Observation of the condition in suppurative tonsillitis

Written by Deng Bang Yu
Otolaryngology
Updated on September 10, 2024
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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.

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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 Li Rui
Otolaryngology
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What fruits can you eat with suppurative tonsillitis?

Purulent tonsillitis is a relatively common otorhinolaryngological disease. In terms of diet, common fruits such as apples, grapes, bananas, pears, oranges, and dragon fruit can be consumed. This is because these fruits do not have side effects on tonsillitis nor do they affect the treatment effectiveness. It is more important to visit an otorhinolaryngologist for consultation. Routine blood tests and indirect laryngoscopy should be performed primarily to assess the severity of the tonsillitis. In terms of medical treatment, antibiotics are commonly used and can be supplemented with nebulization therapy. The treatment period is generally about a week. (The use of medication should be under the guidance of a doctor.)

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Written by Deng Bang Yu
Otolaryngology
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What medicine is used for suppurative tonsillitis?

Purulent tonsillitis is clinically mainly due to infections caused by Staphylococcus aureus, hemolytic streptococcus, and other bacteria. It is an acute and severe infection of tonsillitis, and the primary clinical treatment is the use of antibiotics. For example, antibiotics that are administered orally or intravenously, mainly cephalosporin antibiotics are used. If allergic to cephalosporin antibiotics, macrolide antibiotics are used for treatment. Additionally, some Chinese patent medicines that clear heat and detoxify can also be used as adjunctive therapy, such as Ban Lan Gen oral liquid and Yi Qing capsules. The throat can also be treated with some washes; for example, hydrogen peroxide gargle or some commercially available mouthwash can be used for gargling, etc. (Please use medication under the guidance of a professional doctor, do not self-medicate.)

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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 Deng Bang Yu
Otolaryngology
1min 9sec home-news-image

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)