Pharyngitis in adults and children - inflammation of the pharyngeal mucosa in acute and chronic form due to:
- activation of pathogenic microflora inhabiting the tonsils and nasopharynx;
- introduction of pathogenic microorganisms from the environment from a man with angina( acute or chronic tonsillitis);
- viral infection;
- for the introduction of allergens;
- reduced immunity.
Pharyngitis irritates a sick child and an adult, causing discomfort in talking, swallowing, eating, the voice breaks and clots, periodically there is a paroxysmal cough with a difficult departure of scant sputum. This disease in humans at one time can include more:
- angina( tonsillitis),
- laryngitis( additionally read about symptoms, treatment of false cereal in a child, how to give him first aid),
- runny nose, including allergic.
Our Today's Topic:
- Symptoms and treatment of acute and chronic pharyngitis in children and adults in outpatient and home settings;
- how to treat and cure pharyngitis: antibiotics, folk remedies.
Simultaneously, at the bottom of the page you can make a video review of the treatment of pharyngitis in a child and an adult in various ways and methods. That's what I want to ask you before starting self-treatment - consult a doctor-therapist( for adults) or a pediatrician( for children) in choosing a particular drug or method of treatment.
There are acute and chronic pharyngitis.
Pharyngitis: ICD code 10 - J02 and J31.2
Acute pharyngitis ( J02 ).Included: acute sore throat.
- abscess: peritonsillar( J36 ),
- pharyngeal( J39.1 ),
- retropharyngeal( J39.0 ),
- acute laringofaringit( 0 ),
- chronic pharyngitis ( 2 ).
J02.0.Streptococcal pharyngitis. Streptococcal sore throat. Excluded: scarlet fever( A38).
J02.8.Acute pharyngitis caused by other specified pathogens.
If necessary, an additional code is used to identify the infectious agent( B95-B97).
Excluded: caused by: infectious mononucleosis( B27.), Influenza virus: identified( J10.1), unidentified( J11.1), pharyngitis: enterovirus vesicular( B08.5) caused by herpes simplex virus(B00.2).
J02.9.Acute pharyngitis, unspecified. Pharyngitis( acute): BDU:
- infectious BDU,
- Sore throat( acute) BDU.
Pharyngitis acute and chronic: symptoms
Symptoms of acute pharyngitis
Almost never isolated;most often it develops as a descending acute catarrh of the nose and throat. The causes of acute pharyngitis are the same as the acute cold. In the emergence of acute pharyngitis, an important role is played by adenovirus infection. Additionally, see the publication on how to quickly cure a runny nose at home.
In acute pharyngitis, patients feel a feeling of dryness, mild soreness or tension in the pharynx. Swallowing saliva is usually more painful than swallowing food. The temperature in patients is usually normal or keeps in the redistribution of 37-37.2 degrees. Often, acute pharyngitis is a harbinger of a beginning angina. Read the page: treatment of angina at home, how to cure and how to gargle.
Symptoms of chronic pharyngitis
Chronic pharyngitis can be divided into hypertrophic and atrophic:
- With hypertrophic form , patients complain of a congestion in the pharynx of a viscous mucous discharge, which causes irritation and the need to cough and expectorate. This irritation especially worries the sick in the morning and can be accompanied by nausea or vomiting.
- With atrophic pharyngitis , the pharyngeal mucosa is dry, shiny, as it were varnished. Sometimes it can be seen dried mucus or crust, difficult to remove. The patient is constantly worried about dryness in the throat, the presence of some foreign body, perspiration, scratching and discomfort.
Pharyngitis: photo of throat in adults and children
Photo taken from the site:.
Treatment of a pharyngitis at home
How to treat a pharyngitis in a child and an adult: drugs, medicines
Acute pharyngitis is treated in the same way as catarrhal angina.
With chronic pharyngitis , first of all, we must try to eliminate its causes: sinusitis( see also treatment of sinusitis at home with folk remedies), chronic rhinitis.
Frequent rinses are prescribed with warm solutions of bicarbonate soda, low concentration sodium chloride. The same solutions can be sprayed in the nasopharynx using a spray gun.
When hypertrophic pharyngitis is recommended to periodically lubricate the pharyngeal mucosa with a solution of silver nitrate( 1-5%).
With atrophic pharyngitis - a gentle diet( do not soar, the food should be warm and non-irritating).Oil and alkaline inhalations are shown in a physiotherapy room.
From medications, the right choice is the drug Imudon , which is effective in sore throat, regardless of whether the inflammation of the throat is viral, bacterial, or it is caused by fungi. After applying the drug, immunity rises and normalization of the microflora of the oral cavity and pharynx takes place.
Treatment of angina and pharyngitis requires precise determination of the causative agent of the disease. For example, for bacterial angina( pharyngitis), antibiotics will be used, with fungal antifungal agents, viral sore throats are treated with antiviral medications.
