Treatment of pharyngitis in pregnant women, the effect on the fetus. Treatment of pharyngitis during pregnancy: tips and recipes Purulent pharyngitis during pregnancy

Firstly, it moves food from the oral cavity further into the digestive organs (into the esophagus and then into the stomach), and secondly, it provides oxygen from the nasal cavity to the larynx. For pregnant women, these processes are very important, which is why this disease can cause serious consequences. So, with a lack of oxygen, fetal hypoxia may occur (oxygen through the placenta will not be able to penetrate into the body of the unborn child). In addition, any inflammation can lead to complications during pregnancy or the birth process, causing miscarriage or premature birth. That is why treatment must be timely and effective. And only an experienced specialist can appoint it.

Possible reasons

• fungal infections (in most cases, the disease occurs due to the activity of fungi of the genus Candida);
• viral diseases such as influenza, adenovirus and others;
• bacterial infections (staphylococci, mycoplasmas, streptococci and others);
• damage to the mucous membranes of the pharynx (they may occur due to foreign objects entering the pharynx, such as pieces of coarse food, bones, and some others);

The cause of pharyngitis may be a viral disease

Manifestations

• Discomfort in the throat. It can be burning, perspiration, dryness, tickling, sensation of a foreign body, and so on. These symptoms are aggravated in the morning, during swallowing. As the disease progresses, discomfort can develop into pain.
• There may be a cough associated with a sore throat. It will most likely be unproductive and dry, although sputum production is possible in some cases. The expectant mother may experience a constant desire to clear her throat by clearing her throat.
• The pregnant woman will feel worse. Weakness, drowsiness, fatigue and lethargy are likely.
• When examining the throat, you can see redness of the mucous membranes, sometimes small bubbles (granules) appear. The surface of the larynx may be pale pink.
• On palpation, an increase in the upper cervical lymph nodes can be detected.
• It is possible to increase the temperature to 37.5 or 38 degrees.

Diagnostics

If the first symptoms of a disease such as pharyngitis are detected, a pregnant woman should immediately consult a doctor. The specialist will interview the patient and examine the pharynx. To find out the causes of inflammation and determine the causative agents of the disease, it will be necessary to study the mucus flowing down the pharynx (a throat swab is required).

How to treat?

Treatment of the disease in pregnant women has several important features. Firstly, pharyngitis during pregnancy requires constant monitoring by a specialist. Only a doctor can prescribe any drugs (even herbal ones) and procedures (even the seemingly most harmless ones). Folk remedies should also be coordinated with him. Secondly, some common and effective means during the gestation period are strictly contraindicated, this must be taken into account. Thirdly, in order to avoid complications, it is desirable to observe bed rest, even in the case of a mild course of the disease.

First, let's find out what is contraindicated during pregnancy:

Hot foot baths are contraindicated during pregnancy

• Hot foot baths. They can help any other person, as they will provoke an outflow of blood from the inflamed throat and blood flow to the legs, which can alleviate the condition. But for pregnant women, this procedure is very dangerous. Blood will rush to the lower part of the body, including the uterus. Because of this, hypertonicity may occur, which, in turn, will lead to termination of pregnancy or premature birth. For the same reason, such methods of treatment as putting on socks with mustard or pepper and others like that are also contraindicated.
• Uncontrolled use of decoctions of herbs. Do not think that medicinal plants are harmless and safe. Some have such strong properties that they can provoke a miscarriage or premature birth. Treatment with herbs should be carried out under the supervision of a physician. Plants such as licorice, yarrow, aloe, celandine, sage, calendula, St. John's wort, thuja and some others are contraindicated (especially for oral administration).
• Essential oils should not be treated irresponsibly, they are also dangerous (some can have a negative effect on the fetus and provoke abortion, while others cause allergies). Do not use thuja, sage, peppermint, lavender, wormwood oils.

Treatment of pharyngitis in pregnant women may include the following measures:

1. To speed up the recovery of the mucous membranes of the pharynx, a sparing diet will be prescribed. The expectant mother will have to give up sour, spicy, pickled, salty foods (all this is already banned). Too cold or, conversely, excessively hot food is contraindicated (all dishes should be at room temperature). It is best to use soups, liquid purees or cereals, jelly. Drinking plenty of warm water will help. You can drink milk, juices, compotes, weak tea, fruit drinks. It is advisable to eat fractionally, that is, often, but in small portions.
2. It is also desirable to provide voice rest.
3. The air in the room should be moist, fresh and clean. So the room must be regularly ventilated. Wet cleaning should also be regular. To moisturize, you can use a basin of water, wet towels or a special device - a humidifier.

Gargling with Chlorhexidine

Remember that pharyngitis during pregnancy is dangerous! Take care of yourself and your unborn child, consult a doctor on time.

During pregnancy, I caught a cold in my throat, I had pharyngitis ((Lor prescribed Isla Moos lozenges for me. They are of plant origin, safe to take during pregnancy. I resolved them for several days and my throat recovered.

The information is provided for reference purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.

Pharyngitis during pregnancy: is there a threat to the child?

During the period of bearing a child, the mother's body works with a vengeance, protecting not only herself, but also the unborn baby. The immune system can not cope with such a load, which leads to colds. Pharyngitis during pregnancy is a common reason for visiting a doctor. After all, the main route of transmission of most bacteria is airborne.

Inflammation of the pharyngeal mucosa may not disturb the mother's condition, but it is dangerous for the unborn child. Knowing the main symptoms and causes of the disease will allow you to consult a doctor in time, avoiding the development of complications.

The reasons

When bacteria or viruses enter the body, the cells of the immune system are the first to react, destroying microbes. During pregnancy, the mother's defenses are weakened, the risk of infection increases.

The immediate causes of the development of pharyngitis include:

• bacteria. The most common causative agents of inflammation of the pharynx are streptococci, staphylococci, chlamydia, Klebsiella.
• Viral pharyngitis occurs in 70% of cases. The disease develops against the background of ARVI (adenoviral, rhinovirus infection, influenza, parainfluenza).
• Fungi and protozoa are the cause of inflammation in immunocompromised patients.
• Allergic reactions lead to swelling, redness of the pharynx.
• Injury to the mucous bones from fish, rough food in the presence of foci of infection ends with the development of pharyngitis.

There are predisposing factors that weaken the immune system, contribute to the unhindered spread of bacteria.

• Hypothermia.
• Cold drinks inhibit the activity of protective cells that are located in the tonsils.
• Smoking, including passive smoking, leads to irritation of the mucous membrane, impairs blood circulation.
• Polluted or dry air, harmful chemical fumes contribute to the development of pharyngitis during pregnancy.
• Foci of infection in the oral cavity - untreated teeth, stomatitis. The spread of bacteria occurs by contact.

Symptoms

Clinical manifestations depend on the severity, the state of the woman's immune system. Symptoms may be mild, not disturb the general well-being. In this case, there is a risk of missing the onset of the disease, not starting treatment on time. Therefore, if there are even minor complaints, it is necessary to visit a doctor.

The main manifestations of pharyngitis:

• Feeling of itching, burning, the presence of a foreign body in the throat. There is a desire to clear your throat, to remove this discomfort. Symptoms are worse at night, reaching a maximum in the morning. The explanations are quite simple - during sleep, many breathe through their mouths, the air dries out the mucous membrane, aggravating the situation.
• Dry cough. Sputum is rarely formed, this is due to the addition of tracheitis, bronchitis.
• The temperature rises to subfebrile figures (37-38 ° C) only in acute course.
• Enlargement, soreness of the submandibular lymph nodes.
• Decreased efficiency, drowsiness, headache, poor appetite are due to intoxication.

How dangerous is it?

The disease for the mother can pass without a trace, for the unborn child it is a big risk. Fever, cough, intoxication affect the condition of the fetus. Drugs are another danger. Most drugs are prohibited during pregnancy. Treatment requires effort and time without the use of potent substances.

Bacteria or viruses infect the respiratory system, the oxygen content in the blood decreases. Fetal hypoxia develops, the risk of premature birth increases.

