Diagnosis: how to distinguish between angina and Biliary Colic

Cholecystitis and coronary heart disease are common diseases in the elderly and frequently-occurring disease. Cholelithiasis cholecystitis attack caused Biliary Colic, coronary heart disease caused by angina attack. At the same time many patients have these two diseases, both cholelithiasis, have coronary heart disease, but these two diseases cause colic in clinical performance and almost. So easy to confuse them. It was done to statistics, over the age of 45 patients with coronary heart disease in about 1 / 4 a gallbladder disease. But not coronary heart disease patients only 1 / 16 with gallbladder disease; over the age of 45 gallbladder disease patients about 1 / 2 a coronary heart disease, gallbladder disease not only 1 / 6 with coronary heart disease. Help patients with coronary heart disease patients with coronary heart disease than not easy in the gallbladder disease, gallbladder disease and patients with gallbladder disease than patients not easy for coronary heart disease. In human anatomy, since the heart of the thoracic spinal nerve 2 to 6 dominated by the gallbladder 4 to 9 thoracic spinal nerve dominance, both in the chest four or five spinal nerve cross the phenomenon, when the gallbladder and Biliary Colic , by Reflective of the spinal cord nerves, cause coronary artery contraction, a narrow, reduced blood flow response, leading to myocardial ischemia, lack of oxygen, in angina. Biliary obstruction and infection can cause endotoxemia, toxins On the one hand, damage to vascular endothelial cells and platelets, on the other hand can activate clotting system, a clotting disorder, resulting in not completely blocked coronary artery and trigger angina. In addition, gallbladder disease of the bile in the blood can be increased role in the cardiac conduction system, a variety of arrhythmias, may also cause angina. Biliary Colic because of the attack and angina performance almost, and in the treatment of diseases of the two methods is not the same, so in a colic attack patients, whether Biliary Colic, or angina, is not only Patients eager to find out, doctors should also be differentiated. Generally speaking, most of Biliary Colic in large fatty food to eat after the attack, angina, in more emotional, Guoduopilao or after the attack meal. Biliary Colic Attack of the longer time, and angina attack while the shorter, mostly in a few minutes to about a quarter of an hour. Biliary Colic attack, the right upper quadrant gallbladder site has obvious tenderness, and angina were not. If so ECG can be relatively easy to distinguish, Biliary Colic patient's electrocardiogram change is very small, to reduce or ease the cramps after the resumption of normal ECG, electrocardiogram and angina patients have a longer period of time is not normal. Cholelithiasis or chronic cholecystitis with the elderly, especially acute, we should guard against the occurrence of myocardial infarction. In particular the manner in the spirit of change, chest tightness, coughing, decreased blood pressure, arrhythmia, should be promptly sent to hospital for treatment.

