Chronic tonsillitis symptoms and treatment in adults

Chronic tonsillitis in adults: forms, causes, symptoms and treatment

Unpleasant, but with a rather beautiful name, chronic tonsillitis is familiar to very many people these days. Having fallen ill once a person, often, for years can not get rid of this disease and becomes a frequent guest at the ENT doctor.

Tonsillitis is called inflammation, localized in the so-called glands, and in anatomical terms, in the region of the tonsils. This disease occurs in two main variants: acute and chronic. The first in the common people is called angina. It was the first one. That is, angina and chronic tonsillitis are not the same thing.

Chronic tonsillitis, as a rule, proceeds much milder in comparison with the bright manifestations of the acute form of the disease. He can remind of himself only a few times a year, and even less often.

Symptoms with exacerbation of the chronic process are usually poorly expressed, for example, it may slightly hurt and sore throat, but there should be no temperature.

Many patients do not even try to identify the cause in such cases, believing that everything will end by itself. However, after a month, the condition can only worsen and you have to go to a specialist who diagnoses chronic tonsillitis in adults, well, or in children, and begins a long treatment.

Chronic compensated and decompensated tonsillitis

About the chronic form of tonsillitis it usually comes up in cases where the tonsils are constantly in a state of inflammation.

In this case, two possible scenarios are possible. In one case, the disease as it completely disappears, but immediately returns at the slightest supercooling. At the second variant the inflammation leaves, and only calms down, causing satisfactory state of health in the patient.

Clinically, two forms of chronic tonsillitis are distinguished: one is called compensated, the other is called decompensated. Regardless of which form of the described disease has developed in the patient, it is necessary to take all measures in order to achieve a stable remission.

If only symptoms of a local nature develop in the form of a slight inflammation of the tonsils and pain in the throat without changes in the general condition, then there is a compensated chronic tonsillitis. In other words, the tonsils generally cope with their functions and compensate for the inflammatory response.

If the frequent inflammatory processes in the tonsils are accompanied by acute paratonsillitis (inflammation of the tissues surrounding the tonsils), and also diseases of other organs, seemingly not connected with them in any way, this is undoubtedly the decompensated form of the described ailment.

Causes of inflammation of chronic tonsillitis

It is not difficult to guess that, as with the acute form, the causes of chronic tonsillitis in adults and children are microbes.

Among ENT doctors, it is widely believed that the disease described affects 100% of the population. In a sense, it's true. A lot of microorganisms live on the human tonsils. Healthy tonsils cope with the disease-causing effect of certain of them, but the sick forces do not have enough for such a struggle.

There are several reasons for the transition of the disease to a chronic stage. The main one is untreated tonsillitis. The remaining causes of chronic tonsillitis are less important causes.

Most often it happens this way: immediately, as soon as the throat pain subsides and the temperature normalizes, the patient stops taking antibiotics and goes to work, believing that the illness has passed. However, it only retreated and in order to defeat it it is absolutely necessary to bring it to the end a prescribed course of antibiotic therapy and rinses, take vitamins and strengthen immunity. Otherwise, chronic tonsillitis, the video about which is located below, is provided:

.

The second reason is frequent pharyngitis, to which patients, and some doctors do not pay due attention. In many cases, even a sick leave is not necessary: ​​in a few days the illness passes without treatment. However, in time, the uncontrolled pathological process will certainly make itself felt. The slightest fatigue or weakening of immunity will lead to an increase in the multiplication of bacteria. Therefore, pharyngitis should be cured to the end. This is much better than to suffer later from the effects of this inflammation - chronic tonsillitis.

If a person periodically excruciates chronic rhinitis or rhinitis of an allergic nature, this too can lead to chronic damage to the tonsils.

In addition, it is necessary to observe the hygiene of the teeth and monitor the condition of periodontal disease. Originating in the teeth, the infection tends to wade farther and touch the throat.

Characteristic signs of chronic tonsillitis

If we talk about the symptoms accompanying chronic tonsillitis and treatment in adults, we can note one important feature: the chronic tonsillitis itself does not manifest itself in any way. You can find out about the presence of this disease during the period of its exacerbation, but during this period the most obvious diagnosis will be acute angina, a consequence of not treatment or improper treatment which often becomes the chronic inflammatory process. Nevertheless, a thorough examination will certainly help the specialist to find out the true nature of the ailment.

Symptoms of chronic tonsillitis in adults should be considered based on its basic clinical forms. Above we have already mentioned the compensated and decompensated inflammation of the tonsils. However, in addition to classification of the disease can be identified two more options: a simple tonsillitis of a chronic nature and a toxic-allergic form of the disease. The difference between these forms is both in the mechanisms of the formation of the disease, and in clinical manifestations in the period of exacerbation.

Symptoms of chronic tonsillitis of simple form do not differ from manifestations of ordinary sore throat. To suspect the chronic course of the inflammatory process in the powers of only an attentive specialist.

Most often the simple form is characterized by local signs: pus, purulent plugs, swollen arch, enlarged lymph nodes. When swallowing, discomfort appears, there is a foreign body sensation, dryness is felt in the mouth. During the remission, there are no manifestations, and with exacerbations (up to 3 times per year), angina develops with an increase temperature, weakness, general malaise, and a headache characterized by a prolonged period recovery.

With the diagnosis of toxic-allergic chronic tonsillitis symptoms and treatment in adults are somewhat different. This form is characterized by a heavier current. For convenience, it distinguishes two degrees of severity.

The first degree of toxic-allergic tonsillitis in addition to local inflammatory reactions includes general intoxication symptoms and manifestations of allergization. This includes fever, pain in the joints and heart, increased fatigue. A person who falls ill with such a form of tonsillitis, is more difficult to cope with the flu and orgi. The period of recovery after illness is prolonged.

Symptoms of chronic tonsillitis in adults with a second degree of toxic-allergic variant of the disease are characterized by the presence of concomitant diseases. Often they have an autoimmune component, or they are associated with streptococcus - the most common cause of tonsillitis, both acute and chronic.

With this form of the disease, the amygdala becomes a permanent source of infection. The risk of spreading it through the body becomes high. Possible violations in the work of the heart, joints, liver, kidneys.

How much does subfebrile temperature with chronic tonsillitis

The temperature in chronic tonsillitis rises on the same principle and the same reasons as in other infectious diseases.

