打嗝喉咙痛怎么回事 – What’s wrong with hiccup and sore throat?

文章导读

每个人都差不多经历过喉咙痛,这也是一年四季都会患的疾病,像平常感冒、咽喉炎、咳嗽、发烧等都会引起喉咙痛等。但有些朋友打嗝也会喉咙痛,这种情况可能是打嗝的时候破坏了口腔黏膜,刺激到了咽喉,而引起的咽喉痛,不用过于担心,注意保护过段时间就好了。

打嗝喉咙痛怎么回事 - What's wrong with hiccup and sore throat?

病因

任何刺激咽喉及口腔黏膜的物质都可能引起咽喉痛。它们包括:病毒、细菌感染、过敏反应、灰尘、香烟、废气、热饮料或食物,牙齿或牙龈感染有时也会累及咽喉,慢性咳嗽、极干燥的环境、胃食管反流及说话声音过大同样会刺激咽喉,声音嘶哑是常见的伴随症状。出现咽喉痛症状的常见疾病有:全身病毒感染、腮腺炎、咽炎或扁桃体炎、感冒、咽喉炎。

临床表现

不同病因引起的咽喉痛伴随症状也不相同,例如:

打嗝喉咙痛怎么回事 - What's wrong with hiccup and sore throat?

1.鼻咽部炎症

鼻咽在急性炎症期,患者会有一种干疼的感觉,同时炎症期的血管扩张,会导致患者将鼻涕回吸吐出时略带血性。

2.口咽部位炎症

口咽部位的发炎症状多为急性扁桃体发炎和急性咽炎,这两种情况多与感冒有关。扁桃体急性发炎时,患者感觉咽痛,并伴有中度发热或高热,严重时还会出现扁桃体肿胀化脓。

3.喉咽部炎症

喉咽的炎症多是急性会厌炎和急性喉炎。急性会厌炎是耳鼻咽喉头颈外科常见的急危重症之一,患者多感觉咽部很疼,甚至不敢吞咽食物,说话时有含水的声音,同时,咽部还有被堵住的感觉,严重会导致呼吸困难,危及生命。患者遇到这种情况,一定要尽快到医院的耳鼻喉科急诊。急性喉炎发作时患者也有咽疼、咽部有异物感,但与急性会厌炎有一个明显的区别,患者说话的声音嘶哑,不是含水说话声。

4.非炎性疾病

咽喉痛的原因有很多,也很复杂,并非都由炎症引起。如舌咽神经痛、外界刺激、口腔溃疡等都会引起咽痛。

(1)舌咽神经痛引起的疼痛多是一侧疼痛,且疼痛得较剧,没有一定的原因,在使用消炎药以后症状没有明显改善,此时,医生多建议使用治疗三叉神经痛的止痛药消除疼痛。

打嗝喉咙痛怎么回事 - What's wrong with hiccup and sore throat?

(2)茎突过长导致的疼痛咽部一侧疼痛,吞咽时疼得更加明显,与舌咽神经痛不同的是,这种疼痛会在咽部同一侧上下放射。患者需要尽早到医院拍片确诊。

3)口腔溃疡由于维生素缺乏等原因导致的口腔溃疡多是自愈性疾病,在7~10天内就会愈合,在发病过程中,会引发咽部持续性疼痛。而一些恶性的、经久不愈的口腔溃疡,需要积极治疗

5.外界刺激

某些外界刺激也会引起咽部疼痛,如吃瓜子过多使咽喉受到刺激,引发淋巴组织非炎症性疼痛,多喝点水或服用点祛火中药就会好转。

6.其他

1)肿瘤如扁桃体肿物、喉癌、鼻咽癌等,在早期没有明显的疼痛感,患者自感疼痛就医时往往病情已经发展到了中晚期。因此这些没有疼痛感觉的咽喉疾病更需要人们重视,一旦感觉咽部不明原因出现了异物感、鼻涕中带血、面部有麻木感、耳后以下出现活动力差的肿块等症状时,要尽早就医检查。

(2)心肌梗死出现咽喉痛,如找不到明确原因,并伴有胸闷、出汗或恶心症状时,要警惕心肌梗死的发生。这是因为咽喉和心脏的神经受到同一节段脊神经的支配,当心肌缺血、缺氧时,产生的乳酸、丙酮酸、磷酸等酸性物质及多肽类物质,会刺激神经产生疼痛,并扩散至咽部的迷走神经,诱发咽喉疼痛症状。因此,有高血压、冠心病的老人出现咽喉疼痛时要当心,最好卧床休息,避免精神过度紧张,舌下含服硝酸甘油,并立即就医。

治疗

根据不同病因给予相应治疗


Reading guide

Everyone has almost experienced a sore throat, which is also a common disease throughout the year, such as common colds, sore throat, cough, fever and so on. But some friends hiccup also can have a sore throat, this situation may be hiccup when destroying the oral mucosa, irritation to the throat, resulting in sore throat, do not worry too much, pay attention to the protection of time is good.

