Follicular tonsillitis - photos, symptoms and treatment. Symptoms of follicular tonsillitis. Duration of therapy

Follicular tonsillitis characterized by a purulent inflammatory process that occurs in the follicles of the tonsils. At this sight acute tonsillitis pus is located in multiple point foci. The severity of symptoms depends on the degree of tissue damage in the lymphoid formations of the pharynx. Simultaneous damage to the lingual, palatine, tubal, pharyngeal tonsils leads to sudden temperature changes, severe sore throat, general intoxication body.

Before treating follicular tonsillitis, laboratory tests are carried out to differentiate the pathology from diphtheria. Test results also help the doctor determine the type infectious agents and their sensitivity to antibacterial drugs.

Treatment with antibiotics

Follicular tonsillitis is a purulent type of respiratory pathology, so treatment should begin at early stage allows you to avoid the development of dangerous complications:

• rheumatism,
• meningitis,
• acute otitis media,
• abscesses.

Only drugs with antibacterial activity can cope with pathogenic microorganisms. Most often, streptococci act as infectious agents. Staphylococcal and pneumococcal acute tonsillitis is diagnosed only in 10% of cases. The key to quick and effective treatment is right choice an otolaryngologist antibiotic, to which pathogens are unable to develop resistance for a long time. Since laboratory tests take several days, and therapy must be started immediately, the doctor prescribes drugs with a wide spectrum of action to the patient. They are capable of as soon as possible destroy most known bacterial infectious agents.

As a rule, treatment is carried out with antibiotics from the group of semisynthetic penicillins:

• Amoxicillin (Flemoxin),
• Ampicillin,
• Oxacillin.

IN Lately Cases of inappropriate use of antibiotics have become more frequent. This happens when self-medicating or prescribing drugs for “safety net”, as an addition to antiviral therapy. The result was the resistance of most known pathogens of follicular tonsillitis even to the most modern antibiotics wide range actions. Therefore, when diagnosing purulent lesion Tonsil follicle therapy begins with the use of inhibitor-protected penicillins:

• flemoclava,
• Amoxiclava,
• Augmentina,
• Panclava.

These drugs contain two active ingredients - Amoxicillin and clavulanic acid. The latter component does not exhibit any therapeutic activity. Clavulanic acid prevents bacterial cells from producing specific enzymes - the main cause of microbial resistance. If the patient is sensitive to the action of synthetic penicillins, then the otolaryngologist includes macrolides or cephalosporin antibiotics in the therapeutic regimen for follicular tonsillitis:

• Azithromycin, Clarithromycin, Josamycin;
• Cefotaxime, Cephalexin, Cefixime, Cefazolin.

After receiving the results laboratory research the doctor can make adjustments to the therapeutic regimen by changing the type of antibacterial agent, increasing or decreasing the daily dosage.

Treatment of follicular tonsillitis complicated by a severe purulent process is carried out with antibiotics for intramuscular administration

Features of antibiotic treatment

Some patients refuse antibiotics because they believe they have many side effects. Drugs have a negative effect on the human body only if they are used irrationally or used without a doctor’s prescription. Modern, well-chosen antibacterial agents do not affect the functioning of other vital systems. The only serious side effect of antibiotics is often intestinal dysbiosis. However, the pathology is quickly corrected in adults and children by a course of eubiotics with bifidobacteria and lactobacilli:

• Hilak forte;
• Linex, Linex forte;
• Linux for children;
• Bifiform;
• Acipol;
• Enterol.

Restore intestinal microflora In an adult or child, consuming lactic acid drinks enriched with cultures of beneficial microorganisms during treatment also helps. The duration of antibiotic therapy is 7-10 days. The only exception is the use of drugs with Azithromycin (Sumamed, Azitrox, Hemomycin), which are taken by patients for only 3-5 days. Most antibiotics have a cumulative effect. That is therapeutic effect occurs as the maximum concentration of active ingredients accumulates in the systemic circulation.

On the 3-4th day of antibiotic therapy, the patient may worsen general state health. This is quite normal, since there is a massive death of pathogenic bacteria, and they begin to enter the bloodstream for further removal from the body. Cancel antibacterial drugs occurs only 2-3 days after the complete disappearance of the symptoms of follicular tonsillitis.

During the treatment of follicular sore throat, you need to gargle with soda solution 4-5 times a day.

Medicinal gargles

Frequent gargling helps to quickly treat follicular sore throat at home. The active ingredients of antiseptic solutions have a local effect on inflammatory foci. They destroy infectious pathogens and wash them out of the affected tissues. The following drugs and auxiliary agents have the greatest therapeutic effectiveness:

• soda and salt dilutions. To prepare the rinse, you just need to dissolve a teaspoon food product in a warm glass boiled water;
• 0.02% solution of Furacilin. If the pharmacy has a prescription and production department, then you can immediately order a large volume of dilution (400-500 ml), which will be enough for the entire course of treatment of follicular tonsillitis. It is not difficult to prepare the solution yourself at home. To do this, dilute 2 Furacilin tablets in a glass of boiling water;
• Chlorophyllipt. In therapy respiratory diseases an alcohol form of the drug is used, consisting of a thick extract of eucalyptus leaves;
• potassium permanganate solution. The product exhibits pronounced disinfectant activity. The gargling solution should have a slight pink color, so to prepare it you need to dilute it in a glass warm water several small crystals of powder;
• Chlorhexidine and Miramistin. Medicines have powerful antimicrobial effect. Use of drugs on initial stage infectious pathology helps eliminate symptoms without the use of antibiotics.

