Chronic and bacterial tonsillitis treatment. Best medication for tonsillitis
What causes tonsillitis?
The occurrence of chronic tonsillitis is associated with past infectious diseases. It can also be triggered by the presence of sources of infection in nearby organs - carious teeth, sinusitis, pharyngitis.
Chronic tonsillitis is dangerous because the lymphoid tissue that makes up the tonsils is gradually replaced by a coarse connective tissue. As a result, the drainage function of the tonsils is disturbed, the contents of which become a source of food for microorganisms stagnate in them. Gradually, the tonsils cease to protect the body.
There are several types of chronic tonsillitis:
- idle time - it manifests itself with not brightly expressed symptoms;
- compensated - there are no external manifestations of the disease, the body responds adequately to the infection;
- decompensated - characterized by frequent outbreaks of the disease, irreversible processes in the tonsils.
Decompensated tonsillitis often becomes an indication for surgery. This is due to the fact that in addition to local changes occurring directly in the tonsils, the inflammatory process spreads to other organs. If acute tonsillitis occurs more than 3 times a year, while the lesion covers other organs, the tonsils are removed.
What helps tonsillitis? How to get rid of tonsillitis?
What to do with chronic tonsillitis?
Many people think that the best way to get rid of chronic tonsillitis is tonsil removal or tonsillectomy. A few decades ago, there were queues for this operation in hospitals. It was believed that the absence of tonsils should lead to the disappearance of problems with them.
However, such a solution to the problem is not always justified. Nature created man harmonious, she gave him only the "necessary" organs. The indications for removal are complex cases when a large amount of pus is formed, complications appear that worsen the general condition of a person. If it is possible to save the tonsils, then the operation is better to refuse.
During exacerbation of chronic tonsillitis, a person feels general weakness, aching muscles, sore throat. His temperature rises, other symptoms characteristic of sore throat appear. Treatment is prescribed the same as in the acute form of the disease.
In order to prevent the disease from going into a more severe stage, it is necessary to carry out prophylaxis in the period of remission. It is aimed at improving immunity, the elimination of infection from the body. To do this, it is recommended to take vitamins, monitor the condition of the teeth, rinse your mouth after eating. Standard bracing activities — sports, fresh air, and a balanced diet — will also help reduce the likelihood of illness.
Tonsillitis natural treatment. What to take for tonsillitis?
Will traditional medicine help for tonsillitis?
It is impossible to replace a full-fledged treatment with folk remedies only, but it is also wrong to deny their positive influence. Before you begin to use them, you need to consult with your doctor.
An important part of the treatment is rinsing. It can be made with various herbal infusions - from chamomile, sage, eucalyptus. The main thing is not to be lazy, but to do these rinses 5-6 times a day. Propolis helps with tonsillitis. A teaspoon of propolis insist on alcohol. Before use, it is diluted in warm boiled water and rinsed with this solution throat.
At home, you can make soda inhalations with herbal infusions. You need to breathe not over boiling water, but over very warm water (about 65 degrees). Various teas, such as currant and raspberry, help a lot to recover. The surface of the tonsils can be lubricated with sea buckthorn oil.
How to treat tonsillitis?
Features of treatment of angina.
Given that a tonsillitis is accompanied by unpleasant symptoms, treatment is aimed at eliminating them. But to start taking antibiotics or other drugs, based on previous experience or the advice of friends, it is impossible. The cause of the disease can be an infection or bacteria. It depends on what kind of drug you need to take. Only a doctor can make the right choice.
In addition to drugs, it is necessary to use a lot of fluid, it will help to eliminate toxins from the body. You can drink water or acidified drinks in the form of heat. Gargling greatly helps to improve the condition of the throat. You can use ready-made formulations or brew the grass yourself. Above all, rinse water should not be hot. Antipyretic drugs and decoctions of herbs (for example, burdock root) will help reduce body temperature, and an antihistamine will help to remove swelling.
Acute tonsillitis treatment in Kids. Tonsillitis diet
Treatment of acute tonsillitis in children needs to begin with ensuring rest, warmth and proper nutrition.
As soon as the first signs of angina appear, the child should be put to bed. Bed rest must be observed until the body temperature returns to normal. This is necessary in order to protect the heart from overloads, as well as to minimize the transfer of pathogens throughout the body.
In addition to bed rest, you must go on a special diet. The throat is, of course, not the digestive system, but the principle of the diet in this case is the same - the traumatic effect of food should be minimized.
As a rule, the child at this time eats a little. Do not be scared - let him consume as much food as he wants. But he should drink a lot.
The following products should be excluded from the diet:
- solid fruit;
- jam and jelly;
- hot tea;
- a lot of honey.
