What is the reason for the uncomfortable throat choking

The discomfort of choking in the throat is a problem that many patients with pharyngitis have, and pharyngitis is a disease that exists in a relatively wide range of areas. The discomfort of choking in the throat will definitely have a certain impact on the human body, and may even affect the patient's daily eating. Pharyngitis is divided into different types according to symptoms and causes, such as chronic hypertrophic pharyngitis, streptococcal pharyngitis, chronic simple pharyngitis, acute pharyngitis, etc.

1. Chronic hypertrophic pharyngitis

(1) Discomfort, pain, itching or dryness in the throat, sometimes with a burning sensation, smoky sensation, or foreign body sensation; irritating cough, forceful coughing up of secretions in the morning, and even nausea.

(2) The pharyngeal mucosa is thickened and dark red, with dilated small blood vessels. The posterior pharyngeal wall has granular lymphoid follicles that proliferate and are scattered and even fuse into pieces. The lateral pharyngeal cords are thickened and protrude into the pharyngeal cavity in cord-like shapes on both sides. There may be sticky or mucopurulent secretions on the posterior pharyngeal wall.

2. Streptococcal pharyngitis

It is the most serious type of acute pharyngitis, caused by group A group B streptococcus infection, which can lead to purulent lesions in distant organs and is also called acute septic pharyngitis. The onset is acute, with dryness and burning in the throat at the beginning, followed by sore throat. The sore throat is often more obvious when swallowing an empty stomach than when eating. Severe cases are accompanied by chills, high fever, headache, general discomfort, loss of appetite, and sore back and limbs. The pain in the throat gradually worsens and may cause corresponding symptoms depending on the area of ​​inflammation. When the lateral pharyngeal cord is inflamed, it causes difficulty and pain in swallowing, accompanied by ear pain. When the lymphatic tissue at the base of the tongue is inflamed, there is severe burning or stabbing pain that radiates to both ears. When the Eustachian tube is affected, there will be stuffy ears, tinnitus and hearing loss. If the lesion invades the throat, symptoms such as cough, hoarseness, and difficulty breathing will occur. Children with severe illness may suffer from convulsions.

3. Chronic simple pharyngitis

Systemic symptoms are not obvious, but local symptoms are the main ones. The symptoms of various types of chronic pharyngitis are roughly similar, and vary, such as discomfort in the throat, foreign body sensation, itching, burning, dryness or irritation, and may also be accompanied by slight pain. It is mainly caused by stimulation from its secretions and hypertrophic lymph follicles, causing patients to experience frequent irritating coughs accompanied by nausea when they wake up in the morning. Generally, there is no sputum or only granular lotus root powder-like secretions are coughed up.

4. Acute pharyngitis

The onset is acute and often occurs simultaneously with acute rhinitis. Initially, you may feel dryness, itching, slight pain, burning sensation and foreign body sensation in the throat, followed by sore throat, which is mostly burning pain and is particularly severe when swallowing. The pain may radiate to the ears. The above local symptoms are more common in adults, while systemic symptoms are mild or absent. Children and critically ill adults may have more severe systemic symptoms, such as chills, high fever, headache, general malaise, loss of appetite, thirst, constipation, and even nausea and vomiting.