The most reasonable is an integrated approach, that is, the use of not only antibiotics, but also other methods. The latter include rinsing, inhalation. Inhalations with angina should not be done when a person has a temperature above 37 degrees, this is especially true for hot steam inhalations. Such procedures can not only increase body temperature even more, but also contribute to the descent of the infection that is in the throat into the respiratory tract.

In other cases, inhalation is a completely acceptable way to treat a sore throat. The most effective are inhalations using modern nebulizers, which heal not with hot steam, but with “healing” air at room temperature. For nebulizers, special solutions are sold that give the body maximum benefit and act directly on the infected areas of the throat.

Inhalations with angina are considered more effective and safe, contribute to a speedy recovery, since drugs do not travel a long way through the internal organs, but are absorbed directly into the infected areas.

Inhalations that are considered effective for angina

Inhalations for sore throats using herbs such as chamomile, eucalyptus and sage are considered very effective. Of course, you should not wait for the result immediately after the first procedure, since this requires 2-3 times a day for a couple of days. However, noticeable relief can be felt after just a few sessions.

Inhalations for angina are safe for children over the age of three. To improve well-being, one such procedure per day is enough. In addition, inhalations do not reduce the level of the immune system, unlike other medicines (tablets, potions, sprays).

Of course, inhalations alone are not enough for a complete recovery. It is worth noting that the treatment must be carried out in the complex. As a rule, angina is treated with antibiotics. This method of treatment avoids the unpleasant complications that a sore throat can leave behind.

It is good to supplement inhalations with gargling with a decoction of medicinal chamomile, calendula flowers, eucalyptus leaves, oak bark, oregano. If a child does not know how to gargle, he must be taught this, since this procedure is as effective in treating angina as inhalations.

A nebulizer is a device for conducting inhalation using a dispersed spray of a drug. Treatment with a nebulizer is used for various types of respiratory diseases, including tonsillitis. Inhalation of drugs contributing to a quick recovery.

You will need

• - nebulizer;
• - medicine;
• - saline

Instruction

Clean and disinfect the nebulizer components: nozzles, measuring cup, mask, nebulizer chamber with soap and warm water. Wipe the components with a clean and dry towel.

Take a measuring cup (most nebulizers have it in the kit. If not, get it at a pharmacy) and start preparing the solution.
Use sterile saline (0.9% sodium chloride) as a diluent. Do not use boiled or distilled water. The temperature of the solution at the time of inhalation should be at least 20 ° C.
As a medicine for angina, you can use the herbal preparation "Tonzilgon N". The composition of the drug includes chamomile, oak bark, walnut leaves, horsetail, yarrow, dandelion, marshmallow root. Therefore, Tonsilgon N is safe for children. For the treatment of sore throat in children aged 1 to 7 years, fill a measuring cup with 1 ml. the drug "Tonsilgon N" and 2 ml. physiological solution. For and children over 7 years old - dilute the drug with saline in a 1: 1 ratio.
Also, with angina, inhalations with the use of the medicine "Miramistin 0.01%" are effective.
For the treatment of sore throats in children under 12, fill a measuring cup with 1 ml. the drug "Miramistin 0.01%" and 2 ml. physiological solution. For adults and children over 12 years of age, dilute the drug with saline in a ratio of 1:2. Inhalations should be carried out 2-3 times a day.

Pour the contents of the measuring cup into the medicine reservoir.

Assemble the nebulizer kit. To do this, insert a baffle inside the reservoir with the drug, close the lid.

For the treatment of sore throat, it is necessary to attach a mouthpiece to the nebulizer chamber. The nebulizer kit is ready to use.

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There are many types of throat diseases. The name "tonsillitis", perhaps, is well known to everyone, but it is not the most common of them, and, despite its simplicity, it is very dangerous. It is impossible to start the treatment of angina, the consequences can be very sad - up to the failure of the legs (such cases have been repeatedly recorded by official medicine). Another problem is that it is not immediately possible to recognize a sore throat, because we are accustomed to referring to a slight sore throat, which “I will rinse and pass.” You should be attentive to such symptoms, not to let the disease take its course. So, how to recognize angina on your own? And most importantly, what to do? How to cure it if you don’t want to go to the doctor and there is no time? We will answer these questions in our article.

What can angina be confused with?

In fact, the word "tonsillitis" is widely known, but such diagnoses cannot be rushed. For a sore throat, patients often take laryngitis, the common cold, pharyngitis, even cervical osteochondrosis can cause a sore throat. Therefore, before starting treatment, an accurate diagnosis should be made. Of course, a doctor can do this, but even at home you can determine a sore throat if you take a good look at your throat.

How to recognize a sore throat at home?

Another name for angina is tonsillitis and in medicine it is customary to distinguish several of its types, among which angina is an acute disease of the larynx. With angina, pathogens affect the tonsils and, if you look into your mouth, you will see inflamed tonsils, often with a whitish coating on them. A characteristic difference between angina and other diseases is the absence of a runny nose.

Angina itself also has multiple forms:

• follicular (lacunar);
• catarrhal;
• phlegmonous;
• ulcerative necrotic;
• herpetic.

Each of these types is treated in a different way, and each type has its own specific symptoms.

The first signs of a throat infection with a sore throat will appear within a day or two after infection: you will have a tickle in your throat, pain will appear when swallowing, and the pain appears pointwise. And then with tonsillitis, the temperature will certainly rise. Temperature is a sign that your body has begun to fight germs.

Remember! Angina is very contagious, so the patient is isolated in the family as far as possible: they allocate separate dishes, a towel, etc. This should also be done a few days after recovery - staphylococci are very tenacious.

How your body will fight the disease depends on your immunity, but of course it is worth helping it.

Treatment of angina

Main Commandment a patient with sore throat - bed rest and be silent in the literal sense, do not talk, do not strain your vocal cords, but best of all sleep more.

Second Commandment Drink, drink and drink again. Something warm is a must. Attention is not hot, not cold, but warm! It can be tea with lemon or raspberries, warm compote, fruit drink, herbal decoction or just water. During the period of treatment and recovery of the body, it is important to harmonize the water balance in the body and at the same time “expel, wash out” bacteria from it.

Doctors will definitely prescribe antibiotics for treatment, it is better not to joke with a sore throat, as well as throat sprays. We will share recipes of traditional medicine.

We treat angina with folk methods

Rinsing- an integral attribute of throat diseases. It allows you to wash off purulent plaque, destroy the breeding ground for bacteria and prevent their further spread, and it is also an excellent prevention of complications.

Don't know how to rinse, start simple sea ​​salt. Dilute 1 tsp. in a glass of water and rinse at least every 20 minutes. This will help relieve swelling and reduce pain.

Popular with the people and solution: 1 tsp soda + ½ tsp. salt + 2-3 drops of iodine. Very effective remedy for any inflammation of the throat.

Propolis tincture sold in finished form in any pharmacy. It must be diluted at the rate of 1 tsp. in a glass of water and rinse 5 times a day. Tincture will get rid of any kind of sore throat and quickly relieve swelling.

Lugol's solution has proven its effectiveness. Currently, Lugol is produced not only in the form of a solution that can be used to lubricate the throat, but also in the form of a spray.

Drinking plenty of water is the key to success.

Raspberry tea, honey tea- healing drinks for sore throats (only not hot tea, but warm, do not injure the throat with boiling water).

You can just dissolve honey, it has an analgesic effect and will help alleviate the pain when swallowing. And raspberry is a natural immune stimulant.

Lemon and ginger. Tea with ginger root helps to eliminate the symptoms of sore throat, relieve pain, and also strengthen the immune system. It should be prepared like this: chop the ginger root, you should get 2 tsp. gruel. Pour 1 cup boiling water over them and boil for 20 minutes. You can simply drink such a decoction, you can add it to tea with lemon and honey.

