In the article, we consider the treatment of exacerbation of chronic tonsillitis.
This is a disease of the upper respiratory tract, which is a long process of inflammation in the tonsils. Most often, the chronic form develops as a result of improper treatment or its complete absence with acute tonsillitis. In addition to the fact that pathology causes inconvenience to the patient, it provokes a permanent pathogenic load on the human body and causes many complications.
The ICD-10 code for exacerbation of chronic tonsillitis is J35.0.
Why does it appear?
The development of the disease is closely associated with acute tonsillitis (frequent onset of tonsillitis). In many cases, tonsillitis, not cured to the end, becomes the cause of chronic tonsillitis. Often, angina is an exacerbation if jams appear in the tonsils, or caseous-necrotic congestions, which can be confused with the remnants of food.
The main causes of exacerbation of chronic tonsillitis are as follows:
- Adverse working conditions. The greatest influence is exerted by the dustiness and gas contamination of air at one or another production.
- Poor water quality.
- Bad ecology, gas pollution from automobile exhaust gases, harmful emissions from production into the atmosphere.
- Low (weakened immunity).
- Significant hypothermia of the human body.
- Stress situations.
- Chronic diseases in the oral cavity (purulent sinusitis, dental caries, etc.), paranasal sinuses and, in fact, the nasal cavity, often infecting the tonsils.
- Poor or poor nutrition when consuming large amounts of carbohydrates and proteins.
- Heredity (one of the parents suffers from chronic tonsillitis). It is very important for a woman during childbearing to undergo once or two treatment courses for tonsillitis, which depends on the severity of the disease process, to minimize the appearance of the disease in the unborn child.
- Fatigue syndrome, frequent overwork, lack of proper rest.
- Alcohol abuse and addiction to cigarettes.
Symptoms of exacerbation of chronic tonsillitis
How to independently determine the presence of chronic tonsillitis? The signs and treatment in children and adults can be correctly determined exclusively by an ENT doctor. However, the characteristic symptoms will help to understand when you need to see a specialist.
Exacerbation of chronic tonsillitis is distinguished by the following clinical picture:
- Headache.
- The presence in the throat of a foreign body, as if something was stuck there. In fact, this is exactly the same thing that there is a large number of caseous masses - traffic jams accumulated in the thickness of the tonsils.
- High fatigue, decreased performance, weakness. All this is caused by tonsillogenic intoxication, in other words - intoxication syndrome.
- Aching muscle and joint pain (with severe disease).
- Aching heart pain with interruptions in the functioning of the organ - extrasystoles (if the disease is severe).
- Pain in the kidney and lumbar region (with severe disease).
- Bad mood, sometimes a fever for a long period.
- Persistent skin rashes, provided that there was no skin pathology before.
Such symptoms of exacerbation of chronic tonsillitis occur due to the penetration from the tonsils into the blood of the vital products of pathogenic microorganisms, namely streptococcal and staphylococcal infections, which poison the human body.
An unpleasant smell appears from the mouth due to the accumulation of organic substances in it, as well as decomposition in lacunae (that is, in the depressions of the tonsils) and crypts (the so-called tonsil channels) of a bacterial infection. Tonsils in this case are a source of infection that can spread almost throughout the body and cause inflammation of the myocardium, joints, kidneys, sinuses near the nose, the appearance of cystitis, prostatitis, acne and other diseases.
If the tonsils lose their ability to cope with their function as an immune organ, then any stress, overwork, slight hypothermia can significantly reduce the body's immune defense and open access to exacerbations of pathology and microbes.
How is acute exacerbation of chronic tonsillitis treated?
The right treatment
With tonsillitis, tonsillitis, treatment in adults and children must be carried out simultaneously for all diseases of the nasopharynx and oral cavity that concern the patient. In case of violation of nasal breathing and draining along the back wall of the pharynx of the mucopurulent discharge or mucus, special attention should be paid to this moment.
Is chronic tonsillitis exacerbation treated with antibiotics?
Effective therapy can be either conservative or surgical. Due to the fact that the removal of tonsils can seriously damage the immune system and the defenses of the human body, otolaryngologists should try their best to leave the tonsils, to restore their activity without intervention to remove them. Modern medical methods for tonsillitis allow the patient to recover in many cases without surgery.
