Tonsillitis symptoms of the cause of the disease. Treatment regimens for chronic tonsillitis in adults. Manifestations of chronic tonsillitis

Tonsillitis is an infectious-allergic disease in which inflammatory process localized in the palatine tonsils. Nearby lymphoid tissues of the pharynx are also involved - laryngeal, nasopharyngeal and lingual tonsils.

Chronic tonsillitis is a fairly common disease, which may be due to the fact that many people simply do not consider it a serious illness and easily ignore it. This tactic is very dangerous, because a constant focus of infection in the body will periodically take the form of acute tonsillitis, performance, worsen overall well-being.

Since this disease can serve as an impetus for the development dangerous complications, symptoms chronic tonsillitis, as well as the basics of treatment in adults, everyone must know (see photo).

Causes

What it is? Tonsillitis in adults and children occurs when an infection enters the tonsils. Most often, bacteria are “guilty” of the appearance of this disease: streptococci, staphylococci, enterococci, pneumococci.

But some viruses can also cause inflammation of the tonsils, for example, adenoviruses, the herpes virus. Sometimes fungi or chlamydia are the cause of inflammation of the tonsils.

Contribute to the development of chronic tonsillitis can be a number of factors:

(acute inflammation of the tonsils);
violation of the function of nasal breathing as a result of a curvature of the nasal septum, the formation of polyps in the nasal cavity, with hypertrophy of adenoid vegetations and other diseases;
the appearance of foci of infection in the nearest organs (, purulent, etc.);
decreased immunity;
increased allergic reactions, which can be both a cause and a consequence of a disease, etc.

Most often, chronic tonsillitis begins after a sore throat. At the same time, acute inflammation in the tissues of the tonsils does not undergo a complete reverse development, the inflammatory process continues and becomes chronic.

There are two main forms of tonsillitis:

Compensated form- when there are only local signs of inflammation of the palatine tonsils.
Decompensated form- when there are both local and general signs chronic inflammation palatine tonsils: abscesses, paratonsillitis.

Chronic compensated tonsillitis manifests itself in the form of frequent colds and, in particular, with tonsillitis. So that this form does not develop into a decompensated one, it is necessary to extinguish the focus of infection in a timely manner, that is, not to let the cold take its course, but to engage in complex treatment.

Signs in adults

The main signs of chronic tonsillitis in adults include:

(moderate to very strong);
pain in the tonsils;
swelling in the nasopharynx;
congestion in the throat;
inflammatory reactions in the throat to food and cold liquids;
body temperature does not decrease for a long time;
weakness and fatigue.

Also, a sign of the disease may be the appearance of pulling pains and aches in the knee and wrist joint, in certain cases there may be shortness of breath.

Symptoms of chronic tonsillitis

A simple form of chronic tonsillitis is characterized by a poor presence of symptoms. The adult is disturbed by the feeling foreign body or awkwardness when swallowing, tingling, dryness, bad breath, possibly. The tonsils are inflamed and enlarged. Outside of an exacerbation, there are no general symptoms.

Characterized by frequent sore throats (up to 3 times a year) with a protracted recovery period, which is accompanied by fatigue, malaise, general weakness and a slight increase in temperature.

With the toxic-allergic form of chronic tonsillitis, tonsillitis develops more often 3 times a year, often complicated by inflammation of neighboring organs and tissues (, etc.). The patient constantly feels weak, tired and unwell. Body temperature remains subfebrile for a long time. Symptoms from other organs depend on the presence of certain associated diseases.

Consequences

With prolonged course and absence specific treatment chronic tonsillitis have consequences in the body of an adult. The loss of the ability of the tonsils to resist infection leads to the formation of paratonsillar abscesses and infection in the respiratory tract, which contributes to the occurrence of pharyngitis and.

Chronic tonsillitis plays a large role in the occurrence of collagen diseases such as periarthritis nodosa, polyarthritis, dermatomyositis, scleroderma,. Also, persistent tonsillitis leads to heart diseases such as endocarditis, myocarditis and acquired heart defects.

The human urinary system is most susceptible to complications in infectious diseases, therefore, is a serious consequence of chronic tonsillitis. In addition, polyarthritis is also formed, the musculoskeletal system is disturbed. With a chronic focus of infections, glomerulonephritis, chorea minor, paratonsillar abscess, and septic endocarditis develop.

Exacerbation of chronic tonsillitis

The lack of preventive measures and timely treatment for chronic tonsillitis leads to various exacerbations of the disease in adults. The most common exacerbations of tonsillitis are tonsillitis ( acute tonsillitis) and paratonsillar (near tonsil) abscess.

Angina is characterized elevated temperature(38-40˚ and above), severe or moderate sore throat, headaches, general weakness. Often there is aches and severe pain in the joints and lower back. Most types of angina are characterized by enlarged lymph nodes located under the lower jaw. Lymph nodes are painful on palpation. The disease is often accompanied by chills and fever.

At proper treatment acute period lasts two to seven days. Full rehabilitation requires a long time and constant medical supervision.

Prevention

To prevent this disease, it is necessary to ensure that nasal breathing is always normal, to treat all infectious diseases in a timely manner. After a sore throat, preventive washing of the lacunae and lubrication of the tonsils with drugs recommended by the doctor should be carried out. In this case, you can use 1% iodine-glycerin, 0.16% Gramicidin-Glycerin, etc.

Regular hardening in general is also important, as well as hardening of the pharyngeal mucosa. For this, morning and evening rinsing of the pharynx with water, which has room temperature, is shown. The diet should contain foods and dishes with high content vitamins.

Treatment of chronic tonsillitis

To date, in medical practice, there are not so many methods for the treatment of chronic tonsillitis in adults. Medical therapy, surgical treatment and physiotherapy are used. As a rule, methods are combined in different versions or alternately replace each other.

In chronic tonsillitis, local treatment is used, regardless of the phase of the process, it includes the following components:

Washing the lacunae of the palatine tonsils in order to remove purulent contents, and rinsing the pharynx and oral cavity with copper-silver or saline solutions with the addition of antiseptics (miramistin, chlorhexidine, furatsilin). The course of treatment is at least 10-15 sessions.
Taking antibiotics;
: Hilak forte, Linex, Bifidumbacterin to prevent dysbacteriosis, which can develop while taking antibiotics.
Medicines that have a softening effect and eliminate symptoms such as dryness, itching, sore throat. The most effective remedy is a 3% hydrogen peroxide solution, which should be gargled 1-2 times a day. In addition, a preparation based on propolis in the form of a spray (Proposol) can be used.
In order to correct general immunity, Irs-19, Bronchomunal, Ribomunil can be used as prescribed by an immunologist.
Carrying out physiotherapy (UHF, tubos);
Sanitation of the oral cavity, nose and paranasal sinuses.

