What should I do if I have a fever with suppurative tonsillitis?

Written by Li Rui
Otolaryngology
Updated on September 01, 2024
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Acute purulent tonsillitis often comes with a fever, which is generally caused by an acute bacterial infection. The first step is to check the body temperature. If the temperature exceeds 38.5 degrees Celsius, consider using antipyretic medication. It is also advised to perform a routine blood test to assess the extent of the inflammatory response. Typically, antibiotic treatment is considered to combat the infection, and this may be accompanied by nebulization and the oral intake of traditional Chinese medicine. Most patients can effectively recover with timely treatment. If the treatment does not yield good results, further hospitalization and intravenous therapy might be necessary, along with investigating the possibility of infectious mononucleosis. (Medication should be used under the guidance of a doctor.)

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Recurrent fever due to suppurative tonsillitis

Acute suppurative tonsillitis is primarily caused by acute bacterial infection, which may cause recurrent fever and sore throat. Initially, a routine blood test is required to determine the extent of the inflammatory response. If the inflammation is severe, it is necessary to consider timely antibiotic treatment for infection, with commonly used antibiotics being cephalosporins or penicillins. If the body temperature exceeds 38.5℃, antipyretic medication should also be considered. Generally, the treatment period is about one week, and it is necessary to regularly recheck the routine blood test and perform laryngoscopic examinations to dynamically assess the recovery of the condition.

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Written by Deng Bang Yu
Otolaryngology
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Should you avoid certain foods if you have suppurative tonsillitis?

Purulent tonsillitis is an acute purulent infection of the tonsils, with relatively severe clinical symptoms, mainly manifested as severe pain in the throat, difficulty swallowing, and even systemic symptoms such as fever. Therefore, it is necessary to be cautious about diet in cases of purulent tonsillitis, mainly as follows: Firstly, avoid irritants like smoking, alcohol, and spicy foods such as chili peppers. Secondly, food should be neither too cold nor too hot, to avoid stimulating the tonsils and exacerbating the inflammation. Also, some fruits, like mangoes and pineapples, may cause allergies and can irritate the inflamed tonsillar tissue, worsening the condition. Therefore, these are the precautions that need to be taken.

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Written by Deng Bang Yu
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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 Deng Bang Yu
Otolaryngology
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Is surgery necessary for suppurative tonsillitis?

Purulent tonsillitis refers to the acute purulent inflammation of the tonsils, mainly caused by bacterial infection, including infections by Streptococcus pyogenes, Staphylococcus aureus, etc. Purulent tonsillitis is an acute inflammation, so during this acute inflammation phase, the primary treatment is the use of antibiotics for anti-infection. After the anti-infection treatment, the symptoms of the patient disappear, and then it can be assessed whether surgical treatment is needed. Generally speaking, sporadic occurrences of purulent tonsillitis do not require surgical treatment. For frequently recurring purulent tonsillitis and enlarged tonsils, surgical treatment should be considered after the acute inflammation has subsided.

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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.)