Otolaryngologists often recommend the use of Lugol's solution in the treatment of respiratory diseases. But not in the case of follicular acute tonsillitis. The drug contains a 33% glycerin solution, which covers the ulcers with a thick film. This serves as an obstacle to the penetration of drugs into the foci of inflammation and does not allow bacteria and toxins to be removed from them.

An infusion of marigold flowers is used to gargle in the treatment of follicular sore throat.

They also work well when gargling folk remedies. When dry plant materials are brewed, biologically active substances with anti-inflammatory and antiseptic properties are transferred into infusions. To prepare a healing rinse, add 3 tablespoons of the herb to a liter of boiling water and leave covered for 1-2 hours. After straining, you can begin the procedures. Which plants are most often used in the treatment of follicular tonsillitis:

• lemon and peppermint;
• eucalyptus leaves;
• thyme;
• Linden blossom;
• oregano;
• chamomile;
• marigold.

Gargling with aloe juice (1 teaspoon per glass of warm water) and a solution will help quickly relieve inflammation and eliminate sore throat. alcohol tincture calendula (1 tbsp. per 0.5 liters of boiled water). Traditional healers recommended for use in the treatment of follicular acute tonsillitis garlic infusion. Vegetable culture contains great amount phytoncides that destroy pathogenic bacteria and regenerate affected tonsils. Making an infusion is easy. You need to pour a glass of warm water over the crushed fresh clove and let it brew in a dark place for a couple of hours. Garlic rinses should not be used if there are open wounds or sores in the mouth and throat.

Symptomatic treatment

Correct use of antibacterial drugs contributes to the disappearance of clinical manifestations of follicular tonsillitis within 3-4 days. And in the first days of therapy, otolaryngologists prescribe medications to patients to relieve sore throats and reduce fever. The daily allowance cannot be exceeded single dosages medications to eliminate symptoms in order to get rid of it faster discomfort. Excessive drug load provokes side effects and significantly delays recovery.

Treatment of follicular tonsillitis will become more effective when using aerosols with anti-inflammatory effects

Sprays

These dosage forms of antimicrobial and antiseptic agents allow local action on infectious foci, destroying the bacteria located there. Many aerosol preparations contain ingredients with analgesic and anti-inflammatory activity. As a rule, otolaryngologists include therapeutic regimens the following sprays:

• Kameton,
• Bioparox,
• Inhalipt,
• Tantum Verde,
• Hexoral.

Cameton and Ingalipt contain essential oils, so it is better not to use them for people predisposed to developing allergic reactions. Sprays are not used in the treatment of follicular tonsillitis in young children due to high probability development of life-threatening bronchospasm.

Preparations for resorption

Such products are presented on pharmacy shelves in wide range. You can purchase an antiseptic in the form of tablets, dragees, lozenges, and lozenges. But the main thing is not the dosage form, but the ingredients included in it. Some contain only essential oils and plant extracts to help soothe your throat and make breathing easier. It is not advisable to use these drugs for the treatment of follicular tonsillitis. Most effective in therapy respiratory infection The following drugs have:

• Strepsils,
• Septolete,
• Falimint,
• Faringosept,
• Tantum Verde,
• Anti-angina,
• tablets and lozenges with sage and eucalyptus.

These dosage forms are not intended for small children who cannot dissolve pills and lozenges. The drugs should be used 30-40 minutes before or after meals to improve absorption and fully demonstrate bactericidal activity.

Solutions for inhalation

Treatment of purulent acute tonsillitis at home is carried out using inhalations. Otolaryngologists categorically prohibit the use of kettles and saucepans with hot solutions for procedures. Such inhalations are unacceptable when purulent forms tonsillitis, as their results include the spread of infectious pathogens, the rapid development of complications and a deterioration in a person’s well-being. Nebulizers should be used for procedures. It is advisable to purchase an ultrasound or compression device if there are frequent relapses of follicular tonsillitis in one of the family members.

What solutions can be used in the treatment of purulent pathology:

• Tantum Verde,
• Miramistin,
• Hexoral,
• isotonic sodium chloride solution.

When complications develop, glucocorticosteroids or agents that dilute and remove mucus from the respiratory tract are used as solutions.

Antipyretics

In some cases, follicular tonsillitis may not be accompanied by a rise in temperature, which often complicates the initial diagnosis. But usually hyperthermia is the main symptom of a respiratory infection in a child and an adult. It is necessary to reduce the temperature at values ​​above 38.5°C. Antipyretics are also used in the development of life-threatening conditions: convulsions, loss of consciousness, severe dyspeptic disorders.

Paracetamol medications help reduce the temperature during the treatment of follicular tonsillitis

What can be used for quick fix hyperthermia:

• non-steroidal anti-inflammatory drugs in the form of tablets, suspensions, rectal suppositories- Nurofen, Ibuprofen;
• antipyretics with Paracetamol - Panadol, Efferalgan, Tsefekon.