All solid food injures the throat and increases the pain. Honey has a high acidity, so in large quantities can irritate the sick tonsils. Milk, kissel and jam create a film on the tonsils, in which pathogens are particularly comfortable.
As soon as the first sign of acute tonsillitis appears, parents begin to look for a suitable antibiotic. However, the problem is that it is not always necessary.
Redness of the throat can be caused not only by exposure to bacteria, but also by viral infections. Not only tonsillitis but also viral pharyngitis can begin with redness and pain, and antibiotics do not help against it. In addition, diphtheria and infectious mononucleosis begin in a similar way. So, the appearance of the symptoms described above should cause the main desire of the parent to go to the doctor.
A competent specialist must first prescribe a clinical blood test, and then an antibiotic, if he is needed, of course.
If the preliminary diagnosis of tonsillitis is confirmed, the doctor usually prescribes broad-spectrum antibiotics, for example, Amoxicillin, Ampicillin, Erythromycin.
It is necessary to take antibiotics strictly according to the recommendations of the doctor within 7 days. Any interruptions in the medication are fraught with the adaptation of microorganisms and their even greater reproduction. It is also impossible to self-cancel antibiotics just because it becomes easier for the child. All such courses are calculated so as to win a final and irrevocable victory over bacteria.
In addition to the course of antibiotics, the child should receive topical treatment. It includes the following activities:
1. Frequent gargling with various disinfectants. These may include: a weak solution of soda, sea salt, potassium permanganate, iodine. In this case, it should be remembered that too high a concentration of solutions can lead to a burn and deterioration.
2. Irrigation of the throat with antibacterial sprays. This method of treatment is especially good for those children who still can not gargle themselves. As an alternative to sprays and rinses, you can use special dissolving disinfectants and tablets in the mouth.
3. After the heat has subsided, it is possible to apply thermal procedures. These may include the inhalation of hot steam from boiled potatoes, drawing on the outer surface of the throat of the iodine net, applying a compress, and the like.
During the period of high temperature, the following actions are strictly prohibited:
- taking a hot bath or shower;
- being in a steam bath;
- hot foot baths;
- wrap in too warm clothes for the child to sweat.
All of these thermal effects have a large load on the heart, which already operates in an enhanced mode.
Treatment of chronic tonsillitis in children is a long and complicated process. Sometimes it ends with the removal of both tonsils, which is highly undesirable, given their function.
To use antibiotics in this case is undesirable due to their low efficiency. Usually, this is done by regularly washing the nasopharynx with antiseptics and physiotherapeutic procedures.
Bacterial tonsillitis. Bacterial tonsillitis symptoms
Various bacteria cause bacterial tonsillitis. Most often, it is caused by streptococci, which are activated by weakening the immune system of the body, after hypothermia, with a lack of vitamins due to poor nutrition.
These bacteria are present in the body of many people, without causing unpleasant symptoms. But literally 5-6 hours after a stressful situation or contact with a carrier of infection is enough to activate the bacteria and the first signs of the disease appear.
Even a slight hypothermia contributes to the active reproduction of streptococci, provoking streptococcal tonsillitis. It has a heavy course, a large number of complications. Typical for it is the spread of inflammation to nearby organs, the appearance of abscesses.
Bacterial tonsillitis manifests itself in the form of pain when swallowing, general malaise (aches, fever). In addition, during the examination, the doctor reveals a white patina on the tonsils, inflammation of the uvula, redness of the throat, a gray patina appears on the tongue.
These signs make it possible to distinguish the bacterial form from the viral form, which is accompanied by an increase and redness of the tonsils. With the viral form of tonsillitis, the body can cope on its own. To defeat a bacterial tonsillitis, you have to take antibiotics.
The main ways of transferring bacteria between people is common dishes, bedding, kisses. Non-compliance with hygiene by adults leads to the fact that children are infected. The younger the child, the harder it suffers the disease. Therefore, it is important to detect it as soon as possible and begin treatment.
In children, bacterial tonsillitis is additionally manifested by the following symptoms:
- a child becomes moody for no apparent reason;
- children periodically begin to cry;
- children refuse to eat;
- a baby becomes lethargic and drowsy.
Also, the child can notice increased salivation, redness of the throat, an increase in lymph nodes. There are three forms of flow of bacterial tonsillitis:
1. Catarrhal - accompanied by redness of the tonsils, pain, discomfort in the throat, fever, no ulcers;
2. Follicular - the temperature rises sharply, moderate intoxication, pain in the throat, tonsils covered with bloom;
3. Lacunar - is characterized by severe intoxication, high fever, plaque completely covers the tonsils.
The severity of symptoms depends on the age and characteristics of the human body. Also the progress of the disease is affected by the presence of concomitant diseases.