Angina diagnosis and differential diagnosis

According to the typical angina attack characteristics and signs, including use of nitroglycerin after mitigation, the combination of age and the presence of coronary heart disease risk factors, except for other causes of angina, in general to create the diagnosis. Attack electrocardiogram to check that the R-oriented in the lead, ST depression, T-wave flat or inverted (variant angina, then the lead ST-segment elevation), within minutes after the attack back. No change ECG of patients could be considered for load test. Attack is not typical, the diagnosis should rely on observation of the effects of nitroglycerin and attack ECG changes, if still not confirmed, can be reviewed several times electrocardiogram, or ECG stress test for 24-hour Holter monitor, such as the positive changes in ECG or load Test induced angina attack can be confirmed. Diagnosis can be difficult for radionuclide inspection or consider selective coronary angiography. Consider the purposes of surgical treatment is necessary for selective coronary angiography. Coronary ultrasound examination shows the wall lesions, the diagnosis may be more helpful In China, when the angina attack patients often not a typical performance, in the judgement of chest discomfort or pain is angina, the need to be careful. In recent years, foreign scholars also stressed the word angina is not fully representative of pain, patients on myocardial ischemia and hypoxia may be feeling the pain other than the others feel, which may deny feeling pain. The following aspects will help determine clinical angina: (1) nature: angina should be squeezing, tightening, oppression, suffocation, heavy, stuffy expansion of pain, rather than Daoge like grasping pain or acute pain, shortness of acupuncture-like or electric shock-like pain, or the non-stop day and night Chest tightness feeling. In a few patients for the burning sensation, tension or shortness of breath with throat or trachea at the top of tight pressing flu. Pain or discomfort at the beginning of lighter, gradually increasing drama, and then gradually disappear, with little change for the position by the impact or deep breathing. (2) site: pain or discomfort, often in the sternum or its vicinity, may also occur in the abdominal between the pharynx to any level, but rarely more than in the pharynx. Sometimes in the left shoulder or left arm, may also occasionally accompanied on his right arm, lower, lower cervical and thoracic spine on the left scapula, or shoulder blade area, but located in the left armpit or Zuoxiong under those very few. (3) period: 1 to 15 minutes, the majority of three to five minutes, sometimes up to 30 minutes (except for the middle syndrome), pain or discomfort only a few seconds (mostly nausea flu) continued throughout the day or a few Those days are not like angina. (4)-induced factors: more oriented to physical exertion, followed by emotional. Denglou, walk the ground quickly, meal after walking, walking against the wind, or even forced to defecate or give the arm a slight head movements, exposure to cold environment, into the cold, other parts of the body's pain and terror, tension, irritability, trouble, etc. Emotional changes can be evoked. Physical activity coupled with emotional activities, the more evoked. (5) the effects of nitroglycerin: sublingual nitroglycerin tablets containing such as effective, angina should be 1 to 2 minutes remission (also takes five minutes, taking into account the time patients may not accurately estimate ). The supine angina pectoris, nitroglycerin may be invalid. In assessing the effects of nitroglycerin, we must pay attention to patients using the drug is already close to failure or failure.

Children of congestive heart failure in the differential diagnosis

1. Infants with heart failure should distinguish between the following: (1) with gas and severe pneumonia and bronchiolitis: Children have difficulty in breathing, pulse and breathing fast, and so by signs. Since emphysema and diaphragm decline in the liver can Lexia 2 to 3 cm in touch. Signs similar to the above with heart failure, but not to expand its heart, liver blunt edge not round. (2) Purple congenital heart disease: for children with the lack of oxygen, often by breathing faster, irritability, cyanosis and heart rate increased speed up, but there is no other manifestations such as heart failure, such as hepatomegaly. 2. Older infants with heart failure should be under disease identification: (1) acute pericarditis, pericardial effusion and chronic constrictive pericarditis: These plug pericardial disease and venous congestion, and symptoms similar to heart failure, but pericardial disease has the following characteristics to be used as identification: ① surprising veins clear. ② abdominal not more prominent, and other parts of edema disproportionate. ③ not obvious pulmonary congestion and more, the children despite the jugular Nuzhang, ascites and liver, and other signs of significantly increased, but not significantly breathing difficulties, can be more than 15 minutes. ④ x-examination, echocardiography and radionuclide cardiac blood pool scan can also assist in diagnosis. (2) liver and kidney diseases caused significant ascites: with the right heart failure identification.

How to prevent rheumatic fever attack

As the incidence of rheumatic fever and Streptococcus very close relations, the prevention of streptococcal infection is an important link in the prevention of rheumatic fever. The measures include the following ways. (1) to enhance the children, youth, health and sanitation missionary work in sports training, enhanced physique, and raise the capacity of resistance. Attention to the living health, local job cold, moisture resistance, actively preventing upper respiratory tract infection. (2) of scarlet fever, acute tonsillitis, pharyngitis, otitis media and acute streptococcal infection go far in lymph nodes, treatment should be actively and thoroughly to avoid the attack of rheumatic fever. Penicillin antibiotics to the top. (3) removal of chronic lesions, the repeated tonsil infection, rheumatoid activities should be stopped after 2 to 4 months, be removed by operation. Before and after surgery to prevent infection with penicillin attack. On sinusitis, severe streptococcal infection, such as dental caries lesions, the same should also be thoroughly cleared. (4) the history of the patients with rheumatic fever should actively prevent streptococcus infection. Once again infection early enough to antibiotics, treatment time should be extended.

