Chronic pharyngitis: refers to chronic inflammation of the pharyngeal mucosa, which can manifest as chronic congestion of the pharyngeal mucosa, hypertrophy, and hyperplasia of the lymphatic follicles in the posterior pharyngeal wall. Patients often feel discomfort in the pharynx, dryness, itching, swelling and pain, secretions, easy dryness and vomiting, and foreign body sensation.
Chronic pharyngitis subtypes.
1. Chronic simple pharyngitis. Exhibits chronic congestion of the pharyngeal mucosa.
2, hypertrophic pharyngitis. The main manifestation is the pharyngeal mucosa congestion hypertrophy, submucosa with extensive connective tissue and lymphoid tissue hyperplasia.
3, chronic atrophic pharyngitis. The main manifestations are atrophy and thinning of the mucosal layer and submucosa, attachment of scabs to the posterior pharyngeal wall, and reduced secretion.
Etiology of chronic pharyngitis.
1, acute inflammatory disease is prolonged.
2, tobacco, alcohol, spicy stimulation, excessive speech, pharyngeal muscle fatigue.
3, the spread of inflammation in adjacent tissues: chronic rhinitis, sinusitis secretions reflux stimulation. Nasal obstruction stimulated by long-term open-mouth breathing. Adenoid inflammation, tonsillar inflammation induced.
4, chronic diseases: immune deficiency, diabetes, etc.
Also need to pay attention to.
1. chronic allergic pharyngitis: often with dry and itchy pharynx, cough, white sputum, aggravated by smoke stimulation, and often accompanied by allergic rhinitis.
2, reflux pharyngitis: patients suffer from reflux gastroesophageal disease, often at night during sleep gastric acid and the contents of reflux to the pharynx, irritating the mucous membrane of the throat, the patient is mostly free of stomach acid and other symptoms during the day, long-term treatment according to pharyngitis, but no effect.
3.Esophageal cancer: In the early stage of esophageal cancer, there is often discomfort in swallowing and foreign body sensation in the pharynx, which is often treated according to pharyngitis and delayed.
Treatment of chronic pharyngitis.
As a common channel for breathing and swallowing, the pharynx is responsible for a lot of work such as gas in and out, food swallowing, speech and vocalization, etc. Many chronic pharyngitis occur due to bad habits, therefore, the treatment of chronic pharyngitis is actually “three parts treatment, seven parts nourishment”.
1, quit bad hobby stimulation: spicy, tobacco and alcohol, strong tea, too much speech. The mucous membrane of the pharynx is congested and edematous, too much speech increases pharyngeal muscle fatigue, tea has a diuretic effect of dehydration, long-term consumption of large amounts of strong tea, can cause the pharynx dry;.
2, treatment of adjacent tissue lesions. Tonsils, adenoiditis, sinusitis should be treated promptly and thoroughly. antibiotics, antiviral treatment for acute inflammatory episodes in the pharynx.
3, you can choose to use the pharyngeal spirit tablets, golden voice and pharyngeal pill, pharyngeal flat particles conditioning treatment, pharyngeal dry pain can contain watermelon cream clear throat tablets, nebulized gold throat health, etc.. It is not recommended to take medication indiscriminately or for a long period of time because of the mix of pharyngitis drugs on the market. It is recommended to take medication to regulate the discomfort during the obvious period.
4, hypertrophic pharyngitis can be treated with local plasma ablation.
5, microwave, laser cauterization of pharyngeal lymphatic follicles is not recommended. The lymphatic follicle hyperplasia in the pharynx is caused by inflammation in the pharynx, the inflammation is reduced, the lymphatic follicle will also be reduced, recede, and not because of the follicles caused by pharyngitis, this cause and effect relationship should be clear. There is no clinical data to prove that cauterizing the lymphatic follicles in the pharynx can reduce and treat pharyngitis; on the contrary, cauterizing the lymphatic follicles can lead to local ulceration or fusion of lymphatic follicles into patches, aggravating local inflammation.
6. Active treatment of systemic diseases. Healthy living habits. Positive and optimistic mindset. Most people at some stage, at some time will have throat discomfort, “ten people nine pharyngeal (inflammation)”, steel beaten iron cast machines have damage, not to mention the muscles and mucous membranes, so optimism is important, appropriate rest, simple drug regimen can be, the more anxious concern, but the more serious symptoms will feel.
Differential diagnosis and examination are important
Electronic laryngoscopy to examine the nasal cavity, nasopharynx, and throat, and electronic gastroscopy to examine the esophagus and stomach, have become routine clinical examination items for chronic pharyngitis. It can effectively screen the pharynx, esophageal tumors, reflux diseases, etc.