If pharyngitis occurs in the early stages of pregnancy, you must contact the clinic. Self-medication is prohibited. The organs and systems of the fetus are not yet formed, any toxic effect leads to developmental abnormalities, miscarriage.

Which doctor should I contact with pharyngitis during pregnancy?

The treatment of pharyngitis in pregnant women is carried out by a general practitioner, a therapist. If necessary, a woman is sent for a consultation to an ENT specialist, an obstetrician-gynecologist.

Diagnostics

Diagnosis is an important process that affects the further treatment of pharyngitis during pregnancy. It is necessary to determine the leading syndrome, assign additional research methods.

Diagnostics consists of several stages:

• Collection of complaints. The doctor listens to the patient, determines important and minor symptoms.
• Inspection. It is necessary to assess the condition of the posterior pharyngeal wall, tonsils. The mucosa in most cases is edematous, redness, granularity is observed. The submandibular lymph nodes are drawn into the process. On palpation, they are painful, enlarged.
• Bakposev from the throat is taken to determine the pathogen, its sensitivity to antibiotics.

Treatment

Many women are wondering - how to treat pharyngitis during pregnancy? The answer is simple: you need to contact the clinic and diligently follow all the appointments of a specialist. It is forbidden to take any drugs on their own. The same applies to medicinal herbs, as some of them increase the tone of the uterus, increase the risk of premature birth.

The greatest efficiency is achieved with a combination of drug treatment, adherence to the regimen, and the use of traditional medicine recipes.

To relieve sore throat, perspiration and cough, it is recommended to follow a few rules:

• For the duration of the illness, ensure peace for the patient; in case of acute pharyngitis during pregnancy, bed rest is indicated.
• Preference is given to sparing nutrition. Spicy, salty, sour foods are excluded. No less important is the temperature regime. Too hot or cold food additionally irritates the pharyngeal mucosa, worsening the situation.
• Plentiful warm drink (tea, compote, milk) helps to remove microbes and toxins from the body.
• It is recommended to observe voice rest, do not talk loudly, do not shout. With an exacerbation, it is better to be silent for several days.
• It is necessary to periodically humidify the air in the room.

During illness, sweet drinks and foods should be avoided. Sugar is a great breeding ground for bacteria.

Folk methods

There is an opinion that herbs bring only benefits, they cannot harm. It's a delusion. During pregnancy, a woman's body reacts sharply to any substances. Therefore, before using folk remedies, you should consult a doctor.

Be sure to read what is included in the collection of herbs. It is forbidden to use peppermint, wormwood, ginseng, sage, St. John's wort, nettle during pregnancy. These plants can provoke fetal hypoxia, increase uterine tone.

For gargling use decoctions of chamomile, calendula, lemon balm, raspberry leaves. Pharmacies sell ready-made solutions that are diluted with warm water.

Propolis has proven itself well. It has an antibacterial effect, relieves swelling, inflammation, and soothes the mucous membrane. The easiest way is to put a small piece into the oral cavity until completely dissolved. You can prepare an extract of propolis to lubricate the tonsils, a decoction for rinsing, or simply add it to tea.

Medical treatment

If the symptoms progress, the woman's condition does not improve, the doctor prescribes medication.

The main groups of drugs that are used for pharyngitis in pregnant women:

• Antiseptics for gargling (Furacilin, Chlorophyllipt).
• Antipyretics (Paracetamol) with fever.
• Resorption of lozenges with anti-inflammatory action (Pharingosept, Strepsils).
• Antibiotics are prescribed under strict indications, when the benefits outweigh the possible consequences. An antibacterial drug for topical use, for example, Bioparox, has fewer side effects.

Complications

With an untimely visit to a doctor, a weak immune system, pharyngitis turns into a chronic protracted course. Bacteria with blood flow or contact enter other organs, which leads to the progression of inflammation.

The most common complications include:

• Abdominal abscess.
• As the infection spreads, laryngitis, tracheitis, and bronchitis develop.
• In severe cases, pneumonia occurs.
• Inflammation of the cervical lymph nodes, salivary, parotid glands.

Forecast

Pharyngitis is not dangerous for a woman's life. Timely diagnosis and treatment lead to full recovery. The impact on the unborn child in such cases is minimal. The main task is to prevent the development of complications.

Features of prevention

During pregnancy, it is necessary to pay increased attention to strengthening the immune system, to exclude all provoking factors for the development of pharyngitis.

• Refuse cold drinks, ice cream, especially in winter.
• Have your own mug, fork, spoon. Wash dishes thoroughly before use.
• Humidify the air in the room.
• Avoid contact with sick people, public places during influenza epidemics.
• Visit the dentist on time, take care of oral hygiene.

Do not underestimate pharyngitis, especially during pregnancy. When the first symptoms appear, you should consult a doctor. Untimely diagnosis and self-treatment lead to serious complications in the mother, in the worst case, to malformations or loss of the child.

Features of the treatment of pharyngitis during pregnancy

Arising at any stage of pregnancy, any disease brings a lot of trouble to the expectant mother. Each disease is dangerous for the reason that it is forbidden to treat it with the most effective drugs, so as not to harm the unborn child. Even common SARS can cause dangerous complications. One such complication of a cold is pharyngitis. How to treat pharyngitis during pregnancy, features of the disease? We will cover these points below.

Features of the disease

Pharyngitis is an inflammatory process that is localized on the back wall of the larynx. This disease is usually accompanied by a runny nose, sore throat, high fever. Pharyngitis during pregnancy may occur due to the presence of such factors:

• dental caries;
• cold drink;
• allergy;
• inhalation of cold, polluted air;
• smoking. Even passive smoking can provoke this pathology;
• diseases of ENT organs;
• trauma;
• untreated SARS.

The causative agents of pathology are:

• bacteria;
• viruses (adenovirus, herpes viruses, rhinovirus, parainfluenza virus, influenza, coronavirus);
• fungi.

Pharyngitis can occur in two forms:

1. Acute. Acute pharyngitis during pregnancy is a consequence of the impact of any adverse factor on the mucous membrane of the larynx.
2. Chronic. The chronic form develops due to irritation of the mucosa for a long time. The appearance of chronic pharyngitis can provoke improper therapy of the acute form of this disease.

Symptoms

What is pharyngitis, we examined. Now let's move on to another issue: pharyngitis symptoms and treatment during pregnancy. Let's start with the clinic of the disease we are considering. The main symptoms of pharyngitis, which experts note in patients, are:

• dryness, feeling of tickling in the mouth;
• hoarseness of voice;
• pain when swallowing;
• enlarged lymph nodes, their soreness;
• dry cough;
• temperature rise. It increases to 37.5 - 38 degrees;
• redness of the posterior pharyngeal wall, its swelling.

In some cases, the expectant mother may be disturbed by:

Usually, the symptoms depend on the degree of mucosal damage. The disease occurs in three degrees of severity:

1. I. Degree. The initial stage, which is also called catarrhal pharyngitis. She is characterized by swelling in the throat, dryness. These symptoms are aggravated after prolonged communication, inhalation of icy air.
2. II. Degree. The average severity of the disease, which is called granulosa pharyngitis, is characterized by increased perspiration, the appearance of a feeling of coma in the throat. The back wall of the throat is covered with red tubercles, the mucous membrane becomes shiny.
3. III. Degree. It is called atrophic pharyngitis. This degree is characterized by pain when swallowing, bad breath. Dry crusts form on the back wall of the pharynx, thinning of the mucous membrane occurs.

Pharyngitis should be taken seriously, especially in this position. If you notice symptoms that indicate pharyngitis in early pregnancy, tell your doctor. This disease is not harmless either for a woman or for her child. To avoid complications, start treatment correctly, in a timely manner.

Disease danger

Any disease is considered dangerous during pregnancy. It negatively affects the well-being of a woman carrying a child, as well as on the fetus. Let's consider whether pharyngitis during pregnancy is dangerous for the fetus. In the first trimester, this disease can provoke a spontaneous miscarriage.

