There are acute and chronic pharyngitis. Chronic pharyngitis is a diffuse chronic inflammation of the pharyngeal mucosa, submucosal tissue and lymphatic tissue, often as part of chronic inflammation of the upper respiratory tract, and is a common disease in otolaryngology.
There are many causes of chronic pharyngitis, the main ones are as follows.
1, repeated episodes of acute pharyngitis turned chronic.
2, a variety of nasal disease, long-term open-mouth breathing and post-nasal flow, often stimulating the pharynx; or by chronic tonsillitis, oral dentistry.
3, excessive smoking and alcohol, or stimulated by dust, harmful gases, often eat spicy and irritating food.
4, occupational factors and physical factors can also cause this disease.
5, some chronic systemic diseases, such as anemia, constipation, chronic bronchitis, bronchial asthma, reflux gastritis, esophagitis, etc., in addition to endocrine disorders, plant nervous disorders and immune dysfunction can be secondary to the disease.
What is the difference between acute pharyngitis and chronic pharyngitis in terms of symptoms and signs?
Acute pharyngitis has an acute onset, with a dry, burning pharynx followed by pain, and generally mild systemic symptoms, including fever, headache, loss of appetite, and aching limbs. In case of septic pharyngitis, the systemic and local symptoms are more severe. Local examination shows acute diffuse congestion and swelling of the pharyngeal mucosa, edema of the uvula, redness and swelling of the lymphatic follicles and lateral cords of the posterior pharyngeal wall, and yellowish-white dotted exudate on the posterior pharyngeal wall in severe cases.
Chronic pharyngitis has a long course and is characterized by local symptoms, but generally systemic symptoms are not obvious. There may be foreign body sensation, itching, burning sensation, dryness or slight pain in the pharynx. The secretions may be more or less, often adhering to the back wall of the throat, often like to clear the throat, or even cause an irritating cough, more obvious in the morning, easy to produce nausea. The above symptoms vary from person to person and vary in severity.
Chronic pharyngitis is divided into three types: chronic simple pharyngitis, chronic hypertrophic pharyngitis, chronic atrophic pharyngitis.
1, chronic simple pharyngitis: clinically more common, the pharynx mucosa diffuse congestion, dark red, small blood vessels dilated, the back wall of the pharynx with a small amount of sticky secretions.
2, chronic hypertrophic pharyngitis: pharyngeal mucosa thickening, diffuse congestion, crimson, posterior pharyngeal wall lymphoid follicles hyperplasia, or even fusion into a sheet, pharyngeal lateral cord hyperplasia hypertrophy.
3, chronic atrophic pharyngitis: mostly due to the downward spread of atrophic rhinitis, the pharyngeal mucosa is dry, atrophy thinning, severe posterior pharyngeal wall color as bright as wax paper, and there is pus crust attached. Pharyngeal sensation and reflexes are diminished.
Difference between pharyngitis and plum pneumonia.
Plum pneumonia in Chinese medicine refers to a disease characterized by a foreign body feeling in the pharynx such as plum nucleus obstruction, which is not coughing and not acting. Western medicine is often called neurosis or hysteria. Although it does not affect the normal physiological functions such as breathing and swallowing, the foreign body sensation in the throat often makes patients worried and overburdened with mental burden, and even have serious cancer-phobia, which affects their normal work and life, and its symptoms are mostly aggravated when they are uncomfortable and depressed. There is no obvious abnormality in pharyngeal and laryngeal examinations, barium esophagogram and esophagoscopy. Mostly due to mental factors.
Pharyngitis and foreign body sensation in the pharynx
Foreign body sensation in the pharynx is an abnormal sensation of foreign body, occlusion, pressure, itching, dryness, burning and other discomfort in the pharynx or larynx, which may be caused by minor stimulation of sensory nerve endings in the pharyngeal plexus to the pharyngeal wall, or by nerve reflexes.
Foreign body sensation in the pharynx is a common symptom of chronic pharyngitis, and similar symptoms can occur in many diseases other than chronic pharyngitis.
1, pharyngeal lesions: direct stimulation of the sensory nerve endings of the pharyngeal wall caused by this symptom, such as pharyngitis, tonsillar disease, excessive length of the uvula, pharyngeal tumors, sinusitis, etc.
2, pharynx adjacent parts of the lesion: stimulation due to the movement of the pharyngeal wall, but also often cause foreign body sensation in the pharynx. For example, cervical lymphadenitis, carotid arteritis, hyperostosis, goiter, cervical hyperplasia, esophageal chamber, reflux esophagitis, etc.
3.Distal site lesion: The symptoms can be caused by vagus nerve or other related nerve reflexes and transmission, such as gastroduodenal ulcer, gastric prolapse, hypertension, heart disease, etc.
4, functional lesions: no organic causes can be found, often called pharyngeal heterosensitivity, related to mental factors, plant nervous disorders, endocrine dysfunction and metabolic disorders.
Talk about allergic pharyngitis laryngogenic cough
Allergic pharyngitis is a pharyngeal disease with itchy throat and cough as the main clinical manifestations, also known as laryngogenic cough, which has a high incidence in recent years, but many people do not know enough about it, resulting in failure to treat and mistreatment.
