Bacterial tonsillitis treatment

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Bacterial tonsillitis

Bacterial tonsillitis (tonsillitis) is an infectious and inflammatory process in the tonsils, the causative agents of which are bacteria. Most often, the “culprit” of the disease is streptococci, as well as staphylococci.

Table of contents:

The disease causes general symptoms of intoxication and requires immediate, competent treatment.

Tonsils are organs of the immune system and perform a protective function in our body. This is a kind of gate that prevents the penetration of pathogens.

The disease causes discomfort and pain in the throat, including the inability to swallow. In the mouth you can find enlarged and hyperemic tonsils, as well as purulent plaque on their surface. The patient becomes lethargic, apathetic, his body temperature rises and headaches occur.

The main treatment for bacterial tonsillitis is antibiotic therapy. Based on the test results and the severity of the pathological process, the doctor selects the optimal antibacterial agent. But before we talk about control methods, let’s consider the etiological factors of the disease, clinical symptoms and pathogenesis.

Possible reasons

As already mentioned, the cause of the development of the pathological process in the tonsils is a bacterial infection:

But the development of the disease is not always caused by pathogenic microflora; sometimes the culprit is opportunistic microorganisms that can live in a healthy body and not cause any problems. The human immune system strictly controls their numbers and prevents these microorganisms from actively reproducing. But under the influence of certain circumstances, the immune system can weaken and eventually become unable to fully perform its function. As a result, opportunistic microflora gets out of control, begins to actively develop, form entire colonies and ultimately lead to the development of the disease.

The immune system monitors the penetration of pathogens

In addition to the main cause, there are predisposing factors in the development of bacterial tonsillitis:

  • decreased local immunity;
  • chronic foci of infection: sinusitis, caries;
  • hypothermia;
  • poor nutrition;
  • avitaminosis;
  • polyps;
  • pregnancy;
  • nasopharyngeal defects;
  • frequent colds;
  • tonsil injury.

How can you get infected?

The main way of transmitting a bacterial infection is through a sick person. The patient is most at risk in the first days of illness. But on the other hand, a person who has suffered tonsillitis can secrete bacteria for two to three weeks and pose a threat to others. The infection can enter the body through the use of shared utensils, clothing, and also through airborne droplets.

Depending on the frequency of manifestation of the disease, bacterial tonsillitis is of two types:

  • spicy . The patient had only one case of illness, which was caused by weakened immunity or the penetration of harmful bacteria;
  • chronic The disease occurs regularly, several times a year. Local immunity is sharply weakened, and the tonsils simply cannot cope with their function.

The main route of transmission is airborne

Symptoms of bacterial tonsillitis

The disease is characterized by the following symptoms:

  • persistent sore throat that gets worse when swallowing;
  • sore throat;
  • white plaque on the tonsils;
  • redness and swelling of the tonsils;
  • hyperthermia;
  • headache;
  • aching joints;
  • neck pain;
  • enlargement of regional lymph nodes;
  • insomnia;
  • weakness, fatigue, decreased performance.

Unlike viral tonsillitis, which is characterized by the appearance of rhinitis and conjunctivitis, with the bacterial form there are no these symptoms, but the course of the pathological process will be much more severe

In general, depending on the type of pathogen, the clinical picture may differ. Thus, with the streptococcal form, there is a severe course and a high risk of complications from the kidneys and joints. Staphylococcal tonsillitis often causes the spread of the pathological process to nearby structures, as well as abscesses.

Catarrhal form

This is one of the mildest forms of bacterial tonsillitis. The disease begins suddenly with the appearance of a sore and dry throat, followed by pain.

Patients complain of weakness and headaches. Usually the body temperature does not rise above 38. The tonsils swell, become hyperemic, while their surface is clean without purulent accumulations. Usually the catarrhal form lasts from three to five days.

Follicular form

Usually the process begins with a rise in temperature to several degrees. A person is worried about chills, aches, weakness, and headache. If the disease occurs in young children, serious symptoms may occur: vomiting, confusion, and signs of meningismus.

A person cannot swallow, this causes unbearable pain, which is why he refuses to eat. Yellow dots are visible on the surface of the tonsils. They resemble millet grains in size. After opening the purulent plugs, this occurs approximately on the third day, the temperature normalizes and the general condition improves. Typically the follicular form lasts about one week.

Lacunar form

In its course and manifestations, lacunar tonsillitis proceeds like a follicular one, only an order of magnitude more severe. Unlike the form described above, lacunar tonsillitis does not manifest itself in the form of purulent plugs; this process is characterized by the spreading of pus over the entire surface of the tonsils. The plaque in this case never spreads beyond the tonsils.

Fibrinous form

In most cases, it is a complication of the follicular or lacunar form. White-yellow films form on the surface of the tonsils. Purulent secretion can cover the entire surface of the tonsils and even extend beyond them.

Manifestations of the fibrinous form are similar to diphtheria. The main difference is that with fibrinous tonsillitis, plaque is easily removed and attempts to remove it do not lead to damage to the tonsils. But with diphtheria it is difficult to do this and a bleeding surface appears in place of the exfoliated plaque.