Herbal decoctions

A decoction of chamomile and sage have antiseptic properties and are great at fighting inflammation.

Compress on the throat - a useful procedure for sore throat

There are many recipes for making a compress, we have chosen only some of the most adequate, in our opinion.

Salt compress. The compress is designed to warm. Salt must be heated in a pan, wrapped in a bag and applied to the throat. You don't have to do it at night, you can do it during the day.

Cabbage leaf. To begin with, lubricate your sore throat with honey. Then take a dense leaf from white cabbage and put it on top of the honey. Fix all this with a bandage or gauze and leave for several hours. Such a remedy relieves swelling and “sucks out” inflammation.

Fat with honey. Prepare an ointment from equal parts of honey and any interior fat. Lubricate their throats, tie them with a thick cloth, you can still use a warm scarf on top and go to bed. In the morning the pain and inflammation will decrease.

Other oral medications

Figs with milk. Pour a few figs with hot boiled milk, let stand, then drink the milk and eat the berries. If you do this every day at night, then the sore throat will quickly pass, in any case, a tasty medicine.

Aloe. Grind a few leaves of aloe and cover them with a small amount of sugar, leave for several hours until the sugar is completely dissolved. Pour all this with vodka and insist for several days. This tincture should be taken 3 times a day for 1 tbsp. l. In a dark, cool place, such a tincture can be stored for a long time.

Aloe can also be used as compresses.

Garlic. Such a universal remedy as garlic is not used only by the lazy, and it is perfect for the treatment of angina. There are a lot of recipes: you can just chew it in your mouth (by the way, the surest and easiest option), you can squeeze juice out of it and drink a spoon several times a day, you can make garlic water for rinsing and instillation into your nose, even make tinctures and pour garlic milk. Choose the most suitable option for yourself and get well!.

Can angina be prevented?

If you know that you or your child has adenoids, then the risk of getting a sore throat increases. Keep an eye on them to keep them from growing or consider removing them.

Angina is very sensitive to hypothermia, both local (they ate ice cream, drank ice water in the heat) and general (we swam in a cool river, just froze on the street). Hardened people are not afraid of such “overloads”, but people with weakened immunity should think about strengthening it. Then no sore throat, like other diseases of the throat, you will not be afraid.

Purulent tonsillitis is one of the most frequently diagnosed diseases. Most often occurs in childhood. In medicine, it is called tonsillitis. It is characterized by the appearance of purulent plaque on the mucous membrane of the throat. If left untreated, it develops into a chronic form.

Causes of purulent tonsillitis

Most often, purulent tonsillitis is caused by streptococci.

Angina is an infectious disease caused by group A streptococci. Also, staphylococci and pneumococci can become pathogens of the pathological process. Infection occurs through contact with sick people.

On the surface of the mucous membrane of the tonsils there are always various microbes. In a normal state of immunity, they do not cause an inflammatory process. The activation of microorganisms and their rapid spread can be triggered by various factors:

1. Hypothermia or sudden changes in temperature.
2. Drinking cold drinks or foods.
3. Damage to the integrity of the mucous membrane of the tonsils.
4. Insufficient amount of vitamins and minerals in the body.
5. Inflammatory process affecting nearby structures.
6. Penetration of streptococci from other organs and systems.
7. The presence of diseases that cause a decrease in immunity.
8. Entering the oral cavity with a bacterial or fungal infection.

In these cases, the body's immunity is significantly reduced, which leads to inflammation of the tonsils. When the disease is advanced, pathogenic microorganisms penetrate deep into and cause angina.

Varieties of the disease

Infection usually occurs by airborne droplets.

The purulent form has several varieties. Depending on the nature of the manifestation, there are:

• Purulent lacunar. The infection reaches the mucous membranes of the tonsils, where the accumulation of purulent masses occurs. Tissue necrosis is also observed.
• Purulent follicular. The pathological process affects the almond follicles. This type of disease can be determined by the presence of yellow nodules on the surface of the tonsils. Inside them is pus. In some cases, they merge and form an abscess.
• Purulent-necrotic. The inflammatory process is characterized by an aggressive course and causes the death of tonsil tissue and the appearance of an ulcer on their surfaces.
• All types of purulent tonsillitis can occur alone or mixed. There are also chronic and acute course of pathology.

The acute form begins rapidly, the symptoms are pronounced. Chronic is the result of an already transferred disease. It is manifested by common signs, the inflammatory process proceeds sluggishly. It is characterized by periods of exacerbation and remission.

How can an illness be recognized?

All signs of pathology can have varying degrees of severity, depending on the nature of the course and the form of angina. An increase in body temperature is not always observed with the development of an inflammatory process in the tonsils. The main symptoms in this case will be sore throat, swelling of the mucous membrane of the tonsils and the appearance of pustules or plaque on them.

Purulent foci are localized on the palatine tonsils

Most often, purulent tonsillitis is accompanied by the following symptoms:

• Fever and fever up to 40 degrees.
• Intoxication. In this case, the patient feels a headache and severe weakness. There is no appetite.
• Sharp pain in the throat. It is strongly felt during the swallowing of food.
• Inflammation and soreness of the lymph nodes.
• Redness and swelling of the tonsils.
• Swelling of the neck.
• Painful sensations in the abdomen.
• Rashes on the surface of the skin

Purulent formations and plaque on the mucous membrane of the tonsils. They are removed without difficulty with a medical spatula. At the same time, they do not injure the mucous membrane.

The incubation period is short and ranges from 2 to 5 days.

All symptoms develop rapidly. You can recognize the beginning of the spread of the inflammatory process by the appearance of chills, which is quickly replaced by fever. A feature of purulent tonsillitis is soreness in the throat, which grows and begins with discomfort.

It is necessary to start treatment of the disease immediately after the first symptoms appear. This is the only way to avoid the development of complications and reduce the period of therapy.

Complications of purulent tonsillitis

Lack of treatment can lead to the development of serious complications. They may be local or general.

Running purulent tonsillitis can cause acute paratonsillitis

Common complications include:

1. Rheumatism. It is characterized by the spread of inflammation in the joints and heart muscle.
2. Myocarditis. It causes the formation of blood clots in the vessels of the heart.
3. Endocarditis. The pathological process also affects the inner shell in the heart. It can proceed both independently and be a consequence of rheumatism.
4. Pericarditis. Inflammation affects the pericardial sac and the outer membrane of the heart muscle.
5. Pyelonephritis. Refers to kidney disease. The reason is the high content of protein compounds in the patient's blood with angina.
6. Sepsis. It is considered one of the most serious and dangerous consequences of the disease. A purulent infection in this case spreads along with the blood throughout the body.

Local complications include:

• Phlegmonous inflammation. The pathological process develops in the muscles and tendons.
• Abscess formation. It is characterized by the appearance of several purulent formations inside the tonsils. Surgery is prescribed for treatment.
• Damage to the eardrums or middle ear. Refers to the manifestations of acute otitis media. Lack of therapy causes hearing loss and the formation of adhesions.
• Swelling of the larynx. They cause difficulty in breathing. The consequences can be suffocation and death.
• Bleeding of the tonsils. It is a complication of the purulent-necrotic form, while the ulcer penetrates into the deep layers of tissues and damages the blood vessels.

The danger of purulent tonsillitis lies in its consequences. That is why when the first signs of the disease appear, you should immediately contact a specialist.

Medicines and antibiotics

Medical therapy consists of antibiotics

Treatment of a purulent sore throat should be carried out with the help of antibiotics and other groups of drugs.

When diagnosing a disease, semi-synthetic aminopenicillins, such as Amoxiclav or Augmentin, are prescribed. 2nd or 3rd generation cephalosporins may also be used.