To increase the body's defenses, vitamins, aloe, vitreous, FIBS preparations are used. To cure chronic tonsillitis once and for all, you should adhere to an integrated approach, and listen to the doctor's recommendations.

Physiotherapy

Physiotherapy procedures are always prescribed against the background conservative treatment and a few days after the operation. Several decades ago, the main emphasis was placed on these methods: they tried to treat chronic tonsillitis with ultrasound or ultraviolet radiation.

Physiotherapy really demonstrates good results, but it cannot be a basic treatment. As an auxiliary therapy, its effect is undeniable, therefore, physiotherapeutic methods of treatment for chronic tonsillitis are used all over the world, and are used actively.

Three methods are considered the most effective: ultrasound, UHF and UVI. They are mostly used. These procedures are prescribed almost always in the postoperative period, when the patient is already discharged from the hospital home and switched to outpatient treatment.

Removal of tonsils in chronic tonsillitis: reviews

Sometimes doctors do surgical intervention and remove diseased tonsils, this procedure is called tonsillectomy. But for such a procedure, evidence is required. Thus, the removal of the tonsils is carried out in cases of recurrence of the paratonsillar abscess and in some comorbidities. However, it is not always possible to cure chronic tonsillitis with medication, in such cases it is worth thinking about surgery.

Within 10-15 minutes under local anesthesia, the tonsils are removed with a special loop. After the operation, the patient must observe for several days bed rest, take only cold liquid or mushy non-irritating food. After 1-2 weeks, the postoperative wound heals.

We have selected some reviews from the removal of tonsils in chronic tonsillitis, which were left by users on the Internet.

I had my tonsils removed 3 years ago and I have no regrets! The throat sometimes hurts (pharyngitis), but very rarely and not at all like before! Bronchitis often comes as a complication of a cold (But this is not at all the same as the torment my tonsils brought me! Angina was once a month, eternal pain, pus in the throat, high temperature, tears! There were complications in the heart and kidneys. If everything is not so neglected for you, then maybe it makes no sense, just go a couple of times a year to flush to the lore and that's it ...
Delete and do not think. As a child, I was sick every month, with a high temperature, heart problems began, immunity weakened. Removed after 4 years. She stopped getting sick, sometimes only without fever, but her heart is weak. The girl, who was also constantly ill with tonsillitis and who was never operated on, developed rheumatism. Now she is 23, she moves with the help of crutches. My grandfather removed at 45, harder than in childhood, but inflamed tonsils give severe complications, therefore find the good doctor and delete.
I had the operation in December and have never regretted it. I forgot what a constant temperature, constant congestion in the throat and much more. Of course, it is necessary to fight for the tonsils to the last, but if they have already become a source of infection, then we must definitely part with them.
I had it removed at the age of 16. Under local anesthesia, they tied me to a chair in an old-fashioned way, covered my eyes so that I could not see anything, and cut off. The pain is terrible. Then my throat hurt wildly, I couldn’t speak, I couldn’t really eat either, and bleeding also opened. Now it probably doesn’t hurt so much and they do it more professionally. But I forgot about the sore throat, only recently I started to get a little sick. But it's her own fault. You have to take care of yourself.
I had my tonsils cut out at the age of 35, after many years of continuous painful sore throats, rinses and antibiotics. I reached the point, I myself asked for an operation from an otolaryngologist. It was painful, but not for long and - voila! No sore throats, no sore throats, only in the first year after the operation, try not to drink cold drinks and drink immunostimulants. I am pleased.

People tend to worry that having their tonsils removed can weaken the immune system. After all, the tonsils are one of the main protective gates when entering the body. These fears are justified and justified. However, it should be understood that in a state of chronic inflammation, the tonsils are not able to do their job and become only a focus with infection in the body.

How to treat chronic tonsillitis at home

When treating tonsillitis at home, it is important to start raising immunity first. The sooner there is no opportunity for the infection to develop, the sooner you can bring your health back to normal.

How and how to treat the disease at home? Consider common recipes:

In chronic inflammation of the tonsils, take fresh leaves of the coltsfoot, wash three times, grind, squeeze the juice, adding equal amounts of onion juice and red wine (or diluted cognac: 1 tablespoon per 0.5-1 glass of water). Put the mixture in the refrigerator, shake well before use. Take 3 times a day, 1 tablespoon, diluted with 3 tablespoons of water.
Crush two large cloves of garlic that have not yet sprouted, boil a glass of milk and pour garlic gruel over it. After the infusion has stood for some time, it must be filtered and gargled with the resulting warm solution.
Propolis tincture for alcohol. It is prepared as follows: grind 20 grams of the product and pour 100 ml of pure medical alcohol. You need to insist the medicine in a dark place. Take 20 drops three times a day. The tincture can be mixed with warm milk or water.
All you need is 10 sea buckthorn fruits every day. They will need to be taken 3-4 times, each time before this, carefully rinsing the throat. Slowly chew and eat the fruits - and tonsillitis will begin to pass. It should be treated within 3 months, and the method can be applied to both children and adults.
Cut 250 g beets, add 1 tbsp. vinegar, let it brew for about 1-2 days. You can remove the sediment. Rinse the mouth and throat with the resulting tincture. One or two tablespoons drink is recommended.
Yarrow. You need to brew 2 tablespoons of herbal raw materials in a glass of boiling water. Cover with a lid and leave to infuse for an hour. After filter. Infusion to use when treating folk remedies chronic tonsillitis during its exacerbation. Gargle 4-6 times a day.
Mix one tablespoon of lemon juice with one tablespoon of sugar and take three times a day. This remedy will help strengthen health, and also helps get rid of tonsillitis. In addition, for gargling with tonsillitis, it is recommended to use cranberry juice with honey, warm carrot juice, 7-9-day infusion kombucha, a decoction of St. John's wort.

How should chronic tonsillitis be treated? Strengthen the immune system, eat right, drink plenty of water, gargle and lubricate the throat, if the condition allows, do not rush with antibiotics and, moreover, do not rush to cut out the tonsils. They may still be useful to you.

Tonsils are small formations of lymphoid tissue that are located at the entrance to the respiratory tract. They belong to the immune system, they produce immune cells - lymphocytes, macrophages, plasma cells - that destroy the invader bacteria.