In the later stages of bearing a baby, you also need to take into account the threat from pharyngitis. This complication of SARS has a negative effect on the fetus. It can cause such a dangerous condition as hypoxia. Also, pharyngitis can become a provocateur of premature birth, the development of a child's fetal retention syndrome.

Treatment Methods

Pharyngitis during pregnancy how to treat this disease in such an interesting position? After all, all potent drugs are contraindicated for pregnant women, they can negatively affect the fetus. Therefore, the treatment of pharyngitis during pregnancy 1 trimester should be as gentle as possible.

• Ventilate rooms more often.
• Do not inhale tobacco smoke.
• Give peace to the throat (less talking, singing, shouting).
• Eat light, soft foods (soups, vegetables, cereals, mashed potatoes).
• Monitor the humidity in the apartment.
• Do not eat spicy, cold, sour, hot, salty foods.
• Put compresses at night with the use of camphor alcohol.
• Drink warm drinks that have a lubricating effect (jelly, milk with honey, tea with raspberry jam).

After the doctor has discovered acute pharyngitis during pregnancy, the treatment is prescribed as follows:

1. Treatment of the posterior pharyngeal wall with anti-inflammatory, antiseptic solutions. For rinsing, decoctions of calendula, chamomile, Miramistin, Chlorhexidine are prescribed. Also, pregnant women can use inhalation sprays intended for local use "Kameton", "Ingalipt", "Gexaspray", "Tantum Verde".
2. To increase local immunity, Lizobakt lollipops are used. In the 3rd trimester, "Geksaliz" is allowed.

1. "Panadol" is prescribed when the temperature rises.
2. If there is severe swelling of the pharynx, astringent solutions "Solution of tanit-glycerin" (5%), "Collardol" are prescribed to lubricate the mucosa.
3. Honey. It needs to be dissolved under the tongue.

How to treat pharyngitis during pregnancy 1 trimester, if you have a chronic form of the disease? In this case, patients should:

• Use local immunomodulators ("Lizobakt").
• Carry out rinsing with a solution of sodium chloride (1%), sea water. They are performed in 2-3 hours.
• Take vitamin A.
• Carry out ultrasonic inhalations using mineral waters. In this case, Borjomi is more often used.
• If granulosa pharyngitis is detected, cauterization of the lymphoid tissue should be carried out. To do this, use "Trichloroacetic acid". To remove large granules, a laser, liquid nitrogen is used.
• To lubricate the back wall of the pharynx, moisturizers are used (sea buckthorn oil + vitamin A, “Retinol acetate solution in nut oil”.
• In the presence of atrophic pharyngitis, inhalations are carried out with thinning agents (“Acetylcysteine”. If the form of the disease is severe, pharyngeal blockades are performed. For this, an injection of novocaine with aloe is administered.
• To stimulate recovery processes in the mucosa, the doctor may prescribe injections of reparants "Actovegin", "Solcoseryl".

Physiotherapeutic procedures can also be carried out:

What Not to Do

1. It is forbidden to use alcohol solutions, iodine, soda for gargling. Also, you can not dissolve menthol lozenges. The above remedies only dry the mucosa.
2. Do not drink more than 2 liters of water. A pregnant woman may experience swelling.
3. It is forbidden to use frequently vasoconstrictor for the common cold. These drugs irritate the throat.

All information provided on the site is provided for informational purposes only.

You should not start treatment without prior internal consultation with a doctor or specialist.

How to treat acute and chronic pharyngitis during pregnancy

All diseases that occur during pregnancy, and especially in the early stages, have a bad effect on both the woman's body and the fetus itself. Of course, there are many options for treatment, the consequences can also be unpredictable, so you need to pay attention to this.

Acute pharyngitis can manifest itself in a viral, allergic, fungal, bacterial, traumatic form. Also, the acute form can become chronic. The symptoms that occur with pharyngitis do not depend on the form of the disease. There are signs that always appear:

• dryness in the larynx;
• perspiration;
• pain in the throat;
• voice becomes hoarse;
• there is a dry cough.

If at least one of the symptoms appears, then you need to take treatment. In any case, it is better for women in a position not to experiment, but to consult a specialist.

Symptoms of the disease and the effect on the fetus

What is dangerous pharyngitis for pregnant women. Of course, any disease has a bad effect on the fetus.

1. In the early stages of pharyngitis, the consequences of untreated pharyngitis can lead to abortion.
2. In the later stages, the disease can give complications up to fetal hypoxia, premature birth and the toxins produced affect the health of the baby.

Signs of illness during pregnancy:

• difficult to swallow;
• burning in the throat;
• pawns ears;
• lymph nodes become inflamed;
• throat becomes red.

The temperature with pharyngitis may not rise, but remain normal.

What can lead to the appearance of the disease:

1. The entry of viruses and bacteria is one of the main reasons.
2. Cold drink, ice cream.
3. General hypothermia of the body.
4. Chronic diseases of the nasopharynx.
5. Smoking.
6. Complications after SARS.
7. Chronic tonsillitis.

The video tells how to treat pharyngitis during pregnancy:

Of course, in the usual mild form, pharyngitis will not bring such bad consequences as its complicated form. If the temperature rises and intoxication appears, this will lead to irreversible consequences. It is better to prevent trouble than to treat an acute form.

There are fundamentals in the treatment of any disease. Here are the main ways and methods of dealing with the disease:

1. The throat should be gargled with furacilin. 1 tablet is dissolved in 100 g of water.
2. Constant warm drink. It is necessary to drink drinks with an alkaline environment, for example, milk, mineral water without gases, fruit drinks.
3. It is better not to eat spicy, salty, smoked foods.
4. It is necessary to gargle, you can use various decoctions of herbs. Use chamomile, sage, plantain. And ready-made fees can be bought at the pharmacy. If you purchased tinctures, then they must be diluted with water.
5. Medicinal lozenges. The pharmacy has the widest selection of such drugs. They will help both in the treatment of pharyngitis, and simply relieve pain. But pregnant women should pay attention that they should not use many drugs. You need to carefully study the instructions.
6. The temperature during the acute stage may rise, but the mark usually does not go above 38. It would be better not to bring down the temperature. But if the condition still worsens, then you can take drugs based on paracetamol. But remember that this is only in extreme cases.

Acute treatment

1. Compresses. It is necessary to apply a compress to the throat. How to make it? It is necessary to make several layers of gauze, soak them with an alcohol solution and put them on the throat, or rather on the front. To prevent the alcohol from evaporating quickly, you need to put a woolen cloth or paper on top of the compress that does not get wet.
2. Diet. In addition to the fact that you need to remove spicy, salty, peppery foods, you also need to avoid eating solid food, which can damage the tonsils and aggravate the condition.
3. Foot baths. It is necessary to pour water into the basin approximately ankle-deep, and pour mustard, add mint or sea salt. Take baths until the water cools down. The procedure lasts about 15 minutes. Next, you need to put on warm socks and go to bed.
4. Inhalations. An effective, common and simple way in the treatment of acute pharyngitis of the throat is the inhalation of moist vapors that are saturated with oils. These include pairs of sage, eucalyptus, menthol, mint. Such procedures help to alleviate the condition of the mucous membrane. In acute pharyngitis, inhalations are carried out 4 times a day. Treatment session 7 minutes.
5. Drugs against viruses that can only be prescribed by a doctor after the causative agent of the disease is identified.

