Causes and treatment of persistent sore throat


Household factors

The causes of constant sore throat often lie in everyday factors. Dry indoor air irritates the mucous membranes of the respiratory tract. The culprit is often the air conditioner and electric heaters turned on.

According to the standard parameters of the indoor microclimate, the optimal air humidity in summer is 30–60%, and in winter – 30–45%. When the air in the apartment is dry, leave an open vessel with water. The air conditioner can be set in “drip” mode.

In production, the mucous membrane of the throat is irritated by inhaling harmful fumes of formaldehyde and phenol. Burns are caused by fumes of acids and alkalis. Hot food lovers constantly cause thermal burns to the mucous membrane of the throat.

Raising your voice too often and too loudly can strain your throat muscles and vocal cords. This problem occurs among lecturers, teachers, and singers.

Either my throat hurts or it doesn’t hurt

Content:

1. Infectious infections 2. Non-infectious diseases

2.1. Treatment of sore throat

3. Conclusion

Feeling the familiar pain, soreness and burning sensation in the throat when swallowing, a person thinks about a cold. But pain is not necessarily a symptom of this disease - there are many reasons for the manifestation of similar symptoms.

One of the reasons that cannot be attributed to diseases of the body is smoking. Cigarette smoke contains many tars and chemicals harmful to humans. The cause of pain is irritation of the mucous membrane by chemicals.

Note! Sore throat can occur not only in active tobacco users, but also in passive smokers.

Medically explained causes of sore throat:

  • Infectious – the body becomes infected with harmful viruses or bacteria. Most often, infection occurs through the respiratory tract, but it is also possible through tactile contact (shaking hands) and during sexual intercourse.
  • Non-communicable diseases are diseases that are not transmitted from person to person. Such diseases arise due to a weakening of the general condition of the body, an aggressive environment, congenital or hereditary anomalies of the body (asthma, stroke, oncology).

When there are no symptoms of a cold and your throat hurts, you should urgently consult a specialist to clarify the reasons.

Diseases caused by viruses and bacteria. Many of these diseases are transmitted by airborne droplets and are therefore highly contagious.

Infectious diseases that cause sore throat:

Manifestations of measles in the oral cavity

  • Colds - this item was included in the list due to the frequent asymptomatic course of the disease. With a weakened immune system, a cold does not cause fever, cough or other typical symptoms, but a sore throat may be present.
  • Influenza is a disease that has the effect of absorbing immunity. The body quickly becomes exhausted and loses its ability to fight the virus. As a result, pain in grief appears, but cough and other symptoms may be absent. Although in most cases with the flu, even in people with a weakened defense mechanism, a high temperature is observed.
  • Measles is a disease manifested by a high level of intoxication, rashes on the skin, and possible fever. A concomitant symptom is catarrh of the upper respiratory tract, resulting in acute sore throat.
  • Mononucleosis - typical symptoms for this disease: loss of appetite, headache, enlarged lymph nodes (both in the neck and in the armpits), fever. As a complication, inflammation of the liver and enlargement of the spleen may begin. Also, a large amount of mucus accumulates in the lungs and a sharp sore throat appears.
  • Viral pharyngitis is one of the diseases in which pain in the throat is the main symptom. Pharyngitis is an acute inflammation of the mucous membrane of the throat, aggravated by inhaling dirty or cold air, chemical irritants or tars contained in tobacco smoke.
  • Tonsillitis - characterized by headache and general weakness of the body, painful enlargement of the lymph nodes. The main cause of sore throat is severe inflammation of the tonsils of the palate. Moreover, with tonsillitis, the level of pain varies between moderate and very severe.

Escherichia coli in a smear

  • Chronic inflammation of the tonsils is the result of an unscrupulous attitude towards the treatment of tonsillitis, but can also manifest itself under other circumstances (weakening of the body, a strong causative agent of the disease, improper treatment of less complex diseases). In chronic form, inflammation of the tonsils, and, as a result, sore throat, appears due to hypothermia, stress, and seasonal peaks of the disease.
  • Streptococcal tonsillitis is often an asymptomatic course of the disease, allowing it to be confused with the classic cold. It is expressed in enlarged lymph nodes, exudate (stretching mucus from the throat), sore throat and fever. Basically, streptococcal sore throat is typical for children.
  • Intestinal diseases - the causative agent is a bacterium (Escherichia coli), which causes a febrile state, a rise in temperature, and severe dehydration. Symptoms depend on the specific type of intestinal bacteria; with certain bacteria, a sore throat is observed.

