Sore throat

Introduction Sore throat is a common symptom of the pharynx, mainly caused by pharyngeal diseases. Infectious inflammatory stimuli of various pharyngeal mucosa and oppression of painful nerve endings lead to sore throat. It can also be the performance of the adjacent organs of the pharynx or systemic diseases in the pharynx. The pharyngeal mucosa is rich in nerves and blood vessels. Any factor that stimulates the pharynx can cause a painful reaction at the nerve endings. The pharyngeal sensation is mainly from the glossopharynx. In addition, the pharyngeal plexus composed of the maxillary branch of the trigeminal nerve, the branch of the sphenopalatine ganglion, the branch of the accessory nerve and the sympathetic ganglia of the neck receives the pharyngeal sensation. The sensation of the upper part of the tonsil in the posterior tibial nerve of the sphenopalatine ganglia. The nasopharynx is dominated by the upper jaw of the trigeminal nerve. The sensation of the throat comes from the superior laryngeal nerve. The sensation of the mouth comes from the upper and lower jaw nerves of the trigeminal nerve.

Cause

(1) Common infectious diseases of the pharynx:

1. Acute pharyngitis.

2. Herpetic pharyngitis.

(2) Specific infectious diseases of the pharynx:

1. diphtheria.

2. Ulcer angina.

3. Fungal stomatitis (thrush).

(3) Ulcerative diseases of the pharynx:

1. Afo his stomatitis.

2. Recurrent non-specific large ulcers.

(4) Inflammation of tonsil tissue:

1. Acute tonsillitis.

2. Acute tongue tonsillitis.

3. Acute proliferative inflammatory disease.

(5) Deep pharyngeal infection:

1. Abscess around the tonsils.

2. Parapharyngeal abscess.

3. Post-pharyngeal abscess.

(6) Pharyngeal trauma.

(7) pharyngeal foreign bodies.

(8) Throat tumors.

(9) Diseases around the throat.

(10) Hematologic angina.

an examination

Related inspection

Nasopharyngeal MRI examination, Otolaryngology, CT examination, swallowing test

Sore throat check

(1) medical history

1. Ask about the nature, extent and location of sore throat. Such as dull pain, dull pain, acupuncture pain, jumping pain, tearing pain, swallowing pain, spontaneous pain, left, right or medium. The onset is rapid or slow, long-lasting or short-lived.

2. Ask about accompanying symptoms: such as fever, hoarseness, unclear speech, difficulty in opening your mouth, difficulty swallowing, difficulty breathing, restricted neck activity, etc., can help diagnose.

(2) Inspection

1. There are corresponding local findings in the oropharynx: such as acute mucosal congestion, vesicular ulcer, white film and pseudomembrane, etc., the diagnosis is relatively easy.

2. When the oropharynx is normal, the roots of the tongue, the epiglottis, and the throat and throat, especially the pear-shaped fossa, should be investigated in detail, and attention should be paid to the presence or absence of congestion, edema, ulcers, and tumors. In the case of glossopharyngeal neuralgia, there is often a trigger point at the base of the tongue.

Differential diagnosis

Symptoms of sore throat confusion:

1. There is a blockage or dull pain behind the sternum when swallowing dry food: a blockage or dull pain behind the sternum when swallowing dry food is one of the early and middle stages of esophageal cancer. Mainly for progressive dysphagia, early can only be discomfort or blockage when swallowing, post-sternal pain or post-sternal discomfort when swallowing food.

2. Swallowing pain: the manifestation of pharyngeal inflammation, the pharynx is dry at the beginning, burning, and then pain, especially when swallowing.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.