Ulcerative necrotic tonsillitis: how to treat?

Ulcerative necrotic tonsillitis is a disease caused by a conditional pathogenic flora of the oral cavity. We are talking about such a flora, which is also present in a healthy state, but only in small quantities, and against the background of a weakening of the body's protective properties, it can become more active and lead to pathology. Basically, spirochete and spindle-shaped bacillus are directly involved in the development of this disease. It is also called the tonsillitis of Simanovsky-Plount-Vincent.

The disease develops often in the presence of protein deficiency and against the background of general depletion of the body, in connection with this second name of this disease is the definition of "trench". In addition, poor oral care, including the presence of carious teeth and malicious smoking, are provoking factors. Next, find out how this disease is currently being treated.

Symptoms of ulcerative necrotic tonsillitis

Characteristic and distinctive signs of pathology:

• the surface of one palatine tonsil undergoes necrotic changes;
• erosion forms on the surface of the tonsil;
• the site of tissue necrosis can be hidden under the fibrinous membrane.

The main complaints of patients with this form of tonsillitis are discomfort, increased salivation, a foreign body sensation in the throat, and an unpleasant putrefactive breath. Body temperature is extremely rare. This is the main diagnostic symptom.

Drug treatment

The tactics of treatment of ulcerative necrotic tonsillitis should be selected exclusively by the attending physician. All recommendations of a specialist should be followed in order to prevent possible complications.

As a rule, therapy for ulcerative necrotic tonsillitis includes the following elements:

1. Local treatment. At the same time, tonsils must be lubricated with a solution of potassium permanganate, hydrogen peroxide and Furacilina. Similar procedures are performed several times a day.
2. Conducting systemic treatment. Ulcerative necrotic sore throat requires primarily taking antibiotics. In more complex cases, they are injected. Against the background of uncomplicated pathological processes, ordinary tablets are enough. In order to cope with this ailment, “Erythromycin” is mainly prescribed along with “Cefazolin”, “Azithromycin” and “Amoxiclav”.

We will talk more about options for local and systemic treatment below.

Treatment regimen

Like any disease of the respiratory tract, ulcerative necrotic tonsillitis is treated with therapeutic as well as physiotherapeutic methods. Antibacterial treatment is prescribed according to the results of analyzes. Recovery, as a rule, is achieved thanks to penicillin antibiotics. For example, we are talking about drugs such as Amoxicillin along with Phenoxymethylpenicillin and Benzylpenicillin. Cephalosporin antibiotics in the form of “Cephaloridin”, “Cephalixin” and “Cefazolin” also help to cope with the disease. Macrolides in the form of "Medecamycin", "Azithromycin", "Erythromycin" and "Clarithromycin" are also no less effective in combating the disease.

The latter type of medication is most preferred for Vincent’s necrotic sore throat, since it is sparing to the digestive system and has a fairly low toxicity, while producing a powerful bacteriostatic effect. The presented preparations are usually administered intramuscularly in dosages corresponding to the age and weight of the patient.

Local treatment includes a number of measures that are aimed at stage-by-stage cleansing of damaged tissue from purulent and mucous deposits, due to which its healing and recovery will soon be achieved.

Comprehensive local treatment measures

Among the complex methods, the following methods of local treatment of ulcerative necrotic tonsillitis must be used:

1. Carrying out the treatment of ulcers with hydrogen peroxide.
2. Performing a gargle with a solution of potassium permanganate and potassium chloride. In addition, you can also use "Furacilin" or silver nitrate.
3. Carrying out irrigation with antiseptics.
4. Lubricating the surface of the tonsils with iodine, Novarsenol, or Neosalvaren.
5. Sometimes doctors prescribe the sprinkling of the affected surface with sugar or its processing with sugar syrup. This technique contributes to a positive change in the acid background, making the growth of pathogenic microbes impossible.

Active symptoms of ulcerative necrotic tonsillitis have a negative effect on the general condition of the human body. Photos of the affected tonsils we will not present for aesthetic reasons.

