Pharyngeal paraesthesia
Introduction
Introduction 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. Pharyngeal paraesthesia often refers to various abnormal pharyngeal sensations other than pain, such as sensation of the ball and sensation. Because of the foreign body sensation in the throat, there are not many people who suspect that the tumor is treated. In the early stage of certain tumors, such as posterior ring cancer and upper esophageal cancer, there may be symptoms of foreign body sensation in the throat, such as lack of vigilance and easy misdiagnosis. Therefore, the diagnosis of pharyngeal paraesthesia should be examined in detail to prevent missed diagnosis and misdiagnosis.
Cause
Cause
The mechanism of pharyngeal paraesthesia is complex, and there are many pathogenic factors. Some factors are easy to be discovered, such as biological factors such as bacteria and parasites, physical factors such as heat and cold, current and pressure, mechanical damage and chemical factors. In addition, mental factors can also cause the disease, such as mood swings and long-term over-stress, fatigue and other neurosis, sometimes organic diseases and mental factors coexist, constitute a complex cause.
Examine
an examination
Examination and diagnosis of pharyngeal paraesthesia
Detailed medical history, based on medical history, symptoms, and all data analyzed. Each case should be carefully and carefully examined, paying special attention to the fine lesions such as the nasopharynx and throat, the palpation of the pharynx and neck, the presence or absence of enlarged lymph nodes, malformations, and excessive styloid processes. X-rays may be used if necessary. Check the condition of the styloid process, cervical vertebrae, esophageal tincture X or esophagoscopy, and exclude the organic lesions hidden in the pharynx, neck, upper respiratory tract, upper digestive tract, etc., especially the exclusion of malignant tumors. Diagnosis of pharyngeal paraesthesia.
1. The history of the conscious pharynx has foreign body, occlusion, oppression, discomfort, dryness, stenosis, burning and other abnormal feelings, but swallowing diet does not hinder. More common in women, more than 30 to 40 years old.
2. Check 1 no obvious organic lesions in the pharynx, especially to exclude tumors in the pharynx, larynx, esophagus and nearby. 2X-ray examination excluded esophageal lesions.
Diagnosis
Differential diagnosis
Symptoms of pharyngeal paraesthesia
Foreign bodies in the pharynx, oropharynx and throat and throat, mostly sharp and slender objects that enter through the mouth, such as fish bones, wheat awns, bamboo silk, etc., can penetrate into the tonsils, pharyngeal side walls, tongue roots or the epiglottis valley. Larger foreign bodies often stay in the pear-shaped fossa. Sharp foreign objects may penetrate and pass through the pharyngeal mucosa, buried in the posterior pharyngeal wall, causing secondary infections, or even an abscess. Nasopharyngeal foreign body, often due to vomiting or coughing, accidentally squeeze food, pills, etc. into the nasopharynx.
Chronic pharyngitis (chronicpharyngitis) refers to diffuse pharyngeal lesions caused by chronic infection, mostly in adults, often accompanied by other upper respiratory diseases, often due to recurrent episodes of acute pharyngitis, rhinitis, sinusitis pus to stimulate the pharynx, Or nasal congestion and mouth breathing, all lead to the occurrence of chronic pharyngitis.
