Homeopathic treatment for Chronic Pharyngitis
Chronic Pharyngitis is a chronic inflammatory condition of the pharynx. Pathologically, it is characterized by hypertrophy of mucosa, seromucous glands, sub epithelial lymphoid follicles also even the muscular coat of the pharynx.
A triad of sore throat, fever, and pharyngeal inflammation marked by erythema and edema are usually described as acute pharyngitis, although exudates, vesicles, or ulcerations may also be present.
The inflammation of the pharynx, which presents as a sore throat, is pharyngitis. It is a painful inflammation of the pharynx and is colloquially referred to as a sore throat.
Pharyngitis is a common medical problem in the outpatient medical setting, resulting in more than seven million pediatric visits each year.
Most types of pharyngitis are caused by infectious etiologies. The most common cause of pharyngitis is a viral infection.
However, some of the more serious types of pharyngitis are attributed to bacterial etiologies, such as group A-hemolytic Streptococcus pyogenes (GAS).
Complications from GAS pharyngitis include rheumatic fever, deep space abscesses, and toxic shock. Although most episodes of pharyngitis are acute in nature, a small percentage becomes recurrent or chronic. With regards to chronic pharyngitis, non-infectious etiologies, such as Laryngopharyngeal reflux disease and periodic fever, aphthous ulcers, pharyngitis, and adenitis syndrome also need to be considered.
Both medical and surgical therapies are effective in managing pharyngitis. Antibiotic treatment requires first-line medical therapy. Surgical management via adenotonsillectomy is recommended for certain indications. Adenotonsillectomy has been shown to be effective in reducing the burden of disease and improving the global quality of life and disease-specific.
Several procedures, including traditional and intracapsular tonsillectomies, exist for adenotonsillectomy.
A large number of factors are responsible:
- Persistent infection in the neighborhood. In detail, In chronic rhinitis and sinusitis, purulent discharge constantly trickles down the pharynx and provides a constant source of infection. Furthermore, This causes hypertrophy of the lateral pharyngeal bands. Similarly, chronic tonsillitis and dental sepsis are also responsible for chronic pharyngitis and recurrent sore throats.
- Mouth breathing. Besides this, Breathing through the mouth exposes the pharynx to air which has not been filtered, humidified and adjusted to body temperature thus making it more susceptible to infections. Mouth breathing is due to:
(a) Firstly, Obstruction in the nose, e.g. nasal polypi, allergic or vasomotor rhinitis, turbinal hypertrophy, deviated septum or tumors.
(b) Secondly, Obstruction in the nasopharynx, e.g. adenoids and tumors.
(c) Thirdly, Protruding teeth which prevent apposition of lips.
(d) Lastly, Habitual, without any organic cause.
- Chronic irritants. For example, Excessive smoking, chewing of tobacco and pan, heavy drinking or highly spiced food can all lead to chronic pharyngitis.
- Environmental pollution. In detail, Smoky or dusty environment or irritant industrial fumes may also be responsible for chronic pharyngitis.
- Faulty voice production. Less often realized but an important cause of chronic pharyngitis is the faulty voice production. Excessive use of voice or faulty voice production seen in certain professionals or in “pharyngeal neurosis” where person resorts to constant throat clearing, hawking or snorting, also that may cause chronic pharyngitis, especially of hypertrophic variety
- History of ill contact
- Over crowding
- Frequent sinus infections
- Smoking
- Attending day care
- Immunocompromised
- Cold season
- Allergic rhinitis
- Gastroesophageal reflux disease
- Use of corticosteroids
- Oral sex
- Multiple sexual partners
- Unprotected sex
- Most viruses, such as adenovirus or coxsackie virus, can cause inflammation of the pharyngeal mucosa by direct invasion of the mucosa or by secondary to supra pharyngeal secretions. Other viruses, such as rhinoviral infections produce bradykinin and lysyl bradykinin, which are known inflammatory mediators that can excite nerve endings in the pharynx to cause pain.
