Treatment of sore throat

It is known that the antibacterial treatment of pain in the throat of viral and even bacterial etiology is little or no effect. In most patients, the symptoms of the disease go through 7-10 days, regardless of whether antibiotics were prescribed or not.

Since sore throat most often does not lead to the development of serious complications and is resolved spontaneously, the appointment of antibiotics should be treated individually in each case and, if possible, avoided.

Treatment of pain in the throat, mainly local, consists in the exclusion of irritating food, the appointment of inhalation and pulverization of warm alkaline and antibacterial solutions. For example, heat and moisture inhalation solution of 1: 5000 furatsilina for 10 minutes 3-4 times a day, etc.

To date, there is a huge number of drugs for the local treatment of inflammatory diseases of the pharynx. The appointment of a number of drugs limits their high aplergency and irritant effect. These include preparations containing iodine derivatives, propolis, sulfonamides. Preparations containing herbal antiseptics are usually highly effective and harmless, but their purpose is not indicated in patients suffering from pollinosis, and the number of people with this disease in some geographical areas is up to 20% of the general population.

Of particular interest are combined preparations, for example 2,4-dichlorobenzyl alcohol and amylmetacresol in combination with various bioadditives (eucalyptus oil, tartaric acid, anise oil, peppermint oil, etc.). They are able not only to remove unpleasant sensations in the throat, but also have a pronounced antibacterial, and, very importantly, antifungal action, because fungal infection (particularly candidiasis) often aggravates the course of the disease with prolonged, even local antibiotic therapy.

With severe sore throat, treatment with systemic analgesics (NSAIDs) is often ineffective and is used only as antipyretics. In these cases, again combined preparations containing local anesthetics are used. In particular, more than satisfactory results of treatment of acute pharyngitis have been obtained with the use of a new preparation containing amylmetacresol and 2,4-dichlorobenzylethanol, already mentioned above, as well as 10 mg of lidocaine hydrochloride.

In view of the propensity of all the diseases described above to transition to chronic forms, treatment of an acute process must be carried out extremely carefully and under the supervision of a specialist.

The main drugs for topical treatment of the nose, pharynx and larynx

Name	Composition
Angie Sept Septect Theiss	Menthol, anethole, dichlorobenzyl alcohol, peppermint oil
Bicarmint	Sodium tetraborate, sodium bicarbonate, menthol, peppermint oil
Bioparox	Fusafungin
Hexalisis	Biklotimol, lysozyme, enoxolone
Hexasprees	Biclotimole
Hexorhal	Hexetidine
Doctor Mom	Extracts of licorice naked, ginger, medicated emblem; menthol
Drill's sore throat	Chlorhexidine, tetracaine
Isofra	Framicetin, methylparahydroxybenzoate, sodium chloride, citric acid
Inhaliptus	Streptocide, sodium norsulfazole, thymol, eucalyptus oil, mint oil
Iox	Polyvidone-iodine, allantoin, propylene glycol
Cameton	Chlorobutanol, camphor, menthol, eucalyptus oil
Rapid Rapid Constraint	Cetylperidinium, lidocaine, menthol
Laripront	Dequiline chloride, lysozyme
Neo-angin	Menthol, 2,4-dichlorobenzyl alcohol, p-pentyl-M-cresol
Octenisept	Octenisept
Propofol	Propolis, glycerol, ethyl alcohol
Romazulan	Extract and camomile oil
Rotokan	Extracts of chamomile, calendula, yarrow
Sebidine	Chlorhexidine, ascorbic acid
Seppton	Benzalkonium chloride, menthol, essential oils of peppermint and eucalyptus, thymol
Stopangin	Hexidine, essential oils, methyl salicylate
Strepsils	2,4-dichlorobenzylethanol, amylmetacresol, oils, ascorbic acid, honey, menthol
Strepsils Plus	Amylmetacresol, dichlorobenzyl alcohol
Strepsils plus spray	Lidocaine hydrochloride
Tantum Verde	Benzidamine
Falimint	Acetyl and non-nitropropoxybenzene
Pharyngosept	Ambazon
Furacilin	Nitrofurazone
Eucalyline	Extracts of leaves or shoots of eucalyptus
Eludral	Chlorhexidine, chlorobutanol, docusate, chloroform

Treatment of sore throat caused by acute pharyngitis

Since pharyngitis is more likely to cause viruses (adenoviruses, rhinoviruses, etc.), the systemic administration of antibiotics is ineffective and is not shown in the early days of the disease. With the appearance of the first symptoms of sore throat, local pharyngitis therapy is the most optimal and safe: pills or lozenges containing a wide range of chemical antiseptics. As a topical treatment for pharyngitis, preference is given to combination preparations containing not one, but two mutually complementary antiseptics (dichlorobenzylethanol and amylmetacresol). For example: tablets for resorption of suprima-ENT, strepsils or adicept, pharyngosept, etc. These drugs are active against a wide range of gram-positive and gram-negative microorganisms and have an antifungal effect.