Unlike diphtheria, with fibrinous tonsillitis, purulent films come off easily

Phlegmonous form

This is a fairly rare form, and is essentially an intratonsillar abscess. This means that the spread of pus affects the peritonsil tissue. This occurs as a result of purulent melting of the tonsil tissue. Typically, phlegmonous tonsillitis is a one-sided process. The pathological process requires surgical intervention.

The disease causes the following symptoms:

  • the tonsil is enlarged, swollen and tense;
  • the tonsil is painful on palpation;
  • increasing sore throat;
  • difficulty swallowing;
  • signs of general intoxication.

Possible complications

  • Group A hemolytic streptococcus, if spread, can lead to damage to the connective tissue of the heart and joints:
  • endocarditis;
  • arthritis;
  • rheumatism;
  • glomerulonephritis;
  • pyelonephritis;
  • myocarditis;
  • systemic lupus erythematosus;
  • scleroderma.

Untreated tonsillitis can lead to paratonsilitis, as well as paratonsillar abscess

Lack of proper treatment can lead to the transition of an acute process to a chronic form. In this case, the person begins to complain of constant malaise and the spread of bacterial infection throughout the body.

Diagnostic examination

The examination begins with the collection of anamnestic complaints and examination of the patient. The specialist takes a bacteriological culture from the throat, which will help determine the choice of medication.

Also, during the initial examination, the doctor pays attention to the condition of the eyes and nasopharynx. This will help in the differential diagnosis of tonsillitis. A general blood test is performed, from which you can see the presence of an inflammatory process: an increase in ESR, leukocytosis. When examining the leukocyte formula, an increased number of band neutrophils will be present.

In the first days of the disease, patients with bacterial tonsillitis should remain in bed.

How to treat bacterial tonsillitis

Depending on the form of the disease, treatment of the disease can be conservative or surgical. In severe cases, the patient is taken to the infectious diseases department.

Treatment of acute form

The treatment process algorithm includes a whole range of measures:

  • compliance with bed rest. If you suffer from diseases on your legs, serious complications can arise;
  • drinking warm drinks in sufficient quantities. These can be herbal teas, fruit drinks, compotes or plain water. The liquid will accelerate the elimination of toxic substances;
  • food should be soft and not irritate the mucous membrane. You should avoid spicy and salty foods;
  • Antibiotics are prescribed depending on the test results. Even if you feel better, you should complete the treatment, otherwise there is a risk of bacterial resistance developing and next time the drug simply will not help;
  • take paracetamol-based medications as a pain reliever;
  • to strengthen local immunity and fight pathogenic microorganisms, use nasal sprays;
  • Gargle with antiseptic solutions every two hours.

Treatment of the chronic form

It is much more difficult to cure the chronic form than the acute form. The fight against the disease is carried out in several stages:

Drug therapy

You should not reassure yourself that folk remedies will cure the disease, this is impossible, they can only ease the symptoms of tonsillitis, for example, a sore throat. Experts prefer the following antibiotics:

  • Penicillins. Ampiox, Amoxicillin;
  • Macrolides. Azithromycin, Erythromycin;
  • Cephalosporins. Cefax, Ceftriaxone.

Depending on the form and severity of the disease, antibiotics are prescribed in tablets or injections. Typically, a course of antibiotic therapy lasts seven days. At high temperatures, antipyretics are prescribed. To avoid the development of an allergic reaction, in some cases it will be necessary to use antihistamines.

Local treatment

For antiseptics of the tonsils and nearby tissues, gargling with the following solutions is prescribed:

  • soda;
  • furatsilin;
  • sea ​​or table salt;
  • chamomile decoction;
  • tea tree or eucalyptus extract;
  • tincture of calendula.

Surgery

Surgery involves excision of the tonsils. It is resorted to if the disease often appears over several years despite treatment. Usually, surgery is resorted to in case of an abscess or other complications. The procedure is performed under local anesthesia. Recently, non-classical removal methods have become increasingly popular: laser or ultrasound.

Antibiotic therapy is the basis of treatment for bacterial tonsillitis

ethnoscience

The following recipes can reduce the clinical symptoms of acute and chronic tonsillitis:

  • chamomile and linden. Take a tablespoon of raw material and pour boiling water over it. The product must infuse, after which it is filtered. The product should be used as a gargle;
  • honey. Dissolve a spoonful of honey in a glass of warm water;
  • propolis. Keep a small piece of propolis in your mouth for an hour. Periodically you can move it from one part to another. Propolis is a powerful antiseptic;
  • fir oil. Apply oil to a cotton swab and treat the affected area with it;
  • medicinal collection. You will need the following ingredients: mint leaves, sage, fennel fruits and chamomile flowers. These plants have a combination of analgesic, antiseptic and healing properties. Pour a tablespoon of the mixture into a glass of boiling water and leave for forty minutes. Use the product as a rinse.

Prevention

To avoid bacterial tonsillitis, follow these recommendations:

  • monitor the state of your immune system. To do this, your diet must be balanced and fortified. Play sports, strengthen your body;
  • avoid contact with sick people and do not unnecessarily go to places with large crowds of people that may pose a potential danger;
  • avoid hypothermia and drafts, dress appropriately for the weather;
  • visit the dental office regularly;
  • maintain proper oral hygiene;
  • undergo preventive examinations;
  • give up bad habits, in particular smoking.