The most effective are Ceftriaxone and Cefotaxime. If the patient is allergic to the components of drugs from the penicillin group, macrolides are indicated. The reception of "Azithromycin" or "Macropen" is shown.

Also, when establishing a purulent form of angina, the following are prescribed:

• Antihistamine and anti-inflammatory. They help relieve swelling and relieve pain in the throat. When using them, it is also possible to reduce toxic manifestations. Most often, Tavegil, Claritin, Paracetamol, Nurofen or Erius are prescribed.
• local impact. Any effect on purulent formations should be excluded. This is due to the fact that a direct effect on the inflamed tonsils provokes the process of penetration of toxic products into the bloodstream. It is recommended to gently gargle with antiseptic solutions. Lozenges such as Trachisan or Jox can also be used.
• Detox therapy. In the presence of severe intoxication or complications, glucocorticoid hormones are indicated, such as Hydrocortisone, Methylprednisolone, or Dexamethasone.
• Bicillin prophylaxis. It is carried out after the removal of signs of exacerbation. "Bicillin 5" is used. “The drug belongs to the group of penicillins of short duration.

It is strictly forbidden to postpone treatment with the development of purulent tonsillitis. It is also not recommended to use traditional medicine methods without consulting a doctor. Self-medication or lack of therapy can lead to the development of serious consequences or the transformation of the disease into a chronic form.

Folk methods and recipes

Propolis is a useful and effective remedy for sore throats

When diagnosing a purulent form of angina, treatment can be carried out at home with the help of traditional medicine. Methods and prescriptions should be used only after consulting a doctor.

The most popular and effective means are:

1. Propolis. It is used in its pure form for resorption. Consume after eating or rinsing no more than a teaspoon per day. It is necessary to dissolve each portion for half an hour.
2. Decoctions. Chamomile and calendula are used to prepare healing decoctions. Plants have a calming effect, relieve irritation, discomfort and itching. Chamomile and calendula are considered traditional medicine but are also widely used in traditional medicine. Various creams are made from them. Decoctions with regular use contribute to the removal of purulent masses, reduce signs of the disease and improve the general condition.
3. Soda and saline solutions. It is used for inhalation, rinsing and compresses. They have a warming effect and create an unfavorable environment for microbes. In addition, they allow you to remove sputum that accumulates on the walls of the mucous throat.
4. "Furacilin". It is used as a solution for irrigation and gargling.

Alternative recipes are used only to relieve symptoms. It is impossible to cure purulent tonsillitis with their help. Use methods of therapy after stopping the acute stage.

How and with what can you gargle?

Gargle with a decoction of chamomile flowers

Patients suffering from purulent tonsillitis are recommended to gargle with solutions that have an antiseptic effect. Most often, "Furacilin" or "Givalex" is prescribed. Gargle about 6 times a day for several minutes. You can also use sprays such as Ingalipt or Hexoral.

The gargling procedure can be carried out using the following means:

• Infusion of calendula, eucalyptus and chamomile flowers. Medicinal collection in the amount of one tablespoon pour a glass of boiling water. Infuse the mixture, then cool and gargle.
• A solution of salt and soda. Mix one teaspoon of soda and salt, add five drops of iodine and dilute with a glass of warm water. Mix everything thoroughly.
• Infusion of St. John's wort, calendula and chamomile. Mix all the ingredients in equal amounts and pour a tablespoon of the resulting mixture with a glass of boiling water. Insist for two to three hours and cool.

Gargling with regular procedures helps relieve sore throat and avoid the development of various complications.

What can not be done with purulent sore throat?

In the initial stages of development, angina is successfully treated with heating. It can be a compressor or inhalation. But with the transition of the inflammatory process into a purulent form, an increase in body temperature is observed. At the same time, warming procedures are strictly prohibited.

Contraindications to inhalation or compresses include:

1. Vascular diseases.
2. The presence of damage to the skin at the site of the proposed setting of the compress.
3. Violation of blood clotting.
4. Thrombophlebitis.
5. Also, warming procedures are prohibited in the event of an acute infection as concomitant diseases.

Putting compresses with purulent sore throat is prohibited!

In order to exclude the occurrence of complications, it is necessary to follow a number of rules. With purulent sore throat is prohibited:

• Eat spicy, spicy, pickled dishes and use seasonings.
• Do compresses and inhalations.
• Eat very cold or hot food.
• There is dry food.
• Eat solid foods.
• Do not take antibiotics or other medicines prescribed by your doctor.

Also, when establishing a sore throat of a purulent form, patients are advised to observe bed rest and rest. It is necessary to take sick leave and not engage in excessive physical exertion.

Purulent tonsillitis is not a serious enough disease, but can cause the development of life-threatening and health consequences. That is why the disease is best prevented than treated.

More folk recipes for angina can be found in the video:

1. Dress only for the weather. It is not worth it in the autumn, spring, in the winter season, you walk without a hat. The throat should also be covered with a scarf or warm collar.
2. Do not swim in open water where the water is still quite cool.
3. Avoid hypothermia.
4. Do not be in drafts.
5. Do not drink too cold drinks or food during the winter season. In autumn and spring, it is also forbidden to eat ice cream or drink cold drinks on the street.
6. When hardening to cold conditions, you should accustom your body gradually. To do this, you can use a contrast shower and conduct outdoor sports.
7. Timely treat caries and other diseases of the oral cavity.
8. Healthy food. The diet should include vegetables, fruits and berries, as they contain a large number of vitamins, minerals and nutrients.
9. To refuse from bad habits. Smoking and drinking alcohol adversely affects health.
10. Do not come into contact with sick people. If there is a person suffering from purulent tonsillitis in the house, he must be isolated from healthy family members. Also for him you need to allocate dishes and personal hygiene items. The rest need to wear special gauze bandages and ventilate the apartment every 2 hours.
11. In the autumn and spring periods, the incidence of infectious pathologies increases. To protect your body from angina, you should regularly take vitamin complexes. They will help strengthen the immune system.

Purulent tonsillitis with timely therapy passes without a trace. But the lack of treatment can lead to the development of serious and dangerous consequences. That is why it is necessary to take care of your throat and contact a specialist when the first signs appear. Self-medication also will not bring positive results.

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Purulent tonsillitis in adults - symptoms and treatment, photo

Angina can rightly be called one of the fairly common diseases that affect adults. The causative agents of this infectious disease are staphylococci, streptococci, pneumococci and adenoviruses, the main "blow" of which always falls on the tonsils.

Depending on the specifics of tissue damage, angina is divided into catarrhal, necrosis, purulent, herpetic.

Each of these varieties has similar symptoms, but differs in some features, including methods of treatment. The peaks of angina usually occur in autumn and spring - seasons characterized by high humidity.

Classification

According to the classification, there is no such thing as purulent tonsillitis. Tonsillitis (tonsillitis), according to the classification of Soldatenk I. B., is divided into:

1. Acute tonsillitis (this includes catarrhal, lacunar, follicular, ulcerative necrotic tonsillitis).
2. Chronic tonsillitis (there are two forms, compensated and decompensated form of chronic tonsillitis).

Purulent tonsillitis primarily implies acute tonsillitis (lacunar or follicular forms). This is due to the fact that when examining the tonsils, purulent films can be seen on their surface, as well as liquid pus in the lacunae of the tonsils.

What is the difference between the types of purulent tonsillitis from each other?

There are 3 forms of this disease:

1. Follicular. The mildest form of purulent tonsillitis, when accumulations of pus are visible through the epithelium in the form of small dots. Usually, follicular angina rarely occurs without fever.
2. Lacunar. In this case, gaps are filled with pus, so a peculiar pattern is formed on the tonsils from light stripes, not dots.
3. Phlegmonous. It is one of the most severe forms of the disease, since purulent fusion of the tonsil itself occurs here, which requires inpatient treatment.