Traditional medicine methods

1. Garlic with honey. It is necessary to peel the garlic and grate on a fine grater. You need to make half a glass of gruel and pour everything with honey in an enamel bowl. Honey should cover the entire mixture. Putting the mixture on fire, wait until the contents turn into a homogeneous mass. This usually takes 15 minutes. Cool the mixture, then put it on fire again, constantly stir the syrup, do not allow it to burn. If the syrup is very thick, you can add water there. Now strain it through cheesecloth. You can store it in the refrigerator. You need to take 1 tbsp. l. in one hour. Usually the syrup is drunk until complete recovery.
2. Garlic with vinegar. Grate one head of garlic and pour 1 liter of vinegar. You need to insist the mixture in a cool dark place for 3 weeks. Shake the jar with the mixture twice a week. After it is infused, strain the mixture. After pouring the tincture into a glass, add half a teaspoon of salt and stir until completely dissolved. Gargle with this solution 3 times a day.
3. Blackberry leaves. The safest method is to rinse with an infusion of blackberry leaves. Leaves should be poured with 1 cup of boiling water.
4. Ginseng and rosehip. Rosehip, or rather its fruits, must be cleaned of seeds. Take 5 tbsp. l. pour 800 ml of cold water. Put the infusion on the fire and wait for it to boil. Berries should be boiled for 10 minutes and poured into a thermos for tincture for another 6 hours. After this, the broth must be filtered. Now take the ginseng roots, grind them and pour 200 ml of water and boil. This decoction must be filtered and mixed with a decoction of rose hips. The third part of the glass should be taken 3 times a day.
5. Leaves of plants. You need to take 1 tbsp. l. linden leaves, chamomile flowers and thyme. Add 2 tbsp. l. eucalyptus leaves. 1 st. l. of this collection of herbs you need to pour 200 ml of boiling water. Infuse this mixture in an enamel pan for 30 minutes. Strained solution should be gargled 5 times a day.
6. Take chamomile from the pharmacy, medicinal sweet clover and marsh calamus root. All herbs need to take 1 tbsp. l. Add 2 tbsp. l. Althea root. Grind the whole mixture, take 2 tbsp. l. and pour 250 ml of hot water into an enamel pan. Keep the decoction in a water bath for 15 minutes. Then cool the mixture and strain several times. Pour the resulting solution into a glass and bring to a volume of 200 ml. The throat should be gargled with warm infusion.

Here you will find more information about the symptoms and treatment of strep throat in adults.

Therapy for chronic

This form of the disease is a little easier than the acute form. There is no swelling in the throat on the tonsils. And if there is swelling, then it is quite insignificant. What measures should be taken:

1. Gargle. The solution must be prepared from sodium chloride or sea salt. The concentration of the solution is 1%. Rinsing should be done every 3 hours.
2. Inhalations. Usually in such cases, ultrasonic inhalations are carried out using mineral waters of the Borjomi type.
3. It is necessary to lubricate the back wall of the throat. Vitamin A with sea buckthorn oil or walnut oil with acetate retinol is taken as a lubrication mixture.
4. It is necessary to drink vitamin A. 2 drops 2 times a day will help with the chronic form of the disease.
5. If the doctor saw that the sinuses are inflamed, then washing may be prescribed.

What not to do with pharyngitis:

1. It is contraindicated to gargle with soda, iodine, alcohol solution. Tablets with menthol can not be used either, they lead to the fact that the mucous membrane dries up.
2. Vasoconstrictor drops can be addictive. It is not necessary to abuse them, they cause irritation of the throat.
3. Drink liquid. But it is worth noting that excess fluid in pregnant women causes swelling.

Traditional medicine methods

1. The first sign of the disease is frequent headaches, sore throat, and malaise. Pour hot water into a basin or bowl and add a 20% solution of chamomile or pine needles. Soak your feet in this mixture. Then the feet are wiped with a hard towel and wool socks are immediately put on. After this procedure, you need to breathe over a decoction of chamomile. It is better to carry out this procedure, covered with a blanket. After that, you need to go to bed and drink a cup of tea with viburnum. Kalina should be well kneaded and mixed with honey. It will not be superfluous to add linden or mint.
2. Grate the carrots very finely, take 3 tsp. and add 1 tsp. honey and a golden mustache, about one joint. The mixture should be mixed well and taken by mouth. It is necessary to dissolve the medicine, pushing the substance to the back of the throat. This should be done once a day, and the resorption procedure will take about 7 minutes. The course of treatment lasts about a week.

Features of therapy in the first trimester

All women know that any disease that occurs in the 1st trimester of pregnancy can adversely affect the development of the fetus. It is at this moment that it is very important to provide the fetus with all comfortable conditions, because at this time all important and fundamental organs are developing. Therefore, if you feel unwell, sore throat, then you should immediately begin treatment. It is best to consult a doctor, he will prescribe treatment. You must ensure complete rest for the throat, it is better to be silent altogether. It is necessary to drink warm infusions. In no case should you drink cold and hot, this will lead to complications. As mentioned above, you need to gargle with decoctions of herbs. Everyone knows that during this period it is better not to drink antibiotics. But if the form of the disease is bacterial, then you need to consult a doctor, he will help you choose the right drugs and evaluate the safety of their use. Peace and rest must be provided at such an important moment. Here you can read which antibiotic is prescribed for pharyngitis in adults.

Any complications in the health of a pregnant woman must be eliminated. Of course, it is best to carry out prevention in order to prevent such situations. During this period, it is important to take care of not only yourself, but also the baby. You may also find information about the treatment of granulosa pharyngitis helpful. Follow the link to read what atrophic pharyngitis is.

Inflammation of the mucous membrane and lymphoid tissue of the pharynx as a result of exposure to cold or hot air, the influence of pathogenic fungi and viruses is interpreted as pharyngitis. The deviation progresses against the background of ARVI, and with immunosuppression of the body of a pregnant woman, the risk of infection with respiratory diseases increases.

The development of the pathological process complicates the course of pregnancy, because. therapy requires potent pharmaceuticals, the intake of which is advisable to limit during the period of bearing a new life. How and how to treat pharyngitis during pregnancy is determined by the therapist or otolaryngologist.

The concept and diagnosis of pharyngitis

The root causes of the localization of inflammation on the back wall of the larynx is the impact of powerful allergens, cold and hot drinks, thermal changes in air, impaired performance and integrity of the ENT organs. Opportunistic pathogens include adenoviruses, rhinoviruses, influenza or parainfluenza viruses.

As the disease progresses, patients complain of the following manifestations:

• sore throat;
• discomfort and feeling of dryness in the mouth;
• elevated body temperature;
• swelling and redness of the larynx;
• pain while swallowing food;
• unproductive cough without mucus secretion.

With pharyngitis, it is forbidden to gargle with alcohol solutions, soda, iodine

Based on the examination data, the doctor draws up a therapeutic regimen. Treatment of pharyngitis during pregnancy determines stage of development of mucosal inflammation:

• 1 degree - catarrhal pharyngitis. The initial phase of the disease, when the patient feels a general malaise, swelling progresses after a long conversation, inhalation of cold air masses;
• 2 degree - granulosa pharyngitis. Characterized by an indicator of moderate severity. The clinical picture is complemented by the appearance of red tubercles on the back wall of the larynx;
• 3 degree - atrophic pharyngitis. The acute phase of the inflammatory process, which is accompanied by severe pain during meals, localization of dry crusts on the mucous membrane, thinning of the inner lining of the larynx.

Important! Even passive smoking causes irritation of the throat mucosa, which gives prerequisites for the development of pharyngitis.

Chronic pharyngitis and pregnancy are incompatible concepts. In most clinical cases, causes of pathology are conditionally pathogenic microorganisms, the activity of which endangers the natural process of intrauterine development of the fetus and the life of the expectant mother.

The danger is manifested by the following factors:

• from the first day of conception to 14 weeks there is a bookmark and the formation of the internal organs of the baby. The protective reaction of the expectant mother's immune system weakens, unable to repel the attack of disease-causing agents. Progression of pathology in the 1st trimester, increases the risk of spontaneous abortion (miscarriage);
• the course of pharyngitis in the 2nd and 3rd trimester interferes with the full supply of the baby with nutrients and oxygen, which can cause fetal hypoxia or preterm labor;
• waste products of pathogenic microorganisms maternal intoxication, overcome the placental barrier, thereby disrupting the natural functioning of the unborn child's systems;
• elevated body temperature to a subfebrile mark of 38 and above has a negative effect on the fetus in the form of CNS defects, microcephaly, and hypotension of the muscular apparatus.

It is possible to identify the viral or bacterial etiology of pharyngitis based on the results of a general and biochemical blood test, bacterial culture.