They got their name from the shape - they look like an almond, and are almost the same in size. But in an inflamed state, the tonsils can greatly increase in size.

Important! Their main function is to trap viruses and bacteria that are inhaled to prevent infection. respiratory tract- trachea, bronchi, lungs. Therefore, inflammation of the tonsils is much more common than bronchitis or pneumonia.

The tonsils are porous, inside them there are wide pores - lacunae. Bacteria from the inhaled air enter here and are recognized by the immune system. Weakened by frequent inflammations, the tonsils cannot cleanse themselves, so they accumulate in the lacunae. purulent plugs. They consist of pus, dead cells, bacteria and viruses, their metabolic products. These plugs are dangerous because:

cause permanent intoxication of the body;
reduce the functionality of the tonsils;
are a habitat for bacteria;
cause bad breath;
with a slight increase in the load on the tonsils cause inflammation.

What causes inflammation of the tonsils:

streptococci;
staphylococci;
pneumococci;
mushrooms Candida;
coli;
chlamydia;
anaerobic bacteria;
chronic sinusitis, in which bacteria from the sinuses enter the tonsils;
caries, especially "located" on back teeth, near the throat;
various viruses.

You can “pick up” a sore throat by contact with a carrier of the infection by drinking from a cup of the patient. Against the background of reduced immunity chronic infections can also "move" to the tonsils.

Symptoms:

Pain - constant or when swallowing, perspiration (in the initial stages, it can be described as "pulling in the throat").
Difficulty swallowing saliva.
Increased secretion of viscous saliva.
Temperature increase (from 37.7 to 39).
Pain when moving the tongue.
Difficult speech.
Acute or It's a dull pain in the ears, a feeling of congestion.
Discharge from the nose.
Body aches, aching pain in muscles and joints.
Enlarged submandibular lymph nodes.

On examination, redness and swelling of the mucosa, swelling of the tonsils, wide open gaps or purulent formations are noticeable. Often the patient loses his voice - due to severe swelling.

Important! With angina, there is no sneezing, as with influenza or SARS, there is rarely a cough - only if the infection has “leaked” into the throat and caused tracheitis or pharyngitis.

Types of inflammation of the tonsils

The disease is acute and chronic. An untreated acute infection passes into the chronic stage. Let's consider both groups of diseases in more detail.

Acute inflammation of the tonsils, or acute tonsillitis

Occurs rapidly, with a strong infection. Depending on the type of pathogen and the nature of the infection, there are several types:

Catarrhal angina- the most common and mild form of the disease. The infection is present only in the tonsils, the pharyngeal wall practically does not change color. Symptoms: sore throat, which is especially strong when swallowing (it is not even felt at rest), weakness and body aches, slight fever, general intoxication. With proper treatment, catarrhal angina can be cured in a few days. Enough local application of antibiotics (rinsing, irrigation).
Lacunar– more complex shape. The temperature rises to 39-40, the patient refuses food, complains of pain in the limbs and lower back. Sore throat radiates to the ear, possibly hearing loss. On the lacunae, white accumulations of pus are noticeable, soon covering the entire surface of the tonsils. Purulent plaque is easily cleaned off, but quickly grows again.
At follicular purulent accumulations-follicles appear through the mucous membrane of the tonsils, but they do not come to the surface. The spleen is enlarged, there is often pain in the abdomen, vomiting, diarrhea. The illness lasts 5 to 7 days.
fibrinous often joins the lacunar. A yellow-white film forms on the mucous membrane. Dangerous severe intoxication, penetration of infection into the brain.
Phlegmonous- rare and most dangerous, with it the destruction of the tonsils occurs. You can recognize it by a specific smell from the mouth. Severe pain is aggravated by the inability to swallow: even liquid food flows out through the nose. Urgent antibiotics are needed to prevent the formation of a peritonsillar abscess.
herpetic angina is caused by a virus, accompanied by a blistering rash on back wall tongue and throat. Often associated with gastrointestinal symptoms: vomiting and abdominal pain.
Ulcerative necrotic often found in the elderly. Its causative agent is a spindle-shaped stick, which is present in the bacflora of every person. With a decrease in immunity, it is activated. The causes can be cardiovascular diseases, chronic infections of other organs. Symptoms: no fever and weakness, instead of a sore throat, there is a sensation of a foreign body. When plaque is removed, a bleeding ulcer opens.

Chronic tonsillitis

It develops as a consequence of acute - with incomplete treatment, as well as with the accumulation of adverse factors: weakened immunity, insufficient oral hygiene, existing infections.

Important! Approximately 15% of the world's population suffer from chronic tonsillitis. Often its causes are sinusitis, caries, chronic and undertreated infections, incl. genitourinary system.

It is characterized by:

Loose tonsils with gaping gaps or plugs in them, the presence of plaque.
Permanent increase in submandibular lymph nodes.
Smell from the mouth.
Subfebrile temperature.
Increased fatigue.

Exacerbations occur 2-3 times a year, have the form mild cold or severe tonsillitis, which are complicated by disorders of the gastrointestinal tract, kidneys and urinary system, nervous system. Pus accumulates in the tonsils, over time they lose their protective function.

Chronic tonsillitis is dangerous because it often causes complications:

Localization	Manifestation
From the excretory system	Inflammation Bladder and kidneys (active bacteria that live in the tonsils pass through them) - cystitis, pyelonephritis, glomerulonephritis. Some antibiotics cause sand to form in the kidneys
From the gastrointestinal tract	Dysbacteriosis, colitis, gastritis, disorders in the liver, enlargement of the pancreas
Bone and cartilage tissue	Structure destruction cartilage tissue, risk of arthritis and arthrosis, rheumatism
immune and lymphatic systems
The cardiovascular system	Myocarditis, endocarditis, tonsillogenic myocardial dystrophy

Treatment of inflammation of the tonsils

Acute inflammations of a viral and bacterial nature are treated differently. When viral infection it is necessary to create conditions for the immune system to independently cope with the pathogen. For this you need:

Provide the patient with sufficient rest - bed rest, a minimum of physical activity, good sleep.
Plentiful drink, especially in the first hours of the disease. In addition to herbal anti-inflammatory teas, you need to drink plenty of warm water - it will help to quickly flush out the toxins produced by viral cells. You need to drink at least 3 liters of fluid per day.
To more effectively rid the body of dead viral cells and their metabolic products, sorbents are used ( Sorbex, Maalox, Sorbolut). You need to drink them two hours before or two hours after taking other drugs.
Antiviral and immunostimulating drugs ( IRS-19, Broncho-munal, Levamisole) will help to quickly restore the body's defenses.
Gargle every one and a half to two hours with a weak salt solution (1/2 tsp per glass of warm water), decoctions of herbs ( calendula, chamomile, eucalyptus) 7-10 days. Pharmacy funds based on antibiotics in this case are ineffective.