So, bacterial tonsillitis is an infectious disease that can cause serious complications. To prevent this from happening, contact your doctor if you experience any alarming symptoms. Sore throat, fever, swelling and redness of the tonsils - all these are symptoms of the inflammatory process. By self-diagnosis, you can simply waste time. Early consultation with a doctor, accurate diagnosis and strict adherence to medical recommendations - all this will help bring your body back to normal.

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ATTENTION! All information on the site is for informational purposes only and does not claim to be absolutely accurate from a medical point of view. Treatment must be carried out by a qualified doctor. By self-medicating you can harm yourself!

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How to recognize bacterial tonsillitis and how to treat it?

Tonsillitis or ordinary sore throat is a pathology familiar to everyone. Perhaps there is not a single person who has not suffered from this disease at least once in his life. By the nature of its manifestation, tonsillitis is a typical respiratory infection.

There are no particular difficulties in treating the disease; the main thing in this matter is a competent and timely approach. In today's material we will talk about the bacterial form of sore throat, its characteristics and methods of therapy. Interesting? Then be sure to read the article below to the end.

Causes and symptoms of the disease

Bacterial tonsillitis is an inflammation of the tonsils caused by bacteria

Bacterial tonsillitis is an inflammatory process that develops in the human respiratory system. Inflammation is caused by pathogenic bacteria that primarily affect the palatine tonsils and nasopharyngeal tissues.

All types of bacteria can cause such tonsillitis, but most often it develops due to the unfavorable activity of streptococci.

Less commonly, the pathology is provoked by:

The root cause of the development of bacterial tonsillitis is infection through airborne droplets. Predisposition factors for inflammation of the tonsils and nasopharynx may include:

  1. general and local hypothermia of the body
  2. weak immunity
  3. recent acute respiratory viral infection
  4. chronic human pathologies
  5. frequent contact with a carrier of infection

The symptoms of bacterial tonsillitis are standard for diseases of the respiratory system. Almost always with this disease the following are observed:

  • elevated body temperature up to 38 degrees
  • headache
  • drowsiness
  • weakness
  • chills
  • general feverish condition
  • sore throat
  • redness and plaque on the tonsils and nasopharyngeal tissues

A distinctive feature of bacterial sore throat from other types of disease is the absence of a runny nose and conjunctivitis. Otherwise, the disease proceeds in the usual manner for ENT ailments.

Types of disease

The disease can occur in acute and chronic form

Bacterial tonsillitis is divided into two main types according to the nature of its course. In medicine there are:

  • An acute form of pathology, which manifests itself once and in a pronounced form. This type of tonsillitis develops due to the coincidence of several unfavorable factors and, with a competent approach to treatment, is eliminated in a fairly short time.
  • Chronic sore throat of bacterial origin, developing with systematic manifestations of an acute form of the disease or lack of treatment for a once developed pathology. A distinctive feature of this form of tonsillitis is that the tonsils and nasopharynx are constantly under the adverse influence of pathogenic bacteria. Chronic tonsillitis occurs in a less pronounced mode, but can periodically worsen and occur as an acute form of the disease. It is much more difficult to treat chronic tonsillitis, and therefore it is undesirable to allow its development. Especially when it comes to bacterial damage to the respiratory system.

In addition to the course parameter, the factor of pathogenic microflora is used to classify bacterial tonsillitis. As noted above, streptococcal tonsillitis is most common, but such types of lesions as:

  • mixed, in which the unfavorable microflora is represented by both viruses and bacteria
  • chlamydia, characterized by inflammation of the tonsils and nasopharynx due to the activity of chlamydia
  • microplasma, developing due to infection with mycoplasmas, and others

Determining the type of bacterial tonsillitis based on the parameters of pathogenic microorganisms is possible only based on the results of a comprehensive diagnosis of the sick person. Taking this into account, at the first manifestations of a sore throat, it is better not to hesitate, not to self-medicate, but to immediately visit a clinic to organize the highest quality and most productive therapy. This approach is clearly the most appropriate in the treatment of tonsillitis of bacterial origin.

Possible complications

An advanced disease can cause a number of serious complications

Sore throat of a bacterial nature tends to become more complicated. As a rule, adverse consequences of pathology occur if the patient does not approach the treatment of his illness responsibly or completely ignores the fact of its presence.

Complications of bacterial tonsillitis can be both local and general. The severity of the consequences directly depends on the severity of the sore throat itself and the characteristics of the patient’s body.

As for the general complications of tonsillitis, affecting large parts or the entire body, these include:

  1. rheumatism of varying severity
  2. sepsis
  3. exacerbation of appendicitis
  4. kidney problems
  5. development of chronic pathologies of the respiratory system
  6. worsening of existing chronic diseases
  7. pneumonia

Fortunately, such dangerous consequences of tonsillitis are rare and only in advanced clinical cases. Typically, bacterial tonsillitis provokes local complications, the most common of which are:

  • abscesses, phlegmon of nasopharyngeal and almond tissues
  • otitis of different formations
  • swelling of the larynx
  • bleeding of affected tissues of the respiratory tract
  • more severe forms of ARVI

Despite the fact that local complications of sore throat are easier to eliminate, they should not be allowed to occur. Otherwise, the 1-2 weeks that should have been spent getting rid of tonsillitis will turn into several months of complex therapy for its consequences. Naturally, it is not worth bringing the state of affairs to such a combination of circumstances.

