Is surgery necessary for suppurative tonsillitis?

Written by Deng Bang Yu
Otolaryngology
Updated on October 23, 2024
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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.

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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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Recurrent fever due to suppurative tonsillitis

Acute suppurative tonsillitis is primarily caused by acute bacterial infection, which may cause recurrent fever and sore throat. Initially, a routine blood test is required to determine the extent of the inflammatory response. If the inflammation is severe, it is necessary to consider timely antibiotic treatment for infection, with commonly used antibiotics being cephalosporins or penicillins. If the body temperature exceeds 38.5℃, antipyretic medication should also be considered. Generally, the treatment period is about one week, and it is necessary to regularly recheck the routine blood test and perform laryngoscopic examinations to dynamically assess the recovery of the condition.

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Written by Deng Bang Yu
Otolaryngology
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Should you avoid certain foods if you have suppurative tonsillitis?

Purulent tonsillitis is an acute purulent infection of the tonsils, with relatively severe clinical symptoms, mainly manifested as severe pain in the throat, difficulty swallowing, and even systemic symptoms such as fever. Therefore, it is necessary to be cautious about diet in cases of purulent tonsillitis, mainly as follows: Firstly, avoid irritants like smoking, alcohol, and spicy foods such as chili peppers. Secondly, food should be neither too cold nor too hot, to avoid stimulating the tonsils and exacerbating the inflammation. Also, some fruits, like mangoes and pineapples, may cause allergies and can irritate the inflamed tonsillar tissue, worsening the condition. Therefore, these are the precautions that need to be taken.

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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 Zhang Jun
Otolaryngology
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How many days does suppurative tonsillitis generally cause fever?

Purulent tonsillitis generally causes fever that lasts for three to five days, and patients will experience persistent high fever with body temperatures above 38°C. Purulent tonsillitis is caused by a systemic and throat symptom due to infection with hemolytic streptococcus following a decrease in the body's immunity and resistance. Patients will experience sudden high fever, body temperatures above 38°C, and severe throat pain primarily around the tonsils. Additionally, patients may experience dryness, itchiness, a sensation of a foreign body, a feeling of obstruction, and irritative cough in the throat area. Upon examination, significant congestion and swelling in the throat, enlarged tonsils, and pus plugs covering the surface can be found. In treatment, since tonsillitis is generally a bacterial infection, patients can benefit significantly from orally administered cephalosporin antibiotics. Moreover, patients need to follow a bland diet, abstain from smoking and alcohol, and avoid spicy and irritating foods. Improvement is generally seen around one week. (Medication should be used under the guidance of a doctor.)