What to take for tonsillitis

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How and with what can you quickly cure tonsillitis forever?

Tonsillitis is a chronic inflammatory process that occurs in the area of ​​the palatine tonsils. In the human body, the tonsils are considered one of the most important organs, which takes an active part in the formation of immune defense.

Table of contents:

The palatine tonsils are most at risk in childhood, and their active work helps to form strong immunity. It will be useful for many patients to know how to permanently cure tonsillitis, what causes its development in the human body, and what traditional medicine recipes are considered the most effective?

Features of the disease

Tonsillitis is an infectious disease, the symptom of which is inflammation of the tonsils

When a bacterial infection enters the human body, an inflammatory process begins to develop in the tonsil area. This causes inhibition of the process of developing immunity, and the result is the appearance of tonsillitis. In some cases, problems with the formation of the body's protective functions can arise when the treatment is not carried out correctly, as well as when taking antipyretic drugs at a not very high temperature.

In some cases, the development of tonsillitis is caused by various problems with nasal breathing that arise from the following pathologies:

Often the cause of local tonsillitis is foci of infection localized in nearby organs.

Pathology can develop in the presence of sinusitis or chronic adenoiditis.

Not the least role in the course of chronic tonsillitis belongs to a decrease in the protective functions of the body, namely allergic reactions. This means that they can be both the cause of the development of the disease and just a consequence of a chronic disease.

Acute tonsillitis is characterized by a pronounced onset with a syndrome of general intoxication of the body:

  • body temperature rises to 40 degrees
  • increased sweating
  • severe weakness of the whole body
  • decreased or complete lack of appetite
  • pain and aches in muscles and joints
  • development of chills

Simultaneously with these symptoms or after some time, the patient begins to feel pain in the throat, which gradually intensifies. Over time, the pain becomes so severe that the patient cannot swallow anything, and sleep problems arise. The reaction of the lymphatic system to the inflammatory process in the throat is an enlargement of the lymph nodes and their increased soreness.

Useful video - Main symptoms of acute tonsillitis:

Chronic tonsillitis is characterized by periods of remission followed by exacerbation of the disease. The most characteristic symptoms of such tonsillitis are a slight rise in body temperature, discomfort in the throat when swallowing and a slight cough. The diagnosis at this stage of the disease is made based on the results of a visual examination of the patient’s throat.

Against the background of respiratory viral diseases that occur when the protective functions of the human body decrease, the remission stage is replaced by an exacerbation:

  • body temperature rises to 39 degrees
  • there is a feeling of a foreign body in the throat, discomfort and pain
  • symptoms of body intoxication appear
  • the secretion released from the tonsils causes the patient to constantly cough

Tonsillitis is accompanied by the appearance of vivid symptoms, so it is quite difficult to miss it. If such signs occur, you should contact a specialist who will examine the patient and select the most effective treatment.

Drug treatment of the disease

Medicines for tonsillitis are taken depending on the cause of its occurrence and additional symptoms

When a patient is diagnosed with acute tonsillitis, in most cases hospitalization is required. It should be remembered that treatment of such a disease should be carried out only under the supervision of a doctor, which helps to avoid the development of undesirable consequences and complications.

Tonsillitis is considered a contagious disease, so isolation of the patient from others is required. In a medical institution, the patient is placed in a box of an infectious diseases hospital, and when treated at home, he needs to be allocated a separate room.

Throughout the entire period of treatment, you must follow a gentle diet and drink as much warm fluid as possible. In addition, during the acute period of the disease, bed rest is necessary.

Drug therapy includes the following areas:

  • Lozenges and sprays with analgesic and anti-inflammatory effects: Trachisan, Decathylene, Tantum Verde, Theraflu, Ingalipt.
  • Rinsing the mouth with antiseptic solutions: Furacilin, Chlorhexidine, Chlorophyllipt alcohol.
  • Treatment of the tonsil area with antiseptic preparations: Lugol's solution, Chlorophyllipt oil solution.
  • Prescription of antipyretic drugs when body temperature rises: Paracetamol, Ibuprofen.
  • Taking antihistamines for increased swelling of the tonsils: Cetrin, Loratadine.
  • For lymphadenitis, apply compresses with Dimexide and anti-inflammatory components to the lymph node area.

Inhalations for the treatment of tonsillitis are prescribed quite rarely, since they have been proven to be ineffective for this disease. The choice of one or another method of therapy for tonsillitis is determined by the form of the disease, that is, treatment can be either conservative or surgical.

Antibiotics for illness

Antibiotics are selected strictly individually depending on what pathogen provoked the development of the disease

When diagnosing acute tonsillitis, antibacterial treatment is required, and medications are usually discontinued 3-5 days after body temperature normalizes. When treating children and adults, the same medications are prescribed, and the difference is only in the dosage.

Despite the fact that treatment with antibacterial drugs for tonsillitis is considered quite effective, it is possible to finally get rid of this pathology only by removing the tonsils.

If the ongoing antibacterial therapy does not bring the desired result, the specialist may decide to perform surgery to remove the tonsils.

What groups of antibacterial drugs can be prescribed in the treatment of acute tonsillitis:

In addition, local antibacterial treatment is prescribed and Bioparox is considered the most effective drug. It should be remembered that when taking antibiotics for the treatment of tonsillitis, it is necessary to simultaneously drink drugs to maintain the microflora of the digestive tract.

