What should I do if I have tonsil pain?

Tonsils are painful and inflamed, so of course the treatment must be carried out scientifically, including systemic treatment and local treatment. Systemic treatment includes the use of some antibiotics, such as aspirin and other antipyretic analgesics.

1. Systemic treatment: This disease is mostly caused by streptococcal infection. Penicillin is the first choice of antibiotic. Those who are allergic to penicillin can choose erythromycin, lincomycin, etc. People with high fever, headache and body aches can choose antipyretic and analgesic drugs such as aspirin. If the condition does not improve after 2-3 days of treatment, viral or other bacterial infection should be considered, and antiviral drugs, sensitive antibiotics or sulfonamides should be used instead. Adrenal corticosteroids such as prednisone and dexamethasone may be used as appropriate.

2. Local treatment: optional

When children suffer from tonsillitis, the systemic infection symptoms are very obvious. The children will show: high fever up to 39-40℃, accompanied by chills, general fatigue, headache and body pain, loss of appetite, nausea and vomiting. Examination of the pharynx may reveal pus on the tonsils. This is the most powerful basis for diagnosis because systemic symptoms alone cannot distinguish it from other colds.

3. The treatment of acute tonsillitis is mainly to control infection . Tonsillitis is mostly caused by bacterial infection, especially purulent tonsillitis, which is caused by purulent bacteria, so antibiotics must be used. Enlarged tonsils caused by chronic tonsillitis can cause breathing difficulties, especially during sleep, because the tongue relaxes and falls back, causing snoring. Over time, chronic hypoxia can affect growth and development, and chronic hypoxia can also affect the intellectual development of children.

4. When the tonsils are acutely inflamed , penicillin antibiotics or anti-inflammatory drugs against Gram-positive bacteria are used, and the treatment effect is very good. With proper rest and attention to nutrition, you can usually return to normal in about a week. If inflammation recurs, it can become chronic. The symptoms of chronic tonsillitis are not very obvious, mainly sore throat. Symptoms include dry throat, throat discomfort, bad breath, etc. Due to inflammation, tonsils are often enlarged, but in a few cases, the tonsils are atrophied but still have chronic inflammation, which is often accompanied by chronic pharyngitis. Examination may show that the surface of the tonsils is filled with dark red blood, has scars, adhesions, and is uneven. The palatoglossal arch may also have chronic congestion, and sometimes the submandibular lymph nodes may also be swollen. Chronic tonsillitis can also be treated with antibacterial and anti-inflammatory drugs. If acute attacks occur repeatedly, surgical resection is required. However, children under 5 years old are generally not suitable for surgical treatment. Conservative treatment is often used because they still have a certain immune effect.