How long to receive IV therapy for acute tonsillitis?

Written by Deng Bang Yu
Otolaryngology
Updated on September 24, 2024
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Acute tonsillitis is an acute infectious inflammation of the tonsils, primarily caused by bacterial infection. Therefore, intravenous therapy is required for acute tonsillitis, which indicates that the symptoms of the tonsillitis are severe, often being suppurative tonsillitis. The duration of intravenous treatment generally lasts about three to five days, but it specifically depends on the patient's condition, and can even last longer. After the infection is controlled and symptoms are alleviated, treatment can switch to oral medications for anti-infection. Overall, there is no specific time rule for how long the infusion should last; it is often determined based on the specific condition of the patient.

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Written by Deng Bang Yu
Otolaryngology
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How to manage chronic tonsillitis?

Chronic tonsillitis is a chronic inflammatory disease of the tonsils, which clinically manifests as various discomforts in the throat area, and can even present symptoms such as bad breath. In clinical management of chronic tonsillitis, dietary adjustments are primary. It is essential to have a nutritious, easily digestible, and bland diet; spicy foods such as peppers, as well as smoking and alcohol, should be avoided. Consumption of certain fruits that can cause allergies, like mangoes, and other irritant fruits like pineapple should be limited. For medicinal treatment, it mainly involves the use of traditional Chinese medicines that clear heat and detoxify, such as Nei Xiao Luo Li Wan, Xuan Mai Gan Ju Granules, Watermelon Frost Lozenges, Coral Lozenges, etc. Thirdly, it is important to regulate your diet, drink plenty of water, and avoid factors like colds and upper respiratory infections that may trigger acute episodes of tonsillitis.

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Written by Li Mao Cai
Otolaryngology
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How to completely cure chronic tonsillitis?

The definitive treatment for chronic tonsillitis mainly involves surgical removal. Before undertaking the surgery, doctors will conduct a strict assessment to see if there are indications for surgery. Common indications include repeated episodes of chronic tonsillitis, acute outbreaks, or the formation of a peritonsillar abscess, under which circumstances surgery is strongly recommended. Repeated episodes are defined as more than four occurrences per year, at which point surgery should be considered. Furthermore, if the tonsils are so large that they interfere with swallowing, speech, or breathing, such as causing snoring or unclear speech, surgery should also be considered. Moreover, chronic tonsillitis can lead to other diseases since the tonsils are an immune organ, and prolonged chronic inflammation might trigger certain immune-related diseases, such as chronic nephritis, skin diseases, and psoriasis. In such cases, the relevant departments will advise patients to first visit an otolaryngology (ENT) department to have the tonsils removed, which is beneficial for further treatment of the related diseases. Additionally, if the tonsils exhibit signs of benign growths with chronic inflammation leading to lymphatic tissue hyperplasia and cyst formation, surgical removal is recommended to achieve a definitive cure.

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Written by Li Rui
Otolaryngology
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Acute tonsillitis signs and symptoms

The symptoms of acute tonsillitis are quite varied, with the most common symptom being pain in the tonsil area. Clinically, sudden onset of redness and pain in the tonsil area may occur, and in severe cases, there might also be fever, or swallowing or breathing difficulties. Overall, it is considered a common illness. Upon examination, the mucous membranes of the throat can be observed to have acute congestion, and the tonsils may be red and swollen to a first or second degree. In more severe cases, there might be third-degree swelling, and some patients may experience purulent infections in the tonsil area, which would require consideration for timely antibiotic treatment and regular follow-up examinations.

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Written by Deng Bang Yu
Otolaryngology
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How to treat chronic tonsillitis?

Chronic tonsillitis is a chronic inflammation of the tonsils, with clinically subtle symptoms, or a sensation of a foreign body in the throat, which can lead to recurrent acute attacks. The clinical treatment of chronic tonsillitis mainly focuses on local treatments, or treatments with traditional Chinese patent medicines. Local treatment may involve the use of oral rinses, local nebulization inhalation, as well as some heat-clearing and detoxifying Chinese patent medicines, such as Ban Lan Gen oral liquid, Pu Di Lan oral liquid, and others that can be used for treatment; some lozenges may also be used. Apart from medication, during the chronic phase of chronic tonsillitis, due to the recurrent acute attacks of tonsillitis, surgery to remove the tonsils can be considered to prevent repeated acute attacks and subsequent secondary damage. (Medication should be used under the guidance of a clinical doctor, according to specific conditions.)

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Written by Li Rui
Otolaryngology
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What to do with acute tonsillitis?

Acute tonsillitis is a relatively common otolaryngological disease, primarily caused by acute bacterial infection leading to inflammation of the tonsils, resulting in throat pain, swollen tonsils, and in severe cases, it may affect breathing and swallowing. In terms of examination, it is firstly recommended to perform an indirect laryngoscopy to observe the extent of inflammation within the throat and to determine the presence of any throat obstruction. It is also necessary to conduct a routine blood test to help assess the severity and type of bacterial infection. Regarding treatment, oral medication is primarily considered, generally focusing on antibiotics, which can be complemented by nebulization and traditional Chinese medicine. If the inflammatory response is particularly severe and oral medication is ineffective, further infusion therapy may need to be considered, but it generally falls under common ailments. Typically, the recovery time is about a week, although there are individual differences. After treatment, regular follow-up checks are needed to observe the recovery process.