Chronic tonsillitis treatment

Chronic tonsillitis - symptoms, treatment, causes, complications

Chronic tonsillitis is a condition of palatine tonsils, in which, against the background of a decrease in local natural protective functions, their inflammation periodically occurs. Therefore tonsils (tonsils) become a constant focus of infection, with chronic allergization and intoxication of the body. Symptoms of chronic tonsillitis are clearly manifested during periods of relapse, when during an exacerbation increases body temperature, lymph nodes increase, pain appears, sore throat, pain when swallowing, unpleasant odor from mouth.

Against the background of reduced immunity and in the presence of a chronic foci of infection, patients with tonsillitis chronic form in the future may suffer from such diseases as rheumatism, pyelonephritis, adnexitis (see Fig. inflammation of the appendages of the uterus - symptoms and treatment), prostatitis, etc. Chronic tonsillitis, sinusitis, sinusitis are social diseases of a modern inhabitant of a megalopolis, because the unfavorable ecological situation in cities, monotonous chemical nutrition, stress, overwork, an abundance of aggressive, negative information has a very negative effect on the state of the immune system of the population.

Why does chronic tonsillitis occur?

The main function of palatine tonsils as well as other lymphoid tissues in the human pharynx is to protect the body from pathogenic microorganisms that enter the nasopharynx with food, air, water. These tissues produce such protective substances as interferon, lymphocytes, gamma globulin. In the normal state of the immune system on the mucosa and in the depth of the tonsils, lacunae and crypts are always present both non-pathogenic and opportunistic microflora, in correct, natural concentrations, without causing inflammatory processes.

As soon as there is an intensive growth of bacteria coming from outside or present conditionally pathogenic bacteria, Palatine tonsils destroy and remove the infection, leading to the normalization of the condition - and all this happens unnoticed for rights. If the balance of microflora is disturbed for various reasons, described below, the sharp growth of bacteria can cause angina - acute inflammation, which can occur as a lacunar sore throat or follicular angina.

If such inflammations become protracted, often recur and poorly treatable, the process of resistance to infection in the tonsils weakens, they do not cope with their functions of protection, lose the ability to self-purification and themselves are the source of infection, then develops a chronic form - tonsillitis. In rare cases, approximately 3%, tonsillitis can develop without a preliminary acute process, that is, its occurrence is not preceded by angina.

In tonsils of patients with chronic tonsillitis, bacterial analysis reveals almost 30 pathogenic bacteria, but in lacunae the most numerous are streptococci and staphylococci.

It is very important, before the start of therapy, to take an analysis for the bacterial flora with the establishment of sensitivity to antibiotics, since pathogenic microorganisms are very diverse and each of them can be resistant to certain antibacterial means. When prescribing antibiotics at random, with the resistance of bacteria, treatment will be ineffective or completely ineffective, which will lead to an increase in the period of recovery and the transition of angina to chronic tonsillitis.

Diseases that provoke the development of chronic tonsillitis:

• Violation of nasal breathing with polyps (polyps in the nose, treatment), adenoids (treatment of adenoids in children), purulent sinusitis, sinusitis (treatment of sinusitis with antibiotics), curvature of the nasal septum, as well as dental caries - can provoke inflammation of the palatines tonsils
• Reduction of local and general immunity in infectious diseases - measles (see. symptoms of measles in adults), scarlet fever, tuberculosis, etc., especially in case of severe leakage, inadequate treatment, incorrectly selected medications for therapy.
• Hereditary predisposition - if in a family history there is chronic tonsillitis in close relatives.

Adverse factors provoking exacerbation of chronic tonsillitis:

• Low amount of liquid consumed per day. A person should drink at least 2 liters of liquid per day, as well as low water quality, consumed daily (use only purified water for cooking, special filters for water)
• Severe or prolonged hypothermia of the body
• Strong stressful situations, constant psycho-emotional overstrain, lack of adequate sleep and rest, depression, chronic fatigue syndrome
• Work on harmful production, dustiness, gas contamination of premises in the workplace
• The general adverse environmental situation in the place of residence - industrial enterprises, the abundance of vehicles, chemical production, increased radioactive background, abundance in the residential premises of household goods of poor quality, emitting harmful substances into the air - cheap household appliances, carpets and furniture produced from toxic materials, the active use of household chemicals (chlorine-containing products, washing powders and detergents with a high concentration of surfactants and etc.)
• Alcohol abuse and smoking
• Inadequate nutrition, an abundance of carbohydrates and proteins, limited consumption of cereals, vegetables, fruits.

When the process begins to acquire a chronic form in the tonsils, the lymphoid tissue from the tender gradually becomes denser, replacing the connective tissue, there are scars that cover the lacunae. This leads to the appearance of lacunar plugs - closed purulent foci, in which particles accumulate food, tobacco tar, pus, microbes, both living and dead, necrotic epithelial cells of the mucosa lacunae.

In closed lacunae, figuratively speaking, pockets where pus accumulates, very favorable conditions are created for the preservation and reproduction of pathogenic microorganisms, toxic products of vital activity of which with a current of blood are carried throughout the body, affecting almost all internal organs, leading to chronic intoxication organism. This process is slow, the overall work of immune mechanisms is lost and the body can begin to respond inadequately to a constant infection, causing allergies. And the bacteria themselves (streptococcus) cause severe complications.

Symptoms and complications of tonsillitis

Chronic tonsillitis in the nature and severity of inflammation is divided into several types:

• Simple recurrent form, when often there are tonsillitis
• A simple lingering form is a prolonged sluggish inflammation in the palatine tonsils
• A simple compensated form, that is, relapses of tonsillitis and episodes of angina occur rarely
• Toxico-allergic form, which is 2 types

With a simple form of chronic tonsillitis, symptoms are meager, limited only by local signs - pus in lacunae, purulent plugs, swelling of the edges of the arch, lymph nodes increase, there is a foreign body sensation, discomfort when swallowing, dry mouth, smell from the mouth mouth. During periods of remission, symptoms are absent, and during exacerbations up to 3 times a year there are tonsillitis, which accompanied by fever, headache, general malaise, weakness, prolonged period recovery.

1 toxic-allergic form - in addition to local inflammatory reactions to symptoms of tonsillitis, general signs of intoxication and allergization of the body - increased body temperature, heart pain with normal ECG, joint pain, increased fatigue. The patient is more likely to suffer from influenza, Orvi, recovery after illness is prolonged.