Infectious diseases are transmitted rapidly - the nature of their pathogens allows them to travel through the air. It is also possible to transmit the infection through a handshake or the use of objects used by the carrier.

Therefore, during dangerous periods (winter, outbreak of infection), it is recommended to avoid being in a crowd, wash your hands more often with soap (do not touch the exposed mucous membrane of your eyes or mouth before washing).

Non-communicable diseases are transmitted along the family line and manifest themselves in the modern environment.

A person, without knowing it, sometimes provokes the occurrence of such diseases in his body. For example, an allergy from overeating a certain product.

  • Allergy – a classic reaction to an allergy is swelling of the internal tissues of the throat. A person may not notice other signs (red eyes, itching), but may feel a sore throat due to swollen ligaments and blood vessels.
  • Polluted or dry air - when you inhale air that contains chemicals that are harmful to the body. The mucous membrane becomes irritated, resulting in pain in the throat. When the body is saturated with dry air, pain appears due to excessive dryness of the throat. There may also be general discomfort, heaviness of breathing, and soreness.
  • Vegetative-vascular dystonia - among the many symptoms of dystonia, there is a feeling of a lump in the throat, which complicates breathing. Basically, the nature of the disease is related to the psychological state of a person. Vegetative-vascular dystonia can cause sore throat, and in some cases, symptoms of suffocation.

Note! Vegetative-vascular dystonia is a disease that can completely depend on a person’s psychological state, so if pain occurs, try to relax, let go of problems, lie down and think about good things, breathe evenly and calmly.

  • Gastroesophageal reflux - between the esophagus and the stomach there is an important mechanism - the gastroesophageal sphincter - which allows food to enter the stomach and closes the path back. When this mechanism is dysfunctional, gastric juice enters the esophagus (rarely reaches the throat), which leads to pain, soreness and burning in the throat.
  • Airway Injuries – In complex airway injuries, the cause of the problem is obvious. But with minor accidental injuries, the cause of the pain may not be understood. For example, hot food that burns the mucous membrane of the larynx.
  • Tumors of the throat and tongue - tumors are caused by various irritations of the tissues and mucous membranes of the mouth. Tumors especially often bother heavy smokers, although the person may not be aware of the primary cause of the ailment.
  • Complications of immunodeficiency - HIV infection affects all parts of the body, but a sore throat is not necessary. More likely are complicating diseases affecting the pharynx and upper respiratory tract - for example, candidal stomatitis.

Non-infectious diseases quickly develop into chronic diseases, so when they are initially detected, treatment must be started quickly. Otherwise, the problem of sore throat may return constantly.

For quick treatment, it is necessary to determine the problem, so it is recommended to consult a specialist.

  • Quit smoking – at least until you go to the doctor. If going to the doctor is not possible, try not smoking for at least a few days - most causes of pain are associated with tobacco use.
  • Take antiseptic medications - absorbable tablets, sprays. Yox and Hexoral sprays, Lizobakt and Faringosept tablets help well; these drugs fight harmful flora. Sprays should be sprayed into the throat and tonsils, tablets should be dissolved.

Note! When using any medications, carefully read the instructions: dosage, methods of use, side effects and the individual intolerance section.

  • Gargle and rinse your nose - for rinsing the nose Aquamaris (based on sea water), for rinsing - antiseptic decoctions of chamomile or calendula, medicinal rinses - furatsilin, chlorhexidine, miramistin.

Please note: these recommendations are general and apply to more frequent cases. To treat a specific disease, a specific prescription is needed, therefore, if the above recommendations do not help within 2-3 days, contacting a doctor should be urgent.

A sore throat may well be due to a cold, although no cold symptoms are observed. There are opposite situations - ordinary pain indicates serious illnesses.

We hope that this article will help you understand the real cause of your problems. Thematic pictures and videos in the article are selected for a visual understanding of the topic, pay attention to them.