Exacerbation of pharyngitis occurs at the peak of respiratory diseases in the autumn-spring period

Treatment of pharyngitis during pregnancy

Pathology therapy begins with the implementation of general recommendations. Reducing the intensity of the manifestation of pain in the throat contributes to the rejection of salty and spicy foods. The emphasis is on soft foods, plenty of room temperature drinks (tea, milk, purified water).

For reference! In case of irritation of the mucous throat, raspberry tea, liquid kissels, warm milk with the addition of honey are recommended for use.

For achievement positive dynamics, complex treatment is prescribed which consists of the following instructions:

1. Treatment of the entire throat area with antiseptic solutions. The group of permitted drugs during gestation is represented by Tantum Verde, Miramistin, Chlorhexidine, Chlorophyllipt. Non-steroidal drugs are intended for topical use, have antibacterial activity, and have an anti-inflammatory effect. Treat the back wall of the larynx recommended every 4 hours.
2. Rinse with saline or furatsilina solution up to 10 times in the first days of mucosal inflammation, on day 4, the frequency of use of the medicinal solution is limited 3-4 times.
3. Resorption of immunomodulators in the form of tablets "Lizobakt", "Pharingosept". Local antiseptic preparations neutralize the cause of inflammation, provide local immunity, and have a protective effect on the mucous membrane of the throat. Adult patients are given 2 tablets 3 times a day. Manufacturers instructions allow the use of drugs in any trimester of pregnancy, while breastfeeding.
4. Reception of antihistamine medicines "Fenistil", "Zirtek". Antiallergic drugs are recommended for use in liquid form. They have sedative activity, have an antiserotonin effect, stop vomiting. The daily dose varies from 20 to 40 drops at a time 3 r / day. Allowed from 14 weeks of gestation.
5. The use of antipyretic drugs based on paracetamol, such as Panadol. The medicine has become widespread in pediatrics, it is prescribed to children from the age of three months, therefore it does not pose a threat to the health of the mother and the unborn baby.
6. Nasal toilet with nasal sprays based on sea water - "Aquamaris". To maintain the optimal physiological state of the nasal cavities, it is recommended to instill 2-3 drops in each nostril at least 4 times a day. The course of treatment ranges from a week to 2-3 months, because. medicinal product of natural origin is not addictive.
7. Inclusion in the therapeutic regimen of the vitamin complex A, C.
8. Carrying out inhalations using saline or mineral water in the morning and evening. When diagnosing atrophic pharyngitis, it is advisable to switch to "Acetylcysteine".

Large granules with pharyngitis are removed using liquid nitrogen, a laser

Important! Physiotherapeutic methods of exposure include mud applications and magnetotherapy.

Drops in the nose with pharyngitis are prescribed in cases where the pathological process is supplemented by swelling of the nasal mucosa, congestion of the ENT organ. The ban includes the frequent use of vasoconstrictor drugs, the active components of which irritate the inner lining of the larynx.

Treatment of pharyngitis in the 1st, 2.3rd trimester with alternative methods

Alternative medicine recipes are based on the use of natural ingredients that have a mild sparing effect. The recommendations are aimed at active regeneration of the pharyngeal mucosa, strengthening the immune system, and stopping the inflammatory process.

Among the effective folk remedies are the following:

• steam inhalation of boiled potatoes in the skin with an unproductive cough;
• treatment of tonsils with propolis tincture or ointment;
• gargling with a decoction of chamomile, sage, calendula. Pour a tablespoon of dry raw materials 250 ml. boiling water, let it brew for half an hour. Rinse mouth with strained solution 3 times a day, 1 glass per reception. The course of treatment is 5-7 days;
• potato juice for washing the mouth. Squeeze out the tubers of a young vegetable 100 ml. juice. This is a single dose for the procedure, the frequency of manipulations is reduced up to 4 repetitions per day;
• a bowl of garlic. Finely chopped product is mixed with honey, brought to a homogeneous consistency over low heat. The filtered liquid is ready for use after 4-5 hours of infusion. Take by mouth 10 ml. three times a day;
• rubbing with essential oils of tea tree, eucalyptus, juniper. In case of hypersensitivity of the body, use volatile liquids with caution, because. they are powerful allergens.

Treatment of chronic pharyngitis requires the presence of tannins in the therapeutic regimen, which are contained in the bark of oak, birch, willow. 1 st. a spoonful of dry raw material is diluted in 200 ml. hot boiled water. Infused and strained broth is used to wash the throat, with a frequency of every 3-4 hours.

Acute pharyngitis during pregnancy and chronic require an integrated approach to treatment. Alternative methods will be ineffective without taking bacteriostatic and anti-inflammatory drug products.

The development of pharyngitis is promoted by diseases of the pathological process of destruction of hard tissues of the tooth (caries)

The list of acceptable drugs during gestation is limited, therefore, the attending physician determines an effective and safe drug based on the patient's history, the course of pregnancy and the nature of the pathological process.

Every woman suffers from pharyngitis at least once in her life. And during pregnancy, the risk of catching this disease increases several times. How dangerous is a sore throat for expectant mothers and how can it be treated?

What is pharyngitis?

Pharyngitis is an acute or chronic inflammation of the mucous membrane of the pharynx.

Pharyngitis is an inflammation of the back of the throat. The nature of the course of the disease can be acute or chronic.

Acute pharyngitis occurs suddenly and lasts for several days. The disease is manifested by dryness and sore throat, moderate pain when swallowing, sometimes a slight increase in temperature (up to 37.5-38 degrees).

In 70% of cases, inflammation is caused by viruses, less often by bacteria and fungi. This explains why acute pharyngitis is a frequent companion of colds. During pregnancy, the likelihood of infection increases due to the weakening of the woman's immune system.

Chronic pharyngitis proceeds for a long time, with periodic exacerbations. Symptoms of this form of the disease vary depending on the degree of damage to the pharyngeal mucosa:

• At the initial stage (catarrhal pharyngitis), the patient is concerned about dryness and swelling in the throat, which are aggravated after a long conversation, inhalation of frosty air.
• With moderate severity of the disease (granular pharyngitis), perspiration intensifies, complaints appear about the sensation of a lump in the throat. On the back wall of the pharynx, the doctor finds red tubercles. The mucosa acquires a shiny, "varnished" surface.
• The last degree of inflammation (atrophic pharyngitis) is characterized by difficulty swallowing, the appearance of bad breath. The back wall of the pharynx is covered with dry crusts. The doctor diagnoses the thinning of the mucous membrane.

In all stages, patients suffer from a dry, persistent cough. Exacerbations are most often observed in the autumn-spring period.

Factors that contribute to the development of chronic pharyngitis during pregnancy include:

• decrease in the body's defenses,
• frequent colds,
• reflux esophagitis (heartburn),
• caries,
• inflammation of the paranasal sinuses,
• diabetes,
• inhalation of dusty air.

So that the disease does not drag on, it is important to seek help from an ENT or therapist in time.

Possible Complications

The launch of pharyngitis is dangerous because the inflammation can spread to neighboring tissues. This situation threatens a woman with the development of laryngitis (inflammation of the larynx), tracheitis, and in some situations, pneumonia.

Acute pharyngitis in early pregnancy can adversely affect the baby: there is a risk of developing intrauterine hypoxia or fetal retention syndrome. Therefore, timely remedial action is required.

What to treat?

Pregnant women suffering from pharyngitis should especially avoid inhaling tobacco smoke.

• Drink warm drinks that “lubricate” the throat - milk with honey, kissels, tea with raspberry jam,
• provide peace to the throat - refrain from prolonged conversations, screaming, singing,
• do warm foot baths
• at night put compresses on the throat with camphor alcohol,
• eat light, mostly soft food - cereals, mashed potatoes, soups, meat and vegetables, passed through a meat grinder,
• for the duration of the illness, refuse spicy, salty, sour, too cold and too hot food,
• avoid breathing tobacco smoke,
• humidify the air in the house (use special humidifiers or put a bowl of water near the battery),
• ventilate the rooms more often.

The scheme of drug therapy of the disease is determined by the doctor individually.