Bacterial inflammation of the tonsils begins more slowly, it is characterized by: strong pain in the throat, often unilateral, the presence of white plugs. In this case, antibiotics are needed - otherwise the inflammation will move deep into the respiratory tract.

Video - Angina: signs, symptoms, treatment

How to treat bacterial sore throat

Rinses based on antimicrobial pharmaceutical preparations ( Givalex, Angilex, Chlorophyllipt, Furacilin, Miramistin etc. - a teaspoon of the drug in a glass of warm boiled water), herbs and fees with antibacterial properties ( Elekasol). You need to gargle 4-5 times a day. After rinsing, refrain from eating and drinking for about an hour. Rinsing should be continued even after the symptoms disappear. The course is at least 10 days.
Irrigation of the mucous throat with antibiotic sprays (Ingalipt, Hexaspray, Bioparox, Tantum Verde) 3-4 times a day, at regular intervals. After this, do not eat or drink for an hour and a half. Sprays are used for the first 5 days of treatment. Do not use the spray more than 4 times a day, so as not to cause a spasm of the larynx.
Soothing and analgesic throat lozenges with antimicrobial ingredients.

To alleviate inflammation in the throat, a remedy based on herbal dry extract and essential oil Sage lozenges from Natur Product has proven itself well. Sage lozenges from Natur Product is a combined preparation containing a complex of biologically active substances (1). It has anti-inflammatory, antimicrobial and expectorant effects, and also has astringent properties (1). Sage lozenges from Natur The product has vegetable composition With a small amount side effects(1,2). Sage lozenges by Natur The product is produced in Europe according to international production quality standards (1).

THERE ARE CONTRAINDICATIONS. BEFORE USE, IT IS NECESSARY TO CONSULT WITH A SPECIALIST

(1) Instructions for medical use medicinal product Sage lozenges
(2) Allergic reactions - according to the instructions for medical use

Antibiotics: Penicillin, Ampicillin, their derivatives are Amoxicillin, Amoxiclav. If the patient is allergic to these substances, sulfonamides are used - Sulfalen, Biseptol, Norsulfazol; cephalosporins - Cefodox, Cefix, Ceftriaxone; macrolides - Azithromycin, Erythromycin, Macropen. The course of antibiotic treatment is at least 5 days. If necessary, the course of treatment is extended up to 7-10 days. At severe course angina the drug is prescribed intramuscularly. Before taking this group of drugs, you should consult your doctor. An incorrectly chosen antibiotic leads to the formation of resistance of the pathogen to treatment and the development of chronic inflammation of the tonsils.
Antihistamines can help relieve swelling and make breathing easier: Loratadine, Cetrin, Suprastin- 1 tablet per day for 5 days.
Antipyretics and painkillers - Paracetamol, Nimesil, Ibuprofen(the latter only in patients older than 12 years), 1-2 times a day, depending on the condition.

Important! In case of acute inflammation, you can not drink hot, do compresses and warm up the whole body: this will lead to the spread of infection throughout the body and systemic infection.

Video - Treatment of angina at home with folk remedies

Treatment of chronic tonsillitis

Conservative treatment gives a positive effect in 75% of cases. But it takes months and even years. Treatment consists of several stages:

1. Cleaning lacunae from pus:

Washing the tonsils in the ENT room is much more effective than ordinary rinsing: the liquid penetrates deep into the lacunae, washing out pus and pathogens from there. Solutions used for rinsing Furacilina, Penicillin, Albucid. Washing is carried out in courses of 10-15 procedures, twice a year.
Vacuum therapy is an alternative to tonsillectomy. The procedure consists of two stages: first, pus is sucked out of the lacunae, then they are washed with an antiseptic. A course of 15 procedures can save even those tonsils that were recommended for removal. The procedure can be used for children and pregnant women, when other methods are not always possible and safe. According to the results of studies, this method of treatment has shown effectiveness in 90% of cases.

Important! Conservative treatment should be under medical supervision. Any amateur activity of the patient and his relatives - for example, squeezing out purulent plugs with a false one or using pure lemon juice for rinsing can lead to serious consequences: penetration of infection deep into and burns of the mucosa.

2.Antibacterial therapy:

Antibiotic therapy. For complex treatment a combination of topical application is used (irrigation and washing of lacunae with antibacterial solutions, the same drugs are used as for the treatment of acute inflammation) and internal reception(oral, in the form of injections or infusions, usually antibiotics of the macrolide group - Macropen, azithromycin and cephalosporins – Ceftriaxone, Cefodox). A more accurate selection of antibiotics is carried out by the doctor based on the results of a smear from the mucous membrane of the throat. Sometimes antibiotics are injected directly into the tonsils. To reduce pain, the antibiotic is used together with novocaine. The course lasts from 5 to 10 days at the discretion of the doctor.
Oral hygiene - treatment of caries, brushing teeth, treatment of gum disease.

3. Formation of stable immunity:

Physiotherapy procedures start the process of tissue repair and natural cleaning of the tonsils, improve blood circulation. Apply UV irradiation of the tonsils, UHF on submandibular lymph nodes. Physiotherapy is carried out in a course of 10 days at least twice a year.
Immunotherapy. Supporting and strengthening the immune system will help the body fight bacteria on its own and recover faster. Often applied Imudon, IRS-19. The dosage is selected based on the age of the patient.

Surgical treatment is indicated in rare cases - when the tissue of the tonsils is partially destroyed, there are serious complications for the whole organism.

Video - How to treat tonsillitis with folk remedies

Preventive measures

It is impossible to completely protect yourself from infections. But it is possible to create conditions under which the tonsils will provide maximum resistance to the invasion of bacteria. For this you need:

Wash your hands regularly.
Keep your mouth clean and healthy.
Support the immune system (vitamin intake, proper nutrition, sports and hardening).
Do not drink too cold or hot drinks, especially before going outside in cold weather.
From time to time, do a preventive massage - just tilt your head back and make a few strokes from the jaw to the chest. This method is especially effective before going outside in the cold.
Avoid hypothermia, especially in the neck, head and legs.

3215 03/18/2019 6 min.

