Burning pain in throat

Introduction Pharyngeal burning pain is a symptom of viral pharyngitis. The acute onset of viral pharyngitis is urgent. First, there are needle-sized herpes in the pharynx and oral mucosa, tonsils and mouth. They are round or oval, isolated or clustered together, and quickly rupture to form shallow ulcers. Light yellow pseudomembrane, the surrounding mucosa is bright red, accompanied by chills, fever, pharyngeal burning pain.

Cause

Etiology

There are many kinds of pathogens, and herpes virus is more common. In addition, there are adenovirus, coronavirus, and syncytial virus. The virus is a circular body under electron microscopy and has a diameter of about 180 m. When overworked, allergic quality, sudden temperature changes, body cold or some physical and chemical factors such as mercury, Kun, sputum, iodine, etc., the body's resistance is low, susceptible to the disease. In addition, acute rhinitis, pneumonia, influenza, malaria, epidemic meningitis, etc. can be associated with toxic pharyngitis.

[pathological changes]

The lesions are edema and swelling of epithelial cells, causing the epithelial layer of the epidermis to bulge, forming blisters, containing a large number of multinucleated white blood cells and serum, and there are eosinophilic inclusions in the nucleus. The vesicles quickly rupture, forming a shallow ulcer with a surface covered with inflammation. Sex cells, red blood cells or necrotic tissue.

an examination

Related inspection

Nasopharyngeal MRI examination of otolaryngology CT examination

Examination of pharyngeal burning pain

Check the pharyngeal and oral mucosa, tonsils and mouth angles, such as the size of the herpes, round or oval, isolated or clustered together, quickly ruptured to form a shallow ulcer, the surface is covered with a pale yellow pseudomembrane, the surrounding mucous membrane is bright red color.

Differential diagnosis

Symptoms of pharyngeal burning pain

Paraesthesia pharyngis (paraesthesia pharyngis) is a common clinical symptom, which can be caused by organic disease or non-organic. The latter is more likely to be female in 30-40 years old. I feel that there are abnormal feelings such as foreign body, occlusion, oppression, discomfort, dryness, stenosis, and burning in the pharynx, but the swallowing diet is not harmful. Tongue and throat burning sensation: dry tongue, throat and hot, followed by pain.

Check the pharyngeal and oral mucosa, tonsils and mouth angles, such as the size of the herpes, round or oval, isolated or clustered together, quickly ruptured to form a shallow ulcer, the surface is covered with a pale yellow pseudomembrane, the surrounding mucous membrane is bright red color.

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