Bacterial tonsillitis: symptoms, causes and treatment
Bacterial tonsillitis is a frequent "guest" in the homes of many people. Every adult person had to wake up at least once in his life with a terrible pain in his throat, although it was good yesterday before going to bed. In addition to pain, there are such symptoms of bacterial tonsillitis as temperature and malaise, caused by strong intoxication of the body. With the development of bacterial tonsillitis in a small child, in most cases there is a lack of appetite, as well as an increase and inflammation of the palatine tonsils.Bacterial tonsillitis, a photo of which can be seen below, requires immediate and competent treatment under the supervision of an experienced doctor:
Pathogens and causes of bacterial tonsillitis
The impetus to the development of the disease most often becomes a one-time hit of a large number of pathogenic microorganisms in the body. Most often, the causative agent of the bacterial form of tonsillitis is hemolytic streptococcus belonging to group A, less often the disease causes Streptococcus C and G, as well as mycoplasmas and chlamydia.
In adults and teenagers, the streptococcal pathogen is very often detected.As for the incidence of bacterial tonsillitis in young children, then there is a certain pattern:the younger the child becomes ill, the less likely that the disease is of bacterial origin.
The cause of the development of bacterial tonsillitis is direct contact with a person who is already sick.
The main routes of infection are:
- through hugs and kisses;
- use of one laundry, for example towels;
- common dishes.
However, only contact with a sick person or the presence of pathogenic bacteria in the body is not enough for the development of the inflammatory process.
In addition, for the activation of bacteria and the development of their turbulent activity in the nasopharynx, favorable conditions are necessary, namely:
- hypothermia of the whole organism or only feet due to the soaking of shoes, the use of too cold drinks, etc.
Among the factors contributing to the development of the disease also include:
- frequent respiratory colds, decreased immunity (for example, during pregnancy), impaired quality of nasal respiration (the presence of polyps, enlarged adenoids, curvature of the nasal septum), chronic foci of inflammation in the nasopharynx (caries, sinusitis).
Proper treatment of bacterial tonsillitis at home
How correctly to treat a bacterial tonsillitis? What should I do first, noticing the first signs of bacterial tonsillitis? Of course, immediately seek help from a doctor.
Treatment of bacterial tonsillitis should be complex, including the following components:
- taking antibiotics for seven to ten days to fight bacteria;
- irrigation of mucous nasopharynx with solutions of antiseptics;
- gargling with a soda-iodine solution;
- inhalation with essential oils;
- taking antihistamines to relieve swelling.
Treatment of the main symptoms of bacterial tonsillitis, and its consequences implies mandatory strict bed rest.
It should continue throughout the entire intake of antibiotics, despite the fact that on the third day there will be a noticeable improvement in the patient's condition. Until full recovery, you should refrain from visiting public places and long walks.
The drug "Azithromycin" with bacterial tonsillitis
Often prescribed azithromycin in bacterial tonsillitis, a drug belonging to the group of macrolides, and is a broad-spectrum antibiotic. It is quickly absorbed into the digestive tract, perfectly penetrates the respiratory tract, skin and soft tissues. It is taken once a day, regardless of meals.Improve the condition and accelerate the recovery will help a lot of sour drink, for example, Morse from cranberries or viburnum, tea with raspberries or lemon. The patient should be placed in an isolated, ventilated room, in which a daily wet cleaning is to be carried out.
Treatment of tonsillitis bacterial at home should be carried out in strict accordance with the recommendations of the doctor.
In no case should you change the dose of drugs or stop receiving them before the term.
NasmorkuNet.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 RemediesIf 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 LugolIn 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 BioparoxThan to treat a tonsillitis radically? Tonsillectomy is the answer to this question. This operation can be carried out in several ways:
- With the help of surgical instruments. This is the most common method, in which a surgical blade is used to remove tonsils.
- Diathermy. In this case, a probe is used that creates heat from the electric current to destroy tissue around the tonsils and remove the tonsils themselves. At the same time, heat seals the blood vessels and stops bleeding.