Drug treatment

Antibiotics are the basis for the treatment of bacterial tonsillitis

Treatment of bacterial tonsillitis is a complex procedure that is implemented in several directions at once. On the one hand, to completely cure the disease, it is necessary to overcome the source of infection, on the other hand, to relieve the unpleasant symptoms of the disease. To achieve these goals, medications are always used.

In the case of bacterial sore throat, their list includes:

  • Antibiotics that are selected in accordance with the test results of a particular patient. Of course, you can also use general antibacterial drugs that can fight all types of bacteria. But will this have the desired effect? Most likely, no, since pathogenic microflora should be affected taking into account its type and specific life activity. This can only be done after visiting a clinic and undergoing specialized examination techniques, so at the first signs of bacterial tonsillitis, it is better not to hesitate to visit a doctor. Self-medication of this pathology is carried out solely at the patient’s own risk. For general information, we note that most often, tablet antibiotics such as Azithromycin, Flemoxin and Sumamed are prescribed for bacterial sore throat. If the nature of the disease is serious or a person is diagnosed with chronic tonsillitis, it is possible to prescribe injectable antibiotics. The final choice should always be made by a medical professional.
  • Medicines that help relieve the symptoms of sore throat. These include all kinds of tablets or lozenges for sore throats, solutions for rinsing the affected nasopharynx, painkillers, sprays, antipyretics and similar agents. In general, everything depends on the manifestations of the disease in a particular patient. Before visiting a doctor, antisymptomatic therapy is allowed even with self-organization, but it is important to remember: such treatment will only help eliminate symptoms and only for a certain time; to completely get rid of bacterial sore throat, a high-quality selection and subsequent use of antibiotics is necessary.
  • Immunostimulating medications. This class of drugs is used to speed up the overall duration of treatment, as it perfectly helps the body fight pathogenic microorganisms. Typically, patients with tonsillitis are prescribed mild immunomodulators and vitamin complexes.

On average, treatment for bacterial tonsillitis lasts 1-3 weeks. The final duration of therapy is determined taking into account the characteristics of a particular case and largely depends on the severity of the patient’s illness.

As you can understand from the information presented above, self-medication of bacterial tonsillitis is not a good idea, so if this disease appears, you should visit the clinic as soon as possible. Only this approach can guarantee the success of therapy. In other cases, treatment is organized solely by luck, which is simply unacceptable in relation to the health of any person.

The best traditional methods of treatment

Gargling will help cure the disease faster

Taking specialized medications is a mandatory and main component in the treatment of bacterial tonsillitis. Traditional medicine methods cannot completely replace drugs, but they can be a good help.

To speed up the therapy process and increase the effect of the medications you take, you should:

  • Perform steam inhalations. Inhaling the vapors over a container of water in which several potatoes and onions have just boiled is ideal. It is advisable to repeat inhalation procedures twice a day and once before bedtime. There are few contraindications for inhalation. This method of therapy is not used only for purulent lesions of the tonsils, as well as when the patient has a high temperature.
  • Use saline solutions for rinsing. It is very simple to prepare these - you need to mix 1 teaspoon of table salt, half a teaspoon of soda and a glass of boiled warm water. The resulting mixture is used for a one-time rinse of the nasopharynx. It is important to repeat rinsing procedures at least 7-8 times a day. Rinsing is required after every meal.
  • Increase your consumption of honey, garlic and onions. In principle, no specialized explanations are required here. These products are guaranteed to speed up the process of getting rid of pathogenic bacteria and help the body restore immune functions. The more honey, garlic and onions you eat, the better. Naturally, you need to act without fanaticism and avoid these products if you are allergic to them. Otherwise, there are no restrictions on the intake of the marked products.

Apart from using the traditional medicine techniques discussed, nothing is required in the process of getting rid of bacterial sore throat. Their combination with properly selected drugs will definitely allow you to achieve maximum effect in the treatment of tonsillitis.

How does bacterial tonsillitis differ from viral tonsillitis?

Bacterial tonsillitis is caused by bacteria, while viral tonsillitis is caused by viruses.

To conclude today’s article, let’s look at the main differences between bacterial tonsillitis and viral tonsillitis. Firstly, the essence of both pathogenic microflora should be highlighted. Viruses are typical parasites that, when they enter the body, immediately begin to attack it. Bacteria are opportunistic microorganisms and begin to adversely affect the body only under certain circumstances (decreased immunity, hypothermia, etc.).

Despite this difference, fighting viruses is slightly more difficult than fighting bacteria. This is mainly due to the fact that the viral microflora is in the human body for a short time - during the period of illness, and bacteria are able to live on the mucous membranes for a very long time and periodically activate their pathogenicity.

In terms of manifestation, bacterial tonsillitis also differs from the viral formation of the disease.

As a rule, bacterial infection manifests itself exclusively locally, that is, except for the tonsils and nasopharynx, nothing in the respiratory system is affected. In addition, bacterial tonsillitis takes a long time to develop (up to 15 days) and is always accompanied by a low temperature (up to 38 degrees Celsius).

Viral tonsillitis, on the contrary, is characterized by rapid development and a pronounced, high increase in the patient’s body temperature (do degrees). Otherwise, with the exception of the therapy process, the types of sore throat are almost identical.