Conservative treatment of exacerbation of chronic tonsillitis in a purulent form should always be carried out in an ENT center or ENT clinic. Therapy should be pathogenetically substantiated, comprehensive, course. You should also use the medication method - medicines prescribed by the ENT doctor.
With an exacerbation of the disease, the same treatment of the patient is required as with angina. A person must comply with bed rest. You need to eat food in powdered form, foods should be enriched with vitamins. Drink fruit drinks, teas and milk as much as possible in the treatment of exacerbation of chronic tonsillitis.
Drug treatment
What drugs are prescribed? The use of pharmacological agents should be under the supervision of a specialist.
- Antibiotics for exacerbation of chronic tonsillitis are prescribed quite often, but before starting the treatment course, bacteriosis should be performed.
- Painkillers - stop pain, which are signs of tonsillitis. Among the painkillers include "Ibuprofen" with analogues.
- Probiotics - help restore balance between beneficial and pathogenic bacteria. The effect of these drugs is aimed at eliminating the consequences after taking antibiotics. Probiotics include Gastrofarm, Normoflorin, Acipol.
- Antihistamines - eliminate swelling of the mucous membrane of the nasopharyngeal walls and tonsils. The list of these funds includes Zodak, Zirtek and Tsetrin.
- Drug therapy in the form of irrigation - antiseptic sprays or rinses. It is recommended to use "Dioxidine" and "Miramistin."
Before treating exacerbation of chronic tonsillitis in adult patients through folk methods, you should consult your doctor. It is important to monitor the nutrition of the patient with this pathology. In this case, both the structure and the temperature of the food are very important. Food should not be very cold or hot. The use of acidic, spicy and salty foods is undesirable in order to avoid throat irritation. Solid foods should also be avoided.
Physiotherapy
The therapy of exacerbation of chronic tonsillitis (according to ICD-10: J35.0) includes the following physiotherapeutic procedures:
- Ultra-frequency and ultra-short magnetic irradiation - produce a disinfecting and anti-inflammatory effect, eliminate edema.
- Ultraviolet radiation is produced through a tube and is directed to the tonsils or lymph nodes. Helps to recover and heal tissues, stimulates the immune system and kills microbes.
- Ultrasound in the area of the tonsils - is aimed at stimulating blood circulation and lymphatic outflow, prevents the onset of inflammation, and is used for tonsillitis in small patients.
- Electrophoresis (with the use of pharmaceuticals) to the lymph nodes or cervical-collar region.
- Laser irradiation - eliminates pathogenic symptoms, inflammation and swelling. This procedure helps to recover the tonsils.
There are the following contraindications for physiotherapy: decompensated diseases of the internal organs and pregnancy. It is necessary to conduct a thorough examination of the patient before the start of the procedures, since physiotherapeutic manipulations are also contraindicated in oncology.
What else is effective for frequent exacerbations of chronic tonsillitis?
Gargling
With tonsillitis, rinses are an effective therapeutic method. The solution may be based on different substances, but prior consultation with a specialist is necessary. The doctor will assess the condition of the throat, establish methods for treating the disease. Sea salt has a beneficial effect on inflamed tissue without irritating the mucosa. The mineral is affordable and low cost.
The processes of inflammation and a number of pharmaceuticals for chronic tonsillitis and tonsillitis can cause dry mouth, burning or sore throat. To eliminate such manifestations, essential oils of peach, apricot or sandalwood are suitable. Essential oil-based rinse solutions have a beneficial effect on the condition of the throat. A number of oils are included in anti-tonsillitis medications. The most suitable are tea tree oil, eucalyptus, cedar or lavender.
With exacerbation of chronic tonsillitis in a child, ginseng or chamomile (in the form of tea or a rinse) can be used to awaken the body's defenses. Their effect is enhanced by the addition of propolis. These natural remedies have such an analogue as the Imudon remedy. To gargle with chronic tonsillitis, adults can take a decoction of aspen bark, ginger or elecampane roots, and willow buds.
Chronic tonsillitis without exacerbations is very rare.
Surgical intervention
If conservative treatment methods are ineffective, it is advisable to have surgery and remove the tonsils. In the presence of contraindications to their complete removal, careful surgical techniques are used. A lacunae is cut with a laser to remove pathological fluid from there. Such an operation causes the formation of scars, due to which the intoxication symptoms with tonsillitis intensify.
How to treat exacerbation of chronic tonsillitis during pregnancy?