- "Cold" ablation. The method operates on the same principle as the previous one, but uses a lower temperature (60 ° C). It is considered less painful than diathermy.
How to treat tonsillitis in adults: recovery after tonsillectomy
For those who suffer from tonsillitis and are interested in how to treat tonsillitis in adults once and for all, the answer is one - the removal of tonsils.
- On average, after the operation, recovery takes 5 to 7 days. You may feel uncomfortable for up to two weeks after the operation.
- People who have undergone tonsillectomy should refrain from attending work for two weeks. This will reduce the chance to "pick up" the infection from a sick colleague.
- Speaking about how to treat tonsillitis in adults, we can not fail to mention that after tonsillectomy it is necessary to drink a lot of liquid, but avoid acidic drinks such as orange juice, since they will "sting" the unhealed throat.
- It is important after removing the glands to brush your teeth regularly, it helps fight infection in the oral cavity.
- Pain sensations usually occur within the first week after the operation and gradually disappear for the second week. Pain in the ear is a side effect of tonsillectomy and does not give cause for concern.
It is worth noting
After the tonsils have been removed, a white coating appears in the throat. Once the throat is completely healed, it will gradually disappear. This process will take about two weeks.
Than to treat tonsillitis in a small child
Sore throat is a classic symptom of tonsillitis, but it may be difficult for parents to understand that the child has a sore throat if he can not speak yet. Watch for a decrease in appetite and saliva. Sometimes a child with tonsillitis may experience excessive salivation, because it hurts to swallow.
Than to treat a tonsillitis at the child till two years? The best treatment is symptomatic help.
- Acetaminophen or ibuprofen can help relieve pain and fever.
- Offer the baby soft foods, such as bananas or pudding, and exclude from his diet tough foods such as toast.
- Encourage fluid intake. With tonsillitis, the organism of babies can easily become dehydrated, because they do not want to drink, if swallowing causes them discomfort. Let them drink gradually, but often. Soup, ice cream and fruit ice cream are also counted as liquids.
Talking about how to treat tonsillitis in a child, it is important to say and about what to treat is not worth it. Antibiotics are usually not prescribed in the treatment of tonsillitis, because these drugs treat bacteria, and most cases of tonsillitis are caused by the virus.
.gajmorit.com
Treatment of tonsillitis in adults: what and how to treat at home
Angina is an infectious tonsillitis in an acute form. The disease manifests itself in the form of pain in the throat and inflammation of the tonsils.
Tonsillitis, including in adults, occurs regardless of gender and age, so it is important to perform quincy treatment both at home and under the supervision of a doctor.
Depending on the reasons that led to angina, there may be different symptoms.
In addition, treatment is different, but the general principle is to get rid of inflammation and prevent the spread of the disease throughout the body.
Symptoms of the disease
Symptomatics of acute tonsillitis in the human body is observed from the first days of the disease. Angina in adults is manifested:
- redness in the throat,
- pain in the throat when swallowing,
- a strong rise in temperature,
- headaches,
- weakness.
To accurately diagnose the disease and determine which medications to take, you should see a doctor.
Treatment of acute tonsillitis
How to treat angina, depends on its form and the actual stage of development. Some types of angina at frequent manifestations can be subject to surgical treatment, which involves the removal of tonsils.Treatment, which is provided by traditional medicine, implies conservative, that is, drug treatment.
Conservatively treat sore throat can be, if applied:
- complexes of vitamins for human immunity,
- anti-inflammatory drugs,
- inhalation with angina and rinsing to remove the lump in the throat and remove the pus from the tonsils.
At home, you can get rid of tonsillitis, if you treat it from the first days of the disease.
Chronic tonsillitis in adults and acne
Acne in adults often appears due to chronic tonsillitis. Infection, which got into the tonsils through the blood, spreads through the body, which often affects the joints and skin.
To prevent pimples continue to appear, a diet can be prescribed for tonsillitis, as well as appropriate therapy. As a rule, acne leaves for two weeks of treatment, if you use bacterial and antiviral drugs.