Sore throat without cold symptoms: problems after recovery

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Hello, at the end of November I had a sore throat, I didn’t attach much importance to it, and by the end of the week it went away. Then, after a couple of days, it began to hurt a lot, during the day, not as much as in the evening, in the evening it was painful to open your mouth because of your throat. I rinsed with calendula tincture and it went away in a few days. And after that, the throat periodically hurts, then doesn’t hurt, sometimes every other day, sometimes less often, the pain is not as severe as at the beginning of the disease. Sometimes there may be pain in the front of the neck, and sometimes there is pain in the area of ​​the lymph nodes, although they may not be the ones that hurt. The throat has remained so red from the very beginning, only when the throat hurts does it become redder, and when not, the redness is a little less. I went to the local doctor at the end of December about this, she looked at my throat, prescribed pharyngosept, and didn’t go again. I took Faringosept during the holidays, but it didn’t help, + then I caught a cold and my throat began to hurt worse, a runny nose appeared, it quickly went away, and my throat hurts again, then goes away. How to treat it and why does it hurt so strangely (?)?

Sometimes doctors have to deal with complaints such as sore throat, painful to swallow, no fever.

In most cases, painful sensations are caused by infectious agents, therefore, many people believe that the main cause is sore throat.

However, infectious diseases do not always occur with hyperthermic syndrome; in addition, there are a number of other reasons that can cause pain in the oropharynx during swallowing and eating.

This article will help the reader understand what diseases cause a very sore throat, but there is no intoxication syndrome, as well as what treatment methods exist.

If your throat hurts and it hurts to swallow, but there is no fever: what is it? With inflammatory damage to the mucous membrane and lymphatic tissue (palatine tonsils) of the oropharynx, a sharp or aching pain occurs; upon examination, a red throat is revealed (due to reflex dilatation of blood vessels) and in some cases - rashes, plaques and ulcerations.

Sometimes, with the pathological processes described above, there is no temperature. This may be due both to the specifics of the disease and to an inadequate response of the thermoregulatory center.

Let's look at the reasons why your throat hurts and it hurts to swallow without fever and what it could be:

  1. Asymptomatic or latent treatment of infectious pathology (bacterial or viral tonsillitis, tonsillitis).
  2. Gingivitis and stomatitis of a viral, fungal nature.
  3. Specific infectious processes for which this localization of inflammation is rare and atypical (primary syphilis, gonorrhea, mycoplasma or ureaplasma pharyngitis).
  4. When there are no cold symptoms, but there is pain when swallowing, you should also not forget about foreign bodies. They come from food, during games, or as a result of improper use (fish bones, toothpicks, needles, small nails).
  5. Injury to the oral mucosa by a cutting or piercing object resulting from a burn.
  6. Allergic reaction to food, tobacco smoke; manifestations of autonomic dysfunction syndrome.
  7. Reflux esophagitis, angina pectoris, neuralgia, tumor process.

Thus, there are many reasons for such complaints,

but all of them require a scrupulous collection of the patient’s medical history, the appointment of laboratory and instrumental methods of treatment, as well as a thorough differential diagnosis.

Severe sore throat when swallowing without fever: causes

Let's take a closer look at what can cause a sore throat without clear signs of intoxication.

Inflammation in the oropharynx most often occurs with a clear clinical picture of intoxication syndrome: fever, chills, weakness and irritability.

In some cases, the body of a sick person is not able to fully respond to the introduction of an infectious agent, therefore, symptoms such as high body temperature and chills may be absent altogether.

The erased form of sore throat is characterized by pain in the throat of varying intensity: from sharp cutting to constant aching. On examination, the oral mucosa was clearly hyperemic and swollen.

The tonsils are enlarged, loosened, and not abundant whitish-gray deposits or mucus may be detected on their surface.

With pharyngitis - isolated inflammation of the posterior wall of the pharynx, the tonsils are not involved in the pathological process. The patient feels pain when swallowing and soreness.

During an objective examination, the doctor discovers enlarged and inflamed follicles on the back of the pharynx. Source: nasmorkam.net Laryngitis (inflammation and swelling of the subglottic space of the larynx) and whooping cough can occur with a sore throat, but without fever.

The pain in this case is caused by a frequent and annoying cough, which simply greatly irritates the mucous membrane of the pharynx.

It is painful to swallow and there is no fever - one of the symptoms of a viral or fungal infection of the oral mucosa, namely the tongue, soft palate, gums and inner surface of the cheeks.