Bacterial tonsillitis treatment guidelines. How to treat streptococcal tonsillitis?
How to treat bacterial tonsillitis?
At the first symptoms you need to consult a doctor. Do not self-medicate, otherwise complications may develop. For treatment, antibiotics are usually prescribed (for example, Amoxicillin), which lasts 5-7 days. Rest is prescribed to the patient, even if the general condition has improved while taking the medication. It is better to refuse walks, but the room needs to be aired and disinfected.
In addition to antibiotics, the doctor prescribes antipyretic and anti-inflammatory drugs. To remove the swelling will help antihistamines, and eliminate the pain - lozenges.
Frequent gargling has a good effect. It helps to clear the tonsils from pus, moisten the mucous membrane, remove unpleasant sensations. For rinsing use soda, salt or herbal solutions. You need to drink a lot, preferring slightly acidic drinks - fruit drink, tea with lemon. Liquid will help to flush toxins from the body.
List of antibiotics for tonsillitis. Best antibiotic for bacterial tonsillitis
What antibiotics can be given not only to adults, but also to children?
Angina (tonsillitis), accompanied by high fever and purulent bloom on the tonsils, requires the treatment of children with antibiotics. Despite their harm to the children's body, the benefits in this case exceed the negative impact. Without proper treatment, the bacterial infection will spread further and cause serious consequences. Therefore, it is necessary to give the child antibiotics, but only on the recommendation of a pediatrician.
Bacteria are most sensitive to penicillin antibiotics. Therefore, they are considered effective in this case and are prescribed for the treatment of angina. These antibiotics effectively clean the tonsils from bacteria and relieve the general signs of intoxication after 1-2 doses. But they may be allergic.
In this regard, there is a best choice - it is Amoxicillin (Amoxil). The most popular drug of this series that doctors recommend is Augmentin (amoxicillin + clavulanate). Due to the presence in its composition of clavulanic acid, enhancing the action of the antibiotic, it is very effective. Reactions intolerance are extremely rare. Analogs of this drug are Amoxiclav and Flemoclav.
Macrolide antibiotics are used to treat acute tonsillitis in children. We are talking about:
- Zithromax (Sumamed),
- Zitrolid (Zithromax),
- Amosin (Augmentin),
- Flemoxin (Amoxil).
The scheme of their intake and dosage depending on the age of the child are described in detail in the instructions for each drug separately. In addition, the pediatrician in the appointment of the drug should clearly indicate how to take an antibiotic.
In the pharmacy network, antibiotics for treating angina in children are presented in a wide range. Various forms are available including tablets, capsules, powders, solutions, mixtures, sprays. Depending on the age of the child, the method of taking the drug is selected. So, babies up to six months recommended to use solutions for injections. It is very difficult for a baby to give medicine in another way, besides the intestinal microflora will not suffer. At the age of 1-5 years, suspensions are usually prescribed, rarely - intramuscular injections. From 6 years old, you can already give tablets or powders for dilution.
How to treat a sore throat in mild form? A mild form of sore throat in a child allows the use of a local antibiotic - Bioparox. It comes in the form of a spray, equipped with 2 nozzles for irrigation of the throat and nose. It has a slightly unpleasant taste and odor, so up to 5-6 years it should not be used, as this may cause nausea and vomiting. At a more adult age, the child will already be able to suffer discomfort, if the parents correctly explain to him the benefit of this medication.
In severe cases, doctors prescribe antibiotics in intravenous drip. But this is only within the hospital for individual indications.
The course of antibiotic therapy lasts on average from 5 to 10 days. In no case can it be interrupted, even if all the symptoms of the disease are gone. This is fraught with a relapse of the disease or serious complications. You need to take medicine strictly at the same time every day. The break between receptions should not be less than 12 hours. The dosage can not be changed without permission. Treatment of angina with antibiotics must be taken seriously and responsibly. Any changes or unexpected reactions should be discussed with your doctor.
Tonsillitis in children. Bacterial tonsillitis treatment with Amoxicillin antibiotic
The aim of the work was the comparative evaluation of the clinical efficacy of the drug Amoxil (Amoxicilin) in the complex treatment of chronic tonsillitis in children.
Monitoring the effectiveness of therapy was based on the dynamics of local and general clinical data (increase and the friability of the tonsils, the presence of purulent cheesy plugs in the gaps, increase in regional lymph nodes, flushing handles, the frequency of acute respiratory viral infections and sore throats, signs tonsillogenic intoxication), total blood analysis, bacteriological method.
Clinical studies have proven the effectiveness of weighty and high safety profile of the modern semi-synthetic antibiotic Amoxil compared with Ampicillin. This allows us to recommend Amoxil as the drug of choice in the treatment of chronic tonsillitis in children.