From the video you can learn how to treat tonsillitis at home:

Perhaps this is where the most important points on the topic of today’s article come to an end. We hope that the material presented was useful to you and provided answers to your questions. I wish you health and successful treatment of all diseases!

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Comments (1)

01/10/2018 at 23:07 | #

Amoxiclav was prescribed to me as an antibiotic; if any of you use it, I advise you to take care of your intestines and take lactrofiltrum along with this medicine.

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Causes and treatment of bacterial tonsillitis (tonsillitis)

Bacterial tonsillitis (bacterial tonsillitis) is an inflammation of the tonsils that is caused by a bacterial infection. Sore throat refers to a whole group of heterogeneous diseases, which, in addition to bacteria, can be caused by viruses, fungi, or associations of viruses with bacteria. Using the phrase bacterial tonsillitis, the doctor indicates the cause of its occurrence and the features that may arise during the treatment of the disease.

Reasons for development

Sore throats are caused by bacteria. Most often these are streptococci, staphylococci, pneumococci, Escherichia coli and Pseudomonas aeruginosa, as well as some others. In children, the cause of the disease is often chlamydia, mycoplasma and ureaplasma.

Sometimes inflammation of the tonsils is caused by opportunistic microflora, which normally lives on the human oral mucosa. Under favorable conditions, microbes begin to actively grow and multiply, but the immune system cannot contain their growth and a sore throat begins.

In addition to the main cause - bacteria, the presence of contributing factors plays an important role in the development of the disease, such as:

  • decreased general and local immunity;
  • foci of chronic infection in the body;
  • hypothermia;
  • poor nutrition, monotonous protein foods and vitamin deficiencies;
  • injury to the tonsil by foreign objects.

How can you get infected?

The main route of transmission is infection from a sick person. The greatest danger of infection is in the first days of the disease. However, do not forget that a person who has had the disease can release bacteria for another 2-3 weeks and infect others. Therefore, the risk of contracting a sore throat remains at this time, albeit to a lesser extent.

You can get bacterial tonsillitis without contact with a sick person if you have your own foci of chronic infection in the body, such as caries, chronic rhinitis or sinusitis and others. Less commonly, the disease is caused by oral microflora, which can provoke a sore throat with a sharp decrease in immunity. Trauma to the tonsil from contaminated objects also causes the development of bacterial inflammation.

Clinic and manifestations of the disease

In the photo there is a bacterial tonsillitis: on the right - lacunar, on the left - follicular

The symptoms of bacterial sore throat are similar, although depending on the type of bacteria, the signs of the disease may differ slightly. For example, a sore throat caused by streptococcus is characterized by a severe course and the highest percentage of late complications in internal organs (rheumatism, glomerulonephritis, etc.). For staphylococcal tonsillitis, a tendency to spread the inflammatory reaction to nearby structures and a tendency to develop abscesses is considered typical.

For the most part, the disease occurs in several forms: catarrhal, lacunar and follicular. These forms are essentially stages of the same process; they transform into one another or can arise in parallel.

Let us briefly describe the main symptoms of each form.

Catarrhal sore throat

It is accompanied by symptoms of mild intoxication, pain or discomfort in the throat, low-grade fever and redness of the tonsils. There are no purulent plaques yet.

Follicular tonsillitis

The inflammation goes deeper to the follicles of the tonsils. This form gives symptoms of moderate intoxication, a sharp rise in body temperature, sore throat and difficulty swallowing. The tonsils are covered with plaque.

Lacunar tonsillitis

The photo shows typical plaques in lacunar angina.

The lacunae of the tonsils are damaged. Symptoms of moderate or severe intoxication, sore throat, high temperature, and swollen lymph nodes are observed. The tonsils are almost completely covered with plaque.

Symptoms of the disease largely depend on the patient’s age, individual characteristics of the body and concomitant pathology. Bacterial tonsillitis is more severe in children than in adults and can cause vomiting, severe diarrhea, and confusion.

How and with what to treat?

Sore throat needs to be treated from the first days. The key aspect of treatment is taking antibacterial drugs. Broad-spectrum antibiotics (penicillins or aminoglycosides) are chosen for therapy.

At the same time, it is recommended to take painkillers and antipyretic drugs to bring down the high temperature and partially relieve pain (Ibuprofen, Paracetamol). In case of severe swelling, antiallergic drugs are prescribed (Fenistil, Loratadine, etc.).

It is recommended to treat the disease locally by rinsing with antiseptic solutions (Miramistin, Furacilin, Septomirin, etc.). The patient can use throat sprays or lozenges to relieve symptoms of the disease.

Advice! If a sore throat is accompanied by severe purulent plaque, then diluted hydrogen peroxide is well suited for rinsing. It comes into contact with the pus and quickly clears the tonsils.

Great importance is attached to strict bed rest. This helps reduce the likelihood of heart and joint complications. In addition, the patient should adhere to a gentle diet and drink plenty of fluids to reduce the symptoms of intoxication.

Questions for the doctor

I developed symptoms of a sore throat: a sore throat and swollen tonsils. For three days I tried to treat my throat with Azithromycin, but it did not help. A week later I went to see an ENT specialist, and he prescribed me Ceftriaxone injections. I heard that it hurts to inject it, is it correct that they prescribed it to me?

Ceftriaxone is a broad-spectrum antibiotic prescribed for the treatment of sore throat. Yes, its injections are unpleasant for the patient, but you can inject it along with lidocaine (local anesthetic) if you are not allergic.