How to treat purulent tonsillitis in an adult will directly depend on the symptoms and form of the disease.

Causes

Purulent tonsillitis in the vast majority of cases is an infectious disease caused by group A β-hemolytic streptococcus. This pathogen is found in approximately 60-80% of cases of purulent tonsillitis. Most experts still tend to attribute angina to streptococcal infectious diseases. However, the possibility of purulent tonsillitis of staphylococcal and pneumococcal origin is not excluded. There are also descriptions of listerella angina etiology.

The source of infection is patients with angina or healthy people carrying streptococci. Is purulent tonsillitis contagious? Of course, yes, if you do not follow the rules of hygiene and do not wear a protective bandage when in contact with the sick.

In special depressions of the palatine tonsils (lacunae) there are always microbes. With normal immunity, they do not cause disease. However, there are a number of factors that cause the launch of the infectious process a:

1. Hypothermia of the body, sudden changes in temperature, cold drinks and foods.
2. Mechanical damage to the palatine tonsils with their further infection.
3. Avitaminosis, the presence of concomitant inflammatory diseases of nearby structures.
4. Transfer of streptococcal infection throughout the body.
5. Immunodeficiency, diseases that provoke a decrease in immunity.
6. Entering the oral cavity of a fungal or bacterial infection.

In these cases, the defenses of the whole organism are reduced and, above all, this occurs in the tonsils. When the process is started, the pathogenic microflora penetrates deep into the tonsils, causing their acute inflammation - tonsillitis. How to treat this disease and whether antibiotics are needed for this, we will consider a little lower.

Symptoms of purulent tonsillitis

In the case of purulent tonsillitis, symptoms in adults may have varying degrees of severity, depending on the form and neglect of the infectious process. Also, angina is able to proceed without a significant rise in temperature. In this case, the main and defining signs are sore throats, changes in the appearance of the tonsils: redness, swelling of the mucosa, pustules and plaque on the tonsils.

However, most often purulent tonsillitis in adults is characterized by the following symptoms (see photo):

• acute onset of the disease: fever up to 40 C and even higher;
• fever;
• severe intoxication (headache, lack of appetite, severe weakness);
• acute pain in the throat, most strongly felt when swallowing food and saliva;
• soreness and inflammation of the submandibular lymph nodes;
• swelling and redness of the palatine tonsils, posterior pharyngeal wall and small tongue;
• swelling of the neck;
• skin rashes;
• pain in the abdomen;
• the presence of purulent foci, raids on the tonsils, which are easily removed with a medical spatula without injuring the mucous membrane.

The incubation period of purulent tonsillitis can be from 2 to 5 days. Signs of the disease appear quickly enough, and one of the first signs, as a rule, is chills, followed by intense heat. A characteristic feature is that the soreness in the throat area gradually increases, starting to disturb from a simple feeling of discomfort to severe pain associated or not associated with swallowing.

Treatment of the purulent form of the disease lends itself to a rule common to all ailments: the sooner it is started, the sooner recovery will come and the less complication will be. That is why, in order to quickly cure purulent tonsillitis, measures must be taken when its first signs appear.

Purulent tonsillitis photo

What purulent tonsillitis looks like, we offer detailed photos for viewing.

Effects

Purulent tonsillitis is dangerous for its complications, which can be both late and early.

Early ones include:

Later may develop:

The prognosis for timely and high-quality treatment of the disease is favorable.

Treatment of purulent tonsillitis

With purulent tonsillitis, it is extremely important to start treatment in a timely manner in order to avoid possible complications in the form of phlegmon and abscesses in the neck, pathologies of the cardiovascular system, diseases of the kidneys and joints.

An approximate treatment regimen for angina in adults is as follows:

1. In the acute period of the disease, the patient is shown bed rest with limited contact with others and compliance with voice rest.
2. Treatment is rarely complete without antibiotics. Adults are prescribed antibacterial drugs of the penicillin group: amoxicillin, cephalosporins of the first, second or third generations (cefadroxil, cephalexin, cefuroxime, cefixime), amoxiclav, and macrolides (clarithromycin, azithromycin).
3. The appointment of a local antibiotic Bioparox for purulent sore throat is no less important than systemic antibiotic therapy. This drug acts directly on the focus of inflammation, killing bacteria immediately, in place.
4. In case of high temperature or severe pain, the use of painkillers containing ibuprofen and paracetamol is recommended to alleviate the patient's condition.
5. You can gently gargle with solutions of aqueous antiseptics in the form of liquids or special sprays (Lugol, Chlorhexidine, Ingalipt, Chlorophyllipt, lozenges Trachisan, Yoks, Orasept, Gorlospas, etc.).
6. Antihistamines. Their use will provide a reduction in swelling and sore throat, as well as reduce general toxic manifestations. The most common are claritin, tavegil, erius, mefenamic acid, paracetamol, nurofen.
7. Food should be varied, rich in vitamins, but the main rule is the absence of irritating factors. All dishes are served warm, pureed, semi-liquid, without spices and hot sauces.
8. Plentiful warm drink is shown.

Remember that if you run a sore throat, you can get very serious complications.

How to gargle?

Patients are advised to gargle with special antiseptic solutions. For these purposes, a solution of furacilin, givalex is suitable. The procedure should be carried out up to 5-6 times a day for several minutes. You can also use sprays of identical composition: hexoral, ingalipt, tantum verde.

A couple of popular ways:

1. An infusion of chamomile, calendula flowers, eucalyptus is a miraculous remedy for gargling. We take 1 tbsp. l. collection for 1 tbsp. boiling water. The resulting mixture must be insisted, cooled and rinsed with purulent sore throat.
2. In a glass of warm water, add one teaspoon of salt, one baking soda and 5 drops of iodine, mix thoroughly until the ingredients are completely dissolved.
3. Another equally valuable infusion of chamomile, St. John's wort, calendula has been used since ancient times. You need to take 1 tbsp. collection in 1 cup of boiling water. Then insist, cool and rinse.

Gargling will help relieve sore throat.

Antibiotics

Most often, experts prescribe penicillin drugs. They are perfectly absorbed in the body, have pronounced bacteriostatic and bactericidal characteristics.

Patients are prescribed a semi-synthetic antibiotic Amoxicillin, an antibiotic from the cephalosporin group Cefalexin, Sumamed, Cefazamin or drugs from the macrolide group can be prescribed. Clindamycin, Phenoxymethylpenicillin, Erythromycin are also used for treatment.

Only a doctor should choose the appropriate drug, prescribe the dosage and duration of administration. It is important to complete the course of antibiotic treatment to the end, even if the symptoms of the disease have significantly decreased.

How to treat purulent sore throat at home

With an established streptococcal infection of the tonsils, treatment of purulent tonsillitis at home must necessarily include antibiotic therapy. The doctor prescribes the drug and its dose.

1. Natural propolis should be sucked or chewed every time after eating and rinsing. Daily use no more than one teaspoon of propolis, dissolving each portion of it within 20-30 minutes.
2. Decoctions of chamomile, calendula. They soothe the mucous membrane, relieving irritation, itching, discomfort in the throat. They are considered folk remedies, but these plants are widely used in official medicine. Rinsing them with decoctions helps to remove pus, which improves the patient's condition, reduces the severity of symptoms of sore throat.
3. Salt, soda solutions. Used for rinsing, inhalation, compresses. They act warmingly, create an unfavorable environment for pathogenic microorganisms, remove sputum from the walls of the pharyngeal mucosa.
4. Furacilin. It is used as a solution for rinsing, irrigating the throat. It is active against the most common pathogens of bacterial angina.

Folk recipes can only be used to relieve symptoms; they are not able to cure a sore throat.

