Tonsillitis (tonsillitis) - symptoms and therapy

Tonsillitis: typical symptoms

In tonsillitis, the tonsils are typically swollen and painful. In a bacterial inflammation it comes to purulent deposits. Cough and swallowing problems always occur. The cervical lymph nodes are usually palpable and often sensitive to pain in case of bacterial inflammation. Fever is more likely to be a bacterial infection, even a strongly erythematous mucosa indicates more likely to bacteria.

In chronic inflammation, the symptoms are usually limited. In case of unexplained bad breath and if it always comes back to infections, one should think - especially in someone with multiple tonsillitis in the history - to the tonsils as a disease trigger.

Treatment of tonsillitis

In order to rinse the pathogens out of the tonsils, it is advisable to drink a lot. You will not enjoy the hot or fruit acid drinks - they both irritate the inflamed tonsils and increase the burning sensation and pain.

Better are cool drinks such as cold sage tea, which at the same time has an anti-inflammatory effect, or - especially for children - water ice to suck. For severe pain and fever, acetaminophen or another antipyretic remedy will help.

Treatment of bacterial tonsillitis

Bacterial tonsillitis is also an antibiotic - usually penicillin, because it helps well against streptococcus. It is important that the antibiotic is taken over the prescribed period, even if the symptoms regress much faster. Otherwise complications may result from an aborted tonsillitis that affects the heart or kidneys.

Thus, until a few years ago heart valve diseases were the result of untreated angina. Fortunately, educating patients about the importance of proper antibiotic use and cardiac valve control after severe tonsillitis has led to a decrease in this complication.

Treatment of chronic tonsillitis

In chronic tonsillitis, which can not be controlled even antibiotic, one will aim for the surgical removal of the tonsils. It must be decided on a case-by-case basis whether this procedure can be performed on an outpatient or inpatient basis. After the operation, the well-perfused wound tissue bleed more heavily - this is rare, but can be life-threatening. Therefore, exactly the blood clotting of the person concerned is examined beforehand.

Rarely do those affected complain in the period after surgery about increased infections of the other tonsils and the lateral strands (Seitenstrangangina). Almond removal usually leads to a lack of symptoms, and the other tonsils and lymphoid tissue of the Waldeyer-Rachenring take on the task of familiarizing the immune system with the incoming germs.

Pros and cons of an almond removal

Contra Almond removal: The main argument against almond operation is the central function of almonds as part of our defense system. Especially with small children, they provide protection against pathogens that could otherwise penetrate the mouth and nose into the body. So they help children develop their immune system.

Per almond removal: When the palatine tonsils are enlarged in the long term, it is often necessary to reduce or even completely remove them. In case of frequent tonsillitis, which occurs three or four times a year, doctors often recommend the removal of the palatine tonsils. Because then they can no longer properly fulfill their most important function, the protection against pathogens. Instead, they themselves contribute to the worsening of the disease state of the affected person and, moreover, cause him to resort too frequently to antibiotics.

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