Is it possible to treat bacterial tonsillitis only with Bioparox and rinses?

Bioparox is a good antibacterial spray, but it is recommended to be used in a complex treatment regimen for sore throat or in its initial stages (catarrhal form). Treatment of severe purulent tonsillitis with this remedy alone may not give the desired result and lead to complications.

Sore throat caused by bacterial microflora is a serious disease. Its main danger lies in the development of early and late complications. Timely and competent medical care will protect the patient from such problems and restore a healthy throat.

Share this article with your friends:

With tonsillitis, my throat was very sore and inflamed. The doctor prescribed Trachisan tablets, they act as an analgesic and antibacterial agent. The sore throat went away in about five days.

Good afternoon, I had symptoms very similar to “lacunar tonsillitis”. When I came to the doctor, she said that I had laryngotracheitis. She prescribed antibiotics, rinses and cough tablets (since he was present). Could the doctor make a mistaken diagnosis or is it the same thing?

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Bacterial tonsillitis: symptoms and treatment at home

Bacterial tonsillitis (tonsillitis) is an inflammation of the tonsils caused by bacteria. In most cases, the development of bacterial sore throat is caused by infection with streptococcus, less often - with staphylococcus. This is a disease that occurs with severe intoxication and requires active treatment.

Causes

The palatine tonsils (tonsils) are a small paired organ located in the pharynx. They consist of lymphoid tissue, the main purpose of this tissue is to protect the human body from all kinds of foreign agents. Thus, the palatine tonsils are a kind of obstacle-filter for the penetration of harmful microorganisms with inhaled air and consumed food.

Inflammation of the tonsils occurs when bacteria enter them, and aggravating factors also play a significant role. These are circumstances such as decreased immunity, hypothermia.

Sore throat is an infectious disease and you can get it from someone with a sore throat or from a bacteria carrier. There are the following forms of bacterial tonsillitis:

Symptoms of bacterial tonsillitis

The presence of bacterial tonsillitis in a person can be determined by general and specific symptoms. Doctors list fever, chills, and weakness as common symptoms. Specific symptoms include pain in the throat when trying to swallow, as well as external changes in the tonsils. Various forms of bacterial tonsillitis differ in typical changes in the tonsils, as well as in the severity of general symptoms.

Catarrhal sore throat

This is perhaps the mildest form of sore throat. The disease strikes a person suddenly. First, there is a feeling of soreness and dryness in the throat, then pain when swallowing. In this case, the person feels weak, tired, and may have a headache. There is an increase in body temperature of no more than 38 degrees.

When examining the pharynx, enlarged, swollen, red palatine tonsils are visualized. The surface of the tonsils is clean without purulent deposits. Palpation can detect enlarged cervical lymph nodes. The illness usually lasts about three to five days.

Follicular tonsillitis

The disease manifests itself with a rise in temperature up to several degrees. It is worth noting that in some patients the temperature does not rise to such high numbers. At high temperatures, a person feels weakness, aches throughout the body, chills, and headache. Children with follicular tonsillitis may experience more severe symptoms: vomiting, symptoms of meningism, clouding of consciousness.

An intense pain in the throat immediately appears when swallowing, because of which the person tries not to eat or drink again. By touch you can determine the enlargement of the cervical lymph nodes. When examining the pharynx, it is possible to detect enlargement and redness of the tonsils. Yellowish dots the size of a millet grain are visualized on their surface. These are suppurating almond follicles, which are popularly called purulent plugs. As a rule, purulent follicles open on the third day of illness. This is accompanied by a decrease in body temperature, as well as some improvement in well-being. In general, follicular tonsillitis lasts about a week.

Lacunar tonsillitis

The course and general symptoms of this form of the disease are absolutely the same as with follicular tonsillitis. But at the same time, lacunar tonsillitis is still more severe. The peculiarity of this form of bacterial tonsillitis is that on enlarged, swollen tonsils, pus does not accumulate in plugs, but spreads over the entire surface of the organ.

Outwardly, it looks like the appearance of yellowish islands of pus on the surface of the tonsils. In this case, the islets are able to merge with each other, thus, purulent plaque can cover almost the entire surface of the tonsils. It is characteristic that the plaque never spreads beyond the tonsils. Lacunar tonsillitis lasts about a week, but if complications develop, the duration of the disease increases.

Fibrinous tonsillitis

Fibrinous tonsillitis is a consequence of follicular or lacunar tonsillitis. A characteristic sign of the disease is the appearance of a fibrinous white-yellowish film-like coating on the tonsils. Plaque covers the entire surface of the tonsils, and sometimes even spreads beyond their boundaries.

When you try to remove the plaque, it comes off easily, without damaging the tonsils. Total plaque on the tonsils is also observed with diphtheria. But with this disease, the plaque is difficult to remove, and in place of the exfoliated plaque, a bleeding surface of the tonsils appears.

Quinsy

Phlegmonous tonsillitis is rare and is essentially an intratonsillar abscess. That is, there is an accumulation of pus in the peri-almond tissue. The formation of an abscess is associated with purulent melting of tonsil tissue during bacterial tonsillitis. As a rule, only one tonsil is affected by phlegmonous tonsillitis.