In order to eliminate acne, it is also recommended to wipe the face with floral water to normalize the activity of the sebaceous glands.
It is worth noting that acne in a certain amount can remain on the skin for up to two months, this requires local therapy.
To prevent pimples appear in tonsillitis, it is recommended to eat a lot of fresh fruits and vegetables, and also drink about 8 glasses of water a day.
Symptoms of chronic tonsillitis also include:
- discomfort in the throat - a person feels a lump,
- increased tonsils and lymphatic cervical nodes.
Treatment of sore throat in the home
You can treat angina at home if you combine medicines and traditional medicine.
Traditional medicines in this case:
- chlorhexidine,
- chlorophyllite,
- lugol solution,
- iodine.
To reduce the pain in the throat, folk medicine is used, namely recipes with medicinal herbs, vegetables and fruits. Treat angina most effectively using the recipes listed below.
Lugol solution.Lugol solution is sold as a liquid or spray. To deal with sore throat, the remedy is treated with inflamed tonsils. With the help of a medicine, it is possible to effectively treat inflammation and lumps in the throat.
Inhalations.
In hot water, you need to dissolve drugs such as chlorophyllite or chlorhexidine. A sick person should inhale the vapor from the solution for 20 minutes. You should know that inhalation can be done only at normal body temperature.
Gargling with iodine.
The solution for rinsing the throat consists of:
- 200 ml of hot water,
- 1 teaspoon of salt,
- 3-4 drops of iodine solution.
The mixture is gargled for several minutes every day at intervals of several hours.
Solution with rinse hydrogen peroxide
In one glass of water, you need to dissolve one large spoonful of 3% hydrogen peroxide solution. To clean the lump in the throat, perform gargling with hydrogen peroxide should be at least 4-5 times a day.
Rinse solution with honey.
In warm water, dissolve one teaspoon of honey. To the mixture add a small spoonful of apple cider vinegar and rinse the throat 6 times a day at intervals of 3 hours.
Broth with beetroot.
Angina can be treated at home with a beet broth. To cook it you will need two medium-sized beets, which are cooked in water until ready.The resulting liquid is cooled, then add 5 ml of propolis or lemon juice with honey. To completely clean the lump in the throat and inflammation, the broth is rinsed every two hours.
Compress with potatoes.
To remove pain in the throat and formed com, you can use a potato compress. Potatoes are kneaded and 10 g of vegetable oil and 7 drops of iodine are added to the mass.
The finished mixture is placed in a bag of gauze and in a warm form is applied to the throat. It is necessary to wrap your throat and hold the compress until it cools.
A solution with soda to rinse.
To make this a simple and effective tool, you need to add a teaspoon of ordinary soda to a glass of boiled water. The throat is rinsed every few hours.
Infusion of garlic.
For the preparation of infusion, which removes the lump and pain in the throat, increasing the body's immunity, you will need garlic. Two heads of garlic must be peeled off and grinded on a grater.
Then add to the mass of 3 tablespoons of honey, as well as 10 g of dried elderberry flowers in the form of powder. After that, the mixture should be poured with 600 mg of warm water, wrap with a cloth, insist for two hours and drain. Take 50 mg every hour.
Decoction of aloe.
3 sheets of aloe should be wrapped in paper and put in a freezer for two days. After this, the leaves are passed through a meat grinder, 500 ml of water are added and the mixture is brought to a boil over a small fire. The broth should be filtered and rinsed every 3 hours, which will help eliminate the lump and sore throat.
Decoction of plantain.
To prepare this broth you need 5 dry or fresh leaves of plantain. Leaves should be chopped and pour a glass of boiling water.
The resulting mixture is insisted for half an hour, after which it is filtered. The broth is used to rinse at home to remove pain and lumps in the throat.
Complications
Choosing the most optimal prescription, you can effectively treat the sore throat in an adult at home. But it should be remembered that if self-treatment did not bring the expected results for 5 days, you need to seek medical help from a doctor. To do this it is necessary to avoid dangerous changes in the throat and other body systems.Joints often hurt if the sore throat is in neglected form. The connective tissue forms both joints and heart valves, so complications after tonsillitis are of the same nature.
