Exacerbation of tonsillitis treatment

Chronic tonsillitis - symptoms, treatment, causes, complications

Chronic tonsillitis is a condition of palatine tonsils, in which, against the background of a decrease in local natural protective functions, their inflammation periodically occurs. Therefore tonsils (tonsils) become a constant focus of infection, with chronic allergization and intoxication of the body. Symptoms of chronic tonsillitis are clearly manifested during periods of relapse, when during an exacerbation the temperature rises body, enlarged lymph nodes, there is pain, perspiration in the throat, pain when swallowing, bad breath.

Against the background of reduced immunity and in the presence of a chronic foci of infection, patients with chronic tonsillitis forms in the future may suffer from such diseases as rheumatism, pyelonephritis, adnexitis (see below). 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 chemized food, 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, in lacunae and crypts are always present as non-pathogenic, and conditionally pathogenic 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 a person. If the balance of microflora is disturbed for various reasons, described below, a sharp growth of bacteria can cause angina - acute inflammation, which can occur as a lacunar sore throat or follicular sore throat.

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 protection functions, lose self-cleaning ability and themselves are the source of infection, then the chronic form - tonsillitis develops. 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 pass an analysis to the bacterial flora with antibiotic susceptibility, since pathogenic microorganisms are of great variety and each of them can be resistant to certain antibacterial agents. When prescribing antibiotics at random, with the resistance of bacteria, treatment will be ineffective or completely not effective, 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 genyantritis with antibiotics), curvature of the nasal septum, as well as dental caries - can provoke inflammation of the 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:

• A small amount of liquid consumed per day. A person should drink at least 2 liters of liquid per day, as well as the poor quality of water consumed daily (use only purified water, special water filters for cooking)
• 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 unfavorable environmental situation in the place of residence is industrial enterprises, an abundance of vehicles, chemical production, an increased radioactive background, the abundance in the residential premises of household goods of poor quality, emitting harmful substances into the air - cheap household appliances, carpets and furniture made from toxic materials, active use of household chemicals (chlorine-containing products, washing powders and detergents with a high concentration of surfactants, 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 of food accumulate, tobacco tar, pus, microbes, both living and dead, dead cells of the epithelium of the mucous lacunae.

In closed lacunae, figuratively speaking, pockets where pus accumulates, very favorable conditions are created for the preservation and reproduction of pathogenic microorganisms, toxic the products of vital activity of which, with blood flow, are carried throughout the body, affecting almost all internal organs, leading to chronic intoxication of the body. 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, puffiness edges of the arches, lymph nodes increase, there is a foreign body sensation, discomfort when swallowing, dry mouth, smell from the mouth. During periods of remission, there are no symptoms, and during exacerbations up to 3 times a year there are tonsillitis accompanied by temperature increase, headache, general malaise, weakness, long recovery period.

1 toxic-allergic form - in addition to local inflammatory reactions to symptoms of tonsillitis, general signs of intoxication and allergization are added 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 by the ECG, the heart rhythm is broken, acquired heart defects may develop, rheumatism, arthritis, urinary-genital diseases develop. 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, with a qualified a 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 insufficient for thorough washing, and also the procedure is traumatic and contact, often causes a gag 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 the ultrasonic effect cavitation creates a drug suspension and with effort delivers the medicinal solution to the submucosal layer of palatine tonsils. As a medicine, 0.01% 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 lasting result, such an effective treatment is desirable 2-4 times a year and independently at home to conduct maintenance preventive treatment, 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 the imbalance of the microflora of the mucosa nasopharynx and conditionally pathogenic microorganisms begin to multiply with an inadequate 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 preparations containing live culture of acidophilic lactic acid bacteria - Narine (liquid concentrate 150 rubles), Trilact (1000 rubles), Normoflorin (160-200 rubles). 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 the installation of an accurate diagnosis, clinical picture, degree and form of chronic tonsillitis, is the physician determines the tactics of managing the patient, prescribes to him 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 of the most easy and safe means, and a longer course with stronger drugs that require the intake of probiotics. 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.) Initiation of therapy should be made with probiotic drugs that are resistant to antibiotics - Acipol, Rela Life, Narine, Primadofilus, Gastropharm, Normoflorin. 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. a complete list and prices of non-steroidal anti-inflammatory drugs in the article Pricks from 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 0.01% 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

An experienced homeopath can choose the best homeopathic treatment and, if his recommendations are followed, maximally prolong remission after removal of acute inflammatory process by traditional methods of therapy. And to rinse your throat you can use the following medicinal plants: turn, sage, chamomile, leaves eucalyptus, 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, sore throat, in this case is very effective and it is safe to use apricot, peach, sea buckthorn oil, taking into account the individual tolerability of these products (no 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, strongly cold or hot food, saturated with taste enhancers and artificial additives, alcohol - significantly worsens the patient's condition.