The human immune system triggers hyperthermia as a response to the activity of pathogenic bacteria or viruses that are the causative agents of infection. Thus, conditions are created in which microbes feel uncomfortable and begin to die.

The temperature for the described disease, as a rule, rises during the period of exacerbation. Conditions for favorable spread disappear, and the propagation of the pathogen is suspended.

Subfebrile temperature in chronic tonsillitis is more common than high. Substances that give a signal to the immune system in case of infection in the body are called pyrogens. The latter include both the microorganisms themselves and their toxins. Plus, pyrogens can also be created inside the body.

Regulates the temperature of the special area of ​​the brain - the hypothalamus. He commands the blood to move from the skin to the internal organs. As a result of this process, heat loss decreases and the human body begins to "warm up".

On the question of how much the temperature keeps in chronic tonsillitis, it is difficult to give an unambiguous answer. The naturally healed blood, getting back to the hypothalamus, informs him that the temperature has reached the desired level. At this level, it will persist until the eradication of the infection is over.

Diagnosis of chronic tonsillitis

Before talking about whether it is possible to cure chronic tonsillitis should pay attention to its diagnosis. The doctor must determine the described disease. In the diagnosis, he will be guided by a characteristic history, objective examination, as well as the results of additional studies.

As already mentioned above, the accompanying chronic tonsillitis symptoms, the photos of which are located below, most clearly manifest themselves during periods of exacerbation of the disease. Therefore, it is easier to diagnose an illness in this period.

In addition to the complaints of the patient himself, when examining the throat, one can notice hyperemia, the palatine arch will be swollen and with thickened margins. You can even find the fusion of palatine arches with glands and triangular fold.

Often there is a loosening of the tonsils (especially if the disease has developed in the child). Often there is an increase in regional lymph nodes.

As can be seen in the photo of chronic tonsillitis in adults, purulent plaque can be detected on the tonsils.

In the case of a toxic-allergic form of the ailment under consideration, a comprehensive examination of the patient should be carried out. The purpose of such a survey is to identify the associated diseases and assess the severity of the pathology.

Chronic tonsillitis (tonsillitis) in pregnancy

Many women preparing to become a mother even before conception can face the manifestations of a disease. However, not all are being treated. Often it seems to future mothers that once the symptoms are not critical, then the disease is not serious. That is why chronic tonsillitis in pregnancy occurs quite often.

Pregnancy is a very important and responsible period. From the very beginning it is necessary to take care of the safety of the baby. Including you need to pay attention to chronic diseases of the mother, because any malfunction in the mother's organism will inevitably affect the child.

Chronic tonsillitis can seriously affect a baby's health. Affected with this disease, tonsils - a kind of barrier for various infections. As a result of inflammation, this barrier is broken, creating the risk of penetration of pathogenic microbes into the bloodstream through which they can reach the fetus.

If during pregnancy a woman has symptoms characterizing chronic tonsillitis symptoms, then you should immediately contact the doctor, because among the dangers that this disease contains, lies the threat of miscarriage, toxicosis in later periods and premature birth.

Is it possible to cure chronic tonsillitis forever and how to do it with antibiotics?

There are many ways to combat the described disease. But only after an accurate diagnosis of the extent and form of the disease can you understand how to cure chronic tonsillitis forever.

One of the most common methods is drug therapy, in which the decisive role is given to treatment with antibacterial agents. Preparations of this group are prescribed during periods of exacerbation of the disease and are the best answer to the question of how to get rid of chronic tonsillitis. Prescribe them should be based on the results of the tank-sowing. The use of an antibiotic blindly may not give the desired effect.

Antibiotics for chronic tonsillitis can be prescribed by a short course using light and relatively safe means, and can be appointed and for a long time with the use of aggressive drugs that require simultaneous reception probiotics.

With latent flow of tonsillitis, antibiotic therapy is usually not performed, this additionally disrupts the microflora of the mouth and the gastrointestinal tract, plus immunity to all.

Than to treat chronic tonsillitis in adults: medicamentous agents

Treatment of chronic tonsillitis in adults also includes the use of painkillers (for example, Nurofen). These medications are used as symptomatic therapy mainly in severe pain syndrome. With minor pain, their use does not make sense.

To reduce the edema of the mucous throat and tonsils, antihistamines are necessary. The most good at the same time means the latest generation, such as Zirtek, Telfast, etc. They are stronger and safer, and also have a longer action and do not produce a sedative effect.

In the diagnosis of chronic tonsillitis treatment must necessarily be supplemented with local antiseptic drugs. They are released in the form of sprays, tablets for resorption or solutions. Of the first, Miramistin can be used very efficiently, which has a rather extensive spectrum of action. Among the tablets for resorption is quite popular Pharyngocept. Of the solutions that are used to rinse the throat, you can give an example of Hexoral.

How to get rid of chronic tonsillitis and how to gargle

When deciding what to gargle with chronic tonsillitis, do not forget about sea salt. It is sold in any store and very inexpensive. Gives a good result, and besides does not irritate the mucous membrane.

For rinses, essential oils can also be used. For example, lavender, cedar, eucalyptus or tea tree. With the described disease they have a positive effect. And some of these oils are part of the pharmacy medicine for angina.

It is worth noting that when diagnosing chronic tonsillitis it is up to the doctor to rinse the throat. He will choose the most suitable drug for a particular case, which will allow for a speedy recovery.

To stimulate local immunity in chronic tonsillitis, you can use a drug called Imudon. For the same purpose, natural products are also good: chamomile, ginseng, propolis, etc.

How to treat chronic tonsillitis at home: folk remedies

In case of development of the disease chronic tonsillitis treatment at home can be carried out through folk remedies. If you follow the recommendations of an experienced homeopath, you can significantly increase the remission of the disease.

For example, to rinse your throat, you can use a turn or sage. A good effect is given by chamomile and eucalyptus leaves. Not bad help with the described disease kidneys of pussy willow, aspen bark, as well as the roots of elecampane and ginger.

Talking about how to treat chronic tonsillitis in adults, you can not fail to mention the mitigants. The fact is that as a result of the processes of inflammation and taking certain medications, the patient may have dry mouth, a feeling of perspiration, or a feeling of sadness in the throat. In such cases, you should use apricot, peach or sea buckthorn oil by digging into the nose in the morning and evening a few drops.

Proper nutrition in the treatment of chronic tonsillitis in the home

In addition to treating chronic tonsillitis at home with medication, you need to think about the patient's diet. Diet therapy is an integral part of successful therapy.