Children rheumatoid auxiliary differential diagnosis

1, Tuberculosis arthritis for more than single-arthritis, positive tuberculin skin test, tuberculosis poisoning symptoms, often in other parts of the body have TB lesions. X-ray examination to the main bone destruction. Second, suppurative arthritis arthritis more than a single incidence of intense, poisoning symptoms, joint red, swelling, heat, pain Obviously, the total number of leukocytes and neutrophils increased. Third, rheumatic fever and joint pain sustained migration to the joints mainly only in the acute period of dysfunction, and not left ankylosis deformities often symptoms of heart inflammation. Activities of erythrocyte sedimentation rate and Antistreptolysin-"O" titer increased. Joint X-ray have no abnormal findings. Fourth, in addition to systemic lupus erythematosus fever, joint pain, a butterfly-shaped facial rash, kidney damage and heart inflammation performance. Blood or bone marrow smears can be found "lupus erythematosus cells." Reduce the total number of leukocytes and neutrophils relatively higher eosinophil reduced. 5, ankylosing spondylitis was particularly prevalent in the more than six-year-old youth and adults. Large joints (knee, foot, shoulder, hip) can sense heat, swelling, pain, pain-night, but limited to the spine movement is characterized by limited at the beginning of lumbar motion, and then also the thoracic and cervical involvement.

High incidence of esophageal cancer a major factor!

The exact etiology of esophageal cancer unknown. According to the experts found, Environment and certain carcinogenic substances is an important pathogenic factor. 1. Role of alcohol and tobacco Alcohol is the number of esophageal cancer is very important pathogenic factor in one of the factors, the risk of esophageal cancer and daily alcohol, tobacco consumption was directly proportional to the quantity, and alcohol, tobacco and the incidence of dangerous than tobacco or alcohol alone higher than the risk of several tens of times. 2. Nitrosamine compounds and mycotoxins Now known that nearly 30 kinds of nitrosamines can be induced animal tumor. Marinated and moldy food contain nitrosamines compounds and fungal toxins. In the high incidence area of food and drinking water, nitrate, nitrite and secondary amine content was significantly higher, and local and esophageal cancer and esophageal epithelium proliferation of severe illness rate was positively related to these substances in the stomach easy synthesis of tumor material nitrosamines. 3. Malnutrition and the lack of trace elements Inadequate intake of animal protein and vitamin A, B2, E, C lack of trace elements molybdenum, zinc, magnesium, manganese, cobalt, iron, such as the lack, as well as the lack of fresh fruit and vegetables are susceptible to esophageal cancer. 4. Esophageal injury, esophageal diseases, as well as food stimulation High incidence of esophageal cancer in the residents eat very hot diet, drinking spirits, eating large pepper, tobacco or betel nut chewing habit, esophageal mucosa chronic physical and chemical stimulation could induce local epithelial cell proliferation. 5. Genetic factors The incidence of esophageal regular performance family of aggregation. In China, Shanxi, Shandong, Henan Province survey found that from about 1/4-1/2 positive family history. Which patrilineal highest maternal times. Research found that certain diseases are the esophageal tumors state: 1) esophageal mucosa too short; 2) chronic esophagitis; 3) the corrosive esophageal lesions; 4) Giant esophageal disease; 5) throat cancer history; 6) cancerous tumor esophageal diverticulum; 7) Plummer Vision Syndrome, caused by iron deficiency anemia.

How early detection of esophageal cancer!

Q: My father has been more than 70 years old. In a major hospital diagnosis of advanced esophageal cancer, the doctor said surgery has not only carried out chemotherapy, radiotherapy, medicine and other non-surgical treatment. How can early detection of esophageal cancer? A: The symptoms do not obvious early esophageal cancer, cancer of the esophagus only confined to the mucosal layer, the scope of generally less than 2 cm, but not without symptoms. If foreign body sensation in the esophagus, burning sensation, eating sometimes stranded flu or flu substernal pain, these symptoms have mostly been neglected patients, it is caused by eating unawareness, or are perceived to be caused by pharyngitis. As the disease has increased gradually, patients, there may be eating Yingyi flu, eating influent difficulties. At this time treatment of esophageal cancer is more advanced, long eating difficulties, the patient malnutrition, coupled with getting on in age, lost the opportunity to surgery. So in the early symptoms of the above should go to the hospital, esophageal barium X-ray examination. If the diagnosis is also not clear, microscopic examination should be carried out esophagus, esophageal fiber inspection accuracy rate of 99%, generally not missed. Early treatment of esophageal cancer by surgery, the five-year survival rate of more than 80%, so a patient should be early discovery, early diagnosis and treatment, and this is the key to the treatment of esophageal cancer.