If the temperature does not exceed 38°C, and the adult or child feels uncomfortable, the following methods will help:

• drinking tea from dry or fresh berries raspberries;
• wiping with a damp cloth;
• wearing light clothing.

Popular methods of reducing temperature - vodka and vinegar compresses cannot be used to treat children and people with cardiovascular pathologies, pyelonephritis, chronic renal failure due to the high probability of poisoning.

In the first days of treatment for follicular tonsillitis, it is necessary to observe bed rest. It will help avoid the development of complications that often occur in those who suffer from the disease “on their feet.” Therapy for everyone infectious pathologies must be accompanied by consumption large quantity liquids:

• fruit drinks, jelly, berry and fruit compotes;
• mineral still and unsalted water;
• tea from sage, chamomile, lemon balm;
• rosehip decoction;
• green tea with honey, milk or lemon.

The room where an adult or child is located should be ventilated several times a day and daily wet cleaning.

A comfortable microclimate promotes quick recovery, prevents dryness of the mucous membranes of the pharynx and the spread of pathogenic microorganisms. Following medical recommendations will significantly bring recovery closer. To cure follicular tonsillitis in just a few days, you need to go to the nearest hospital at the first symptoms of infection. Timely diagnosis will help to quickly begin antibiotic therapy and avoid often irreversible complications.

We have already said that there are two options for infection - from the outside and from the inside. This means that in one case the pathogen was transmitted from another patient, and in the second case the bacteria multiplied in the body, but only due to some factors they began to capture the pharyngeal ring.

Transfer can be carried out in the following ways:

• Airborne. When your nasal passages are not protected by a personal medical mask, and you are in direct contact with a sick person, bacteria or viruses enter the body when you inhale. Through the nose they enter the nasopharynx, larynx, and then are localized in oral cavity. Most dangerous places are those where there are a lot of people - clinics and hospitals, shopping centers, public transport, kindergartens and schools. If you are at work, where an infected person works in the same room with you, you should ventilate the room more often, and also take preventive measures - lubricate your nostrils oxolinic ointment, take the immunostimulant "Tsitovir-3" and wear a disposable mask.

• Fecal-oral. This is transmission of infection through food and water. Bacteria can be found in open bodies of water, so you should not drink liquid from rivers, lakes, or wells unless they have been treated. Filtration also does not always protect against pathogens; it only saves from solid impurities. Central water supply is usually subject to more thorough inspection. The most effective way is to use distilled water.

  Food must be cooked and washed thoroughly. This is especially true for fruits, vegetables and dried fruits, since these products are collected by hand. It is necessary to give up fast food and any street food - the sun and unsanitary conditions can lead to the growth of bacteria. Eating outside the home is always dangerous, since, despite having a health certificate, a catering employee (cook, waiter) can get sick and infect you through the dish.

• Contact and household. This applies to any common items that are used by family members or friends living in the same place. A precautionary measure is the purchase and use of personal items: washcloths, toothbrushes, towels, spoons, forks, mugs, cosmetics.

  You should also wash your hands after visiting public places: toilet, transport, where you hold on to handrails, and others.

Internal causes of follicular tonsillitis are complications of caries, sinusitis or other chronic inflammation nasopharynx and oral cavity. The bacteria initially have a different focus, then, due to decreased immunity, the pathogen spreads to other organs, including the tonsils.

Follicular tonsillitis is a disease that is characterized by the appearance of pustular follicles in the tonsil area. Often the disease is accompanied by symptoms of intoxication. If you do not resort to treatment at the first sign of a sore throat, then the likelihood of developing more serious consequences quite big. As a rule, the disease can develop into or more long period treatment. Therefore, it is recommended to know how to quickly cure a purulent sore throat at home in order to recover as quickly as possible.

Symptoms of follicular sore throat

Sore throat is caused by pyogenic bacteria (staphylococci, streptococci). “Pests” can enter the body through contaminated food, poorly washed dishes, when a sick person coughs or sneezes, etc. So, what are the symptoms of follicular tonsillitis?

1. Severe chills.
2. Pain in the lymph nodes under the jaw.
3. Difficulty swallowing.
4. When swallowing, there is pain in the ears.
5. Weakness and poor health.
6. Unbearable pain in the throat.
7. The tonsils become covered with white-yellow purulent spots the size of a pin's eye.
8. Pain all over the body.

Important: in the first days home therapy illness, you should adhere to bed rest, especially for children.

Treatment of follicular sore throat at home

Before you understand how to treat follicular tonsillitis at home or, you should understand that a person’s body loses a lot of moisture, so the patient needs a lot of fluid.

Liquid in in this case It will help not only avoid dehydration and lower the temperature, but also get rid of signs of intoxication in the body. It is more advisable to consume non-acidic juices, cranberry juices and berry jelly. The temperature of the liquid should correspond to body temperature.

The consistency of food is also important during the treatment period. Food should be soft and ground, without seasonings or pepper.

Remember: a sick person should be placed in separate room, provide him with personal utensils. After each meal, dishes should be washed thoroughly.

