OVERVIEW
OVERVIEW
Follicular pharyngitis is a common chronic pharyngitis. Clinically, it can be seen that the mucosa of the pharynx is congested and hypertrophied, and there is extensive connective and lymphoid hyperplasia in the mucosa or submucosa, with multiple granular lymphoid follicles in the posterior wall of the pharynx, or multiple follicles fused into one.
Whether medical insurance
Yes
Department
Otorhinolaryngology, Head and Neck Surgery
Clinical Symptoms
Foreign body sensation in the throat, dryness, swelling, blockage, itching, burning, irritation, slight pain, cough.
Harms
Untimely treatment or repeated attacks can cause the infection to spread upward leading to rhinitis, sinusitis, otitis media, and downward development can cause laryngitis, tracheitis, bronchitis and pneumonia.
Examination
Oropharyngeal and nasopharyngeal examination, blood test, throat swab culture and bacterial drug sensitivity test.
Diagnosis
Diagnosis is based on medical history, foreign body sensation, dryness, swelling, blockage, itching, burning, irritation and slight pain in the pharynx, combined with examination.
Treatment principle
Medication or laser treatment, supplemented by physiotherapy.
Curability
Symptoms can be relieved or alleviated with regular treatment.
Dietary advice
Do not eat too much fat, sweet, greasy, spicy and stimulating food, and prefer a light and nutritious diet.
Causes
Causes
It can be secondary to chronic simple tonsillitis and upper respiratory tract infection. In addition, it is related to repeated episodes of acute pharyngitis, excessive smoking and drinking, exposure to dust or harmful gases, consumption of irritating foods, and is prone to occur when the resistance is low.
Symptoms and Diagnosis
Typical symptoms
Foreign body sensation, dryness, swelling, blockage, itching, burning, irritation, slight pain in the pharynx, coughing, often spitting out mucus-like sputum lumps in the morning, and causing nausea.
Other symptoms
Mucus-like sputum clumps are often vomited in the morning and may cause nausea.
Diagnostic basis
Diagnosis is based on history, pharyngeal discomfort, examination of pharyngeal mucosal congestion and hypertrophy, lymphoid follicles in the posterior pharyngeal wall, and pharyngeal swab culture results.
Treatment
Treatment guidelines
Drug therapy, laser therapy, supplemented by other physical therapy such as ultrasonic nebulization therapy.
Medication
20% silver nitrate or chromic acid solution can be used to cauterize the enlarged lymphoid follicles.
Other treatments
Microwave physiotherapy, cryotherapy or laser therapy can be used, or laser radiofrequency instrument can be chosen to treat lymphoid follicles in the posterior pharyngeal wall. Ultrasonic nebulization therapy, local ultraviolet irradiation and diathermy are adjunctive treatments for hypertrophic pharyngitis.
Prognosis
With regular active treatment, most patients can recover gradually.
Nursing care
Daily care
1. Maintain oral hygiene and brush teeth in the morning and evening and after meals.
2. Adequate indoor temperature and humidity. Do not breathe with your mouth open.
3. Keep away from tobacco, alcohol and dust. Strengthen physical exercise to enhance physical fitness. Prevent respiratory infections and actively treat diseases of organs around the pharynx.
4. Reasonable arrangement of life and living, keep a relaxed mood. Avoid overwork, should ensure normal rest time.
Diet regulation
Diet should be light, pay attention to balanced nutrition.