Excessively chilled or heated food is not recommended for this disease. Hard, hard dishes are excluded. Limiting the reception of sharp, salty and smoked products, because they all significantly worsen the patient's condition.

Measures to prevent chronic tonsillitis in adults

Prevention of chronic tonsillitis in adults - an event no less important than the treatment of this disease.

To achieve the longest possible remission, it is necessary to eliminate stress and fully rest. It is extremely important to eat properly, avoiding food, which can irritate the mucous membrane of the pharynx and tonsils.

In addition, the prophylaxis of the described ailment is closely associated with visiting seaside resorts.

NasmorkuNet.ru

How to treat chronic tonsillitis. Treatment with folk remedies

Palatine tonsils are considered to be the only serious obstacle in the path of pathogenic microorganisms that spread by airborne droplets. Getting on their mucous membranes and lacunae, which are a kind of gate through which there is a special secret that opposes infections, microbes provoke a reaction aimed at fighting with them. In some cases, palatine tonsils can not resist the attack of the infection and inflame themselves. This phenomenon is known in medicine as angina.

Untreated inflammatory diseases of the throat and palatine tonsils can lead to such a phenomenon as chronic tonsillitis (the photo in the article is provided). This ailment appears in most cases even in childhood. What is this disease, what are the causes of its occurrence and symptoms, and how does chronic tonsillitis work? All this is worth discussing in detail.

Why does tonsillitis occur?

The appearance of tonsillitis contributes to several causes, including numerous acute exacerbations of the disease or frequent tonsillitis. It is interesting that chronic tonsillitis in a child in 90% of cases arises precisely for these two reasons, while in adult patients the list of provoking factors is much wider. These include:

1. The high level of air pollution that a person breathes.
2. High content of pollutants in drinking water.
3. Reduced level of natural defense of the body - immunity.
4. Systemic hypothermia of the body.
5. Stress.
6. Chronic diseases of the respiratory and digestive organs: caries, sinusitis.
7. An improperly formulated diet with a predominance of products containing carbohydrates and proteins.
8. Systematic overwork.
9. The presence of bad habits: smoking and drinking alcohol.
10. Hereditary predisposition.

Forms of the disease

With regard to such a disease as chronic tonsillitis, the opinions of specialists testify to the presence of several of its forms. Firstly, it is a recurrent form, which is characterized by the frequent occurrence of inflammations of the mucous pharynx, that is, angina. Secondly, it is a protracted form, in which the inflammation of the palatine tonsils proceeds sluggishly for a long period of time (up to 3 weeks). And, finally, the third form of the disease, in which exacerbation of chronic tonsillitis and sore throats do not appear for a long time. Each form of the disease requires a special approach to the treatment and prevention of exacerbations. It is this knowledge that helps to understand how chronic tonsillitis is treated in each particular case and why this or that method is chosen.

Signs of the disease in adults and children

Chronic tonsillitis in adults and children manifests itself by various symptoms, which do not always directly indicate the presence of this particular disease. Let's consider the main ones. With an ailment known as chronic tonsillitis, in adults symptoms often resemble the usual fatigue and reduce to a constant headache, weakness and a significant decrease working capacity. This symptomatic picture is caused by intoxication of the body with the products of the vital activity of bacteria living on the surface of the palatine tonsils and inside them. The same manifests itself and chronic tonsillitis in the child. In this case, parents may notice that he is less able to absorb materials in school or kindergarten, become irritable and whiny.

The second most noticeable sign of having a chronic form of tonsillitis is the feeling of a foreign object in the throat. This phenomenon means that the lacunae of the palatine tonsils are blocked by large plugs consisting of caseous masses, which can also contain a small amount of food residues. As a rule, the appearance of such plugs is accompanied by an unpleasant odor from the mouth even in the absence of patients with carious teeth and with absolutely healthy gums.

Breeding in the palatine tonsils of staphylococci and streptococci can cause the appearance of unpleasant symptoms from the side practically all organs of the human body, as they penetrate from the affected tonsils into almost any part organism. Here are just a few of the symptoms that can disturb adults and children in the presence of chronic tonsillitis:

• feeling of aches in joints and bones;
• disorders in the work of the kidneys, pain in their area;
• disorders in the work of the heart, weak heart colic;
• rashes on the skin that are not amenable to treatment;
• a systematic increase in body temperature to subfebrile values.

It should be noted that chronic tonsillitis in adults and children manifests itself in many organs, but this is not means the absence of their pathology, since the microorganisms penetrated into them, unfortunately, cause an inflammatory process.

What is the danger of chronic tonsillitis if it is not treated?

The chronic form of tonsillitis is dangerous, first of all, by the fact that it quickly becomes the cause of various complications affecting many body systems. Produced by the pathogenic microflora inhaling in the tonsils, toxins affect cartilage and ligaments most often, because of which a sick person can constantly suffer from pain in the joints and muscles.

However, the most terrible is the relationship of tonsillitis with heart disease. This is due to the fact that the specific protein material synthesized by streptococcus in the tonsils is similar to the protein from which the connective tissues of the heart are composed. As a result of this similarity, immune cells begin to attack not only foreign cells, but also the heart itself, thus causing myocarditis or bacterial endocarditis.

The same causes are the basis for the emergence and development of diseases such as glomerulonephritis and rheumatoid arthritis. As you can see from the above information, you should not joke with such a disease as chronic tonsillitis. Symptoms and treatment of this disease require the most attentive attitude, otherwise its effect on the body can have serious consequences, especially in childhood.

Methods of treatment of chronic tonsillitis

Let's consider some basic moments, how to treat chronic tonsillitis at the present time. It is worth reminding the readers that the methods of treating oral and pharyngeal diseases have changed somewhat due to the entry of high technologies into medicine. So, first of all, all ways to get rid of the chronic form of tonsillitis relate to conservative or surgical methods.

If 25-30 years ago at the time of diagnosis specialists tried to immediately resort to the removal of palatine tonsils, today ENT doctors try to use the maximum of ways to get rid of the disease with the help of medical technologies and medicinal preparations. It is caused by the fact that when the tonsils are removed the human body remains practically defenseless before infections transmitted by airborne droplets. In what features of these methods, we learn right now.

Conservative treatment of tonsillitis

Chronic tonsillitis (photo above) in the clinics begin to treat according to the following plan.