Prevention

There is no specific prevention of acute tonsillitis.

To prevent the disease, you should pay maximum attention to your own health: eat rationally, have a good rest, lead an active lifestyle. Timely diagnosis and rehabilitation of foci of chronic infection in the body, as well as hardening, are important.

Purulent tonsillitis

Purulent tonsillitis is a name that combines two purulent forms of tonsillitis (acute tonsillitis) - follicular and lacunar. These forms of angina have a similar general and local course, one patient may have signs of both forms of angina at the same time. Often the pathological process occurs in the palatine tonsils, in more rare cases, the lingual, nasopharyngeal and laryngeal tonsils are affected.

Most often, purulent tonsillitis is diagnosed in children of preschool and primary school age. In children under 5 years of age, as well as in adults, viruses often act as an infectious agent; in the age group of 5–15 years, purulent tonsillitis of bacterial etiology is more often observed.

Causes of purulent tonsillitis and risk factors

Infectious agents are able to penetrate into the tissue of the tonsils exogenously (from a sick person by airborne droplets, household or alimentary routes) or endogenously (from carious teeth, with acute respiratory infections, and other infectious processes in the body). In people with weakened immune systems, the disease can be caused by opportunistic microorganisms that are constantly present on the mucous membrane of the oral cavity or pharynx and do not provoke inflammation under normal conditions.

Risk factors for the development of purulent tonsillitis include:

• hypothermia of both the body as a whole and the throat (for example, when eating ice cream, too cold water, etc.);
• infectious processes in the body;
• trauma to the tonsils;
• air pollution;
• high humidity in the room;
• change in climatic conditions;
• prolonged exposure to solar radiation;
• food and other intoxications;
• irrational nutrition;
• bad habits;
• severe overwork;
• stressful situations;
• immunodeficiency.

Forms of the disease

In total, according to the nature of the inflammatory process, 4 forms of tonsillitis are distinguished, one of which is purulent:

• catarrhal (superficial lesion of the tonsils, no purulent plaque);
• herpetic (on the tonsils, subepithelial vesicles filled with serous exudate);
• purulent (purulent plaque is characteristic, which is easily removed without damaging the surface under it);
• necrotic (dense plaque of green-gray-yellow color, after removal of which the bleeding surface is exposed).

A rare but dangerous complication of purulent tonsillitis can be severe swelling of the tonsils, up to the development of suffocation (including in sleep).

Purulent tonsillitis, in turn, can be follicular (mainly the follicles of the tonsils are affected, purulent islands are found on the tonsils, as well as purulent plaque on the mucous membrane of the tonsils, which is released from the follicles) and lacunar (accumulation of pus in the lacunae of the tonsils is characteristic).

Depending on the localization of the pathological process, angina can be unilateral (rarely, usually only at the beginning of the disease, later the process spreads to both sides) and bilateral.

Symptoms of purulent tonsillitis

The incubation period lasts from 12 hours to three days. The disease debuts acutely, with an increase in temperature to febrile values ​​​​- 39-40 ˚С, chills, headache, weakness, aching muscles and joints appear. There is a sharp pain in the throat, aggravated by swallowing and during a conversation, the cervical lymph nodes are enlarged, painful on palpation. The palatine tonsils and adjacent tissues are hyperemic and edematous, in some cases the edema is so significant that it makes breathing difficult.

A common sign of purulent tonsillitis in the follicular form are areas of purulent fusion on the surface of the tonsils, which look like white or yellowish bubbles, which, in combination with a hyperemic tonsil, provides a characteristic symptom of the "starry sky". With the lacunar form, pus is located in the mouths of the lacunae of the palatine tonsils, having the form of whitish-yellow films or stripes that can extend beyond the lacunae. Both with lacunar and follicular forms, the plaque is easily removed, without the appearance of a bleeding surface under it - this symptom distinguishes purulent tonsillitis from other forms of the disease similar to it.

Features of the course of the disease in children

Purulent tonsillitis in children has a rapid course. The disease begins with a sharp rise in temperature (up to 40 ˚C), the child becomes capricious and drowsy, refuses to eat and drink due to perspiration and severe sore throat. Regional lymph nodes increase, tachycardia often develops. In some cases, with purulent tonsillitis in children, there is such a pronounced swelling of the tonsils that they begin to put pressure on the Eustachian tubes, causing stuffy ears and noise in them, and sometimes the spread of the infectious process to the ear.

Diagnostics

To make a diagnosis of purulent tonsillitis, an anamnesis and patient complaints are collected, as well as pharyngoscopy. As a rule, this is enough to make a diagnosis. If necessary, a general analysis of blood and urine is carried out, as well as a bacteriological study with an antibiogram of a swab from the pharynx. In the general analysis of blood, an increase in the number of leukocytes with a shift of the leukocyte formula to the left is noted. The erythrocyte sedimentation rate increases, reaching 40-50 mm/h (normal 1-15 mm/h). In some cases, to identify an infectious agent, a serological blood test and the determination of the pathogen's DNA by the polymerase chain reaction method are necessary.

Differential diagnosis with diphtheria, infectious mononucleosis is necessary.

Most often, purulent tonsillitis is diagnosed in children of preschool and primary school age.

Treatment of purulent tonsillitis

Treatment of purulent tonsillitis is usually carried out at home, hospitalization is indicated only in severe cases and for children under 3 years of age. The main method of treatment is antibiotic therapy, with the correct selection of the drug and dosage, the patient's condition improves already on the second day from the start of administration, however, the course of antibiotic therapy must be fully completed in order to avoid the development of antibiotic-resistant forms of microflora, as well as the occurrence of complications. Since there is a need for an urgent start of treatment, broad-spectrum antibiotics are usually used.

With a significant increase in temperature, antipyretics are used (the need for them, as a rule, occurs only in the first 1-3 days). General therapy is supplemented by frequent gargles with antiseptic solutions and decoctions of medicinal herbs, which make it possible to remove pus from the mucous membrane of the oral cavity and pharynx. In addition to rinsing, topical medications in the form of sprays can be prescribed (irrigation with sprays in the treatment of purulent sore throat has replaced the previously used lubrication, as it is more convenient and less painful).

While the elevated body temperature persists, patients require strict bed rest. A sparing diet and plenty of fluids are shown. During the period of the most acute manifestations, refusal to eat is acceptable, but an intensive drinking regimen is required.

Sometimes abundant liquid pus, localized in the mouths of the lacunae of the palatine tonsils, is poorly removed by rinsing. In this case, washing the tonsils, which is performed by an otorhinolaryngologist, can provide a positive effect.

Possible complications of purulent tonsillitis and consequences

Against the background of purulent tonsillitis, early and / or late complications may develop. Early complications are due to the spread of the infectious-inflammatory process to nearby organs and tissues: sinusitis, otitis media, purulent inflammation of the lymph nodes, inflammation of the mediastinal tissue (mediastinitis), paratonsillar abscess. A rare but dangerous complication of purulent tonsillitis can be severe swelling of the tonsils, up to the development of suffocation (including in sleep).

Late complications develop 3-4 weeks after the onset of the disease. These include glomerulonephritis, renal failure, myocarditis, septic arthritis, acute rheumatic fever, rheumatic joint disease, sepsis.

In the case of frequent recurrences of purulent tonsillitis, inflammation becomes chronic, chronic tonsillitis develops. The constant presence of an infectious agent in the tonsils leads to its entry into the bloodstream, and with the blood flow it spreads to other organs and systems. To prevent the development of complications, as well as in the absence of a positive effect from conservative therapy, it is recommended to remove pathologically altered tonsils. Surgical treatment is not indicated for patients with heart defects (grades 2 and 3), severe forms of diabetes mellitus, and hemophilia.

