How to treat chronic pharyngitis?

Written by Li Mao Cai
Otolaryngology
Updated on September 05, 2024
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Treating chronic pharyngitis is indeed a significant issue, and it's not something that can be explained in just a sentence or two. Some causes of chronic pharyngitis are direct, such as not paying attention to diet, poor sleep, or insufficient rest. Some are secondary pharyngitis, which requires active treatment of the primary disease. To address this issue fundamentally, one should first focus on a light diet, avoid smoking and alcohol, and avoid spicy and irritating foods—these are aspects to be mindful of in daily life. It's also important to pay attention to one's emotions; maintaining a calm demeanor, not rushing, avoiding getting angry easily, and not shouting are crucial. Being in a good mood is very important as it is part of actively treating the primary disease. Some primary diseases, such as chronic rhinitis, sinusitis, and gastroesophageal reflux disease, can cause pharyngitis. Therefore, to treat chronic pharyngitis, one should first effectively treat these primary diseases, and the chronic pharyngitis will naturally improve. Thus, the treatment of chronic pharyngitis involves a holistic, differentiated, and systematic approach.

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Written by Li Rui
Otolaryngology
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The difference between acute pharyngitis and chronic pharyngitis

The differentiation between acute pharyngitis and chronic pharyngitis mainly involves the following aspects: First, the onset duration. Generally, acute pharyngitis has a short onset, often sudden, and typically lasts about a week; whereas chronic pharyngitis tends to have a longer duration of illness, possibly involving repeated episodes, usually lasting from one to three months or more. Second, in terms of clinical symptoms, acute pharyngitis usually presents sudden onset of throat pain, which can be relatively severe; chronic pharyngitis may involve pain, but it is generally milder and recurrent, fluctuating, with some patients experiencing a sensation of a foreign body or itchiness in the throat. Third, it can be diagnosed through laryngoscopic examination.

doctor image
home-news-image
Written by Li Mao Cai
Otolaryngology
1min 12sec home-news-image

How to treat chronic pharyngitis?

Treating chronic pharyngitis is indeed a significant issue, and it's not something that can be explained in just a sentence or two. Some causes of chronic pharyngitis are direct, such as not paying attention to diet, poor sleep, or insufficient rest. Some are secondary pharyngitis, which requires active treatment of the primary disease. To address this issue fundamentally, one should first focus on a light diet, avoid smoking and alcohol, and avoid spicy and irritating foods—these are aspects to be mindful of in daily life. It's also important to pay attention to one's emotions; maintaining a calm demeanor, not rushing, avoiding getting angry easily, and not shouting are crucial. Being in a good mood is very important as it is part of actively treating the primary disease. Some primary diseases, such as chronic rhinitis, sinusitis, and gastroesophageal reflux disease, can cause pharyngitis. Therefore, to treat chronic pharyngitis, one should first effectively treat these primary diseases, and the chronic pharyngitis will naturally improve. Thus, the treatment of chronic pharyngitis involves a holistic, differentiated, and systematic approach.

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home-news-image
Written by Li Rui
Otolaryngology
57sec home-news-image

How is chronic pharyngitis diagnosed?

Examinations for chronic pharyngitis are mainly divided into two categories. The first is imaging endoscopy, and the second is blood tests. Imaging endoscopies include CT scans of the neck or larynx. Indirect laryngoscopy or fiber laryngoscopy are also types of endoscopic examinations. The main purpose of these exams is to assess whether there are any organic lesions in the pharyngeal and neck area, such as new growths in the pharynx or cysts and other tumorous changes. Blood tests primarily involve routine blood tests and inflammatory response proteins. The main purpose is to determine if there is an acute bacterial or viral infection and to assess the level of inflammatory response. Generally, these two types of examinations, when considered together, can definitively diagnose the condition.

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Written by Li Rui
Otolaryngology
1min 7sec home-news-image

Can pharyngitis be cured?

There are several types of pharyngitis, and the overall approach to treatment is primarily focused on symptom control. The more common types of pharyngitis include acute pharyngitis, chronic pharyngitis, and allergic pharyngitis. During the acute phase, it is advisable to consider a complete blood count to determine whether the infection is bacterial or viral. Once the type of infection is confirmed, targeted anti-infection treatment can be administered. For example, antibiotics are used for bacterial infections, and antiviral medications are considered for viral infections. For chronic pharyngitis, treatment generally involves nebulization and the use of traditional Chinese medicines. If the condition is mild, regular check-ups may suffice without the need for long-term medication use. However, for any type of pharyngitis, treatment currently focuses on controlling symptoms, stabilizing the condition, and alleviation. It is difficult to achieve a cure or prevent recurrence completely. (Medications should be used under the guidance of a doctor, based on the specific situation.)

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Written by Li Rui
Otolaryngology
1min 3sec home-news-image

Does acute pharyngitis cause fever?

Acute pharyngitis may cause a fever, but overall, the proportion of cases that develop a fever is relatively small. This is mainly because acute pharyngitis is caused by acute bacterial infections, with a small number of patients possibly experiencing concurrent acute viral infections leading to inflammation. Generally, the common symptoms include sudden onset of sore throat which may affect breathing or swallowing, such as a feeling of obstruction or a foreign body sensation in the throat. Some patients may experience fevers, typically seen in those with more severe inflammatory responses or who have been ill for a longer time without timely treatment. Generally, the fever is mild, though a small number of patients may experience high fever. The main treatment method is anti-infection therapy, and if the body temperature exceeds 38.5°C, it can be combined with antipyretic drugs. (Please consult a professional physician for medication use, and do not medicate blindly.)