The harm caused by throat congestion is relatively large, so for patients, they must pay attention to timely detection of these diseases and take timely treatment measures, especially chronic pharyngitis can easily cause this symptom, so it is necessary to pay attention to treatment. 1. Check for diffuse congestion and swelling of the oropharyngeal and nasopharyngeal mucosa, edema of the palatine arch and suspensory folds, redness and swelling of the posterior pharyngeal wall lymph follicles and lateral pharyngeal cords; there are yellow-white punctate exudates on the surface, and the mandibular lymph nodes are enlarged and tender. The body temperature may rise to 38°C, and the white blood cell count may be increased, normal, or decreased depending on the pathogen. 2. Because chronic pharyngitis progresses slowly and the lesions are hidden, it is often difficult to make a clear diagnosis in the early stages. Carefully examine the pharynx based on clinical manifestations, and use fiberoptic nasopharyngeal endoscopy for patients with pharyngeal inversion sensitivity or who cannot cooperate with the examination. If necessary, a biopsy should be performed to confirm the diagnosis and rule out nasopharyngeal tumors. Skull base X-rays and brain CT or MRI examinations are helpful for differential diagnosis. 3. Experts remind that in the diagnosis of chronic pharyngitis, attention should be paid to distinguishing it from the following diseases: 1. Chronic simple pharyngitis is characterized by chronic congestion of the pharyngeal mucosa. 2. Hypertrophic pharyngitis is mainly manifested by congestion and hypertrophy of the pharyngeal mucosa, and extensive hyperplasia of connective tissue and lymphoid tissue under the mucosa. 3. Chronic atrophic pharyngitis is mainly manifested by atrophy and thinning of the mucosal layer and submucosal layer, scabs attached to the posterior pharyngeal wall, and reduced secretion. |
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