2 Toxico-allergic form - with this form of the disease, tonsils become a constant source of infection, and the risk of spreading it throughout the body is high. Therefore, in addition to the above symptoms occur violations in the joints, liver, kidneys, functional disorders of the heart, detected ECG, heart rhythm is disturbed, acquired heart defects may develop, rheumatism, arthritis, urinary-genital diseases sphere. A person is constantly experiencing weakness, fatigue, subfebrile temperature.

Conservative local treatment of chronic tonsillitis

Treatment of chronic tonsillitis can be surgical and conservative. Naturally, surgical intervention is an extreme measure that can irreparably damage immunity and protective functions of the body. Surgical removal of tonsils is possible in the case when with prolonged inflammation the lymphoid tissue is replaced by a connective tissue. And in cases when a parathonsillar abscess occurs in the toxic-allergic form 2, an autopsy is shown.

Indications for the removal of tonsils:

• Increased tonsils interfere with normal nasal breathing or swallowing.
• More than 4 sore throats a year
• Peritonsillar abscess
• Koneservativnaya therapy without effect more than a year
• There was an episode of acute rheumatic fever or there is a chronic rheumatic fever, kidney complications

Palatine tonsils play an important role in creating an infectious barrier and inhibit the inflammatory process, are one of the components of support and local and general immunity. Therefore, the otolaryngologists try to preserve them without resorting to surgery, try to restore the functions of the tonsils by various methods and procedures.

Conservative treatment of exacerbation of a chronic process should be performed in the Lor center, a qualified specialist who will prescribe comprehensive adequate therapy depending on the form and stage of the disease. Modern methods of treatment of tonsillitis are conducted in several stages:

• Rinsing lacunae

There are 2 ways to wash the lacunae of the tonsils - one using a syringe, the other using the Tonsilor attachment. The first method is now considered obsolete, since it is not sufficiently effective, the pressure created by the syringe, is not sufficient for thorough washing, and the procedure is traumatic and contact, often causes a vomitive reflex in patients. The greatest effect is achieved if the doctor uses the nozzle "Tonzilor". It is used both for washing and for the administration of medicinal solutions. First, the doctor makes the lacunae washed with an antiseptic solution, while he clearly sees that it is washed out of the tonsils.

• Ultrasonic medicinal irrigation, treatment with Lugol

After cleaning from the pathological secret, you should change the tip to an ultrasound, which due to ultrasound the effect of cavitation creates a drug suspension and with effort delivers the drug solution to the submucosal layer of palatines tonsils. As a medicine, 1% Miramistin solution is usually used, this remedy is an antiseptic that does not lose its properties under the influence of ultrasound. Then, after this procedure, the doctor can treat the tonsils with Lugol's solution (see Fig. Lugol with angina).

• Therapeutic laser

The laser therapy session also has a good effect, reduces swelling and inflammation of the tissues and mucosa of the palatine tonsils. To achieve better results, the source of laser radiation is placed in the oral cavity closer to the tonsils and the posterior pharyngeal wall.

• Sessions of vibroacoustic impact, UV

Such sessions are made to normalize microcirculation, improve nutrition in the tissues of the tonsils. UV - ultraviolet irradiation is carried out for the sanation of microflora, this old time-tested method has not lost its relevance and is considered quite effective.

All described methods should be conducted in courses, the number and multiplicity of which are determined individually in each specific clinical case. To achieve maximum effect, 5 to 10 rinsing procedures are required until clean wash water appears. This course of treatment is able to restore the ability of the tonsils to self-purification and the period of remission is significantly prolonged, relapses become less frequent.

To avoid the removal of palatine tonsils and treatment led to a persistent result, such effective treatment is desirable. to spend 2-4 times a year and independently to conduct supportive preventive treatment at home, gargle (see. all solutions for gargling with angina).

Recent studies of scientists lead to the conclusion that in chronic sinusitis, sinusitis, tonsillitis, an important role is played by imbalance of microflora mucous nasopharynx and conditionally pathogenic microorganisms begin to multiply with an insufficient amount of useful flora that inhibits the growth of pathogenic bacteria. (cm. The causes of sinusitis are in the sinus dysbiosis)

One of the options for preventive and maintenance treatment of tonsillitis can be gargling with drugs containing live cultures of acidophilic lactic acid bacteria - Narine (liquid concentrate 150 rubles), Trilact (1000 rubles), Normoflorin (160-200 rub). This normalizes the balance of the microflora of the nasopharynx, contributes to a more natural recovery and a longer remission.

Medication effective treatment

Only after establishing an accurate diagnosis, clinical picture, degree and form of chronic tonsillitis the doctor determines the tactics of managing the patient, prescribes a course of drug therapy and local procedures. Drug therapy is the use of the following types of drugs:

• Antibiotics for tonsillitis

This doctor prescribes this group of drugs only with an exacerbation of chronic tonsillitis, antibiotic treatment should preferably be carried out on the basis of bacterial culture data. Appointment of drugs blindly may not lead to the desired effect, loss of time and deterioration of the condition. Depending on the severity of the inflammatory process, the doctor can prescribe antibiotics for angina as a short course the most light and safe means, and a longer course with stronger drugs that require probiotics (see also Sumamed in angina). In the latent course of tonsillitis, treatment with antimicrobials is not indicated, since this additionally disrupts the microflora and the gastrointestinal tract and the oral cavity, and also suppresses the immune system. 11 rules how to take antibiotics correctly).

• Probiotics

With the appointment of aggressive antibiotics of a wide spectrum of action, as well as with concomitant diseases of the digestive tract (gastritis, colitis, reflux, etc.) with the initiation of therapy should take probiotic drugs that are resistant to the action of antibiotics - Acipol, Rela Life, Narine, Primadofilus, Gastrofarm, Normoflorin (cm. the entire list of probiotics-BAA and Linex analogs)

• Anesthetics

In severe pain syndrome, the most optimal is Ibuprofen or Nurofen, they are used as symptomatic therapy and with minor pain their use is not advisable (see. complete list and prices of non-steroidal anti-inflammatory drugs in the article Stabbed back pain).

• Antihistamines

To reduce edema of the mucosa, edema of the tonsils, the posterior pharyngeal wall, it is necessary to take desensibilizing preparations, as well as to more effectively absorb other medicines. Among this group is better to use the drugs of the last generation, they have a longer, prolonged action, do not have a sedative effect, stronger and safer. Among the antihistamines, the best ones are Tetrin, Parlazin, Zirtek, Letizen, Zodak, as well as Telfast, Feksadin, and Fexophast (cf. List of all medicines for allergies). In the case when a patient with a prolonged reception is well helped by one of these drugs, you should not change it to another.