With timely diagnosis and adequate treatment, the prognosis is favorable. In the case of complications, as well as with frequently recurring purulent tonsillitis, the prognosis worsens.

Prevention of purulent tonsillitis

In order to prevent the development of purulent tonsillitis, it is recommended:

• timely diagnosis and treatment of helminthic invasions;
• regular, at least twice a year, preventive examinations at the dentist;
• strengthening of general and local immunity (hardening of the body, rational nutrition, avoidance of hypothermia, etc.);
• rejection of bad habits;
• compliance with the rules of personal hygiene;
• avoiding contact with patients with infectious diseases of the respiratory tract.

One of the main problems with angina will be nutrition. A sore throat not only does not contribute to the desire to eat, but also significantly interferes with swallowing food. What can and cannot be eaten with angina? And how to eat, so as not to aggravate and so strong?

This problem is exacerbated in children who simply refuse to eat.

Acute tonsillitis or tonsillitis is one of the most common ENT infections. Its characteristic features are that it entails an increase in body temperature up to 38-39 C, redness of the throat, acute pain when swallowing, sometimes (if the vocal cords are affected) hoarseness occurs.

There are two types of angina:

• characterized by reddening of the pharynx, the tonsils swell and acquire a very rich red color. This causes pain when swallowing food, sometimes the pain radiates to the ears and back of the head.
• For characteristic not only swelling of the tonsils, but also the appearance of purulent vesicles on them. Which can be located one at a time or cover all the tonsils with a continuous crust. Sometimes with purulent sore throat, it becomes completely impossible to swallow food. And in the first days of the disease, you can only use liquid pureed soups.

Angina refers to infectious diseases, which means that it is transmitted through common utensils (cups, spoons), hygiene items. Germs are transmitted through contaminated saliva and spread to other members of the community or family.

Compliance with simple rules of personal hygiene will protect others from possible infection.

Of particular importance in all forms of angina is nutrition. After all, this is not only providing the patient's body with the necessary energy to fight the disease, but also a source of irritation of the sore throat.

Improper nutrition can increase pain, worsen the patient's well-being, and even slow down the healing process.

What and why you can not eat with angina

Sore throat and trouble swallowing is a specific problem with angina. With purulent sore throat, the problem with food is aggravated by a large load on the liver. It is overloaded, as it removes toxins (waste products of microorganisms that form pus).

For many, the first question is just what to eat with angina, since “forbidden” food exacerbates pain, and sometimes contributes to an increase in body temperature.

Among the products that are not recommended to eat with angina are the following.

Fatty and fried foods

They can not be eaten, so as not to overload the liver. This food requires a lot of energy to process it, which is needed to fight the disease. They are assigned to her.

• Lamb, pork, fatty fish;
• Any fried foods;
• Fatty soups and sauces on fatty meat or mushroom broths;
• Salted fatty cheeses, cheese with a variety of additives;
• Fatty cream and sour cream;
• Large quantities of homemade or high-fat milk;
• Cakes and pastries with lots of buttercream.

Dishes containing vinegar and fruit acids

They will irritate a sore throat, increase pain, and can cause digestive upset. This is:

• canned foods with vinegar;
• homemade pickles;
• citrus and other sour fruits;
• juices, smoothies from sour fruits and berries.

Spicy and smoked dishes

They cause digestive disorders, increase the load on the liver, exacerbate sore throat. These should be included.

• all types of smoked meats;
• spices and spices, including onions, garlic;
• bitter vegetables, such as radish.

Products and dishes from them with a high content of coarse fiber

These are useful products at other times, but harmful during a sore throat.

• Meals with legumes (soybeans, peas, beans);
• Dishes from raw carrots, cabbage, beets;
• Barley and pearl barley (in any form);

Fresh or too dry bread

It causes bloating and can cause an increase in sore throat.

Harmful drinks for angina

Among unwanted drinks there will be not only fruit sour juices, but also:

• carbonated drinks;
• strong tea;
• strong coffee.

And further. During illness, you can not eat, so as not to cause an exacerbation of pain:

• seeds;
• popcorn;
• chips;
• nuts with spices;
• rough cookies;
• crackers.

Very important! You can't eat hot food. This irritates the sore throat and causes pain. In addition, the inflamed mucosa is very sensitive and you can easily get burned. A burn will be added to the inflammatory processes.

What can you eat with angina

This meal includes the following dishes.

• Porridges on water or milk (oatmeal, rice, semolina) are liquid in consistency resembling jelly.
• Pureed soups, broths (with slices of bread).
• The bread should be white, without yeast and not too fresh, but not stale either.
• Boiled and preferably mashed or mashed vegetables: potatoes, tomatoes, cabbage, pumpkin.
• Pasta, but smaller ones are better.
• Boiled eggs, omelets.
• Dietary varieties of fish: bream, pollock, cod.
• Steam or boiled dishes: cutlets, meatballs. They are prepared from dietary meat: chicken, veal, rabbit meat.
• Dairy products should be low fat. Cottage cheese take a cream-shaped consistency.
• Fruits need to be baked or boiled.

To the question: "With angina, what can you eat?"

The answer will be as follows: “Food that has a creamy consistency, does not contain components that cause irritation of inflamed mucous membranes, and does not “scratch” a sore throat. In addition, the food should be low-fat, but contain enough calories so as not to irritate the intestines and not create an additional load on the liver. But at the same time, give enough energy for recovery.”

Be sure to serve dishes a little warm: hot ones can burn a sore throat, and cold ones will cause an undesirable aggravation.

General principles of nutrition for tonsillitis

• You need to feed the patient 5-6 times a day in small portions.
• Food should be tasty and aromatic.
• If the patient does not want to eat, he should not be forced. It won't do him any good.
• The total amount of proteins should be approximately 70 g / day, fat - 60 g / day, and carbohydrates - 300 g / day.
• Do not give the patient products that he has not tried before.
• When treating, it is necessary to exclude products-allergens.
• It is necessary to give the patient juice and teas rich in vitamins and especially vitamin C, but with a small amount of sugar. It is also useful to eat honey (if you are not allergic to it).

Children's diet for angina

Particular attention requires baby food for angina. Sick children often refuse to eat, it hurts to swallow. In this case, the baby should not be force-fed.

It is better to let the child sleep or rest, perhaps, over time, he will ask to eat or try feeding again after a while.

Food should be loved by the baby, one that he likes, but always in compliance with all the rules and restrictions described above.

Do not introduce new complementary foods when children are sick.

Do not give allergenic foods, even when they are very useful for sore throats, here the possible harm will outweigh the expected benefit.

The benefits of drinking plenty of water for angina

Among the drinks that are not recommended for patients with sore throats will be drinks with gas, strong brewed tea and coffee, as well as juices and smoothies containing fruit acids (with sourness). These drinks will irritate the sore tonsils and make the pain worse.

Among the desired drinks are herbal teas with honey or a small amount of sugar. Such teas are rich in vitamins, they strengthen the immune system, help fight the disease. It is useful to drink rosehip infusion (it is rich in vitamin C and will help the liver), as well as decoctions and teas from currant leaves and branches. The most useful will be the blackcurrant berries themselves, rubbed through a fine sieve with a little sugar or smoothies from them with mint.

Heal and be healthy!

Angina is an infectious disease accompanied by acute inflammation of the palatine tonsils and / or other lymphoid formations of the pharynx. For many people, getting a sore throat is as simple as eating ice cream or getting their feet wet. Other diseases of the nasopharynx and irritants that enter the throat (alcohol, dust, tobacco smoke, and so on) also contribute to the development. The following pathogenic microorganisms can provoke the development of pathology: viruses, bacteria and fungi.

In the article, we will take a closer look at the causes and first signs of angina, talk about the symptoms in adults, and also tell you which treatment is most effective.

What is angina?