In the acute form of pharyngitis during pregnancy, the following are usually prescribed:

• Treatment of the posterior pharyngeal wall with antiseptic and anti-inflammatory solutions. You can gargle with a decoction of chamomile, calendula, Chlorhexidine, Miramistin, or use local inhalation sprays (allowed for use in pregnant women Ingalipt, Tantum Verde, Hexaspray, Kameton).
• Resorption of lozenges with an immunomodulatory effect (Lyzobakt or under the supervision of a doctor in the III trimester - Geksaliz). The beneficial bacteria that are part of the preparations increase the local immunity of the throat mucosa and help to cope with inflammation faster.
• With severe swelling of the pharynx, the mucosa is lubricated with astringent solutions - collargol or a 5% solution of tannin-glycerin.
• If there is no allergic reaction, you can dissolve honey under the tongue between meals - 1 dessert spoon 2-3 times a day.

With an increase in temperature of more than 37.5 degrees, paracetamol (Panadol) is indicated.

Otherwise, chronic pharyngitis is treated. With this form of the disease, edema in the throat is not observed or it is very small. Patients are shown:

• Rinsing with 1% sodium chloride solution or sea water every 2-3 hours.
• Ultrasonic inhalations with mineral waters (Borjomi, Bjni).
• The back wall of the pharynx is lubricated with moisturizing preparations - a solution of retinol acetate in nut oil or a mixture of vitamin A with sea buckthorn oil (in a ratio of 2: 1).
• It is useful to use local immunomodulators in the form of lozenges (Lizobakt).
• Vitamin A intake (2 drops 2 times a day).
• With granulosa pharyngitis, seals of lymphoid tissue are cauterized with trichloroacetic acid. Large granules are removed with a laser or liquid nitrogen.
• In the complex therapy of atrophic pharyngitis, inhalations with thinning drugs (acetylcysteine) are used. In severe forms of the disease, pharyngeal blockades are indicated - injections of novocaine with aloe into the back wall of the pharynx. At the discretion of the doctor, intramuscular injections of reparants can be prescribed, which stimulate regenerative processes in the mucous membranes (Solcoseryl or Actovegin).

From physiotherapy are used:

• magnetotherapy,
• mud applications on the submandibular region.

If the underlying disease that caused chronic pharyngitis is identified, measures are taken to combat it. For example, if inflammation is detected in the paranasal sinuses, the doctor may prescribe washing them. If reflux esophagitis is suspected, the patient is sent for an appointment with a gastroenterologist.

Forbidden for pharyngitis

• Gargle with soda, iodine, alcohol solutions. Suck on menthol lozenges. All these drugs dry out the mucous membrane.
• Abuse vasoconstrictor drops from the common cold. They are irritating to the throat.
• Drink more than 2 liters of fluid per day (including soups, vegetables and fruits). During pregnancy, excess water threatens the development of edema.

The program "School of Dr. Komarovsky" tells about the treatment of colds during pregnancy:

We treat pregnant women - Dr. Komarovsky - Inter

Pharyngitis during pregnancy is encountered quite often, since the immunity of a woman up to childbirth is naturally reduced.

Such a weakening of the body's defenses is necessary so that the fetus is not perceived as a foreign body that must be rejected. For a child, any disease of the mother during pregnancy is dangerous.

Impact of pharyngitis in early pregnancy in the 1st trimester and beyond

When carrying a child, the body is in a special state, when all processes in it proceed with an increased load. Any infection at this point is a serious danger.

1st trimester of pregnancy

At this point, the fetus is especially exposed to toxins that are released by viruses and bacteria in the course of their life. The placenta, which gives the unborn child a fairly good protection, creating a placental barrier, appears only by 12 weeks.

Prior to this, in the early stages of pregnancy, the embryo is almost defenseless. Also, all the processes going on in the body cause super overload. As a result, to reduce them, immunity in pharyngitis rises sharply and provokes rejection of the fetus.

During the 1st trimester, with the development of pharyngitis, and not necessarily severe, there is a high risk of consequences such as missed pregnancy or miscarriage.

It is also impossible to exclude violations in the process of laying the organs of the unborn child, because of which severe pathologies and deformities can occur after birth. The effect on the fetus of pharyngitis at the beginning of its development is the strongest and most dangerous.

In the 2nd trimester of gestation

The period is relatively calm for a woman, since all systems and organs have already fully adapted to new processes, and the formed placenta creates an additional barrier to toxins and pathogens.

The main danger for the unborn child at this moment is oxygen starvation.

With pharyngitis, swelling of the throat is observed, due to which the amount of oxygen that enters the body decreases. The condition is further aggravated by a hysterical cough that appears due to a sore throat.

As a result of hypoxia, the fetus develops slow suffocation, which often causes late miscarriage or premature birth.

When a woman is closer to the end of the 6th month of pregnancy and the fetus has severe oxygen starvation, the question of early permission for childbirth may be raised, with the child remaining in the incubator.

If the disease during pregnancy does not lead to a dangerous lack of oxygen in the mother's blood and the child's condition is normal, then the pregnancy is preserved, and the disease is treated with drugs that are allowed during the gestation period.

3rd trimester of pregnancy

At this period of pregnancy, even acute pharyngitis does not pose a serious danger to the unborn child. All systems and organs are already formed, and the placental barrier is very strong and prevents intrauterine infection.

There is a risk for a child and a woman only if the body of the woman in labor is very weak and cannot restrain the causative agent of the disease. In such a state, the threat to the fetus primarily arises from the risks to the life of the mother.

In the vast majority of cases, if a sore throat occurs in the last months of bearing a child, there is no danger for him.

The risk of infection of the infant occurs only after birth, when the mother, if her pharyngitis is of a bacterial, fungal or viral nature, can infect him with pathogens. With allergic pharyngitis, this is not possible.

Contraindications and consequences for the child

Pharyngitis in pregnant women in the later stages and after childbirth leads to such restrictions:

• breastfeeding is possible only after the final recovery of the woman, since otherwise the risk of infection of the child is high;
• limiting contact between mother and child until complete recovery.

The inflammatory disease has a negative impact on the fetus, and after birth, the child requires especially careful medical supervision.

The immunity of a newborn whose mother has been ill with pharyngitis, especially in an acute form, is reduced from the first days of life. As a result, the baby will have a tendency to bacterial and viral infections.

In this case, the development of the disease is usually rapid, and its treatment can be delayed.

During pregnancy, it is contraindicated, unless absolutely necessary, to take drugs that cross the placental barrier.

They can seriously disrupt the development of the child (especially in the first half of pregnancy) and cause abnormal physical development of the fetus and defective formation of the central nervous system.

How and how to treat acute and chronic pharyngitis during pregnancy

Treatment of pharyngitis during pregnancy should be carried out strictly under the supervision of a physician. Self-medication can cause serious harm to the fetus and lead to serious consequences.

Even before visiting a doctor, a woman should give up products that irritate the throat and aggravate the situation. These include:

• salty;
• acute;
• hotter;
• cold;
• products with a rough texture.

Food in case of illness needs soft, preferably liquid.

Drinking plenty of water can reduce the concentration of toxins in the body and speed up their elimination. Especially useful is warmed milk with honey, which softens the tissues of the pharynx and eliminates the perspiration that causes coughing.

Treatment of pharyngitis during pregnancy is carried out mainly with the use of local preparations, which penetrate the blood much less. Acute pharyngitis during pregnancy is treated as follows:

• throat treatment with antiseptics - chlorhexidine in the form of a spray, inhalipt, miramistin, cameton, hexaspray, tantumverde, chlorophyllipt are prescribed. Treatment is usually carried out every 4 hours;
• lozenges with immunomodulating action - pharyngosept, lysobact. They can be used at any stage of pregnancy. It is usually prescribed to dissolve 2 tablets 3 times a day;
• gargling with a solution of furacilin or a solution of sea salt - in the first days of the disease, the procedure is carried out up to 10 times;
• vitamin complex containing vitamins A and C;
• taking antipyretic drugs based on paracetamol, which will be prescribed by a doctor. The most commonly used panadol;
• rinsing the nose with seawater sprays, for example, aquamaris.

