Tonsillitis Treatment in Indore

Tonsillitis: Treatment (Description)

Tonsillitis refers to the inflammation of the tonsils, which is usually a result of viral or bacterial infection. It is predominant among children, although it may happen at any age. The cause, severity and overall health of the patient determine effective treatment.

1. Goals of Treatment

Ready relief of pain, fever, and soreness.

Treat or prevent infection.

Avert complications, e.g. peritonsillar abscess, rheumatic fever.

Minimise chronic case recurrence.

2. Causes

Viral: Adenovirus, Influenza, Epstein-Barr virus (the most common and popular)

Bacterial: The Group A Streptococcus (Streptococcus pyogenes) - requires treatment to avoid complications.

Other causes: Irritants or allergies (uncommon)

3. Clinical Features

Pharyngeal pain and dysphagia.

Fever and malaise

Large and reddish tonsils with white or yellow exudates.

Cervical lymph nodes are hypovolemic.

Bad breath (halitosis)

Severe cases change the voice or cause a muffled voice.

4. Diagnosis

Learning and physical examination.

Bacterial infection: Throat swab culture or rapid antigen test.

Systemic infection suspected (e.g., CBC, EBV serology). Blood tests.

5. Treatment

As per the ICP, the presence of A. Medical (Non-Surgical) Treatment is not explicitly stated, but it is implied (Paine, 2011). According to the ICP, Medical (Non-Surgical) Treatment is not directly mentioned, but implicitly stated (Paine, 2011).

1. Symptomatic Treatment

Analgesics and antipyretics: To decrease pain and fever, paracetamol or ibuprofen.

Hydration: Optimal intake of fluids.

Rest: Supports recovery

Saltwater vaginas: Decreases irritation of the throat.

Analgesics: Lozenges, Honey (children older than 1 year).

2. Antibiotic Therapy

Recommended in the treatment of bacterial tonsillitis (Group A Streptococcus in particular)

Common antibiotics:

Penicillin V (first-line)

Amoxicillin (use favoured with children due to palatability)

Macrolides (e.g., azithromycin) in patients who are allergic to penicillin.

Duration: Penicillin/amoxicillin 10 days; short with some of the macrolides.

B. Surgical Treatment

1. Tonsillectomy

Indicated in:

Recurrent tonsillitis (>= 7 episodes/year, or>= 5 episodes/year for 2 years)

Narrowing of the airways in the tonsils causes obstructive sleep apnea.

Non-response of the peritonsillar abscess to drainage.

Suspected malignancy (rare)

Laid down under the influence of general anaesthesia as a rule.

Recovery: 1 2 weeks, precautions: pain, bleeding.

6. Supportive and Home Care

Soft, non-irritating diet

Avoid irritants like smoke

Maintain good oral hygiene

Watch out to develop complications: difficulty breathing, extreme pain, dehydration.

7. Complications if Untreated

Peritonsillar abscess

Rheumatic fever

Post-streptococcal glomerulonephritis

Tonsillitis is chronic and hypertrophic.

Obstructive sleep apnea

8. Prognosis

Viral tonsillitis: It is normally self-limiting in 7- 10 days.

Bacterial tonsillitis: The response to antibiotics is good.

Surgical intervention: It works in recurrent or complicated cases.

Summary

Tonsillitis treatment is based on the aetiology and intensity:

Viral: Supportive care

Bacterial: Drug treatment + supportive care.

Repeat or hindering cases: Tonsillectomy.

Detection, appropriate management and support inhibit complications and enhance recovery.