Surgery for pathology

When a patient is diagnosed with a simple form of the disease, conservative treatment is usually carried out, which includes taking medications and physiotherapeutic procedures. Surgical treatment of tonsillitis is resorted to only when conservative therapy becomes ineffective.

A bilateral tonsillectomy is performed, during which the palatine tonsils are removed. With this treatment, complete or partial removal of lymphoid tissue is possible, and the operation takes place quite quickly. The patient goes home the next day, and his work capacity is restored the next day.

Another method of surgical treatment of tonsillitis is lacunotomy, which does not remove the tonsils. This type of surgery is performed using a laser and the patient’s well-being improves over the next 5-7 years. The tonsils significantly decrease in size and begin to perform their functions, and the risk of exacerbation of acute respiratory pathologies is reduced.

Cryotherapy is considered an effective and safe procedure used in the treatment of tonsillitis.

Nitrogen is used to freeze damaged tissues and stimulate the immune system. The only drawback of this method of treatment is the appearance of unpleasant sensations in the patient’s throat. With cryotherapy, the development of bleeding is completely eliminated and scars are not formed.

Traditional therapy against illness

Gargling will help quickly cure tonsillitis

Treatment of tonsillitis can be carried out both with the help of drug therapy and surgery, and with folk remedies. The most common folk remedy is gargling a sore throat with various decoctions and infusions.

For this purpose, you can use plants that have antibacterial and healing properties:

You can gargle for tonsillitis with a solution of hydrogen peroxide, salt and soda. Inhalation of decoctions of medicinal herbs gives a good effect in treating the disease, and it is recommended to use honey and bee products as general tonics.

In addition to rinsing for tonsillitis, the following procedures can be performed:

  • apply cabbage compresses to the throat area for 2 hours, after wrapping the grated vegetable in gauze
  • carry out inhalations with onion juice, that is, breathe over the grated vegetable
  • apply bandages and cloth soaked in saline solution to the tonsil area

If the treatment carried out with folk remedies does not bring the desired result, you should consult a doctor.

In acute tonsillitis, the prognosis is usually favorable and with proper treatment, the patient recovers completely. If the patient ignores the doctor’s prescriptions and refuses therapy, then the acute form of the pathology eventually becomes chronic. It is almost impossible to get rid of chronic tonsillitis and the main task is to introduce the disease into a stage of permanent remission.

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Comments (4)

03/24/2017 at 09:17 | #

It seems to me that it is impossible to cure tonsillitis forever. Every person has it at least occasionally, but it appears. You just need to not delay it and take action right away, then it will pass with the least losses. In such cases, Trachisan tablets help me, I simply dissolve them according to the instructions and after a few days the tonsillitis goes away.

Zinaida

04/10/2017 at 14:05 | #

Trachisan also helps me get rid of discomfort in my throat. Even with a sore throat, the doctor prescribed it as a local antibiotic. They act as an antibacterial and antiseptic agent.

Natalya G.

06/15/2017 at 23:18 | #

Since childhood, I suffered from frequent sore throats. At first there was hypertrophy of the tonsils, frequent sore throats, then it turned into chronic tonsillitis. Doctors began to talk about removing tonsils, even gave me a referral to the hospital, but I was afraid of the operation, having read reviews about how painful, scary and bloody it was (and ineffective, as they say). One day I went to see a very good ENT specialist, and she told me that in my case there was no need to remove my tonsils. I took a course of thoroughly washing out the lacunae of my tonsils (so much nasty stuff came out, it was scary). They washed not only formally from the outside, but also tried to remove them from hard-to-reach surfaces. At the end of the procedure, the tonsils were lubricated with Lugol. In parallel, treatment was carried out with bacteriophages and various other drugs. Since then, my throat hurt, of course, sometimes, but there was no such torment as before. I recover quite quickly. And the new disease is not provoked simply by inhaling cold air outside. Now I live like a normal person.

Alina

10/16/2017 at 12:22 pm | #

Tonsillitis, friends, is complete bullshit, in fact it is impossible to recover from it! At least, as the doctor told me, as long as the tonsils are in place, the disease will continue! The only thing you need to do is clear your throat constantly and on time! Why do this even if it doesn’t hurt! That's what I do! I used to constantly rinse, but now I just dissolve Solisept, it contains salt and iodine, it cleans everything perfectly! And more effective than rinsing - you don’t need to rinse every two hours, one or two tablets a day are enough!

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How to properly treat chronic tonsillitis in adults

Tonsillitis is a disease that is accompanied by inflammation of the tonsils. The development of the disease is influenced by microorganisms that enter the body through airborne droplets. Treatment takes an integrated approach; it is important not only to get rid of the manifestations of the pathology, but also to eliminate the underlying factor.

Conservative treatment

This method of therapy should be carried out for the chronic form of the disease, which is not complicated. Thus, it is possible to postpone surgical intervention, and the patient is visited mainly by local symptoms - bad breath, plugs on the tonsils.

In the photo this is what chronic tonsillitis looks like

Systemic

Chronic tonsillitis must be treated with antibacterial therapy. But it is advisable to do this in the case when the disease is of bacteriological origin. The choice of antibacterial drugs is made taking into account the patient’s symptoms and his sensitivity to individual components of the medication. Local and broad-spectrum antibiotics may be prescribed for treatment.