It is also possible to take antihistamines in liquid form, such as fenistil and zyrtec. They allow you to relieve swelling of the throat and eliminate vomiting.

Antibiotics are allowed only as a last resort, if pneumonia, pharyngeal abscess or purulent tracheitis join pharyngitis.

Chronic pharyngitis during pregnancy is treated differently. With this therapy, prescribe:

• rinsing with 1% saline every 3 hours;
• ultrasonic inhalations with mineral water;
• lubrication of the back wall of the pharynx with a solution of vitamin A in nut oil;
• resorption of local immunostimulating drugs;
• oral intake of vitamin A;
• cauterization of large granules with liquid nitrogen in the granular form of the disease.

Treatment of pharyngitis in pregnant women can also be carried out using alternative methods, but only in agreement with the attending physician.

It is allowed to use:

• inhalation over potatoes;
• gargling with water infusion of propolis;
• rinsing with decoctions of chamomile, calendula or sage;
• gargling with potato juice;
• rinsing with beetroot juice.

In order to cure pharyngitis and not harm the unborn child, it is necessary to carry out therapy, strictly coordinating it with the attending physician.

What to do for nursing mothers, is it possible to breastfeed

In lactating women, drugs are used for pharyngitis with fewer restrictions than during pregnancy.

This is due to the fact that feeding is completely stopped until the moment of complete recovery, and the child's body is not affected by drugs that enter the milk. All treatment must be agreed with the doctor.

When it is possible to resume feeding after the end of the course of therapy, the doctor will tell. At the time of treatment, when the disease is viral, bacterial or fungal, the mother should stop communicating with the child, if possible.

Pharyngitis for a pregnant woman is a rather serious test. Therapy should be carried out immediately after the appearance of the first symptoms. It cannot be assumed that throat diseases do not affect the development of the fetus and you can not treat them.

Arising at any stage of pregnancy, any disease brings a lot of trouble to the expectant mother. Each disease is dangerous for the reason that it is forbidden to treat it with the most effective drugs, so as not to harm the unborn child. Even common SARS can cause dangerous complications. One such complication of a cold is pharyngitis. How to treat pharyngitis during pregnancy, features of the disease? We will cover these points below.

Features of the disease

Pharyngitis is an inflammatory process that is localized on the back wall of the larynx. This disease is usually accompanied by a runny nose, sore throat, high fever. Pharyngitis during pregnancy may occur due to the presence of such factors:

• dental caries;
• cold drink;
• allergy;
• inhalation of cold, polluted air;
• smoking. Even passive smoking can provoke this pathology;
• diseases of ENT organs;
• trauma;
• untreated SARS.

The causative agents of pathology are:

• bacteria;
• viruses (adenovirus, herpes viruses, rhinovirus, parainfluenza virus, influenza, coronavirus);
• fungi.

Pharyngitis can occur in two forms:

1. Acute. Acute pharyngitis during pregnancy is a consequence of the impact of any adverse factor on the mucous membrane of the larynx.
2. Chronic. The chronic form develops due to irritation of the mucosa for a long time. The appearance of chronic pharyngitis can provoke improper therapy of the acute form of this disease.

Symptoms

What is pharyngitis, we examined. Now let's move on to another issue: pharyngitis symptoms and treatment during pregnancy. Let's start with the clinic of the disease we are considering. The main symptoms of pharyngitis, which experts note in patients, are:

• dryness, feeling of tickling in the mouth;
• hoarseness of voice;
• pain when swallowing;
• enlarged lymph nodes, their soreness;
• dry cough;
• temperature rise. It increases to 37.5 - 38 degrees;
• redness of the posterior pharyngeal wall, its swelling.

In some cases, the expectant mother may be disturbed by:

• weakness;
• headache.

Usually, the symptoms depend on the degree of mucosal damage. The disease occurs in three degrees of severity:

1. I. Degree. The initial stage, which is also called catarrhal pharyngitis. She is characterized by swelling in the throat, dryness. These symptoms are aggravated after prolonged communication, inhalation of icy air.
2. II. Degree. The average severity of the disease, which is called granulosa pharyngitis, is characterized by increased perspiration, the appearance of a feeling of coma in the throat. The back wall of the throat is covered with red tubercles, the mucous membrane becomes shiny.
3. III. Degree. It is called atrophic pharyngitis. This degree is characterized by pain when swallowing, bad breath. Dry crusts form on the back wall of the pharynx, thinning of the mucous membrane occurs.

Pharyngitis should be taken seriously, especially in this position. If you notice symptoms that indicate pharyngitis in early pregnancy, tell your doctor. This disease is not harmless either for a woman or for her child. To avoid complications, start treatment correctly, in a timely manner.

Disease danger

Any disease is considered dangerous during pregnancy. It negatively affects the well-being of a woman carrying a child, as well as on the fetus. Let's consider whether pharyngitis during pregnancy is dangerous for the fetus. In the first trimester, this disease can provoke a spontaneous miscarriage.

In the later stages of bearing a baby, you also need to take into account the threat from pharyngitis. This complication of SARS has a negative effect on the fetus. It can cause such a dangerous condition as hypoxia. Also, pharyngitis can become a provocateur of premature birth, the development of a child's fetal retention syndrome.

Treatment Methods

Pharyngitis during pregnancy how to treat this disease in such an interesting position? After all, all potent drugs are contraindicated for pregnant women, they can negatively affect the fetus. Therefore, the treatment of pharyngitis during pregnancy 1 trimester should be as gentle as possible.

• Ventilate rooms more often.
• Do not inhale tobacco smoke.
• Give peace to the throat (less talking, singing, shouting).
• Eat light, soft foods (soups, vegetables, cereals, mashed potatoes).
• Monitor the humidity in the apartment.
• Do not eat spicy, cold, sour, hot, salty foods.
• Put compresses at night with the use of camphor alcohol.
• Drink warm drinks that have a lubricating effect (jelly, milk with honey, tea with raspberry jam).

After the doctor has discovered acute pharyngitis during pregnancy, the treatment is prescribed as follows:

1. Treatment of the posterior pharyngeal wall with anti-inflammatory, antiseptic solutions. For rinsing, decoctions of calendula, chamomile, Miramistin, Chlorhexidine are prescribed. Also, pregnant women can use inhalation sprays intended for local use "Kameton", "Ingalipt", "Gexaspray", "Tantum Verde".
2. To increase local immunity, Lizobakt lollipops are used. In the 3rd trimester, "Geksaliz" is allowed.

1. "Panadol" is prescribed when the temperature rises.
2. If there is severe swelling of the pharynx, astringent solutions "Solution of tanit-glycerin" (5%), "Collardol" are prescribed to lubricate the mucosa.
3. Honey. It needs to be dissolved under the tongue.

How to treat pharyngitis during pregnancy 1 trimester, if you have a chronic form of the disease? In this case, patients should:

• Use local immunomodulators ("Lizobakt").
• Carry out rinsing with a solution of sodium chloride (1%), sea water. They are performed in 2-3 hours.
• Take vitamin A.
• Carry out ultrasonic inhalations using mineral waters. In this case, Borjomi is more often used.
• If granulosa pharyngitis is detected, cauterization of the lymphoid tissue should be carried out. To do this, use "Trichloroacetic acid". To remove large granules, a laser, liquid nitrogen is used.
• To lubricate the back wall of the pharynx, moisturizers are used (sea buckthorn oil + vitamin A, “Retinol acetate solution in nut oil”.
• In the presence of atrophic pharyngitis, inhalations are carried out with thinning agents (“Acetylcysteine”. If the form of the disease is severe, pharyngeal blockades are performed. For this, an injection of novocaine with aloe is administered.
• To stimulate recovery processes in the mucosa, the doctor may prescribe injections of reparants "Actovegin", "Solcoseryl".

Physiotherapeutic procedures can also be carried out:

• mud applications;
• magnetotherapy.