If the treatment of angina at home has not been successful, streptococci enter the bloodstream, and then into various systems, so the joints suffer first.
Joints after the transferred angina can swell, swell, change color, which is accompanied by fever and high fever. In these cases, medicament preparations and physiotherapy are shown. Video in this article will tell you how to properly treat tonsillitis.
stopgripp.ru
What is tonsillitis? Symptoms of tonsillitis and methods of treatment at home
What is tonsillitis? This inflammation of the tonsils - two oval accumulations of lymphatic tissue at the back of the throat, one on each side. Among the signs and symptoms of tonsillitis - swelling of the tonsils, sore throat, difficulty swallowing and sensitivity of the cervical lymph nodes.
In most cases, the disease causes widespread viruses, but bacterial infections are also common.
Since the correct treatment of tonsillitis depends on the cause of the disease, you need to get a timely and accurate diagnosis. Surgery to remove tonsils in the past was the most commonly used method of treating the infection. Currently, surgery is shown only in severe cases, that is, with frequent relapses of bacterial tonsillitis, which is not amenable to traditional therapy and causes serious complications.
Symptoms
In children, tonsillitis is usually diagnosed. Symptoms and treatment depend on the nature of the disease and the age of the child. Typically, small patients suffer from inflammation of the tonsils between the ages of six and fourteen. For this ailment the following symptoms are characteristic:
- redness and swelling of the tonsils;
- the appearance on them of white or yellow spots (sometimes - a continuous raid);
- a sore throat;
- difficult or painful swallowing;
- increased body temperature;
- enlarged, sensitive lymph nodes in the neck;
- hoarse, guttural or muffled voice;
- bad breath;
- pain in the abdomen, especially in young children;
- stiffness of neck muscles;
- headache.
Sometimes even the smallest children develop tonsillitis. Symptoms and treatment in such cases are more difficult to determine, because patients are not yet able to speak and are not able to describe the causes of poor health. In such cases it is possible to judge the presence of the inflammatory process in tonsils according to the following signs:
- salivation due to difficulty or painful swallowing;
- refusal to eat;
- unusual nervousness or nervous excitement.
When to call a doctor
It is necessary to make an accurate diagnosis if your child has signs that indicate the development of the inflammatory process in the tonsils. Call the district therapist if the child has:
- pain in the throat does not pass within 24-48 hours;
- swallowing is difficult or accompanied by pain syndrome;
- increased weakness, fatigue or nervous overexcitation.
Seek immediate medical attention if the child:
- has trouble breathing;
- Has considerable difficulty in swallowing.
You should immediately contact your doctor if there is excessive salivation.
Causes
Tonsillitis in children and adults is most often caused by common viruses, but a variety of bacterial infections can cause the disease.
Most often inflammatory process in tonsils initiates pyogenic streptococcus - he is responsible for the majority of cases of acute pharyngitis. Other varieties of streptococcus can also contribute to sore throat.
Why the tonsils are inflamed
Tonsils are the first line of defense of the body against bacteria and viruses that penetrate the oral cavity. Being a part of the immune system, these clumps of lymphatic tissue, nevertheless, remain particularly vulnerable to infectious diseases. An interesting fact: the protective function of the tonsils is significantly weakened after reaching puberty - that's why tonsillitis in adults is much less common than in children.
Risk factors
Among the circumstances that contribute to the onset of the inflammatory process are:
- Childhood. Tonsillitis in children is one of the most common infections, but the disease is rarely diagnosed in young patients under the age of two. Bacterial infection is most often found in children aged five to fifteen years, while viruses mostly affect the younger age group.
- Frequent exposure to microbes. Children of school age are in close contact with peers and therefore are often attacked by viruses and bacteria capable of causing chronic tonsillitis.