Esophageal cancer etiology and risk factors

There are several major factors: (1) cigarettes and alcoholic drinks: Long-term smoking and alcohol consumption and the incidence of esophageal cancer. (2) the partial esophageal injury: Long-term Hi-iron diet may also be carcinogenic one of the factors. Solid all the original cause of the prolonged Buyu esophagitis, Early esophageal cancer is the disease, especially with change as cells to a greater risk of cancer. Esophagitis, or in the thoracic esophagus. (3) nitrosamines: nitrosamine compounds is a strong carcinogen. Consumption of sauerkraut and proportional to the incidence of esophageal cancer. Some foods often preserved in the process of mold contamination. Mold can bring in food and nitrite two amine content increased. (4) The role of fungi: Alternaria spp mycophenolate, such as aflatoxin in food exists in the mold of high-carcinogenic substances. (5) Nutrition and trace elements: a lack of dietary vitamin, protein and essential fatty acids, and other components of the lack of esophageal mucosa can hyperplasia change as further can cause cancer. (6) Genetic factors: population and genetic susceptibility and environmental conditions. (7) other factors: excessive consumption, the consumption of food Cuying esophageal mucosa may cause injury, repeated damage can cause mucosal hyperplasia of change, which leads to carcinogenesis.

Common for esophageal cancer

Esophageal cancer is the world some countries and regions common malignancy. The World Health Organization released statistics, Esophageal cancer mortality in China as the highest male death of esophageal cancer for the second place, after gastric cancer. Esophageal cancer is the third woman, after gastric cancer and cervical cancer. China's great differences in the incidence, Henan, Hebei, Shanxi provinces at the junction of the Taihang Mountains area, Henan Province Linxian, and Cixian County in Hebei Province in Yangcheng County, as the representative of the highest incidence rates. Jiangsu areas such as the northern part of the higher incidence of Henan Linxian 35 ~ 64-year-old males the incidence of esophageal cancer is one of the world's high incidence area. Distribution of 15,000 foreign esophageal cancer in the vicinity of Central Asia, Africa, Latin America and northern France. Esophageal high incidence area of drinking water, grain and vegetables in manganese, molybdenum, iron, chlorine, zinc, sodium, selenium, phosphorus, low iodine content of food in the higher levels of nitrosamines, fungal contamination more, a some fungi can promote the formation of nitrosamines. Inhalation potent tobacco, chronic stimulation, inflammation and trauma, such as the perfect food, the Food and overheating, excessive eating, long-term alcohol drinking, oral or unclean dental caries, the lack of food in vitamin A, B, C, or the lack of protein in the food, fresh vegetables and fruit, etc., as well as genetic factors may be related to the occurrence of esophageal cancer. In short many of the causes of esophageal cancer, to be continued in-depth study.

The performance of acute gastritis and treatment

Department of acute gastritis caused by the different causes of acute gastric mucosal inflammation. Can be a serious disease involving submucosal and muscle, Even deep serosal layer. Etiology clinical and pathological changes by the different divided into acute simple gastritis, acute erosive gastritis, corrosive acute gastritis, acute suppurative gastritis, which in simple clinical acute gastritis most common, and as the wider use of antibiotics, acute suppurative gastritis has been rare. Lead to acute gastritis a number of factors, the chemical or physical stimulation, but also cause bacteria or their toxins. Chemical stimulation mainly from spirits, tea, coffee, spices and drugs (such as salicylate preparations, indomethacin, Bao Taisong, glucocorticoid, etc.), which is more acute gastritis corrosive swallowed by the strong acid, alkali and other Fushiji result. Physical stimulation such as overheating, too cold, too rough food and X-ray irradiation, gastric mucosal damage will be caused inflammatory changes. And eating bacteria or their toxins contaminated food is the most common acute gastritis caused a cause. The clinical manifestations of acute gastritis ranging from the severity of regular, but both the incidence of intense. Light, only abdominal pain, nausea, vomiting, dyspepsia; can have serious hematemesis, black excrement, and even water loss, as well as poisoning and shock. Treatment of acute gastritis according to the etiology and clinical manifestations targeted treatment. Simple acute gastritis shorter course, with self-limited; other acute gastritis after treatment, nor do not leave any lesions, but the course of acute gastritis serious corrosion, there will be late esophagus, stomach and other parts of pyloric stenosis .

