Dr. PVLN Murthy
A badly hurting throat, along with fever and headache, is a major childhood memory for most of us. Tonsillitis is a common ailment that affects children and a large portion of the adult population, too. Treatment for tonsillitis has progressed from the extreme options of simple home remedies or surgery to several modern options.
The tonsils are a set of two lymphoid organs, situated in the throat, one on each side, facing into the aerodigestive tract. These organs play an important role in the immune system. Their main function is fighting infections and inflammations that enter the body through the nose and mouth. Healthy tonsils are pinkish in colour. Any change in the colour indicates a disorder.
The most common are Viral infections
Bacteria like Streptococcus (strep throat) can also be a reason.
Tonsilitis affect both children and adults. Symptoms are also similar
Symptoms in children:
Sore throat
Fever
Difficulty or pain while swallowing
Swollen tonsils, sometimes with white patches
Ear pain
Irritability or refusal to eat
Symptoms in adults:
Persistent sore throat
Fever and fatigue
Bad breath
Swollen lymph nodes in the neck
Headache or body aches
Since tonsils are situated in the throat, an ENT specialist diagnoses tonsillitis. This is through procedures like:
Examining the throat and neck
Asking about the history, frequency, and severity of infections
Performing a throat swab to detect bacterial infection
Blood tests, if needed
Management for tonsillitis can include antibiotics if the cause is a bacterial infection, at-home care and in some cases, surgery, depending on how advanced the infection is.
At-home care
Children with viral tonsillitis are likely to be better within 7 to 10 days. To help them recover easily, do the following:
Make them rest and make sure they get plenty of sleep.
Give fluids. Plenty of water keeps throats moist and prevents dehydration.
Offer comfort food and drink. Warm liquids, such as broth, caffeine-free tea or warm water with honey, can soothe a sore throat. Ice pops are a happy option for kids.
For children who can gargle, a saltwater gargle of 1/2 teaspoon (2.5 millilitres) of table salt to 8 ounces (237 millilitres) of warm water can help soothe a sore throat. After gargling, let them spit out the saltwater.
Use a cool-air humidifier to keep the air moist. Dry air can make a sore throat feel worse. Another option is to seat the child for a few minutes in a steamy bathroom.
Children older than age 4 can suck on lozenges to ease a sore throat.
Keep out things that can irritate the throat, like cigarette smoke and cleaning products which can irritate the throat.
Treat pain and fever. Speak to your healthcare professional about medication to ease throat pain and control fever. Low fevers without pain do not need treatment.
Surgery
Surgery to remove tonsils is called a tonsillectomy. It is recommended for recurring or ongoing tonsillitis or bacterial tonsillitis that does not respond to antibiotic treatment. A tonsillectomy is an outpatient procedure and may be done if tonsillitis causes complications, such as:
Breathing troubles during sleep, called obstructive sleep apnea.
Trouble breathing
Trouble swallowing
Pus buildup, called an abscess, that does not get better with antibiotic treatment
See an ENT specialist if tonsillitis comes back often or occurs:
At least seven times in the year before
At least five times a year in the past two years
At least three times a year in the past three years
While not always preventable, one can reduce the risk of tonsillitis by:
Maintaining good hand hygiene
Avoiding close contact with infected individuals
Boosting immunity with a balanced diet
Treating throat infections early
If sore throats become frequent or troublesome, they could be because of tonsilitis and it may be time to seek expert care. Tonsillitis is common and often mild, but recurrent or severe episodes should never be ignored in adults and especially in children. Early consultation with an ENT specialist ensures proper diagnosis, effective treatment and prevents long-term complications
Star Hospitals is an institution of excellence in patient-centred care with the best panel of ENT specialists in Hyderabad. We offer extensive and state-of-the-art medical care in all primary and speciality healthcare services. Cross-speciality consultation assures comprehensive treatment for each patient. To learn more and avail our services, call 1800-102-7827 or visit our branches.
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