Regime and diet as part of the treatment

Depending on the stage of ulcerative necrotic sore throat, the patient may be asked to undergo outpatient treatment subject to compliance with all preventive recommendations. In this case, we are talking about a separate dish, maximum isolation from others, compliance with bed rest, and so on. In addition, treatment can be done in an infectious diseases hospital.

A lot of attention will have to be paid to a nutritious diet. From it should be completely excluded food, which can cause irritation of the mucous membranes. For example, you should not take too hot or cold food, as well as too hard foods. Such patients are advised to completely abandon spicy, salty and spicy food, replacing it with soft and grated foods.

In addition, a therapeutic diet must be saturated with animal protein as much as possible:

1. In this case, you should eat poultry meat. For example, chicken and turkey are great. It is also useful to eat rabbit, veal and beef.
2. No less useful are yogurt, yogurt, cottage cheese and dishes from it.
3. It is worth paying attention to the liver and other offal, as well as hard cheese.
4. An excellent source of nutrients against the background of this disease are eggs, with the exception of those that are cooked soft-boiled, as they may contain pathogenic bacteria.

In no case should we forget about the drinking regimen. The patient will benefit greatly from a plentiful drink, which will consist of stewed fruit saturated with vitamins C and B, as well as fruit drinks. A rosehip broth, freshly squeezed juices and lemon tea are very useful. For saturation with vitamin reserves, fruit and, at the same time, vegetable purees along with citruses, especially oranges and grapefruits, are perfect.

What other methods of treatment for ulcerative necrotic tonsillitis are there?

Folk remedies

In addition to the main treatment, the following effective alternative methods are used:

1. For rinsing, it is worth using decoctions from such medicinal plants as sage, oak bark, eucalyptus, mint, chamomile and St. John's wort. To do this, all herbs take one part of each element and add boiling water, after which the product is put on a steam bath for a quarter of an hour. Then leave the medicine in a dark place for forty minutes and let it brew, and then apply it to rinse several times a day.
2. To defeat pathogenic microorganisms, a saline solution will also help. This requires a large spoon of sea salt, which is mixed with 250 milliliters of warm water. The resulting product is used for rinsing. Such rinses must be done as often as possible.
3. An effective folk remedy for necrotic tonsillitis is onion and garlic juice. In this juice, it is recommended to moisten the gauze and apply to treat tonsils.
4. Thanks to the alcohol tincture of calendula and Chlorhexidine, it is often possible to achieve complete healing of bleeding ulcers.

Physiotherapy as part of the treatment

After stopping acute pathological processes, physiotherapy can also be used. For this, the KUV shed procedure is actively used, which is a directed stream of short ultraviolet waves. Against the background of this procedure, it is possible to produce a warming effect on the tonsils, which perfectly stimulates blood circulation in the area.

Inhalations are also often used with the use of drugs such as Dioxidin, Hydrocortisone and Lysozyme. Ultrafonophoresis using antibiotics is considered a fairly effective technique. You can also use anti-inflammatory drugs for treatment.

How to treat necrotic sore throat during pregnancy?

Features of therapy during pregnancy

The development of this disease during pregnancy is extremely dangerous for the bearing fetus. In this case, the use of home remedies is strictly prohibited. With any symptoms of angina, a woman should immediately consult a doctor. The specialist will install and eliminate the causes of this problem. It is very important in this case to prevent all kinds of complications, since this disease has an extremely acute course.

To do this, patients are recommended to actively rinse, and also adhere to all the necessary recommendations that the doctor gives. In addition, you need to try to relax as much as possible and not expose your body to excessive physical exertion. Such measures will help the body of a pregnant woman recover faster.

Disease prognosis

Subject to compliance with all medical prescriptions, the prognosis for recovery with this disease is quite favorable. This disease, as a rule, manages to be defeated within seven to twenty days, and usually it does not reach necrosis.

Disease prevention

As part of the prevention of such an ailment as ulcerative necrotic tonsillitis, it is required to adhere to the correct nutritional diet at the stage of recovery after viral and infectious diseases. And if necessary, you should take immunostimulating and restorative drugs, and in addition, timely reorganization of the oral cavity.

We examined the symptoms and treatment of ulcerative necrotic tonsillitis.