Система Orphus

Symptoms of disease - pain in the larynx

Larynx - upper section of the respiratory tract, is also a body of phonation.

The larynx is located at level III-VI sometimes (VII) of the cervical vertebrae, children have slightly higher: at the top is opened in the throat, at the bottom of passes into the trachea. The skeleton of the larynx formed gristle - mismatched (annular, thyroid, the epiglottis) and steam (arytenoid, a wedge-shaped), the united between the joints and ligaments. Sublingually-thyroid, diaphragm connects the throat to the sublingual bone. Between thyroid and gristle is annular “ring-thyroid“ bundle. The incision its use sometimes in acute laryngostenosis. On the inside of the larynx are vocal folds, the basis of which are paired the vocal cords and the vocal muscles. Above them are located in “before the doors” folds, the basis of them are bundles of the vestibule. Between “before the doors”  and vocal folds are located on each side ventricles of the larynx. The space between the vocal folds is called voice slit. In the cavity of the larynx there are three sections: the upper, or the threshold (over “before the doors”  folds)and lower (under the vocal folds) and the average, the most narrow, located between “before the doors”  and vocal folds.

The mucous membrane of the larynx is covered with a cylindrical oscillating epithelium. On the vocal folds and the upper areas of the epiglottis squamous epithelium. Submucous layer of the lower section of the larynx loose, prone to swelling, especially in childhood.

Larynx performs respiratory protective (larynx spasm and cough when hit by the foreign body or the presence in the air of harmful impurities) and forming vote functions.

Which diseases there is pain in the larynx

Pain in the throat may occur under the following conditions:

1. With fractures, compression fractures, cartilage, isolation of the larynx trachea may occur shock. Other signs of damage - coughing up blood, pain in throat when swallowing and coughing, shortness of breath. At a palpation are crackling sound when subcutaneous tissue (subcutaneous emphysema), the crunch of broken cartilage. The victim may threaten asphyxia, caused by displacement, edema of the larynx and mediastinal emphysema.

2. Poisoning acids and caustic alkalis (vinegar essence, soldering liquid, liquid for washing baths, carbolic, oxalic acid, caustic soda, ammonia). Signs of poisoning are burning lips, mucous membranes of the mouth, pain in the throat, abundant department of saliva, bloody vomiting.

3. Of inflammatory diseases of the larynx most common acute and chronic laryngitis. Less developed abscess, cellulitis, hondroperihondrit, diphtheria, tuberculosis, and syphilis throat. Abscess occurs as a result of the introduction of infectious agents in injury to the mucous membrane of the larynx. The disease first occurs as a sore throat, subsequently joined by hoarseness and difficulty in breathing.

- Cellulitis larynx occurs with a high body temperature, chills, difficulty breathing, sharply pain in throat when swallowing, sometimes aphonia. Against this background, and also as a complication of influenza may occur hondroperihondrit the larynx, in which the inflammatory process extends to hyaline cartilages of the larynx, causing them to suppuration and melting with the formation of fistulas and seizures.

- Diphtheria larynx (diphtheria cereals) occurs more often in children. Due to the formation of fibrinous exudate in the field of vocal cords and under them develop rising stridor, laryngostenosis, there is a pain in a throat. It is noted severe intoxication.

- Tuberculosis of the larynx is often a complication of pulmonary tuberculosis. Patient’s complaints (tickle in the throat, pain in the throat, hoarseness, dysphagia, etc.) depend on the stage of localization, the prevalence and forms of the process. The diagnosis must be taken into account history, complaints, and general condition of the patient, the data of laboratory researches (discovery of the tubercle bacilli in the sputum, the results of tuberculin tests). Patients with suspected tuberculosis larynx should be sent to the TB doctors or otolaryngologist.

4. From benign tumors, the most frequent are the fibroids and papillomas. Rarely observed angiomas, lymphangioma. The main symptom of benign tumors of the larynx - hoarseness and pain in a throat. To establish a diagnosis in all cases it is necessary to histological research of the material obtained by biopsy of the tumor.

5. Cancer of the larynx is observed mainly in men usually at the age older than 40 years. Precancer of the larynx can be leukoplakia, papillomas, keloid scars. The cancer of the upper division (the arches) of the larynx are observed it can cause dryness, sensation of foreign body, and the pain in throat when swallowing, often radiating to the ear. The cancer of the true vocal chords the most common initial symptom is hoarseness. The cancer of the lower section of the larynx more typical are slowly increasing difficulty breathing, hoarseness. As the extent of the tumor to the surrounding tissue and organs of these symptoms are increased, gradually developing laryngostenosis, there are metastases in the lymph nodes, neck, worsens the general condition of patients.
When localization on the vocal cords is broken sooner phonation: first changes the tone of voice, he becomes rough, and then a hoarse. Hoarseness often causes the patient to consult a doctor.
In the future, as the tumor growth, hoarseness increases, the patient can only speak in a whisper. Along with the development of another symptom is shortness of breath. In the last stages there is pain when swallowing.
In cancer of the epiglottis and arytenoid cartilage feeling of pain is preceded by a feeling of uneasiness or something stranger. In case of dissolution of the tumor and the accession of secondary perichondritis pain in the throat significantly intensified. After some time appears hemoptysis, choke, joins difficulty in passing food through the oesophagus.
Differentiated tumor's stinking. Patients lose the weight, weaken, growing cachexia.
Clinical manifestations of cancer of the larynx is quite varied and depend primarily on the location and extent of the tumor destruction. The symptoms of cancer on pooled department scarce, initially found mostly unpleasant sensations or minor pain in the throat. In the defeat of the vocal folds early and the main feature is gradually growing hoarseness. Only cancer pooled department for a long time is hidden, difficulty breathing increases gradually and hoarseness is growing slowly.

6. Foreign bodies of the larynx. Foreign bodies fall into the larynx mainly from the oral cavity. More often observed in children who have the habit to keep in the mouth of small objects.
Dangerous condition, associated with exposure to the inhalation of small objects - fish bones, nails, beads, coins. If the foreign body is not able to cough up, it slips down into the trachea (up to the bronchi). Larger items may result in the obstruction of the lumen of the larynx - developing asthma.
Signs: the case of small foreign bodies - convulsive cough, sore throat, face and lips are turning blue, hoarseness. If complete blockage of - there is a suffocation and death.

7. The main symptoms of gastroesophageal reflux disease is a heartburn, pain in the throat, acid and air burping, burning or a feeling of pressure in the epigastric region, which arise through 15-40 minutes after eating and are provoked by products, stimulating the synthesis of acid and bile: fried, spicy food, sour juices, alcohol, especially red dry wine, carbonated (coca-cola, fanta) and other beverages (coffee, chocolate, cocoa), the consumption of eggs benedict, radish, garden radish, a large number of vegetable fats. Relatively rarely in patients with gastroesophageal reflux disease there is a vestige of food, acid regurgitation or gall, vomiting, disfagia, vomiting, excessive salivation, the feeling of "a" behind the breastbone.

Which doctor should I contact if there is a pain in the larynx

  • Otholaryngologist
  • Oncologist
  • Infectious Disease Physician
  • Oncologist

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Do you feel larynx hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.