Is acute pharyngitis contagious?

Written by Deng Bang Yu
Otolaryngology
Updated on September 06, 2024
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Acute pharyngitis is an acute infectious inflammation of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Acute pharyngitis can occur independently or as part of an upper respiratory tract infection. In its early stages, acute pharyngitis is primarily a viral infection, or a mixed infection of viruses and bacteria. In the later stages of acute pharyngitis, bacterial infection often occurs secondarily. Acute pharyngitis is contagious and tends to occur mainly in winter or spring. The contagion is not by reverse transmission but is generally infectious. Wearing masks or avoiding close contact can generally prevent it, and special isolation measures are usually unnecessary for prevention.

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Written by Li Rui
Otolaryngology
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How long does acute pharyngitis take to heal by itself?

The recovery time for acute pharyngitis is generally about a week. Some patients can recover on their own, which typically takes about a week. However, some patients cannot recover on their own, especially those with severe acute inflammatory responses and prominent clinical symptoms, particularly when accompanied by significant acute bacterial or viral infections. In such cases, medication treatment is likely necessary. Relying solely on one's natural immunity might be relatively ineffective; therefore, considering timely targeted medication treatment is necessary. Additionally, the use of nebulization and traditional Chinese oral medications, regular blood tests, and laryngoscope examinations to monitor recovery are recommended. It is also advised to maintain a light diet and avoid smoking and drinking. (Note: Medications should be used under the guidance of a doctor based on the specific circumstances.)

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Written by Li Mao Cai
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Symptoms of acute pharyngitis

The symptoms of acute pharyngitis are multifaceted. Initially, the onset of the disease is quite sudden. The main symptoms start with dryness, heat, and liver pain, which is the most common description by patients. Furthermore, there is a sensation of a foreign object in the throat, leading to exacerbated pain when coughing. This pain is particularly noticeable during swallowing, making it difficult to even eat or swallow saliva. Additionally, this pain can radiate to the sides, commonly causing ear pain when chewing or eating, resulting in both throat and ear pain. Systemic symptoms can resemble those of a cold, such as mild fever, high body temperature, headache, loss of appetite, and general weakness.

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Written by Deng Bang Yu
Otolaryngology
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The differences between chronic pharyngitis and acute pharyngitis

There is a fundamental difference between the two; chronic pharyngitis is a chronic inflammatory disease, while acute pharyngitis is an acute inflammatory disease. Furthermore, the symptoms of chronic pharyngitis are not very prominent in clinical settings, presenting only as a foreign body sensation or other discomforts. In contrast, the symptoms of acute pharyngitis are quite significant, such as sore throat, and may even include systemic symptoms like chills and fever. Thirdly, during examination of chronic pharyngitis, one can observe congestion of the pharyngeal mucosa, which is a type of chronic congestion. However, the congestion in acute inflammation is acute and very pronounced. There are also significant differences in treatment. For chronic inflammation, the clinical approach mainly involves administering heat-clearing and detoxifying traditional Chinese medicines, and sometimes no medication is used at all; just focus on hydrating locally without the need for any special medication. In contrast, acute pharyngitis requires medication to manage the acute inflammatory symptoms. In summary, there are fundamental differences between chronic and acute pharyngitis, whether it is in symptoms, treatment, or the pathological state of the mucosa.

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Written by Deng Bang Yu
Otolaryngology
50sec home-news-image

Is acute pharyngitis contagious?

Acute pharyngitis is an acute infectious inflammation of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Acute pharyngitis can occur independently or as part of an upper respiratory tract infection. In its early stages, acute pharyngitis is primarily a viral infection, or a mixed infection of viruses and bacteria. In the later stages of acute pharyngitis, bacterial infection often occurs secondarily. Acute pharyngitis is contagious and tends to occur mainly in winter or spring. The contagion is not by reverse transmission but is generally infectious. Wearing masks or avoiding close contact can generally prevent it, and special isolation measures are usually unnecessary for prevention.

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Written by Zhang Jun
Otolaryngology
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Does pharyngitis cause a fever?

Pharyngitis generally involves fever symptoms in acute cases. Acute pharyngitis results from a lowered immune and resistance response, leading to viral or bacterial infections that cause both local symptoms in the throat and systemic symptoms. Patients may experience high fever, with body temperatures above 38°C (100.4°F), and severe throat pain, primarily during swallowing, leading to refusal to eat due to intense throat pain. Additionally, patients may feel a blockage or foreign body sensation in the throat. Upon examination with an electronic laryngoscope, the mucous membrane in the throat area can be seen as congested and swollen, especially around the soft palate and uvula. Pus-filled secretions may also be present on the posterior pharyngeal wall. Regarding treatment, if the patient's temperature exceeds 38°C, antipyretic medications are required; if below 38°C, wiping the body with warm water can be used. Anti-inflammatory treatment should also be administered based on symptoms, and recovery can generally be expected within a week. (Please use medication under the guidance of a professional physician.)