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Causes and exacerbation of chronic tonsillitis

Tonsillitis is a disease of the throat, in which tonsils are affected, and exacerbation of chronic tonsillitis is nothing but a sore throat.

The process of inflammation can begin due to several reasons: hypothermia, decreased immunity, the presence of allergies. In a person who has been diagnosed with chronic tonsillitis, tonsils have certain microorganisms. And if one of the above reasons occurs, then begins to develop angina, sometimes even with a number of complications.

In the throat of a person there are 7 different types of tonsils, the most common inflammation is inflammation of the palatines. Tonsils participate in the formation of immunity, especially in children.If the child has had tonsillitis, then immunity functions will be already violated, and the disease will become more frequent.

Causes of tonsillitis

With multiple tonsil disease, immunity reduces its protective functions, and then you can talk about the chronic form of the disease. As a rule, chronic tonsillitis is manifested due to the action of various bacteria, for example, staphylococcus, group A streptococcus and others. With respiratory diseases, tonsillitis may manifest as an exacerbation.

Another cause of tonsillitis can be inflammation near a number of organs, for example, dental caries, sinusitis.

If a person had sore throat, and treatment was performed without an ENT doctor, then in such conditions, too, an exacerbation of tonsillitis is possible. With angina, the ENT appoints a special diet for the tranquility of the mucous membranes, thus preventing the onset of tonsillitis.

Symptoms of the disease

At an initial stage of disease the patient can even not guess, that he is already sick. Symptoms are hidden. The first symptom can be noted growing discomfort in the throat - severe pershenie. Many patients notice in the first few days the sensation of a lump in the throat. Unpleasant odor from the mouth is possible.

Another very important symptom of tonsillitis in chronic form is cough, fast fatigue, weakness in the whole body.

Sometimes there is an increase in temperature, it may not be constant, and rise closer to evening or night. The patient feels very weak and can not do the work that he performed in the usual state.

There may be unpleasant sensations or even painful swallowing in the tonsils. Doctors note a slight increase in lymph nodes, which can be observed for several days.

With an exacerbation of chronic tonsillitis, headaches that give to the left side of the head are possible.

Types of chronic tonsillitis

There are two types of tonsillitis. The first form is compensated. It differs by local symptoms of inflammation. The patient, as a rule, feels fine, fatigue is not observed, body temperature is normal. Tonsils try to cope with the disease, and therefore it is less pronounced.

The second form is decompensated. With this form, there may also be local symptoms, but they will be accompanied by other diseases, for example, angina, allergy and others. There is a fever and weakness in the whole body.

Do not forget that any of these forms of the disease with a lack of treatment can go into complications.

Complications after tonsillitis

If a patient does not follow the doctor's instructions for tonsillitis, in most cases this leads to serious complications of the disease. Tonsillitis can be complicated by more than 50 different diseases.

Patients with chronic tonsillitis often complain of difficulty with nose breathing. This is due to the inflammation of the mucous membranes of the nose and throat.

Tonsils during the inflammatory process can not normally resist the infection, and therefore various abscesses can arise. The most dangerous is the phlegmon of the neck. With such a disease, a lethal outcome is possible.

With a long course of the disease, the infection descends lower along the respiratory tract. And there may be bronchitis or pharyngitis. With various forms of tonsillitis complications can be expressed in different ways and with different strengths.

Doctors detect a large number of complications affecting the internal organs of a person. Among them, rheumatism, polyarthritis, lupus erythematosus and many others can be distinguished.

With frequent occurrence of angina, there may be problems with the heart: heart disease, stroke and others. Possible complications affecting the gastrointestinal tract. Most often there is gastritis, ulcers, colitis.

