Chronic pharyngitis systemic symptoms are not obvious, local symptoms are mainly, discomfort, foreign body sensation, itching, burning, dryness or irritation in the pharynx, there can also be a slight pain, because the back wall of the pharynx is often more viscous secretion stimulation, often in the morning when you get up more frequent irritating cough with nausea, cough often no secretions, that is, dry cough, long-term cough can make the symptoms worse, some patients can be accompanied by swallowing Sometimes the mucous membranes can bleed, and patients can cough up bloody secretions and often feel frightened. These symptoms are often aggravated by excessive use of the voice, sudden changes in climate or cold air. In some patients, prolonged speech can trigger acute pharyngitis. Chronic pharyngitis can spread upward to the eustachian tube, resulting in tinnitus or hearing loss, and downward to the larynx, resulting in hoarseness, and some patients are seen clinically to have changes of chronic pharyngitis on local examination but no conscious symptoms, which may be related to tolerance.