How is chronic tonsillitis treated?

Written by Li Mao Cai
Otolaryngology
Updated on September 27, 2024
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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 Li Rui
Otolaryngology
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Is nebulization good for chronic tonsillitis?

Chronic tonsillitis is a relatively common otolaryngology disease, with significant individual differences in clinical symptoms, which may include sore throat and a foreign body sensation in the throat. In terms of treatment, nebulization is a commonly used method and is generally effective as it can reduce inflammation and alleviate symptoms such as throat pain and foreign body sensations in the throat. If nebulization alone is ineffective, further evaluation with routine blood tests and laryngoscopy may be needed, possibly in addition to oral medication treatment. Diet should also be light, avoiding spicy and irritating foods, smoking, and drinking, with regular follow-ups.

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Written by Deng Bang Yu
Otolaryngology
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Treatment course for acute tonsillitis.

Acute tonsillitis is an acute, infectious inflammation of the tonsils, primarily caused by bacterial infection. For the treatment of acute tonsillitis, we mainly adopt antibiotic treatment for infection. The general course of treatment lasts 7-10 days, especially for acute suppurative tonsillitis, which may even extend to about 10-14 days. Clinically, we primarily administer cephalosporin antibiotics to control the infection. If the infection is severe, we may even opt for infusion therapy to counter the infection. During the infusion, we can administer some corticosteroids such as dexamethasone to treat concurrently, enhancing the anti-inflammatory effect. Clinically, we should pay attention to drinking plenty of water and eating a light diet, avoiding spicy and irritating foods.

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Written by Li Mao Cai
Otolaryngology
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Chronic Tonsillitis Dietary Precautions

In terms of diet, there are several points to note for chronic tonsillitis: First, it is very important to drink plenty of water, which is vital for the maintenance of chronic tonsillitis. As for food, it is necessary to avoid spicy and stimulating foods and primarily adopt a light diet, eating plenty of fresh vegetables and fruits to supplement vitamins in the body, which is also very important for the prevention and care of chronic tonsillitis. Additionally, try to avoid environments with smoking and alcohol; specifically, do not smoke or drink alcohol, and avoid inhaling second-hand smoke. Pay attention to oral hygiene and rinse your mouth promptly after eating.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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What can you eat with acute tonsillitis?

Acute tonsillitis refers to acute inflammation of the tonsil mucosa and submucosa in the throat area, which may be related to bacterial infections, viral infections, and some physical and chemical factors, such as dust and high temperature. Therefore, it is advisable to avoid spicy and irritating foods in the case of acute tonsillitis. Instead, we can eat more bland, easily digestible, high-protein foods rich in vitamins, such as foods with a bitter taste. We can also consume some throat-clearing fruits like watermelon, dragon fruit, apple, and snow pear, etc. Thus, during the anti-inflammatory treatment for acute tonsillitis, one can also adopt a light diet.

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Written by Deng Bang Yu
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How to manage chronic tonsillitis?

Chronic tonsillitis is a chronic inflammatory disease of the tonsils, which clinically manifests as various discomforts in the throat area, and can even present symptoms such as bad breath. In clinical management of chronic tonsillitis, dietary adjustments are primary. It is essential to have a nutritious, easily digestible, and bland diet; spicy foods such as peppers, as well as smoking and alcohol, should be avoided. Consumption of certain fruits that can cause allergies, like mangoes, and other irritant fruits like pineapple should be limited. For medicinal treatment, it mainly involves the use of traditional Chinese medicines that clear heat and detoxify, such as Nei Xiao Luo Li Wan, Xuan Mai Gan Ju Granules, Watermelon Frost Lozenges, Coral Lozenges, etc. Thirdly, it is important to regulate your diet, drink plenty of water, and avoid factors like colds and upper respiratory infections that may trigger acute episodes of tonsillitis.