If tonsillitis is caused by bacteria, then it is treated using several groups of antibiotics. These include macrolides, cephalosporins, amoxicillin. The duration of treatment should not exceed 2 weeks. If during this time no significant changes for the better have occurred, then the doctor prescribes another antibiotic.

On video how to treat chronic tonsillitis in adults:

For the treatment of viral tonsillitis, it is worth using nonspecific drugs. This group includes Interferon, Anaferon, Viferon (but how to use Viferon suppositories for colds for children is described in this article). They can be taken for no more than 7 days in a row. In addition, you will need to use medications that can activate the immune system. These include: Immunal, Immudon, Polyoxidonium.

When treating acute fungal tonsillitis, the doctor may include immunostimulants and systemic antifungal drugs in the treatment regimen, one of which is Nystatin.

Rinse and sprays

It is impossible to treat tonsillitis in adults without rinsing and sprays. Gargling can be done using antiseptic solutions. It is advisable to use a similar treatment method if there is a large amount of films and plugs on the surface of the tonsils. It is the rinsing that will eliminate all the pus and get to the viruses, fungi and bacteria that spread in the depths.

Today there is a wide selection of sprays that successfully treat chronic tonsillitis. They may contain various components that have the following spectrum of influence:

  • analgesics containing an anesthetic;
  • antibiotic (Bioparox); But this article will help you understand how sinusitis is treated with Bioparox.
  • probiotics;
  • antiseptics.

Rinsing

To alleviate the patient's condition during exacerbation of chronic tonsillitis, the doctor may prescribe rinsing. This method is considered to be an effective and mandatory method, as it has a local effect. To perform the manipulation, you can use homemade solutions or purchase them at the pharmacy. For the first case, a solution obtained by combining components such as salt, soda and iodine is suitable.

The following drugs can be purchased at the pharmacy:

In fact, such solutions are available in a wide variety, so the patient must choose the appropriate drug. Using antiseptic solutions, you can quickly prevent the proliferation of bacteria. Probiotics also cope with this task. They are extremely important in order to normalize the microflora of the oropharynx. This is also extremely important for successful treatment. How to make a solution for gargling with salt, soda and iodine, and how effective this remedy is, is described in great detail in this article.

Tonsil removal as a treatment method

If chronic tonsillitis is severe and there is a risk of complications, then the doctor makes a decision regarding surgery. Its essence comes down to the removal of tonsils. In medical terminology, this type of operation is called tonsillectomy.

In the photo - removal of tonsils for tonsillitis

This kind of operation is indicated for patients with uncompensated forms of tonsillitis. Removal of affected tonsils is carried out under local anesthesia, although the possibility of using general anesthesia is not excluded.

Why thick mucus occurs in a child’s nasopharynx, and what medicines and folk remedies are the best, is described in great detail in this article.

Why a sore throat and runny nose hurt during breastfeeding, and what the main reasons may contribute to this, are described in great detail in this article.

Why a red throat with a white coating occurs and appears with a temperature, and what can be done about this problem, this article will help you understand: http://prolor.ru/g/simptomy-g/belyj-nalet-v-gorle-u-vzroslogo .html

What is the best solution for gargling for purulent sore throat and what should be the proportion of such a medicine is described in great detail in this article.

The following indications for treatment are identified:

  • a strong increase in the size of the tonsils, which leads to damage to the upper respiratory tract;
  • there is no positive dynamics when using conservative therapy;
  • presence of associated diseases;
  • formation of tonsillogenic sepsis;
  • oncology affecting the tonsils.

And although surgery is one of the most effective methods of treating chronic tonsillitis, it cannot be called a panacea for all problems. Patients often experienced progression of angina after surgery.

On video, medications for chronic tonsillitis in adults:

Traditional methods

Traditional therapy has incorporated a large number of effective remedies for the treatment of chronic tonsillitis. But it is only recommended to use them in combination with conservative methods.

Antiseptic collection

You need to place the following components in the container:

  • calendula inflorescences – 15 g;
  • licorice root – 10 g;
  • chamomile inflorescences – 10 g;
  • linden inflorescences – 10 g;
  • wild rosemary inflorescences – 10 g;
  • sage – 15 g;
  • elecampane root – 15 g;
  • eucalyptus – 20 g.

In the photo - antiseptic collection

For 20 g of collection there is 1 glass of boiling water. Add water to the grass, place it on the stove and simmer for 5 minutes. Leave for 6 hours, filter and use to rinse the throat. This medicine is perfect for internal use if you take 20 ml 3 times a day.

Carnation

You need to take 5 cloves, add 300 ml of boiling water. Leave for about 2 hours and then filter. Take 100 ml per day for 21 days.

In the photo - cloves for the treatment of tonsillitis

Garlic drops

Take a couple of cloves of garlic, chop them finely and add sunflower oil, maintaining a 1:1 ratio. Wait 5 days and then place on cheesecloth to squeeze out the oil solution. Add 20% lemon juice to the resulting mixture.

In the photo - garlic drops for the treatment of tonsillitis

Use homemade medicine 10 drops per day. But how to treat sinusitis with garlic, and how to make the best recipe at home, is indicated in this article.

The leaves of this amazing plant can help you get rid of the unpleasant symptoms of tonsillitis. You need to take 10 leaves, add 300 ml of water. Place on the stove and simmer for 5 minutes. Then wait 20 minutes for the broth to infuse. Filter it and take 20 ml 2 times a day. Continue therapy for 30 days.

