Do you need to be hospitalized for suppurative tonsillitis?

Written by Cheng Fu Wei
Otolaryngology
Updated on September 03, 2024
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Purulent tonsillitis is a relatively severe type of tonsillitis, mainly caused by bacterial infection leading to inflammation and pus formation in the tonsils. If symptoms are severe, such as intense pain that interferes with eating and swallowing, or even high fever reaching above 38.5 degrees Celsius, hospitalization for intravenous therapy is recommended. If the condition is mild, with no fever and less severe pain and swallowing discomfort not affecting eating, oral medication or outpatient intravenous therapy can be administered.

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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
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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 Xu Qing Tian
Otolaryngology
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What foods to eat for suppurative tonsillitis

Patients with suppurative tonsillitis, a common case in otolaryngology departments. Suppurative tonsillitis is caused by a bacterial infection due to exposure to cold, leading to tonsil swelling, inflammation, and localized suppuration. In such cases, the first step should be to conduct routine blood tests, C-reactive protein tests, and throat swab cultures to diagnose the patient's illness. Treatment usually involves the use of penicillin or cephalosporin antibiotics to improve inflammation. Dietarily, patients should focus on light food and avoid cold foods, spicy and irritating foods, cold drinks, and hot pots to prevent the exacerbation of suppurative tonsillitis. Regular physical exercise should also be emphasized as it can help boost one's immunity and reduce the occurrence of tonsillitis.

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Written by Deng Bang Yu
Otolaryngology
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Is suppurative tonsillitis serious?

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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How is suppurative tonsillitis treated?

Acute suppurative tonsillitis is primarily considered to be caused by acute bacterial infections. In such cases, it is primarily necessary to conduct a complete blood count test. The main purpose of this test is to examine the increased levels of white blood cells and inflammatory response proteins. If the inflammatory response is not particularly prominent, oral antibiotics are generally sufficient, and this can be supplemented with nebulization and the oral administration of traditional Chinese medicines for auxiliary treatment. If the complete blood count indicates a particularly severe inflammatory response and the symptoms are also prominent, intravenous therapy may need to be considered. In cases where conservative treatment is ineffective and particularly severe, further hospital treatment and systematic examination may be required for an accurate assessment of the condition.