Herpesvirus stomatitis and gingivitis occur mainly without fever, but with severe pain and the formation of a large number of multi-chamber vesicles with transparent and then cloudy contents, aphthous ulcers. The patient also often complains that it hurts to talk.

With oral thrush, the mucous membrane is dotted with pinpoint or lamellar loose plaques of white color.

If they are carefully removed with a spatula, a small erosion remains, which may bleed slightly. It is difficult for such a patient to speak and his throat hurts.

The main route of infection with treponema pallidum, ureplasma and mycoplasma is sexually. When performing unconventional sexual acts (in particular, oral), pathogens easily enter the oral cavity, where they cause primary changes.

Primary syphilitic affect (chancre) can form on the inner surface of the lip or on the tonsil. Such an ulcer usually does not hurt, but causes discomfort when swallowing.


It has irregularly shaped, undermined edges and a dirty gray bottom. For a long time it can be completely asymptomatic until complete epithelialization.

Pharyngitis is a rare form of mycoplasma or ureaplasma infection. It is characterized by the fact that it becomes difficult for the patient to swallow saliva and food, and pain and discomfort are felt in the throat.

When swallowing small bones, nails or needles (more typical for children), injury occurs to the mucous membrane of the oropharynx and sometimes the esophagus.

Burn injury to this area also occurs as a result of consuming hot foods and liquids, and certain chemicals (acids, alkalis, hydrogen peroxide 6%, etc.).

The patient suddenly experiences cutting pain, especially when swallowing. In this case, it is important to seek medical help as soon as possible so that the injury does not become inflamed and the object of injury does not injure other organs.

In the case of chemical burns, the patient is immediately sent to the intensive care unit.

When consuming certain foods (chocolate, citrus fruits, marmalade, etc.), inhaling tobacco vapors, or consuming certain medications (syrups, lozenges), a local allergic reaction may develop.

In this case, the throat is swollen, there is no cough or fever. In addition to discomfort in the throat, the patient may experience shortness of breath due to severe swelling.

Thus, if a child or adult has a sharp sore throat and swelling, you should call an ambulance or immediately go to the hospital.

Autonomic dysfunction syndrome includes a wide variety of neurological symptoms and complaints, such as a lump in the throat and a sore throat. The disease is most often diagnosed in emotional teenagers.

Children complain of a feeling of a foreign body in the throat, as if something is bothering them. This is especially pronounced after emotional stress.

With inflammation of the trigeminal nerve, the throat hurts for a long time and it hurts to swallow, there is no fever and it radiates to the ears. This is due to the peculiarities of the innervation of this area of ​​the facial skull.

In addition, the skin and pain sensitivity of the face is impaired, and painful sensations in the teeth may occur. Therefore, if pain when swallowing radiates to the ear, this does not always indicate acute otitis media.

If your throat hurts for a long time without fever when swallowing, it is important to exclude a tumor process in the pharynx,

which in the early stages can be completely painless. These can be tumors from lymphoid tissue, vegetations on the mucous membrane of the vocal cords, sarcoma of the pharynx, etc.

With gastroesophageal reflux disease, acidic gastric juice refluxes into the lumen of the esophagus, and then into the oral cavity.

This causes a sore throat (due to the aggressive effect of the acidic environment on the mucous membrane of the oropharynx), sore throat and sometimes vomiting. Symptoms are more pronounced at night and in a horizontal position.

First aid

Medical care is provided depending on the pathology:

  • In case of infectious processes, it is sufficient to prescribe etiotropic therapy and local anesthetics in the form of lozenges or sprays.
  • In the treatment of stomatitis and gingivitis, rinsing with antiseptic solutions, antiviral and antimycotic drugs have a good effect.
  • In case of injury to the mucous membrane or burn, it is important to quickly seek specialized help and not self-medicate.
  • In the case of an acute allergic reaction, the allergen is excluded and desensitizing drugs (antihistamines or steroid hormones) are administered intravenously.

In any case, assistance should be provided by qualified medical personnel.