1. Purification of lacunas of palatine tonsils clogged with pathological secret by means of a syringe or special device "Tonzilor". The first method is less effective and more traumatic than the second, so recently it is used only in medical equipment not equipped with medical devices.
2. Effects on the tissues of the tonsils and the posterior wall of the palate by ultrasound, laser, vibroacoustic apparatus, medicinal solutions. This group of measures is aimed at eliminating the swelling of the tissues of the throat and palatine tonsils, reducing the number of bacterial microflora in them and improving natural trophism.
3. Medicamental therapy, the reception of antibiotics and immunomodulators of synthetic or plant origin.
4. The appointment of a diet aimed at preventing irritation of the tonsils and increased immunity.

Surgical removal of palatine tonsils

Treatment of chronic tonsillitis in adults and children is surgically divided into tonsillectomies and tonsillotomy. As a rule, during these procedures, palatal tonsils are removed from both sides, and very rarely with only one. What are these surgical operations? Tonsilectomy is a complete removal of tonsil tissue, and tonsillotomy is a partial surgical excision of the tonsils. All without exception, operations to remove palatine tonsils are performed under local or general anesthesia.

Along with these two operations, some medical institutions practice so-called abscessesillesectomy, which is a surgical removal of tonsils against the background of a fully developed paratonsillar abscess. The main disadvantage of this procedure is a high level of soreness during as suppuration of the removed tissues becomes an obstacle for sufficient assimilation of anesthetics preparations.

Chronic tonsillitis: treatment with folk remedies

Another fairly common method, which is even more popular than conservative and surgical treatment of tonsillitis, is considered folk medicine, which absorbed the experience of the hundreds of generations that faced this ailment. There are hundreds of recipes that help to alleviate the course of the disease and even completely eliminate chronic tonsillitis. Traditional treatment is divided into an external effect on inflamed palatine tonsils and normalization of the internal atmosphere of the body, which helps it to cope with the infection itself.

To external means include pastes for tonsils, infusions or broths for gargling, poultices and compresses on the neck area of ​​herbs and other products. The means for internal use include tea, decoctions, tinctures and infusions, extracts, inhalations and much more.

External means for the treatment of chronic tonsillitis

In order to get rid of sore throat and inflammation of the tonsils with such a disease as chronic tonsillitis, treatment with folk remedies offers several fairly simple in performance of recipes. Consider the most popular of them.

1. A poultice of dried flowers of violets fried in a small amount of purified vegetable oil. In a warm form, put on the neck in front and leave for the whole night. This method is applicable at any age, but it is not recommended for pregnant women.
2. Propolis - one of the folk remedies, the effectiveness of which is recognized as official medicine. It can be used in childhood, during pregnancy and lactation. The easiest way: to keep for an hour a piece (1-2 g) of purified propolis in the mouth. In addition, you can use and infusion of propolis on medical alcohol (20 g per 100 ml of alcohol). Dissolve 10 drops of tincture in half a cup of boiled chilled water and rinse this composition with a throat 5-6 times a day.
3. Paste for application to the tonsils. These preparations usually include parts of plants that have a softening and antimicrobial effect. For example, one recipe for folk medicine suggests using flax seed, mustard (not mustard powder!), Garden and parsley radish as a component of pasta, as well as a small root of horseradish. Chopping all the components to a dense mass, it can be slightly diluted with boiled water to make it easier to lubricate the tonsils.
4. Inhalations using essential oils of tea tree, eucalyptus and chamomile are carried out or customary in all ways using a pot of hot water, or with the help of a nebulizer. This method helps to eliminate inflammation and helps to reduce cough. It is worth recalling that the greatest effectiveness from the treatment of chronic tonsillitis by inhalations occurs if they are carried out during the period of remission, that is, in the absence of a pronounced inflammation in tonsils.

Despite the fact that traditional medicine is considered by many to be absolutely safe and harmless, do not forget that when applying certain recipes, serious complications can arise. To such "dangerous" methods of treatment, experts refer to the use of kerosene and other petroleum products for the removal of inflammation of the tonsils of the tonsils. Remember that such specific and not always justified means can lead to the most severe poisonings and burns of the digestive tract.

Drinks for the treatment of chronic tonsillitis

You ask: "How is chronic tonsillitis treated with tea?" It's simple! First, healthful drinks include a lot of very useful not only for the throat, but also for the body as a whole herbs. Secondly, medicinal drinks are much tastier and more pleasant to use than pastes, which have to be applied to tonsils, or frequent rinses. And thirdly, it's just delicious!

The most effective for chronic tonsillitis are beverages that contain beekeeping products: honey and propolis, as well as citrus, ginger, garlic and onions. Such components of teas and infusions help to fight not only with inflammation of the palatine tonsils, but also directly with the infection in them. Here are just some recipes of medicinal drinks, the use of which, according to folk healers, helps get rid of chronic tonsillitis.

1. In a liter of warm boiled water add juice from two fruits of lime and two lemons, 10 tbsp. l. natural honey bees, stir well. Drink a drink during the day. This remedy can be used to treat patients from a very early age and during pregnancy, provided there is no allergy to the components of the beverage.
2. In a glass of hot milk, add a pinch of turmeric and white ground pepper, stir and drink a drink before going to bed. It is necessary to consume this remedy within 3-4 days.
3. To make ginger tea, you need a piece of ginger root the size of a thumb, a pair of medium-sized lemons, one large clove of garlic and honey to taste. The root is ground on a grater, the lemon and garlic are also ground and placed in a bowl, poured, l clean water. The mixture is brought to a boil and heated for half an hour, without giving much bubbling. After percolation, honey can be added to the drink. This tea can be used to treat chronic tonsillitis in pregnant women and children.
4. In pregnancy, folk medicine advises to use as a medicine for chronic tonsillitis tea, which includes: 30 grams of dried leaves of plantain and wild mallow and the same number of roots althea. For 1 cup of boiling water, 1 tbsp. l. of the prepared medicinal mixture. To insist a drink it is necessary in a thermos for an hour, and take 1/2 cup twice a day before meals.

Treatment of chronic tonsillitis by people's methods is always more prolonged than with medications from the pharmacy. Therefore, choosing such a way to get rid of the disease, you must have patience.

syl.ru

Symptoms of chronic tonsillitis in adults. Cause of the disease and treatment

Everyone knows what a sore throat is. During the development of the pathology, the patient has unpleasant symptoms, some of which even interfere with the habitual way of life. Often, throat diseases doctors call tonsillitis. It can flow in acute and chronic form. It is the last form of the disease that will be discussed later. From the article you will find out what can be the symptoms of chronic tonsillitis in adults. Also find out something about the methods of its treatment.