In the photo - myrtle for the treatment of tonsillitis

You can get rid of tonsillitis using myrtle tincture. You need to take 200 g of fresh leaves of the plant, add 2 glasses of vodka. Infuse the product for 8 days, then filter it and use it to rinse the throat. But only for this it needs to be diluted with water, using the following proportion: 10 ml of tincture per 200 ml of water.

St. John's wort oil

St. John's wort oil can be used to treat tonsils. To obtain it, you need to take 40 g of fresh grass inflorescences and add 200 g of preheated sunflower oil. Leave on for 2 days and then use as directed. But what is the best oil for dry throat, and how effective this remedy is. This article explains it in great detail.

In the photo - St. John's wort oil

Zyphius

Take the bark and leaves of the presented plant, add 1.5 cups of boiling water. Place the container with the mixture on the stove and simmer for 10 minutes. Take 40 ml of filtered decoction 3 times a day. Treatment with Zyphius will last 2 months.

In the photo - ziphius plant for treatment

Beet

With the help of beets, chronic tonsillitis can be treated in both children and adults. For these purposes, you will need 300 g of beets, which must be chopped together with the peel. Add 300 ml of water to it and place on the stove. Cook the product for about an hour. Filter the composition and use it to rinse the throat after meals.

Beetroot juice is used to rinse the throat

Prevention

To protect your body from the development of chronic tonsillitis, you must follow the following recommendations:

  • adhere to a healthy lifestyle;
  • do physical education;
  • perform hardening;
  • take medications whose action is aimed at strengthening the immune system (Immunal, Imudon).

On video, removal of tonsils for chronic tonsillitis in adults:

Is there a cure for this disease?

It is impossible to cure the chronic form of tonsillitis using folk or conservative remedies. Thanks to them, it is possible to alleviate the patient’s condition at the time of exacerbation and prolong remission. But you can get rid of a sore throat forever through surgery. As you know, during the operation the tonsils are removed, therefore, no inflammation can affect them.

The chronic form of tonsillitis involves mild symptoms during remission and a clear clinical picture during exacerbation of inflammation. You can cope with unpleasant symptoms with the help of medications and folk therapy. But be prepared for the fact that the disease will still visit you from time to time. If there is a risk of complications, the doctor prescribes surgery for the patient, which is based on the removal of the tonsils.

Source: http://prolor.ru/g/bolezni-g/tonzillit/kak-lechit-xronicheskij-u-vzroslyx.html

Tonsillitis in adults - what it is, symptoms and treatment, causes, photos and first signs

Tonsillitis is an inflammation of the tonsils that occurs due to the action of bacteria or viruses on lymphoid tissue. As the disease progresses, the inflammation can spread further, affecting the surrounding soft tissue. The disease can take acute and chronic forms. Acute tonsillitis bears the well-known name “angina,” while chronic tonsillitis is a general infectious disease. Next, we will consider what kind of disease this is, what are the first symptoms of tonsillitis and methods of treatment in adults.

What is tonsillitis?

Tonsillitis (lat. Tonsillitis) is an infectious disease that affects one or more tonsils, most often the palatine tonsils, caused by a bacterial or viral infection. The leading signs of the disease in adults are sore throat and bad breath. If you look at the throat of a patient with tonsillitis, you will see enlarged and inflamed tonsils with a loose surface, the lacunae of which are filled with purulent plugs. The tonsils can enlarge to such an extent that they completely close the lumen of the pharynx.

Tonsils are necessary to perform the protective function of the body. It is the tonsils that become the first barrier to viruses and bacteria trying to penetrate the throat or nose. The immune system is not always able to cope with attacks from viruses and bacteria from the environment, and then the tonsils become inflamed. Acute and chronic course of the disease is possible.

Is tonsillitis contagious?

Yes. Tonsillitis is a disease with an increased level of contagiousness. Thus, if tonsillitis is of infectious (bacterial) origin, it is 100% contagious. The same can be said about viral sore throat. If the virus itself has the ability to be transmitted from one person to another, then the opportunity to share a sore throat with someone is also present.

Only one form of tonsillitis is non-contagious - allergic tonsillitis. A person who suffers from this disease is absolutely safe for others.

Regarding susceptibility to the disease, it can be noted that it is not the same for each patient, being determined to a large extent by the condition characteristic of the local immunity of the tonsil area. So, the lower the immunity, the correspondingly higher the risk of disease.

The incubation period for tonsillitis can last from 6-12 hours to 2-4 days. The deeper the tissues are affected, the more complex the disease, the longer the infectious-inflammatory process progresses and the higher the risk of complications.

  • Acute tonsillitis: ICD-10: J03; ICD-9: 034.0
  • Chronic tonsillitis: ICD-10: J35; ICD-9: 474

Causes

The causes of tonsillitis are various pathogenic microorganisms:

It is also possible to identify factors that precede the onset of the disease. This:

  • decreased immunity;
  • local hypothermia of the body;
  • ingestion of allergens that irritate the mucous membranes - dust, smoke;
  • recent illnesses that reduce the protective functions of the epithelium, for example, acute respiratory infections;
  • violation of nasal breathing;
  • overwork;
  • stress;
  • avitaminosis;
  • mucosal injuries;
  • sensitization of the body, or increased susceptibility to pathogens.

