Purulent tonsillitis is a common, acute non-specific inflammatory disease of the pharynx that can develop in many age groups, with a higher incidence in children, and the tonsils are an important line of defense against disease, like a pair of guards defending the body’s health, but if stimulated by long-term inflammation, it can become a harmful “foci” that attack the body. The most important thing is that it can not only cause local complications such as peri-tonsil abscess, acute otitis media, lymphadenitis, parapharyngeal abscess, but also induce rheumatic fever, heart disease, acute nephritis, etc., affecting the healthy development of children. Clinical manifestations include sore throat, high temperature, and various degrees of general discomfort. On examination, the palatine tonsils are enlarged bilaterally, the surrounding area is congested, and there is a yellowish-white purulent discharge or flaky pseudomembrane at the mouth of the crypt.
Tonsillectomy, also known as tonsillectomy, is an operation for recurrent acute attacks of tonsillitis, excessive hypertrophy of the tonsils, benign tumors of the tonsils, etc. The operation is divided into peeling and squeezing methods. There are complications such as bleeding and wound infection after surgery.
Although the procedure of tonsillectomy is recognized as very safe, like all surgical procedures, it has certain dangers present. Because the surgery requires local or general anesthesia, the anesthesia itself can be dangerous. And, although the removal of tonsils and proliferators is relatively simple and easy compared to other surgical procedures, removing the tonsils will cause a sore throat for about 14 days, sometimes so severe that it will be unbearable for the child. Many parents are apprehensive about having their child’s tonsils removed. Generally, they should not be removed. Tonsils are an immune organ and a gland that slowly atrophies at the age of 12 or so. If they are removed prematurely, the loss of an organ of the body is a minor matter, but mainly the tonsils are an organ of the immune system.
Tonsillectomy indications include: tonsillitis more than 5 times a year; tonsillar enlargement caused by the upper respiratory tract obstruction, resulting in serious snoring, poor swallowing, dysphonia, etc.; had one or more tonsil abscess; tonsils caused by systemic diseases, such as combined with rheumatic fever, rheumatic heart disease, rheumatoid arthritis or nephritis and other diseases, become focal tonsils; tonsils repeatedly inflamed This causes recurrent or prolonged attacks of rhinitis, otitis media, bronchitis, etc.
For the treatment of tonsillar diseases, the effect of drugs produced in hospitals and pharmaceutical companies so far is not satisfactory. Chinese medicine can be fully considered. Use Chinese pills to treat bumps, lumps, and inflammation by removing stasis and dispersion, detoxification, and swelling. As long as the right medicine is found, it is not difficult for the participants. As a long-time pediatric clinician, I know the charm of Chinese medicine and have witnessed a large number of cases of tonsillitis, pharyngitis and the resulting lymphadenitis that were typically treated with Chinese medicine, verifying the uniqueness of Chinese medicine in our country.
Children’s purulent tonsillitis, superficial western medicine treatment.
The first thing to do is to start with the pathogen: the pathogenic microorganisms that cause acute purulent tonsillitis can be viruses, bacteria or mycoplasma, but of course bacterial infections are common. In general, in the case of bacterial infection, pus plugs or cheese-like pus are seen on the tonsils, the blood tests show an increase in white blood cells, which are mainly neutral, and the CRP is 4-5 times higher than normal. If the tonsils are purulent due to viral infection, a faint exudate is seen on the tonsils, and the blood tests show normal leukocytes, predominantly lymphocytes, and a CRP that is normal or less than one times higher than normal. In the case of mycoplasma infection, the purulent material on the tonsils is very much like bacterial infection, but at this time, the laboratory blood picture leukocytes are normal or slightly high, CRP is also slightly high, which does not seem to parallel the signs
2, treatment: understand the pathogenic bacteria, then how to choose antibiotics, also will be solved. If bacterial infection, penicillin is preferred, but due to the high level of bacterial resistance in recent years, semi-synthetic penicillin and broad-spectrum penicillin, such as aloxacillin sodium, hydroxybenzyl penicillin + rod acid, can also be considered to use second-generation cephalosporin, such as cefuroxime sodium. In case of combined anaerobic infections, metronidazole or tinidazole may be used. If it is mycoplasma infection then macrolide antibiotics can be used.
Herpes pharyngitis is a self-limiting disease in which the pathogenic microorganism is coxsackievirus, which is common in summer and lasts for 5-7 days. If high fever is combined with bacterial infection, it is necessary to apply antibiotics appropriately, and penicillin and cephalosporins are preferred. For information, refer to the chapter on specific types of epiglottitis in Pediatrics, the chapter on enteroviral infections in Infectious Diseases, or the chapter on acute pharyngitis in Otolaryngology for identification.
Studies in adults have shown that a single dose of steroids (hormones, such as dexamethasone) is effective in reducing the severity and duration of sore throat due to acute pharyngitis. A pilot randomized double-blind placebo-controlled study by Dr. Niland et al. at The Ohio State University Children’s Hospital showed that in Group A patients with β-hemolytic streptococcal (GABHS) infectious pharyngitis, the addition of dexamethasone treatment (1 or 3 days) rapidly improved their general condition and that patients who took oral dexamethasone for 3 days had rapid improvement in sore throat symptoms.
Adjunctive treatment.
1.Taiyuan acupuncture point Tian moxibustion for acute suppurative tonsillitis can reduce recurrence and prevent colds is worth promoting.
2. Local disinfection of the tonsils with 0.5% iodophor can be used as an adjunctive treatment for acute suppurative tonsillitis.
Home care is more important.
1, tonsils are generally 3 to 10 years old when the largest, after 10 years of age gradually atrophy, so childhood tonsillitis is the focus of prevention and treatment.
2, strengthen exercise, especially in winter, to participate in more outdoor activities, so that the body’s ability to adapt to the cold increased, reducing the chances of tonsillitis.
3. Keep your mouth clean and rinse your mouth after eating.
4, usually pay attention not to eat spicy, as well as fried, barbecued, these are hot and dry food.
The use of antibiotics to treat acute purulent tonsillitis in children is not ideal due to the abuse of antibiotics and the resistance of many bacteria. From a large number of research papers, it can be seen that Chinese medicine, using internal and external Chinese medicine, or a combination of Chinese and Western medicine, has a significant effect on reducing fever, significantly relieving children’s sore throat, thirst and other discomforts, shortening the course of the disease, preventing transmission, and improving the efficacy of treatment.
Milk moth
Milk moth, also known as throat moth, throat goose, double moth wind, is caused by the decay of blood and flesh in the nucleus of the throat of the evil guest. The main clinical symptoms are redness, swelling and pain in the nucleus on both sides of the throat and unfavorable swallowing. The disease is mostly seen in children over four years old and can develop all year round. If treated properly, the prognosis is generally good, but if the course of the disease is long, it can be prolonged or recurrent, and if not treated properly and in a timely manner, complications such as sinusitis, otitis media, cervical lymphadenitis may occur. This disease is equivalent to modern medicine called tonsillitis, there are acute and chronic.
The clinical thinking of Chinese medicine treatment for milk moth
Acute tonsillitis is called “wind-heat moth” in Chinese medicine, and treatment is mostly based on clearing heat and detoxifying toxins, draining wind and eliminating swelling.