The larynx is the vocal part and the pharynx is the resonant cavity. Chronic pharyngitis is not hoarse, and hoarseness is the main symptom of chronic laryngitis, so the term “chronic pharyngitis” is inaccurate. Chronic pharyngitis is a diffuse inflammation of the pharyngeal mucosa and submucosal lymphoid tissue, and it is not equal to tonsillitis. The current lack of targeted treatment for chronic pharyngitis, rather than expecting a “one-size-fits-all” cure, it is better to take a multi-pronged approach to improve the inflammation of the pharynx from life, care and other aspects. The actual fact is that you can find a lot of people who have been in the business for a long time. With chronic pharyngitis, some people often feel “sore throat”, which is mostly relieved when drinking or eating, some people have a foreign body feeling in the throat, but the foreign body seems to slide around in the throat, the location is not fixed, some people frequently dry cough and clear throat, some people often cough and cough phlegm, some people often feel itchy throat, tight feeling in the neck, can not wear high-collared clothes, some people feel The pharynx is like a fire, burning sensation, obstruction is difficult to eliminate. There are many factors that lead to chronic pharyngitis, from the local point of view, repeated episodes of acute inflammation into chronic inflammation, chronic rhinosinusitis and other adjacent areas of chronic inflammation, the stimulation of tobacco, alcohol, chemical substances, spicy substances, and incorrect vocalization can lead to chronic pharyngitis. Systemic diseases can also trigger pharyngeal discomfort. Sub-healthy people who are easily fatigued, insomnia, stressful, and have irregular diets, and people suffering from depression are particularly sensitive to pharyngeal discomfort because they are emotionally volatile, sensitive, worried, and have an amplified sense of organismal discomfort. Endocrine diseases can also trigger pharyngitis, for example, mucus edema of submucosal tissues caused by hypothyroidism, which can scour the pharynx. The pharyngeal mucosa can also become flaccid and dry during menopause due to a decrease in sex hormone levels. In anemic people, mucosal edema, fatigue and decreased resistance are also factors that trigger pharyngitis. Obstructive sleep apnea hypoventilation syndrome (OSAHS), commonly known as snoring, is a condition in which the patient snores continuously at night, and the pharynx is “overworked” and dry from open-mouth breathing. In addition, dry weather is also a trigger for OSAHS. In addition, dry weather is also a trigger for pharyngitis. Many people make the same treatment mistakes! The first thing you need to do is to get a good idea of what you’re doing. Chronic pharyngitis does not cause malignant tumors such as tonsil cancer, hypopharyngeal cancer, esophageal cancer, etc. Some nephritis patients are worried that chronic pharyngitis patients are worried about aggravating nephritis. In fact, there is no absolute relationship between nephritis and chronic pharyngitis, but only with streptococcal bacterial infection of pharyngitis, through the “cure” of chronic pharyngitis to achieve treatment or reduce kidney damage is not advisable. In addition, chronic pharyngitis does not lead to a decline in immune function. Mistake 2: mistaking these diseases for pharyngitis To diagnose chronic pharyngitis, a diagnosis needs to be made based on medical history, symptoms, and pharyngeal examination. Some people may ask, “I have chronic pharyngitis, is it necessary to do CT, MR, PET-CT, esophagogram, electronic laryngoscopy, electronic gastroscopy, ultrasound, histopathology, and blood tests?” Doctors will perform the necessary tests on a case-by-case basis with the aim of ruling out other diseases that have similar symptoms to chronic pharyngitis. What diseases have similar symptoms to chronic pharyngitis? 1. Tonsillitis. Tonsillitis is a structure in the pharynx that is lymphatic tissue. Symptoms of acute tonsillitis include sore throat, aggravated by swallowing food, accompanied by fever. Chronic tonsillitis is similar to chronic pharyngitis, and the gold standard for diagnosis is recurrent episodes of acute tonsillitis. 2. Chronic rhinosinusitis. Patients have more pus, nasal congestion, nasal reflux, pharyngeal foreign body sensation and coughing sputum, but examination of the nasal cavity and nasopharynx can reveal purulent secretions and can be diagnosed by nasal endoscopy and sinus CT, which can be treated by medication and surgery. 3. Stromal overgrowth syndrome. The manifestation is a fixed side of the pharyngeal heterosensitivity, pharyngeal examination can be found in the tonsils with palpable strips of bony protrusions, the stem is long not all need surgery, according to the specific circumstances of the patient and the results of the examination, to determine the treatment plan. 4, pharyngeal reflux disease. Pharyngeal reflux disease is a general term for a series of symptoms and signs in the throat caused by reflux of gastric contents (pharyngeal reflux syndrome). Patients present with throat clearing, persistent cough, hysteria, along with sore throat, sputum, bad breath, breathlessness, and unfavorable swallowing. Not all pharyngitis associated with GERD is accompanied by GI symptoms, and to confirm the diagnosis, 24-hour gastric acid test and other related tests can be performed. 5. Early symptoms of pharyngeal and esophageal malignant tumors. Tonsil cancer, hypopharyngeal cancer, esophageal cancer can be distinguished from chronic pharyngitis after medical history and examination. Mistake #3: Rushing into a “one-size-fits-all” approach During the lecture, some people were concerned about whether chronic pharyngitis could be treated by removing lymphatic follicles from the back wall of the pharynx. “This is not recommended! Although there are now laser and plasma methods to do ‘minimally invasive’, the follicles tend to regenerate when done shallow, and scarring when done deep, bringing a sense of tugging and discomfort to the pharynx.” 4 recommendations for the correct treatment of chronic pharyngitis Chronic pharyngitis treatment, there is really no highly targeted approach, but only through etiological treatment, a healthy lifestyle, psychological treatment, appropriate food therapy, strengthening exercise and Chinese herbal medicine symptomatic treatment to improve. Suggestions: 1, for speech fatigue caused by pharyngeal discomfort patients can practice vocal Slow deep inhalation, slow breathing speech, slow down the speed of speech, reduce pharyngeal mucosa, muscle fatigue, improve pharyngeal symptoms. 2, antibiotic treatment is not advisable Because chronic pharyngitis is not a bacterial infection, so the use of antibiotics to treat chronic pharyngitis is not advisable. 3, drug relief throat local medication with tablets, gargle, spray throat, etc., but it is not recommended to often contain throat tablets, not to mention as “chewing gum” every day to eat. 4, the throat to relieve throat discomfort cold water to relieve dry throat is not very useful, available warm water, or Luo Han Guo, Chen Pi punch water to relieve symptoms.