Also, the appearance of tonsillitis can be caused by allergic reactions, which not only affect the progression of the disease, but also often cause complications.

Classification

Depending on the course of tonsillitis, doctors distinguish between acute and chronic forms of tonsillitis.

Acute tonsillitis

Acute tonsillitis (or tonsillitis) is an infectious disease that affects the palatine tonsils, as well as the lingual, laryngeal and nasopharyngeal tonsils. It is characterized by a rapid increase in temperature up to 39°C, chills, headache, sore throat, aggravated by swallowing, pain in muscles and joints. With improper treatment or its absence, a weakened body or the presence of other chronic diseases, acute tonsillitis can become chronic, which is characterized by periodic exacerbations.

Tonsillitis in the photo looks like inflammation of the tonsils with a porous surface covered with purulent plugs

Chronic tonsillitis

Chronic tonsillitis is characterized by the development of a constant inflammatory process in the tonsils; the course of the disease is accompanied by alternating periods of remission and exacerbations. Chronic tonsillitis, the symptoms of which do not always make themselves felt, can cause the development of various pathological processes in almost all systems and organs. Due to disturbances in the neuro-reflex and endocrine regulation of the body, depression, menstrual irregularities, Meniere's syndrome, encephalopathy, etc. can occur.

  • primary tonsillitis: acute damage to the palatine tonsils against the background of general hypothermia of the body, decreased immunity, due to thermal effects on the throat tissue;
  • secondary tonsillitis: develops as a result of other diseases (diphtheria, leukemia, scarlet fever), as a complication or concomitant symptom of an infectious disease;
  • specific tonsillitis (caused exclusively by infectious agents).

Based on the localization of the process, the following types are distinguished:

  • Lacunar - inflammation only in the lacunae;
  • lacunar-parenchymatous - lymphoid tissue is included in the inflammatory process;
  • parenchymal - tonsillitis develops in lymphadenoid tissue;
  • sclerotic - proliferation of connective tissue.

Based on the nature of the lesion and its depth, the following types of tonsillitis are determined:

Of the listed forms of tonsillitis, the mildest course is observed in the catarrhal form of the disease, and the most severe in its necrotic form.

Symptoms of tonsillitis

Common symptoms of tonsillitis in adults are:

  • signs of intoxication: pain in muscles, joints, head;
  • malaise;
  • pain when swallowing;
  • swelling of the tonsils, soft palate, uvula;
  • the presence of plaque, sometimes there are ulcers.

Sometimes symptoms of tonsillitis can even include pain in the stomach and ears, as well as the appearance of a rash on the body. But most often the disease begins in the throat. Moreover, pain with tonsillitis differs from a similar symptom that occurs with ARVI or even influenza. Inflammation of the tonsils makes itself felt very clearly - the throat hurts so much that it is difficult for the patient to simply communicate, not to mention eating and swallowing.

The photo shows an advanced stage of tonsillitis

Symptoms of acute tonsillitis:

  • sore throat when swallowing;
  • increase in temperature (up to 40°C);
  • redness and enlargement of the tonsils;
  • purulent formations on the tonsils (purulent plugs);
  • soreness and enlargement of the lymph nodes (lymphadenopathy);
  • headache;
  • general weakness.

Signs of chronic tonsillitis:

  • The symptoms of chronic tonsillitis are similar, but somewhat less pronounced.
  • Pain and fever are usually absent,
  • there may be only slight pain when swallowing,
  • the feeling of sore throat bothers you,
  • bad breath.

The general condition of the body suffers, but not as pronounced as with acute tonsillitis.

  • Pain in the joints;
  • Allergic skin rashes that cannot be treated;
  • "Aches in the bones"
  • Weak cardiac colic, disruptions in the functioning of the cardiovascular system;
  • Pain in the kidney area, disruption of the genitourinary system.

Diagnostics

Upon examination, redness and swelling of the mucous membrane of the tonsils and adjacent tissues are noted (see photo). When palpating the anterior ear and cervical lymph nodes, their enlargement and pain are recorded.

Diagnosis of tonsillitis in adults is carried out using the following methods:

  • examination by an ENT doctor, collecting an anamnesis of the disease;
  • throat swab for flora with determination of sensitivity to antibiotics and bacteriophages;
  • general blood test, general urinalysis;
  • blood test for antistreptolysin-O, rheumatoid factor, C-reactive protein;
  • ECG;
  • According to indications, ultrasound of the kidneys, Echo-CG, consultation with a cardiologist, urologist.

Treatment of tonsillitis in adults

Treatment of tonsillitis is usually carried out on an outpatient basis. Its severe course requires hospitalization. A gentle diet rich in vitamins B and C is prescribed, as well as drinking plenty of fluids for detoxification.

Antiseptics for adults with tonsillitis:

To lubricate the throat, use solutions:

If justified by the indication, the doctor prescribes antiviral medications. Often, antiviral drugs have an immunomodulatory effect, which is why they are prescribed to support weakened immunity. But, again, self-administration of this group of drugs can cause harm to the body; the dosage and variation of such drugs is selected by the attending physician according to individual requirements.

Antibiotics for tonsillitis

The prescription of antibiotics (antibacterial drugs) is justified only in severe cases of the disease. Usually this helps the body quickly cope with the microbial agent and speed up recovery, but it should be remembered that antibiotics are useless in the treatment of viral diseases. This causes bacteria to become resistant to antibiotics.

