Treat acute pharyngitis
Author:
Douglas Hoffman
Question:
How to treat acute pharyngitis? I have taken Bactrim and Darvocet, but it doesn't seem to help.
H.C
Answer:
Acute pharyngitis is nothing more than a sore throat. Diagnosis usually means viral or bacterial infection, but it actually indicates any cause of throat inflammation. "Acute" means that the problem has not appeared for a long time (less than two or three weeks); Otherwise, your doctor will use the term subacute or chronic. "Pharyngitis" means inflammation of the throat (pharynx).
To cure acute pharyngitis, you need to do two things: eliminate the pathogens that cause (or continue) inflammation, and take measures to improve the health of the inner layer (mucosa) of the throat. Let's consider these problems in turn.
1. Eliminate the factors that cause (or continue) inflammation. If you have a virus infection, you just have to wait for it to end. Antibiotics (such as Bactrim) are only effective for bacterial infections, and there are no antiviral drugs for most viruses that cause sore throats. Give it time; Your immune system will prevail and you will become better. If you have a bacterial infection, then antibiotics may help-if your bacteria are sensitive (not resistant) to the antibiotics you choose. If your bacteria are resistant, then you may need a different antibiotic. Although this situation is unlikely, it is certainly not impossible.
If you are infected with something that is neither virus nor bacteria (for example, if you are infected with Candida yeast that causes thrush), then antibiotics are useless; You need specific drugs for specific infections.
How about eliminating the factors that make inflammation permanent? The most common irritants are tobacco smoke (once or twice) and alcohol (not only in alcoholic beverages, but also in most commercially available mouthwashes). Other potential irritants may be gastric acid and digestive enzymes, which may enter the throat of patients with gastroesophageal reflux disease, and chemical fumes (solvents, paint smells, cleaning solutions, smoke, etc.). If your diet is rich in salt, spices or acidic foods, then this may also be the reason for the prolonged recovery time.
2. Take measures to improve the health of the inner layer (mucosa) of the throat. Besides eliminating irritants, you can do something very simple to help your throat: rinse your mouth with warm salt water. My favorite recipe is two teaspoons of salt, one teaspoon of baking soda (sodium bicarbonate) and one product of dehydration. Dissolve the dry ingredients in water and store them in a clean container. Use at a temperature slightly higher than body temperature (don't burn your hands-that would be a big step in the wrong direction! ) Do "deep gargle" with this solution two or three times a day until your symptoms disappear. Add a batch of fresh food every few days, because microorganisms can even grow in this very nutritious environment.
If your symptoms persist for more than three weeks, you need to see a doctor-it's certainly not a bad idea to see an otolaryngologist. Persistent sore throat may be a sign of more serious problems, even cancer, so if the above conservative measures can't be relieved quickly, you must seek medical care.
The second question: What is the recurrence rate after radical treatment?
/elective/ellingwood1/chronic pharyngitis.html
Synonym:-Pharyngeal mucositis.
This disease shows different characteristics in different cases. Those diseases called granular or follicular pharyngitis and hypertrophic pharyngitis, or diseases involving the nasopharynx, are different.
Definition:-A chronic inflammation involving the mucosa of pharynx or nasopharynx.
Etiology:-This situation is more common in some climatic conditions, especially in the Atlantic coast and the Great Lakes region of the United States.
Those who suffer from chronic nasal mucositis and those who have suffered from acute pharyngitis before are particularly prone to develop chronic pharyngitis. It happens to those who are in poor health and easily overworked. Those who are addicted to smoking and drinking, those who habitually change their voices, especially outdoors; Stump speakers, street vendors and auctioneers are particularly vulnerable. This is common among teachers, priests and officers. It is also caused by continuous drinking hot drinks, continuous inhalation of irritating steam and continuous exposure to cold and humid air.
It seems that people who have some chronic obstruction in nasal passages often suffer from this disease, and in one case, this disease is caused by chronic stomach diseases.
Symptomatology: Hawking's almost persistent tendency to clear his throat is a prominent early symptom. There may be a persistent slight voice change, hoarseness and dry cough. Long-term use of voice may lead to irritability and fatigue, accompanied by extreme hoarseness and partial loss of voice until fatigue recovers. Dry throat is a common complaint, itching, and occasionally a sticky secretion. Cough may sometimes persist, and persistent hacking attacks, spasms or paroxysms may occur again, and no relief is provided.
In the early mucus surface, especially catarrhal mucus surface, it is red and irritable, covered with tightly adhered mucus or mucus pus. The uvula is relaxed and elongated, and the voice is nasal.
