Causes of Acute Pharyngitis

Written by Li Rui
Otolaryngology
Updated on September 09, 2024
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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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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.

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Written by Li Mao Cai
Otolaryngology
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Symptoms of Chronic Pharyngitis

Chronic pharyngitis is a very common disease in otolaryngology, and the symptoms described by patients at the time of consultation are also diverse. The most common symptoms include dry throat, sore throat, and a foreign body sensation in the throat. Many people describe that they can neither cough it out nor swallow it down. Others say there is a feeling of obstruction when swallowing. This sensation of obstruction when swallowing refers to the feeling of blockage when simply swallowing saliva, but there is no problem with eating or drinking water, which is also called a feeling of obstruction during dry swallowing. Some people also experience notable pain, especially during acute episodes of chronic pharyngitis. Additionally, some experience nausea or retching while brushing their teeth in the morning, among other symptoms. Furthermore, pharyngitis often accompanies other primary diseases or symptoms, such as post-nasal drip, vomiting white sticky phlegm, and some people experiencing snoring during sleep, all of which are direct or indirect symptoms of pharyngitis.

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Written by Zhang Jun
Otolaryngology
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Symptoms of acute pharyngitis

Acute pharyngitis is caused by a Coxsackievirus infection following a decrease in the body's immunity and resistance, leading to symptoms in the throat as well as general body symptoms. Patients will experience sudden high fever, with body temperature above 38°C, dizziness, headache, severe throat pain, primarily pain during swallowing. Additionally, patients may also experience dry throat, itching throat, a sensation of a foreign body in the throat, a sense of obstruction, a burning sensation, and irritative cough. The condition generally occurs in autumn and is more common in children. For treatment, patients should first go to the hospital for an examination using an electronic laryngoscope and complete a blood count test. If diagnosed with pharyngitis, symptomatic anti-inflammatory treatment should be administered. As it is generally a viral infection, symptomatic antiviral treatment can be effective. Additionally, nebulized inhalation is used to alleviate local congestion and edema. A light diet, avoiding spicy and irritating foods, generally leads to gradual recovery within about a week.

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Written by Li Mao Cai
Otolaryngology
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What are the symptoms of pharyngitis?

There are many symptoms of pharyngitis, and the specific symptoms can vary from person to person. The most common ones include the following. The first is a foreign body sensation, which is a sensation of a foreign object in the throat, feeling like there is always something that cannot be coughed up or swallowed, which is very typical. Another one is the empty swallow syndrome, meaning that some people feel like there is something that cannot be swallowed when swallowing saliva without food. Empty swallowing refers to just swallowing saliva in this way, feeling more and more like there’s something stuck as one swallows, which is similar to the foreign body sensation and is also a manifestation of the swallowing action. The third symptom is a dry and itchy throat. Some people also experience symptoms such as feeling nauseous and wanting to gag when brushing their teeth in the morning. Therefore, the symptoms of pharyngitis do not manifest exactly the same in everyone; some people may experience several symptoms, while others may have one predominant symptom.

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Written by Li Rui
Otolaryngology
46sec home-news-image

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.