What are the dangers of hypertension?

Hypertension is a major cause harm brain, heart, kidney and other vital organs damage.
(1) left ventricular hypertrophy: As the long-term maintenance of blood pressure at the higher level, increasing heart load factors and other body fluids due to the common role early in compensatory left ventricular hypertrophy, with the development of heart disease continued to expand, finally possible heart failure and serious arrhythmias.
(2) Atherosclerosis: long-term high blood pressure may promote atherosclerosis formation, in particular the development of coronary artery atherosclerosis.
(3) cerebrovascular accident: long-term high blood pressure, atherosclerosis small bleeding or cramps easily lead to the formation of cerebral thrombosis.
(4) kidney damage: As a kidney goal and the ball artery spasm, hardening, leading to degeneration of renal ischemia and hypoxia, renal parenchymal fibrosis, hypertension with a more advanced renal dysfunction.
(5) retinal function by late: increased blood pressure makes long-term retinal artery caused by a glass-like change.
Coronary heart disease and stroke is the most serious complications of hypertension.

Hypertension in the elderly because

With increasing age, blood pressure also increased to varying degrees, the 65-year-old or older hypertension prevalence rate of 50 per cent, half of which were isolated systolic hypertension. 95% of the elderly patients with primary hypertension. The elderly suffering from hypertension following several factors:
(1) elderly people like to high sodium foods, because the elderly taste dysfunction;
(2) abdominal fat accumulation and the elderly to central obesity-prone hypertension;
(3) The existence of the elderly insulin resistance and hyperinsulinemia secondary;
(4) the elderly sympathetic activity, the higher the level of adrenaline in the blood, but not out;
(5) the elderly vascular elasticity decreased vascular intimal thickening, accompanied atherosclerosis, which is the main reason for the elderly isolated systolic hypertension;
(6) the ability of older persons to reduce renal sodium row.

Ulcerative colitis at what the special characteristics of each type

Ulcerative colitis have two classifications. On the basis of classification and severity of the disease by Category.
According to the severity can be divided into three:
(1) mild: The most common type, usually involving only the distal part of the colon, and the illness was light, less than four times the daily diarrhea, abdominal pain, we serum or rare, the lack of systemic symptoms and signs.
(2) Medium: range between mild and severe, sudden onset, diarrhea 4 1 5 this day, and blood will Xibian, heavier abdominal pain, fever, weight loss, anorexia, there are gastro-intestinal, performance.
(3) severe: onset of intense, and there were significant diarrhoea, blood in the stool, sustained severe abdominal pain, low blood pressure can occur, or even shock.
On the course can be divided into the following four types:
(1) early-onset: that no previous history of seizures and for the first time, the severity ranges can be transformed into other types.
(2) chronic recurrent type: Clinical Most lesions of the small, lesser symptoms, often remission, but easy to relapse, better prognosis, the majority of salicylic acid,sulfasalazine treatment effective.
(3) chronic persistent: a wide range of diseases, sustainable after the first attack, ranging from mild diarrhea, blood in the stool, and often continued for more than six months, there are acute.
(4) the outbreak of acute type: rare onset of intense, serious local and systemic symptoms, often high fever, diarrhoea water samples, acute colon expansion, prone to gastrointestinal hemorrhage and the other complications of intestinal obstruction and intestinal perforation. Fulminant urgent cases with cortical hormones, blood transfusion and other treatment, and poor prognosis, and some cases if not promptly treated, often in the two weeks of the death.

Ulcerative colitis, intestinal what is meant by performance

Ulcerative colitis, intestinal performance refers to the general performance. In recent years due to progress in the study of immunology, have found this may be related to autoimmune disease, and its parenteral (systemic) performance are as follows:
(1) the skin and mucous membrane performance: a erythema nodosum, erythema multiforme, aphthous ulcers, gangrene of pyoderma, limitations abscess, such as thrush. Which erythema nodosum see more, the incidence of 11.5%.
(2) eye damage: iris inflammation, iridocyclitis, uveitis, corneal ulcers, inflammation of the eye pigment. Yan iris to the highest incidence rate of 5% a 10%.
(3) Arthritis: Arthritis with ulcerative colitis in the incidence of about 11.5%, and often with the specific damage to the eyes and skin complications of the case. Its characteristics are more severe lesions in enteritis complicated stage, the joint involvement Most of single and joint diseases often, the performance of joint swelling, synovial effusion, and no bone damage. Laboratory investigations without rheumatism serological of changes.
(4) the liver: a fatty liver, bile duct inflammation around, chronic active hepatitis, cirrhosis necrosis, such as sclerosing cholangitis.
(5) the performance of the blood system: there will be iron-deficiency anemia, autoimmune hemolytic, such as microvascular hemolysis.
(6) renal lesions: often have pyelonephritis and renal calculi.
(7) In children, can affect growth and development.

