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 Deng Bang Yu
Otolaryngology
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Indications for stopping medication for suppurative tonsillitis

Purulent tonsillitis is an acute bacterial infection in the throat characterized by purulent lesions. Clinical examination reveals congested and enlarged tonsils with greyish-white or white pseudomembranous inflammatory secretions covering the surface of the tonsils or the area of the throat. Active anti-infection treatment is necessary for purulent tonsillitis. The criteria for discontinuing medication include the disappearance of clinical symptoms, such as the absence of sore throat; reduction of tonsil congestion, and reduction or disappearance of the pseudomembrane on the tonsil surface. Additionally, other factors should be considered, such as the results of a complete blood count, with white blood cell levels returning to normal reference ranges. Further considerations include complications such as concurrent arthritis or glomerulonephritis. If clinical examinations or signs suggest these are resolved, cessation of medication for purulent tonsillitis may be considered, typically continuing the process for about one to two weeks. (Please use medication under the guidance of a doctor)

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Written by Deng Bang Yu
Otolaryngology
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Can you eat strawberries with suppurative tonsillitis?

Suppurative tonsillitis is a severe, acute inflammatory infection of the tonsils. Clinically, the symptoms are quite severe, with patients experiencing intense throat pain, chills, fever, etc. The clinical treatment mainly involves the use of antibiotics. The diet for suppurative tonsillitis should be nutritious, light, and easy to digest. Strawberries are a very good and tasty fruit, and generally, they can be eaten, but not in excess. This is because suppurative tonsillitis requires us to maintain a balance of cold and warm temperatures, avoiding food that is too cold or too hot. Strawberries can be consumed in moderation, not excessively. In summary, patients with suppurative tonsillitis can eat strawberries, but not too much, as strawberries are essentially a cold food.

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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 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 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.