Gargling

There are several effective types rinsing:

• cranberry juice with honey;
• warm freshly squeezed carrot juice;
• infusion of pomegranate peels (20 g per glass of boiling water, cook for half an hour, strain, then cool, and gargle the sore throat 7-9 times a day);
• garlic infusion (100 g of grated garlic, pour 100 ml of warm water, leave for 6 hours);
• beet juice (grate 1 large beet, squeeze out the liquid, add 1 tablespoon of 6% vinegar to it, leave, filter and gargle for a sore throat).

Inhalations based on pine buds and eucalyptus oil

Take young pine buds (4 tsp, brew 200 ml of water and boil for half an hour), thyme herb (2 tsp, brew 200 ml of boiling water, leave for 45 minutes) and 15 drops of eucalyptus oil. Use this mixture for inhalation.

Read! How to treat a sore throat at home - quickly and effectively.

Horseradish based medicine

Take a small piece of horseradish leaf and chop it finely. Brew 80 ml of boiling water and close the lid tightly. Leave for 20 minutes. Filter and add granulated sugar (a pinch) to the infusion.

Drink the product throughout the day, taking small sips. This medicine is especially effective for loss of voice.

Horseradish and honey mixture

Take a horseradish leaf, chop it finely and add the same amount of honey. Use the mixture 2-3 g every hour.

Propolis – a healer for sore throats

This remedy is one of the most effective various stages diseases. Take a small piece of propolis and chew it slowly. The procedure should be carried out after eating. In one day you need to eat 5 g of the product. Burning and slight numbness of the tongue are absolutely normal.

Remember: when you are sick, you should not strain your eyes by reading or watching TV.

Collection of herbs for follicular sore throat

Take 3 parts chamomile flowers, part linden flowers, 2 parts oak bark. Brew 20 g of the mixed product with 1 glass of just boiled water. Keep on low heat for 8 minutes. Screw on the lid and leave to steep for 1 hour. Filter (preferably several times) and mix with 15 ml of honey.

Rinse 5-6 times a day. Instead of honey, you can add a pinch of salt to this decoction. This will make the remedy no less effective.

An effective medicine based on raspberries and honey

Take a handful of raspberries (can be dry), 5 ml vegetable oil, 20 ml honey, 5 g ginger powder. Pour the mixture into 750 ml of boiling water. Leave overnight, wrapping the container in a warm towel. Filter and consume warm 2 times a day (on an empty stomach - in the morning, before bed - at night).

Onion peel based product

Take 2 tsp. onion peels, pour 500 ml of water. Boil and leave to infuse for 4 hours. Filter with gauze.

Important: under no circumstances remove pustules from the tonsils.

Bitter onion in the fight against follicular sore throat

Take 1 large onion and blend it in a blender. Squeeze the juice and consume 5 ml every 6 hours.

Figs

Take 20 g of figs and pour 400 ml of boiling water over it. Cook over low heat for 10-12 minutes, let cool and filter. Drink 125 ml every 5 hours.

How to treat purulent sore throat in a child at home

An ancient remedy

Take black radish and remove the top, make a hole, add honey there, cover with the top and leave for 3 days. Drink the resulting liquid 20 ml every 3-4 hours. After some time, even the heaviest one will recede.

Honey and berry jam

Add 100 ml of honey and 1 tbsp into an enamel bowl. l. raspberry jam. Stir and bring to a boil over low heat, stirring regularly. Pour the contents down your throat. Lay the child down and wrap him warmly.

Important: do not lower your body temperature below 38.5 C. At higher levels, you should take antipyretics. The most common medications are those containing ibuprofen or paracetamol.

How else can you treat follicular tonsillitis?

Rinsing

Add 1 tsp to a glass of warm water. soda and 5-7 drops of iodine. Rinse every hour.

Gargling with tea rose infusion

Take 1 tbsp. l. dried tea rose and pour a glass of boiling milk or water over it. Bring to a boil and leave to steep for 15 minutes. Cool and gargle with the broth.

Rinse with sage infusion

Take 40 g of dried sage and pour 500 ml of water into it, bring to a boil, leave for 10-15 minutes. Add a tablespoon of salt and rinse 5-6 times a day.

Interesting! Find out in our article if you have a sore throat.

Propolis to the rescue

Pour 10 g of propolis into 100 g of alcohol or vodka. Leave in a dark, cool room for 7 days. Filter and 1 tsp. infusion, stir with 3 tsp. water. Lubricate your tonsils with the solution at night. After the procedure, try not to eat or drink anything for 1 hour.

Beetroot is an effective medicine

Take 0.5 kg of red beets, grate them or twist them in a blender. Squeeze out the juice and add 1 tbsp to it. l. vinegar. Leave the mixture for a day. Rinse and consume 1 tsp. solution 5-7 times a day, washed down with hot milk.

Rhodiola rosea

Take 50 g (root). Pour the product into 500 ml of boiling water. Leave for 7 days in a cool, dark place. Filter and 1 tsp. Dilute the infusion in 150 g of warm boiled water and gargle without interruption for 15 minutes.

Take a break for 1 hour and start the procedure again. Repeat rinsing until the pustules heal.