What Not to Do

1. It is forbidden to use alcohol solutions, iodine, soda for gargling. Also, you can not dissolve menthol lozenges. The above remedies only dry the mucosa.
2. Do not drink more than 2 liters of water. A pregnant woman may experience swelling.
3. It is forbidden to use frequently vasoconstrictor for the common cold. These drugs irritate the throat.

As a rule, inflammation of the mucous membrane of the pharynx does not threaten any serious consequences. But if a pregnant woman falls ill with pharyngitis, she needs to carefully consider her health. After all, the disease can affect the health of the child and lead to serious complications.

• acute pharyngitis;
• chronic.

In turn, acute pharyngitis is divided into:

• viral;
• bacterial;
• fungal;
• traumatic;
• allergic;
• chemical.

Chronic is subdivided into:

1. catarrhal. It is characterized by hyperemia and edema of the mucous membrane.
2. Hypertrophic and granulosa. Against the background of general inflammation of the mucosa, foci of proliferation of lymphoid tissue, or granulomas, are determined.
3. atrophic. This form is characterized by atrophy of the mucous membrane and vessels of the pharynx.

During pregnancy, there is a natural decrease in a woman's immunity. It is during this period that she is at an increased risk of developing infectious diseases. As a rule, acute pharyngitis most often develops in pregnant women.

An acute process in the pharyngeal mucosa may be the first symptom of measles rubella, scarlet fever or measles. The causative agents of these diseases have a teratogenic effect, that is, they cause the development of defects in the child.

The reasons

The causes of pharyngitis in pregnant women are often viruses and bacteria. The most common causative agent of the acute form of the disease are rhinoviruses. Less commonly, coronaviruses, adenovirus and influenza virus become the primary factor in the development of inflammation.

However, the purely viral nature of the disease is very rare. As a rule, a bacterial infection also joins during pregnancy. Bacteria can enter the body not only from the surrounding air or food. The source may be foci of inflammation in neighboring organs with sinusitis, or dental caries.

In addition, in rare cases, the cause of the development of the disease can be:

1. Fungal infestations.
2. Cold air. Hypothermia of the pharyngeal mucosa contributes to the development of infection.
3. Burning with alcohol solutions or inhaling chemicals. Pharyngitis of chemical origin is often found when working in hazardous industries.
4. Smoking.
5. Injuries of the mucosa when eating hard food or ingestion of foreign bodies. For example, when a fish bone gets stuck in the throat.
6. Allergy.

Chronic inflammation of the pharyngeal mucosa often develops in people with difficulty in nasal breathing with prolonged use of vasoconstrictor drugs. In this case, postnasal syndrome develops. Periodic narrowing of the vessels of the mucous membrane of the pharynx, in combination with bacteria and viruses, creates favorable conditions for the development of a chronic inflammatory process.

Symptoms

Acute and chronic forms of the disease have similar clinical symptoms:

• pain when swallowing;
• sensation of a foreign body;
• dryness and.

In addition, acute inflammation is accompanied by:

• general malaise;
• rise in temperature;
• body aches;
• sore throat, which may radiate to the ears. The upper cervical lymph nodes increase and become painful when palpated;
• reddening of the palatine arches and the posterior pharyngeal wall. The palatine tonsils with isolated pharyngitis are not involved in the inflammatory process.

Viral pharyngitis is characterized by seasonality and the manifestation of general symptoms of malaise: fever, weakness, aching limbs, lack of appetite. Bacterial pharyngitis is characterized by a greater severity of local disorders of the pharyngeal mucosa without obvious general symptoms of a cold. Separate purulent foci may appear on the mucous membrane.

Chronic inflammation is rarely accompanied by symptoms of intoxication, only during an exacerbation. With prolonged processes in the pharynx, a dry cough joins. It is more superficial, in contrast to coughing with tracheobronchitis.

Causes and symptoms of pharyngitis (video)

Danger for pregnant woman and child

Dangerous during the period of bearing a child are viruses and bacteria that caused the disease. As a result of their vital activity, toxins are released that can have a damaging effect on the fetus in the early stages of pregnancy.

Viruses and their toxins penetrate the placental barrier and have a damaging effect on the fetus. Their influence is especially dangerous in the first trimester of pregnancy, when there is an active laying of the child's organs. In addition, the placenta is formed closer to 12 weeks of pregnancy. Until this time, the baby's body is much less protected from the harmful effects of infections.

The result of a viral infection in the first trimester may be a spontaneous abortion or miscarriage.

After 12 weeks, infection can lead to:

• termination of pregnancy;
• intrauterine infection of the fetus;
• feto-placental insufficiency, which results in chronic oxygen starvation and developmental delay of the child;
• placental abruption.

Timely contact with a specialist will help to avoid the negative consequences of pregnancy.

Diagnostics

The diagnosis is made on the basis of questioning the patient and pharyngoscopy. As additional methods, bacterial culture and blood tests are used.

1. The survey helps to determine the form of the disease. The doctor finds out what could cause the development of pharyngitis.
2. On examination, the condition of the mucous membrane of the pharynx is assessed: color, the presence of edema and mucus, vascular pattern, the presence or absence of granulomas. The presence of pustules indicates a bacterial origin of the disease. If there are pinpoint bruises on the hyperemic mucosa, this indicates that the causative agent of pharyngitis in a particular case is group A hemolytic streptococcus.
3. Bacterial seeding of the contents of the pharynx and nasal passages is carried out to more accurately determine the pathogen. Unfortunately, the results of the analysis will be ready only after 7 days, so this diagnostic method is not decisive for the choice of tactics for treating the disease.
4. A blood smear for the determination of atypical monocytes is examined for differential diagnosis with infectious mononucleosis.

Treatment during pregnancy

Before starting the treatment of pharyngitis, it is necessary to provide a gentle regimen for the pharyngeal mucosa. For this you need:

• exclude solid, hot, as well as spicy and spicy dishes from the diet;
• eat more vegetables, fruits, cereals and dairy products;
• increase the amount of fluid you drink. Drinks should be warm;
• eat food in the form of puree.

Important! The use of physiotherapy procedures during pregnancy is contraindicated.

In addition to diet and heavy drinking, in the treatment of pharyngitis in pregnant women use:

1. Local treatment - spray Bioparox and Tonzipret (preparation from herbal ingredients).
2. Inhalations. Eucalyptus leaves are kept in a water bath for half an hour in a saucepan with a closed lid. Then inhale the vapors by mouth for 10 minutes. This procedure should be carried out every 3 hours.
3. Antibacterial therapy. Assign only in case of complications (tracheitis with purulent sputum, pharyngeal abscess).
4. Gargling:
   • solutions of antiseptics (miramistin, furacillin);
   • decoctions and infusions of sage, chamomile, eucalyptus and calendula.

Decoctions for rinsing are prepared at the rate of 1 tbsp. l. dry herbs in a glass of water. The liquid must be washed in a water bath for half an hour, then cooled and filtered. Gargle should be 3-4 times a day.

Infusions are easier to prepare: dry grass is poured with a glass of boiling water and insisted for half an hour. Gargle after cooling the solution 3-4 times a day.

It is important to remember that the traditional method of warming the legs in a hot bath is contraindicated for pregnant women. Such stimulation of the reflexogenic zones of the feet can lead to uterine contractions and abortion.

warm tea Dairy products Kashi Fruit Vegetables

Forecast and prevention

With timely access to a doctor and the absence of complications, the symptoms of pharyngitis disappear within a week. The health of the unborn child also depends on the provision of qualified assistance.

To avoid inflammation of the pharyngeal mucosa, pregnant women should:

1. Avoid crowded places, especially during epidemics of viral infections.
2. Observe the regime of the day and often be in the fresh air.
3. Ventilate the house and humidify the air in the room during the cold season.
4. Eat well.
5. Timely treat foci of chronic infections (caries, tonsillitis).
6. Do not drink alcohol and do not smoke.

Usually, people do not go to the doctor so often if they have a sore throat and pain when swallowing without a fever. But in a pregnant woman, pharyngitis of viral origin can cause serious consequences for the child. Therefore, at the first symptoms of the disease, you need to contact a specialist as soon as possible.