Is suppurative tonsillitis uncomfortable?

Written by Deng Bang Yu
Otolaryngology
Updated on September 09, 2024
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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.

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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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Does suppurative tonsillitis require hospitalization?

Purulent tonsillitis refers to the acute purulent infection of the tonsils, mainly caused by bacterial infections, including Staphylococcus aureus, hemolytic streptococcus, etc. The clinical symptoms of purulent tonsillitis are quite obvious and relatively severe. However, generally, purulent tonsillitis is not treated in the hospital nowadays, but treated in outpatient settings with oral antibiotics or intravenous infusions for anti-infection treatment. Clinically, unless purulent tonsillitis is complicated by other diseases, such as peritonsillar abscess, pharyngeal abscess, or retropharyngeal abscess, hospitalization may be considered for treatment.

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Written by Li Rui
Otolaryngology
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What to eat with suppurative tonsillitis?

Purulent tonsillitis is a relatively common ENT disease with numerous clinical symptoms. Common symptoms include sore throat and swallowing obstruction; some patients may also experience fever or breathing difficulties. It is recommended to eat a light diet, with an emphasis on vegetables and fruits, such as lettuce, radishes, cabbage, apples, pears, and peaches. It is also advised to avoid spicy, stimulating foods and seafood. Treatment is generally medication-based, commonly involving antibiotics for infection, such as cephalosporins or penicillin antibiotics. Regular follow-up exams are necessary to monitor the effects. (Specific medications should be used under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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Which department should I go to for suppurative tonsillitis?

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 Deng Bang Yu
Otolaryngology
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Is surgery necessary for suppurative tonsillitis?

Purulent tonsillitis refers to the acute purulent inflammation of the tonsils, mainly caused by bacterial infection, including infections by Streptococcus pyogenes, Staphylococcus aureus, etc. Purulent tonsillitis is an acute inflammation, so during this acute inflammation phase, the primary treatment is the use of antibiotics for anti-infection. After the anti-infection treatment, the symptoms of the patient disappear, and then it can be assessed whether surgical treatment is needed. Generally speaking, sporadic occurrences of purulent tonsillitis do not require surgical treatment. For frequently recurring purulent tonsillitis and enlarged tonsils, surgical treatment should be considered after the acute inflammation has subsided.