With phlegmonous tonsillitis, the tonsil is enlarged, swollen, its surface is tense, and palpation is painful. Subjectively, phlegmonous tonsillitis is manifested by increasing pain in the throat, even greater difficulty swallowing, and increased signs of intoxication. Intratonsillar abscess requires surgical treatment with opening of the cavity and its drainage.

Treatment of bacterial tonsillitis

A patient with bacterial tonsillitis must remain in bed during the first days of illness. In case of severe illness, the patient is sent to the infectious diseases department. Since swallowing is accompanied by severe pain in the throat, a person can eat non-irritating, soft, but nutritious food. Drinking plenty of fluids is recommended, it can be water, fruit drink, compote.

Drug therapy

Since bacterial tonsillitis is caused by bacteria, it must be treated with antibacterial agents. Only these drugs kill microbes and stop the infectious-inflammatory process. No traditional methods can eliminate the infection; they can only slightly improve well-being, for example, reduce a sore throat. So, treatment of bacterial tonsillitis necessarily involves the prescription of antibacterial agents.

Among all antibiotics, preference is given to:

Antibiotics, depending on the severity of bacterial tonsillitis, are prescribed in tablets or injections. The duration of treatment is usually seven days. It is very important to complete the entire course of treatment; you cannot stop antibiotic therapy just because a person begins to feel better.

To prevent the formation of an allergic reaction against the background of antibiotic therapy, antihistamines (Loratadine, Suprastin) are prescribed. At temperatures above 38 degrees, you can use antipyretics - Paracetamol, Ibuprofen.

Local treatment (rinses for sore throat)

Local treatment has an antiseptic effect on the tonsils, as well as the surrounding tissues. For this purpose, rinse with special solutions, for the preparation of which the following components can be used:
  • Soda;
  • Table salt or sea salt;
  • Furacilin;
  • Tincture of calendula;
  • Decoction of medicinal chamomile.

The rinse solution must be warm. You can gargle several times a day.

Grigorova Valeria, medical observer

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How to treat bacterial tonsillitis

A disease such as bacterial tonsillitis is a common occurrence in children, and it also occurs in adults. The disease is characterized by inflammation of the mouth and throat, caused, as the name implies, by a bacterial pathogen.

This ailment does not pose a direct obvious danger, however, the manifestations of the disease are unpleasant, painful and also contagious. And if left untreated, sometimes they lead to quite serious consequences. In the article, we will look at what signs are characteristic of this disease, and we will figure out how to treat bacterial tonsillitis using traditional medications and folk methods.

Description

Bacterial tonsillitis is a disease that mainly affects the tonsils. It is known that these paired organs are a natural barrier, an obstacle to viruses and microbes. In the case of bacterial tonsillitis, the tonsils become inflamed and become covered with a characteristic whitish purulent coating. The role of a barrier in this case is difficult for them.

This is what bacterial tonsillitis looks like in the photo.

Most often, bacterial tonsillitis is caused by streptococci, which complicate the course of the disease by causing, in addition to inflammation, severe sore throat.

Bacterial tonsillitis differs from viral tonsillitis in that it is much more serious. If in the case of the viral type you can get away with only redness and slight swelling of the tonsils, then the bacterial form always leads to suppuration and sore throat.

It should be noted that a certain amount of streptococci is always present in the body of any person. However, they can only cause illness if the body is very weakened and the level of immunity tends to zero. If you are in good health, bacterial tonsillitis does not threaten you.

Therefore, this disease is a kind of beacon that directly indicates the need to strengthen health and immunity. Along with treatment, it is necessary to take measures to increase the level of the body's defenses.

The video shows everything about bacterial tonsillitis:

The disease is transmitted by airborne droplets. You can become infected through direct contact with a person or indirectly - by using common household items or being in the same room. That is why you need to be especially careful if someone in the family has bacterial tonsillitis. The rest of the family members, if their immunity is weak, have a high probability of also becoming infected with this disease.

Forms

Bacterial tonsillitis has only two forms - acute and chronic.

Acute

During this period, the disease is especially pronounced and severe. The patient experiences all the symptoms characteristic of the disease.

In the photo - acute bacterial tonsillitis

Chronic

This form is characterized by periodic outbreaks and attenuation of the disease, which alternate with each other. In general, it is typical for those cases when the general level of immunity is low. This form most often affects children, usually girls.

In the photo - chronic bacterial tonsillitis

What factors contribute to infection with bacterial tonsillitis.

  • If a person often suffers from various cold viral infections, then infection with bacterial tonsillitis is very likely.
  • Decreased immunity level. It can occur against the background of some serious illness, after surgery, or even in case of pregnancy.
  • If normal nasal breathing is impaired. This usually happens as a result of a deviated nasal septum, with the appearance of polyps or adenoids.
  • If there are any pockets of inflammation in the mouth or nasopharynx. This could be caries, adenitis or sinusitis.

In the photo - bacterial tonsillitis treatment with antibiotics:

Symptoms

Let's find out exactly how bacterial tonsillitis manifests itself.

If the disease occurs in an acute form, the patient will certainly develop a high temperature. Sometimes it can reach up to 40 degrees. The patient feels severe weakness and headache.

There is a strong pain in the throat. As a rule, a person cannot even eat. Swallowing becomes a pain. This condition is especially difficult for children.

