Treatment of purulent tonsillitis

The article was professionally consulted by Dr. CCII Nguyen Van Thai - Department of Otolaryngology and Head and Neck Surgery, Vinmec Danang International General Hospital. Thai doctor has more than 17 years of treatment experience, especially in the field of Head and Neck Surgery.

Purulent tonsillitis is when the tonsils are chronically inflamed. If the disease is not treated early, it can lead to many dangerous complications. Currently, there are many methods of treating purulent tonsillitis. So, should purulent tonsillitis be cut?

The first case of purulent tonsillitis should perform tonsillectomy that is if the disease recurs many times, lasts without stopping; despite medical treatment, but it did not bring results. Pain, discomfort, symptoms still present. At this time, when going back to the doctor, the doctor may suggest that the tonsils should be cut.
The second is a disease that recurs many times and causes cervical lymphadenitis.
3 is an abscess around the tonsils and requires hospitalization for treatment.
The 4th is the disease turns into a severe stage, blocking the upper respiratory tract, the patient has difficulty swallowing, breathing, restless sleep, snoring, ....
The 5th is a serious illness and causes complications such as sinusitis or ear infection, laryngitis, .....
The 6th is tonsillitis but swollen neck lymph nodes, the patient needs to contact a doctor immediately for an accurate diagnosis. Because this is most likely a sign of tonsil cancer, very dangerous that you should not ignore.
The tonsils play a role in protecting the oropharynx against bacteria or pathogens. Therefore, not all cases of tonsillitis with pyelonephritis also perform tonsillectomy. It should be removed only in cases of necessity. If the disease is in a mild stage, the doctor will prescribe the patient to use anti-inflammatory drugs, antibiotics. Although the tonsils are easily inflamed, they are also the body's defense organization against pathogens from outside. Arbitrary resection not only costs treatment and post-operative care, but also has long-term consequences such as:
Loss of the immune system, the body's resistance (especially in children << 5 years old) Middle-aged people over 45 years old with tonsillectomy are prone to bleeding due to sclerosing tonsils or other comorbidities such as high blood pressure, cardiovascular disease, diabetes. May lead to death due to bleeding during and after tonsillectomy. Many people think that after removing the tonsils, they will never have inflammation again, but in fact, there are many people who have recovered from tonsillitis but have chronic pharyngitis, laryngitis also causes fatigue and danger. Equally.

Currently, more and more people are suffering from tonsillitis, causing difficulties in daily activities of patients. Depending on the development of the disease, there are treatment methods as follows:
2.1. Treatment with western medicine Drug treatment:
Antibiotics are a group of drugs with bactericidal effects, against normal pathogens due to the inhibition of cell membrane synthesis and binding to a number of weak target proteins. inactive parasites. If purulent tonsillitis caused by group A beta-hemolytic streptococcus is suspected, it must be treated immediately with an anti-streptococcal antibiotic such as penicillin G and prolong the course of treatment for 2 weeks. Antipyretic, analgesic: Paracetamol is the main drug commonly used by doctors due to its high safety if used correctly and in the right dose. The recommended dose in children is 10 mg/kg body weight/day. Drugs to reduce congestion, reduce edema: anti-inflammatory enzymes Alpha-choay, amitase. Cough medicine. Local treatment:
Gargling with dilute alkaline solutions such as bicarbonate, 0.9% saline, .... Anti-inflammatory drugs, topical antiseptics such as betadine, oropivalone, lysopaine, .... With tonsillitis. Chronic pustulosis is often indicated for treatment by adjusting the local pH to change the environment of the cilia to convert the pharyngeal mucosa to an alkaline environment, making it difficult for bacteria to grow. If necessary, there is indication for tonsillectomy.
Along with antibiotics, you can use anti-inflammatory drugs to reduce inflammation and help make the signs of tonsillitis quickly disappear. In addition, you can use some more drugs: antipyretic, pain reliever, edema reducer, cough suppressant,...

2.2. Treatment with Oriental Medicine With mild disease, the use of western medicine or folk medicine to treat tonsillitis pus will be effective by minimizing symptoms. Since ancient times, grandparents have known how to use traditional medicine to treat many diseases. You can effectively treat tonsillitis at home with the following remedies.
Remedies using Tho Phuc Linh, Wild Chrysanthemum Flower, Mint, Licorice, Honeysuckle, Bac Sa ginseng and 600ml of water divided into 4-6 times to suck and gargle during the day, 1 month per day. Using a course of 15 drugs will have a positive effect. Remedies: Huyen Ginseng, Marjoram, Lien Kieu, Chich Thuoc, Bach Cuong Tam, Tang Du, Mint. Made by decoction with 1 liter of water until the water is only half, then divide into 4 portions and drink all of the day, use it regularly for 15 days to heal. Remedies: Silver Flower, Burdock, Mint, Hoang Cam, Licorice, Ma teacher with 1 liter of drinking water during the day. Using 1 drug per day can be applied to both children and adults. In short, when the body has any strange signs or symptoms; You need to go to the hospital right away. Early diagnosis, early detection. From there, coming up with an appropriate treatment plan will solve the disease effectively and quickly.
Otolaryngology - Vinmec International General Hospital specializes in examining and treating common ENT diseases such as: tonsillitis, sore throat, tinnitus, non-allergic rhinitis, throat cancer. ; tumors of the head, face and neck, congenital malformations of the ear, nose and throat area by common surgical methods.