Which department should I go to for suppurative tonsillitis?

Written by Deng Bang Yu
Otolaryngology
Updated on September 03, 2024
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Suppurative tonsillitis is a common disease of the pharyngeal region. Therefore, the first clinical department to consult for suppurative tonsillitis is the otolaryngology department, or the ENT (Ear, Nose, and Throat) department in some hospitals. In certain specialist hospitals, such as children's hospitals, there are pediatric otolaryngology departments. For some pediatric patients, they may initially visit the pediatrics department, and some pediatricians can also treat suppurative tonsillitis. For adults, some patients may also visit the respiratory medicine department, since the pharynx is part of the upper respiratory tract, and the department of respiratory medicine also provides relevant treatment. However, fundamentally, suppurative tonsillitis should be treated in the otolaryngology department.

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Written by Du Jun
Otolaryngology
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What does suppurative tonsillitis look like?

Purulent tonsillitis refers to the acute purulent inflammation of the tonsils, which include the palatine tonsils, pharyngeal tonsils, and tubal tonsils. This text specifically refers to the palatine tonsils. The main cause is bacterial infection, with bacteria such as Staphylococcus and Streptococcus pneumoniae. On examination, purulent tonsillitis can be identified by enlarged tonsils with pus points on the surface. Patients may experience throat pain, fever, and sometimes accompanying symptoms such as cough and a foreign body sensation in the throat. The treatment of acute suppurative tonsillitis primarily involves penicillin and second-generation cephalosporins, and timely and effective treatment can lead to significant relief of symptoms.

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Written by Deng Bang Yu
Otolaryngology
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What fluid should be administered for suppurative tonsillitis?

Purulent tonsillitis is a serious infectious disease clinically, mainly manifesting as severe pain in the pharyngeal area, general malaise in patients, and even symptoms such as chills and fever. Therefore, active treatment is required. Clinical treatment is mainly anti-infection treatment. Infusion primarily uses cephalosporin antibiotics such as ceftriaxone and cefazolin for treatment. To enhance the anti-infection effect and reduce the edema of the patient's throat mucosa, corticosteroid drugs such as dexamethasone or prednisolone are often used simultaneously in the infusion treatment.

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Written by Li Rui
Otolaryngology
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What should I do if I have a fever with suppurative tonsillitis?

Acute purulent tonsillitis often comes with a fever, which is generally caused by an acute bacterial infection. The first step is to check the body temperature. If the temperature exceeds 38.5 degrees Celsius, consider using antipyretic medication. It is also advised to perform a routine blood test to assess the extent of the inflammatory response. Typically, antibiotic treatment is considered to combat the infection, and this may be accompanied by nebulization and the oral intake of traditional Chinese medicine. Most patients can effectively recover with timely treatment. If the treatment does not yield good results, further hospitalization and intravenous therapy might be necessary, along with investigating the possibility of infectious mononucleosis. (Medication should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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What medicine is used for suppurative tonsillitis?

Purulent tonsillitis is clinically mainly due to infections caused by Staphylococcus aureus, hemolytic streptococcus, and other bacteria. It is an acute and severe infection of tonsillitis, and the primary clinical treatment is the use of antibiotics. For example, antibiotics that are administered orally or intravenously, mainly cephalosporin antibiotics are used. If allergic to cephalosporin antibiotics, macrolide antibiotics are used for treatment. Additionally, some Chinese patent medicines that clear heat and detoxify can also be used as adjunctive therapy, such as Ban Lan Gen oral liquid and Yi Qing capsules. The throat can also be treated with some washes; for example, hydrogen peroxide gargle or some commercially available mouthwash can be used for gargling, etc. (Please use medication under the guidance of a professional doctor, do not self-medicate.)

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Written by Deng Bang Yu
Otolaryngology
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Is suppurative tonsillitis uncomfortable?

Suppurative tonsillitis is an acute infection of the tonsils, which is relatively severe and involves purulent changes in the tonsils. Clinically, patients experience severe throat pain, which worsens during swallowing and may even lead to difficulty in eating. Patients may also experience symptoms such as chills and fever. Therefore, suppurative tonsillitis is very distressing, and we need to actively manage it. Generally, we conduct a blood test to check the routine blood parameters and observe the level of white blood cell infection, that is, the white blood cell count. Then, we administer intravenous infusions of antibiotics for treatment.