• Antiseptic topical treatment

An important condition for effective treatment is gargling, for this you can use various solutions as ready-made sprays, and dilute special solutions yourself. It is most convenient to use Miramistin (250 rubles), which is sold with a nebulizer, 1% solution, Octenisept (230-370 rubles), which is diluted with water 1/5, as well as Dioxydin (1% rp 200 rubles 10 ampoules), 1 amp. diluted in 100 ml of warm water (see. list of all sprays for the throat). Aromatherapy can also have a positive effect if you make a gargle or inhalation of essential oils - lavender, tea tree, eucalyptus, cedar.

• Immunostimulatory therapy

Among the drugs that can be used to stimulate local immunity in the oral cavity, perhaps, only Imudon is indicated for use, the course of therapy is 10 days (resorptive tablets. 4 r / day). Among natural products for raising the immunity you can use Propolis, Pantocrinum, ginseng, chamomile.

• Homeopathic treatment and folk remedies

Experienced homeopath can choose the best homeopathic treatment and if you follow his recommendations, it is possible to extend the remission as much as possible after the acute inflammatory process has been removed by traditional methods therapy. And to rinse your throat, you can use the following medicinal plants: turn, sage, chamomile, eucalyptus leaves, willow buds, Icelandic moss, aspen bark, poplar, as well as the roots of the bloodlet, elecampane, ginger.

• Mitigating agents

From the inflammatory process and the intake of certain medicines there is dryness in the mouth, pershenia, sagging in the throat, in which case very it is effective and safe to use apricot, peach, sea buckthorn oil, taking into account the individual tolerability of these products (absence allergic reactions). To properly soften the nasopharynx, you should dig in any of these oils in the nose a few drops in the morning and in the evening, when burying the head should be thrown back. Another way to soften the throat is 3% hydrogen peroxide, that is, 9% and 6% solution should be diluted and gargled for as long as possible, then rinse the throat with warm water.

• Food

Diet therapy is an integral part of successful treatment, any hard, hard, spicy, fried, sour, salty, smoked food, very cold or hot food, saturated with taste enhancers and artificial additives, alcohol - significantly worsens the condition patient.

zdravotvet.ru

Tell me an effective treatment for chronic tonsillitis?

Answers:

wais

Tonsillitis is an inflammation of the tonsils, mostly palatines. Distinguish between acute tonsillitis (angina) and chronic. Frequent exacerbations of tonsillitis can lead to violations of the function of the heart, the appearance of pain in the joints. Tonsillitis is more common in children. Chronic tonsillitis occurs as a result of repeated angina and acute childhood infections.
Symptoms: Unpleasant sensations, pain in the throat, giving in the ears, sometimes the smell from the mouth. Often a prolonged temperature in the evenings, weakness, headache, disability.
Traditional methods of treatment: Flushing of the tonsils with antiseptic solutions (antibiotics). With complications - the removal of tonsils.
Unconventional and folk methods of treatment:
1) Take 4-5 chopped cloves of garlic and 2 tablespoons of dry shredded herb sage, pour 1L. boiling water, insist in a sealed container for 15 minutes, and cool at room temperature, strain. Take, 5 glasses 3-4 times a day and rinse with this infusion of the throat.
2) Conduct garlic irrigation of the tonsils. Squeeze a little fresh juice of garlic, apply it to the fingertips and grease this juice with tonsils. After this, this procedure can be repeated with the infusion of propolis. This is a very effective tool. Consider that the juice should be diluted with water a little.
3) For pain in the throat, pour a teaspoonful of baking soda and salt into a glass of warm boiled water and add a few drops of iodine. With this solution rinse throat. The pain can pass after 1 day of rinsing.
4) For the treatment of tonsillitis rub 1 glass of raw beets, pour 1 tablespoon of vinegar, insist, squeeze the juice with vinegar and rinse your mouth, throat and swallow a bit (1-2 tablespoons).
5) It is good to squeeze into the prepared dishes juice from 1 sheet of aloe. The age of the plant should be at least 2 years. Drink juice for 1 teaspoonful 1 time a day in the morning on an empty stomach. The course of treatment is 1 month.
6) In tonsillitis, lubricate palatine tonsils with aloe juice mixed with natural honey in the ratio: within 1 week.
7) Brew 1 cup of boiling 3-5 clove buds (spice), infuse 2 hours. Infusion to drink or all at once, or on, 5 glasses. The procedure can be carried out once a year as a treatment, as well as with preventive purposes.
8) Lubricate the tonsils with fleece impregnated with fir oil (sold at the pharmacy) 4-5 times a day. The course of treatment is 2-3 days. The effect is enhanced by simultaneously injecting 1 drop of this oil into each nostril at the same time. There may be unpleasant sensations, but they will pass in 10-15 minutes.
9) Collect the flowers of the potato, dry it in the shade. Boil 1 tablespoon of flowers in 1 glass of water. These solutions gargle 3 times a day for 10 days.
10) 4 teaspoons of the crushed dry leaves of a sage to make 2 glasses of boiled water, to insist 30 minutes and to filter. To apply for gargles of a throat 2-3 times a day.
11) 3-4 tablespoons of elderberry brew 1 cup of boiling water, boil for 5 minutes on low heat, cool and drain. Gargle as often as possible.
12) Mix 1 part of linden flowers and 2 parts of oak bark. Brew 1 cup of boiling water 1 tablespoon of the mixture, hold on low heat for 5 minutes and strain. Gargle by diluting the broth with honey.