Sage and calendula

The following infusion perfectly treats a sore throat: calendula leaves and (in a ratio of 3:1) in an amount of 20 g, brew 250 ml of hot water and leave for a quarter of an hour. Gargle your sore throat with this infusion.

Lemon

At the first stage of the disease, chew a quarter of a lemon (along with the peel). After this, try not to eat anything. This is necessary so that everything useful material, contained in lemon, were able to fully affect the sore throat.

The procedure should be repeated every 4 hours. You can cut the lemon into slices and suck them one by one. This procedure should be performed every hour until relief is felt.

Important: follicular tonsillitis is prone to new manifestations of the disease. In order for a person to stop getting a sore throat, one should follow the rules of prevention. First of all, it is hardening the body. Beware of hypothermia, smoking, drinking cold and alcoholic drinks in hot weather.

Among infectious and inflammatory diseases it occupies a leading position, second in number to ARVI diseases. According to statistics, children are more susceptible to tonsillitis. Clinicians divide the disease into several forms, highlighting follicular tonsillitis as the most common type.

Symptoms and treatment of follicular tonsillitis may vary slightly depending on the patient’s age. Phenomena of severe intoxication require hospitalization; minor manifestations are treated at home. To obtain detailed treatment recommendations, medical participation is necessary.

Before considering the mechanism of development of the disease, it is worth defining what follicular tonsillitis is. The term “tonsillitis” itself is the common name for acute streptococcal tonsillitis– an inflammatory process affecting one or more elements of the lymphoid pharyngeal ring (consists of six tonsils).

Depending on the affected area, tonsillitis can be divided into fibrous, phlegmonous, follicular, lacunar, catarrhal, ulcerative-necrotic and mixed.

Purulent inflammation occurring in the follicular apparatus of the tonsils is called follicular tonsillitis. In other words, this is a pathological process in lymphoid follicles, as the body’s response to the penetration of extreme irritants. A photo of the follicles in the throat is presented below, it shows the location of a limited accumulation of lymphoid tissue scattered along the back wall of the pharynx.

For reference! In children under 3 years of age, the lymphoid system is in the stage of age-related imperfection, so cases of morbidity are rare. In more younger age(1 year and younger) possible fungal (candida) form.

The disease does not have a specific seasonality; it may worsen in the autumn-winter period. Among the main pathogens that provoke tonsillitis, clinicians identify the gram-positive microorganism streptococcus haemolyticus (hemolytic, belonging to group A).

Less commonly, the disease is caused by other groups of β-hemolytic streptococcus, Staphylococcus aureus, enterobacteriaceae, influenza infection. In 70% of cases, tonsillitis develops under the influence of rhinovirus, adenovirus infection, influenza and parainfluenza viruses.

Sore throat is a contagious disease, can be transmitted in several ways: airborne, nutritional(food and household items are considered carriers of infection). A decrease in immune defense. In this case, the development of inflammation is promoted by the patient’s own opportunistic microbial flora.

Clinical manifestations

Signs of follicular tonsillitis are expressed in the form of general and local manifestations. Among the local typical symptoms:

• swallowing is accompanied painful sensations increasing character;
• dry mouth, sore throat, possible unproductive cough;
• edematous hyperemic lymphoid tissues(tonsils);
• inflammation of the lymph nodes;
• radiating pain to the ears.

Are common:

• increase temperature indicators up to 39-40 degrees;
• body aches, pain in the lumbar region, heart, joints, head;
• muscle weakness, fast fatiguability, increased heart rate.

The symptoms and treatment of follicular tonsillitis in children are identical to those in adults. In rare cases, young patients may experience increased loose stool, reflex eruption of stomach contents, weakening of the feeling of hunger.

For reference! Purulent follicular tonsillitis in the adult population can provoke difficult or systematic insufficient emptying intestines.

How to recognize?

U healthy person the accumulation of lymphatic cells is almost invisible. Upon closer examination, follicles are small bumps, hidden under the mucous membrane. In acute inflammatory process hyperemia of lymphoid granules is clearly visualized, back wall The larynx swells and becomes bright red.

There is an increase in the size of the pharyngeal tonsils, and an accumulation of infiltrate can be observed. Using a visual examination of the mucous membrane of the throat, you can notice mucopurulent discharge at the mouths of the lacunae, a picture of a “starry sky” on the tonsils, consisting of white and yellow suppurating follicles. In addition to the palatine tonsils, inflammation of other accumulations of lymphoid tissue is also possible. The photo below shows clear example What does follicular tonsillitis look like?

How to treat?

In the absence of pronounced signs of intoxication, there is no need to hospitalize the patient. Therapeutic manipulations are carried out at home, and the patient periodically visits a doctor at a local clinic.

During the acute phase, the patient should avoid contact with people best option– stay in a separate room. To avoid the spread of infection, he must have separate household items and personal hygiene products at his disposal.

Duration of therapy

Timely diagnosis, the severity of the disease, and compliance with therapeutic recommendations directly determine how many days follicular tonsillitis is treated. If you consult a doctor in a timely manner On average, it will take from 6 to 12 days to restore the patient’s normal functioning.

