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:

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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

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

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.

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gajmorit.com

Chronic tonsillitis - symptoms and treatment in adults

Tonsillitis- a disease in which palatine tonsils and nearby pharyngeal tissues, which have an infectious-allergic etiology, become inflamed. If the disease becomes chronic, the tonsils become a permanent focus of infection. During periods of relapse, all pathological manifestations of the ailment become aggravated. The chronic form of tonsillitis often causes serious complications, in which various organs and systems of the body can be involved. In connection with this, special attention needs to be given to the problem of identifying symptoms and choosing methods of treatment of chronic tonsillitis, not only in children, but also in adults.

Symptoms of chronic tonsillitis in adults

Symptoms of chronic tonsillitis in adults are often ignored at the initial stage, are perceived as banal overwork. In fact, the appearance of weakness, reduced efficiency, a state of weakness is due to intoxication of the body.

Bacteria that multiply in lacunae in chronic tonsillitis in adults cause blockage of tonsils. The plugs create a sensation of a foreign object in the throat, which is considered a characteristic sign of the disease. In addition, with chronic tonsillitis observed:

• bad breath;
• increased lymph nodes;
• aches in bones and joints;
• low-grade fever;
• impaired renal function;
• failure in the work of the heart.

Sometimes on the skin there are rashes that are not amenable to cure.

Treatment of chronic tonsillitis in adults

In chronic tonsillitis, two methods of therapy are used: conservative and operative. Among the conservative methods:

1. Washing of the lacunae of the tonsils, carried out with a syringe or Tonsilor apparatus. And thanks to the nozzle Tonzilor, you can not only carry out the washing of the tonsils, but also introduce local medicinal solutions.
2. Ultrasonic irrigation with medicinal preparations (Miramistine, Lugol's solution, etc.)
3. Laser therapy, aimed at reducing inflammation and swelling of the mucosa of the palatine tonsils. It is important that during the session the laser emitter is as close as possible to the back wall of the pharynx.
4. Vibroacoustic exposure, ultraviolet irradiation, which contribute to the elimination of pathogenic microflora in the tissues of the tonsils.
5. Drug therapy.

As drugs, antibacterial agents are used. A group of antibiotics for exacerbation of chronic tonsillitis in adults is determined by a doctor based on bacterosseum.

Admission of aggressive antibiotics should be carried out simultaneously with the use of probiotic drugs:

• Acipol;
• Narine;
• Linex, etc.

Also, without probiotics, patients who have gastrointestinal problems may not get by.

Excellent stimulate the immune system of natural remedies:

• propolis;
• ginseng;
• eleutherococcus;
• Schisandra.

When the pain is manifested, non-steroidal and anti-inflammatory drugs are prescribed. Doctors consider the optimal means:

• Ibuprofen;
• Nurofen.

Reduces edema and promote more effective absorption of medicines antihistamines:

• Zirtek;
• Zodak;
• Cetrin;
• Telfast and others.

Important!An integral part of therapy for chronic tonsillitis is a diet with the exception of cold, hot, hard,

spicy, smoked food, as well as alcohol.

An integrated approach to therapy contributes to the cure of the chronic form of the disease. Surgical intervention is indicated:

• with prolonged inflammation, when there is a replacement of lymphoid tissue by a connective tissue;
• with some concomitant tonsillitis ailments (for example, with rheumatism);
• in the case of repetition of the paratonsillar abscess.

WomanAdvice.ru

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