Sanya

Tonsillitis is a disease characterized by inflammation of one or more lymphoid formations pharyngeal ring (often palatine tonsils) and belongs to the number of widespread infections of the upper respiratory tract.
Tonsillitis is acute and chronic. Acute tonsillitis is known as angina.
The most significant bacterial pathogen of acute tonsillitis is hemolytic streptococcus of group A. Less common acute tonsillitis is caused by viruses and other streptococci, extremely rarely - mycoplasma and chlamydia.
The causative agent is transmitted by airborne droplets. Sources of infection are sick and less likely asymptomatic carriers. The highest incidence is observed in the winter-spring period.
The incubation period for acute tonsillitis is from several hours to 2-4 days. This disease is characterized by an acute onset with an increase in temperature to 3, -39 ° C, chills, headache, general malaise, sore throat, worse with swallowing; pain in the muscles and joints.
Children may have nausea, vomiting, and abdominal pain. The duration of the period of the disease (without treatment) is approximately 5-7 days. In the future, in the absence of complications, the main clinical manifestations of the disease (fever, symptoms of intoxication, inflammatory changes in the tonsils) quickly disappear, the picture of blood normalizes. Enlargement of lymph nodes can persist up to 10-12 days.
Under the influence of various factors (a weak organism, a strong pathogen, improper treatment, lack of treatment, chronic diseases) acute tonsillitis can go to chronic. Chronic tonsillitis is characterized by periodic exacerbations (after hypothermia, emotional stress, etc.) factors). Chronic tonsillitis is a hotbed of infection in the body. This focus exacerbates the strength of the body and can promote the spread of infection to other organs (most of the hour the heart and kidneys are affected, since streptococcus has an affinity for the tissues of the kidneys and the heart) .
How is tonsillitis treated?
Conservative (recovery of health of the tonsils)
- washing of tonsils (to remove purulent plugs) and lubrication with Lugol solution,
- antibiotics,
- physiotherapy (tubos, UHF),
- phonophoresis (combination of low-frequency ultrasound and drug substance),
Operational (if conservative treatment of tonsillitis does not give a result)
1. Tonsillotomy (usual removal of tonsils or their undercutting in children)
2. Operation using cryomethod (destruction of damaged tissues by cold)
Term of operation - no more than 15 minutes (tonsillotomy)
Term of stay in the hospital - 1-3 days
Anesthesia - necessary for tonsillotomy
Relapses and complications
After carrying out of operations of relapses does not happen, as there are no tonsils. But the absence of tonsils leads to a decrease in the immune properties of the body.

Natalia

Removal of tonsils, it is more effective nowhere

WERONICS

I go to the LOR once every six months to wash the lacuna, then a week I suck all the Grammids there. And no angina!

Alexandra Chernov

There is such a device - TONZILLOR, it produces washing and treatment of lacunae on tonsils, unpleasantly a little, but it does not hurt. The course is 10 days. Repeat preferably three times. I tried it on myself - I forgot that I have amygdala! Prior to treatment, I had frequent tonsillitis and a couple of paratonsillar abscesses, and now thank God! Ask the ENT doctor - they usually know where you can go through the course!
Good luck!

Sergey Keptitsyn

For a lifetime (pah-pah) cured, taking for two or three months a "lion pose" from yoga. Back in school, having read Vladimir Levy. And this muck (tonsillitis) has tormented me capitally. But in the acute phase, this is not necessary.

leonid marmots

the easiest way to do a hardening of the tonsils 1 begins to rinse the throat of the comon T and every 2 days we lower T to 1 degree and then bring it up to a lazy water from the refrigerator can also be done with the soles of the feet and all this is parolezno and I assure you of no angina and tanzilit for a long life itself verified

The Evil Hare

Tonsillotomy

Sergey Golovach

All about tonsillitis and the fight against it I found in the book C. Fysyuk "Chronic tonsillitis. The science of winning. Complete Guide. "

Anna Donskaya

L. FROM. - Ingalipt, Cameton and Hexoral
Physiotherapy:
1 KUF - course of 4-5 exposures
2 inhaler - with interferon, mineral water, with oils and infusions of medicinal herbs (St. John's wort, calendula, chamomile, celandine, eucalyptus, plantain, sage)
3 Electrophoresis on the projection area of ​​palatine tonsils with a mud solution, a course of 8-10 procedures for 10-12 min daily
Warm drinking:
1 milk with Borjomi
2 milk with soda 1/2 teaspoon of soda for 1 glass of milk
3 milk with boiled figs, etc.

Ildar Salimgareev

Very good oil propolis oil helps [link blocked by the decision of the project administration] Rinse and everything will pass. T
You can do this yourself, you just need all the components. We just ordered

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

Treatment of chronic tonsillitis

Angina or tonsillitis is a common throat disease, in which lymphoid tissues stop protecting the body from infections, becoming their own hotbed. If there is no treatment for the disease, complications arise: rheumatism, arthritis, pyelonephritis, liver, lung disease. Angina negatively affects the cardiovascular, digestive and endocrine system. It is dangerous chronic tonsillitis in pregnancy.

How to treat chronic tonsillitis

Folk methods help suppress the cause of tonsillitis, clean the tonsils from inflammatory exudates and plugs. In the treatment, you can not do without gargling, but antibiotics are shown only in severe cases. The question of homeopathy is open: some doctors prescribe drugs from tonsillitis with an easy stroke of the pen, others refer to evidence-based medicine, speaking about the effect of placebo.

People's means

Treating tonsillitis with folk remedies is an effective and cheap method of bacterial therapy. Here are the recipes:

1. Infusion of cloves. Pour in a thermos 10 colors of a carnation and, l of boiled water. Leave for 3 hours, then pour into another place. Apply orally three times a day for half a cup, as a treatment for tonsillitis, or rinse your throat. Suitable for adults and children.
2. Healing herbs. Flowers of chamomile, calendula, violets, lindens and St. John's wort, pine buds, as well as eucalyptus leaves - proven natural antiseptics in the treatment of tonsillitis, are applied by collection and separately. A tablespoon of a "green" medicine pour 1 tbsp. water, boil for 5 minutes and leave overnight. Apply inside 2 tbsp. spoons.
3. "The King of Spices." Mix the chopped garlic head with 2 h. spoons of unfiltered vegetable oil, close tightly. After 5 days strain, add 1 hour. l. lemon juice - a miracle cure for the treatment of tonsillitis is ready! Use in the morning and at night for 10 drops.
4. Propolis. How to treat tonsillitis in adults: mix the ground bee glue with alcohol in equal proportions, clean for a week in a dark place. Apply tincture 3 times a day on a dessert spoon, washing down with warm water. Spend three courses in 2 weeks with a break for 7 days. Treatment of tonsillitis in children: Propolis dissolved in a water bath in equal quantities with butter, add 2 tablespoons. l. honey. To dissolve for 1 hour. l. "Sweets" three times a day. Store in the cold.

Medicines

The fight with tonsillitis begins with a gargling of the throat. "Old man" furatsilin and sea salt will relieve tonsils from pus. This will be a preparation for the further treatment of chronic tonsillitis. Another "antique" drug - the solution of "Lugol" is popular. Local antibacterial preparations Bioparox and Hexoral are often prescribed. Antibiotics of systemic action are prescribed only in the acute stage of tonsillopharyngitis.