Clinical and pseudo gout treatment

Pseudo gout is a calcium phosphate crystals due to coke deposition in articular cartilage and its surrounding tissues caused by arthritis as the main performance of the disease, gout and similar symptoms due to its name, also known as coke or calcium phosphate calmly disease calcification of cartilage . More common in those over 50 years old, the incidence increased with age and the increase in male to female ratio was 1.4:1. [Causes] Cause unknown, possibly genetic, metabolic disorders and trauma durable-related. Coke because of basic calcium deposition. [Diagnosis] (A) Clinical that Joint disease: Most knee, followed by the hip, shoulder, elbow, ankle, wrist and metacarpophalangeal joints, arthritis or osteoarthritis with a single, joint swelling significantly, but less pain, morning stiffness can occur, flexion contracture. 2, accompanied by other diseases, a related clinical manifestations, such as hyperthyroidism, diabetes, hemoglobin diseases such as deposition performance. (2) laboratory 1, blood test: the acute phase, interleukin increased erythrocyte sedimentation rate increase soon. Normal serum uric acid are, rheumatoid factor negative. 2, synovial fluid examination: polarized light microscope examination showed a weak positive optical birefringence of the calcium phosphate crystal Coke. (C) X-ray examination Articular cartilage, the fiber cartilage, tendon, Gunang calcification, particularly fibrocartilage point line and calcification, common in the knee, wrist, pubic symphysis, spine and other cities in the annulus fibrosus, may be associated with degenerative joint osteophyte formation Yan performance. (4) Differential Diagnosis 1, gouty arthritis: purine diet and regular as induced by alcohol, violation of a multi metatarsophalangeal joint, dorsal foot, ankle, increased serum uric acid, found in the synovial fluid urate crystal X-ray showed Yuanzao convey joint-bone defect. 2, rheumatoid arthritis: a predilection for young people, a large migratory arthritis, inflammatory lesions and dissipated after joint function can be fully restored, accompanied heart inflammation, subcutaneous nodules, annular erythema, high-moisture O , the effect of salicylic acid preparation, and X-ray without special permits. [Treatment] 1, general treatment: acute phase of bed rest, Chigaohuanshi to avoid joint activities and excessive trauma. 2, non-steroidal anti-inflammatory drugs: acute arthritis, may choose to use anti-inflammatory pain, or help, in his experience, such as Lin symptomatic treatment. 3, glucocorticoid: acute stage, joints fluid aspiration, to benefit limethason 2.5-5 mg / time, intra-articular injection. 4, surgical treatment: joint serious wrecker artificial arthroplasty.

The treatment of acute gouty arthritis drug which

Gout is the performance of acute joint synovitis, and the slow performance of the formation of tophi and urinary calculi. At the same time, diabetes mellitus, hyperlipidemia, heart and cerebral arteriosclerosis in the incidence of gout patients are higher. Therefore, the treatment of gout both swept into action immediately controlling acute arthritis, but also for long-term treatment of hyperuricemia, gout stone to prevent deposition, joint damage, urinary tract calculi or renal insufficiency, etc.. The primary cause of gout for lack of treatment, it is not radical, clinical treatment to achieve two objectives: ① control in a timely and acute gouty arthritis attack; ② long-term treatment of hyperuricemia, reduce relapse prevention urate deposits, joint damage and kidney damage. Acute gouty arthritis patients should bed rest, Chigaohuanshi to pain relief for 72 hours rear resume activities as soon as possible treatment to alleviate the symptoms quickly, or easily deferred Fuyu. Should be more water, the maintenance of diet therapy. Prohibited drugs and impact down uric acid excretion of uric acid drugs. Acute gouty arthritis drug for the treatment of choice Colchicine and non-steroidal anti-inflammatory drugs, which have the same effect quickly. As the latter than the former on the side effects of drugs and adequate source, the more clinical application. If more poor drug reaction, or can not tolerate taboos, we can consider adrenal cortex hormones or adrenocorticotropic hormone (ACTH).

