Non-surgical treatment 1, drug therapy: acute tonsillitis, chronic tonsillitis acute exacerbation to antibiotic therapy, drug use to the full amount of a full course of treatment. It can be supplemented by some Chinese medicine to clear heat and detoxify the body and reduce symptoms orally.
2, participate in physical exercise to enhance physical fitness and reduce the chances of upper respiratory tract infection.
3.Take vitamin C and other drugs appropriately.
Surgical treatment Which patients need surgery?
①Recurrent attacks of acute tonsillitis, more than 4 to 5 times a year, or history of peri-tonsillar abscess.
(ii) Those with excessive tonsillar hypertrophy that hinders breathing, swallowing and speech, which is more common in children.
(③) Those with chronic low fever and no other lesions other than tonsillitis on systemic examination.
(iv) Those with nephritis and rheumatism due to tonsillitis should undergo elective surgery under medical supervision.
Which patients cannot be operated?
① Less than 2 weeks after the onset of acute tonsillitis.
②Patients with hematopoietic system diseases and hypocoagulability.
③ Significant hypertension, heart disease, tuberculosis. Otherwise, the symptoms of pharyngitis will be aggravated after surgery.
④Women who are menstruating and 3-5 days before menstruation should not undergo surgery.
⑤ Patients with chronic pharyngitis may not undergo surgery if it is not very necessary, otherwise the symptoms of pharyngitis will be aggravated after surgery.
Minimally invasive tonsil surgery is a common concern. One of my adult patients, who had tonsillectomy, recalled his surgery 5 years ago, “It was worse than death, just like a communist being tortured!” He exaggerated a bit, but it is true that tonsil stripping used to be very painful. At that time, local anesthesia was used and the stripping method was adopted, which resulted in more bleeding during the operation and severe pain caused by wound swelling after the operation. However, with the introduction of advanced technology from abroad, patients now do not have to suffer this kind of pain when they have their tonsils removed. Tonsillectomy is a minimally invasive procedure that is performed under general anesthesia, which is very safe and painless for patients. Because it is a plasma procedure, there is almost no bleeding during the operation and the wound recovers quickly afterwards.
If your child has enlarged tonsils and no history of recurrent inflammation, you can perform low-temperature plasma radiofrequency ablation, which preserves part of the tonsil tissue, thus reducing the volume of the tonsils and preserving the immune function of the tonsils, truly the best of both worlds!
I think we now have a general understanding of the function of the tonsils and tonsillitis. Under normal physiological conditions, the tonsils have an immune function, it plays a guard role for our body’s first gate, but if the tonsils are repeatedly inflamed and have become a hiding place for bacteria, while causing disease in other organs, this is the time we should look at it differently, it is not a guard, but an enemy that harms our body and needs to be removed without hesitation!
For children, if they have recurrent tonsillitis, they need to use antibiotics frequently, and as the saying goes, “medicine is three kinds of poison”. If your child has enlarged tonsils, along with adenoids that cause snoring and breath-holding during sleep, parents should pay more attention to this because sleep disorders can affect your child’s growth and development, and lack of oxygen can affect brain development, leading to hyperactivity and memory loss. At this moment, as loving fathers and mothers, you should consider: “Is it good for the baby to keep such tonsils, or is it harmful to the baby?”
In short, we should oppose both the “harmless theory of surgery”, which is to remove all the tonsils regardless of their indications, and the negative attitude of waiting for the tonsils that are chronically inflamed and affect the baby’s sleep and food.