Tonsillitis is a disease that is accompanied by inflammation of the palatine tonsils. Microorganisms that enter the body by airborne droplets affect the development of the disease. ? Treatment wears A complex approach, it is so important not only to get rid of the manifestations of pathology, but also to eliminate the underlying factor.

Conservative treatment

This method of therapy should be carried out in the chronic form of the disease, which is not complicated. Thus, it is possible to postpone surgical intervention, and the patient is visited mainly by locals - bad breath, plugs on the tonsils.

In the photo, it looks like chronic tonsillitis

Systemic

Chronic tonsillitis must be treated with antibiotic therapy. But it is advisable to do this in the case when the disease has a bacteriological origin. Choice antibacterial drugs carried out taking into account the symptoms of the patient and his sensitivity to the individual components of the medicine. For treatment, an antibiotic of local and broad action can be prescribed.

If tonsillitis is caused by a bacterium, then it is treated with several groups of antibiotics. These include macrolides, cephalosporins, amoxicillin. The duration of treatment should not exceed 2 weeks. If during this time there have been no significant changes for the better, then the doctor prescribes another antibiotic.

On the video, how to treat chronic tonsillitis in adults:

For the treatment of viral tonsillitis, it is worth using non-specific drugs. This group includes Interferon, Anaferon, Viferon (but how to use it is described in this article). You can take them no more than 7 days in a row. In addition, it is necessary to use drugs that can activate the immune system. These include: Immunal, Immudon, Polyoxidonium.

In the treatment of acute fungal tonsillitis, the doctor may include immunostimulants, systemic antifungal drugs, one of which is Nystatin.

Washes and sprays

It is impossible to treat tonsillitis in adults without washing and sprays. Gargling can occur with antiseptic solutions. It is advisable to use such a treatment technique in the presence of a large number of films and plugs on the surface of the tonsils. It is the washing that will eliminate all the pus and get to the viruses, fungi and bacteria that spread in the depths.

Today there is a wide selection of sprays that successfully treat chronic tonsillitis. They may contain various components that have the following spectrum of influence:

analgesics containing an anesthetic;
antibiotic (Bioparox); but how sinusitis is treated with Bioparox, this will help to understand
probiotics;
antiseptics.

Rinsing

To alleviate the patient's condition during exacerbation of chronic tonsillitis, the doctor may prescribe a rinse. This method belongs to the effective mandatory, as it has a local effect. To perform the manipulation, you can use solutions home cooking or buy them at a pharmacy. For the first case, a solution obtained from a combination of components such as salt, soda and iodine is suitable.

In the pharmacy you can buy the following drugs:

chlorophyllipt;
furatsilin;
chlorhexidine.

In fact, such solutions are presented in a wide variety, so choose suitable drug the patient must. Antiseptic solutions can quickly prevent the growth of bacteria. Probiotics also do the job. They are extremely important in order to normalize the microflora of the oropharynx. This is also extremely important for successful treatment. How to make a solution for gargling with salt, soda and iodine, and how effective this remedy is, is described in great detail in this

Tonsil removal as a treatment

If chronic tonsillitis is severe and there is a risk of complications, the doctor decides on the operation. Its essence is to remove the tonsils. In medical terminology, this type of operation is called a tonsillectomy.

On photo deletion tonsils with tonsillitis

This kind of operation is indicated for patients with uncompensated forms of tonsillitis. Removal of the affected tonsils is carried out under local anesthesia, although the possibility of using general anesthesia is not ruled out.

Myrtle

The leaves of this amazing plant can get rid of the unpleasant symptoms of tonsillitis. It is necessary to take 10 leaves, add 300 ml of water. Place on stove and simmer for 5 minutes. Then wait 20 minutes for the decoction to infuse. Filter it and take 20 ml 2 times a day. Continue therapy for 30 days.

In the photo - myrtle for the treatment of tonsillitis

You can get rid of tonsillitis with the help of myrtle tincture. It is necessary to take 200 g of fresh leaves of the plant, add 2 cups of vodka. Infuse the product for 8 days, and then filter and use to rinse the throat. But only for this it needs to be diluted with water, using the following proportion: 10 ml of tincture per 200 ml of water.

St. John's wort oil

St. John's wort oil can be used to treat tonsils. To obtain it, you have to take fresh grass inflorescences in the amount of 40 g and add 200 g of preheated sunflower oil. Set for 2 days and then apply as directed. But what is the best oil for dry throat, and how effective is this remedy. described in great detail in this

In the photo - St. John's wort oil

zephius

Take the bark and leaves of the presented plant, add 1.5 cups of boiling water. Place the container with the composition on the stove and simmer for 10 minutes. Reception of the filtered broth to conduct 40 ml 3 times a day. Treatment with Zifius will last 2 months.

On photo plant Zifius for treatment

Beet

With the help of beets, chronic tonsillitis can be treated in both children and adults. For these purposes, you need 300 g of beets, which must be crushed together with the peel. Add 300 ml of water to it and place on the stove. Boil the remedy for about an hour. Filter the composition and apply to rinse the throat after eating.

Beetroot juice is used to wash the throat

Prevention

To protect your body from the development of a chronic form of angina, you must follow the following recommendations:

stick to healthy lifestyle life;
do physical education;
perform hardening;
to take drugs whose action is aimed at strengthening the immune system (Immunal, Imudon).

On the video, the removal of the tonsils in chronic tonsillitis in adults:

Is there a cure for this disease?

It is impossible to cure the chronic form of tonsillitis with the help of folk or conservative remedies. Thanks to them, it is possible to alleviate the patient's condition at the time of exacerbation and prolong remission. But you can permanently get rid of angina surgically. As you know, during the operation, the tonsils are removed, therefore, no inflammation can affect them.

The chronic form of tonsillitis involves mild symptoms at the stage of remission and a bright clinical picture with exacerbation of inflammation. You can cope with unpleasant symptoms with the help of medication and folk therapy. But be prepared for the fact that the disease will still visit you from time to time. If there is a risk of complications, the doctor prescribes an operation to the patient, which is based on the removal of the tonsils.

The treatment of chronic tonsillitis differs from the treatment of the acute form of the disease - tonsillitis. It often occurs in connection with a decrease in the immune system, frequent hypothermia, severe overwork or colds. Its causative agents can be viruses, bacterial or non-specific infections, acute leukemia etc. The chronic process takes a long time in the palatine tonsils and in most cases develops as a result of ineffective or incomplete therapy of acute tonsillitis.

