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Abstract: This article describes a 30-year-old man who came to the clinic with “foreign body sensation in the throat for six months, aggravated for one month” and was diagnosed with chronic simple pharyngitis after relevant examinations. The patient was treated with active and reasonable medication, including budesonide suspension, six sacred pills, golden voice capsule and compound borax solution, and the foreign body sensation in the throat was significantly relieved after treatment.
Basic information】Male, 30 years old
Disease Type】Chronic simple pharyngitis
Hospital】Northern War Zone General Hospital
Date of consultation】October 2021
Treatment plan】Medication (Budesonide suspension, Ruxin pill, Golden voice and sound capsule, compound borax solution)
Treatment Period】Half a month
Treatment effect] The patient’s foreign body sensation in the throat improved significantly after medication and recovered well.
I. Initial consultation
In October 2021, a middle-aged man came to the clinic. After a thorough exchange of medical history with the patient, the patient, a teacher, often uses his voice excessively, loves spicy food, often stays up late, has irregular work and rest, and has had a foreign body sensation in his throat for half a year. In the past month, he felt that his symptoms were significantly worse, and he often needed to clear his throat to improve them, which seriously affected his work and life. After physical examination, further laryngoscopy was recommended. The results showed that the mucosa in the larynx was not significantly congested and hyperplastic, the bilateral vocal folds were smooth, with good movement and good closure, no abnormalities in the bilateral phial fissures and pear-shaped fossa, and no new growths in the larynx, so the patient was diagnosed as having chronic simple pharyngitis.
II. Treatment
During the treatment period, it is recommended to combine with compound borax solution or furacilin solution for timely gargling, and also inhalation with budesonide suspension for nebulization. In addition, during the treatment period, it is necessary to pay attention to the proper use of voice, pay attention to the use of voice rest, and ask patients to avoid eating spicy and stimulating food and not to stay up late.
III. Treatment effect
After a period of active treatment, the patient came for a review, and we were glad to see that the patient’s condition had improved significantly. The main reason was that the patient was very compliant, taking the medication regularly every day, and paying attention to diet and lifestyle changes, so the foreign body sensation in the throat was significantly reduced compared with that before the medication. The patient’s foreign body sensation and the habit of clearing the throat by force were improved, and the patient could return to normal life. However, it should be noted that excessive use of voice should be reduced during the treatment period due to occupational factors.
IV. Precautions
Chronic simple pharyngitis generally has a longer course and is prone to recurrence, but the patient in this case was able to follow the doctor’s orders and actively cooperate with the treatment. After a period of treatment, the patient’s review showed that the patient’s foreign body sensation in the throat had significantly improved, and it was good to see that the patient’s disease was developing in a more positive direction. Due to the patient’s occupational influence, it may be a trigger for the re-occurrence of chronic simple pharyngitis. Therefore, at work, the patient is advised to use his voice moderately and pay attention to rest; in daily life, avoid contact with dust and other irritating substances, especially the use of chalk chips at work, which needs to be guarded against; in addition, the patient is advised to quit smoking and drinking and to eat a light diet. Daily physical exercise to enhance physical fitness, can effectively reduce the chances of the onset of chronic simple pharyngitis.
V. Personal insight
Although chronic simple pharyngitis is a common clinical disease in ENT, it is particularly stubborn and often recurs. If a foreign body sensation in the throat occurs, prompt medical attention should be sought for symptomatic and cause-specific treatment to avoid delaying the condition. Patients must ensure a positive attitude in treatment and first perfect laryngoscopy to rule out any other lesions in the throat to avoid delays. After the lesion is clearly identified, it is recommended to actively give drug treatment, and the medication should be reviewed regularly during the medication period to avoid unauthorized discontinuation and regular and adequate medication. Maintain good habits in daily life, keep the humidity in the room, and avoid excessive use of voice at work.