How many days can suppurative tonsillitis get better?

Written by Li Rui
Otolaryngology
Updated on September 07, 2024
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The treatment and recovery time for acute suppurative tonsillitis is generally about a week, although individual differences exist. If the inflammatory response is relatively mild and the individual's resistance is strong, recovery and relief can typically be achieved within about five days through timely medication. If the inflammation is more severe, or if the individual's resistance is weak, the recovery time may be extended, such as beyond a week. Generally, the condition is primarily an acute bacterial infection, and treatment mainly involves antibiotics to fight the infection. Additionally, treatment can be supplemented with nebulization and traditional Chinese medicine orally. It is also recommended that patients maintain a light diet and regularly check routine blood tests; some may also need to monitor liver and kidney functions.

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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 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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Dietary restrictions for suppurative tonsillitis

For acute suppurative tonsillitis, dietary caution is indeed necessary. Avoid spicy and stimulating foods, smoking, alcohol, overly hard foods, and allergenic foods, as these can exacerbate existing inflammation and cause further throat pain. Timely medical treatment should be considered. Typically, a complete blood count test is recommended to assess the extent of the inflammatory response. Antibiotics, commonly cephalosporins or penicillins, are generally advised for treatment. Additionally, nebulizer therapy can be considered in conjunction with regular follow-up checks to observe the effects. (Medication should be taken under the guidance of a doctor.)

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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.

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Written by Yao Jun
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What bacteria cause suppurative tonsillitis?

Purulent tonsillitis primarily refers to an acute purulent inflammation of the tonsils, often accompanied by varying degrees of mucosal lymphatic tissue inflammation. The primary bacterium responsible for this condition is Group A beta-hemolytic Streptococcus, although non-hemolytic Streptococcus, Staphylococcus, Streptococcus pneumoniae, Haemophilus influenzae, as well as adenovirus, rhinovirus, and simplex herpes virus can also cause purulent tonsillopharyngitis. Mixed bacterial and viral infections are not uncommon, and in recent years, there has been an increase in yeast and Gram-negative bacilli infections. The pathogens of acute purulent tonsillitis can be transmitted via droplets or direct contact. Normally, some pathogens reside in the crypts of the pharynx and tonsils of healthy individuals. When the body's resistance is lowered, the pathogens proliferate extensively, and their toxins damage the crypt epithelium, allowing bacteria to invade the tissue and cause purulent changes. Factors such as exposure to cold, dampness, excessive fatigue, excessive smoking and drinking, and exposure to harmful gases can provoke this disease. Avoiding spicy and irritating foods, gargling with salt water, and maintaining oral hygiene are measures that can prevent or mitigate the occurrence of this condition.