What to do with acute tonsillitis?

Written by Li Rui
Otolaryngology
Updated on November 21, 2024
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Acute tonsillitis is a relatively common otolaryngological disease, primarily caused by acute bacterial infection leading to inflammation of the tonsils, resulting in throat pain, swollen tonsils, and in severe cases, it may affect breathing and swallowing. In terms of examination, it is firstly recommended to perform an indirect laryngoscopy to observe the extent of inflammation within the throat and to determine the presence of any throat obstruction. It is also necessary to conduct a routine blood test to help assess the severity and type of bacterial infection. Regarding treatment, oral medication is primarily considered, generally focusing on antibiotics, which can be complemented by nebulization and traditional Chinese medicine. If the inflammatory response is particularly severe and oral medication is ineffective, further infusion therapy may need to be considered, but it generally falls under common ailments. Typically, the recovery time is about a week, although there are individual differences. After treatment, regular follow-up checks are needed to observe the recovery process.

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Written by Li Rui
Otolaryngology
1min 8sec home-news-image

What to do with acute tonsillitis?

Acute tonsillitis is a relatively common otolaryngological disease, primarily caused by acute bacterial infection leading to inflammation of the tonsils, resulting in throat pain, swollen tonsils, and in severe cases, it may affect breathing and swallowing. In terms of examination, it is firstly recommended to perform an indirect laryngoscopy to observe the extent of inflammation within the throat and to determine the presence of any throat obstruction. It is also necessary to conduct a routine blood test to help assess the severity and type of bacterial infection. Regarding treatment, oral medication is primarily considered, generally focusing on antibiotics, which can be complemented by nebulization and traditional Chinese medicine. If the inflammatory response is particularly severe and oral medication is ineffective, further infusion therapy may need to be considered, but it generally falls under common ailments. Typically, the recovery time is about a week, although there are individual differences. After treatment, regular follow-up checks are needed to observe the recovery process.

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Written by Li Mao Cai
Otolaryngology
1min 29sec home-news-image

How to completely cure chronic tonsillitis?

The definitive treatment for chronic tonsillitis mainly involves surgical removal. Before undertaking the surgery, doctors will conduct a strict assessment to see if there are indications for surgery. Common indications include repeated episodes of chronic tonsillitis, acute outbreaks, or the formation of a peritonsillar abscess, under which circumstances surgery is strongly recommended. Repeated episodes are defined as more than four occurrences per year, at which point surgery should be considered. Furthermore, if the tonsils are so large that they interfere with swallowing, speech, or breathing, such as causing snoring or unclear speech, surgery should also be considered. Moreover, chronic tonsillitis can lead to other diseases since the tonsils are an immune organ, and prolonged chronic inflammation might trigger certain immune-related diseases, such as chronic nephritis, skin diseases, and psoriasis. In such cases, the relevant departments will advise patients to first visit an otolaryngology (ENT) department to have the tonsils removed, which is beneficial for further treatment of the related diseases. Additionally, if the tonsils exhibit signs of benign growths with chronic inflammation leading to lymphatic tissue hyperplasia and cyst formation, surgical removal is recommended to achieve a definitive cure.

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Written by Li Rui
Otolaryngology
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Does chronic tonsillitis cause headaches?

Chronic tonsillitis generally does not cause headaches, as the main cause of chronic tonsillitis is repeated inflammation of the tonsils. The primary symptoms are sore throat and a sensation of a foreign body in the throat. Some people may also experience snoring and breathing through the mouth while sleeping, but overall, the main manifestations of this disease are in the throat area, so the clinical symptoms are primarily those related to the throat. Generally, it does not lead to headaches. If there is a cold, sinusitis, or rhinitis accompanying it, headaches may occur. However, the specific causes of the condition should be assessed by visiting an otolaryngology department to determine and apply the correct treatment.

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Written by Yao Jun
Otolaryngology - Head and Neck Surgery
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Is chronic tonsillitis serious?

Chronic tonsillitis is primarily caused by repeated acute tonsillitis attacks or due to poor drainage in the tonsillar crypts, where bacteria and viruses breed and infect, leading to chronic inflammation. It is mainly divided into three types: hyperplastic, fibrous, and cryptic. Clinically, it mainly manifests as sore throat, susceptibility to colds, and a history of acute tonsillitis attacks. Usually, there are few self-perceived symptoms, which may include dry throat, itching, foreign body sensation, and mild symptoms such as irritative cough. If cheesy decayed material or a large number of anaerobic bacteria accumulate in the tonsillar crypts, bad breath may occur. Excessive enlargement of the tonsils in children can lead to respiratory distress, snoring, or swallowing and speech function disorders, requiring surgical treatment. If chronic tonsillitis frequently inflames, accompanied by acute fever more than five times a year, or affects swallowing and breathing, surgical treatment is necessary; otherwise, it may lead to severe diseases such as rheumatic heart disease or nephritis.

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Written by Deng Bang Yu
Otolaryngology
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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.