To select an antibacterial drug, it is necessary to take a smear from the lacunae of the affected tonsils to determine the causative agent of the disease.

How to treat chronic tonsillitis?

Chronic tonsillitis must be treated comprehensively, because this is the only way to get rid of its symptoms for a long time. During an exacerbation, the same therapy is carried out as for acute inflammation of the tonsils. But for a complete recovery, it is necessary to eliminate not only the symptoms of the chronic form of the disease, but also its causes.

If you have chronic tonsillitis, then the treatment for it is the same as for acute tonsillitis, but with some features:

  1. Antibiotics are prescribed after the pathogen has been determined by analysis, but the course of taking them is longer.
  2. Prevention of exacerbations is very important. It is necessary to lead a healthy lifestyle, avoid hypothermia, monitor nutrition and take all necessary measures to strengthen the body and protect it.
  3. It is recommended to drink immunostimulants and probiotics not during exacerbations, but for prevention during periods when the risk of infection is too high.
  4. Gargling with chronic tonsillitis is not always advisable, because purulent plugs appear in the lacunae, which are too tightly connected to the lymphoid tissue. Rinsing is more effective in this situation.
  5. Radical treatment is advisable. In this case, the tonsils are removed surgically or otherwise, which helps to minimize the frequency of exacerbations.

Gargling for tonsillitis

Gargling can be done on your own at home. There is a large selection of different products that you can purchase in pharmacies or prepare yourself.

The following solutions are very effective for rinsing:

At home you can use:

  1. Rinsing the throat with propolis extract. It is sold in pharmacies and is not expensive. It has a very good antiseptic effect, and also cleanses the tonsils of purulent plugs and plaque. It also has an analgesic effect on the oral mucosa.
  2. Gargling with salt. Method of preparation: add half a teaspoon of salt to a glass of water at room temperature. Stir. Rinse as often as possible. You can add half a teaspoon of soda there, then rinsing will have a more pronounced anti-inflammatory effect.
  3. Pour boiling water over 15 g of finely chopped celandine and let it brew for minutes. Rinsing is carried out using a warm solution - it is advisable to warm it up a little before each procedure.

Physiotherapy:

  • inhalations with herbal decoctions (calendula, chamomile);
  • phonophoresis – ultrasound treatment;
  • UHF therapy;
  • ultraviolet irradiation;
  • laser therapy.

These methods are used only in combination with the main therapy. They are not intended for independent treatment of tonsillitis.

The lack of results from several courses of intensive therapy for chronic tonsillitis, frequent (2 to 4 per year) relapses of the disease, as well as signs of rheumatic damage to other organs (heart, kidneys, joints) serve as an indication for surgical removal of the tonsils.

Surgical removal of tonsils for tonsillitis

Surgical methods are used to treat tonsillitis in a number of cases:

  • In the absence of a therapeutic effect with conservative methods;
  • In case of development of an abscess against the background of tonsillitis;
  • When tonsillogenic sepsis occurs;
  • If malignant pathologies are suspected.

Tonsillitis can be cured forever. There are completely different treatment methods. Sometimes massive antibiotic therapy is sufficient, and in some cases surgery is not necessary.

Nutrition and diet

If you are suffering from tonsillitis, it is suggested that you switch to a liquid diet for a few days. All dishes should be consumed steamed, boiled or stewed. The emphasis should be on liquid foods or foods that will not cause difficulty in chewing and swallowing. Therefore, it is recommended to consume soups, jelly, compotes, vegetable purees, and ginger tea.

Any food should be consumed warm (it warms the tonsils, relieves inflammation and kills germs). During illness, it is better to replace sugar with honey, and warm the milk a little before taking it.

  • Wheat bread baked yesterday.
  • Meat or fish soups. Not rich, low-fat - for this, drain the first water when cooking meat. Vegetables, pasta and cereals are added to soups. Since it is difficult for patients to swallow, soups are pureed or crushed in a blender.
  • Steamed lean meats, poultry and fish. Steam cutlets, meatballs, and meatballs are also recommended.
  • Fermented milk products, fresh low-fat cottage cheese, mild cheese. Sour cream is used only for seasoning dishes.
  • Semi-liquid, viscous porridge from cereals.
  • Vegetable side dishes: mashed potatoes, stew, vegetable caviar.
  • Fresh fruits and berries, not hard or sour. Jam, compotes, jelly, juices diluted with water 1:1.
  • Honey, marmalade, jam.
  • Drinks: weak tea and coffee, rosehip infusion.
  • Baking, rye bread.
  • Fatty fish and meats, broths made from them.
  • Smoked meats, canned food, salted fish.
  • Barley and pearl barley, millet.
  • Cream, whole milk, sour cream, fatty cheeses.
  • Products that increase gas formation: cabbage, legumes, radishes, radishes.
  • Spices, hot seasonings.
  • Strong tea, coffee.
  • Alcohol.

How to treat tonsillitis with folk remedies

At home, you can use folk remedies for tonsillitis. But, before use, we recommend that you consult with your doctor.

