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Nasopharyngitis

Definition:

Inflammation of pharynx and Nasal Cavity known as Nasopharyngitis.

Overview

Generally, Acute infection of the nasopharynx may be an isolated infection confined to this part only or be a part of the generalized upper airway infection. [1]

Causes

Acute Nasopharyngitis

It may be caused by viruses (for example; common cold, influenza, parainfluenza, rhino or adenovirus) or bacteria (especially streptococcus, pneumococcus or haemophilus influenzae)

Chronic Nasopharyngitis

It is often associated with chronic infections of nose, paranasal sinuses also pharynx. Additionally; It is commonly seen in heavy smokers, drinkers and those exposed to dust and fumes.

Risk Factors

Common risk factors for acute viral nasopharyngitis include:
  • Ill contact.
  • Attending day care centers (for infants and children)
  • Allergic rhinitis or sinusitis.
  • Asthma.
  • Being immunosuppressed (i.e. in HIV or hematologic malignancy)[3]

Types

Types:

  1. Firstly; Acute Nasopharyngitis
  2. Secondly; Chronic Nasopharyngitis

Sign & Symptoms

Acute Nasopharyngitis

Basically, Dryness and burning of the throat above the soft palate is usually the first symptom as is commonly noted in common cold. In detail; This is followed by pain and discomfort localized to the back of nose with some difficulty on swallowing. Besides this; In severe infections, there is pyrexia and enlarge cervical lymph nodes. All in all; Examination of nasopharynx reveals congested and swollen mucosa often covered with whitish exudate.

Chronic Nasopharyngitis

Postnasal discharge also crusting with irritation at the back of nose is the most common complaint. Additionally; Patient has a constant desire to clear the throat either by hawking or inspiratory snorting (forcibly drawing nasal secretions back into the throat). Examination of nasopharynx reveals congested mucosa also mucopus or dry crusts. Lastly, In children, adenoids are often enlarged and infected (chronic adenoiditis)

Diagnosis

In general, Examination of nose, mouth, throat showing signs of inflammation.

Swab Collection for possible either bacterial infection or influenza.

Treatment

Initially; Mild cases clear up spontaneously. In detail; Some analgesic may be required for relief of pain also discomfort.  Additionally; In severe cases with general symptoms, either systemic antibiotic or chemotherapy may be necessary. In children, there is associated adenoiditis which causes nasal obstruction and requires nasal decongestant drops.

Chronic infections of the nose, paranasal sinuses also oropharynx should be attended to.

Furthermore; Excessive smoking and drinking should be corrected.

Besides this, Preventive measures should be taken to avoid dust and fumes.

Lastly, Alkaline nasal douche helps to remove crusts and mucous.

Steam inhalations are soothing [1]

Homeopathic Treatment

Homeopathic Treatment of Nasopharyngitis

Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The homeopathic medicines selected after a full individualizing examination also case-analysis.

Which includes

  • The medical history of the patient,
  • Physical and mental constitution,
  • Family history,
  • Presenting symptoms,
  • Underlying pathology,
  • Possible causative factors etc.

A miasmatic tendency (predisposition/susceptibility) also often taken into account for the treatment of chronic conditions.

What Homoeopathic doctors do?

A homeopathy doctor tries to treat more than just the presenting symptoms. The focus is usually on what caused the disease condition? Why ‘this patient’ is sick ‘this way’?

The disease diagnosis is important but in homeopathy, the cause of disease not just probed to the level of bacteria and viruses. Other factors like mental, emotional and physical stress that could predispose a person to illness also looked for. Now a days, even modern medicine also considers a large number of diseases as psychosomatic. The correct homeopathy remedy tries to correct this disease predisposition.

The focus is not on curing the disease but to cure the person who is sick, to restore the health. If a disease pathology not very advanced, homeopathy remedies do give a hope for cure but even in incurable cases, the quality of life can greatly improve with homeopathic medicines.

Homeopathic Medicines for Nasopharyngitis:

The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy, potency and repetition of dose by Homeopathic doctor.

So, here we describe homeopathic medicine only for reference and education purpose. Do not take medicines without consulting registered homeopathic doctor (BHMS or M.D. Homeopath).

Aesculus Hippocampus

Dry, uncomfortable feeling in fauces and pharynx, a sense of constriction, with raw, either excoriated feeling or a sense of pricking and yet no swelling; additionally; frequent desire to swallow, uneasiness in deglutition; troublesome tickling cough, with constant hawking up of mucus which is not tenacious or stringy; fauces, vulva also back of pharynx dusky red, either relaxed or swollen; tongue coated, feeling of general malaise also depression; catarrhal

irritation of gastro-intestinal mucous membrane, face sallow and digestion slow. Overall; ANGINA GRANULOSA IS HERE A MANIFESTATION OF THE HAEMORRHOIDAL DIATHESIS.
Alumina

FEELING OF A SPLINTER IN THROAT, stinging on swallowing; Moreover; great dryness of throat, especially on awaking voice husky; additionally constant hawking and a sensation of a lump in throat; thick mucus dropping from posterior nares; besides this; swallowing causes crepitation especially in ears; throat feels relaxed.