Complications
Inflammation of the tonsils, spilled over into a chronic disease, can lead to complications such as:
- labored breathing;
- obstructive sleep apnea syndrome - breathing disorder during sleep;
- Tonsillar cellulitis is an infection of lymphatic tissue that penetrates deep into nearby structures;
- peritonsillar abscess - an infection that leads to accumulation of pus in the space behind the amygdala.
Streptococcal infection
If chronic tonsillitis is caused by group A streptococcus, and the patient neglects the prescribed therapy, or if treatment with antibiotics is interrupted, there is a risk of developing rare complications. It:
- Rheumatic polyarthritis - an inflammatory process that affects the heart, tendons and other tissues;
- poststreptococcal glomerulonephritis is an inflammatory process in the kidneys, leading to disturbances in the output of slags and excess fluid from the blood.
Before a visit to a doctor
If your child has a sore throat or is difficult to swallow (or if you find other possible signs of tonsillitis), you need to begin a medical examination with a visit to the district pediatrician. Perhaps he himself will tell you how to treat tonsillitis, or give you a referral to visit the otorhinolaryngologist.
The doctor will ask you a series of questions about the state of the child. Among them:
- When did the symptoms start?
- If the child had a fever, how much did the body temperature rise?
- Is it difficult for a child to swallow? Does swallowing pain?
- What facilitates manifestations of the disease? Perhaps, OTC medicines help or rinse the throat with a warm liquid?
- Did your child diagnose inflammation of the tonsils or acute pharyngitis earlier? If yes, then when?
- Do the symptoms of the disease affect sleep?
- Does your child interact with someone with acute pharyngitis (streptococcal sore throat)?
You can ask your own questions to the doctor. Most likely, you will need to find out from a specialist the following:
- How long will it take to wait for the test results?
- How to cure tonsillitis?
- Do frequent relapses of the disease serve as a cause for concern?
- When will the child return to school?
Diagnostics
Knowing what is tonsillitis and how it is diagnosed, you can mentally prepare a child for the delivery of tests. Prior to the appointment of any research, the physician will conduct a primary medical examination, including the following procedures:
- use a tool equipped with a light element to study the child's throat (and also, perhaps, his ears and nasal sinuses, in which foci of infection can also be detected);
- check for the presence of skin rash, characteristic of a child's infectious disease, such as scarlet fever, often accompanied by acute pharyngitis;
- palpation of the child's neck in order to detect swollen lymph nodes;
- Listening to breathing with a stethoscope;
- Checking the spleen for an increase in size (to exclude suspicions of mononucleosis, which also causes tonsils to become inflamed).
Smear from the throat
In this rather simple study, the doctor will conduct a sterile cotton swab on the back of the child's throat to get a sample of biological material. Exceptions from the throat are then checked in the clinic or laboratory for the detection of streptococcal bacteria.
Many clinics have laboratories in which it is possible to learn the result of a smear a few minutes after the test is submitted. However, doctors prefer to refine the results with the help of the second test - the data of a new smear come only after 24-48 hours.
However, if the results of the first study revealed the bacteria of the streptococcal group, your child almost certainly developed a bacterial infection. If the test is negative, the disease is most likely caused by the virus. In any case, the doctor will recommend waiting for the results of the second stroke.
General blood analysis
To find out how to cure tonsillitis according to its nature, the doctor can prescribe a general blood test. Based on the results of this laboratory study, the specialist receives detailed data on the number of blood cells of each type. If the level of some cells is increased, and others are lowered compared to the norm, the doctor will be able to determine the nature of the inflammation of the tonsils - viral or bacterial. Typically, a general blood test is not needed to diagnose acute pharyngitis (strep throat infection), but with a negative smear from the throat, this study may be needed.
Treatment of tonsillitis at home
Regardless of the primary cause of the disease (be it a viral or bacterial infection), it can be cured without any problems at home. Moreover: if the disease is caused by a virus, no other treatment will help the child. In such simple cases, the doctor does not even prescribe antibiotics. Children recover themselves 7-10 days after the first symptoms of the inflammatory process in the tonsils.
