Diagnosis

In order to identify the cause of the pharyngitis and make a diagnosis, a detailed anamnesis is taken at the beginning. This should include not only the onset, duration and symptoms, but also the question of possible exposure to noxious agents, such as jobs involving chemicals, nicotine or alcohol abuse. Furthermore, the different forms of chronic pharyngitis can often be distinguished by the clinical picture.

A blood sample can rule out an underactive thyroid gland. In addition, endoscopic reflections of the nose and throat as well as images of the paranasal sinuses can be taken. Changes in the mucous membrane can be closely examined and samples can be taken which indicate possible cell changes in the pharyngeal mucosa. By means of paranasal sinus diagnostics, for example by means of a CT, chronic paranasal sinus inflammation can be identified as the cause of pharyngitis. Swabs of the back wall of the throat can provide information about bacterial or mycotic infections of the throat caused by fungi

The treatment

The therapy of chronic pharyngitis depends on the triggering cause. Since in this case a complete cure cannot be achieved, the primary goal of treatment is to improve the symptoms. If the chronic pharyngitis is caused by noxious agents, these should be avoided.

For example, when working with chemicals that cause the inflammation, a change of profession may be necessary. If a chronic inflammation of the pharyngeal tonsils results in an inflammation of the pharynx, surgical removal of the pharyngeal tonsils should be considered. If breathing with an open mouth is the only option due to constantly obstructed nasal breathing, the cause of the nasal obstruction must be removed.

For example, enlarged nasal conchae or tonsils can obstruct breathing through the nose, which should then also be surgically removed. If the cause of the chronic pharyngitis is an underlying disease, it must be treated. For example, heartburn as the cause should be treated with proton pump inhibitors.

The proton pump inhibitors reduce the production of gastric acid and thus the acidic belching. If the thyroid gland is underactive, however, thyroid hormones should be taken. Symptomatic therapy can be used to reduce the symptoms of chronic pharyngitis in the early stages or if it is not completely eliminated.

This should include moistening the mucous membranes with, for example, inhalation of Emser Sole® and sufficient drinking throughout the day. Sucking sweets, for example with sage, can also keep the mucous membranes moist. To reduce inflammation from the mouth and throat area, solutions can be gargled.

Chronic pharyngitis is often accompanied by a dry mucous membrane. For example, airing rooms, for example in winter with dry heating air, can help to counteract chronic pharyngitis. In addition, it is important to drink a lot and often.

Teas such as sage or other herbal teas are suitable for this purpose, and milk with honey can also alleviate the symptoms in the throat. Lollipops, for example with Icelandic moss and gargle solutions can moisturize the throat and mucous membrane and also provide relief. Inhalations with sage, salt water or chamomile can also improve the existing symptoms.

Homeopathic remedies can be used to support the therapy. Firstly, Mercurius solubilis is suitable for chronic pharyngitis. It is effective against pain and inflammation of the throat and pharynx.

For chronic diseases, higher potencies should be used. However, it should be taken in consultation with a therapist. Aesculus globules can be taken when the throat is dry and inflamed.