Inhalations

Inhalation of medicinal substances is an additional therapy for chronic tonsillitis. They remove inflammation of the tonsils of decoctions of antiseptic plants, medicinal solutions. However, inhalations are ineffective in the treatment of decompensated tonsillitis in the catarrhal form of the disease, contraindicated at high temperature, general intoxication.

Removal of tonsils in chronic tonsillitis

In Soviet medicine, the removal of palatine tonsils was an ordinary operation. In the US, this method is generally put on stream, all the time removing the children "unnecessary" body. After such experiments, serious diseases began to occur in place of tonsillitis, so now tonsillectomy is performed when conservative treatment does not help.

Treatment with ENT surgery:

1. The classic operation is awful to look at, but still a popular way of treating tonsillitis: palatine tonsils completely cut out or pulled out under general anesthesia.
2. Using a microdetector - soft tissue is cut and ground using a rotating tool. Pain syndrome is not so pronounced, but more time and narcosis takes place to "grind" the tonsils.
3. Laser tonsillectomy - allows you to excise only the affected areas of the tonsils, solder the blood vessels, preventing excessive blood loss. The healing period is not fast.
4. Electrocoagulation is an operation using electric current, it does not cause pain and bleeding.
5. Coblation is an operation for excising tonsils. The device converts the energy of electricity into a plasma stream, through which proteins break down into water, carbon dioxide, nitrogen-containing substances.
6. Cryodestruction - freezing and tearing of tonsils with the help of liquid nitrogen. The postoperative period is painful, requiring enhanced antiseptic care.
7. The ultrasonic scalpel is the application of high frequency oscillations that heat the tonsils to 80 ° C, cutting them.

Modern methods of treatment of chronic tonsillitis

Cauterization of tonsils - sparing surgery. This is an intermediate method between conservative therapy and complete removal of lymphoid tissue. With neglected tonsillitis, when antibiotics are powerless, freezing or exposure to the laser is considered optimal, because they not only keep the sick tonsils, but also "turn them into healthy ones."

Laser treatment

Treatment of tonsils with a laser allows you to remove inflammation directly in the affected area, and the process of recovery makes it almost lightning, for two to three days. In addition, laser irradiation is used for the conservative treatment of tonsillitis as a physiotherapy procedure. In this case, the course of therapy is 10 sessions.

Cryotherapy

Cryotherapy - the therapeutic effect of cold on the human body, is divided into general and local: the second causes local effects, without affecting the central nervous system. When exposed to tonsils, painful tissues are destroyed, torn away, they are cleaned, starting to work at full strength. This physiotherapeutic procedure is suitable for babies starting from the age of three.

Prophylaxis of chronic tonsillitis

"Anginishers" often ask the question: "How to cure chronic tonsillitis once and for all?" In time, the initiated therapy of children will help not only to avoid tonsillectomy, but also completely get rid of the disease. Adults have a chance to bring the disease into deep remission. For this you need:

1. Once a half a year, go through a course of treatment of tonsillitis with medicines.
2. To spend a vacation in the "right" places: the sun with the sea will do what is beyond the power of the most modern drugs.
3. Limit salt and fried foods, spices, citrus, alcohol, exclude hard, very cold or hot food.
4. To pay attention to psychosomatics - "body protest" in cases with chronic tonsillitis in a child speaks about the hyperope of parents and "swallowed" offenses. In adults, there is constant stress.

Video: treatment of tonsillitis in children

This name was heard by all the responsible parents: the popularity of the doctor is inferior, perhaps, only to the fictitious character of Korney Chukovsky, Aibolit, and to a very real colleague - Professor Roshal... In his program, Dr. Komarovsky tells how to treat chronic tonsillitis, explains the causes of angina development, calls indications for removing glands.

Feedback on treatment

Marina, 37 years old: At me now all signs h / t, in general the exacerbation of a chronic tonsillitis occurs or happens in general. Somehow I thought lightly of him: it hurts my throat and hurts, rinsed with an antiseptic - I forgot. I could not think that there were such serious consequences. I will definitely treat my throat!

Elena, 24: I do not understand how you can score on a sore throat? It's a nasty smell from the mouth, the person is contagious. I treat chronic tonsillitis at home: every three months I rinse my throat with a solution of furacilin (2 tablets per glass of hot water, the course - 10 days).

Anton Sergeevich, 54 years old: As a child, the son was suffering from chronic tonsillitis - he was sent to remove tonsils. But before the operation, they went to another doctor who prescribed treatment: vacuum flushing of the lacunae of the tonsils with "Tonzillorom massage with phonophoresis, rinsing - once every six months. And compulsory trips to the sea. For about 10 years, my throat was not sore! But they could cut out the amygdala!

sovets.net

Chronic tonsillitis - Treatment

The purpose of treatment of chronic tonsillitis: suppression of inflammation.

Indications for hospitalization

As a rule, hospitalization is not required.

Treatment of chronic tonsillitis is determined by the stage of development of the inflammatory process and is divided into three types - non-operative, "semi-surgical" and surgical. In addition to special methods directed directly at the amygdala, general methods are used, including elements of etiological, pathogenetic and symptomatic character, affecting both directly to the focus of chronic inflammation or exacerbation of the process, and on those organs and systems whose diseases are caused by tonsillitis. In the latter case, competent specialists are provided by appropriate specialists (cardiologists, rheumatologists, nephrologists, endocrinologists, phthisiatricians, etc.).

Non-surgical treatment is used mainly in uncomplicated forms of chronic tonsillitis. It, first of all, consists in the elimination of chronic ectratonsillar foci of infection located in the oral cavity (dental caries, pyorrhea, chronic gingivitis, periodontitis and etc.) and only then in the systematic washing out of the crypts of caseous masses and pus with various antiseptic solutions using a syringe and a special amygdala cannula with a curved the end. As a washing liquid, solutions of furacilia, iodinol, hypertonic sodium chloride solution, citral, etc. are used. An effective agent in the lacunar form of chronic tonsillitis is, 5-1% urea solution peroxide - a complex of urea with hydrogen peroxide (1-4 tablets per glass of warm water) or a solution fugentin.