Sore throat on one side when swallowing without fever

Unilateral pain syndrome in the pharynx is typical for:

  • An atypical form of tonsillitis, when there is more pronounced inflammation not on two, but on one tonsil.
  • Peritonsillar abscess, which usually occurs on a certain side.
  • Acute unilateral otitis media (characterized by severe throbbing pain in the affected ear with irradiation to the pharynx).
  • Tumors on the left or right side.
  • Recurrent hemisinusitis (left- or right-sided inflammation of several paranasal sinuses at the same time).

If there is no cold, then it is necessary to exclude the neoplastic process and specific infectious diseases.

Which doctor should I contact?

If your condition is relatively satisfactory, you can, first of all, contact your local physician or pediatrician, who, if necessary, will prescribe consultations with related specialists:

  1. Otorhinolaryngologist and infectious disease specialist.
  2. Oncologist surgeon.
  3. Allergist-immunologist.
  4. Neuropathologist.
  5. Dentist.
  6. Dermato-venerologist.

Sometimes a patient needs to be examined by several specialists at once to carry out a differential diagnosis.

How to treat severe sore throat when swallowing without fever After establishing a specific diagnosis, the doctor prescribes appropriate treatment, which may consist of etiotropic, symptomatic and pathogenetic therapy.

For sore throat, for example, it is important to prescribe the right antibiotic or effective antiviral drug, as well as use effective local antiseptics and painkillers.

For stomatitis, in addition to etiotropic drugs, regular mouth rinses are also used. If you have a local allergic reaction in the throat area, before the ambulance arrives, you can rinse your mouth with a solution of adrenaline diluted in a glass of water.

In case of reflux and autonomic dysfunction syndrome, lozenges are used more for the purpose of distraction therapy.

How to treat a sore throat with topical medications:

Strepsils Intensive is an effective pain reliever that is used for symptomatic treatment. Available in the form of lozenges with different flavors. Adult patients and children over 12 years of age are recommended to consume no more than 5 pieces per day (after meals).

Anti-Angin is a medicine for local use, which is both an anesthetic and an antiseptic. Helps well with pharyngitis, tonsillitis, stomatitis. The maximum daily dose is 6 lozenges (with an interval of 2-3 hours between doses).

Grammidin Neo with anesthetic is an effective lozenge for pain in the oropharynx. In addition, the drug has anti-inflammatory and antimicrobial effects. The drug is contraindicated for a child under 4 years of age. You need to take one tablet 3-4 times a day.

Lollipops Tantum Verde - has analgesic, antimicrobial, antifungal and antiseptic effects. The medicine is prescribed for complete absorption in the oral cavity 3-4 times a day, one lozenge.

Theraflu Lar with menthol - has a calming, distracting and analgesic effect. Use one piece 2 to 5 times a day.

Sprays and syrups help relieve pain in the larynx when swallowing:

Cameton. It contains menthol, which creates a cooling effect and relieves pain.

Inhalipt. Available in aerosol form. Contraindicated during pregnancy and children under 3 years of age. One or two injections are prescribed after meals 3-4 times a day.

Chlorophyllipt solution.

The medicine is based on eucalyptus leaves, due to which it has powerful antibacterial and anti-inflammatory properties. As a result of its use, pain and sore throat goes away.

Rotokan - syrup

, consisting of a concentrate of various medicinal herbs. Contraindicated in case of individual intolerance to its components. Used for rinsing three times a day, always after meals.

Treatment with folk remedies at home

Time-tested folk remedies that can be easily prepared even at home can help get rid of discomfort and unpleasant sensations in the throat area:

It is recommended to gargle at least three times a day with a banal soda solution (add half a teaspoon of baking soda and salt to a standard glass of clean warm water).

Lemon with honey. This combination allows you to quickly get rid of pain and destroy pathogenic bacteria. Stir honey and lemon juice (a small spoon of each ingredient) in a glass of warm water. Drink the resulting product in small sips throughout the day.

Ginger. The washed root of the plant is crushed and added to boiling water. After which the ginger is allowed to boil for some time. Prepare regular ginger tea, to which you can add honey to enhance the effect.

Rinse with iodine. To do this, add 2 or 3 drops of iodine to 200 ml of clean water. The resulting medicine can be rinsed 4-5 times a day.

Chamomile decoction. To prepare it, use a tablespoon of dried flowers or leaves, which is then poured with boiling water. The mixture is allowed to brew for 30-40 minutes, after which it can be drunk as tea or rinsed with it in the mouth and throat.

