pharyngitis is a persistent inflammation of the pharynx. It is common in adults
who work or live in dusty surroundings, use their voice to excess, suffer from
chronic cough, and habitu-ally use alcohol and tobacco.
types of chronic pharyngitis are recognized:
Hypertrophic: characterized by
general thickening and con-gestion of the pharyngeal mucous membrane
· Atrophic: probably a late stage of the
first type (the mem-brane is thin, whitish, glistening, and at times wrinkled)
Chronic granular (“clergyman’s sore
throat”): character-ized by numerous swollen lymph follicles on the pharyn-geal
with chronic pharyngitis complain of a constant sense of irritation or fullness
in the throat, mucus that collects in the throat and can be expelled by
coughing, and difficulty swallowing.
of chronic pharyngitis is based on relieving symptoms, avoiding exposure to
irritants, and correcting any upper respira-tory, pulmonary, or cardiac
condition that might be responsible for a chronic cough.
congestion may be relieved by short-term use of nasal sprays or medications
containing ephedrine sulfate (Kondon’s Nasal) or phenylephrine hydrochloride
(Neo-Synephrine). If there is a history of allergy, one of the antihistamine
decongestant med-ications, such as Drixoral or Dimetapp, is taken orally every
4 to 6 hours. Aspirin or acetaminophen is recommended for its anti-inflammatory
and analgesic properties.
prevent the infection from spreading, the nurse instructs the patient to avoid
contact with others until the fever subsides. Alcohol, tobacco, second-hand
smoke, and exposure to cold are avoided, as are environmental or occupational
pollutants if pos-sible. The patient may minimize exposure to pollutants by
wear-ing a disposable facemask. The nurse encourages the patient to drink
plenty of fluids. Gargling with warm saline solutions may relieve throat
discomfort. Lozenges will keep the throat moistened.