How is chronic pharyngitis diagnosed?

Written by Li Rui

Otolaryngology

Updated on September 12, 2024

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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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How to completely cure chronic pharyngitis?

Chronic pharyngitis currently cannot be completely cured. Generally, the approach is to control symptoms, alleviate the condition, and improve clinical manifestations. With the existing medical methods, whether it is Chinese medicine or Western medicine, the focus is on control, as current measures cannot achieve a complete cure. Chronic pharyngitis is primarily caused by chronic inflammation in the throat area. This disease is a relatively common chronic illness, and the nature of the disease determines its recurrent nature, which may also be accompanied by fluctuations in clinical symptoms. Overall, the treatment mainly involves oral medications, supplemented by nebulization. Lifestyle and dietary adjustments are also necessary. It is a common disease and does not pose a significant risk to overall health. Regular follow-up with laryngoscope examinations generally allows for control and stabilization of the condition.

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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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Otolaryngology

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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.)

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Written by Li Rui

Otolaryngology

1min 1sec

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Symptoms of acute pharyngitis

The symptoms of acute pharyngitis are quite numerous, mainly due to bacterial infections, which are sudden. This easily leads to sore throat, foreign body sensation, and burning sensation. Some patients may have a severe inflammatory response, causing fever, and possibly even high fever. Due to significant throat swelling and pain, some patients may also experience difficulties in normal breathing and swallowing, leading to shortness of breath and a sensation of swallowing obstruction. Overall, the treatment is primarily focused on anti-infection. In addition, consideration can be given to combining nebulization and traditional Chinese medicine for treatment. The treatment period is about one week, and a bland diet is necessary, avoiding spicy and irritating foods, with regular ENT follow-ups. (For specific medication, please take drugs under the guidance of a professional physician and do not medicate blindly.)

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Written by Deng Bang Yu

Otolaryngology

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Does pharyngitis spread?

Pharyngitis refers to the acute and chronic inflammation of the pharyngeal mucosa, submucosal tissue, and local lymphatic tissue. Clinically, it mainly presents as a sore throat or a foreign body sensation in the throat, among other discomforts. Acute pharyngitis should be noted for its certain contagiousness, primarily due to viral infections, bacterial infections, or a combination of both, thus it is contagious. Appropriate precautions such as isolation measures, like wearing masks, should be considered. As for chronic pharyngitis, it is not contagious, so special isolation measures are not necessary. Regarding pharyngitis accompanying other diseases, such as reflux pharyngitis which may also involve Helicobacter pylori infection of the stomach, some literature reports suggest that Helicobacter pylori can be contagious during chronic pharyngitis, but this has not been fully confirmed and is only based on some reports. In summary, acute pharyngitis is confirmed to be contagious, while chronic pharyngitis is currently not contagious.