At the end of the acute phase (2-3 days from the onset of symptoms), the patient’s condition improves. Swallowing does not cause discomfort, appetite is restored. The patient is not infectious to society. The next 6-10 days are spent in the recovery process. The exudate comes out, the mucous membrane heals and subsides inflammatory process.

Principles of treatment for adults

How and with what to treat follicular sore throat at home is prescribed by the doctor, after differential diagnosis and cultural, clinical examination. The key to positive dynamics of the disease– knowledge of the sensitivity of the pathogen to the antibiotic.

To obtain results that determine the resistance of microorganisms, a certain time is required, therefore, in most cases, before obtaining information about the pathogen antimicrobials are assigned empirically. After putting forward a hypothesis, compiling a list of drugs and assessing their therapeutic concentrations at the site of infection, the specialist individually determines for each patient the need to use a particular drug, daily norm application, duration of treatment.

Important! Before the beginning therapeutic activities It is important to differentiate follicular tonsillitis from infectious mononucleosis. These diseases have a similar clinical picture at the initial stage and various ways treatment. Acute anthroponotic infection does not respond to etiotropic therapy.

Efficiency antimicrobial therapy assessed over three days. Positive result manifests itself in the form of improvement in the patient’s well-being and the return of subfebrile indicators to normal. These indicators are not a prerequisite for the end of treatment.

After elimination symptomatic picture it is necessary to complete the recommended course of therapy in order to avoid complications, relapse of the disease and the acquisition of resistance of pathogens to active substance drug.

Clinicians distinguish two groups - penicillin and macrolide series. Representatives of penicillins: Flemoxin Solutab, Augmentin, Amoxiclav, macrolides: Azitrox, Sumamed. In case of allergies to these groups of antibacterial drugs, cephalosprins (Ceftriaxone) and tetracyclines (Macropen) are prescribed.

To restore intestinal microflora, in parallel with antibiotics, probiotics are prescribed (Bifiform, Linex, Bifidumbacterin).

Symptomatic treatment is based on the use of the following medications:

1. Nonsteroidal anti-inflammatory drugs, to normalize body temperature. In addition to the antipyretic effect, these drugs have an anti-inflammatory and analgesic effect (Nurofen, Ibuprofen).
2. Antihistamines, inhibiting the release of histamine. The drugs of choice are second and third generation drugs Claritin, Erius, Zyrtec, Telfast.
3. Local antiseptics. You can use “”, “Chlorophyllipt” as a gargle for the throat. Sprays “Tantum Verde”, “Ingalipt”, etc., as well as lollipops “”, “” are quite convenient to use.

Drug treatment at home is supplemented by adherence to a regime of activity restriction, diet and an increase in drinking norms. The diet should consist of dairy and plant products, excluding hot and spicy dishes.

Features of treatment for children

How and with what to treat follicular tonsillitis in children? The principles of etiotropic therapy are no different from those for adults, only the dosage may differ medicine according to age indicators and duration of therapy. If the child is 3 years old or younger, the signs of intoxication are clearly expressed, there may be a question about hospitalization of the small patient.

To eliminate the symptomatic picture, an identical treatment approach is used. When drawing up a treatment regimen, the doctor relies on a list of contraindications to the use of drugs and individual characteristics child.

Conclusion

Follicular tonsillitis is a serious infectious disease that requires timely appeal see a doctor and strictly follow the prescribed recommendations. Incorrect and untimely treatment can lead to undesirable consequences as streptococcal meningitis, blood sepsis, infectious-toxic shock.

Children are more susceptible to complications, so the main task of parents is not to miss the appearance of clinical signs and not to postpone a visit to the doctor until later.

Follicular tonsillitis is an inflammatory process of the follicles of the tonsils, in which pus is located in the form of pinpoint foci. The disease is accompanied by enlargement and inflammation of the lymph nodes in the neck area. Treatment of follicular tonsillitis requires complex measures. In the text we're talking about about how best to deal with pathology, which medications are most effective.

Follicular tonsillitis is an infectious disease, usually bacterial etiology. The disease manifests itself by damage to the tonsils, more often the palatine ones, intoxication of the body and other pronounced symptoms. Diagnosis is carried out by an ENT doctor, which involves a visual examination of the larynx, a work study internal organs, collection laboratory tests. Treatment involves extinguishing the source of inflammation. The causative agents of the disease are usually bacteria, less often viruses and fungi. Follicular tonsillitis is caused by:

• streptococci;
• staphylococci;
• Moraxella;
• pneumococci;
• spirochetes.

TO viral pathogens include adenoviruses, herpes viruses, Coxsackie viruses, measles viruses, scarlet fever. In rare cases, the inflammatory process of the tonsils is caused by mycoplasmas, chlamydia, and fungi.

1. Infection occurs during contact with a carrier of pathogens, through airborne droplets. Pathogenic microorganisms enter the human body through the use of shared hygiene items and utensils with the patient.
2. Hypothermia, damp weather, and constant inhalation of contaminated oxygen also provoke the onset of the disease.
3. Advanced pharyngitis, streptococcal infections, rhinitis can cause follicular-type tonsillitis.
4. Purulent follicular sore throat can occur in people who regularly suffer from colds, have hereditary predisposition to respiratory diseases.

