Is suppurative tonsillitis serious?

Written by Deng Bang Yu
Otolaryngology
Updated on September 23, 2024
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Purulent tonsillitis is an acute purulent infection of the tonsils, generally considered relatively severe. Clinically, it manifests as severe throat pain, systemic fever, and chills and discomfort, making the symptoms relatively severe. In clinical treatment, it is important to conduct aggressive anti-infection treatment, mainly through intravenous infusion, such as the use of cephalosporin antibiotics, and the concurrent use of some corticosteroids to enhance the anti-infection effect. It is important to drink plenty of water, replenish bodily fluids, and use some heat-clearing and detoxifying traditional Chinese medicines, such as Banlangen oral liquid, which can be used simultaneously for adjunctive treatment. (Specific medications should be used under the guidance of a physician.)

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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 Zhang Jun
Otolaryngology
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Early symptoms of suppurative tonsillitis

The early symptoms of suppurative tonsillitis include fever, muscle weakness, muscle pain, as well as swelling and pain in the throat, and a runny nose. Suppurative tonsillitis is primarily caused by bacterial infections of the upper respiratory tract due to lowered immunity and resistance, often resulting from infections by hemolytic streptococci. Patients may exhibit fever, swelling, and pain in the throat area. A thorough examination at a hospital with an electronic laryngoscope and a complete blood count can confirm the diagnosis. The examination may reveal bilateral tonsillar enlargement and congestion, with the presence of pale white or yellowish pus-like secretions on the surface. For treatment, symptomatic anti-inflammatory therapy is required, which may include the use of penicillin or cephalosporin antibiotics, usually with good results. In addition, rest and attention to diet are important for gradual improvement during the treatment period.

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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.)

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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 Deng Bang Yu
Otolaryngology
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Observation of the condition in suppurative tonsillitis

Suppurative tonsillitis is an emergency in clinical practice and is a more severe form of acute bacterial tonsillitis. Clinically, it mainly presents as severe throat pain and systemic symptoms such as chills and fever, indicating a serious infection state or symptoms. Therefore, the clinical treatment of suppurative tonsillitis mainly involves anti-infection treatment through infusion. Clinical observation should focus on the condition of the throat area, such as swelling in the throat and the presence of purulent secretions from the tonsils. Secondly, the overall condition of the patient should be observed, including fever, whether the fever subsides or the duration of the fever. Thirdly, the patient's complete blood count can be observed, specifically the white blood cells and neutrophils, which indicate infection, to see if their levels are returning to normal. Other observations can include the renal and urinary system, checking for the presence of red blood cells and proteins.