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Pharyngitis - sharp or chronic inflammatory process in a mucous membrane of a back wall of a throat, is more often than the virus or bacterial nature. It is often combined with tonsillitis. It is shown by irritation, feeling of "lump" and the sore throat amplifying when swallowing, dry cough, temperature increase. In most cases perhaps full treatment, transition of sharp process to chronic is possible. There can be terrible complications less often: rheumatic damage of heart and joints.

    Pharyngitis

    Pharyngitis - sharp or chronic inflammatory process in a mucous membrane of a back wall of a throat, is more often than the virus or bacterial nature. It is often combined with tonsillitis. It is shown by irritation, feeling of "lump" and the sore throat amplifying when swallowing, dry cough, temperature increase. In most cases perhaps full treatment, transition of sharp process to chronic is possible. There can be terrible complications less often: rheumatic damage of heart and joints.

    Reasons and risk factors of development of pharyngitis

    Most often bacteria or viruses are the reason of development of pharyngitis. Viral pharyngitis makes about 70% of all inflammatory processes in a mucous membrane of a throat. As activators adenovirus, a paraflu virus, a rhinovirus, coronaviruses or a cytomegalovirus can act. Bacterial pharyngitis usually is caused by streptococci. Development of fungal pharyngitis is in certain cases possible (usually – at patients with the broken immunity or after long-term treatment by antibiotics).

    More rare the allergy, a trauma (is the reason of development of pharyngitis at surgical intervention or hit of a foreign matter) or influence of the irritating factors (radiation, alkalis, acids, steam or hot liquid). The risk of development of pharyngitis increases during the overcooling, violation of the immune status, a serious chronic illness, the increased content in air of dust and the irritating chemicals, smoking and abuse of alcohol.

    Developing of chronic pharyngitis can be provoked by hit in a throat of gastric contents at hernia of an esophageal opening of a diaphragm and a gastroezofagealny reflux. Chronic inflammatory processes in a nose cavity (rhinitis) and paranasal bosoms (sinusitis) can become the reason of development of chronic pharyngitis. The disease in this case is caused not only continuous breath through a mouth, but also action of the vasoconstrictive drops which are flowing down from a nasal cavity in a throat.

    Classification of pharyngitis

    Pharyngitis can be sharp or chronic. Sharp pharyngitis usually proceeds diffuzno and covers all departments of a throat. Chronic pharyngitis, as a rule, has more accurate localization and affects the top, average or lower department of a throat. However, allocation of separate types of chronic pharyngitis depending on localization is always made from convention shares.

    Depending on the nature of pathological process allocate hypertrophic, atrophic and catarrhal forms of chronic pharyngitis.

    Pharyngitis symptoms

    Symptoms of sharp pharyngitis

    Sharp pharyngitis seldom proceeds separately. As a rule, develops at infectious diseases of the top airways. The isolated sharp pharyngitis can be observed at influence of irritants directly on a mucous membrane of a throat (breath on cold through a mouth, cold and hot food, alcohol intake, smoking).

    The patient shows complaints to feeling of irritation and a sadneniye in a drink, insignificant pain when swallowing. As a rule, "the empty drink" (a saliva proglatyvaniye) is followed by bigger morbidity in comparison with a food proglatyvaniye. At distribution of process on tubofaringealny rollers irradiation of pains in ears is possible. Usually general state does not suffer or suffers slightly. Body temperature can increase to subfebrilny.

    On a faringoskopiya hyperaemia of a mucous membrane of a throat extending to palatal almonds comes to light. The uvula is edematous, on a drink the mucopurulent raid in places is found. At some patients increase and morbidity of the top cervical lymph nodes comes to light.

    At children under 2 years the heavy course of sharp pharyngitis is often noted. Inflammatory process extends to a cavity of a nose and a nasopharynx. Nasal breath is broken. Temperature increase to febrilny is possible.

    Symptoms of chronic pharyngitis

    The patients having chronic atrophic pharyngitis are disturbed by dryness, feeling of a scratching or irritation in a throat. Dry cough is possible. On a faringoskopiya the dry, pale, thinned, brilliant (varnish) mucous membrane of a throat in places covered with slime and crusts is visible.

    At catarrhal and hypertrophic chronic pharyngitis patients complain of feeling of a sadneniye, irritation or a foreign matter in a throat, unsharp pain when swallowing. In the patient's drink constantly accumulates dense mucous separated therefore the patient constantly clears the throat. Cough amplifies in the mornings, in some cases is followed by nausea and vomiting.

    On a faringoskopiya at catarrhal pharyngitis the poured hyperaemia and a thickening of a mucous membrane of a throat, uvula and a soft palate comes to light. The throat is covered with places to viscous mucous or mucopurulent separated. Separate groups of follicles are increased. More expressed changes are characteristic of hypertrophic pharyngitis. At granulezny hypertrophic pharyngitis growth of lymphoid fabric in the field of a back wall of a throat is watched, at side hypertrophic pharyngitis – a giperplaziya of lymphoid fabric back palatal handles.

    Pharyngitis complications

    At sharp (usually streptococcal) pharyngitis paratonzillyarny abscess can develop. In certain cases the inflammation extends to nearby bodies, causing laryngitis and tracheitis.

    Sharp pharyngitis at which the caused b-hemolytic streptococcus of group A acts as the infectious agent can play a role of a starting disease at sharp articulate rheumatism.

    Diagnosis of pharyngitis

    The diagnosis of pharyngitis is exposed by the otolaryngologist on the basis of characteristic symptoms and data of a faringoskopiya. For definition of the nature of the activator if necessary the virologic or bacteriological research of dab from a throat is conducted.

    Treatment of pharyngitis

    It is necessary to exclude the factors causing and supporting an inflammation in a drink. To the patient recommend to refrain from smoking, alcohol intake and the irritating food (salty, sharp, sour, cold or hot). At the established bacterial nature of pharyngitis antibiotic treatment in certain cases is carried out.

    Local treatment consists in rinsing by warm solutions of anti-septic tanks through everyone half an hour-hour. Inhalations with oil medicines and alkaline solutions, use of aerosol anti-inflammatory medicines are shown.

    At chronic hypertrophic pharyngitis cauterization of granules is carried out by trikhloruksusny acid or solution of nitrate of silver. At the expressed hypertrophy cryotherapy, laser impact on granules of a throat and a radio wave tushirovaniye of its back wall is applied.

    Pharyngitis - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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