The main differences between these forms of pathology are the symptoms and the degree of their manifestation. At acute course signs of the disease are pronounced. Patients quickly and significantly increase body temperature (up to 41 ° C), they complain of headache, lack of appetite, malaise and general weakness, pain in the throat and joints. They have an increase in lymph nodes and tonsils, as well as the formation of purulent plaque and plugs on the second and their staining in red.

The chronic course of tonsillitis is characterized by a sluggish inflammatory process in the throat, with periods of remission and exacerbation. A significant increase in body temperature, as well as purulent plugs, are extremely rare. hallmark This type of pathology is nasal congestion, which never occurs with angina.

Diagnostics and selection effective treatment chronic tonsillitis in adults is carried out by an otolaryngologist, in children - by a pediatrician or pediatric ENT. Conservative methods of therapy can be used, in extreme cases - the removal of the tonsils. Self-medication at home with folk remedies without consulting a doctor is not recommended.

Causes, types and symptoms of chronic tonsillitis

Made up of lymphoid tissue, the palatine tonsils are part of the body's overall immune system. Their main function is to protect against infectious agents that enter the throat.

The human microflora consists of opportunistic and pathogenic microorganisms, which are in a state of balance due to the overall work of all parts of the immune system. If this balance is disturbed and pathogenic organisms enter, through tension local immunity destroy bacteria, fungi or viruses. Lymphoid tissues with a general decrease in the body's resistance, the presence of a large number pathogenic flora and frequent stress of immunity do not produce enough gamma globulins, lymphocytes and interferons to resist infectious agents.

Chronic inflammation is dangerous because the body is constantly present with a focus of infection, which contributes to the occurrence of severe violations of the work. various organs and systems.

Prolonged and / or frequent inflammatory processes in the pharynx lead to the palatine tonsils losing their ability to cleanse tissues and resist pathogenic flora, thereby turning into a focus of infection and leading to the development of chronic tonsillitis. The presence of reservoirs (lacunae) of the accumulation of various microorganisms and epithelial cells makes them most susceptible to the chronic course of inflammation.

Inflammation can be caused by damage to adenoviruses, staphylococci, enterococci, green or hemolytic streptococcus. Also, the disease can be associated with the activation of non-pathogenic saprophytic flora of the upper respiratory tract against the background of a violation of the protective and adaptive mechanisms of the body. In this case, chronic tonsillitis is referred to as a disease caused by autoinfection.

The factors leading to the occurrence of pathology include:

untreated angina;
anatomical, topographic and histological features of the palatine tonsils;
presence of vegetation conditions in microflora crypts;
adenoiditis, sinusitis or sinusitis of a purulent course, as well as inflammatory processes and pathologies of the structure of the nasal passages, leading to impaired nasal breathing;
gingivitis, caries and other foci of accumulation of pathogens in the oral cavity;
recently transferred scarlet fever, measles, the presence of tuberculosis and other infections at the current time;
hereditary predisposition;
monotonous or insufficient nutrition, lack of minerals and vitamins in the diet;
low fluid intake;
prolonged hypothermia, frequent and sharp drops ambient temperature;
depression, mental exhaustion, pronounced psycho-emotional overstrain;
gas content, presence harmful substances in the air;
alcohol abuse, smoking.

There are the following types of chronic tonsillitis, depending on general reaction organism, the frequency of exacerbations and the nature of the course of the disease:

toxic-allergic;
simple recurrent, with frequent acute tonsillitis;
simple protracted, with a constant sluggish inflammatory process;
simple compensated, with rare relapses and long periods of remission.

Toxic-allergic tonsillitis has two varieties. Against the background of the first in the patient, functional disorders of organs and systems are not observed. At the same time, allergization and intoxication of the body increase, manifested by pain in the joints and in the region of the heart, increased fatigue and hyperthermia. Against the background of the second, violations of cardiac activity, inflammatory processes in the liver, kidneys, organs of the genitourinary system and joints are revealed.

Common signs of a chronic course of the disease are:

frequent exacerbations of tonsillitis during hypothermia, starvation, overwork, bacterial or viral infection (for example, with a simple form - from 3 to 5 times a year);
foreign body sensation and pain when swallowing;
dryness of the mucous membrane of the pharynx;
periodic, and in the toxic-allergic form of the second type - a constant increase in body temperature up to 37.5 ° C;
bad breath;
soreness and an increase in the size of the mandibular lymph nodes;
decrease in the body's resistance, headache, general fatigue;
lacunar plugs, thickening, hyperemia and swelling of the tonsils and palatine arches.

Tonsillitis as a disease is more typical for children age period, although it is often observed in adults, differing in the predominance of local symptoms over common features illness. Chronic tonsillar symptom in adulthood is most often the result of self-treatment angina or adenovirus infection Houses.

Elderly patients have natural process a decrease in the total volume of lymphoid tissues and a decrease in the concentration of immunocompetent cells. Because of this, both acute and chronic form pathologies proceed with erased symptoms. In the clinical picture, general intoxication of the body and prolonged hyperemia in the subfebrile range are often noted, and severe pain and febrile body temperature (37.1–38.0 °C), on the contrary, are extremely rare.

Chronic inflammation is dangerous because there is always a source of infection in the body, which contributes to the occurrence of severe disorders in the work of various organs and systems. Often, patients develop the consequences of a rheumatic nature - inflammatory lesions of the skin of the rheumatic type, rheumatic fever with damage to the nervous system, rheumatic arthritis, rheumatic heart disease. Factors contributing to the appearance of rheumatism include:

the effect of toxins released by pathogenic microorganisms on the heart tissue;
similarity of antigens human body those that are secreted by some strains of streptococci.

Diagnosis of chronic tonsillitis

To make a diagnosis, the otolaryngologist pays attention to local and systemic symptoms, collects an anamnesis, analyzes the patient's complaints and the general clinical picture of the disease. Since objective and subjective manifestations of pathology are not always detected simultaneously, both the cumulative assessment of all symptoms and the clinical significance of each of them are important. If necessary, a photo of the throat is taken to confirm the diagnosis and control therapy.

The diagnosis carried out during an exacerbation is unreliable, since in this state all complaints and signs will indicate the severity of the process, and not its chronic course. The most reliable signs of chronic tonsillitis include purulent content in the crypts of the tonsils and anamnesis data indicating frequent tonsillitis.

How to treat chronic tonsillitis

With the exacerbation of the disease develops acute process- angina, which is accompanied by such manifestations as:

severe swelling and redness of both the tonsils and palatine arches;
a sharp increase in body temperature;
general intoxication of the body - weakness, nausea, fever, headache, aching joints and muscles.

