Pharyngeal paraesthesia
Introduction
Introduction to pharyngeal paraesthesia Pharyngeal paraesthesia is the most common symptom, and it is the abnormal feeling of the pharynx, such as the feeling of the ball, the itching, the sense of urgency, the feeling of adhesion, the burning sensation, the sense of ant, the sense of swallowing obstruction without difficulty in swallowing. Some patients have a feeling of discomfort in the neck, a sense of urgency, a conscious breathing, and a feeling of moving up and down in the throat. Most women with pharyngeal paraesthesia are more sensitive, suspicious or depressed. basic knowledge The proportion of sickness: 0.01% Susceptible people: no specific population Mode of infection: non-infectious Complications: depression, chronic pharyngitis
Cause
Causes of pharyngeal paraesthesia
Organic causes (50%):
1. Stem overgrowth, cervical spondylosis, carotid arthritis, etc.
2. Chronic inflammation of the upper respiratory tract: pathological changes in the pharyngeal peripheral circulation, causing neurological dysfunction and causing pharyngeal paraesthesia.
3. Neuromuscular spasms: such as pharyngeal spasm, esophageal tendon, and sputum sputum can induce pharyngeal abnormalities.
4. Reflux esophagitis and stomach problems: a reflexive blockage or urgency in the pharynx.
5. Tonsillary stones, keratosis, uvula overhang, tongue tonsil hypertrophy, chronic sinusitis, ring ankle arthritis, etc.
6. Early pharynx, larynx, esophagus, and cardia cancer.
7. Others such as autonomic dysfunction, endocrine dysfunction, menopausal syndrome, hypothyroidism, myasthenia gravis, dermatomyositis and so on.
Non-organic causes (19%):
Pharyngeal neurosis, rickets, suspected cancer, anxiety, schizophrenia and other systemic mental illness have a significant impact on the occurrence and development of pharyngeal paraesthesia.
Prevention
Pharyngeal paraesthesia prevention
(1) Carefully enlighten, relieve ideological concerns and enhance treatment confidence.
(2) Eat less fried and spicy food.
(3) Strengthen physical exercise, enhance physical fitness, or exercise with the guiding method of the throat.
Complication
Pharyngeal paraesthesia complications Complications, depression, chronic pharyngitis
Some patients have a feeling of discomfort in the neck, a sense of urgency, a conscious conscious breathing and a feeling of moving up and down in the throat.
Symptom
Symptoms of pharyngeal paraesthesia Common symptoms Dry throat, itching, sore throat, depression
I feel that the throat has a blockage, the neck is tight, the leaf or the sputum is sticky, or the small ball-like "clump" moves up and down the pharynx, neither swallowing nor vomiting. It is more obvious when swallowing saliva. However, there is no obstacle to eating, and the symptoms of this disease are not obvious.
Examine
Examination of pharyngeal paraesthesia
Detailed medical history, based on medical history, symptoms, and all the information analyzed, each case should be carefully examined carefully, paying special attention to the small lesions such as the nasopharynx, throat and throat, palpation of the pharynx and neck, with or without swelling Large lymph nodes, teratoma, styloid process is too long, if necessary, X-ray examination of styloid process, cervical vertebrae, esophageal tincture X examination or esophagoscopy, exclusion of concealed in the pharynx, neck, upper respiratory tract, upper digestive tract, etc. After the localized lesions, special attention should be paid to the exclusion of malignant tumors.
Diagnosis
Diagnosis and diagnosis of pharyngeal paraesthesia
diagnosis
Diagnosis can be performed based on clinical manifestations and examinations.
Differential diagnosis
Should pay attention to the differentiation of pharyngeal foreign body or chronic pharyngitis. Chronic simple pharyngitis, also known as chronic pharyngitis, is more common. The lesion is mainly in the mucosal layer, which is characterized by chronic congestion of the pharyngeal mucosa. There are more lymphocytes infiltrating around the blood vessels, and white blood cells and plasma cells are also infiltrated. Mucosal and submucosal connective tissue hyperplasia. Mucous glands can be hypertrophied, hypersecremic function, and increased mucus secretion. More common in adults, long course of disease, easy to relapse.
