Indications for stopping medication for suppurative tonsillitis

Written by Deng Bang Yu
Otolaryngology
Updated on April 24, 2025
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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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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 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 Xu Qing Tian
Otolaryngology
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How many days does suppurative tonsillitis last?

Purulent tonsillitis is a common and frequently occurring disease in otolaryngology. The causes of purulent tonsillitis are mainly related to stimuli such as exposure to cold, smoking, and drinking, which lead to decreased resistance and bacterial infection. The common pathogens in patients include hemolytic streptococcus, Haemophilus influenzae, and Staphylococcus aureus. Patients with purulent tonsillitis will have obvious fever, which usually gradually alleviates within 3-5 days. Initially, sensitive antibiotics should be used for anti-inflammatory symptomatic treatment. For some patients with high fever, hormones can be used to help reduce fever and inflammation. Additionally, it is recommended to drink plenty of warm water, eat more vegetables and fruits, and consume foods rich in vitamins to enhance the patient's resistance. (The use of medications should be under the guidance of a professional 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 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.)