Pharyngalgia

Description:

Pharyngalgia when swallowing - one of the most often found complaints on reception not only of the otolaryngologist, but also the general practitioner. This симптомокоплекс can accompany a large number of diseases and morbid conditions that demands careful inspection of the patient and carrying out differential diagnosis

Risk factors of emergence of a pharyngalgia when swallowing:
Though when swallowing each of us can have a pharyngalgia, some factors can strengthen your susceptibility to throat diseases. Carry to these factors:
- Age. The pharyngalgia when swallowing arises at children and teenagers more often. For example, aged from 5 up to 18 years the throat can hurt more than 5 times a year while at adults twice less often children. The pharyngalgia when swallowing caused by a streptococcal infection most often occurs at children.
- Oral sex. The pharyngalgia when swallowing can arise because of the gonococcal quinsy which developed after classes oral sex. Though the risk of infection is tens times lower, than at ordinary sexual contact any kinds of oral sex can lead also to infection with HIV infection, gonorrhea, syphilis.
- Smoking or passive smoking. Tobacco smoke, both at active, and at passive smoking contains hundreds of harmful chemicals irritating mucous a mouth and a nasopharynx.
- Allergy. If you have seasonal allergies or you have a constant allergy to dust, a mold or wool of domestic animals, then the pharyngalgia when swallowing at you will appear more likely, than at the people who do not have an allergy.
- Action of chemical irritants. Solid particles from combustion of fuel, as well as household chemicals, can irritate a throat.
- Persistent or repeated infections of nasal bosoms (antritis, sinusitis). Infections of a nasal cavity and sine can cause infection of a throat.
- Accommodation or work in the close room. Viral or bacterial infections extend in places of big accumulation of people easier - in kindergartens, educational audiences, offices, prison cells and barracks.
- Non-compliance with rules of personal hygiene. Frequent and careful washing of hands is the best way of prevention of any infection.
- The weakened immunity. At the weakened immunity you are more vulnerable to an infection. Main reasons for disturbances of immunity: some diseases, such as AIDS and diabetes mellitus, treatment of drugs of steroids, chemotherapy of tumors, overfatigue and improper feeding.

Symptoms of the Pharyngalgia:

The clinical picture is defined by a basic disease.

Reasons of the Pharyngalgia:

The reasons of a pharyngalgia when swallowing:
The pharyngalgia when swallowing in most cases arises at infection with viruses of cold and flu. More rare - because of a bacterial infection which causes quinsy. In some cases when swallowing noninfectious factors can cause a pharyngalgia.

Viruses and bacteria get into an organism through a mouth or a nose at inhalation of the particles getting to air when someone sneezes or coughs, or by autoinfection at a touch to eyes or a nose after contacts with sick people or use with them the general objects: ware, towels, toys, door handles or phone.

Virus reasons
Carry to the viruses causing a pharyngalgia when swallowing:
- The viruses causing cold
- Influenza virus
- Virus of an infectious mononucleosis
- Measles virus
- Virus of chicken pox
- Virus of a parainfluenza (grain)

Bacterial reasons
Carry to the bacteria causing a pharyngalgia when swallowing:
- Streptococcus
- Diphtheritic stick
- Mycoplasma
- Chlamydia
- Causative agent of gonorrhea

Other reasons of a pharyngalgia when swallowing:
The bacteria and viruses causing a pharyngalgia when swallowing are infectious, especially in the first days of a disease therefore they can easily extend in places of big accumulation of people: at schools, kindergartens and offices. Nevertheless, the pharyngalgia when swallowing is not always connected with an infection.

Allocate also other reasons of a pharyngalgia when swallowing:
- Allergy. Allergic reactions to wool of domestic animals, a mold and pollen, can be shown not only by redness, a face edema and cold, but also a pharyngalgia when swallowing.

- Dry air. Feelings of dryness and irritation in a throat when swallowing, for example, when you wake up in the mornings, can arise because of dryness of air indoors, especially in the winter when rooms are strongly heated. Dryness and a pharyngalgia when swallowing can also arise at breath through a mouth because of a nose congestion.

- Pollution and other irritating substances. The contaminated air on the street can cause constant irritation of upper respiratory tracts and a throat. But the main reason for a chronic pharyngalgia when swallowing - air pollution in rooms, especially tobacco smoke. Moreover, passive smoking is more dangerous in this relation, than active. So-called smokeless smoking (chewing and snuff forms of tobacco), alcohol or spicy food can also irritate your throat.

- Muscular tension. It is possible to overstrain muscles of a throat the same as muscles of hands or legs. The pharyngalgia when swallowing after the performance at a concert or sports competitions is a result of an overstrain of muscles of a throat.

- Gastroesophagal reflux. This disease at which gastric contents, (in particular a caustic gastric juice) get into a gullet. Normal the circular layer of muscles (the lower esophageal sphincter) passes food and liquids only in one direction, in a stomach, and at the same time interferes with penetration of a gastric juice in the opposite direction. But, if processes of relaxation and reduction of a sphincter are broken, the gastric juice can get into overlying departments of digestive tract, irritating at the same time not only a gullet, but also a throat. The irritation of a throat caused by a gastroesophagal reflux is not followed by other symptoms of a viral infection and not several days as at an infection, and occurs constantly last.

- HIV infection. At HIV-positive people the chronic pharyngalgia sometimes develops when swallowing. It is connected not by the HIV infection, and with consecutive infection, for example, with candidosis stomatitis or a Cytomegaloviral infection. Any viral infection can be extremely dangerous to people with disturbances from immune system.

- Tumors. The smokers and people abusing alcohol treat risk group of development of tumors of a throat, language or the voice device. At some patients these tumors are expressed by soft symptoms or do not prove in any way. Others have a hoarseness of a voice, difficulty of swallowing and a pharyngalgia when swallowing.

Treatment of the Pharyngalgia:

Carry out treatment of axis pathology.
For pain relief in a throat carry out a symptomatic treatment.
Reception of non-steroidal anti-inflammatory drugs (for example, an ibuprofen or paracetamol) – an effective way of removal  of pain. Besides, these drugs reduce the fever accompanying a disease. However not all of them suit children 15 years are younger. Surely read the application instruction of medicine or consult with the family doctor or the druggist if there were questions.
Apply tablets with medicines of antiinflammatory, antibacterial action and with effect of local anesthesia, aerosols from a throat inflammation.