Managing Chronic Pharyngitis: Effective Remedies and Treatments

Chronic pharyngitis

I have been coughing for over a year.
Each time I visit a Western medicine doctor, I am diagnosed with an upper respiratory tract infection, and when it gets more severe, it's bronchitis.
Additionally, there is some swelling in my nasal cavity, leading the doctor to suspect allergies.
I feel like there is something stuck in my throat, and it feels swollen.
Sometimes, I experience nasal discharge and congestion before sleeping or upon waking up.
Recently, I suspect I might have chronic pharyngitis (this is my own assessment).
The medications prescribed by the Western doctor help while I am taking them, but the symptoms return a few days after finishing the medication.
I have now switched to traditional Chinese medicine for treatment.
I would like to know if there are any over-the-counter medications that I can suck on to alleviate the feeling of something stuck in my throat.
The last medications prescribed by the Western doctor have all been used up, and I hope to find something available at a regular pharmacy.

Niming, 30~39 year old female. Ask Date: 2021/03/22

Dr. Ji Zhaoyun reply Otolaryngology

Hello, the situation you described may be chronic pharyngitis or another condition.
It is recommended to seek medical attention for a laryngoscopy to confirm the diagnosis (to rule out any masses) and for medication treatment.
In addition to medication (such as expectorants and antacids), please pay attention to the following daily life precautions: avoid lying down for two hours after eating, and refrain from coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as these can help improve symptoms.
Wishing you safety and health.

Reply Date: 2021/03/22

More Info

Chronic pharyngitis can be a frustrating condition, especially when it seems to persist despite various treatments. Your symptoms, including a persistent cough, a sensation of something stuck in your throat, nasal congestion, and post-nasal drip, suggest that you may indeed be dealing with chronic pharyngitis, possibly exacerbated by allergies or other underlying conditions.

Understanding Chronic Pharyngitis
Chronic pharyngitis is characterized by inflammation of the pharynx that lasts for an extended period. It can be caused by a variety of factors, including:
1. Allergies: Allergens such as pollen, dust mites, or pet dander can lead to chronic inflammation.

2. Infections: Recurrent viral or bacterial infections can contribute to ongoing symptoms.

3. Environmental Irritants: Exposure to smoke, pollution, or chemical fumes can irritate the throat.

4. Gastroesophageal Reflux Disease (GERD): Acid reflux can cause throat irritation and inflammation.

5. Dry Air: Low humidity can dry out the throat, leading to discomfort.

Effective Remedies and Treatments
1. Hydration: Keeping well-hydrated is crucial. Drinking plenty of water helps keep the throat moist and can alleviate the sensation of something being stuck.

2. Humidifiers: Using a humidifier in your home can add moisture to the air, which may help soothe your throat, especially in dry environments.

3. Saltwater Gargle: Gargling with warm salt water can help reduce inflammation and provide temporary relief from throat discomfort.

4. Throat Lozenges: Over-the-counter throat lozenges can provide soothing relief. Look for those containing ingredients like menthol or eucalyptus, which can help numb the throat and reduce irritation.

5. Antihistamines: If allergies are a contributing factor, over-the-counter antihistamines may help reduce nasal congestion and post-nasal drip, which can aggravate throat irritation.

6. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can exacerbate your symptoms.

7. Dietary Adjustments: Eating soft, non-irritating foods can help. Avoid spicy, acidic, or very hot foods that might further irritate your throat.

8. Medications: If your symptoms are severe, you may want to consult with a healthcare provider about prescription medications. Corticosteroids may be prescribed to reduce inflammation, and if allergies are confirmed, allergy medications may be beneficial.

When to Seek Further Help
If your symptoms persist despite these measures, or if you experience additional symptoms such as difficulty swallowing, significant pain, or fever, it is essential to follow up with a healthcare provider. They may recommend further evaluation, such as allergy testing or imaging studies, to identify any underlying issues that may be contributing to your chronic pharyngitis.

Conclusion
Managing chronic pharyngitis often requires a multifaceted approach. While over-the-counter remedies can provide temporary relief, addressing any underlying causes, such as allergies or irritants, is crucial for long-term management. It’s great that you are exploring both Western and traditional Chinese medicine approaches, as a holistic view can often yield the best results. Always consult with your healthcare provider before starting any new treatment to ensure it is appropriate for your specific condition.

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