Etiology and symptoms of chronic pharyngitis
Chronic pharyngitis is an inflammatory process in the mucous membrane of the pharynx, which is characterized by frequent relapses with subsequent remissions.
Chronic pharyngitis: causes
In the etiology of this disease, the following are distinguished:
• frequent acute pharyngitis or acute respiratory viral infection;
• Inflammation of the nose, paranasal sinuses or tonsils;
• Alcohol and smoking;
• the effect of various chemicals, gases and dust;
• total hypothermia;
• pathology of the digestive organs (chronic pancreatitis, gastroduodenitis, cholecystitis or reflux disease, in which gastric juice enters the pharynx and irritates its mucous membrane);
• caries of teeth;
• hormonal disorders, especially with hypothyroidism or menopause;
• diseases that occur with a metabolic disorder (eg, diathesis or diabetes mellitus);
• sinusitis or other lesions of ENT organs, which are accompanied by ingestion of pus or other secretory secretions with pathological microorganisms.
Symptoms of chronic pharyngitis depend on itform. If catarrhal pharyngitis develops, then hyperemia and thickening of the pharyngeal mucosa are characteristic. In hypertrophic form, epithelial overgrowth is observed, and lymphoid densities also appear. The surface of the mucosa becomes uneven, bright red. Symptoms of chronic pharyngitis can include the appearance of specific rollers - lymphoid structures that arise in the area of the inflammatory reaction. This is characteristic of the granular form of the disease. If there is a pallor of the pharyngeal mucosa and its luster, thinning of the epithelium and the appearance of a purulent secretion of a greenish color, then they speak of atrophic pharyngitis.
It is worth noting that the symptoms of chronic pharyngitis in adults and children are not fundamentally different.
The main complaints are:
• Persecution in the throat and sensation of a foreign object;
• dryness of pharynx;
• hoarse voice;
• sore throat and discomfort;
• often the symptoms of chronic pharyngitis include an increase in body temperature (with the condition of exacerbation of the pathological process);
• the appearance of a mucous secretion, which, as a rule, is expectorated in the morning after sleep.
It is not superfluous to mention such, quite rare, symptoms of chronic pharyngitis, like nausea and vomiting. Of course, they are not observed at all, but still there.
In most cases, therapy isoutpatient. For recovery, it is important to eliminate provoking factors that can irritate the pharyngeal mucosa, and also treat other chronic diseases that can trigger a relapse.
Local treatment is highly effective,which includes rinsing of the throat, irrigation with mucous antiseptics and the conduct of inhalations. For the rinse you can use a warm isotonic solution, Miramistin, Octensept, a decoction of chamomile. For inhalations take infusion of calendula, bark of oak or sage. The posterior wall of the pharynx, as a rule, is lubricated with a solution of protargol or Lugol. It is useful to dissolve antiseptic tablets "Strepsils", "Pharyngosept" or "Septepryl".
Complex treatment also includes cryo - andgalvanotherapy, laserocoagulation and burning of granules with "Vagotil". Atrophic pharyngitis, it is useful to water the pharynx with mineral waters. In the severe course of the disease, Novocain blockades are used, which are combined with the administration of aloe and vitreous body. In addition, with chronic pharyngitis, spa treatment in areas with a warm and humid climate is useful.