A prolonged course of the disease can affect the lungs, and specific diseases occur. In some cases, pneumonia may worsen in both mild and chronic forms. To treat pneumonia for a start, the cause in the tonsils should be eliminated.

In the form of complications, eye diseases are sometimes observed. Among the main complications can be identified developing nearsightedness. If the patient has noticed a slight decline in vision, it is necessary to urgently contact the ophthalmologist to stop the process. The first thing to do is to eliminate the focus of infection.

There may also be Behcet's disease, in which both eyes of the patient are immediately affected. With a long course of tonsillitis, the kidneys can be affected, kidney function is impaired.

There may be a violation of the metabolic process in the body. A person either very rapidly gaining weight and does not control his appetite, or vice versa, sharply grows thin, loses appetite. A constant sense of thirst also bothers the patients. Women have problems with the menstrual cycle, and men may lose the potency and desire for intimate relationships.

Chronic tonsillitis can trigger a decrease in insulin in the blood, resulting in diabetes.

Young girls suffering from chronic tonsillitis have problems with conceiving and carrying a child.

It can be concluded that tonsillitis can provoke the appearance of any disease.

At the first signs of tonsillitis should immediately consult specialists and not neglect treatment and recommendations.

How to treat chronic tonsillitis?

For today in medicine there are not so many ways of treatment of the given disease. In tonsils, lymphoid tissue dies, and in its place appears scarring. Because of this, inflammation can worsen and move to other internal organs. Treatment of the disease occurs with the help of a powerful effect on the patient's airways.

Sometimes, together with tonsillitis, there is pharyngitis, and in this case, the treatment will be directed to two diseases at once. The first thing the doctor will do in such a situation will remove the manifestation of the sore throat, and after that the therapy directed on the treatment of tonsillitis and enhancement of human immunity, in order to eliminate the possibility of recurrence of the disease.

Doctors recommend to observe a bed rest for 5-7 days, to use antibiotics of a wide spectrum. But in no case can not prescribe such drugs to yourself without consulting a doctor. Medicinal preparations are selected taking into account the form and degree of the disease, and also taking into account the individual characteristics of the organism.

In hospital conditions, the tonsils are washed with a special solution. In addition to drugs, ultraviolet radiation is prescribed. This allows to remove the inflammation in the shortest possible time.

If treatment with drugs does not help, the doctor can decide to remove the tonsils. This type of treatment is used only in very complicated cases, with a large number of different complications on the internal organs.

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There is also the prevention of tonsillitis. In order to not get sick with tonsillitis, you should constantly monitor your breathing. At any discomfort in a throat or in a nose it is recommended to address immediately to the doctor. After tonsillitis you need to lubricate the tonsils. The drug for this procedure can be prescribed only by the attending physician.

One of the main preventive measures is the constant hardening of the body from the very childhood. It is recommended 2 times a year (in spring and autumn) to strengthen immunity by taking various vitamins.

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Exacerbation of chronic tonsillitis: complications of the disease and its treatment

Angina is a very common ENT disease, called by doctors not otherwise than tonsillitis. It has a clearly pronounced inflammatory character and is caused by the activity of bacteria and viruses, less often fungi. In people it is called an angina and equally often affects both adults and children. Many people are very careless about treating this disease, not realizing that their behavior can lead to complications.

Causes and symptoms of exacerbations of chronic tonsillitis

Frequent inflammations of the tonsils weaken the immune system, make a person susceptible to previously safe diseases for him. The most common causes of angina are pathogens such as staphylococci and streptococci. Therefore, treatment of exacerbation of chronic tonsillitis involves taking antibiotics, which must be properly selected. Otherwise, the illness is delayed, complications develop. Frequent acute respiratory infections and ARVI can also cause and exacerbate the disease.

Also, cases of exacerbation of chronic tonsillitis are increasingly recorded, the cause of which is the prolonged nasal congestion. Therefore, people who for some reason can not fully breathe fall into the "risk group". The reason may be allergies, inflammation of the adenoids, curvature of the nasal septum, the presence of polyps or anatomical features of the structure.

In connection with the fact that chronic tonsillitis occurs against the background of an incomplete acute disease, its symptoms may be blurred or absent altogether. Therefore, exacerbation of chronic tonsillitis is often not diagnosed on time.