- Pathogenesis of bacterial pharyngitis varies with etiology. In streptococcal pharyngitis (which is the most common bacterial pharyngitis), the bacteria release exotoxins and proteases. Erythrogenic exotoxin
- are responsible for the development of the scarlatiniform exanthem. Secondary antibody cross react against M2-protein of the myocardial tissue that may result in rheumatic
- fever and valvular heart diseasea(type II hypersensitivity reaction)nd the antigen-antibody complexes can lead to acute poststreptococcal glomerulonephritis (type 3 hypersensitivity reaction).
- Chronic catarrhal Pharyngitis
- Chronic hypertrophic Pharyngitis
Other types
KERATOSIS PHARYNGITIS
In general, It benign condition characterized by horny excrescences on the surface of tonsils, pharyngeal wall or lingual tonsils. Moreover, They appear as white or yellowish dots. These excrescences the result of hypertrophy also keratinization of epithelium. They are firmly adherent and cannot wipe off. There is no accompanying inflammation nor any constitutional symptoms and thus can easily differentiate from acute follicular tonsillitis. Besides this, The disease may show spontaneous regression and may not require any specific treatment except for reassurance to the patient.
ATROPHIC PHARYNGITIS
It a form of chronic pharyngitis often seen in patients of atrophic rhinitis. Pharyngeal mucosa along with its mucous glands shows atrophy. Additionally, Scanty mucus production by glands leads to formation of crusts, which later get infected giving rise to foul smell.
Dryness also discomfort in throat are the main complaints. Hawking and dry cough may present due to crust formation. Finally, Examination shows dry and glazed pharyngeal mucosa often covered with crusts.
SIGNS
- Chronic catarrhal pharyngitis. In this, there is a congestion of posterior pharyngeal wall with engorgement of vessels; facial pillars may thicken. Additionally, There increased mucus secretion which may cover pharyngeal mucosa.
- Chronic hypertrophic (in other words, granular) pharyngitis
(a) Firstly, Pharyngeal wall appears thick and edematous with congested mucosa and dilated vessels.
(b) Secondly, Posterior pharyngeal wall may studded with reddish nodules (hence the term granular pharyngitis). These nodules due to hypertrophy of subepithelial lymphoid follicles normally seen in pharynx.
(c) Thirdly, Lateral pharyngeal bands become hypertrophied.
(d) Lastly, Uvula may be elongated also appear edematous.
SYMPTOMS
Severity of symptoms in chronic pharyngitis varies from person to person.
- Discomfort or pain in the throat. Moreover, This is noticed in the mornings.
- Foreign body sensation in throat. Generally, Patient has a constant desire to swallow or clear his throat to get rid of this “foreign body.”
- Tiredness of voice. Patient cannot speak for long and has to make undue effort to speak as throat starts aching. Besides this, The voice may also lose its quality and may even crack.
Cough Throat is irritable and there is tendency to cough. Mere opening of the mouth may induce either retching or gagging.
Vital Signs
- High/ low-grade fever
Skin
- Scarlatiniform rash associated with GAS, Arcanobacterium haemolyticum.
- Pharynx shows erythema, hypertrophy, tonsilar exudates, masses, Soft-palate petechiae
(“doughnut” lesions), and beefy red, swollen uvula associate with Streptococcal pharyngitis.
- Grayish brown diphtheritic pseudomembrane which may involve one or both tonsils or may extend widely to involve the nares, uvula, soft palate, pharynx, larynx, and tracheobronchial tree associate with Corynebacterium diphtheria.
Conjunctivitis and periauricular lymphadenopathy associate with adenoviral infection.
- Blisters or ulcers in the anterior mouth or lips are seen in herpes simplex infection.
Heart
- Heart murmur associate with rheumatic fever due to streptococcal pharyngitis.