If you do not fight the disease, complications arise in 2-4 weeks. How to treat follicular tonsillitis, the doctor determines. You cannot prescribe medications on your own, since the disease is insidious and can cause irreversible and even fatal consequences in the body. For example, deformation of the facial skeleton, meningitis.

Symptoms

Clinical signs of the inflammatory process of the larynx are clearly expressed, especially during the development of the pathology. The symptoms cause a lot of discomfort to patients and require treatment medication assistance, because the body loses a lot of strength.

1. In the first days of the development of the disease, the temperature rises to 39-40 degrees.
2. There is pain throughout the body, lack of appetite and trouble sleeping.
3. Sore throat, especially when swallowing. The patient may find it difficult to eat.
4. Cervical The lymph nodes They hurt when palpated.
5. When examining the larynx, enlarged tonsils are noticeable through epithelial tissue follicles in the throat filled with pus are visible.

In children under 10 years of age, the disease is more severe than in adults. There is severe intoxication of the body, there is nausea, vomiting, and sometimes convulsions. The child often refuses to eat, sleeps poorly, and behaves aggressively. If follicular tonsillitis is diagnosed, treatment lasts on average 1-3 weeks. With proper therapy, complications can be avoided. Symptoms can be relieved with medications local impact. Antibiotics for follicular tonsillitis are prescribed when bacteria are the causative agent of the pathology. For tonsillitis viral etiology, antiviral drugs are indicated, antifungal agents- for healing fungal inflammation. They help destroy pathogenic bacteria and suppress their vital activity in a short period of time. Such medications are usually taken within 3-7 days, since antibiotics tend to accumulate in the body.

There is another disease similar in symptoms and nature - follicular pharyngitis. A pathological focus in the tonsils is an inflammatory process of the mucous membrane of the larynx, which can be acute, advanced. In pathology, purulent ulcers of the lymph nodes (follicles) rapidly form.

The temperature rises to 39-40 degrees.

How to treat follicular sore throat

The main goal of treating tonsillitis of a purulent nature is to eliminate the inflammatory focus in the tonsils and nearby tissues. Chronic follicular tonsillitis is treated using the same means as the acute or catarrhal form. The main thing is to exclude relapses of the disease and stop the activation of pathogenic bodies. In addition to taking therapeutic drugs, you need to comply with the hospital regime.

Etiotropic therapy

For tonsillitis of bacterial etiology (usually streptococcal), antibacterial agents of a number of penicillins are used. If the patient has contraindications to this group, the other two series of drugs are prescribed. The most popular antibiotic counts:

• Amoxicillin;
• Amoxiclav (penicillins);
• Erythromycin, Azithromycin (macrolides);
• Ceftriaxone (cephalosporins).

They contain not only amoxicillin, but also clavulanic acid, which enhances the effect of the first component. For tonsillitis of fungal etiology, antifungal agents are prescribed:

• Fluconazole;
• Itraconazole;
• Acyclovir;
• Tilorona.

Drugs with antiviral activity act in the first days of the disease.

Symptomatic drugs

To eliminate the infectious-allergic process, which often accompanies the manifestations of tonsillitis, anti-allergic medications and non-steroidal drugs are prescribed according to indications. antihistamines. The patient is prescribed general restorative therapy, including vitamins and immunomodulators. If complications arise from the heart and blood vessels, additional treatment is prescribed.

Local therapy

Gargling with antiseptic liquids is often used. Use solutions of furatsilin, hydrogen peroxide, decoctions medicinal herbs. Doctors advise to enhance therapeutic effect carry out physiotherapeutic procedures.

You should stick to your diet. In the first week, you should observe bed rest, do not go outside, limit yourself from physical activity. The patient's diet should consist of easily digestible foods and a healthy diet.

Chronic follicular angina requires more long-term treatment. On average, this process takes from 3 weeks to a month, sometimes longer. The sooner the patient deals with the elimination of the disease, the faster it will be possible to extinguish the inflammatory focus. Tonsillitis in neglected form, during a period of calm, may not bother the patient and not make itself felt. The disease periodically recurs, especially after exposure to certain external factors: hypothermia, stress, poor nutrition. Often, acute or advanced tonsillitis is accompanied by secondary infection. In this case, the healing process takes a longer time.

Follicular tonsillitis without fever is less common; the disease is accompanied by signs of classic tonsillitis, only without hyperthermia. As a rule, this phenomenon is inherent in the catarrhal form of the disease. It requires the same competent treatment, only without taking antipyretics. It is important to cure the disease in a timely manner, like its other forms; many patients do not take this nuance into account. They often confuse illness with a cold, carry it on their feet and do not take any action. therapeutic measures. This behavior entails disastrous consequences. The pathology moves into the acute phase, then into chronic form. To promptly detect tonsillitis without fever, you need to conduct a visual examination of the throat cavity. If tonsils affected by inflammation are visible, the follicles are covered with pus - this indicates the presence of tonsillitis.

Methods of treating follicular tonsillitis.