Acute form

Before you tell us what are the symptoms of chronic tonsillitis (in adults or children), it is worth paying a little attention to the acute form of the disease. It is with her often begins the development of the described pathology.

Acute tonsillitis, in fact, is an angina. The main symptoms of the disease are sore throat, fever, general malaise, an increase in lymph nodes and so on. The cause of this pathology is a bacterial infection. It is caused by staphylococci, streptococci and pneumococci. These bacteria affect the tonsils from the outside. They can enter the human body by direct contact with an infected or domestic route. The absence of timely and correct treatment of acute tonsillitis translates the disease into a chronic form.

What is chronic tonsillitis?

If during an acute form of the disease the infection affects the larynx from the outside, the chronic tonsillitis develops directly from the tonsils. Bacteria, which were described above, colonize the entire lymphoid tissue. And with the slightest decrease in immunity - are activated.

The exacerbation of chronic tonsillitis may be manifested by signs that characterize the common angina. Let's try to understand what are the symptoms of chronic tonsillitis. In adults, they are defined much more clearly than in children.

Patient's feelings: complaints

• In the chronic form of the disease in the stage of remission in humans, there is almost never a temperature increase. However, if you use a thermometer, you can see on it values ​​up to 3 degrees.
• An unpleasant smell from the mouth is present in almost all people suffering from chronic tonsillitis. All because of the fact that there are bacteria in the tonsils.
• General malaise. Patients can complain of rapid fatigue, irritability, a feeling of dryness in the throat. They constantly want to moisten the larynx with water.

What does the doctor see?

If you come to the reception to a specialist, he will listen and write down all the complaints in the card. After that the otorhinolaryngologist will necessarily make an inspection. During the procedure, other symptoms of chronic tonsillitis can be determined.

In adults, the disease is characterized by swelling and looseness of the tonsils. Despite the stage of remission, the tonsils have a lot of depressions, in which there is a white accumulation of curd-like consistency. When the wells are cleaned, the surface of the mucous membrane remains red and inflamed.

If an adult has chronic tonsillitis, an increase in lymph nodes is an optional indicator. However, in most patients, small knobs are identified on the neck and occiput. Increased pharyngeal tonsils can also be probed through the skin under the jaw.

Symptoms of exacerbation of sore throat

Chronic tonsillitis in adults can be exacerbated with a certain periodicity. More often it happens in the cold season, when the patient lacks vitamins and there comes a decrease in immunity.

• During an exacerbation the body temperature rises. Its level reaches 39 degrees.
• The patient has a strong puffiness of the tonsils with the secretion of a viscous purulent secretion.
• There is a pain in the throat when swallowing, dryness, pershenia, cough.
• Often, exacerbation of chronic tonsillitis affects the nasopharyngeal tonsils - adenoids. There is a development of rhinitis.
• Lymph nodes, which could have been enlarged earlier, become more and more painful at this moment.
• The general intoxication of an organism against the background of infection spread is determined.

Why does the disease develop?

You already know that there are two main forms of tonsillitis. Chronic angina appears due to improper treatment of acute disease. Often the reason for the emergence of pathology is the uncontrolled use of antibiotics, antipyretics. As is known, during an increase in temperature, the body struggles with infection, the secretion of antibodies. Most microorganisms die at the moment when the level of your thermometer reaches the level of 38 degrees.

The cause of chronic tonsillitis can be diseases that occur in neighboring areas - dental caries, adenoiditis, sinusitis and so on. The aggravation of the disease develops due to low immunity, bad habits, malnutrition and lack of prevention of the disease.

Surgery: a controversial issue

Depending on what has chronic tonsillitis symptoms, and the treatment should be appropriate. If the bacteria in the tonsils are toxic to the body and greatly reduces the quality of life of the patient, surgical treatment is often suggested.

The procedure is under anesthesia. After it is carried out, the source of the disease disappears - the affected tonsils. However, doctors are dual to manipulation. After all, the lymphoid tissue is also the protector of the body. After its removal, the infection will go unhindered to the respiratory tract.

Antibiotics: is there a need?

Treatment of the disease often involves the use of antimicrobial agents. Doctors can recommend you such drugs as Amoxicillin, Flemoxin, Amoxiclav, Sumamed, Azithromycin, Biseptol, Suprax, Ceftriaxone and many others. In order to choose the right tool for you, you need to conduct research.

From the area of ​​the pharynx, the lab technician takes a smear. After that, the sensitivity of microorganisms to certain preparations is studied. Only effective means are assigned. After all, to many of the listed compounds the bacteria can have resistance.

Treatment of pharynx with antiseptics and antimicrobials

May have tonsillitis complications. These are kidney pathologies or cardiac dysfunction. Therefore, it is important to follow all the points described by the doctor. Often, doctors with angina design treatment of throat. However, patients are careless about this, believing that antibiotics will be enough.

To treat affected tonsils prescribed such means as "Lugol "Chlorophyllipt "Miramistin" and so on. At the same time, lozenges for resorption with antibacterial effect, for example, "Grammidine can be administered.

Additional funds to help cure angina

Has chronic tonsillitis consequences in the form of reduced immunity. Therefore, immunomodulatory compositions are prescribed for therapy. It can be such drugs as "Anaferon "Isoprinosine "Likopid" and so on. They are taken only on the advice of a doctor.

Also, to restore a person need vitamin complexes. They can be purchased independently in each pharmacy network.

If it is found on tonsils, the plaque is removed. There is a manipulation in a hospital. The doctor uses a special tool to squeeze out a purulent secret from the depressions. After that, the tonsils are carefully treated with an antiseptic.

For the treatment of chronic tonsillitis in the acute stage, folk medicine is also used. This rinse with a decoction of chamomile and sage, hot drink, tea with honey and lemon, eating garlic and onions. The purpose of such events is to cleanse the tonsils and improve immunity. However, folk remedies are not always able to cope with the disease. In most situations, competent conservative therapy is necessary, in the absence of which complications and additional ailments develop.