However, in the development of cases of sore throat or pharyngitis( or their complications), bacteria are involved, so antibiotics are prescribed as the main agent.
Treatment of pharyngitis( sore throats) also depends on the severity of the disease. Given that patients with severe forms of pharyngitis should be treated in the hospital, the following is a general scheme of treatment of mild and moderate forms of pharyngitis.
Antibiotics for pharyngitis
Benzathine penicillin is used in the treatment of all forms of pharyngitis and sore throat. Applicable: for adults 1.2 million units intramuscularly. For children 600000 ED intramuscularly.
Penicillin V . Adult administered 250 mg 4 times daily for 10 days. For children inside 125 mg 4 times a day for 10 days.
For patients who do not tolerate drugs from the Penicillin group, Azithromycin ( Erythromycin ) is recommended. Adult 500 mg once daily for three days. For children at the rate of 10 mg per 1 kg of weight for three days.
If suspected of fungal angina, antifungal drugs are used:
Nystatin .For adults, - 250000 units 6-8 times a day for 10-12 days. For children up to the year - 100,000 units.3-4 times a day. For children older than one year - 250,000 units 3-4 times a day.
These types of drugs have become widespread in the treatment of mild forms of sore throat. The most common antiseptic drugs used in the treatment of angina are:
- Sebidine( 4 times a day for 1 tablet for 7 days).
- Septhotte( 1 tablet every 3 hours),
- Strepsils( 1 tablet every 3 hours, no more than 8 per day),
- Falimint( no more than 10 tablets per day),
It should be noted that you can not abuse these drugs.
infants are unable to gargle or dissolve the above antiseptic tablets. Therefore, for the treatment of angina in children of this age group, irrigation of the pharyngeal walls with antiseptics in the form of sprays is applied:
- Tantum Verde.
Irrigating the throat with antiseptic sprays to children with angina or pharyngitis should be performed with great care because of the risk of spasm of the larynx.
Rinse throat with sore throat and pharyngitis
Rinse throat with angina can have a good effect on the course of the disease, in addition, rinses help reduce sore throat. For rinses, aqueous solutions of potassium permanganate( light potassium permanganate)( 0.1%), boric acid( 1%), and salts of baking soda, furacilin can be used. Rinse solutions should be warm( not hot!) Washing procedures can be repeated several times a day.
Smearing of affected tonsils with iodine ( during tonsillitis) is unpleasant and in some cases dangerous( risk of allergy to iodine), therefore this measure should be resorted only in extreme cases. Also infusion from camomile or calendula ( prepared at the rate of 1-2 tablespoons of dried flowers per 1 cup of boiling water) is also suitable. Antiseptic solutions that can be bought at the pharmacy are also useful: chlorophyllipt, rotokan .These solutions rinse the throat 2-3 times a day. Gargle and local antiseptics are useful in both pharyngitis and simple angina in all patients.
Treatment regimen for sore throat and pharyngitis in children
For the treatment of school-age children, we offer the following effective 7-day treatment regimen:
- Dissolve 1 tablet of Thyringosept 3 times a day. After resorption of the tablet for a while it is desirable not to drink or eat.
- Irrigate the walls of the throat with spray Hexoral 2 times a day for 2 doses.
- Rinse throat with solution Chlorophyllipt ( 1%) - 3 times a day.
- Compress on the throat.
Spirituous compress on the throat is an tried and tested tool that helps to relieve pain and inflammation in case of angina and pharyngitis. To make a compress, the gauze cloth is impregnated with alcohol solution( no more than 40%), and then applied to the throat. Over the compress it is desirable to apply a piece of polyethylene or wax paper( in order to prevent the evaporation of alcohol).The superimposed compress is bandaged with a warm scarf. Usually, such a compress is put on at night. This method of treatment is especially useful in angina. You can not abuse alcohol and apply to alcohol compresses greater than 40% concentration - it can cause a chemical burn of the skin of the throat. In the first days the compress is applied twice a day, in the morning and in the evening, in the following days, a single evening compression of the compress is enough.
As is known, the temperature in angina can reach very significant values. The parents' task is to ensure that the temperature does not rise above the critical, dangerous limits. To knock down a low temperature, on the contrary, is not recommended. The decrease in temperature with angina and pharyngitis does not differ from that in other diseases.
How to cure pharyngitis folk remedies at home
The main methods of treatment of pharyngitis are lubrication of the pharynx, inhalation and rinsing .
For acute pharyngitis for rinsing and inhalation, leaves sage, eucalyptus, chamomile, calendula .For the preparation of infusions usually take 10 g of raw materials for 200 ml of boiling water. The number of inhalations should be 5-7 during the day, duration - 5 minutes.
With acute pharyngitis, cones of spruce or pine ( 20 grams per cup of boiling water) have proved themselves well. Breathe follows through a paper tube with a wide funnel.