Ambragracia

Secretion of mucus in throat, with roughness also rawness, choking and vomiting can hardly be avoided when hawking up phlegm from the fauces; sensation of rawness in velum; Lastly, foul breath.[2]

Argentum Nit.

CHRONIC ANGINA; uvula also fauces dark-red; thick, tenacious mucus especially in throat, obliging him to hawk, causing slight hoarseness; sensation as if a splinter had lodged

in throat, when swallowing, eructating, breathing, either stretching or moving neck; wart-like excrescences; dryness of throat on beginning to speak; burning also scraping.
Bromium

PHARYNGITIS CROUPOSA; small follicles in posterior fauces, the inflammation extending to larynx causes a titillating cough; additionally fauces inflamed, with reticulated redness also denuded patches; all in all; husky tone of voice.

Drosera

Rough, dry, scraping sensation on soft palate also in fauces, inducing cough; additionally; pharyngeal anaemia; pharynx pale, discolored also blanched, often a premonitory symptom of tuberculosis pulmonum.

Hepar Sulph

Generally; Chronic venous congestion of pharyngo-laryngeal mucous membrane; feeling especially; of dullness and constriction specifically; in throat, with desire to swallow, but no pain during deglutition; throat

dry also raw, with sensation as if splinter pricked it, of a plug of mucus, which he must swallow or hawk up, mucus sometimes tinged with blood; tickling also harassing cough, dry or coughing up mucus.
Iodum

Croupous pharyngitis; sharp burning in pharynx, with rawness extending into the air-passages; feeling of scraping in pharynx; fauces inflamed, with burning also dryness

from throat to stomach; swallowing impeded when drinking water, as if throat were constricted, with distressing thirst.[2]
Kali Bromatum

Acute also chronic pharyngitis; CHRONIC CONGESTION OF FAUCES AND PHARYNGEAL MUCOUS MEMBRANE, additionally; follicles looking like little tubercles on pharyngeal wall; besides this uneasiness and pain on swallowing; sensation of dryness, burning, rawness, a scraping feeling or sensation of something sticking in throat;

accumulation of sticky, tenacious mucus in pharynx, with tendency to hoarseness also tickling cough, difficulty of throwing off the stringy mucus; chronic nasal catarrh; tongue coated with a yellow mucus; specifically bitter taste; tendency to nausea; all in all; gastric catarrh.
Kali Iod

CHRONIC PHARYNGITIS, basically stinging painful pressure when swallowing or talking; in detail choking sensation as if something had lodged in throat, (>) after hawking up a piece of thick mucus; boring, darting pains especially in ears.

 Kali Mur

Pharyngitis, GREAT DEAL OF FOETOR IN BREATH, hawks up cheesy lumps of the size of a split pea; throat swollen, spots or pustules appear with either gray or whitish exudation; adherent crusts in vault of pharynx; tongue coated grayish-white, either slimy or dry; biliousness, dyspepsia, either fatty or rich food causes indigestion.[2]

Diet & Regimen

  • Steam Inhalation
  • Drink more Fluid
  • Keep nose clean
  • Hand wash
  • Good Breathing Yoga, also exercise
  • Avoid Smocking
  • Gargle with warm water also salt

FAQs

Frequently Asked Questions

What is Nasopharyngitis?

Inflammation of pharynx and Nasal Cavity known as Nasopharyngitis.

Homeopathic Medicines used by Homeopathic Doctors in treatment of Nasopharyngitis?

  • Aesculus Alumina
  • Ambragracia
  • Argentum Nit.
  • Bromium
  • Drosera
  • Hepar Sulph
  • Iodum
  • Kali Bromatum

What causes Nasopharyngitis?

  • Viruses (common cold, influenza, parainfluenza, rhino or adenovirus)
  • Bacteria (streptococcus, pneumococcus or haemophilus influenzae)

What are the symptoms of Nasopharyngitis?

  • Dryness also burning of the throat
  • Pain and discomfort
  • Pyrexia also enlarge cervical lymph nodes
  • Congested and swollen mucosa

Give the types of Nasopharyngitis?

  • Firstly; Acute Nasopharyngitis
  • Secondly; Chronic Nasopharyngitis

References:

  1. Diseases_of_Ear_Nose_and_Throat_6Edition
  2. Homoeopathic Therapeutics by Lilienthal 
  3. https://www.wikidoc.org/index.php/Acute_viral_nasopharyngitis_risk_factors