Itchy throat

Introduction In the high season of chronic pharyngitis when the seasons alternate, patients often show dry itching of the throat, and some patients have symptoms of dry cough, which should be actively treated. Chronic pharyngitis is a diffuse inflammation of the pharyngeal mucosa, submucosa, and lymphoid tissue, often accompanied by other upper respiratory diseases, and is a very common pharyngeal disease in the human population. Pharyngeal discomfort, foreign body sensation, always feel that the throat is swallowed and can not spit out, stimulate cough, dry, bloated, blocked, itching.

Cause

(A), local factors: 1. Most of the recurrent or delayed treatment of acute pharyngitis turned chronic. 2. Suffering from various nasal diseases, long-term mouth breathing and nasal secretions due to nasal obstruction, resulting in long-term stimulation of the pharynx, or chronic tonsillitis, rickets and other effects.

(B), physical and chemical factors stimulate: such as dust, neck radiotherapy, long-term exposure to chemical gases, excessive alcohol and tobacco, etc. can cause the disease.

(C), systemic factors: a variety of chronic diseases, such as anemia, constipation, chronic inflammation of the lower respiratory tract, cardiovascular disease, metabolic disorders, liver and kidney disease can be secondary to this disease.

an examination

Related inspection

Otolaryngology CT examination of respiratory mucus-ciliary clearance function

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 was carefully examined, and patients with pharyngeal reverse sensitivity or inability to cooperate with the examination were examined by fiberoptic nasopharyngoscopy. Perform biopsy if necessary to confirm the diagnosis and queue up for nasopharyngeal tumors. X-ray film and brain CT or magnetic resonance imaging are helpful for differential diagnosis. Nasopharyngeal dry discomfort, sticky thick secretions are not easy to cough up, so patients often cough frequently with nausea. Severe cases have systemic or local symptoms such as hoarseness, sore throat, headache, dizziness, fatigue, indigestion, and low fever. Nasopharyngeal examination showed chronic hyperemia of the mucosa, hypertrophy and hypertrophy, covered with secretions or dryness.

Differential diagnosis

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

Second, it is hypertrophic pharyngitis. Mainly manifested as hypertrophy of the pharyngeal mucosa, extensive connective tissue and lymphoid tissue under the mucosa;

Third, it is chronic atrophic pharyngitis. The main manifestation is that the mucosal layer and the submucosa are atrophied and thinned, and the pharyngeal wall has suede adhesion and secretion.

Traditional Chinese medicine classifies the disease into three types that need to be identified:

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, painful tingling, deep red pharyngeal muscle membrane, often due to frequent clearing and disgusting discomfort. The tongue is red, the moss is yellow and greasy, and the pulse is slippery.

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. The tongue is red and less, and the pulse is fine. 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 was carefully examined, and patients with pharyngeal reverse sensitivity or inability to cooperate with the examination were examined by fiberoptic nasopharyngoscopy. Perform biopsy if necessary to confirm the diagnosis and queue up for nasopharyngeal tumors. X-ray film and brain CT or magnetic resonance imaging are helpful for differential diagnosis.

Nasopharyngeal dry discomfort, sticky thick secretions are not easy to cough up, so patients often cough frequently with nausea. Severe cases have systemic or local symptoms such as hoarseness, sore throat, headache, dizziness, fatigue, indigestion, and low fever. Nasopharyngeal examination showed chronic hyperemia of the mucosa, hypertrophy and hypertrophy, covered with secretions or dryness.

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