Chronic pharyngitis

Introduction to chronic pharyngitis Chronic pharyngitis (chronicpharyngitis) refers to diffuse pharyngeal lesions caused by chronic infection, mostly in adults, often accompanied by other upper respiratory diseases, often due to recurrent episodes of acute pharyngitis, rhinitis, sinusitis pus to stimulate the pharynx, Or nasal congestion and mouth breathing, all leading to the occurrence of chronic pharyngitis. Because the throat is the portal of the viscera, the rise of the visceral imaginary fire will also smother the throat, the hot air will not condense, and the throat will be dry, itchy, and the feeling of coughing out, plus some invasion and stimulation of external evils, can also gradually Developed into chronic pharyngitis. basic knowledge The proportion of illness: 0.3% Susceptible people: no special people Mode of infection: non-infectious Complications: acute rhinitis sinusitis acute otitis media acute laryngitis

Causes of chronic pharyngitis

Local factor (30%):

Mostly, the recurrence or delay of treatment of acute pharyngitis is chronic; suffering from various nasal diseases, long-term mouth breathing and nasal secretions due to nasal obstruction, causing long-term stimulation of the pharynx, or chronic tonsillitis, rickets, etc. .

Systemic factors (30%):

Various chronic diseases such as anemia, constipation, chronic inflammation of the lower respiratory tract, cardiovascular disease, metabolic disorders, liver and kidney disease can all be secondary to this disease.

Physical and chemical factors (30%):

Such as dust, neck radiotherapy, long-term exposure to chemical gases, excessive alcohol and tobacco, etc. can cause this disease.

Chronic pharyngitis prevention

Pay attention to oral hygiene, insist on brushing your teeth in the morning and evening and after meals, reduce the stimulation of tobacco, alcohol and dust. You also need to correct the bad habits of mouth breathing. Strengthen physical exercise, strengthen your body, prevent respiratory infections, use less alcohol and tobacco, and actively treat the surrounding organs of the throat. The disease, reasonably arranged life, keep the mood comfortable, avoid troubles and depression, keep the indoor temperature and humidity, fresh air, should eat light, have some foods such as fruits, fresh vegetables, green fruits, etc., often Contains four seasons throat tablets, mint throat tablets and so on.

Chronic pharyngitis complications Complications acute rhinitis sinusitis acute otitis media acute laryngitis

If pharyngitis is not treated in time, or repeated attacks, it can be converted to chronic; if the infection spreads up, it can affect the ear, nose, can lead to acute rhinitis, sinusitis, acute otitis media; downward development, can invade the lower respiratory tract such as the throat and trachea, causing Acute laryngitis, bronchitis, bronchitis and pneumonia; if pathogenic bacteria and toxins invade the blood circulation, it can cause systemic complications such as acute nephritis, sepsis, rheumatism, etc., which are extremely harmful to the body.

Chronic pharyngitis symptoms Common symptoms When brushing teeth, nausea, sore throat, lymphoid follicles, hyperplasia, throat, mucus, dizziness, throat, lymphoid follicular hyperplasia, pharyngeal congestion, indigestion, nausea, low fever

Nasopharyngeal dry discomfort, sticky thick secretions are not easy to cough up, so patients often cough frequently accompanied by nausea, severe cases of hoarseness, sore throat, headache, dizziness, fatigue, indigestion, low fever and other systemic or local symptoms, nasopharyngeal The department examined chronic mucosal hyperemia, hypertrophy and hypertrophy, and was covered with secretions or dryness.

Chronic pharyngitis examination

Detailed medical history, careful examination of the nasopharynx and hypopharynx, and necessary mechanical examination, especially to exclude nasal, pharyngeal, esophageal, and cervical recessive lesions, such as early malignant tumors, before the failure to rule out hidden lesions Follow up on the patient to avoid misdiagnosis.

In the pharyngeal examination, the mucosa is diffusely congested, the blood vessels are dilated, the color is dark red, and a small amount of sticky secretions are attached. The uvula is swollen or prolonged. The top of the nasopharynx often has mucus attached to the cognac. Carefully examine the hidden lesions of adjacent organs.

Diagnosis and diagnosis of chronic pharyngitis

Due to the slow development of the disease course and the concealed lesions, it is often difficult to confirm the diagnosis at an early stage. According to the clinical manifestations, the pharynx is carefully examined. For patients with pharyngeal reverse sensitivity or inability to cooperate with the examination, a fiber nasopharyngoscopy is performed, and if necessary, a biopsy is performed to clarify Diagnosis, queuing nasopharyngeal tumors, taking skull base X-ray films and brain CT or magnetic resonance imaging can help to differentiate the diagnosis.

First, it is chronic simple pharyngitis, which is characterized by chronic congestion of the pharyngeal mucosa;

Second, it is hypertrophic pharyngitis, mainly characterized by hypertrophy of the pharyngeal mucosa, extensive connective tissue and lymphoid tissue under the mucosa;

Third, it is chronic atrophic pharyngitis, which is mainly characterized by atrophy and thinning of the mucosal layer and submucosa, and the adhesion of the pharyngeal wall to the pharyngeal wall and the secretion is reduced.

Chinese medicine classifies the disease into three types:

First, yin deficiency fire type: pharyngeal discomfort, pain is faint, foreign body sensation, less sticky, accompanied by afternoon fever, waist and legs are sore, red tongue, pulse count.

Second, phlegm and blood stasis type: dry throat, pain is tingling, pharyngeal sarcolemma deep red, often due to frequent clearing and disgusting discomfort, red tongue, yellow greasy moss, slippery pulse.

Third, yin deficiency and dryness: dry throat is very itchy, burning and painful, pain can be suspended after drinking water, foreign body sensation is obvious, night dreams, tinnitus, red tongue, less tongue, pulse breakdown.

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