Thus, discomfort in the throat without signs of intoxication is a nonspecific symptom for a large number of pathologies.

It has been scientifically proven that the speed of recovery of a patient from colds is directly dependent on the functioning of the immune system. At the first manifestations of the disease, the body begins to actively produce protein substances - interferon, which prevents further penetration of viral microorganisms and their reproduction. With a normal cold, on day 2-3 the protein concentration peaks and the patient’s characteristic symptoms decrease. In situations where the body is not able to produce the necessary substances for antimicrobial protection, the illness can last 2 weeks or more. When your throat hurts for a long time and does not go away, such a symptom is confirmation that the inflammation is progressing and emergency treatment is required.

Anyone who has ever treated a cold has wondered why the throat hurts for a long time and what needs to be done to eliminate the characteristic symptoms. With a long course of a viral disease (more than 7 days), which is accompanied by a cough, sore throat, fever, and nasal congestion, the disease is assumed to be protracted.

The main factor that provokes the complication of a cold is the weakening of the protective functions of the patient’s immune system. The reasons for reducing the body’s immunity to the action of pathogenic microorganisms may be:

  1. Vitamin deficiency (lack of useful organic substances), poor nutrition.
  2. Low quality drinking water.
  3. Lack of physical activity.
  4. Harmful environmental conditions.
  5. Frequently recurring emotional downturns, stress, depression.
  6. Abuse of alcoholic beverages and tobacco products.
  7. Lack of the required level of air humidity in the living room.

Taking into account these factors, which not only negatively affect the body’s stability and resistance, but also provoke prolonged, incessant sore throat, the patient should initially eliminate these causes. Doctors recommend taking vitamin complexes and performing hardening procedures at home.

Due to the weakening of the body during the course of the disease, the patient is most sensitive to the negative effects of bacteria. This is precisely the reason for collateral infection. If you have a sore throat for a long time, a stuffy nose, and a cold that doesn’t go away, you shouldn’t put off contacting a medical professional for a long time.

In most of these situations, antibiotic therapy may be required. To do this, the doctor needs to identify the factors that preceded the development of a protracted illness. The causes of this condition are infectious and inflammatory diseases and chronic organ pathologies.

The disease, which lasts from 5 to 14 days, does not cause any particular concern. Protracted respiratory viral infections are often diagnosed. However, in such situations, other symptoms appear that do not affect the oropharynx. When your throat hurts for a long time, the reasons are a variety of circumstances. Before prescribing medications, the attending physician must conduct a diagnosis and identify the true causes of this condition.

When the throat hurts for a long time (3 weeks or more), a medical professional may suspect the presence of the following pathologies of the ENT organs:

Patients with this diagnosis complain of the following symptoms: persistent pain and burning in the throat, painful dry cough. Upon visual examination of the oropharynx, the doctor detects redness of the tonsils.
TonsillitisDevelops against the background of prolonged inflammation of the tonsil glands after a sore throat, infectious diseases (scarlet fever, measles, diphtheria).The symptoms of this disease are mild and the clinical picture is visible only with pharyngoscopy: the tonsil glands are enlarged, a gray coating is present. With tonsillitis, there is unstable pain in the oropharynx. It worsens in the autumn-winter period during hypothermia of the body.
LaryngitisPathology of the vocal cords and inner lining of the larynx is a consequence of overstrain of the upper respiratory tract, exposure to tobacco products, and allergies. The most common causative agent of this disease is infectious microorganisms. Singers and teachers are most susceptible to the chronic form of laryngitis. Doctors diagnose constant swelling of the larynx, which easily becomes inflamed with mild colds, eating spicy foods, or straining the vocal cords. As a result, patients' voice timbre changes. Nodules form on the surface of the larynx, interfering with the natural functioning of the vocal cords. As a result, the patient develops hoarseness. In severe forms of damage to the larynx, the voice may disappear altogether.
SinusitisThe disease occurs in situations where doctors diagnose an inflammatory lesion of the paranasal sinuses. With this disease, the infection can spread rapidly and provoke complications such as otitis media and meningitis. Damage to the paranasal sinuses is accompanied by the release of viscous mucus, which flows down the back wall of the oropharynx and further irritates it. As a result, patients constantly cough, complain that it is painful to swallow and a feeling of non-stop soreness in the throat.

