Pharyngitis is an inflammatory process that forms on the back wall of the larynx and affects the mucous membrane, as well as deeper layers, tissues of the soft palate and lymph nodes. The acute form of pharyngitis can develop into chronic if the patient does not seek help from a doctor and self-medicates.
Since the pathological process in the larynx is caused by the spread of pathogenic bacteria, the risk of developing pharyngitis increases in people with a weak immune system and in those who suffer from ENT diseases or are predisposed to them.
How dangerous is pharyngitis and how does it manifest itself? Which doctor should I contact and how to treat the disease? We will answer these and other questions in this article.
Reasons for the development of pharyngitis
Experts believe that the peak development of pathology occurs at the end of winter and the beginning of spring, since at this time the human immune system is especially susceptible to colds. Often in the spring season, a lack of vitamins and microelements in the human body leads to the appearance of vitamin deficiency, the body weakens and creates an excellent environment for the development of pathogenic bacteria. Inflammatory processes are also possible: both separately and against the background of the underlying disease.
The first signs of pharyngitis and its further treatment may differ depending on the stage of the pathology, gender, age and general health of the patient.
We include the following as the main reasons for the development of pharyngolaryngitis:
- hypothermia, eating too cold foods;
- deformation of the nasal septum;
- strains of microorganisms that cause the development of chlamydia, candidiasis, whooping cough, scarlet fever, measles;
- adenovirus, influenza virus;
- streptococci, staphylococci, pneumococci;
- sinusitis, tonsillitis, caries, rhinitis;
- difficulty breathing through the nose;
- pathologies of the gastrointestinal tract: reflux, heartburn, hernia;
- abuse of bad habits;
- regular high loads on the vocal cords;
- polluted, toxic air;
- hormonal disorders and endocrine pathologies (diabetes mellitus, obesity, hypothyroidism, etc.);
- tonsillectomy, which was performed on the patient previously;
- infectious diseases in chronic form;
- weakened immunity.
Sources
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- Ter-Baghdasaryan L.V., Ratnikova L.I., Stenko E.A. Clinical and epidemiological aspects of enterovirus infection // Infectious diseases: news, opinions, training. 2022. T. 9, No. 1. P. 88-93. doi: 10.33029/2305-3496-2020-9-1-88-93 https://infect-dis-journal.ru/ru/jarticles_infection/672.html?SSr=2601343bdb01ffffffff27c__07e4040b011a36-9772
- Alacheva Z. A., Rybalka O. B., Kulichenko T. V. Should everyone escape from Coxsackie?! Or fear has big eyes. Issues of modern pediatrics. 2017; 16 (4): 286–290. doi: 10.15690/vsp.v16i4.1774) https://vsp.spr-journal.ru/jour/article/viewFile/1787/713
- Herpangina Brenda L. Tesini. University of Rochester School of Medicine and Dentistry // MSD Handbook - 2019 https://www.msdmanuals.com/ru/professional/infectious-diseases/enteroviruses/herpangina
- Kozlovskaya O.V., Katanakhova L.L., Kamka N.N., Evseeva A.N. Epidemiological, clinical and diagnostic features of enterovirus infection in children and adults. Bulletin of Surgu State University. Medicine. 2018;(2):56-60. https://surgumed.elpub.ru/jour/article/view/140/141
- Kuo KC, Yeh YC, Huang YH, Chen IL, Lee CH. Understanding physician antibiotic prescribing behavior for children with enterovirus infection. PLoS One. 2022 Sep 7;13(9):e0202316. doi: 10.1371/journal.pone.0202316. PMID: 30192893; PMCID: PMC6128467. https://pubmed.ncbi.nlm.nih.gov/30192893/
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Symptoms of pharyngitis
The first signs of the disease may differ depending on the type of pharyngitis. They are both local and general in nature. But there are common signs that are characteristic of any type of pharyngitis: sore throat, bad breath, stuffy ears and difficulty swallowing. With an active inflammatory process, an increase in body temperature above 38° can be observed - this is how the body fights a foreign infection. General signs: sweating, poor appetite, weakness, dizziness, fatigue, fever, chills. Some complain of pain and noise in the ears, and discomfort when exposed to loud sounds.
