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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Causes of Acute Pharyngitis

The causes of acute pharyngitis are various. Clinically, the most common cause is acute bacterial infection, followed by acute viral infections. It may also be related to poor resistance of the body or induced by a cold. Therefore, it is essential to first identify the specific pathogenic causes and conduct routine blood tests to examine the degree of redness and swelling in the throat. In terms of treatment, oral medication is generally preferred. Additionally, the use of traditional Chinese medicine and nebulization therapy can be considered for their supplementary therapeutic effects. After identifying the causes, timely treatment is necessary, along with regular follow-ups to monitor the recovery process.

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Symptoms of pharyngitis and cough

Pharyngitis is a relatively common otolaryngological disease with various clinical symptoms. Common symptoms include cough, phlegm, sore throat, and a foreign body sensation in the throat. A small number of patients may experience fever, swallowing obstruction, and difficulty breathing. Therefore, it is necessary to visit the otolaryngology department after the onset of symptoms. Routine blood tests and laryngoscopy can be performed to help determine the specific cause and severity of the condition. Targeted treatment can then be administered, generally considering oral medications and possibly complemented with nebulization therapy. Regular follow-ups are necessary during the treatment process to monitor the recovery of the condition.

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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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How to treat pharyngitis in children?

Pediatric pharyngitis can generally be caused by viral or bacterial infections. In cases where a viral infection is suspected, antiviral medications can be taken orally, and some traditional Chinese medicines that reduce throat swelling, clear heat, and detoxify can also be used; there are many varieties. If a bacterial infection is suspected, antibiotics such as cefuroxime and cefaclor should be used. It is also important to monitor body temperature and provide timely fever reduction treatment if fever is present. Medication must be administered under the guidance of a doctor.

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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.