chronic simple pharyngitis
Introduction
Introduction to chronic simple pharyngitis Chronic simple pharyngitis (simple chronic pharyngitis) is a chronic inflammation of the pharyngeal mucosa, which is caused by repeated episodes of acute pharyngitis or incomplete treatment, as well as stimulation of adjacent organ lesions such as sinusitis, tonsillitis, nasopharyngitis, and bronchitis. Excessive alcohol and tobacco, dust and harmful gas stimulation are also common causes. This disease is often part of the upper respiratory tract inflammation and is associated with certain systemic conditions such as anemia, diabetes, constipation, heart disease, nephritis, cirrhosis and other local peripheral circulatory disorders. In the onset of chronic simple pharyngitis, the pharynx can have various sensations, such as foreign body sensation, dryness, burning, slight pain, etc., pharyngeal secretions increase, thick, so often clearing action, spit white sticky, serious can Causes irritating cough and nausea, vomiting, pharyngeal examination, diffuse mucosa, vasodilatation, dark red color, with a small amount of viscous secretions, swelling or relaxation of uvula. basic knowledge The proportion of illness: 0.36% Susceptible people: no special people Mode of infection: non-infectious Complications: cough, nausea and vomiting
Cause
Cause of chronic simple pharyngitis
Local factor (55%):
(1) The recurrent episodes of acute pharyngitis turn to chronic;
(2) suffering from various nasal diseases, long-term mouth breathing and nasal discharge, often stimulating the pharynx, or affected by chronic tonsillitis, phlegm, etc.;
(3) Excessive alcohol and tobacco, or the stimulation of dust and harmful gases, can cause the disease.
Systemic factors (34%):
Various chronic diseases, such as anemia, constipation, chronic inflammation of the lower respiratory tract, cardiovascular diseases, etc., can cause secondary changes in the disease.
Prevention
Chronic simple pharyngitis prevention
1. When the throat feels mild discomfort, use salt soup to make a morning mouthwash.
2, when the sore throat, sputum 5 to 6 times a day with concentrated salt soup, can play the role of anti-inflammatory sterilization.
Complication
Chronic simple pharyngitis complications Complications, cough, nausea and vomiting
Severe cases can cause irritating cough and nausea, vomiting and other symptoms.
Symptom
Chronic simple pharyngitis symptoms Common symptoms Nausea pharynx Chronic congestive pharyngeal paraesthesia and pharyngeal burning cough with odor of dry pharyngitis, glossitis, phlegm
According to the medical history, clinical manifestations and local examination, it can be diagnosed. The course of the disease is generally longer, mainly local symptoms, systemic symptoms are not obvious, neck pain, chest, back discomfort, careful examination of adjacent organs Occult lesions, differentiated from pharyngeal paraesthesia, can be excluded by X-ray, CT, magnetic resonance examination, early malignant tumors.
The pathological changes of chronic simple pharyngitis are mainly chronic mucosal congestion, lymphocytes and plasma cells infiltration around the blood vessels, connective tissue hyperplasia in the mucosa and submucosa, hypertrophy of the glands, and increased secretion of mucus.
The pharynx can have a variety of different sensations, such as foreign body sensation, dryness, burning, slight pain, etc., pharyngeal secretions increase, thick, so often clear movements, spit white sticky, severe cases can cause irritation cough and nausea Vomiting, pharyngeal examination see diffuse hyperemia of the mucosa, vasodilatation, dark red color, with a small amount of viscous secretions, swelling or relaxation of the uvula.
Examine
Chronic simple pharyngitis examination
1, pharyngeal examination see diffuse mucosa, blood vessels dilated, dark red, with a small amount of sticky secretions. 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.
2, check the nasopharynx and throat, as well as the necessary systemic examination, pay special attention to the nose, pharynx, larynx, esophagus, pre-hidden lesions, such as early malignant tumors, the patient should be followed up before the exclusion of these lesions, so as not to misdiagnose .
Diagnosis
Diagnosis and diagnosis of chronic simple pharyngitis
According to the medical history, clinical manifestations and local examination, it can be diagnosed. The course of the disease is generally long, mainly local symptoms, systemic symptoms are not obvious, but also neck pain, chest, back discomfort. Thorough examination of occult lesions of the nose, pharynx, larynx, trachea, esophagus, neck and even the whole body, especially malignant tumors, to avoid missed diagnosis.