  1. Gargling with beetroot juice. Grate the beets on a fine grater and squeeze out the juice. Add 1 tablespoon of table vinegar (not essence!) to a glass of juice. Gargle 5-6 times a day.
  2. Gargling with a decoction of white willow bark (willow, broom). Pour 2 tablespoons of crushed bark into 2 cups of hot water, bring to a boil and simmer for 15 minutes over low heat.
  3. Gargling with a decoction of chamomile, calendula, sage, oak bark.
  4. Boil milk and add a pinch of turmeric powder and ground black pepper. Drink this mixture before going to bed for at least three nights in a row to effectively treat sore tonsils.
  5. Take 1 gram of a mixture of medicinal herbs: chamomile (flowers), string (herb), black currant (leaves), peppermint (leaves), calendula (flowers). Mix everything and pour a glass of boiling water. Infuse in a thermos, after straining, consume half a glass orally 3-4 times a day.

Prevention

To reduce cases of the disease, the following measures must be taken:

  • it is necessary to ensure that nasal breathing is always normal,
  • eat properly and balanced;
  • carefully monitor oral hygiene;
  • promptly sanitize foci of infection and treat teeth.

After a sore throat, you should carry out preventive rinsing of the lacunae and lubricating the tonsils with drugs recommended by the doctor.

Tonsillitis in adults is a serious disease that needs to be treated as early as possible. If you take action in the early stages of the disease, you can recover quickly and prevent relapses and complications.

Discussion: there is 1 comment

How many stories I have read, treatment only by removal does not help everyone. The upper tonsils are removed, but those below continue to cause grief.

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Source: http://simptomy-i-lechenie.net/tonzillit/

How to treat tonsillitis?

Tonsillitis is a fairly common disease, characteristic of both adults and children over 5 years of age. As a rule, the disease is especially active in the autumn-winter period. The most common, of course, is the acute form of tonsillitis, but cases of chronic disease are also common.

Symptoms of tonsillitis

Among the main symptoms of acute tonsillitis (tonsillitis) are the following: severe pain in the throat (intensified by swallowing), a feeling of constriction, difficulty breathing. In addition, there is a deterioration in the patient’s general condition, malaise, weakness, fever, joint aches, and headaches. The temperature can be at the level of degrees.

The symptoms of the chronic form of tonsillitis are almost similar, but less pronounced. High temperature and pain, in most cases, are absent, but sometimes there is pain when swallowing, sore throat, and bad breath. In addition, the general condition of the body suffers, but not as pronounced as in the acute form.

In children, tonsillitis is usually more complicated than in adults. Due to severe sore throat, children may refuse to drink or eat. Often, high fever can be accompanied by diarrhea, vomiting and nausea.

The main symptom of tonsillitis of any form can be called an increase in the size of the tonsils, which can be seen even with the naked eye. Palatine tonsils, enlarged in size, can be bright red (in the acute form) or a stagnant red hue (in the chronic form). Often the tonsils become covered with pustules, plaque, ulcerations and films.

Complications of tonsillitis

Tonsillitis quite often gives complications:

  • Poststreptococcal glomerulonephritis and endocarditis;
  • Acute rheumatic fever.

Diseases that are associated with chronic tonsillitis are also considered:

  • Thyrotoxicosis;
  • Collagenoses (scleroderma, dermatomyositis, periarteritis nodosa, systemic lupus erythematosus);
  • Skin diseases (psoriasis, eczema, exudative polymorphic erythema);
  • Hemorrhagic vasculitis;
  • Thrombocytopenic purpura.

Diagnosis of tonsillitis

There are no special problems or difficulties with diagnosing the acute form of tonsillitis. A doctor can diagnose a disease based on the patient’s complaints, medical history and life history. To confirm the diagnosis, the specialist must perform a pharyngoscopy (examination of the oropharynx), as well as prescribe other examinations if necessary. On the mucous membrane, depending on the form of tonsillitis, lacunae filled with pus, as well as various gray or dirty green deposits, purulent follicles, and hemorrhages can be found.

A general blood test gives clear signs of the presence of a bacterial infection in the body: an increase in the number of leukocytes (a shift of the leukocyte form to the left), an increase in ESR (in some cases, domm/h). To determine the type of pathogen, the patient may be prescribed a throat swab with further bacteriological examination. Acute tonsillitis and exacerbation of the chronic form have a very similar pharyngoscopic picture, so chronic tonsillitis, in most cases, is diagnosed during remission. The presence of two or more signs that will be listed below will certainly confirm the chronic form of tonsillitis:

  • Hyperemic edges of the palatine arches, thickened like a ridge;
  • Enlarged palatine tonsils, compacted, loose, with cicatricial changes;
  • There are scar adhesions between the palatine tonsils and the palatine arches;
  • In the lacunae of the tonsils there are caseous-purulent masses or liquid pus;
  • Enlarged submandibular and/or anterior cervical lymph nodes.

The following are not particularly important for diagnosing the chronic form of tonsillitis: a general blood test (during an exacerbation, signs of bacterial inflammation can be detected, and during remission, no changes are often observed) and a bacterial examination of a smear from the oropharynx.