Chronic tonsillitis during pregnancy
During pregnancy, the disease must be paid special attention. If it is only planned, even with a compensated condition, when there is no exacerbation of tonsillitis, it is highly recommended to conduct a planned course for medical purposes. This will reduce the bacterial load on the woman’s body and, in particular, on the tonsils during exacerbation of chronic tonsillitis during pregnancy.
Doctors are now sending patients who are preparing to become mothers of tonsillitis and pregnant women. Indeed, it is chronic tonsillitis that is one of the reasons for abortion, although at first glance it may seem that the cork caused by tonsillitis and treatment with bearing a child are not connected in any way.
Before conceiving a child, it will be correct to examine his future father for illness and also treat if necessary. This will significantly reduce the risk of chronic tonsillitis in the baby. And, on the contrary, the worse the condition of future parents, the higher the risk of developing a disease in a child.
It is very important to conduct a comprehensive treatment of tonsillitis before pregnancy. However, even during pregnancy, a repeated course is best in the second trimester, while the patient's condition is still most comfortable. It should be noted that during pregnancy physiotherapeutic procedures are prohibited, and it is very undesirable to rinse the tonsils with a vacuum with further treatment with antiseptic solutions.
Alternative methods of treatment
Chronic tonsillitis during an exacerbation can be quite effectively treated with alternative recipes if they are used as an adjunct to drug therapy. It should be noted that without appropriate medical advice, it is undesirable to prescribe such a treatment for yourself, since with the use of alternative drugs, tonsillitis, most likely, can go into a complicated or chronic form without much resistance from the body.
Using alternative methods for chronic tonsillitis in the acute stage, it is necessary to monitor the effectiveness of therapy with an otolaryngologist. If there is no positive dynamics for a month, the medicine should be changed.
A propolis treatment for tonsillitis
Propolis is crushed and combined with alcohol in a one to one proportion. The composition must be tightly closed with a lid and kept for five days in a dark place. Drink the finished tincture three times a day, twenty drops each (use a pipette for dosage), drink it with water. Treatment lasts two weeks, then a week-long break is made. Three courses are held in a row.
Prescription propolis treatment for small patients
Natural propolis needs to be crushed, then melt in butter in a water bath in a ratio of one to one. The composition is thoroughly mixed, cooled to body temperature, honey is added (of the total amount of the product, it should be about 20%). It is transferred to a glass container and stored in the refrigerator. The child should be given half a teaspoon of the product three times a day. Pre-rinse your throat with mucus and leftovers.
Recipe for drops of garlic as a method of strengthening the immune system
The garlic is finely chopped and poured with purified vegetable oil: one part to one. Tightly closed with a lid and infused for five days. The composition is filtered, the oil is squeezed from the garlic meal, freshly squeezed lemon juice is added (a fifth of the total). Such oil should be taken twice a day, ten drops, mix before use. What else is used in the treatment of exacerbation of chronic tonsillitis in adults and children?
Recipe for beet broth as a treatment for chronic tonsillitis
Wash large beets (about three hundred grams), chop together with peel. Then fill it with water (800 milliliters) and cook on low heat for about an hour under a lid. The broth is filtered, the cake is wrung out. Use a rinse always after the next meal.
Beetroot Juice Against Tonsillitis
Wash and clean the beets thoroughly, grind with a grater, squeeze the juice using a press. Drink freshly squeezed vegetable juice twice a day, and the first intake should be on an empty stomach.
Treatment of chronic tonsillitis with clove infusion
Brew five cloves in a thermos in boiling water (300 milliliters), leave for two hours, then drain the infusion. Drink three times a day, 100 milliliters for twenty days, take a break for six months and repeat the course.
Myrtle broth for the treatment of tonsillitis
An excellent antibacterial and anti-inflammatory agent is a decoction of myrtle leaves. It is prepared as follows: ten myrtle leaves are poured with water (300 milliliters) and boiled for five minutes, infused for twenty minutes and filtered. The broth is taken twice a day for one tablespoon, and you can also rinse their throat an unlimited number of times. Treatment is carried out for a month.
Myrtle tincture with tonsillitis
A glass of myrtle leaves is taken, ground in a mortar, mixed in a glass container with medical alcohol (400 milliliters). The dishes are tightly closed and infused for eight days in a dark place. Tincture is used in diluted form for the purpose of gargling: a teaspoon of the product in a glass of water. Treatment is carried out for at least a month.
