Pharyngitis: Diagnosis and Treatment



For the diagnosis of pharyngitis ENT doctor examines the mouth and throat of the patient, if this is not enough — is carried pharyngoscope. In order to identify the causative agent of the disease is carried out microbiological testing (bacteriological and / or virological) or the determination of antibodies to Streptococcus. The differential diagnosis spend with catarrhal angina (acute tonsillitis). The main difference between these two diseases is that with pharyngitis frequently observed symptoms such as rhinitis (common cold), cough, conjunctivitis, which are never observed in patients with angina.

Treatment pharyngitis

Treatment pharyngitis — outpatient. First of all, you need to eliminate from the diet irritating food (hot, cold, sour, spicy, salty), and stop smoking and drinking alcohol. It takes a lot to drink (1.5-2 liters per day), it is better if it's fortified beverages (eg, berry fruit drinks or broth hips). To rinse with warm antiseptic solutions (furatsillin, iodinol, etc.), lubrication (solution Lugol in glycerol) or irrigation (eg Ingalipt, Tantum Verde, Kameton) throat. Also helps to alleviate the condition gargle with warm salt solution (1 teaspoon per cup of water), inhalation solution of soda with vegetable oil or burying the nose of warm soda solution with the addition of glycerol. To reduce the temperature of the body can take antipyretics (drugs paracetamol, aspirin — except children). Also, your doctor may prescribe drugs with interferon and lysozyme, antihistamines, and vitamins and minerals. If it is determined that pharyngitis of bacterial origin (the causative agent is often the hemolytic streptococcus), it will likely not be able to do without antibiotics. They must appoint a physician, self unacceptable. Penicillin is the drug of choice, and in their intolerance of first generation cephalosporins and macrolides.

Treatment chronic pharyngitis is always long, it provides in addition to elimination of foci of chronic infection in the nasopharynx, treatment associated diseases of the gastrointestinal tract, endocrine disorders, etc. In hypertrophic pharyngitis overgrown lymphoid tissue sear, acting on her electric shock or cold (cryotherapy or electrocautery). In atrophic pharyngitis, on the contrary, therapy is aimed at increasing the secretion of mucus and decreased dryness (blurred throat Lugol solution in glycerol), and stimulation of regenerative processes in the mucosa (vitamin A supplementation, ATP).

In the treatment of chronic pharyngitis widely used physical therapy: ultraviolet irradiation, electrophoresis, inductothermy, magnetic and laser therapy. Good effect has spa treatment.

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