Symptoms of acute tonsillitis

Written by Deng Bang Yu
Otolaryngology
Updated on September 28, 2024
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Acute tonsillitis is an acute infectious disease of the tonsils, primarily caused by bacterial infection. Clinically, it mainly manifests as pain in the throat area, and sometimes the pain is very severe, even radiating to the base of the ears and down to the jaw. Additionally, there might be systemic symptoms such as loss of appetite, overall lethargy, weakness in the limbs, fever, night sweats, and chills. Generally, the presence of systemic symptoms indicates a severe infection of tonsillitis, requiring treatment through intravenous fluids. Clinical examinations can reveal enlarged tonsils, congested surfaces, and the presence of pin-point-like gray or white purulent secretions.

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Written by Zhang Jun
Otolaryngology
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How long will chronic tonsillitis take to heal?

Chronic tonsillitis generally improves gradually over a week. It arises from repeated acute tonsillitis attacks or persistent unresolved infection, leading to symptoms such as persistent low-grade fever, swelling and pain in the throat, primarily during swallowing. Additional symptoms include dryness, itchiness, a foreign body sensation, a sense of obstruction, and cough due to irritation in the throat. Examination with an electronic laryngoscope typically reveals significant congestion and enlargement of the tonsils on both sides, with pus plugs possibly present in the tonsillar crypts. For treatment, patients should first undergo symptomatic anti-inflammatory therapy. Since tonsillitis is usually caused by a bacterial infection, often from hemolytic streptococcus, oral cephalosporin antibiotics are effective. Treatment can also include nebulized inhalation to alleviate local congestion and swelling. It is advisable to drink more water and rest adequately, which should allow for gradual recovery within about a week.

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Written by Li Mao Cai
Otolaryngology
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How is chronic tonsillitis treated?

The treatment of chronic tonsillitis mainly involves two aspects. The first is conservative treatment, which means paying attention to regular physical exercise to enhance the body's resistance, avoiding environments with smoke and alcohol, and avoiding spicy and irritating food. The purpose of this approach is to prevent acute attacks of chronic tonsillitis. The other method is surgical treatment. Surgical treatment requires adherence to certain criteria for chronic tonsillitis surgery, commonly including repeated occurrences of more than four times a year, the formation of peritonsillar abscesses, and cases affecting breathing, phonation, or swallowing functions. Additionally, surgery is needed when chronic inflammation of the tonsils leads to conditions such as inflammatory granulomas or hyperplasia.

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Written by Deng Bang Yu
Otolaryngology
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Is chronic tonsillitis contagious?

Chronic tonsillitis is a chronic inflammatory disease of the tonsils, mainly due to repeated attacks of acute tonsillitis or the presence of a chronic infectious focus in the teeth and oral cavity, which prevents acute tonsillitis from being actively cured and then gradually develops and prolongs into chronic tonsillitis. Since it is a chronic inflammation, it should be noted that it generally is not contagious. Even acute tonsillitis has relatively weak contagiousness. In clinical treatment, chronic tonsillitis is mainly treated symptomatically with traditional Chinese medicines that clear heat and detoxify. In summary, chronic tonsillitis is not contagious.

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Written by Deng Bang Yu
Otolaryngology
43sec home-news-image

Symptoms of acute tonsillitis

Acute tonsillitis is an acute infectious disease of the tonsils, primarily caused by bacterial infection. Clinically, it mainly manifests as pain in the throat area, and sometimes the pain is very severe, even radiating to the base of the ears and down to the jaw. Additionally, there might be systemic symptoms such as loss of appetite, overall lethargy, weakness in the limbs, fever, night sweats, and chills. Generally, the presence of systemic symptoms indicates a severe infection of tonsillitis, requiring treatment through intravenous fluids. Clinical examinations can reveal enlarged tonsils, congested surfaces, and the presence of pin-point-like gray or white purulent secretions.

doctor image
home-news-image
Written by Deng Bang Yu
Otolaryngology
1min 7sec home-news-image

What should be avoided in the diet for acute tonsillitis?

Acute tonsillitis is primarily caused by an acute infectious inflammation of the tonsils due to bacterial infection, which may also initially involve viral infections. The main bacteria involved are Staphylococcus aureus and hemolytic streptococcus. The dietary restrictions for acute tonsillitis mainly include the following: Firstly, in terms of diet, it is important to eat light, nutritious, and easily digestible foods. Spicy and stimulating foods such as tobacco and chili peppers should be avoided, as these irritants can cause further congestion and swelling of the mucous membranes, exacerbating the condition during the acute phase. Secondly, attention should be given to substances such as mangoes and seafood, which can cause allergies. If a patient is allergic to these substances, consuming them can trigger allergic symptoms, aggravating the clinical symptoms of acute tonsillitis and worsening the condition. Thirdly, it is important to ensure that the food consumed is neither too hot nor too cold, as extreme temperatures can affect the recovery from the illness.