A small conclusion: the outcome

You already know what chronic tonsillitis is. Symptoms and treatment of the disease are presented in your article. This pathology is very unpleasant and dangerous. Therefore, when the first symptoms of the disease should not engage in self-medication. As soon as possible, show your doctor and get qualified help. Always remember that the process can be complicated by diseases such as bronchitis, pneumonia. All the best to you, be healthy!

fb.ru

Chronic tonsillitis: features of treatment

Chronic inflammation of the tonsils is a very common disease within this organ, which is called chronic tonsillitis, the treatment of which in this case should be appropriate, therefore it is necessary to know the basic symptoms of the disease.

Inflammation of the tonsils is considered quite a serious disease and can lead to serious health consequences. Therefore, tonsils with chronic inflammation are most often removed surgically.

Themselves of the amygdala are accumulations of lymphoid tissue, i.e., places in which there is a differentiation of cells of the immune system - lymphocytes and monocytes. In this regard, they are able to protect the body from infections.

Tonsillitis in children is a fairly common health problem.Tonsillitis very rarely occurs in adults. The most common cause is its bacteria, called streptococci, and transmitted by a drip infection, although the cause of inflammation can be and viruses.

Tonsillitis against bacterial infection is a widely known disease (angina). Not every redness and swelling of the tonsils means problems with the body itself - such a symptom can accompany the inflammation of the throat.

Symptoms of inflammation of the tonsils

In the case of viral inflammation, a common rhinitis first appears. But tonsillitis is, first of all, noticeable reddening, edema of the tonsils and the sky, which usually appears only in a later phase of the disease. Characteristic symptoms accompanying angina, that is, bacterial inflammation of the tonsils - a white coating on their surface.

In addition, the patient complains of severe sore throat and swallowing problems, has no appetite. There is quite a strong fever, a headache and bad breath. Ears and stomach may ache. Vomiting and coughing occur. Problems with tonsils often appear in pre-school and school-age children in the spring-summer period.

The main symptoms that help determine chronic tonsillitis include:

• slight periodic pain in the throat;
• Feeling of obstruction in the throat and difficulty swallowing;
• The mucous membrane of the pharynx is inflamed.

The occurrence of recurrent acute inflammations is an important information for the doctor when diagnosing. In addition, patients complain of bad breath and unpleasant taste in the mouth. Then on tonsils there is also a characteristic cream-yellow coating.

Often enlarged are the surrounding lymph nodes. Chronic inflammatory process leads to changes in the structure of the tonsils:

• they become hypertrophied;
• their surface is uneven;
• mobility is limited;
• when they are depressed, purulent discharge comes out of the depressions.

From the surface layer, the infection spreads deep into the tonsils or, worse, the blood vessels are transferred to distant organs such as the heart, kidneys and joints. This can cause the following serious diseases of these organs:

• rheumatic fever;
• glomeruponephritis;
• arthritis.

In chronic inflammation of the tonsils, general symptoms are also observed: fever, weakness and lack of appetite.

Causes of Chronic Inflammation

The main cause is repeated acute infections caused mainly by viruses. Acute inflammation develops after infection with a drop infection from an infected person. After that, the process of replication begins, that is, the doubling of the genetic material and, as a consequence, the development of clinical symptoms.

Another cause of acute inflammation are bacteria, mainly streptococci beta-hemolytic group A. Excess colonization of these bacteria on the tonsils leads to the development of inflammation. This occurs as a result of the release of specific proteins streptococci, which stimulate the production of cytokines (inflammatory factors) against the cells of the immune system. It comes to the development of fever, edema and dysfunction of cells.

Chronic disease is not always due to acute infections. The structure of the tonsils is dominated by cracks, branched crypts that penetrate into the soft tissue. Physiologically, the material that settles in these crypts is removed freely from the oral cavity, and the function of the tonsils is not disturbed. Sometimes it happens that the remains of nutrients are deposited constantly in the indentations, becoming a nutrient medium for bacteria that are in the mouth, leading to chronic inflammation tonsils. In addition, lymphocytes, exfoliated epithelium and bacteria can settle in the depressions of the tonsils.

Treatment of tonsillitis

First of all, you should see a doctor as soon as possible.

In most cases, tonsillitis is viral and does not require treatment with antibiotics. In addition to examining the throat, the doctor can prescribe a test for a swab from the throat to make sure that the infection is caused by bacteria or viruses. Sometimes a blood test is performed to confirm that the body is undergoing an inflammatory process (a sufficiently complete blood test, in which ESR is determined).

Specialists usually treat a sore throat, prescribing medications to the patient with painkillers, anti-inflammatory and antipyretic drugs. Chewable tablets are used to relieve pain in the throat. You can gargle with sage infusion, which has astringent, antibacterial and emollient effects.

It should be borne in mind that when treating antibiotics the patient should receive probiotics and prebiotics, which restore the bacterial flora within the body.

For the duration of treatment prescribed by a doctor, you should try to irritate your throat as little as possible. Do not smoke, as this is very irritating to the throat, and makes swallowing even more difficult. In order to maximally ease the symptoms of the disease, you should moisten the air and often ventilate the patient's room.

How to cure chronic tonsillitis? Drug treatment, consisting in the rinsing of the throat and the intake of special drugs and analgesics, in the case of chronic inflammation brings only a slight improvement. Treatment of chronic tonsillitis with antibiotics is also unsuccessful, and gives results only with acute inflammation. The only effective treatment for chronic disease is the procedure for removing tonsils.

What is the removal of tonsils?

Is it possible to cure chronic tonsillitis with a surgical procedure? The removal of tonsils is the most frequently performed surgical intervention in otolaryngology. Therefore, this operation is currently performed in several methods. In addition to the classical surgical method of tonsillectomy, the method of laser removal (application of radio waves of high frequency) and cryosurgery (tissue freezing) is applied.

However, the most popular method is still the surgical method, and it is often supplemented by electrocoagulation, which reduces bleeding. The removal of tonsils by the classical method consists in separating the amygdala from the surface and carefully removing its tissues. The procedure can be performed under local anesthesia or general anesthesia. However, it is most often possible to avoid general anesthesia, when this is undesirable. The operation should not last longer than an hour.

Complete recovery after surgery should occur approximately 14 days after the procedure. Stitching is not performed because it can make swallowing difficult and leave scars.

After the operation, the patient remains on observation for about 3 days. All this time he is offered painkillers, and the diet consists of liquid products. Two weeks after the operation, the symptoms mostly disappear, and the throat after healing of the tonsils heals.