Patients should know what to do if their throat hurts for a very long time and severely. First of all, it is strictly forbidden to self-medicate if you suspect severe chronic pathologies of the ENT organs. Only a competent specialist can make an accurate diagnosis and prescribe an adequate therapeutic course in accordance with the severity of the disease and the individual characteristics of the patient’s body.

In situations where the throat hurts severely when swallowing, and the duration of the cold is more than a month, the provocateur of this condition in the patient is various infectious agents. Doctors identify the following diseases of bacterial etiology, against the background of which painful symptoms of prolonged oropharyngeal damage may be observed.

Most often it is diagnosed at a young age (14-18 years) and develops due to damage by the Epstein-Barr virus. At the same time, at the initial stages of the disease, the patient has a sore throat for a long time without fever, and as it progresses, the following symptoms are added: enlargement of the liver and spleen, swelling of regional lymph nodes, joint pain due to lymph stagnation, constant migraines, sore throat. Laboratory analysis reveals atypical viral cells.

It can last for 2 months in patients. A distinctive feature of this infectious disease is that, despite purulent and inflamed wounds (ulcers) on the surface of the tonsil glands, the patient does not notice a deterioration in his health and complains only of slight discomfort when swallowing. As a rule, with this rare disease, which mainly affects men aged 18-35 years, the throat hurts on one side. In case of severe infectious inflammation, doctors diagnose gangrenous lesions of the larynx with tissue necrosis and the development of sepsis (extensive infection of the body).

In the presence of sexually transmitted viral microorganisms, the throat may also hurt for a long time. For this reason, syphilis, damage to the mucous membranes of the oropharynx by chlamydia and gonococci are factors that must be taken into account when diagnosing the condition of a patient with a prolonged cold. These infections can only be detected by laboratory tests to determine the strain of bacteria. Doctors also note that with HIV diseases, against the background of reduced immunity, there is active growth and reproduction of fungal microorganisms, which also affect the mucous membranes of the oropharynx.

Protracted colds are often observed by doctors with infectious whooping cough. In the initial stages of this disease, this disease is accompanied by fever, slight congestion in the nasal passages, and a sore throat. As whooping cough progresses, the patient suffers from a dry cough of a spasmodic nature, which does not allow him to take a breath. However, the sore throat does not go away. During coughing attacks, the face turns red and mucus begins to secrete from the oropharynx. Children in this condition often experience vomiting.

It should be remembered that if you have a sore throat for a long time, you need to promptly consult a therapist or otolaryngologist in order to make an accurate diagnosis and begin therapy.

If your throat hurts for a long time even after recovery from a cold, this may be due to inhalation of dust or an allergic reaction. Not all cases of coughing attacks and sore throat are caused by various pathologies. However, for any condition that is accompanied by deterioration in well-being, it should be remembered that self-medication only increases the risks of disease complications. Long-term painful sensations in the oropharynx are also observed against the background of the development of pathologies of other internal organs. In order to exclude a chronic infection, it is necessary to undergo certain medical tests and a visual examination by a competent specialist who will tell you how to treat the disease.

Long-term painful symptoms may indicate the presence of the following pathologies:

  • with osteochondrosis of the cervical spine, pain in the oropharynx increases when the head is tilted;
  • disruption of hormone production due to thyroid hyperplasia;
  • Against the background of diabetes mellitus, the patient complains of dry mouth and scratching sensations in the throat. In this case, there is a possibility of impaired swallowing function, which is also accompanied by painful symptoms;
  • diseases of the hematopoietic organs - leukemia, anemia;
  • chest pain (angina pectoris), myocardial infarction may not develop according to the standard pattern, but may be accompanied by a sore throat;
  • prolonged pain in the oral cavity is accompanied by severe carious lesions of the teeth and inflammation of the gums;
  • in the presence of tumor-like neoplasms in the larynx or thyroid gland, the patient may experience a sensation of a lump in the throat;
  • tuberculosis, which is accompanied by swelling of the lymph nodes;
  • ulcerative wounds in the gastrointestinal tract, along with a sore throat, are accompanied by stool problems, excessive gas formation, and heartburn.

This list is far from complete, and this once again confirms the need to contact specialists.

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