Patients also complain that they constantly have a sore throat. Treatment of chronic tonsillitis during exacerbation may vary depending on individual characteristics patient and the cause of the pathology. In this regard, in order to differential diagnosis and the appointment of a course of therapy, consultation with an ENT is necessary. During the period of subsiding inflammation, the doctor may recommend hardening the body, regular physical exercise and proper nutrition.

Made up of lymphoid tissue, the palatine tonsils are part of the body's overall immune system. Their main function is to protect against infectious agents that enter the throat.

How to cure chronic tonsillitis once and for all? For this, conservative and surgical methods. The goals of the treatment are:

reduction or elimination of exacerbations;
reduction or elimination of pharyngoscope signs;
reduction or disappearance of toxic-allergic manifestations of the disease.

The form of pathology directly affects the tactics of treatment. So, with a simple form, conservative methods and physiotherapy can be used. The course lasts for 10 days and is repeated 2-3 times a year. If this technique is ineffective, they resort to the standard treatment for the disease - tonsillectomy.

In cases of the toxic-allergic form of the first type, 1-2 courses of conservative treatment are carried out. In the absence of a pronounced positive effect, the tonsils are removed. In the second type of this form of pathology, only surgical intervention is used.

Conservative treatment

Conservative therapy should be comprehensive and include restorative treatment and methods local impact on the tonsils.

Almost all patients are advised to wash the tonsils. The procedure is carried out by alternately introducing a special thin cannula through each gap into the crypt. It is connected to a syringe and, under pressure, passes an antiseptic solution that flushes out the contents of the gaps. Antibiotics for this purpose are not recommended, since greater efficiency is not achieved from their use, but various side effects may develop. Usually 2-3 upper crypts are washed, but since they are connected with other crypts by their branches, many of them are drained and cleaned. In total, 10–15 procedures are carried out after 1 day, and after each of them, the surface of the tonsils is lubricated with a solution of Iodinol, Lugol or Collargol 5%.

Rinsing the mucous membrane of the pharynx or inhalation with antiseptics, squeezing out the contents of lacunae by means of a hook or suction is not desirable and is usually not practiced, since these methods are ineffective and traumatic.

ultraviolet irradiation: has an antimicrobial effect, stimulates local and general immunological processes, increases the barrier function and resistance of the tonsils. It is carried out by means of a special tube, it affects both the region of regional lymph nodes and directly on the tonsils. On average, patients are prescribed from 10 to 15 sessions;
UHF-therapy: through the impact on The lymph nodes and tonsil expands small blood vessels and provides a rush of blood to the site of inflammation. For the procedure, ultrasonic aerosols are used, which are directed to precipitate drugs on the mucous membrane of the tonsils (Humizol, Hydrocortisone, Dioxidine 1% solution, Lysozyme). Carry out from 8 to 12 procedures lasting 10-15 minutes every other day;
ozokerite and therapeutic mud in the form of applications: they have a hyposensitizing and anti-inflammatory effect. The materials are heated to 42–45 °C and applied externally for 15 minutes. The recommended course varies from 10 to 12 sessions.

It should be borne in mind that the appointment of physiotherapy is contraindicated in pregnancy, angina pectoris, decompensation of cardio-vascular system and oncological diseases.

The complex of conservative treatment also includes drug therapy. It is recommended to take drugs that increase the body's resistance, namely:

immunostimulants (Ribomunil, Imudon, IRS-19);
vitamins B, C, E, K;
biostimulants (Apilak);
immunocorrectors (Derinat, Polyoxidonium).

Surgical intervention

With the ineffectiveness of conservative methods of treatment, the presence of serious complications from internal organs or the transition of the disease to a decompensated form is carried out complete removal palatine tonsils together with the capsule adjacent to them.

However, not in all cases it is possible to perform tonsillectomy due to a number of contraindications, which include:

pulmonary tuberculosis in active form;
diseases of the hematopoietic system, accompanied by hemorrhagic diathesis, including hemophilia;
chronic kidney disease with severe renal failure;
severe degree diabetes, in the presence of ketonuria;
heart disease with symptoms of severe heart failure II-III degree.

Temporary contraindications to surgery are acute inflammatory diseases, including sore throat, the presence of carious teeth, the period of menstruation and the last weeks of pregnancy.

The operation is performed under local anesthesia with the possible use of intubation anesthesia if necessary. The patient is in a sitting position with the head thrown back. Removal can be performed by laser, cryodestruction or through excision. How to carry out a tonsillectomy is determined by the surgeon on an individual basis.

During the day after the intervention, patients are not recommended to talk, drink or eat. For the next 5-6 days, warm liquid food is preferable. Bed rest is only necessary for the first 48 hours.

Since the functions of the tonsils are associated with the immune defense of the body, after their removal, the mechanism of protection of the respiratory tract from infections is weakened. In most cases, the immune system functions normally without them, but it takes some time to rebuild.

It should be borne in mind that the appointment of physiotherapy is contraindicated in pregnancy, angina pectoris, decompensation of the cardiovascular system and oncological diseases.

According to reviews, the operation is not painful, and only in rare cases there are complications after it. Among them, they mainly indicate bleeding, temporary pain and discomfort in the throat, a slight increase in body temperature (up to 37.2 ºC) for a period of up to several weeks. If bleeding occurs, as well as an increase in body temperature to 38–39 ºC, it is recommended to consult a doctor, as this may indicate the development of an infectious process.

Chronic tonsillitis - serious illness, requiring a timely appeal to the ENT and the implementation of all his clinical recommendations.

Video

We offer you to watch a video on the topic of the article.

Tonsillitis - probably, each of us at least once, but managed to feel all the "charms" of this infectious disease. According to statistics World Organization health care, 15% of people in adulthood have encountered this diagnosis. Everyone knows pain in the throat when swallowing - the patient cannot eat normally, and the temperature and weakness accompanying the disease for a long time knock out of the usual rhythm of life. In countries with a hot climate, the disease is rarely diagnosed, but we are less fortunate. Adults are more susceptible to the disease in the cold season, when the body is already weakened.

Tonsillitis is an inflammation of the palatine tonsils. The acute form of tonsillitis is called angina. If proper treatment of an adult is not carried out properly, serious complications in adults, as well as in adolescents, are one hundred percent guaranteed. Seems like a sore throat standard situation. Why go to the ENT doctor? After all, you can cope with the disease yourself. Especially when from the TV screen every now and then comes the advertisement of the “most effective” medicines and spray preparations. Such thinking is, of course, wrong. When treating tonsillitis at home, you can only temporarily remove unpleasant symptoms, but not to cope with the causative agent of the disease. In the case of severe forms of angina, only competent and timely treatment tonsillitis in adults in Moscow under the supervision of an ENT doctor will reduce the likelihood of complications and help you quickly cope with a serious illness.