Angina is a common disease, inferior in frequency to acute respiratory viral infections and influenza. Most often, the palatine tonsils become inflamed. This is a seasonal disease, usually manifesting itself in the autumn and spring periods.

About 75% suffer people under 30 years old, of which a larger percentage belongs to children under 15 years old (about 60%).

Angina is highly contagious, so isolation of the patient is required.

Angina is caused by various microbes, mainly streptococci, which enter the throat more often with household items used by a patient with angina (for example, dirty dishes, etc.).

In some cases, microbes that are in the pharynx and usually do not cause disease are activated under the influence of some adverse conditions, for example, during cooling or sharp fluctuations in ambient temperature.

Types and forms

Depending on the clinical course, the frequency of the disease and the causes of angina, they are divided into different groups.

In adults, there are 3 types of angina:

• Primary angina. Primary angina is understood as an acute infectious disease with a predominantly streptococcal etiology, with a relatively short-term fever, general intoxication, inflammatory changes in the lymphoid tissues of the pharynx, most often in the palatine tonsils and the lymph nodes closest to them. The duration of the incubation period ranges from 12 hours to 3 days. It is characterized by an acute onset with hyperthermia, chills, pain when swallowing, an increase in regional lymph nodes.
• secondary or symptomatic. There is a lesion of the tonsils in the pharynx against the background of such pathologies: diphtheria, agranulocytosis, leukemia, and so on.
• Specific angina. It is caused by a specific infectious agent (fungi, spirochete, etc.).

Classification of angina in adults:

• Catarrhal angina. Usually develops very quickly and sharply. In most cases, a person falls ill suddenly, malaise, dryness and sore throat appear. Duration from 3 to 7 days.
• Follicular angina. The most characteristic sign of this form of angina is the accumulation of fibrinous exudate in the lacunae. At the same time, whitish plaques are formed on the edematous and hyperemic mucous surface of the tonsils, localized in the mouths of the lacunae. More often they are separate formations, less often they merge together and cover most of the surface of these organs. The duration of the disease is 6 - 8 days.
• Lacunar angina. Tonsils are affected in the area of ​​lacunae, followed by the spread of purulent plaque on the surface of the palatine tonsils. During pharyngoscopy, there is infiltration and swelling of the tonsils, severe hyperemia and expansion of lacunae. This sore throat lasts 6 to 8 days.
• Necrotic angina. On the surface of the tonsils, large areas of dead tissue are visible, extending into the depths and covered with a lumpy coating of gray or yellow-green color. The foci of necrosis are impregnated with fibrin and compacted. After their removal, bleeding occurs, and then an ulcer is formed up to 2 cm in size, with jagged edges.
• Phlegmonous - this type of angina most often occurs against the background of supposedly passing classic signs of angina - the tonsils begin to swell again, the soft palate turns red.
• Herpangina. Most often develops in children. Called A, it is a highly contagious disease. The virus carrier is a sick person, in rare cases they can be pets.
• Ulcerative membranous is angina without fever. The patient usually has necrosis of one of the tonsils with the formation of an ulcer. The patient complains that he feels a foreign body when swallowing, his salivation increases, and a putrid odor is felt from his mouth.

Causes

The primary focus of inflammation is formed in the lymphoid tissue of the oropharynx. The causes predisposing to the disease can be local and general hypothermia, dusty and gassy atmosphere, increased dryness of rooms, decreased immunity, etc.

In most cases, angina develops, which reduce the protective functions of the epithelium in the respiratory tract, thereby opening the way for infection.

From person to person, angina is transmitted by airborne droplets or alimentary (food) routes. With endogenous infection, microbes enter the tonsils from carious teeth, paranasal sinuses () or the nasal cavity. With a weakened immune system, angina can be caused by bacteria and viruses that are constantly present on the mucous membrane of the mouth and pharynx.

Ways of penetration of infection into an adult organism:

• Airborne (the most common route of transmission).
• Enteral (together with contaminated dairy products).
• Hematogenous (with blood flow from organs and tissues infected with the pathogen).
• Endogenous (in patients suffering from gastroenteritis, purulent sinusitis, and caries).
• Artificial (during surgical operations on the nasopharynx and nasal cavity (traumatic tonsillitis)).

In addition, the following reasons can provoke a disease in adults:

• improper and irrational nutrition;
• severe overwork of the body;
• living in adverse conditions;
• lack of sufficient sunlight;
• constant dampness.

Considering that angina in the vast majority of cases is caused by streptococci, and rheumatism, glomerulonephritis occur precisely with streptococcal infections, treatment begins with penicillin antibiotics.

Symptoms of angina + photo

The incubation period (the time that captures the period of introduction of a pathogenic factor into the human body until the first clinical symptoms) lasts on average about 10-48 hours.

Common symptoms of angina in adults:

• Temperature increase. Specific reaction of the human body to the pathogenic activity of bacterial agents. High temperature promotes the speedy removal of toxins from the body, enhances the immune response, and also reduces the rate of bacterial reproduction;
• chills and malaise;
• headache appears due to intoxication of the human body with the waste products of pathogenic microorganisms;
• increased fatigue;
• pain in the articular joints (a symptom is typical for both children and adults).
• Difficulty in swallowing. This symptom develops as a result of inflammation of the tonsils. This reduces the opening of the oropharynx, which leads to difficult passage of food through it. Also, when swallowing, pain increases, which causes the patient to be careful when making swallowing movements.
• If the disease is severe, then areas of necrosis are formed on the tonsils, which are dark gray in color. Dead tissues are torn off, being replaced by defective areas 10 mm in size.

Adults become infected from the carrier of the infection, which releases it into the external environment. A significant role here is played by a close team at work, the use of common cutlery, crockery, and a careless attitude to the rules of personal hygiene.

In the photo below, you can see what a sore throat looks like in an adult:

The photo shows the accumulation of pus on the tonsils - this is a characteristic sign of a sore throat

	Symptoms in adults
Catarrhal angina	The inflammatory process affects the mucous membrane of the tonsils, while provoking unexpressed pain during swallowing. Appears: Subfebrile temperature (temperature rise up to 37-38°C) slight malaise Possible swollen lymph nodes Enlargement and redness of the palatine tonsils themselves
	It is purulent tonsillitis, and its development is accompanied by the appearance of suppuration on the tonsils in the form of light yellow bubbles.
	The appearance of characteristic signs at any age: pain in the throat area, increased swelling of the palatine tonsils, rise in body temperature, the appearance of signs of intoxication of the body in the form of headaches, bouts of nausea and vomiting, an increase in the size of the lymph nodes in the submandibular region, the appearance of plaque in the mouths of lacunae (colored in yellow-white color).
Necrotic form	Accompanied by the following symptoms: persistent fever, headache, vomiting, confusion.
Viral	The main symptom of viral sore throat is severe pain in the front of the neck. In addition, the patient has symptoms such as: chills; feverish state; sore throat; grayish coating on the tonsils; swelling of the neck; bad breath; voice change.

What to do when the first signs appear?

The first signs of angina occur very quickly. In most cases, a bacterial form develops, in which the patient complains of sore throat and plaque on the tonsils. Viral tonsillitis is often accompanied by lacrimation, runny nose and others. Treatment depends on the type of pathogen (bacterium or virus).

The patient is isolated in another room, he is given separate dishes and care items. He must abide by the following rules:

1. bed rest in the early days of illness, especially at high temperatures;
2. limitation of physical activity;
3. non-irritating, soft food, mainly vegetable and dairy, plentiful warm drink.

Complications for the body

Despite the fact that tonsillitis seems to be a non-serious disease and many people ignore its complex treatment, it is fraught with numerous complications. Complications of angina are conventionally divided into local and general.