Antibiotics

Exclusively symptomatic treatment getting rid of tonsillitis is impossible. If the disease is caused by bacteria, antibiotics are necessary. They must be consumed in a course of at least 10 days. They help reduce hyperthermia, prevent the development pathological processes. As a rule, the effect of antibacterial agents begins to be felt after 2 days from the start of administration. The temperature returns to normal on the fifth or sixth day. If the disease is complicated by an abscess, the person requires surgery.

Popular antibacterial agents for follicular tonsillitis:

• Sumamed;
• Amoxiclav (Amoksiklav);
• Augmentin.

These drugs are most often prescribed to patients. There are many more effective antibiotics, which are selected individually in each case. Before using antibacterial medications, you should take into account individual sensitivity to the drug and the possibility of using it in combination with other medications.

Complications of follicular tonsillitis are also treated with antibiotics. It will take more long-term use These drugs, accordingly, have a detrimental effect on the body. Doctors prescribe pribiotics at the same time. They will help protect your stomach from negative influence antibacterial medications.

Amoxiclav.

Augmentin.

Folk remedies

At the first symptoms of the disease, you should immediately take complex treatment: use pharmaceutical and folk remedies. Such a symbiosis will help speed up the healing process and improve the general condition of the patient. Before use in medicinal purposes unconventional means, you need to consult your doctor. The patient should drink a lot of fluids (compotes, fruit drinks, juices, water, teas) during the treatment period.

Folk recipes for curing follicular tonsillitis.

1. Rinse your throat with a decoction of chamomile and sage (take 2 tsp of raw material per 250 ml of water).
2. Garlic drink helps relieve sore throat, has bactericidal effect. A crushed head of garlic is poured into 1 tbsp. apple juice, the mixture is brought to a boil. Afterwards, you need to cool it, strain it, drink 2 tbsp. in a day. In 1 day you need to drink 3 glasses of the product.
3. Healing liquid for oral administration based on onion and apple. Peel the vegetable, also make it with green fruit, grind the ingredients to a paste. Add 2 tbsp to the mixture. bee nectar, take 0.5 tbsp. a day three times a day.
4. Inhalations using potatoes. Boil the vegetables, do not drain the water. Add 4-5 drops of turpentine into the mixture. Cover your head with a towel and breathe over the steam (not too hot!) for 5 minutes. The event is carried out 2-3 times a day, for 4 days.
5. Gargling with a solution of iodine, soda, salt. Take 1 tsp. each component, add to 200 ml of warm water. Irrigate the larynx with this product 5-6 times a day.

Such folk recipes will help significantly weaken clinical manifestations diseases. They should be performed regularly to get the desired effect.

Garlic drink.

Surgery

When follicular tonsillitis recurs regularly, the symptoms intensify each time, the disease brings a lot of discomfort to a person - shown surgical intervention. Doctors believe that the tonsils act as a filter that prevents pathogenic bodies from passing further than the pharynx. Therefore, tonsils should be removed only in extreme cases. Nowadays, doctors try to prescribe to patients effective treatment, which does not require surgery. If tonsils are causing more harm than good, you need to get rid of them. Usually they are affected locally by a type of freezing, in which nearby healthy tissue is not damaged. The patient recovers quickly and is no longer bothered by respiratory diseases.

Surgical treatment of the disease.

Complications of follicular tonsillitis

If treatment is not started in a timely manner, or in the absence of it, complications after tonsillitis often appear. They are divided into early and late.

1. At 1-2 weeks, it appears retropharyngeal abscess, paratonsillitis. With such phenomena, the temperature almost does not rise, the pain in the throat intensifies, especially when swallowing. Surgery required.
2. After 2-4 weeks, more complex consequences arise. These include lesions of the heart muscle (myocarditis, rheumatic carditis). These conditions are manifested by increased temperature, pain in the heart area, and shortness of breath. One more late consequence tonsillitis is considered to be kidney damage (glomerulonephritis), the process is caused by edema, increased blood pressure, and malfunction of the renal system.
3. When a sore throat recurs more than once, this indicates an advanced form of this disease. This condition is accompanied by the same symptoms as other forms, but less pronounced.

It is quite possible to avoid complications; for this, you need to start therapy in a timely manner and strictly follow all the doctor’s instructions. Many patients take responsibility and prescribe medications themselves and adjust medical recommendations. This leads to the development of consequences. In order to treat the disease in a timely manner, it is important to know by what symptoms follicular tonsillitis is determined. Photos are shown below.

Preventive measures

Every person suffering from tonsillitis of follicular or other etiology should understand that it is better to prevent the disease than to treat it. Prevention of sore throat will be a relevant topic for many people, especially during the cold season.

Rules for preventing inflammation of the tonsils:

• It is better to breathe through your nose, if possible, avoid nasal breathing;
• the room where the patient is located must be ventilated (2-3 times a day);
• carry out wet cleaning 1-2 times a day, since a lot of bacteria accumulate in the dust;
• humidify oxygen in the room using humidifiers;
• increase immunity with the help of hardening, vitamins;
• eat a balanced diet;
• Avoid smoking and drinking alcoholic beverages.

To protect yourself from the development of various diseases, you should take care of your immunity. Strong protective functions The body is capable of defeating almost any pathogen on its own.

Follicular tonsillitis - what the disease is will be indicated in the article.