Allergic pharyngitis is characterized by: cough with pharyngeal itch, coughing when itchy, choking and coughing bouts, foreign body sensation in the pharynx, little or no sputum, coughing mostly occurs before bedtime or in the morning and can be triggered by irritating odors; some patients have a history of colds or exposure to irritants (including new house renovation, etc.) before the onset of the disease; patients have had other allergic diseases, and some patients have a history of laser, microwave and freezing treatments in the pharynx. The examination shows congestion in the pharynx, hyperplasia of lymphatic follicles in the posterior pharyngeal wall, and enlargement of the lateral pharyngeal cord, and chest radiographs are often unremarkable. The disease often appears after an upper respiratory tract infection, and the symptoms of upper sensation gradually disappear with treatment, but the cough persists.
Allergic pharyngitis, also known as allergic pharyngitis, is a type of pharyngitis, which is believed by Chinese medicine to be caused by external wind-heat, or mismanagement, abuse of sweet and moist products, or phase fire, floating over the clear orifices, and the treatment of this disease on the basis of dialectical treatment, in addition to self-designed Chinese medicine for internal use, localized with drug nebulizer inhalation and anti-allergic drug therapy, most of which can achieve better results.
Therefore, when you have symptoms similar to the above, do not blindly use a lot of anti-inflammatory cough syrup, should promptly go to the ENT department for examination and treatment, and try to stay away from allergens that may trigger the disease, avoid eating spicy, sweet and sour products, adhere to the morning gargle with light salt water, etc., in order to prevent the delay of the disease, and become other diseases.
The treatment of chronic pharyngitis.
1, etiological treatment: eliminate various causative factors, treatment for the cause, such as the cessation of smoking and alcohol, prevention of recurrent attacks of acute pharyngitis, active treatment of various nasal diseases, improve the working environment, etc., can make the symptoms ease or disappear.
2, local treatment: according to the specific situation and different types of symptomatic treatment, such as the use of drug gargle, containing chemical, 2% iodine glycerin coating, ultrasonic nebulization, etc., local laser, microwave, cryotherapy, etc. Here to remind patients that not all chronic pharyngitis is suitable for laser, microwave, freezing treatment, laser, microwave, freezing treatment of chronic pharyngitis, is through the laser or microwave heat generated by the pharynx and tongue root hyperplasia of lymphatic follicle cauterization and gasification to achieve the purpose of treatment, only adapted to chronic hypertrophic pharyngitis, chronic atrophic pharyngitis is absolutely not to use laser, microwave and freezing treatment.
Atrophic pharyngitis can be applied locally with 2% iodine glycerin, and systemic treatment by often taking vitamin A, B2, C, E, etc. to promote the growth of mucosal epithelium, while improving symptoms.
3.Chinese herbal medicine treatment.
Why eat a lot of antibiotics and the symptoms of chronic pharyngitis but no significant improvement?
We have already talked about the many causes of chronic pharyngitis, while bacterial pathogenesis is less, some scholars found through the results of bacterial culture of pharyngeal secretions in 224 cases of chronic pharyngitis patients, the rate of infection of pathogenic bacteria in chronic pharyngitis is very low, only 6.7%, pathogenic infection is not the main cause of chronic pharyngitis, which may be the main reason for the poor effect of treatment with antibiotics alone in chronic pharyngitis. In addition, it has recently been found that reflux gastritis, esophagitis and other important causes of reflux pharyngitis, in clinical patients with chronic pharyngitis pharyngeal heterosensitivity with general treatment effect is not obvious, with acid suppressants and pro-motive drugs can obtain good therapeutic effect.
Chronic pharyngitis generally has a long course, the symptoms are stubborn, so the treatment should be patient, and at the same time pay attention to quit smoking and alcohol, avoid spicy hair and mutton and other hot food, as little as possible to eat sweets, tablets, etc., adhere to the daily morning light salt water gargle, prevent upper respiratory tract infections, maintain a relaxed mood, etc.
Single prescription therapy
1, silver flower 10g, orris 6g, maitake 6g, fat sea 10g, etc., a small number of times a day, drink as tea, thicker tongue, maitake not.
2. 10g of silver flower, 10g of ginseng, 10g of green fruit, decocted a few times a day, drink in place of tea.
3, Dendrobium 10g, Silver Flower 10g, Yuan Shen 15g, Glycyrrhiza glabra 5g in appropriate amount, decoction to drink as tea substitute, for dry and painful throat.
4, green fruit 3, white radish 30g with boiling, with soup with green fruit, radish to take. Used for pharyngeal congestion, foreign body sensation, phlegm in the throat.
5, fried coix seed 15g, raw astragalus 15g, a small number of times a day, drink in place of tea, for dry throat, limbs weakness, more dilute stool.
6, pear, fresh lily a little each, add water and boil, a small bowl daily. Fresh root juice drink a little daily.
7, mint 10g boiled in water for 5 minutes, daily with mint water for eggs, once a day.