoms. Meanwhile, patients with chronic pharyngitis primarily present symptoms like a foreign body sensation in the throat, dryness, soreness, and a burning sensation. When these symptoms appear, an initial diagnostic step can be through a digital nasopharyngoscope to confirm the patient's condition, followed by symptomatic treatment with throat-soothing medications under a physician’s guidance. In daily life, it is also important to protect the voice by avoiding loud talking or shouting, and maintaining a light diet, which helps protect the mucous membranes of the throat from inflammation and prevent the aforementioned symptoms.

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How is acute pharyngitis treated?

The treatment of acute pharyngitis is based on its causes and symptoms. First, it is recommended to gargle with mouthwash, which helps alleviate some throat symptoms. Additionally, it is important to rest, drink plenty of fluids, consume a liquid diet, and avoid foods that are too hot or too harsh to reduce irritation to the throat. Also, minimize speaking to allow the vocal cords to rest thoroughly, which can help alleviate symptoms of hoarseness. In terms of medication, the treatment primarily involves anti-inflammatory and antiviral therapies. Doctors will select the appropriate medication based on your drug sensitivity, routine medication experience, and the seasonal characteristics of the outbreak. Nebulized inhalation treatment is also necessary, which can relieve swelling of the throat mucosa, reduce mucosal swelling, and has an anti-inflammatory effect. If the condition is severe, systemic antibiotics and corticosteroids may be added, and traditional Chinese medicine lozenges can be used to support symptomatic treatment.