Abdomen
- Hepato spleenomegaly: associate with pharyngitis caused by group A streptococcus, infectious mononucleosis
Neck
- Cervical adenopathy
Rapid antigen detection test
Throat culture
Anti–streptococcal antibody titers
Rapid influenza diagnostic tests
Immunoassays that can identify the presence of influenza A and B viral nucleoprotein antigens in respiratory specimens
Complete blood count with differential
An increased percentage of neutrophils may be due to acute bacterial infection An increase in lymphocytes may be related to viral infection Increased total number of lymphocytes, with greater than 10% atypical lymphocytes (large with irregular nuclei) is present in Epston- Bar virus (EBV) infection May be useful when presenting a mononucleosis-type syndrome
Monospot test
A monospot test (heterophile antibody test) is a rapid test for infectiousmononucleosis due to EBV.
Epstein-Barr virus serologic profile
Serologic profile will include testing for immunoglobulin G (IgG) and M (IgM) antibodies
Acute HIV infection tests
ELISA
test: Uses an enzyme immunoassay to detect specific antibodies
- Throat Examination
- CBC
- Rhinovirus
Coronavirus
- Adenovirus
- Herpes simplex virus (HSV),
- Parainfluenza virus
- Influenza virus
- Epstein—Barr Virus (EBV)
- Human immunodeficiency virus (HIV).
- Gargle with warm saline solutions
- Stay well-hydrated
- Avoid smoking
- Manage pain with over-the-counter medication such as acetaminophen/paracetamol
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Homeopathic Medicines for
Chronic Pharyngitis
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.
So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).
Medicines
Aesculus HippocampusDry, uncomfortable feeling in fauces and pharynx, a sense of constriction, with raw, either excoriated feeling or a sense of pricking and yet no swelling; frequent desire to swallow, uneasiness in deglutition; troublesome tickling cough, with constant hawking up of mucus which is not tenacious or stringy; fauces, vulva and back of pharynx dusky red, relaxed or swollen; tongue coated, feeling of general malaise also depression; catarrhal
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DroseraRough, dry, scraping sensation specifically, on soft palate and in fauces, inducing cough; pharyngeal anaemia; pharynx pale, discolored also blanched, often a premonitory symptom of tuberculosis pulmonum. | ||||||
Hepar SulphChronic venous congestion of pharyngo-laryngeal mucous membrane; feeling of dullness also constriction in throat, with desire to swallow, but no pain during deglutition; throat
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Kali Mur
Pharyngitis, GREAT DEAL OF FOETOR IN BREATH, hawks up cheesy lumps of the size of a split pea; throat swollen, either spots or pustules appear with gray or whitish exudation; adherent crusts especially, in vault of pharynx; tongue coated grayish-white, slimy or dry; biliousness, dyspepsia, fatty or rich food causes indigestion.
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- Warm Water Gargle
- Rest
- Adequate Water
- Nutritious Diet
[1] Diseases_of_Ear_Nose_and_Throat_6Edition
[2] Homoeopathic Therapeutics by Lilienthal
[3]https://www.wikidoc.org/index.php/Pharyngitis_overview
[4]https://www.google.com/search?q=differntial+diagnosis+of+chronic+pharyngitis
[5]ttps://www.google.com/search?q=prevention++of+chronic+pharyngitis
What is Chronic Pharyngitis ?
It is a chronic inflammatory condition of the pharynx. Pathologically, it is characterized by hypertrophy of mucosa, seromucous glands, sub epithelial lymphoid follicles and even the muscular coat of the pharynx.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Chronic Pharyngitis
- Alumina
- Ambragracia
- Argentum Nit
- Bromium
- Drosera
- Hepar Sulph
- Iodum
- Kali Bromatum
- Kali Iod
- Kali Mur
What are the symptoms of Chronic Pharyngitis
- Either Discomfort or pain in the throat
- Foreign body sensation in throat
- Tiredness of voice
Cough
What are the causes of Chronic Pharyngitis
- Persistent infection
- Mouth breathing
- Chronic irritants
- Excessive smoking
- Environmental pollution
- Faulty voice production
