Bijan Farah MD

Internal Medicine
Emergency Medicine

Encino Town Medical Group

17130 Ventura Boulevard,
Encino California 91316

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Pharyngitis

Pharyngitis

Pharyngitis (Sore Throat)

Pharyngitis is inflammation of the pharynx, which is in the back of the throat. It’s most often referred to simply as “sore throat.” Pharyngitis can also cause scratchiness in the throat and difficulty swallowing.

  • Pharyngitis-induced sore throat is one of the most common reasons for doctor visits. 
  • More cases of pharyngitis occur during the colder months of the year. 
  • It’s one of the most common reasons why people stay home from work. In order to properly treat a sore throat, it’s important to identify its cause.
  • Pharyngitis may be caused by bacterial or viral infections.

Causes of pharyngitis

There are numerous viral and bacterial agents that can cause pharyngitis. They include:

Viral Infection

  • Viral infections don’t respond to antibiotics, and treatment is only necessary to help relieve symptoms. 
  • Pharyngitis is most commonly caused by viral infections such as the common cold

Measles; Common Cold Viruses such as  Adenovirus

Chickenpox

croup, which is a childhood illness distinguished by a barking cough Bacterial Pharyngitis

whooping cough; Influenza; Infectious Mononucleosis

Bacterial Infection

Rare causes of bacterial pharyngitis include.

  • Frequent exposure to colds and flus can increase your risk for pharyngitis. 
  • People with jobs in healthcare, 
  • People with allergies, and Sinus infections
  • People with exposure to Secondhand smoke

What are the symptoms of pharyngitis?

  • The incubation period is typically two to five days
  • Symptoms that accompany pharyngitis vary depending on the underlying condition.
Sore, dry, or scratchy throat;Sneezing;Runny nose;Headache;
Cough;Fatigue Body aches;Chills;Fever

Symptoms of mononucleosis include:

Streptococcal pharyngitis (Strep Throat) Symptoms

Sore throatdifficulty in swallowingRed Throat
with white or gray patchesSwollen Lymph Nodes Nausea
FeverLoss of Appetite General Malaise
Un-usual Taste in the mouth

Course of Disease

  • The length of the contagious period will also depend on your underlying condition. 
  • If you have a viral infection, you will be contagious until your fever runs its course. 
  • If you have strep throat, you may be contagious from the onset until you’ve spent 24 hours on antibiotics. 
  • The common cold usually lasts less than 10 days. Symptoms, including fever, may peak around three to five days. 
  • If pharyngitis is associated with a cold virus, you can expect your symptoms to last this duration of time.

How is pharyngitis diagnosed?

  • Physical exam If you’re experiencing symptoms of pharyngitis, your doctor will look at your throat. They’ll check for any white or gray patches, swelling, and redness. Your doctor may also look in your ears and nose. To check for swollen lymph nodes, they will feel the sides of your neck.
  • Rapid strep test This test will tell your doctor within a few minutes if the test is positive for streptococcus.
  • Throat culture This involves using a cotton swab to take a sample of the secretions from your throat. the swab is sent to a lab for further testing and results are not available for at least 24 hours.
  • Blood tests If your doctor suspects another cause of your pharyngitis, they may order blood work. A small sample of blood from your arm or hand is drawn and then sent to a lab for testing. A Mono test can determine whether you have Mononucleosis. A CBCtest may be done to determine if you have another type of infection.

Medical treatment

  • In some cases, medical treatment is necessary for pharyngitis. This is especially the case if it’s caused by a bacterial infection. For such instances, your doctor will prescribe antibiotics. 
  • Amoxicillin and Penicillin are the most commonly prescribed treatments for strep throat. 
  • It’s important that you take the entire course of antibiotics to prevent the infection from returning or worsening. An entire course of these antibiotics usually lasts 7 to 10 days.

Pharyngitis prevention

Maintaining proper hygiene can prevent many cases of pharyngitis. To prevent pharyngitis:

  • avoid sharing food, drinks, and eating utensils
  • avoid individuals who are sick
  • wash your hands often, especially before eating and after coughing or sneezing
  • use alcohol-based Hand sanitizers when soap and water aren’t available
  • avoid Smoking and inhaling secondhand smoke

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