With regard to the method of lacuna washing, it should be noted that with its help it is possible to wash only those crypts into which the tip of the cannula can be inserted, which is no more than 1-2% of all crypts of palatines tonsils that come out on the surface, so a much more effective way to clean lacunae from pathological contents is "vacuum suction in which a special the suction device covers most of the surface of the amygdala and impulsive aspiration while simultaneously supplying the wash liquid covers all lacunas under suction and small crypts. Yu.B. Preobrazhensky (1990) recommends that 12-15 washings be performed every other day. We recommend after washing the lacunae or vacuum suction to irrigate the tonsils with the drug Strepsils Plus, produced in vials with a spray dispenser, developing expressed antiseptic activity due to, -dichlorobenzyl alcohol and amylmetacresol, as well as causing local anesthesia contained in it lidocaine. The presence of an anesthetic stops the reflex impulse from the tonsils and helps block the tonsillar pathological reflexes. The same drug with various additives (lemon, medicinal herbs, vitamin C, honey, eucalyptus, menthol), produced in the form tablets for resorption, used for exacerbations of chronic tonsillitis, tonsillitis and chronic tonsillitis outside exacerbation.

If it is necessary to stop the tonsillitis-cardiac syndrome, you can use novocainic peripendricular blockades (similar to the paranal blockade according to LVVishnevsky), which are aimed at weakening the pathological reflex reactions involved in the development of pathological processes. This effect of novocaine, in addition to local anesthetic action on sensitive receptors, is based on a decrease in the formation of pathological tissues acetylcholine and histamine-like substances, lowering of peripheral holiporeactive systems, blocking pathological reactions of tonsillar vicious circle. In addition, Novocaine has an anti-inflammatory effect. Novocain blockades of the paratonsillar region can be combined with infiltration therapy with drugs of the penicillin series dissolved in novocaine. To prolong the action of novocaine and the antibiotic dissolved in it, it is recommended to add to it, a solution of adrenaline hydrochloride (1 drop per 2-10 ml of novocaine solution).

Local medical treatment is complemented by physiotherapy: UFO almonds through a special tube, UHF therapy to the region of regional lymph nodes, ultrasound and laser therapy.

With decompensated forms of chronic tonsillitis (toxic-allergic, according to BS Preobrazhensky and VT Palchun) and the presence of contraindications to the radical In addition to the above-mentioned methods of local treatment, complex treatment is carried out using methods aimed at eliminating chronic intoxication, strengthening of local and general immunity, strengthening of GHB (reduction for toxins and infection of permeability of capillaries and vessels), control of pathogenic microbiota. For this, a number of methods and medications can be recommended.

With the expressed general intoxication and the phenomena of tonsillogenic chroniosepsis, plasmapheresis is possible, the indications to which are determined by an ENT specialist and specialist in extracorporeal therapy. The effectiveness of plasmapheresis in decompensated forms of chronic tonsillitis is determined by the fact that in this procedure from whole blood removes protein fragments, immune complexes with antigenic properties, macroglobulins, antibodies and other factors that cause development toxic-allergic metatonsillar tissue and humoral complications, with all normal elements returning to the patient's body blood. Purposeful plasmapheresis significantly improves the immune status, contributes to the correction of blood composition and reduces intoxication, increases the sensitivity to subsequent medication (immunoprotective and antibacterial) therapy, may optimize patient preparation for radical surgical treatment and a more favorable course of postoperative period. Plasmapheresis is also used for rheumatoid arthritis - one of the most common metatonsillar complications.

One of the means of complex effect on the body with various humoral metatonsillar complications is the official drug "Wobenzent in the composition which includes 7 biologically active substances, which has immunomodulatory, anti-inflammatory, anti-edematous, fibrinolytic and antiplatelet properties. The drug is indicated for many diseases, including rheumatoid arthritis, extra-articular rheumatism, acute and chronic inflammation of the upper respiratory tract. The drug is available in tablets coated with a dissolution in the intestine of the shell, applied per os for 30 min before meals (in this case it should not be picked up) 3-10 tablets 3 times a day, washed down with a glass (150 ml) water. The drug increases the effectiveness of antibiotic therapy and ensures the prevention of intestinal dysbiosis with it.

Non-drug treatment of chronic tonsillitis

Assign centimeter wave therapy with Luch-2 Luch-3 or ultrasound with the help of the apparatus "ENT-1A "LOG3 "UET-13-01-L". A separate course is ultraviolet irradiation of the tonsils. At the same time, 10 UHF sessions are prescribed for regional lymph nodes.

The effect on the tonsils with a magnetic field is also applied with the help of the Polyus-1 apparatus, which contributes to stimulation of antibody production in minlalins and factors of nonspecific resistance.

Along with other physical methods, aerosols and electro-aerosols of biologically active preparations are used: juice Kalanchoe, 3% hydroalcoholic emulsion of propolis, improving the barrier functions of the tonsils showing bactericidal act. Low-energy helium-neon laser installations in the red and infrared ranges and installations of low-intensity incoherent red light (LG-38, LG-52, Yagoda, etc.) are also used.

Medication for chronic tonsillitis

With a simple form of the disease, conservative treatment is performed for one to two years with 10-day courses. In those cases when the effectiveness of the local symptoms is inadequate or there is an exacerbation (angina), a decision can be made about a second course of treatment. However, the lack of convincing signs of improvement and the more the occurrence of repeated angina is considered an indication for the removal of palatine tonsils.

With a toxic-allergic form of the first degree of chronic tonsillitis, conservative treatment can still be carried out, however the activity of the chronic tonsillar focus of infection is already evident, and general severe complications are likely at any time. In this regard, conservative treatment with this form of chronic tonsillitis should not be delayed unless a significant improvement is observed. Toxico-allergic form II degree of chronic tonsillitis is dangerous rapid progression and irreversible consequences.

Treatment should begin with the sanation of the mouth, nose and paranasal sinuses, pharynx, etc. According to the indications, a restorative treatment (vitamins, physiotherapeutic procedures, immunostimulating therapy desensitization) should be performed.

The most common conservative method of treatment of chronic tonsillitis is the washing of the lacunae of the tonsils by N.V. Whitehead with different solutions (sulfacetamide, potassium permanganate, miramistin, ascorbic acid, etc.), as well as immunostimulating agents with levamisole, interferon, lysozyme and other The course of treatment consists of 10 procedures for washing, usually upper and medium lacunae. It is considered more effective to flush under negative pressure with the help of devices "Cliff" and "Tonsillor". Then the surface of the tonsils is smeared with lute solution or 5% solution of collargol.