The surface of the tonsils is covered with characteristic whitish-yellowish purulent rashes, small in size. They can be seen with the naked eye in the light by looking into the patient's throat.

Cervical lymph nodes increase in size.

If the acute phase has turned into a chronic phase, then all these symptoms first go away, then reappear. And such periods will alternate until the disease is completely cured.

Unlike viral tonsillitis, in this case the patient does not have conjunctivitis or a runny nose. If the disease is severe, with fever and severe pain when swallowing, we can confidently say that it is bacterial tonsillitis. Because it never occurs in a mild form.

Video shows symptoms and treatment of bacterial tonsillitis:

Complications

What consequences can result from bacterial tonsillitis that is not cured in time or not completely, let’s consider:

  • Rheumatism. This painful joint disease is often caused by an advanced form of bacterial tonsillitis.
  • Hypertension.

The photo shows complications from bacterial tonsillitis

This article will help you understand what signs of paratonsillar abscess are most common.

But this information will help you understand how the operation of a peritonsillar abscess is performed, and how much it can complicate a person’s health indicators.

What a paratonsillar abscess looks like after opening can be seen in the photo in this article: http://prolor.ru/g/bolezni-g/abscess/paratonzillyarnyj-vskrytie.html

But how vacuum cleaning of the tonsils occurs with tonsillitis, and how safe it is for the patient’s health, is described in this article.

Diagnostics

The first thing you need to find out is what type of tonsillitis is in this case. Viral and bacterial types are treated differently, since their pathogens are different, and the disease manifests itself differently. To find out the nature of the pathogen, the doctor does special testing, which allows you to accurately determine this.

The diagnosis is made on the basis of examination and complaints of the patient, and a description of his state of health. Of course, parents do this for their children.

Video diagnosis of bacterial tonsillitis:

The doctor needs to take a culture from the tonsils and send it for analysis. The examination will determine the nature of the infection - viral or bacterial. It is also necessary to find out which bacteria are causing the inflammation. Depending on this, the appropriate medicine will be prescribed. Modern methods and tests make it possible to identify the pathogen with reliable accuracy and very quickly.

How to treat

Let's figure out exactly what methods and methods we can cope with this unpleasant disease in adults and children.

Most often, therapeutic drug treatments are used, but sometimes the patient’s serious condition requires surgical intervention.

  • A person with bacterial tonsillitis must stay in bed. The fact is that a disease suffered on the legs often leads to more serious complications.
  • You should drink more often. Drinks should not be too cold or too hot. It is recommended to drink milk and herbal teas. Teas are also useful because they help remove various toxins and waste, while cleansing the body and raising the level of immunity. Tea with raspberry jam is very suitable for drinking. It simultaneously reduces temperature and has a bactericidal effect.

On video how to treat bacterial tonsillitis:

It is recommended to eat dishes that are not hot; it is better to avoid fried, salty and spicy foods for now. All foods should be easy to chew and swallow, not too hard or tough. It is best to eat porridge, pureed purees, soups, etc. Dishes.

Treatment must necessarily include antibiotics, since the disease is of bacterial origin.

Paracetamol is often prescribed to reduce pain and fever. And to increase immunity, nasal sprays are helpful, as well as various drugs that can destroy bacterial microflora.

It is recommended to regularly gargle with antibacterial decoctions. You can use medicinal herbs such as eucalyptus or chamomile, as well as special products - Miramistin or Hexoral.

In the case of chronic tonsillitis, the disease is treated during the period when it is in its quiet phase.

Preventive measures

It is necessary to take measures to improve the health of the tonsils and strengthen the overall immunity of the body. To do this, they often use “Tonsillor” - a special solution that perfectly removes purulent plaque from the surface of the tonsils.

The patient is prescribed physiotherapeutic procedures. These include UHF therapy and electrophoresis.

In the photo - UHF throat therapy

Be sure to take measures to strengthen the immune system. The patient needs to take immunomodulators to help cope with the disease. The modern drug Immunal has proven itself to be excellent. It increases the level of immunity in a short period.

In the photo - immunomodulators for the treatment of throat

Courses to restore immunity are usually held every six months. This is enough to maintain health at the proper level and prevent infection with viral and bacterial infections.

If therapeutic treatment does not produce results, the tonsils are removed surgically. Also, this radical method is resorted to if there is a possibility of various complications due to chronic bacterial tonsillitis. In case of inflammation that has already begun, surgery is performed urgently. This procedure is performed in special medical sterile conditions under local anesthesia. Most often, the operation is performed on children, but their younger age does not fall into this category.

Home Remedies

In addition to drug therapy, you can alleviate the patient’s condition with home remedies. Let's consider which of the traditional treatment methods are the most effective.

  • Decoctions of medicinal herbs such as horsetail, chamomile, and marshmallow perfectly help relieve inflammation in the throat. You can find out which herbal decoctions for cough are the best from this article.

In the photo - herbal decoctions for the throat

In the photo - sea buckthorn oil for the throat

As you can see, bacterial tonsillitis is a common and unpleasant disease, but you shouldn’t be afraid of it. You just need to see a doctor and carry out appropriate treatment in a timely manner. Take measures to strengthen your immune system - in this case, the disease will not threaten you.

Source: http://prolor.ru/g/bolezni-g/tonzillit/bakterialnyj.html