Why do we need tonsils?

The palatine tonsils, or tonsils, are paired organ human immune system. They are located on the sides of the oropharynx, are small in size and resemble almond nuts in shape (this similarity gave the name to the organ). The tonsils are a collection of lymphoid tissue. The lymphoid tissue itself consists of cells (macrophages) that surround and absorb bacteria, toxic and other foreign particles that have entered the human body. That is, the tonsils act as a kind of natural filter. All bacteria that enter the body through breathing or with food meet tonsils on their way. Upon contact with disease-causing organisms, the tonsils enlarge and become inflamed, simultaneously sending an alarm signal to the human immune system.

The surface of the tonsils consists of deep winding canals-lacunae. They are a kind of traps for pathogenic microorganisms. At healthy person lacunae are able to self-cleanse from dead bacteria and leukocytes. But if for some reason the tonsils cannot cope with their work, the bacteria in the lacunae will begin to multiply, and after a while the tonsils themselves will turn into a focus of infection, and this can lead to constant chronic exacerbations of the disease in adults.

How can you get infected?

There are several ways of infection: airborne, contact, food and endogenous. With airborne droplets, streptococcus or staphylococcus bacteria enter the body during coughing, sneezing, or a conversation between a sick person and a healthy one. With the contact method, you can get sick, even using the same dishes, linen, or a towel of a sick person. It is easy to get sick by eating food contaminated with cocci bacteria. In endogenous infection, bacteria enter from internal environment. The source of infection can be diseased teeth, otitis media, rhinitis, that is, pathogenic microflora already present in the body.

But if the bacteria entered the body one of the above specified methods, this does not mean that a person will necessarily get infected. For the development of the disease, provoking factors are needed, such as hypothermia, poor hygiene, existing chronic diseases, curved nasal septum, damaged tonsils, bad teeth, malnutrition, stress, bad habits, reduced immunity.

As a rule, when one of these factors is present, the body's defenses are weakened, and the person becomes susceptible to disease, and as a result, inflammation occurs. If you do not treat a sore throat in an adult or treat acute sore throat with home remedies, refusing a qualified medical care, chronic inflammation will occur - these are the main causes of chronic tonsillitis.

Types of the disease and its symptoms

The main forms of tonsillitis are acute (tonsillitis) and chronic tonsillitis. The latter occurs against the background of undertreated or improperly treated tonsillitis. With such inflammation, the tonsils act as a constant source of infection. Exacerbation of chronic tonsillitis is replaced by periods of calm (remission), then the symptoms return again. This form of the disease is very difficult to treat. Therefore, the treatment of chronic tonsillitis in adults should take place only with the participation of a highly qualified experienced otorhinolaryngologist using the most effective drugs.

With angina, adults are usually worried about:

a sharp rise in body temperature;
chills;
enlarged lymph nodes;
swelling of the tonsils;
intolerable sore throat;
purulent formations and plaque on the tonsils;
lethargy, weakness, drowsiness.

Signs of a chronic disease are not so pronounced, often a person learns about the diagnosis only at an appointment with an ENT doctor, whom he turns to during the next exacerbation.

Complications

Some folk methods of treating tonsillitis, as well as completely ignoring the signs of the disease, are extremely ineffective and even dangerous measures. Inflammation of the palatine tonsils can not only transform sharp shape diseases into chronic, but also cause serious complications: rheumatism, heart disease, kidney disease, abscess surrounding the glands of fiber, otitis media, laryngeal edema, meningitis, sepsis. Therefore, the treatment of purulent tonsillitis should be carried out without fail and under the supervision of an otorhinolaryngologist. To cure tonsillitis and avoid severe consequences for health, contact the ENT clinic if you already have the first symptoms of the disease!

We are treated correctly.

In adults, the treatment of tonsillitis is carried out under the supervision of an otorhinolaryngologist. In otorhinolaryngology, conservative methods of treating the disease and surgical ones are distinguished. TO conservative methods include drug therapy local treatment, washing the tonsils using antiseptic drugs and physiological procedures.

Since the disease is bacterial in nature, antibiotics will help to cope with the pathogen. Antibacterial drugs for adults (choice of drug, dosage and course of treatment) are prescribed by an otorhinolaryngologist. Even if it seems to you that it has become noticeably easier, and the disease is receding, you should never interrupt the prescribed course of therapy. Otherwise, the likelihood of recurrence or chronic inflammation is high.

If you got up heat need to take antipyretics. In the treatment of sore throat to relieve pain syndrome use special sprays or lozenges for resorption.

Treatment of adults with folk remedies can only be carried out in combination with traditional drug therapy. In the treatment of tonsillitis with folk remedies, various rinses are used. Rinsing with tonsillitis is effectively carried out with decoctions of chamomile, sage, St. John's wort. Before using any remedy, you should consult with your doctor.

With the symptoms of chronic tonsillitis successfully helps to cope with the effective procedure "Vacuum washing of the tonsils", carried out in the "ENT Clinic of Dr. Zaitsev" using a special author's nozzle for the Tonsillor apparatus. Currently, this is the most effective way to remove caseous-purulent masses from the lacunae of the palatine tonsils.

For the patient, you need to create favorable conditions contributing to a speedy recovery. To avoid infection of other family members, it is recommended to place the patient in a separate well-ventilated room. Linen, towels and dishes must be personal. For the first few days, strict bed rest and plenty of fluids are prescribed. Important role diet plays a role in recovery. Food should be gentle for a sore throat: it can be soups, broths, cereals, kissels. Food should not be hot, spicy or hard.

If, despite the measures taken, exacerbations of angina occur up to several times a year, or the risk of developing heart defects and joint diseases is too high, in the most extreme case, the ENT doctor will recommend the removal of the tonsils in chronic tonsillitis. The operation to remove the tonsils is called a bilateral tonsillectomy.

To cure a sore throat quickly and effectively, do not wait - contact the ENT Clinic of Dr. Zaitsev. It is also necessary to treat chronic tonsillitis in Moscow with highly qualified experienced doctors. After all, a properly selected course of therapy will reduce the number of exacerbations and prolong periods of remission. Effective Therapy tonsillitis is our profile! Our prices have not changed since 2013 and remain among the most affordable in Moscow. Please call and come. We will definitely help you!