- During acute catarrhal pharyngitis, swelling and redness of the mucous membranes of the larynx appears. Also, red follicles may form on the back wall of the throat, and clear and slightly cloudy mucus may accumulate. There is swelling and redness of the tongue.
- In the purulent form of acute pharyngitis, ulcers with an accumulation of purulent masses appear on the surface of the posterior pharyngeal wall.
Acute pharyngitis
Acute pharyngitis can occur independently, and can also be accompanied by acute inflammation affecting the upper respiratory tract: rhinitis or inflammation of the mucous membranes of the nasopharynx.
Depending on the cause of development, acute pharyngitis occurs:
- Viral – most often caused by rhinovirus;
- Bacterial – caused by streptococci, staphylococci and pneumococci;
- Fungal – source of the inflammatory process – Candida;
- Traumatic - caused by damage to the pharynx and larynx: the throat was scratched by a sharp bone or burned by boiling water, severe stress on the ligaments;
- Allergic – occurs when inhaling allergens or irritants, such as tobacco, exhaust fumes or dusty air.
Chronic pharyngitis
According to the depth of damage to the pharyngeal mucosa, chronic pharyngitis is divided into: catarrhal, hypertrophic and atrophic forms.
- Chronic catarrhal pharyngitis - there is slight swelling of the tissue layers of the pharyngeal mucosa. Individual areas are sometimes covered with clear or slightly cloudy mucus. It develops as a result of acidic gastric contents entering the throat, for example, in the case of a hiatal hernia. Therefore, catarrhal chronic pharyngitis is a consequence of the development of diseases of the gastrointestinal tract.
- Chronic hypertrophic pharyngitis is a significant severity of swelling of the mucous membrane. Additionally, thickening of the uvula and swelling of the soft palate are observed.
- Chronic atrophic pharyngitis is characterized by some thinning of the lining of the pharynx. They are usually pale pink, sometimes shiny varnished. Some of their areas become covered with crusts, viscous mucus and pus.
Any type of chronic pharyngitis develops due to the fact that the acute form of the disease was not cured in time and developed into a more serious form. Chronic pharyngitis also appears as a consequence of rhinitis, sinusitis, deviated nasal septum, nasal polyps - that is, when nasal breathing is difficult for a long time. In addition, long-term use of vasoconstrictor drops also leads to the appearance of chronic pharyngitis.
Whitish pimples
What are they? Small pimples on a child's tongue can form as a result of the stratification of the mucous membrane and the accumulation of fluid under its top layer. Typically, such rashes are formed as a result of mechanical damage to the soft tissues of the oral cavity. The appearance of blisters on the mucous membrane can also be a manifestation of a viral or bacterial infection. The contents of pimples are usually transparent. If the blister that forms on the tongue begins to turn white, this may indicate a secondary infection. As the bubbles develop, they begin to burst on their own. Quite painful ulcers appear in their place.
How does pharyngitis manifest and progress in children?
Children suffer from pharyngitis more severely than adults. This especially applies to babies under one year old. Swelling of the mucous membrane can cause signs of suffocation; the pain that accompanies the disease reduces the child’s appetite. Often, a baby’s body temperature can reach 40°. The most difficult thing in this situation is that a small child cannot say what hurts.
Incorrect treatment can lead to irreparable consequences for a small, fragile organism. Therefore, at the first signs of pharyngitis, consult a doctor immediately.
Diseases of the gastrointestinal tract
Poor nutrition and taking antibiotics can cause dysbiosis. One of the manifestations of this disease is whitish pimples on a child’s tongue. Photos of such cases will help make a preliminary diagnosis of the disease. The rash is usually painless. In some cases, a change in taste sensations may be observed. Also, the little patient exhibits increased sensitivity to cold and hot foods.
First of all, it is necessary to treat the disease that caused acne. The doctor will most likely recommend reviewing your diet and undergoing a course of treatment with drugs for dysbiosis.
Sore throat and pharyngitis: what is the difference?
The general condition of the patient with acute tonsillitis or tonsillitis can be confused with the symptoms of pharyngitis. If the disease is diagnosed incorrectly, then treatment of pharyngitis in adults will not have any effect. And the acute form of the pathology can develop into a chronic one.