Local complications of angina:

• abscesses of the surrounding soft tissues (the formation of large cavities filled with pus);
• phlegmon (diffuse accumulation of pus, unlimited);
• otitis;
• swelling of the larynx;
• bleeding from the tonsils.

General:

• rheumatism;
• kidney damage;
• damage to the gastrointestinal tract;
• penetration of infectious agents from the throat into the chest;
• spread of infectious agents into the cranial cavity;
• - the most severe complication of angina.

To avoid these complications, it is necessary to consult a specialist in time to choose the right tactics for the treatment of angina.

Diagnostics

When the first symptoms of the disease appear, you need to contact an ENT doctor or an infectious disease specialist. If this is not possible, a therapist or pediatrician, as well as a family doctor, can make a diagnosis and prescribe treatment. With the development of complications, a cardiologist, nephrologist, rheumatologist is involved in the treatment of the patient.

When making a diagnosis, the clinical picture of the disease, anamnesis data are taken into account, and the patient is prescribed pharyngoscopy and bacterial culture. It is mandatory to conduct a differential diagnosis of angina with SARS, acute pharyngitis and pharynx.

The main signs that allow you to determine a bacterial infection:

• severe redness and swelling of the tonsils and tongue;
• with areas of gray plaque;
• plaque on the tongue;
• enlargement of the cervical lymph nodes;
• the formation of a peritonsillar abscess, in which one tonsil is pushed to the center of the soft palate, to the tongue, is a sign of a severe degree of the disease;
• pain accompanied by salivation, difficulty speaking, difficulty swallowing and breathing.

Treatment of angina in adults

In most cases, the treatment of angina is carried out on an outpatient basis, however, in the case of a severe course, the patient is hospitalized in the infectious diseases department. Do not forget that you should limit the communication of the patient with family members so as not to spread the infection.

Give the patient separate dishes and a towel. With proper and timely treatment, recovery occurs in about seven days.

Medicines are prescribed to the patient, depending on what symptoms he has. In the case of severe pain, he needs to take anesthetics.

Drugs for the treatment of angina:

1. Fusafunzhin (Bioparox) - inhalation 4 inhalations by mouth every 4 hours for 4-5 days. May cause irritation of the mucous membrane of the nasopharynx, bronchospasm, allergic reactions.
2. Ambazon - keep the tablet in the mouth until it is completely dissolved (adults 3-5 tablets per day, children from 3 to 7 years old, 1 tablet 3 times a day for 3-4 days). After taking the tablet, refrain from eating and drinking for 3 hours.
3. Gramicidin - a tablet is kept in the mouth (behind the cheek) until it is completely dissolved. Apply 2 tablets (one after another for 20-30 minutes) 4 times a day for 2-3 days.
4. In severe form of the disease, the use of the following agents is recommended: Geksoral Stopangin Strepsils lux Lugol.
5. Antihistamines. Showing drugs such as: Suprastin, Tavegil, Fenkarol, Claritin, etc.
6. To reduce body temperature and reduce pain, antipyretic drugs and analgesics are prescribed.
7. With angina, the symptoms subside due to absorbable tablets with menthol-based preparations. Instead, you can use special aerosols. Their use contributes to the removal of pain syndrome, which is subject to the throat with angina.

In that case, if body temperature persists for more than 5 days, the treatment regimen should be changed, as this indicates its ineffectiveness.

Antibiotics

In adults, at the first signs of the disease, antibiotics can not be used. They are indicated only in the case of a bacterial nature of the infection. With properly selected antibiotic therapy, the patient's condition improves quickly. But the doctor's task is not only to quickly recover the patient, but also to prevent the development of complications. This is achieved by the complete destruction of the pathogen, which occurs when antibiotics are used for at least 10 days.

How many days, in what way, and what dosage of the medicine should be taken, the attending physician prescribes.

Gargling

It is important to remember that when gargling, pathogenic microorganisms are washed out from the mucous membrane, so this should be done as often as possible. When gargling at home, you can use solutions:

• herbal decoctions
• furatsilina
• hydrogen peroxide.

After recovery, the patient is assigned a control laboratory test, and, if signs of complications are detected, consultation and subsequent treatment with a specialized specialist is strongly recommended.

Diet

This meal includes the following:

• Porridges on water or milk (oatmeal, rice, semolina) are liquid in consistency resembling jelly.
• Pureed soups, broths (with slices of bread).
• The bread should be white, without yeast and not too fresh, but not stale either.
• Boiled and preferably mashed or mashed vegetables: potatoes, tomatoes, cabbage, pumpkin.
• Pasta, but smaller ones are better.
• Boiled eggs, omelets.
• Dietary varieties of fish: bream, pollock, cod.
• Steam or boiled dishes: cutlets, meatballs. They are prepared from dietary meat: chicken, veal, rabbit meat.
• Dairy products should be low fat. Cottage cheese take a cream-shaped consistency.
• Fruits need to be baked or boiled.

In the treatment of angina, it is necessary:

• reduce the amount of proteins (up to seventy grams), carbohydrates (up to three hundred grams), fats (up to about sixty grams);
• increase the number of meals up to five times, eat in small portions;
• boil food, steam it, and then serve it in crushed form;
• eat vegetables, different cereals;
• do not eat hot and cold dishes;
• drink drinks containing vitamins: fruit drinks, herbal teas, jelly without sugar.

Folk remedies

Folk methods of treatment are aimed at reducing inflammation in the pharynx, strengthening the body's defenses, and speedy recovery from illness. For these purposes, decoctions of plants with anti-inflammatory effects (chamomile, sage, oak bark), teas and infusions of berries with a high content of vitamins (currants, cranberries, rose hips) are used.

1. Calendula inflorescences, plantain leaves, wormwood grass- just the same. Pour 1 tablespoon of the mixture with 1 cup of boiling water, boil over low heat for 10-15 minutes, strain. Gargle with warm solution every 2 hours.
2. Beet juice. Grate the beetroot, squeeze out the juice and gargle with it. By the same analogy, carrot juice can be prepared, which is used alone or diluted with beet juice.
3. Sage leaf - 3 parts, chamomile flowers - 3 parts, love spell grass - 3 parts, brew 1 teaspoon of the mixture with 1 cup of boiling water, leave for 30 minutes, strain. Gargle with sore throat and.
4. 3-5 pieces of spicy cloves pour a glass of boiling water and leave for 2 hours. Infusion take 50 g, but it can be all depending on the severity of the disease.
5. Grate a glass of beets, pour a tablespoon of vinegar, let the mixture settle. Then squeeze the juice, gargle with it and swallow 1-2 tablespoons.

Forecast

As for the prognosis of treatment, with catarrhal tonsillitis, the prognosis of treatment is favorable in all cases. Especially quickly the disease passes with timely treatment. Favorable prognosis in the treatment of follicular and lacunar tonsillitis. But still, they can lead to the development of chronic tonsillitis.

Severe complications are caused by transferred necrotic tonsillitis of any form of complexity. The most common complications are rheumatism and glomerulonephritis.

Prevention

Prevention of a disease is always more profitable and easier than its treatment. Prevention of angina is no exception. At home, you can carry out some simple procedures and follow the rules that reduce the risk of getting sick:

• In order not to catch a sore throat, it is also important not to maintain contact with a person with a sore throat, not to use common household items, etc.
• Daily exercises, hiking in the fresh air, wiping and dousing with cold water, a contrast shower - all this can work wonders with immunity;
• Proper nutrition. It directly affects the immune system, therefore, it should be saturated with healthy food that brings vitamins and minerals to the body, and not fat with cholesterol.
• And one of the basic rules for adults is the sanitation of the oral cavity, the timely treatment of diseases such as caries, nasal congestion,.

At the first symptoms of a sore throat, be sure to consult a general practitioner or ENT doctor for competent treatment.