With acute pharyngitis, preparations are made:
Collection 1 :
- raspberry leaves,
- horsetail grass,
- flowers of the immortelle.
We take everything in equal parts, crush and mix.1 tablespoon of the collection pour 200 ml of boiling water, insist 2 hours, strain. Use for rinses and inhalations.
Collection 2 :
- veronica grass,
- peppermint grass,
- elder flowers.
Preparation and use - as in the previous recipe.
For chronic hypertrophic pharyngitis, herbs and plants containing tannins are used: bark of the viburnum, oak, willow, St. John's wort, birch leaves .As an anti-inflammatory agent, uses melissa herb, sage, barberry, chamomile, aspen, mallow flowers .
Juice of raw potatoes is used for rinses in all forms of chronic pharyngitis.
With hypertrophic pharyngitis, grass is applied to the pharmacy ( spleen, repenechic).3-4 spoons of crushed flower stems pour 500 ml of boiling water, leave for 1 hour, strain. Use for rinsing.
Grass repheška is well used in combination with chamomile flowers 1: 1, as röpäshök has astringent and anti-inflammatory effect, and chamomile is anti-inflammatory and they significantly enhance the effect of each other.
Blackberry .Use a decoction of leaves and fruits both inside, and for rinsing or inhalation.
Elm leaf-shaped .A tablespoon of crushed bark pour 0.5 liters of water and boil for 10 minutes. Strain and use to rinse throat with pharyngitis.
Thimbus buckle .Apply in the form of hot infusions.1 teaspoon above the ground flowering part, pour a glass of boiling water, insist 1-2 hours, strain. Use for rinses and inhalations.
Blueberries .Use berries and blueberry leaves. Prepare tinctures for gargling. You can drink warm tea 3-4 times a day.
For the topical treatment of the subatrophic and atrophic pharyngitis , the following charges are widely used:
Collection 3 :
- infusion of peppermint leaves( 10 g per boiled glass),
- decoction of the calyx bark( 15 g per cup of boiling water),
- herb infusionyarrow( 10 g for 200 ml of boiling water).
Insist each of the plants in a separate bowl, strain, mix for inhalations.
Or: make a collection of the above herbs, pour 0.5 liters of boiling water, insist 1 hour, strain. Use for inhalation.
Prepare collection 4 :
- blackberry leaves - 10 g,
- calendula flowers - 5 g,
- white acacia flowers - 10 g.
All mix.1 tablespoon of the collection pour a glass of boiling water, insist 1 hour, strain. Use for inhalation.
With atrophic pharyngitis , oil inhalation is of great help in improving the general condition of the patient. For inhalation, oils such as olive, peach, menthol, oil from rose petals are used. Usually take 5-10 drops of oil on a glass of boiling water. The patient through a funnel-shaped tube( or through the inhaler) breathes one of these oils 5-7 minutes 2 times a day.
For softening of dryness in the throat, soda inhalation is good: 1 teaspoon of baking soda for a glass of boiling water. Breathe gently for 5-7 minutes 2 times a day.
Preparation of propolis oil solution .30-40 g finely tuned propolis, pour 100 g of peach or olive( butter) and put on a battery or other warm place for 7 days. Shake each day 2-3 times. After 7 days strain, use for oil inhalations 2 times a day for 1-2 months.
Gargle and throat rinsing with or chamomile infusion, - simple and effective ( 1 tablespoon of flowers per cup of boiling water).Insist 1 hour, strain. The infusion is stored in the refrigerator for no more than two days.
With chronic atrophic and subatrophic pharyngitis, one should not eat hot food, drink hot tea or milk, soar up your throat. The food should be warm, not irritating, without spices and pepper. If the patient wanted something sharp, then before taking this "sharp" dish, it is desirable to eat 1 teaspoon of butter.
What is pharyngitis, how to treat it
Pharyngitis is an inflammation of the pharynx. From the video you can find out how pharyngitis arises, what symptoms accompany the disease, what distinguishes chronic and acute pharyngitis, and how to treat it.
Comment on the video: Valeria Chernyshova.
Hot drink is absolutely contraindicated in pharyngitis and other diseases of the throat! Only warm, but in no case hot. If you drink hot tea, you can even burn more mucous and get a complication - this I say from my experience, because I have a chronic throat disease and consulted a lot with doctors. To treat this disease I was prescribed antibiotics. I rinsed my throat with a solution of furacilin and splashed the spray. I bought it earlier, but it irritated the mucous and caused coughing. Laurus complained to me to go to Olefar. I read the instructions. The drug really consists of natural ingredients, relieves itching and sore throat, and it's just right for me to describe it. I decided that I would buy it.
Chronic pharyngitis: causes and treatment
On his video channel, the otolaryngologist Ivan Vasilievich Leskov says that treating pharyngitis can actually not be such a simple event.
Source: Iligov GN Official and traditional medicine. The most detailed encyclopedia.- Moscow: Izd-vo Eksmo, 2012.