Hypericum oil in the treatment of chronic inflammatory process in tonsils
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A pronounced anti-inflammatory and antibacterial effect has a decoction of leaves and bark of jujube, which is effective for tonsillitis.
Take a tablespoon of leaves and bark in powdered form, pour boiling water (300 milliliters), simmer for half an hour in a water bath and filter immediately. Drink two tablespoons of the broth half an hour before meals three times a day. Therapy lasts two months.
Sea buckthorn as a remedy for exacerbation of chronic tonsillitis
Every day you need to slowly, thoroughly chew and then eat ten fruits of sea buckthorn. The fruits are divided into three to four times, and before each procedure you need to gargle well. Treatment lasts up to three months. Such a tool can be used without restrictions for treating children if the child is already old enough and does not choke on the small fruit of sea buckthorn.
Doctors Recommendations
If there are contraindications to surgical intervention for a disease at a compensated stage, conservative treatment is used. Such therapy should take place twice a year.
If symptoms of exacerbation of chronic tonsillitis in adults and children can be eliminated after two weeks of treatment, it is advisable to continue therapy to consolidate the result. Over the course of several treatment cycles, drugs and physiotherapeutic procedures should change. When even several therapeutic courses are ineffective, surgical intervention is necessary.
The main method of conservative treatment of exacerbation of chronic tonsillitis (according to the ICD code J35.0) is health-improving procedures in inflamed or purulent areas, washing of tonsils and cleansing of sputum and pus. Manipulation of the washing of gaps is carried out by means of a solution, which contains “Chlorophyllipt”, “Miramistin” and “Furacilin”. The doctor introduces a special needle with a curved tip into the lacunae of the tonsils. A stream of solution washes the contents of the gaps, and it is secreted into the oral cavity. The effectiveness of therapy depends on the properties of the solution and the professionalism of a specialist. The treatment course includes from seven to ten procedures, it is carried out once a day. In some cases, rinse once every two days.
The following contraindications are available: mental disorders, exacerbations of tonsillitis or infectious diseases. Solutions containing antibiotics, compared with antiseptic, are not more effective. On the contrary, they can cause fungal pathologies or drug resistance. Tonsil injections with steroid drugs or antibiotics are rarely used, since there is a high probability of complications of the disease.
Symptoms and treatment of exacerbation of chronic tonsillitis are interrelated.
Complications
Chronic tonsillitis is a very dangerous complication. The most severe among them are: articular inflammation - rheumatism, cardiac pathology - myocarditis and serious kidney damage - glomerulonephritis.
Certain toxins, which are produced in the tonsils by germs and then enter the bloodstream, can damage the ligament and cartilage tissue, which causes pain and inflammation in the joints and muscles. Other toxins often cause changes in blood tests, fever, depression, fatigue, and severe headaches.
Chronic tonsillitis is able to affect the functioning of an important human organ - the heart. Often in tonsils parasitic streptococcus group A beta-hemolytic, whose protein is similar to the protein found in connective heart tissue. The immune system for this reason can be aggressive in response not only to streptococcus, but also to the heart itself. The result is a violation of the rhythm of organ contraction, valve prolapse, which can lead to bacterial endocarditis or severe myocarditis.
That is why the kidney tissue and the surfaces of the joints are at great risk.
Due to the presence of an infectious focus in the tonsils, the body's reactivity changes over time, and allergic changes are possible as a result.
Prevention
In addition to the main treatment, the following measures are necessary for prevention:
- Climate and spa therapy. For prevention, it is very important for the patient to visit sea resorts. Sun bathing, moist sea air, accidental ingestion of sea water in your mouth and swimming will beneficially affect the human body.
- Work schedule and normal rest. To ensure the maximum duration of remission for chronic tonsillitis, you need to eliminate stress from your life and have a good rest. Sinusitis and the chronic form of tonsillitis are not accidental social diseases, in which the possibility of exacerbation of the pathology increases along with workload and the amount of stress.
- Diet. In chronic tonsillitis, it is very important to pay attention to nutrition. You can’t eat pepper, sour, bitter, fried and salty foods in large quantities, products that can irritate the mucous membrane of the posterior pharyngeal wall and tonsils. Citrus fruits are not recommended. In addition, it is forbidden to drink alcoholic beverages, take very hot or cold baths, as well as get involved in solid foods.
We examined the symptoms and treatment of exacerbation of chronic tonsillitis.