In hypertrophic type, the membrane swells, thickens and turns red, and the follicles are greatly enlarged, similar to small polyps. Atrophic cell membranes are thin and smooth, sometimes pale and sometimes dull. The fetal membrane is not swollen, and the pharyngeal vault looks wide or spongy.
These patients are usually weak and nervous. In many cases, there is some neurasthenia, but occasionally general health is not damaged.
Diagnosis: Diagnosis depends on the understanding of the described phenomenon and excludes the characteristics of other throat diseases.
Prognosis: Those who completely change their habits in order to avoid the cause of the disease can get the promise of cure. Those who suffer from chronic diseases cannot benefit permanently. In all cases, the disease may recur.
Treatment: Any damage to constitution must be paid attention to first. The nervous system must be restored, the stomach must be in the best condition, and the environment must be favorable in all aspects. Everything that seems to exercise causal influence must be deliberately and persistently ineffective, especially any long-term use of sound and smoking.
The following should be given a few weeks at the beginning of the treatment, which will affect its general and local color matching: specific hydrastis half an ounce, specific collinsonia one ounce, nux vomica tincture two drams, and simple elixir enough to make four ounces. One teaspoon four times a day. When there is loss of appetite and stomach weakness, semi-dram pepper tincture, or two specific xanthoxylum, should be added to it. If the patient is anemic, its effect is to add a dram of iron carbonate powder and shake the bottle before taking it. Patients with neurasthenia must rest completely and change their environment.
The use of ammonium chloride is valuable because it affects mucous membranes. It should take five capsules four times a day. In these cases, urine has a high specific gravity and contains a large amount of excessive urea, urate or uric acid, and ammonium benzoate will be useful at a dose of six, eight or ten grains, four times a day. The elimination must be carefully paid attention to. There is no doubt that calcemia has an important influence on the cause of this disease.
Local measures are very important. If the tissue is slack, dull or purplish, it is especially necessary to inject pepper as a mouthwash. The infusion of white oak bark is suggested as mouthwash in other throat diseases, which will provide more services if eight ounces of pepper tincture of two dram and boric acid of one dram are added. It is important to add witch hazel extract when the throat is uncomfortable or painful.
The use of electric current will provide more services and eventually cure this disease. Electrocauterization is usually used by experts to destroy hair follicle enlargement and reduce tissue hypertrophy.
This is one of the recurrence rates of chronic pharyngitis:
streptococcal pharyngitis
Method:
John Brusch, MD
Pharyngitis syndrome (sore throat) is characterized by sore throat accompanied by fever and myalgia; Occasionally accompanied by cough. It is responsible for 10% of outpatient visits and about 50% of outpatient nursing antibiotic use. Among the adult patients treated for sore throat, 73% were treated with antibiotics, and at least 50% of these cases were caused by viruses. The increase in the overall resistance of oropharyngeal flora to antibiotics is largely due to the excessive use of antimicrobial agents. A variety of bacteria and viruses may produce this syndrome. Group a β -hemolytic streptococcus (GABHS) is the most common bacterial cause of acute pharyngitis. The diagnosis of "Streptococcal Pharyngolaryngitis" has long been a concern of physicians because it has suppurative and non-suppurative complications.
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This is a common and disturbing symptom of many patients with ear, nose and throat, and there is still a lack of effective treatment.
The third question: What is the most advanced treatment method in the world at present?
Application of surgical laser in the treatment of chronic tonsillitis
E. Livova and Manevich
Joint venture company "Medicina", Tverskoy Yamskoy per. Moscow, Russian Federation 10, 125047
abstract
In 2002, 38 patients with chronic tonsillitis (children and adults) underwent laser surgery in the otorhinolaryngology department of JSC "Medical" clinic. A total of 65438 +0 1 patients underwent laser cavity resection of tonsils, and 27 patients underwent laser ablation of tonsils. IAG Holmium laser was used for lacunar resection, and CO2 laser "Sharplan" system was used for tonsillectomy. All the operations were performed under local anesthesia under outpatient conditions. These patients were selected from patients with chronic tonsillitis (48% in compensatory period and 52% in decompensated period). Results: Among the 27 patients treated with laser ablation, 2 patients (7.4%) developed acute tonsillitis during the 6-month observation period. Among 1 1 patients after laser lacuna resection, during the 6-month observation period, 7 patients (63.6%) developed chronic tonsillitis; Two of them underwent tonsillectomy. The results were statistically significant (p=0.0008).
Therefore, tonsillectomy and lacunar resection are the first choice for the treatment of chronic tonsillitis. Both are effective enough and allow organ preservation and tonsillectomy to be avoided. This method is especially desirable for patients who have serious contraindications to tonsillectomy and patients whose treatment methods are ineffective.
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