With favorable results, conservative therapy courses are conducted 2-3 times per year. The effectiveness of complex conservative treatment is up to 75%, but in the future the symptoms of the disease appear again. According to the research of many authors, even external recovery of palatine tonsils does not indicate the cessation of the influence of the focus of the infection on the body, which is considered a potential threat to the development of rheumatism. Positive results of conservative treatment of chronic tonsillitis have only a temporary healing effect; Cure the disease with conservative methods, as a rule, fails.

Thus, conservative treatment of chronic tonsillitis is considered only as a palliative metol. Cure chronic tonsillitis can only by completely eliminating the chronic focus of infection through bilateral tonsillectomy. Clinical experience and scientific evidence indicate the absence of serious general and local negative consequences of the length of the body after the removal of palatine tonsils.

Surgical treatment of chronic tonsillitis

Surgical treatment (tonsillectomy) is carried out with ineffectiveness of conservative therapy and with toxic-allergic form of the second degree of chronic tonsillitis.

Forecast

The forecast is usually favorable.

Prophylaxis of chronic tonsillitis

Prevention is based on general principles of strengthening general and local immunity, sanitation of the upper respiratory tract and dentoalveolar system. There is a need for a gradual general and local hardening by cold, properly organized contrasting showers of the whole body or baths only for the hands and feet. vitaminized and rational nutrition, individually selected physical education. However, these measures do not guarantee the prevention of chronic tonsillitis. Nevertheless, preventive measures help to significantly strengthen the body, help in the fight against various infections, including chronic tonsillitis.

In the early detection and treatment of chronic tonsillitis, paramount and rolling have preventive examinations and medical examination. With timely diagnosis of the initial stage (simple form) of chronic tonsillitis in children and adults, when the prescription of the disease is low and the development of the foci of infection has not yet occurred, recovery. With the increase of the prescription of the disease, a foci of infection develops, this increases the risk of developing toxic-allergic reactions, the emergence of severe general and local complications, so early detection and clinical examination of patients with chronic tonsillitis is extremely is necessary. Preventative examinations are needed 2 times a year (in spring and autumn), while simultaneously conducting courses of conservative treatment. From dispensary registration of the patient can be removed only 3 years after the disappearance of all signs of the disease. In cases where after 2-3 courses of conservative treatment with a simple or toxic-allergic (1 degree) forms of chronic tonsillitis signs of the disease persist, it is advisable to perform tonsillitis in order to avoid serious complications, worsening health.

ilive.com.ua

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.

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Treatment of chronic tonsillitis: folk remedies. Effective treatment of chronic tonsillitis in children

Each person has often encountered such unpleasant sensations as soreness in the throat, difficult swallowing of food. Following the inflammation of the laryngeal mucosa, the temperature begins to rise rapidly, weakness appears and general deterioration is noted. One of the most unpleasant diseases is tonsillitis, especially if it acquires a chronic form.

Some people are in a hurry to immediately resort to surgery. Others, on the contrary, seeking help from a doctor, are choosing an effective treatment for chronic tonsillitis. Folk remedies, skillfully combined with medicines and procedures, create real miracles.

Symptoms of the disease

Unfortunately, a person can not always understand that he has chronic tonsillitis. After all, the tonsils can not even be enlarged. In addition, with this disease is not specific symptoms. And the treatment of chronic tonsillitis is very difficult for this reason. The ailment is often the result of frequent angina, which causes changes in the structure of the tonsils. It is characterized by a hidden course of infection.

The main symptoms are:

• periodic pains in the throat (not acute);
• frequent sore throats;
• feeling of obstruction;
• pain in the neck;
• difficulty swallowing;
• bad breath;
• enlarged lymph nodes in the neck;
• an unpleasant aftertaste.

Periodically, you can observe the appearance of a white or yellow coating on the tonsils. During the appearance of such formations, as a rule, the patient has weakness, unexplained fever, significantly reduced immunity.

Why treat the disease?

Chronic tonsillitis is characterized by the fact that the infection can quiet down and "hide". This is what puts him in a number of quite complex and dangerous diseases. After all, at any time, the infection can spread throughout the body. This causes complications. Getting into the blood, it touches distant organs, triggering numerous diseases, among which are the following:

• rheumatism;
• arthritis;
• glomerulonephritis;
• myocarditis;
• Vascular disease;
• psoriasis;
• gynecological ailments.

That is why it is necessary to start treatment of chronic tonsillitis on time. Folk remedies, which will be discussed further, will help to get rid of a serious illness forever. Do not forget that tonsils in tonsillitis completely cease to perform the function of body defenders. Rather, on the contrary, the disease makes them a very dangerous object. Proceeding from this, treatment should be started early.

Features of the disease in children

The flow of chronic tonsillitis in toddlers is quite obvious. Unlike adults, the symptoms in children develop rapidly and in acute form. At the first signs should immediately begin treatment of chronic tonsillitis in children. To remove the purulent contents of the tonsils, it is important to carefully rinse the throat.

But antibiotics should be selected very carefully. Most of them toddlers under 12 are not allowed. The choice of a suitable antibacterial agent should remain with the pediatrician. Incorrect therapy will only aggravate the course of the disease.

As a rule, the treatment of chronic tonsillitis in children involves physiotherapy. Widely used electrophoresis, laser therapy, magnetotherapy. However, the optimal treatment of chronic tonsillitis is folk remedies combined with medications.

Conservative methods

Tonsils in children perform important functions. Therefore, conservative treatment of chronic tonsillitis is the most important task. Initially, you should organize the correct mode of the day and develop an optimal menu. High hardening results. If possible, eliminate all factors that cause the occurrence of angina. This includes the care of timely treatment of the oral cavity, nose. Take care of the free breathing of the baby (the main enemies are adenoids, sinusitis).

The treatment of the child should be repeated twice a year. As a rule, the most suitable time is spring and autumn. Local antibiotics and antiseptics are used. Tonsils should be lubricated with a special solution "Lugol". Excellent helps with colloidal silver.

Often in the treatment regimen, pediatricians include antiallergic drugs, since the causative agent of the disease can sometimes provoke an unpleasant reaction. Sometimes antibiotics can cause allergy. It is very important to adhere to the treatment regimen to avoid unpleasant consequences.

To provide effective treatment of chronic tonsillitis, physiotherapeutic procedures are usually prescribed, immunomodulators are connected. It is very important not to forget about gargling. Widely used for such purposes are herbal preparations.

Application of bacteriophages

Prolonged forms of the disease require more effective treatment. We are talking about bacteriophages. These are viruses that devour pathogens - streptococci, staphylococci. Treatment of chronic tonsillitis with bacteriophages is quite effective. Getting rid of infections of the nasopharynx and oral cavity, accompanied by frequent relapses, when these viruses were included showed excellent results.

