Symptoms of acute tonsillitis

Written by Deng Bang Yu
Otolaryngology
Updated on September 28, 2024
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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.

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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.

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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 Li Rui
Otolaryngology
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How many days of fever for chronic tonsillitis?

Chronic tonsillitis generally does not cause fever, but if chronic tonsillitis has an acute attack, it may cause fever. This situation is mainly due to an acute bacterial infection, with common symptoms including sudden sore throat, swollen tonsils, and pus formation, which may be accompanied by fever. Generally, the duration of the fever varies from person to person, typically around 3 days. During the acute episode, timely medicinal treatment should be considered, primarily with antibiotics. If the body temperature exceeds 38.5 degrees Celsius, fever-reducing medications should be considered. It is also necessary to monitor the patient's blood routine and temperature fluctuations, with regular check-ups.

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Written by Gui Xiao Yan
Internal Medicine
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How to reduce fever caused by tonsillitis?

Inflammation of the tonsils often causes fever. If the temperature increase is not very significant, physical methods such as using ice packs or fever patches can be utilized to reduce the fever. When applying ice packs, you can wrap ice cubes with a dry towel and place them on areas such as the forehead, neck, armpits, groin, and the hollow behind the knees, where large blood vessels pass and cooling effects are good. Besides, wiping the skin with warm water or alcohol can accelerate heat dissipation. Once the body temperature exceeds 38.5℃, antipyretic drugs should be administered, with acetaminophen and ibuprofen being the most commonly used in clinical settings. Tonsillitis is mainly caused by pathogenic microorganisms such as bacteria and viruses, and appropriate anti-infection treatment should be taken after identifying the pathogen. (Please follow medical advice when using medications)

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Written by Li Mao Cai
Otolaryngology
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How is chronic tonsillitis diagnosed?

The diagnosis of chronic tonsillitis mainly relies on the patient's usual symptoms, medical history, and physical examination by the doctor. The symptoms of chronic tonsillitis typically include sore throat, frequent colds, dry throat, itchy cough, foreign body sensation, and even snoring during sleep among some individuals. Medical history is particularly crucial. If there are recurrent acute episodes, characterized by sore throat, painful swallowing, and sometimes accompanied by high fever, and these episodes occur more than four times a year, this history is significant for diagnosing chronic tonsillitis. Additionally, physical examination by a doctor, who will inspect the tonsils, is essential for making the diagnosis of chronic tonsillitis. The main basis for diagnosis includes symptoms, medical history, and physical examination.