打嗝喉咙痛怎么回事 - What's wrong with hiccup and sore throat?

Pathogeny

Any substance that stimulates the throat and oral mucosa may cause sore throat. They include viruses, bacterial infections, allergic reactions, dust, cigarettes, exhaust gases, hot drinks, or food. Tooth or gum infections sometimes affect the throat. Chronic cough, extremely dry conditions, gastroesophageal reflux, and loud voice can also irritate the throat. Hoarseness is a common accompanying symptom. The common symptoms of sore throat are systemic viral infections, mumps, pharyngitis or tonsillitis, colds, and pharyngitis.

Clinical manifestation

There are also different symptoms of sore throat caused by different causes, such as:

打嗝喉咙痛怎么回事 - What's wrong with hiccup and sore throat?

1. nasopharyngeal inflammation

Nasopharyngeal in acute inflammation, patients will have a sense of dry pain, while inflammation of the vasodilation, will lead to patients will snot back to spit out slightly bloody.

2. inflammation of oropharynx

Acute tonsillitis and pharyngitis are the most common symptoms of oropharyngeal inflammation, which are often associated with colds. Acute tonsillitis, patients feel sore throat, and accompanied by moderate or high fever, severe tonsil swelling and pyogenic.

3. larynx pharynx inflammation

Larynx pharynx inflammation is acute epiglottis and acute laryngitis. Acute epiglottitis is one of the most common acute and critical diseases in otolaryngology and head and neck surgery. Most patients feel sore throat, even dare not swallow food. They have a sound of water when they speak. At the same time, the pharynx also has the feeling of being blocked, which can lead to difficulty breathing and endanger life. When patients are in such a situation, they must go to the Department of ENT as soon as possible. Patients with acute laryngitis attack also have sore throat, pharyngeal foreign body feeling, but with acute epiglottitis has a clear distinction, patients speak hoarse voice, not water voice.

4. non inflammatory diseases

The causes of sore throat are numerous and complex, not all caused by inflammation. Such as glossopharyngeal neuralgia, external stimuli, oral ulcers and so on can cause sore throat.

(1) The pain caused by glossopharyngeal neuralgia is mostly one side of the pain, and the pain is more severe, there is no definite reason, after the use of anti-inflammatory drugs symptoms did not improve significantly, at this time, doctors recommend the use of analgesics for trigeminal neuralgia to eliminate pain.

打嗝喉咙痛怎么回事 - What's wrong with hiccup and sore throat?

(2) The pain on one side of the pharynx caused by excessive styloid process is more obvious when swallowing. Unlike glossopharyngeal neuralgia, the pain radiates up and down the same side of the pharynx. Patients need to be diagnosed early in the hospital.

(3) Oral ulcer due to vitamin deficiency and other causes of oral ulcer are mostly self-healing diseases, in 7-10 days will heal, in the course of the disease, will cause persistent pain in the pharynx. However, some malignant and prolonged oral ulcers require active treatment.

5. external stimuli

Some external stimuli can also cause sore throat, such as eating too much melon seeds to stimulate the throat, causing lymphatic tissue non-inflammatory pain, drinking more water or taking some Chinese medicine to remove fire will improve.

6. other

(1) Tumors such as tonsil tumors, laryngeal cancer, nasopharyngeal cancer, etc., in the early stage there is no obvious pain, patients feel pain when seeking medical treatment often has developed to the late stage. Therefore, people should pay more attention to these pain-free pharyngo-laryngeal diseases. Once the pharynx is felt unexplained foreign body sensation, nose with blood, facial numbness, after the ears appear poor mobility lumps and other symptoms, to seek medical examination as soon as possible.

(2) Myocardial infarction throat pain, if you can not find a clear cause, and accompanied by chest tightness, sweating or nausea symptoms, to be vigilant against the occurrence of myocardial infarction. This is because the nerves of the throat and heart are dominated by the same segment of the spinal nerve. When myocardial ischemia and hypoxia occur, acidic substances such as lactic acid, pyruvic acid, phosphoric acid and polypeptide substances produced will stimulate nerve pain, and diffuse to the vagus nerve of the pharynx, causing pharyngeal and laryngeal pain symptoms. Therefore, the elderly with hypertension, coronary heart disease, sore throat to be careful, the best bed rest, to avoid excessive mental tension, sublingual nitroglycerin, and immediately seek medical attention.

Treatment

According to different causes, corresponding treatment is given.

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