Removal of tonsils - readings

Indications for surgery for the removal of tonsils can be divided into two groups. The first of these is absolute indications, that is, a chronic illness that does not recede without a cutout of the tonsils. The second group consists of relative indications, that is, a condition in which tonsillectomy is recommended.

The absolute indications are:

• suspicion of a malignant tumor;
• Abscesses of the tonsils;
• Recurrent, purulent, hemorrhagic inflammation of the tonsils;
• Significant hypertrophy of palatine tonsils, leading to sleep apnea and throughout the day.

Relative indications include:

• 5-7 incidents of inflammation of the tonsils during the year;
• Chronic tonsillitis, lasting 3-6 months;
• Inflammation of the lymph nodes of the neck, concomitant with chronic inflammation of the tonsils;
• Disorders of swallowing caused by hypertrophy of the tonsils;
• General complications in the course of chronic inflammation of the tonsils.

Removal of palatine tonsils - the most frequent complications

Any surgical intervention carries with it the risk of certain complications. After tonsillectomy, they are quite rare, but you should keep in mind that there is no rule that indicates that they will not arise exactly from you. About the risk of surgery and its possible complications, you will be informed in detail by the doctor before the procedure.

The most frequent complications after tonsillectomy are bleeding, therefore it is recommended to limit efforts, Avoid lying down position and applying a liquid diet, so as not to irritate the site after removal tonsils. Strong and intensive bleeding happens very rarely, in these cases, the intervention of the doctor may be crucial.

.

Sometimes there is vomiting, which is associated with the use of anesthesia or anesthesia. It happens that it is also caused by blood draining into the stomach. There may be inflammation and hypertrophy of other elements of the lymphatic system.

The rare complications include damages of the palatine arch, constant changes in the voice of the voice or a disorder in the function of the muscles due to damage to the nearby nerves. In addition, the occurrence of frequent infections of the upper respiratory tract.

Removing tonsils is still a controversial topic for doctors. There are many arguments for and against performing tonsillectomy. Each situation should be considered individually, and the procedure is appointed in strictly justified and carefully selected cases.

.

Tonsils are one of the elements of the immune system, so their removal should not be significantly affect the functioning of the body's immunity, especially if they themselves have caused recurrent infections. In this case, the operation will put an end to the unpleasant and intense inflammation.

lor03.ru

Tonsillitis: Definition, Symptoms and Signs of Disease

• Causes
• Bacterial tonsillitis
• Viral tonsillitis
• Treatment

The term "tonsillitis" refers to the infection of the palatine tonsils.

Your tonsils are small, oval-shaped tissues located on either side of the back of the throat.

They are part of the immune system and help protect the rest of the body from microorganisms that enter the mouth.

But sometimes viruses or bacteria attack the tonsils themselves. If this happens, you will feel sick for a few days.

Sometimes the infection penetrates beyond the tonsils, causing sinus, rhinitis, bronchitis and other diseases.

Many different bacteria and viruses can lead to tonsillitis.

In addition, you can easily get infected from sick people. Therefore, the answer to the question "is contagious is tonsillitis" is affirmative.

• Bacteria that most often cause tonsillitis are called streptococci. These bacteria can also cause sore throat without affecting the tonsils.
• Without special tests, it is impossible to say what causes the disease, bacteria or viruses. Symptoms are the same.

Treatment

Surgical Antibiotics Drugs In Pregnancy In Children Folk Remedies

If you have one episode of tonsillitis, doctors call it acute tonsillitis. But if you regularly (five or more times per year) are sick with tonsillitis, this is a sign of chronic tonsillitis.

Symptoms of chronic tonsillitis occur in children more often than in adults. Girls can suffer from his relapses more often than boys.

Symptoms and signs of tonsillitis

Symptoms of tonsillitis include:

• persistent sore throat;
• redness of the glands and throat;
• hoarseness;
• difficulty of feeding (children);
• pain when swallowing;
• fever;
• redness of the eyes;
• headache, dizziness, weakness;
• pain in the abdomen (due to swelling of the lymph nodes in the abdominal cavity);
• cough;
• coryza;
• increased cervical lymph nodes;
• white patches on the tonsils;
• pain in the ear (from nerves that are in the back of the throat and go to the ear).

Less common signs of tonsillitis:

• vomiting;
• constipation;
• "Fluffy" language (with a touch),
• "Rotten" smell from the mouth;
• problems with opening the mouth.

Bacterial, viral and purulent tonsillitis: causes

How does bacterial tonsillitis occur?

Bacterial tonsillitis (photo above) can be caused by a variety of different bacteria, but most often its cause is group A streptococcus bacteria. Tonsillitis can be acute and chronic.

In the past, severe bacterial infections, such as diphtheria and rheumatic fever, were the trigger for the onset of the disease. Fortunately, these days this happens very rarely due to vaccination and improved treatment of these diseases.

• Tonsillitis is transmitted in the same way as a cold and flu. It is contained in millions of tiny droplets, which when coughing or sneezing "come out" of the nose and mouth of the infected person. Other people inhale these drops and become infected.
• You can get bacterial tonsillitis by touching the place where such a drop landed, and then touching your face.

How does viral tonsillitis occur?

Microorganisms that cause viral tonsillitis include:

• rhinoviruses - viruses that cause colds;
• influenza virus;
• parainfluenza virus - causing laryngitis and croup;
• enteroviruses - cause diseases of the hands, feet and mouth;
• Adenovirus is a common cause of diarrhea;
• measles virus.

It is important to know

In rare cases, viral tonsillitis can be caused by the Epstein-Barr virus, which causes inflammation of the glands. If so, the patient will probably feel very bad. During the medical examination, enlarged lymph nodes along the entire body and enlarged spleen will be revealed.

How does purulent tonsillitis occur?

Acute purulent tonsillitis is an acute non-specific inflammation of the palatine tonsils, often accompanied by pharyngitis. It is more common in children and adults under the age of 20 years. This disease requires compulsory treatment.

The main causes of purulent tonsillitis are:

• beta-hemolytic streptococcus;
• Pneumococcus;
• a stick of influenza.

Pathogens are usually hidden in the tonsils and are activated when the human immunity is weakened by fatigue, cold or other causes. Then the pathogens quickly multiply and cause the disease.

Symptoms of purulent tonsillitis:

• basically - a sore throat;
• pain when swallowing, often with irradiation in the ear;
• chills;
• heat;
• visible edema of the tonsils;
• visually visible spots of pus.

