What to do with acute tonsillitis?

Written by Li Rui
Otolaryngology
Updated on November 21, 2024
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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.

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Written by Li Rui
Otolaryngology
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How many days of fever for chronic tonsillitis?

Chronic tonsillitis generally does not cause fever, but if chronic tonsillitis has an acute attack, it may cause fever. This situation is mainly due to an acute bacterial infection, with common symptoms including sudden sore throat, swollen tonsils, and pus formation, which may be accompanied by fever. Generally, the duration of the fever varies from person to person, typically around 3 days. During the acute episode, timely medicinal treatment should be considered, primarily with antibiotics. If the body temperature exceeds 38.5 degrees Celsius, fever-reducing medications should be considered. It is also necessary to monitor the patient's blood routine and temperature fluctuations, with regular check-ups.

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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 Xu Qing Tian
Otolaryngology
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Chronic tonsillitis canceration rate

Chronic tonsillitis is mainly caused by mixed infections of bacteria or viruses, with the chronic inflammation of the tonsils often being caused by hemolytic streptococcus or Staphylococcus aureus. It is rare for chronic tonsillitis to become cancerous. The primary reason is due to the persistence of acute tonsillitis, which does not provide the conditions for cancerous changes. However, if individuals frequently consume spicy and stimulating food, or engage in smoking and drinking, this can cause local ulcers and lead to cancerous changes in the tonsils. Therefore, in daily life, if one notices cauliflower-like growths on the surface of the tonsils, special attention should be given, and a timely hospital check-up should be conducted to avoid the development of cancer.

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Written by Li Rui
Otolaryngology
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How to treat acute tonsillitis?

Acute tonsillitis is mainly caused by an acute bacterial infection, with the most common symptoms being sudden throat pain, and significant redness and congestion of the tonsils, which may also include pus formation if severe. In terms of treatment, oral medication is primarily preferred, generally focusing on antibiotics, and may include nebulization as well as traditional Chinese oral medications. If inflammation is particularly severe and oral medications are ineffective, infusion therapy may be considered. Some patients may also experience fever, thus requiring physical cooling methods, and if the temperature exceeds 38.5 degrees Celsius, antipyretic medications should be considered, along with regular blood tests.

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Written by Li Mao Cai
Otolaryngology
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What are the symptoms of chronic tonsillitis?

The symptoms of chronic tonsillitis during the non-acute phase vary from person to person. Some individuals may not exhibit clear symptoms, while others may display more typical ones. The most common symptoms include recurrent sore throat, and sensations of dryness, itchiness, the presence of a foreign body, and discomfort in swallowing or coughing. Another common symptom is persistent cough, which can be irritating, with some individuals frequently clearing their throat. Bad breath may also occur, such as when stone-like substances form on the tonsils and are expelled, carrying a foul odor. If the tonsils are excessively enlarged, they can interfere with breathing, cause snoring during sleep, and even lead to breath-holding, resulting in unclear speech, as if speaking with a mouthful. These are commonly seen in clinical settings. Additionally, some systemic reactions may occur, including fever, fatigue, low-grade fever, and headaches.