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Chronic pharyngitis

Pharyngitis is chronic . There are atrophic, catarrhal and hypertrophic forms. It develops from acute pharyngitis if irritants acting on the mucous membrane of the pharynx do not eliminate for a long time. Contribute to the occurrence of chronic pharyngitis, runny nose, tonsillitis, purulent inflammation of the sinuses, tooth decay, metabolic disorders, heart disease, lungs, kidneys and DR.

Chronic atrophic pharyngitis, as a rule, is combined with atrophy of the nasal mucosa (see Runny nose atrophic).

Symptoms Sensation of dryness, soreness, scratching in the throat, often dry cough, rapid fatigue of the voice. With pharyngoscopy, the mucous membrane of the posterior pharyngeal wall looks dry, thinned, pale, shiny, as if covered with a thin layer of varnish; often it is covered with mucus, which dries in the form of crusts.

Symptomatic treatment: rinsing with alkaline solutions, oil and alkaline inhalations, lubrication of the mucous membrane with a solution of Lugol in glycerol. Inside - vitamin A, 3% potassium iodide solution.

Pharyngitis is chronic catarrhal and hypertrophic. Symptoms Sensation of soreness, soreness, foreign body in the throat, moderate pain when swallowing, accumulation of a large amount of viscous mucous discharge in the throat, especially with hypertrophic pharyngitis, which causes a constant need to clear up and expectorate. Coughing is especially severe in the morning, sometimes accompanied by nausea and vomiting. With pharyngoscopy: thickening and diffuse hyperemia of the mucous membrane of the pharynx; viscous mucous or mucopurulent secretion on it; protruded individual groups of follicles. The soft palate and tongue are swollen and thickened. With the hypertrophic form of pharyngitis, these symptoms are more pronounced. The accumulation and increase in lymphoid tissue of the posterior pharyngeal wall, the so-called granules, is referred to as “granular pharyngitis,” and hypertrophy of the lymphoid tissue on the lateral pharynx behind the posterior palatine arches in the form of bright red ridges is called “lateral pharyngitis”. These terms denote hypertrophic forms of pharyngitis.

Treatment. Rinses with alkaline solutions, inhalation and spray; lubrication of the pharyngeal mucosa with a solution of Lugol with glycerin, 2-3% solution of collargol or protargol. With the hypertrophic form of pharyngitis - cauterization of granules with a 5-10% solution of silver nitrate, trichloroacetic acid. With severe hypertrophic forms of pharyngitis, cryotherapy is used.