Among the main symptoms and signs of exacerbation of chronic tonsillitis include:

• swelling and redness of the throat;
• pain during swallowing;
• increased lymph nodes;
• increased body temperature;
• vomiting;
• purulent coating on the tonsils.

As a rule, the exacerbation of the disease occurs when the immunity is weakened due to severe hypothermia, the presence of foci of infection in the body, the lack of prevention and improper treatment.

The presence of some of the signs can not be established independently, so when the first symptoms of the disease you need to seek help from a doctor.

He will determine how to treat an exacerbation of chronic tonsillitis, and what medicines are best used.

Treatment of exacerbation of chronic tonsillitis with antibiotics

Treatment of exacerbations of chronic tonsillitis must necessarily include the intake of antimicrobials, which the doctor must appoint. Do not even try to treat the disease yourself and only by domestic methods. This may lead to a prolonged period of treatment and the development of complications and concomitant diseases.

Complications of untreated chronic tonsillitis can be quite serious, beginning with the development of rheumatism and glomerulonephritis, and ending with malfunctions in the heart. Therefore, one should take the disease seriously and not delay it with treatment. Complications of chronic tonsillitis in children are most often manifested by the development of pneumonia, allergic diseases, otitis with a decrease in hearing and kidney damage.

Treatment of exacerbation of chronic tonsillitis with antibiotics should be done under the supervision of a doctor. Most often, penicillin group drugs (phenoxymethylpenicillin), macrolides (azithromycin) and cephalosporins (cefcalor) are prescribed for this purpose.

How to treat an exacerbation of chronic tonsillitis in children and adults?

For local treatment of exacerbation of chronic tonsillitis, children and adults are also prescribed antiseptics in the form of sprays for irrigation of the throat or in tableted form for resorption, essential oils for inhalation, infusions of medicinal plants (calendula, sage, chamomile) for rinses.

Treatment of exacerbation of chronic tonsillitis in children and adults implies adherence to bed rest, a sparing diet and the reception of abundant warm drinks. To cope with the fever used anti-inflammatory drugs nimesulide and ibuprofen. Also, antihistamines are often used to relieve the general condition and eliminate the laryngeal edema.

Complication of exacerbation of chronic tonsillitis in the heart during pregnancy

Relapse of any disease is a serious blow to health and well-being. In pregnancy, exacerbation of chronic tonsillitis can cause a significant harm to the health of the future baby. Therefore, it is necessary to try to prevent the disease and prevent the development of complications.

Complications that affect the heart, with chronic tonsillitis are particularly formidable and can cause disability and even death.

An important place in the prevention of colds, including. and chronic tonsillitis takes hardening of the body and proper full-fledged rational nutrition. It is also important to monitor the cleanliness of the house and workplace, often ventilate the room and do a wet cleaning.

In the event of a nasal breathing disorder for one reason or another, you need to do everything to restore it. Cure sinusitis and pharyngitis, check your teeth and seal them if necessary.

Every person suffering from chronic tonsillitis must visit the doctor at least once every 3 months.

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Antibiotics for tonsillitis in children and adults

In chronic course of such a disease as tonsillitis in patients there is almost constant presence of inflammatory process in the region of pharyngeal tonsils. In most cases, the disease develops after the transfer of primary purulent sore throat, but in people with reduced immunity, chronic tonsillitis can develop without it.

If you do not give tonsillitis due attention and do not conduct conservative treatment, it can lead to sprawl connective tissue in the tonsils, as a result of which they will eventually lose their protective functions.

The consequence of such negligent attitude to their health can be the development of nephritis, thyrotoxicosis, arthritis, heart disease and liver.

Antibiotics for tonsillitis are used in those cases when it is not possible to quickly and effectively stop the inflammatory process by other methods, and as a result, the general intoxication of the body begins to increase and the temperature rises. In such a situation, the appointment of antibiotics is a justified measure, since the risk of taking them is more than compensated by the benefit. What antibiotics to take with tonsillitis, and how is it best done?

Appointment of antibiotics for tonsillitis

In most cases, the patient is prescribed an antibiotic, which is able to influence all the most widespread pathogens of inflammatory diseases of the nasopharynx, that is, a broad-spectrum preparation.

