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Abstract: Chronic pharyngitis has a long course and stubborn symptoms, and is difficult to cure completely. The main manifestations are foreign body sensation and burning sensation in the throat, which require early diagnosis through face-to-face examination and clinical manifestations, and timely intervention to avoid aggravating the symptoms with unauthorized medication. In this paper, the patient had a foreign body sensation in the throat for 2 years and did not improve after self-medication. After seeking medical attention, the foreign body sensation in the throat improved significantly after active medication, including Liushenwan, Budilan Anti-inflammatory Oral Liquid, and Kaijian.
Basic information】Female, 50 years old
Disease Type】Chronic simple pharyngitis
Hospital】Northern War Zone General Hospital
Date of consultation】September 2021
Treatment plan】Medication (Liushenwan, Pudilan anti-inflammatory oral liquid, Kaijian spray)
Treatment period】2 weeks of outpatient treatment
Treatment effect] The patient’s foreign body sensation in the throat improved significantly after drug treatment, and he recovered well.
I. Initial consultation
In September 2021, a 50-year-old female patient came to the clinic. I fully exchanged medical history with the patient, and the patient reported that she had a foreign body sensation in her throat for 2 years, and whenever symptoms appeared or were severe, she took anti-inflammatory drugs by herself, but after stopping the drugs, the foreign body sensation in her throat appeared again, and her condition was so repeated. In the last half month, the patient’s foreign body sensation was significantly aggravated, and the mucous secretion in the oral cavity increased, and he was sleepless all night and had a poor mental state during the day. On examination of the larynx, we found diffuse mucosal congestion and lymphoid follicular hyperplasia in the posterior pharyngeal wall, and no occupying changes were seen on laryngoscopy.
II. Treatment history
The laryngoscopic examination showed that the mucosa of the larynx was not significantly congested, the vocal cords were smooth with good movement, the nasopharynx and bilateral pear-shaped fossa were not abnormal, and there were no occupying changes in the larynx, so the patient was diagnosed with chronic simple pharyngitis. Based on the patient’s condition, medication was recommended, and the patient should take regular oral Ruxin Pill, Pudilan Anti-inflammatory Oral Liquid or use Open Throat Sword Spray. After half a month of medication, the patient’s foreign body sensation in the throat improved significantly, and thereafter continued to consolidate treatment for half a month.
III. Treatment effect
The patient said that the foreign body sensation in the pharynx was significantly reduced after 1 week of medication, and the sleep condition at night was also significantly improved. 2 weeks later, the patient’s quality of life was greatly improved when the congestion in the pharynx was significantly improved during physical examination, and the lymphatic tissue hyperplasia in the posterior pharyngeal wall was also better than before. As chronic simple pharyngitis is prone to recurrence due to seasonal and climatic factors, patients are advised to take a full course of medication to avoid recurrent attacks of chronic simple pharyngitis.
IV. Precautions
After the patient’s visit, the pharyngeal discomfort was significantly improved, and we are glad that we could help the patient to solve the problem that has been bothering him for 2 years and improve his quality of life. However, during the treatment period, attention should be paid to strengthening nutrition, mainly light and nutritious, avoiding spicy stimulation; increasing indoor humidity, avoiding dust or other harmful gases; actively adjusting the mentality and adjusting sleep. Regular review with the doctor to adjust the dosage of medication or to confirm whether it is necessary to change the treatment. Patients should observe the changes of their symptoms during the medication period, and if there is any discomfort, it is recommended to go to the hospital and communicate with the doctor to solve the problem in time.
V. Personal insight
Chronic simple pharyngitis is a common disease in ENT clinics, but it is often not taken seriously and the persistence of foreign body sensation in patients can affect their personal emotions and form a vicious circle. It is recommended to visit the hospital promptly, and the foreign body sensation in the throat can be improved significantly by examining the body and perfecting laryngoscopy to exclude other pathologies and actively taking medication. And do not be like the patient in the case, self-medication condition is not completely solved, resulting in the recurrence or even aggravation of the condition. Daily life should keep the room clean and avoid excessive use of the throat leading to chronic simple pharyngitis.