To cure tonsillitis at home, follow the recommendations of specialists:
- Make the child comply with bed rest: he needs as much sleep and rest as the body struggles with the infection.
- Provide access to liquid. Give the patient as much water as possible so that he can maintain moisture in the throat. Do not let dryness and dehydration.
- Feed your baby with warm food. Warm liquids are especially useful for the sore throat. This is chicken broth, decaffeinated tea or simple warm water with the addition of honey.
- Prepare a salt solution for rinsing your throat. If your child has grown enough to perform this procedure on his own, tell him how to treat tonsillitis, and prepare a special solution based on one teaspoon of table salt to 240 ml of warm water. Make sure that the patient uses the solution as directed and spits it out.
- Moisten the air. Use special equipment to get rid of dry air, irritating sensitive mucous membrane of the throat, or sit with the child for several minutes in a steam-filled bathroom room.
- Offer the patient a lozenge. Lozenges from a pain in a throat will help children to facilitate a painful syndrome. Such over-the-counter medicines can be given to babies from the age of four.
- Avoid exposure to irritants. To treat tonsillitis at home, it was successful, do not smoke in the house and do not use cleaning agents that can irritate the sore throat.
- Relieve pain and reduce heat. Discuss with the doctor the possibility of using "Ibuprofen" or "Tylenol" to eliminate sore throat and control body temperature. If the thermometer shows no more than 38 degrees, and the child does not experience a pain syndrome, there is no need to apply medications.
Foreign researchers do not recommend giving aspirin to children and adolescents, since, according to some sources, its use in the treatment influenza and a variety of colds can lead to the development of Reye's syndrome - a rare but potentially dangerous state.
Antibiotics
What is tonsillitis? Most often it is a bacterial infection that needs to be treated with antibiotics. Most often, if the disease is caused by group A streptococcus, doctors prescribe to drink penicillin-based medicines (Ampicillin Amoxicillin, etc.) for ten days. If the child is allergic to the substance, the specialist will write an alternative drug.
It is necessary to drink a full course of antibiotics prescribed by the doctor, even if the symptoms completely disappeared a few days after the start of therapy. If you stop using drugs, the remaining infection can become more severe or spread to other parts of the body. In particular, a violation of the prescribed course of taking antibiotics can lead to the development of complications such as rheumatoid polyarthritis and severe inflammation of the kidneys.
In advance, ask the doctor what to do if you forget to give your child another dose of antibiotic.
Surgery
Traditional means are not always able to cure tonsillitis. Reviews of surgical operations, on the other hand, are invariably positive: if the patient suffers from frequent relapses, chronic tonsillitis or bacterial infection that does not respond to drug therapy, tonsillectomy (tonsillectomy) becomes the only way to solve Problems.
Under frequent relapses of tonsillitis are meant:
- more than seven episodes of the disease for the year;
- more than four episodes of the disease per year for two consecutive years;
- more than three episodes of the disease for the year for three consecutive years.
What other cases do you need to remove the tonsils? Tonsillitis can lead to complications, and if this has already happened, surgical intervention is necessary. Such complications can be manifested in the form of the following states:
- syndrome of obstructive sleep apnea;
- labored breathing;
- difficulty swallowing, especially when eating meat and other solid foods;
- an abscess that can not be medicated.
Knowing what tonsillitis is, you are unlikely to be surprised at the simplicity of a surgical operation. If the child does not have other concomitant diseases, he can return home the same day. Complete recovery usually takes from one to two weeks.
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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:
- 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.
- 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.
- "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.
- 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:
- 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.
- 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.
- 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.
- Electrocoagulation is an operation using electric current, it does not cause pain and bleeding.
- 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.
- Cryodestruction - freezing and tearing of tonsils with the help of liquid nitrogen. The postoperative period is painful, requiring enhanced antiseptic care.
- 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:
- Once a half a year, go through a course of treatment of tonsillitis with medicines.
- 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.
- Limit salt and fried foods, spices, citrus, alcohol, exclude hard, very cold or hot food.
- 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!
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