However, the most effective and safe is the appointment of an antibiotic taking into account the sensitivity of the microorganisms that caused the disease. To find out which antibiotics for tonsillitis are most effective, bacteriological examination of mucus samples from the nasopharynx will help. It is advisable to always carry out such an analysis before prescribing the drug. It will help to determine what kind of microorganism was the cause of inflammation.

In addition, tonsillitis can be caused not only by bacteria, but also by viruses, whose antibiotics do not affect their vital activity, so their reception will be in vain.

Sometimes an experienced doctor can determine the causative agent of tonsillitis and without carrying out tests. So, for example, if the patient has severe pain in the grief and the defeat of the tonsils is one-sided, there is no runny nose and cough, most likely, the streptococcal infection is to blame for everything.

What antibiotic in chronic tonsillitis will help in this case will be able to determine only the attending physician.

Good antibiotics for chronic tonsillitis and exacerbation of the disease

One of the most commonly prescribed antibiotics in the treatment of tonsillitis is the drug Amoxicillin. It is a bactericidal drug from a number of penicillin, it is very quickly and completely absorbed in the intestine. The doctor will choose the dose based on the severity of the disease and the degree of damage to the tonsils. Adults and children after 10 years are most often prescribed a drug intake of 0.5 g. three times a day.

Cefadroxil is also an effective antibiotic for tonsillitis, belonging to the group of cephalosporin drugs. Provided it is correctly administered, the maximum concentration in the blood is reached after 1.5 hours after ingestion. But removing it from the body is very slow, so take it once a day.

As a rule, improvement of the general condition after the first intake of antibiotics is observed already on day 2-3. Therefore, taking certain antibiotics for chronic tonsillitis, and not noticing improvements and positive changes, it is necessary to inform the treating doctor without delay. Most likely, this will mean that the microorganisms that caused inflammation, were insensitive to the drugs. In this case, antibiotics will be required for exacerbation of tonsillitis, related to another type (row).

Correctly to define what antibiotic to accept at a tonsillitis the doctor can define only, therefore it is not necessary to develop amateur performance and to sweep off from counters of drugstores all antibiotics successively. This is fraught with consequences and complications.

What antibiotics to take with tonsillitis: local therapy

An important role in the cause of early recovery is the local use of drugs containing antibiotics in its composition. Local therapy can be carried out in the form of rinsing of the throat with solutions of medications, inhalations or lubrication of tonsils with curative compounds.

One of the most effective ways of local treatment of tonsillitis with antibiotics is to wash the inflamed lacunae with a solution of penicillins or sulfonamides. The procedures are prescribed by the course of 7-10 days, the washing should be daily. The procedures are carried out using a syringe or special preparation "Tonzilor".

In addition, antibiotics in acute tonsillitis can be administered intranontsillarly or paratonzillarly, if the abscesses are too deep and the procedure of washing is extremely inconvenient. Most often, antibiotics of the penicillin group are used to directly administer medications to the tissues of the palatine tonsils.

Positive effect on the condition of tonsils in tonsillitis is provided by inhalations and directed irrigation of the pharynx with medicinal preparations.For these purposes, tonsillitis in adults uses antibiotics:grammidine, stopangin, bioparox and ambazone.

Rules for taking antibiotics

To take antibiotics for tonsillitis in children and adults was effective, you must follow certain rules:

1. Follow the instructions carefully and the doctor's prescriptions. Each drug requires a clear reception schedule and this must be taken into account. Some drugs must be taken before meals, and others after, etc .;

2. Drink medicines only need clean water, in no case do not combine their reception with sour-milk products, tea and coffee;

3. Independently change the dosage or cancel the drug is strictly prohibited, as this will exclude the possibility of a speedy recovery and may adversely affect the health status;

4. The intake of probiotics is mandatory when using antibiotics. Even the best antibiotic in tonsillitis negatively affects the intestines, and taking probiotics will help cope with developing dysbacteriosis.

5. The doctor must appoint the most appropriate drug and do not neglect this appointment.

Any disease, even the most innocuous and familiar at first glance, requires competent treatment.

At the first signs of the disease, you need to seek help from a doctor, the professionalism, knowledge and experience of which will quickly put the patient on their feet.

NasmorkuNet.ru

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