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Abstract: The occurrence of chronic simple pharyngitis is often associated with poor lifestyle habits such as smoking and alcohol consumption, and the environment can also have an impact on it. Early diagnosis and timely intervention are needed through physical examination and laryngoscopy. The patient in this episode is a 37-year-old male who came to the clinic with a foreign body sensation in the throat for 3 years, aggravated for 1 month, during which time he was not treated. After diagnosis, the patient was given pharmacological treatment, including compound tinidazole solution, silver yellow containing tablets and golden voice opening capsule, etc. The symptoms improved significantly after treatment.
Basic information】Male, 37 years old
Disease Type】Chronic simple pharyngitis
Hospital】Northern War Zone General Hospital
Date of consultation】November 2021
Treatment plan】Medication (compound tinidazole solution, silver yellow tablets, golden voice capsule, throat-opening sword spray)
Treatment Period】Outpatient treatment for half a month
Treatment effect] The foreign body sensation in the throat disappeared after medication.
I. Initial consultation
In November 2021, a 40-year-old man came to the clinic. The patient described himself as a construction worker who was often exposed to dust and had an irritating cough, but due to his occupation, he did not pay special attention to it; he also had bad habits of staying up late, smoking, drinking alcohol and irregular work and rest. At the time of consultation, he had not been concerned about the foreign body sensation in the throat for 3 years, but in the past month, he felt that his symptoms were significantly aggravated and his cough had blood in the sputum, so he was very worried about his health condition and came to the clinic for further treatment.
On examination, the mucous membrane in the oral cavity was found to be congested and thickened, with multiple scattered protrusions or fused masses; laryngoscopy showed no obvious occupancy and tumors were excluded, so the diagnosis was chronic simple pharyngitis.
II. Treatment history
After the patient visited the doctor, the first local examination was performed, and it was found that the mucosa in the oral cavity was chronically congested, the lateral pharyngeal bundle was congested and swollen, and there were multiple scattered protrusions, there was mucus adherence in the oral cavity, and the odor of the oral cavity was obvious; laryngoscopy revealed that there were gaps in the vocal fold closure, no abnormalities in the bilateral phial fissures and pear-shaped fossa, and there was no neoplastic growth of polyps or cysts in the larynx, which could be diagnosed as chronic simple pharyngitis. After a brief communication with the patient, he was advised to manage two aspects to improve his symptoms. First, it is recommended to gargle with compound tinidazole solution to reduce bacterial growth in the mouth, and daily use of silver yellow tablets to relieve the symptoms of dry and itchy pharynx, as well as oral administration of golden voice open tone capsule and also use of open throat sword spray. For daily work, it is recommended to wear a mask to avoid the entry of drug dust. Through half a month of regular medication, the patient’s foreign body sensation in the pharynx has improved significantly.
III. Treatment effect
Two weeks after the patient’s visit to the doctor, a review showed that the mucous membrane of the pharynx was not significantly congested, the swelling of the lateral pharyngeal bundle disappeared, scattered lymphoid follicles in the posterior pharyngeal wall existed, and the more serious foreign body sensation in the pharynx, irritating cough, and blood in the sputum basically disappeared. The patient himself explained that he had actively taken medication after medical treatment and had given up the bad habit of smoking, and would wear a mask at work as prescribed by the doctor to help reduce the effects of dust.
Fourth, precautions
Chronic simple pharyngitis usually takes a long time to start and is not easily cured. We are glad that this patient has followed the doctor’s advice, and with active and effective treatment, the foreign body sensation and discomfort in the throat have been significantly relieved. For this patient, due to the specificity of his occupation, there is a possibility of re-occurrence, therefore, after treatment should also be vigilant, when working, do the necessary dust protection, wear a dust mask; life, less late at night, pay attention to rest. Avoid spicy and irritating food, and eat more fresh vegetables and fruits.
V. Personal insight
Chronic simple pharyngitis is not a big problem, but the clinical symptoms are particularly stubborn and easy to repeat, which may affect the normal work and life of patients. Therefore, daily life should do a good job of prevention, reduce contact with irritating dust, gas, less smoking, maintain a good indoor environment, pay attention to the humidity at home and timely adjustment. If the symptoms of chronic simple laryngitis appear, you should immediately consult a doctor, clarify the lesion by examination or laryngoscopy, and give medication, and patients should not use or stop medication without permission during treatment, and follow the doctor’s instructions. During the treatment period, maintain good raw good eating habits, living habits, to avoid recurrence of the disease, can be appropriate exercise to enhance their own resistance.