A kid can acquire an antibiotic insensitive to flora. In such cases, the pediatrician chooses bacteriophages. However, if the child has an acute phase of tonsillitis, then the choice of an antibiotic is still preferable.

Homeopathy treatment

Getting rid of the disease is a long process. It consists not only in drug therapy. Excellent results are provided by the treatment of chronic tonsillitis with homeopathy.

Suffice to respond well about the drug "Vokar". This homeopathic remedy is recommended to take one drop for each year of life of the child (but not more than 10) with exacerbation of the disease. The drug is diluted in water. Reception can be repeated up to eight times a day.

If the acute stage is past, the "Vokar" remedy is drunk three times a day. The course is designed for two weeks. As a rule, in the chronic form of the disease, this drug is used as a means of prevention.

Folk remedies. Broths

For babies, whose body can not take medicines, pediatricians advise to conduct home therapy. Doctors persistently recommend to treat chronic tonsillitis with folk methods for pregnant women, allergic people. Excess of pharmaceuticals in these cases is unlikely to help.

Traditional medicine includes the widest range of the most diverse means for any occasion. Consider broths. They are made from herbal collections, which can be easily purchased at any pharmacy. Broths have an antiseptic effect on the body, strengthen immunity, relieve inflammation. It is important to remember: it's better to apply proven fees. After all, the interaction of various herbs - until today the issue is open, completely unexplored.

Phytotea of ​​antibacterial action

For its production should be mixed in equal proportions wormwood, mother-and-stepmother, St. John's wort, thyme, dill, ground roots of ayr and peony, flowers of calendula and chamomile. It is recommended to add crushed eucalyptus leaves to improve the effect. Although without them, the broth has all the healing properties. The thoroughly mixed formula should be filled with boiling water. In this case, the calculation should be as follows: 1 tbsp. spoon of dry herbs for 1 glass of water. For 4 hours, the phytotea should be insisted. After that, the solution is brought to a boil, necessarily filtered and taken exclusively in a warm form.

Decoction for stimulation of immunity

You will need St. John's wort, Ledum, Volodushka, horsetail, licorice root and ayr. Such a collection can be purchased as phyto-tea in the pharmacy. For greater effectiveness, you should add rosehip, which contains a lot of vitamin C. It will be required to take a teaspoon of the mixture. Dry composition pour a glass of boiling water and let it boil.

Effective infusions

Traditional treatment of chronic tonsillitis includes various solutions of medicinal herbs. Vegetables are widely used for infusions, various juices are useful.

Infusion of mother-and-stepmother

Well-washed grass mixed in equal proportions with red wine. Add the onion juice to the resulting composition. Put the solution for a day in a dark cool place. The received agent should be taken three times a day, pre-shaken.

Beet Juice

The resulting liquid (5 parts) is mixed with syrup from rose hips (3 parts) and lemon juice (1 part). For this tincture, the appropriate proportion should be strictly taken into account. During the day the solution should be infused in the refrigerator. Use the product after eating three times a day. The recommended dose is 1-2 hours. spoons.

Infusion of garlic

Two heads thoroughly crush and wait until the juice appears. To it, add freshly squeezed lemon juice in the same amount. The resulting mixture pour a glass of water. Take an adult on a tablespoon 2-3 times a day (after eating!), Children - no more than two teaspoons.

Rinse solutions

Without this procedure it is absolutely impossible to imagine the effective treatment of chronic tonsillitis. Folk remedies intended for rinsing help to get rid of microorganisms forming a raid on the surface of the tonsils. After all, this is how the fight against the cause of the inflammatory process occurs. Recommended remedies have a soothing, antibacterial and anti-inflammatory effect.

-A solution of iodine. In a glass of warm water one teaspoon is bred. salt. 5-10 drops of iodine are added to the resulting mixture. Gargle every three hours.

-Two large cloves of garlic crush and squeeze the juice. Pour the resulting liquid with hot milk (1 cup). Cool and drain. Gargle with this solution twice a day.

- Rinse with celandine. One tablespoon of chopped herbs (take leaves and flowers) should be steamed with a glass of boiling water. To sustain about 10-15 minutes. Rinse is done three times a day. Be sure to warm up the solution before the procedure.

Home Inhalations

These procedures are one of the most effective methods of treatment. Unfortunately, they are often forgotten about them. Although the results from inhalations are simply stunning. Most of the patients who experienced this method were able to get rid of the disease. This is evidenced by positive feedback. Treatment of tonsillitis chronic or acute must necessarily include inhalation.

- Spirit solution of eucalyptus. One tbsp. Tincture should be added to 1 liter of hot water. The formed steam to breathe minutes 15.

-St. John's wort flowers. Spirituous infusion of grass is used for home inhalation in the same proportions as eucalyptus. If there is no solution of St. John's wort, you can prepare it yourself. It should be 20 grams of flowers pour a hundred milliliters of alcohol. Insist this remedy should about two weeks. The agent can be stored and used for inhalation as needed.

- A solution of sage. Dry grinded grass should be poured with boiling water. The calculation is as follows: at 1 tbsp. spoon of sage - 1 glass of water. Be sure to let it brew for 15-20 minutes. One glass of the product obtained is added to a liter of water.

Preventive measures

It is very important to understand that the symptomatology of the disease is not pronounced. And, consequently, it is difficult to determine even the presence of this ailment. This is why the prevention and treatment of chronic tonsillitis play an important role, as mentioned earlier, twice a year.

It is necessary to establish a healthy lifestyle. It is imperative to take measures to strengthen immunity. Usually, for these purposes, it is recommended to temper the body and perform moderate exercise. It is necessary to completely eliminate possible hypothermia.

It should be made clear that with the first symptoms of the disease, you should immediately begin treatment. It should include antiseptic drugs, regular throat rinsing. Effective irrigation of the nasopharynx. A positive result is an outpatient washing of the tonsils.

Preventive procedures, conducted in a timely manner, will protect against the spread of foci of infection. They will stop the inflammatory process at the initial stage, thereby not allowing enough serious complications to develop.

Conclusion

Constant pains or inflammations of the nasopharynx quite often do not cause anxiety in a large number of people. This condition is associated with the cold season. Unfortunately, very rarely preventive measures are taken until the disease becomes acute. Timely treatment can not only alleviate the condition, but also prevent the development of serious complications.

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