Unfortunately, many patients self-medicate and start using medications without a doctor’s specific prescription. This is extremely contraindicated! It is better to take care of your health in time and seek help from an experienced otolaryngologist.
It is important to remember that during pharyngitis, the larynx becomes inflamed, and during tonsillitis, the tonsils become inflamed. During a sore throat, it is always painful to swallow, and the pain intensifies even more when eating food. With pharyngitis, the opposite happens - while eating warm food or warm drinks, the sore throat decreases.
During the development of a sore throat, there is no cough or sore throat, only a sore throat and sometimes the formation of a white coating. With pharyngitis, there is a sore throat, as well as noise, pain, or congestion in the ears. The difficulty in distinguishing between these two diseases is further complicated by the fact that one patient can simultaneously develop both pathologies, since they are caused by the same pathogen.
Nutritional deficiencies
If pimples appear on a child’s tongue, this may be a consequence of an insufficient amount of B vitamins. Usually in this case, the baby’s tongue is covered with small pimples. The rashes do not cause any concern to the baby. They don't itch or hurt. Taking complexes containing vitamin B12 and iron will help eliminate the problem.
The appearance of red pimples on the sides and base of the tongue may indicate a lack of vitamin A. This symptom is usually accompanied by dry mouth. The baby will feel a general malaise. Taking vitamin A or fish oil will help relieve symptoms. Experts also recommend reviewing your diet.
Diagnosis of pharyngitis
Detection of all types of pharyngitis begins with a visual examination of the larynx using a special device and taking an anamnesis. A throat swab is also taken for examination to test for diphtheria.
Other types of diagnostics:
- Cultural examination - inoculation of taken materials on a nutrient medium.
- Rapid diagnosis - identification of streptococcal antigen in throat swabs.
- Immunoserological diagnosis - the method is used in case of streptococcal infection.
Laboratory research:
- Complete blood count – exclusion of blood diseases, infectious mononucleosis;
- A general urine test helps rule out kidney disease (glomerulonephritis).
Depending on the symptoms of the disease, as well as the condition of the larynx, the presence or absence of cough, fever, plaque on the tonsils and soreness and increased size of the lymph nodes, additional consultations with other specialists may be necessary: an endocrinologist, a cardiologist, an allergist.
Treatment methods for pharyngitis
Treatment must be comprehensive. The patient is prescribed medications that will relieve pain and reduce inflammation. It is also important to adhere to a special diet and exclude from the diet foods that irritate the mucous membrane of the throat and bring even more discomfort: alcoholic beverages, spicy and salty foods, sour foods, carbonated drinks.
Drug therapy
Depending on the clinical picture and general condition of the patient, the doctor may prescribe antihistamines, antitussives and antiviral medications. Lozenges/lozenges are used to relieve pain.
In some cases, they resort to the use of antibiotics. They can only be taken as directed by a doctor.
Local impact
Rinsing with special solutions also has a good effect on the inflammatory process and redness of the larynx. They have a gentle effect, relieve pain and improve the general condition of the patient.
To diagnose and identify the disease, you need to consult an otolaryngologist. At the city clinic, you can contact your primary care physician, who will issue a referral to an ENT specialist. However, this takes time. You often have to wait 2 weeks for an appointment with a doctor. In some cases, this is simply impossible, since it is necessary to quickly conduct an examination and prescribe treatment before the situation becomes critical.
Therefore, we recommend contacting the Medunion medical clinic. We employ practicing otolaryngologists, and you don’t have to wait several weeks for appointments. Sign up today for a time convenient for you, and get tested tomorrow.
Patients choose us because we provide the service of a specialist coming to your home if you cannot come to the clinic on your own. You can also take samples directly at home.
The cost of an initial consultation with an otolaryngologist in Krasnoyarsk at the Medunion clinic starts from 1,300 rubles. You can sign up on the website or by calling 201-03-03.
Prevention measures
Complete recovery is possible only with early identification of factors and their exclusion from the diet. By following nutritional recommendations, relapses of the disease can be prevented. Some children experience spontaneous recovery as oral tolerance increases. Many people “outgrow” the disease, but you shouldn’t count on it.
