80% of sore throats should not use antibiotics

Acute pharyngitis due to viruses is not needed and should not be used because antibiotics have no effect. But if the strep throat is bacteria, then this medicine is needed, for 5-7 days.

Position sore throat
(Photo: SK & D)

Sore throat has many causes, mostly viral (80%) such as adeno, rhino, respiratory syncytial virus, flu, measles . The rest of the bacteria are caused by streptococcus, staphylococci, and pneumococcus , H.Influenzae . More dangerous is hemolytic streptococcus group A because it is the culprit leading to complications of sore throat, low heart, arthritis, nephritis.

Risk factors for sore throats are changes in weather, cold, humidity, dust, smoke, alcohol and chemicals.

Acute pharyngitis

Red sore throat: Fever, fatigue, often fever suddenly 39-40 degrees C, body aches, poor appetite, crying children. If due to infection, the signs of infection are quite obvious such as dry lips, dirty tongue, fast vessels, tired face and tired face.

Patients find sore throat, throat irritation when drinking water or swallowing saliva, but with solids that swallow less pain, patients have difficulty swallowing, throat irritation. Cough is the second most common symptom, can cough every cough, cough with mucus, mucus, at the beginning of the yellow after smell with bad smell, change the voice. Specifically: the voice is not clear, slightly hoarse, sometimes hoarse. Whole red bloody mucosa, swollen tonsils, red. Plucked in the corner of the swollen jaw.

White sore throat: Most are diphtheria pharyngitis and pharyngitis vincent. In diphtheria, the fever is not high, but there is a clear sign of poisoning such as pale face, tiredness, listlessness, poor urination; swallowing pain, swallowing, coughing with sputum, the language may change. Throat, especially on the face of tonsils, has a pseudo-white pseudomembrane.

Vincent pharyngitis is common in the elderly or the elderly, pseudomembranous is usually thin, easy to peel, when the hypothalamus is a shallow ulcer layer.

In addition, white sore throat often causes lymph nodes in the neck area.

Chronic pharyngitis

It is a very common disease of all ages; The main reason is factors such as alcohol, tobacco, toxic vapors, smoke, dust. Clinical symptoms are usually few, do not affect the whole body, no fever, people only or tired. The most important sign is throat irritation, swallowing, especially coughing or intermittent coughing, a dry cough that may have little phlegm makes it very uncomfortable for the patient to spit all day.

Strep throat can cause complications such as abscesses, pharyngitis and tonsillitis (young children may have abscesses behind the throat); Rhinitis, sinusitis (especially in children with otitis media - a very common complication, sometimes not detected).

In addition, sore throat spreads to the larynx, causing laryngitis or bronchitis-bronchitis , bronchitis or lung inflammation. Remote complications are glomerulonephritis, arthritis, pericarditis .

In terms of treatment , if acute viral pharyngitis does not require antibiotics, just coolers like efferangan, paracetamol, aspegic (only used when the temperature is greater than 38 degrees C). Use cough suppressants such as phenergan syrups, cough supplements, theralen .

With bacterial pharyngitis, antibiotics must be used based on antibiotic antibiotics 5-7 days. Especially with diphtheria sore throat, must be transferred to infectious departments, not treated at home. In addition to using the right dose of antibiotics, detoxification must be used to avoid complications of the heart and kidneys. Topical medications: Sore throat with antibiotics, anti-inflammatory. In addition, the throat can be used with medicines such as glycerin borate.

With chronic pharyngitis, in addition to gargling with alkaline solutions to ensure throat pH, can be intervened by burning seeds with silver salts (NO3Ag), chromic acid, electrocautery, laser CO2 burning. However, the burning should be cautious because only the seeds are burned, not to damage the throat mucosa.