Chronic tonsillitis is one of the biggest problems of modern pediatrics. It accounts for 4 to 9% of all diseases in children. In the group of sickly children, which include one in four children, chronic tonsillitis is 43%. In the group of children suffering from chronic diseases of upper respiratory tract, chronic tonsillitis is from 54 to 79%.
Among the complications of recurrent tonsillitis - such formidable as the lateral and retropharyngeal abscesses, and systemic complications of the threat is rheumatic fever, glomerulonephritis, vasculitis.
Chronic tonsillitis causes the development of the body's chain of pathogenetic factors leading to significant health disorders up to a disability, has an immunosuppressive effect, contributes to the development of severe complications, autoimmune processes.
At the same time the tonsils play an important role in the body, as a secondary immunocompetent bodies involved in the creation of non-specific immune barrier and mucous membranes of the oropharynx, participate in the functioning of the immune and endocrine systems, anti-tumor protection. This makes the need to preserve the tonsils, especially in young children, conservative treatment of chronic tonsillitis.
Conservative treatment of chronic tonsillitis should be comprehensive, aimed at the reorganization of the infection in the tonsils, eradication of the pathogen, creating the risk of developing rheumatism, and to improve the non-specific and specific resistance of the organism, its security forces.
Currently, many suggested various methods of conservative treatment of chronic tonsillitis, but this problem is not completely solved. It is important to emphasize not only medical and biological, but also socio-economic importance of the problem. Proved a significant reduction in the quality of life of children with tonsillar disease, worsening of the psychological condition of the patients and their parents, the increase in the costs of treatment in cases of recurrence and transformation into other serious diseases (rheumatic fever, glomerulonephritis).
Since 1951 the gold standard etiotrop treat tonsillitis caused by b-hemolytic streptococcus group A, a course of oral penicillin, duration 10 days or a single intramuscular dose of benzathine benzyl penicillin. Both courses of penicillin at the time allowed to successfully reduce the incidence of potentially dangerous complications of the disease.
However, the growing resistance of pathogens and as a result - increasing the number of failures in the application of traditional antibiotics, many of which have been used for two or three decades, forcing doctors to review the recommendations for empirical treatment of ENT infections.
In addition to the stability of the etiological agents in the treatment of exacerbations of chronic tonsillitis there is a new problem: kopatogeny, ie microorganisms inhabiting the normal upper respiratory tract and alone does not cause disease, but actively producing beta-lactamase antibiotics destroy the traditional range (penicillin, phenoxymethyl penicillin, ampicillin, cephalosporins many). It specifies whether the group as aminopenicillins selection drugs.
At the present stage Amoxil is effective and safe antibiotic semisynthetic penicillin group of broad-spectrum for the treatment of infectious and inflammatory diseases of different localization, including the pathology of upper respiratory tract. The active substance is Amoxicillin - ampicillin active metabolite, close to it for antibacterial spectrum, effective against all strains of hemolytic streptococci, pneumococci and enterococci, staphylococci, gram-negative bacteria, anaerobic series, etc. In action on sensitive strains to ampicillin it exceeds 7.5 times.
Amoxicillin for tonsillitis: Conclusions
Thus, the use of modern antibiotics from the group of semisynthetic penicillins Amoxil (Amoxicillin) eradication in the causal treatment of children with tonsillitis showed high efficacy and good tolerability of the study drug, surpassing those of the comparison antibiotic (Ampicillin).
This trend is due to the fact that Amoxil characterized significantly more pronounced than ampicillin bioavailability, better absorption from the gastrointestinal tract. There is a good permeability Amoxil in the tonsils and lymphoid tissue. It should be emphasized that if other antibiotics penicillin have approximately equal ratio in plasma and tissue concentrations, the concentration Amoxil tissues exceeds that in the blood plasma. Moreover, exposure of the drug in the tissues of more than 8 hours, whereas in other penicillins it is 2 hours. The study has revealed a significantly lower frequency of allergic reactions, side effects from the digestive tract.
When using Amoxil less frequently observed dyspeptic disorders and disbiotic. Amoxil take 3 times a day regardless of the meal, which improves komplayentnost treatment, whereas ampicillin should be taken 4 times a day for 1 hour before or 2 hours after eating (eating 2 times reduces the absorption of the antibiotic). Of all penicillins oral Amoxil most active against penicillin-resistant pathogens, and 4 times higher than this indicator ampicillin.
The conclusions indicate that Amoxil is a highly effective antibacterial drug for the treatment of chronic tonsillitis, has good portability, ease of use and minimum side effects that can be recommended as a drug of first choice in the causal treatment of chronic inflammatory diseases of the upper respiratory tract in pediatric practice.