This condition can often lead to an abscess of palatine tonsils.

Treatment of tonsillitis: bacterial tonsillitis and antibiotics

Antibiotics are used in the case of bacterial tonsillitis, whose treatment with their help is usually successful. But with viral illness, treatment with such drugs is useless.

The antibiotics of the penicillin group are most often prescribed. People who are allergic to penicillin can be treated with erythromycin. Reviews about erythromycin are pretty good, but you should not self-medicate. This drug should be taken only as directed by a doctor.

Treatment with oral antibiotics in duration takes 10 to 14 days.

• Drugs containing antibiotics can be prescribed if the symptoms of tonsillitis become worse with time or the patient has a high temperature for a long time.
• Studies have shown that treatment with antibiotics from tonsillitis can reduce the time of illness by about a day.
• They also reduce the risk of complications, such as rheumatism, although complications in the treatment of viral and bacterial tonsillitis are rare in any case.
• Diarrhea, skin rash or indigestion - frequent, but minor side effects of admission.

How to treat bacterial tonsillitis in addition to antibiotics

Home treatment

Treatment at home Folk remedies Rinse throat Inhalation Diet Propolis Chlorophyllipt Massage of tonsils Sea-buckthorn oil CollectionNo.37 Lugol

In addition to taking antibiotics, patients who want to know how to treat bacterial tonsillitis should provide their body with adequate sleep.

• Patients should respond promptly to weather changes to maintain normal indoor humidity and prevent the body from subcooling.
• Exercises that improve the body's ability to fight the disease are very useful in tonsillitis. But the degree of physical activity should be adjusted by the attending physician or the physiotherapist. Overstrain in tonsillitis is not the best help and so to the suffering organism.
• Refrain from smoking during illness.
• How to treat bacterial tonsillitis quickly and easily? Drink plenty of liquids (not alcohol) and eat semi-liquid foods at room temperature. Hot water or tea can temporarily increase unpleasant sensations in the throat.
• Try to eat and drink regularly, even if your throat hurts. Hungry and dehydrated people experience symptoms such as headache and fatigue.

Viral tonsillitis and its treatment

If tonsillitis is caused by a virus, it is likely that the immune system will cope with it for several days.

At the same time, there are a number of things that you can do to help yourself or your child while treating viral tonsillitis.

• With the help of paracetamol or ibuprofen, symptoms such as pain and fever can be alleviated. When taking medication, do not disregard the instructions on the package. Otherwise, you can incorrectly calculate the dose, then the remedy will not work or will have a strong side effect.
• Patients with indigestion, stomach ulcers, kidney disease or asthma should not take ibuprofen.
• If you are pregnant, give up ibuprofen and take only paracetamol in accordance with the instructions of a gynecologist or midwife.
• Children under the age of 16 should not take aspirin.
• Means such as lozenges and sprays (for example, Miramistin Spray) are often used in the treatment of viral tonsillitis, as gently soothe the unpleasant sensations in the throat.
• Some people believe that gargling with a soft antiseptic solution can help alleviate sore throat, although there are no serious clinical studies regarding the effectiveness of the solution.

Than and how to treat tonsillitis in adults and children

If you have repeated attacks of tonsillitis or it interferes with daily life, the doctor can suggest the removal of tonsils.

This will be done during an operation known as tonsillectomy.

Most often it is carried out in case of tonsillitis in children.

Many doctors believe that than to treat tonsillitis regularly, it is better to get rid of it once and for all.

• Removal of the tonsils is carried out under general anesthesia, you will sleep during the procedure.
• Your mouth will remain open so that the surgeon can see your tonsils.
• The surgeon will use a special scissors to remove the tonsils and then apply the soluble sutures to the wound.

Preparations

Miramistin Dioxydin Bioparox

Than to treat a tonsillitis radically? Tonsillectomy is the answer to this question. This operation can be carried out in several ways:

• With the help of surgical instruments. This is the most common method, in which a surgical blade is used to remove tonsils.
• Diathermy. In this case, a probe is used that creates heat from the electric current to destroy tissue around the tonsils and remove the tonsils themselves. At the same time, heat seals the blood vessels and stops bleeding.
• "Cold" ablation. The method operates on the same principle as the previous one, but uses a lower temperature (60 ° C). It is considered less painful than diathermy.

How to treat tonsillitis in adults: recovery after tonsillectomy

For those who suffer from tonsillitis and are interested in how to treat tonsillitis in adults once and for all, the answer is one - the removal of tonsils.

• On average, after the operation, recovery takes 5 to 7 days. You may feel uncomfortable for up to two weeks after the operation.
• People who have undergone tonsillectomy should refrain from attending work for two weeks. This will reduce the chance to "pick up" the infection from a sick colleague.
• Speaking about how to treat tonsillitis in adults, we can not fail to mention that after tonsillectomy it is necessary to drink a lot of liquid, but avoid acidic drinks such as orange juice, since they will "sting" the unhealed throat.
• It is important after removing the glands to brush your teeth regularly, it helps fight infection in the oral cavity.
• Pain sensations usually occur within the first week after the operation and gradually disappear for the second week. Pain in the ear is a side effect of tonsillectomy and does not give cause for concern.

It is worth noting

After the tonsils have been removed, a white coating appears in the throat. Once the throat is completely healed, it will gradually disappear. This process will take about two weeks.

Than to treat tonsillitis in a small child

Sore throat is a classic symptom of tonsillitis, but it may be difficult for parents to understand that the child has a sore throat if he can not speak yet. Watch for a decrease in appetite and saliva. Sometimes a child with tonsillitis may experience excessive salivation, because it hurts to swallow.

Than to treat a tonsillitis at the child till two years? The best treatment is symptomatic help.

• Acetaminophen or ibuprofen can help relieve pain and fever.
• Offer the baby soft foods, such as bananas or pudding, and exclude from his diet tough foods such as toast.
• Encourage fluid intake. With tonsillitis, the organism of babies can easily become dehydrated, because they do not want to drink, if swallowing causes them discomfort. Let them drink gradually, but often. Soup, ice cream and fruit ice cream are also counted as liquids.

Talking about how to treat tonsillitis in a child, it is important to say and about what to treat is not worth it. Antibiotics are usually not prescribed in the treatment of tonsillitis, because these drugs treat bacteria, and most cases of tonsillitis are caused by the virus.

.

gajmorit.com

Similar articles