Anti-inflammatory treatment of pain in the throat with nonsteroidal drugs (aspirin, paracetamol, analgin, orthophene, etc.) and abundant drinking (preferably tea and chicken broth) at home is the main treatment for the first week. With the disappearance of pain in the throat and normalization of temperature, treatment should continue for up to two weeks, because the minimum cycle of the inflammatory process is two weeks. If the treatment is ineffective, consultation of the otorhinolaryngologist is necessary.

Similar to acute pharyngitis, there is an exacerbation of chronic dry pharyngitis (subatrophic, atrophic), or granulosa (when there are granules of lymphoid tissue on the background of dry atrophic mucosa), lateral pharyngitis (when vertical atrophic mucosa on the sides of the pharynx shows vertical rollers of lymphoid tissue), and also, exacerbation of chronic pharyngitis of smokers. The aggravation of the latter proceeds particularly aggressively, since nicotine, as a neuroparalytic poison, sharply reduces the protective properties of the pharyngeal mucosa. Therefore, refraining from smoking, with exacerbation of the chronic pharyngitis of the smoker, greatly facilitates the disease and accelerates recovery. Feeling can ease aspirin or paracetamol. If the condition of the throat does not improve within two days, an ENT doctor should be consulted.

Treatment of sore throat caused by throat drying

Sore throat with increased throat drying disappears or decreases with wetting of the throat, for example, with repeated swallowing of saliva or after breakfast, and the next morning appears again. Periodically, the dryness of the pharyngeal mucosa leads to her injury and subsequent inflammation in the form of acute pharyngitis, especially in the autumn-winter period. It is clear that all manner of moisturizing the mucous throat and its protection from drying will temporarily relieve or alleviate such pains, preventing the development of acute pharyngitis. First of all, this is frequent drinking of water during the day and hot drink before bed, instillation in the nose before going to bed with a physiological saline solution (0.9%) or saline solution (1 teaspoon table salt for a glass of boiled water) that moisten the mucous membrane pharynx. It is also possible to instill a vegetable oil in the nose with a pipette, which protects the mucous throat from drying for about three hours. Pick vegetable oil (sunflower, olive, corn, peanut, apricot) due to the lack of a burning sensation in the nose or nasal congestion. From alternative agents, well moisturize and protect the mucous throat from drying out various sharp food seasonings and pickles (except garlic, lemon and sea-buckthorn oil), as well as onions, hot pepper, propolis and honey.

Of the drugs, especially successful were fluefort (selectively removes the dryness of the mucous membrane of the upper respiratory tract) and the collagen silver colloidal 20 mg / l with a thickener. Aquarvent for hours (for the whole night) keeps a protective film with silver on the mucous membrane of the nose and throat, which additionally protects the surface of the mucosa from drying out. Great help is provided by humidifying the air in the bedroom in various ways, especially in the autumn-winter period.

For more effective, constant elimination of dryness in the throat, it is necessary to remove the cause that causes it. Most often, the drying of the mucous membrane in the throat appears during breathing through the mouth, especially at night, when a person sleeps, which is accompanied by a decrease in the activity of the protective properties of the body to moisturize the mucous throat. Oral breathing, in turn, often leads to snoring, which increases the trauma of the pharyngeal mucosa and additionally provokes inflammation of the pharyngeal mucosa with painful sensations when swallowing. Most often, mouth breathing is caused by difficulty breathing through the nose and in these cases, all effective methods for restoring nasal breathing are acceptable, except for vasoconstrictors, which are dangerous to use for more than 2-3 days.

In more complex cases (diseases of the nose or its deformation), treatment of pain in the throat is performed with the help of an otorhinolaryngologist. However, even in the absence of nasal breathing difficulties, the development of dryness in the throat with the drying of its mucous is quite possible. This is typical for the southern type of aerodynamics of the nose, when there is increased patency of the lower nasal passage, and mouth breathing, while additionally enhances the effect of drying out the throat and provokes snoring at night. Therefore, all methods of medicinal protection of the nasal mucosa, with the southern type of aerodynamics of the nose, are completely permissible and useful. With pronounced disturbances of nose aerodynamics, the drug protection becomes insufficient and then the help of an otorhinolaryngologist who owns the reconstruction of the southern type of aerodynamics of the nose to the north, which perfectly protects the mucous throat from drying and cooling, and also guarantees the elimination of snoring at night. This is due to the fact that the northern type of aerodynamics of the nose creates maximum comfort for the mucosa of the respiratory tract, since when the outside is minus 15-20 degrees, the air is warmed up to plus 25 degrees in the throat and 500 ml of the liquid secrete the northern type of nose to moisten the inhaled air. As already noted, a fairly frequent consequence of the launched "dry" throat is acute inflammation of the pharyngeal mucosa in the form of acute pharyngitis.