Chronic pharyngitis and related knowledge

Chronic pharyngitis is a common disease, multiple, but also a very stubborn disease, which has repeatedly attack and difficult to cure.
Complex etiology
* Environmental factors - or as a result of the environmental impact of life, such as air pollution, low humidity or dust, can lead to chronic pharyngitis.
* Dietary factors - tobacco and excessive, often eating spicy food, such as irritation, but also can cause chronic pharyngitis occurred.
* Throat disease itself - recurrent acute pharyngitis into chronic pharyngitis chronic tonsillitis, spit out the secretions may contain bacteria infection pharyngitis, resulting in the occurrence of chronic pharyngitis.
* Nasal disease - caused by various Bibing recurrent nasal obstruction, a woman needed help with breathing, the throat becomes dry, weakened immunity, and then from chronic pharyngitis, or suffering from sinusitis, because often some contain bacteria into the throat secretions, but also can cause chronic pharyngitis occurred.
* Oral diseases - the mouth dirty, caries caused Qudong not time, gingivitis can lead to the occurrence of chronic pharyngitis.
* Other - body resistance decline, or suffer from various chronic diseases, such as anemia, diabetes, nephritis, tuberculosis, syphilis, and so on, could lead to the occurrence of chronic pharyngitis addition, life tension, often speak loudly, but also can trigger chronic pharyngitis.
Symptoms Patients with chronic pharyngitis will feel the long-term throat discomfort, can be manifested as minor pain, foreign body sensation, itching, drying; because there are always some viscous throat secretions attachment, patients often have to "say anything, Caledonia" sound, hope can be removed. And in mouthwash, brushing easy nausea Yutu.
Prevention is very important Prevention and treatment of chronic pharyngitis is essential, these measures include alcoholic drinks and tobacco to quit, to improve living and working environment, and physical activity, enhance body resistance, treatment of the primary disease, but also Houpan iodine can be used, such as oral containing menthol Houpan tablets.

Pharyngodynia pharyngitis were caused by?

Pharyngodynia pharyngitis is one of the common symptoms, but not unique pharyngitis, and many other diseases will emerge pharyngodynia. Pharyngeal pain sensory nerve fibers from the glossopharyngeal nerve, the trigeminal nerve, nerve and vagus nerve. These nerve endings in the throat vertical and horizontal branches intertwined, and distribution to other nearby organs, these sites can be subject to any factors to stimulate the nerve reflexes caused by angina. The disease can cause angina include the following three categories: throat diseases caused by angina: pharyngeal mucosa of the infection inflammatory pain and oppression stimulate nerve endings, resulting in angina. Common diseases such as acute and chronic pharyngitis, acute and chronic tonsillitis, herpes pharyngitis and tonsillitis tongue, tonsil abscess around, parapharyngeal and retropharyngeal abscess, acute epiglottitis, pharynx, such as tuberculosis. Pharyngodynia obvious acute inflammation, chronic inflammation is less angina, or angina. In addition, the non-pharyngeal infection of factors, such as foreign bodies, trauma, tumor fester, elongated styloid process, glossopharyngeal neuralgia, and pharyngeal mucosa muscle rheumatic diseases such as allergic reactions, can also cause angina. Adjacent organs diseases caused by angina: Pharyngodynia are reflective. Oral teeth, gum inflammation, rhinitis, sinusitis, throat inflammation, tuberculosis, cervical artery sheath inflammation, fibrous tissue inflammation, lymphadenitis, thyroiditis, cervical disease, esophagitis, esophageal foreign bodies in the previous paragraph, may give rise to different degrees The pharyngodynia. Systemic diseases caused by angina: In some systemic diseases, the symptoms of angina for local, a common disease of mononucleosis, myeloid leukemia, acute leukemia and other blood diseases, influenza, meningitis, measles , scarlet fever, typhoid and other infectious diseases, rheumatism, gout, etc.. Some women in the 3-4 days before menstruation also can occur angina or heartburn flu, and the high levels of estrogen.