Treatment of tonsillitis

The presence of an acute form of tonsillitis will usually require hospitalization of the patient in a hospital. Treatment of tonsillitis is carried out by a doctor, so self-medication is not recommended. Patients with angina are advised to:

1 Isolation from others in a special room in an infectious diseases hospital or in the case of home treatment - in a separate room (the disease is quite contagious);

5 Local antibacterial therapy. The most effective drug in this case seems to be Bioparox;

7 Rinsing with antiseptic solutions (Chlorhexidine, Furacilin, Alcohol Chlorophyllipt);

8 Antiseptic treatment of tonsils (Chlorophyllipt oil solution, Lugol’s solution);

10 Compresses with Dimexide and anti-inflammatory components on the area of ​​the lymph nodes in case of lymphadenitis.

For tonsillitis, inhalations cannot be called an effective treatment. The principle of treatment of chronic tonsillitis should be determined in accordance with its form: medication or surgery. If the disease is not complicated and simple, then, of course, it is treated conservatively with the help of medications and physiotherapeutic procedures. This treatment is carried out in courses of 10 days and is repeated 2-3 times throughout the year. If there is no effect from such treatment, then the patient’s tonsils are removed.

In the toxic-allergic form of chronic tonsillitis at the first stage, it is also treated with a conservative method, but if the therapy does not produce the expected effect, then removal of the tonsils is recommended if there is no treatment effect from two courses of conservative therapy. At the second stage of the toxic-allergic form of the disease, conservative treatment is usually not carried out at all, so surgical intervention is immediately prescribed. In the treatment of chronic tonsillitis, the main point is the correct and timely treatment of foci of infection, as well as other diseases against the background of which these infections worsen.

Chronic tonsillitis today is treated with the following drugs:

1 Natural medicines that improve the body’s defenses: a balanced diet, a normal daily routine, adequate sleep, physical activity, resort climatic factors;

3 Vitamins of groups B, C, E, K;

To sanitize the tonsils, rinsing is carried out with antiseptic solutions (Furacilin, Dioxidin), enzymes (Lidase), antibiotics (Ceftriaxone), immunostimulating and antihistamines. In the treatment of chronic tonsillitis, the most important role is played by physiotherapeutic procedures:

1 UV irradiation to the area of ​​regional lymph nodes and tonsils;

Each of the above procedures must be carried out in all sessions. As mentioned above, if conservative treatment does not produce results, or the form of the disease becomes more complicated, surgery is performed to remove the tonsils. The operation can be performed only during stable remission of the disease and if there are no contraindications to it. Contraindications to such an operation:

  • Severe form of diabetes mellitus with symptoms of ketonuria;
  • Open form of pulmonary tuberculosis;
  • Heart disease with chronic heart failure of 2-3 degrees;
  • High level of kidney failure;
  • Diseases of the hematopoietic systems, which are accompanied by diathesis (hemophilia).
  • Acute inflammatory diseases;
  • Caries;
  • Late pregnancy;
  • Menstruation.

The patient after the operation must spend 4-5 days in a hospital. In addition, any type of physical activity is contraindicated for him for several days.

Treatment of tonsillitis with folk remedies

Tonsillitis can be treated quite effectively with folk remedies if they are used as an addition to drug therapy. At the same time, without the appropriate recommendation of a doctor, it is not recommended to prescribe such treatment for yourself, because when using only folk remedies, sore throat will most likely be able to develop into a chronic or complicated form without much resistance from the body.

Treatment of tonsillitis, if we talk about folk remedies, is carried out by rinsing with decoctions of medicinal herbs (sage, marshmallow, chamomile, calendula, coltsfoot), a 1.5% solution of hydrogen peroxide, as well as solutions of salt and soda in warm water. In addition, inhalations are often made with decoctions of medicinal herbs (chamomile, sage, eucalyptus, etc.). Honey and other bee products (propolis, pollen, royal jelly) have a special effect as a general tonic. Plant extracts of horsetail, marshmallow, purple echinacea, and eleutherococcus are prescribed as immunostimulating agents.

Treatment of sore throat with folk remedies cannot be carried out in case of individual intolerance to medicinal plants and bee products.

Prognosis for tonsillitis

Acute tonsillitis has a fairly favorable prognosis, because the disease almost always ends in complete recovery, but in some cases, with inadequate treatment, it becomes chronic.

On the other hand, the chronic form of tonsillitis is almost impossible to cure - the main goal of treatment here is not recovery, but to bring the disease into a stage of constant remission. Simple forms of the disease also have a very favorable prognosis. If we talk about the decompensated form, the prognosis here is unfavorable, because even between exacerbations the patient’s condition is often sharply impaired.

Prevention of chronic tonsillitis

1 Drug treatment. If a patient undergoes treatment courses in a hospital once every six months, then, among other things, he is recommended to take Tonsilotren (4 times a year, once every 3 months). Course duration: 15 days.

In addition, instillations of a 0.01% solution of Miramistin are often carried out, 4 pumps 4 times a day for 14 days. Four courses per year.

2 Spa therapy and climatotherapy. Prevention of chronic tonsillitis is closely related to the patient’s visits to seaside resorts. Humid sea air, sunbathing, swimming and accidental ingestion of sea water into the mouth will have a beneficial effect on the prevention of the disease.

3 Work and rest schedule. To ensure the maximum duration of periods of remission for chronic tonsillitis, you need to eliminate stress in your life and get proper rest. It is no coincidence that the chronic form of tonsillitis and sinusitis are social diseases in which the likelihood of exacerbation of the disease increases along with the amount of stress and workload.

4 Diet. If you have chronic tonsillitis, it is extremely important to eat right. You should not eat a lot of salty, fried, bitter, sour, peppery foods, i.e. food that can irritate the mucous membrane of the tonsils and the back of the throat. Citrus fruits are not recommended. In addition, the consumption of alcoholic beverages is prohibited. You should not take very cold or very hot baths, or eat solid foods.

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