Tonsillitis is an inflammation of tonsils (lymph tissue accumulation) in the mouth. The causative agent of an infection can be bacteria, virus or fungus. Tonsils are a pair of lymph nodes that are located on both sides of the throat, behind and above the tongue. The aggression of bacteria in the tonsils leads to inflammatory processes. The most common cause of tonsillitis is a beta-hemolytic streptococcus (Streptococcus), but viral infections and such as Epstein-Barr (EBV) is also possible. Inflammation of the tonsils is a frequent medical complication, especially in childhood. Treatment and therapy of tonsillitis depend on whether the patient is a child or an adult, but in most cases the disease is successfully treated with antibiotics.
Local symptoms of tonsillitis are dysphagial interference-pain in the region of the tonsils, symmetrically expressed, particularly intense pain on swallowing, which often spreads to the ears. There is also a pain sensitivity on the outside of the neck and on a larger region the neck. Already the second-third day enlarged, painful lymph nodes may be felt on the neck. Sometimes there is an increased saliva (salivation), and sometimes a feeling of dryness and bad breath. trismus (spasm of the jaw) may be present, which causes difficulty in eating, and a change in speech. The Disease is from the beginning accompanied by the general symptoms: high body temperature, chills, muscle aches, headache ..
The disease develops from several hours to several days, and patients often treat themselves or seek early medical help.
Inflamed tonsils become swollen and turn distinctly red, nose breathing becomes difficult, so patients are forced to breathe through the mouth, although even then they experience difficulties of air flow, the increase in the tonsils or even the appearance of the third tonsil, which can also be swollen. The occurrence of otitis media and bronchitis are possible during tosilitis. the patient’s voice is changing and an increase in nasal tone is imminent. white spots are noticeable in the infected tonsils, which are full of white discharge. The increase in body temerature is notable and patients complain of feeling fatigue, exhausted and of poor general condition.
A doctor can diagnose the disease based on history, clinical features, examination of patient, and the diagnosis is confirmed by throat swab culture. During the examination the doctor can observe the characteristic changes in the tonsils and throat swab to determine whether bacteria is present. Based on the findings of swab throat doctor can determine the treatment, because antibiotics treat bacterial infections, not viral, so therefore it is essential to do throat swab of the patient.
Tonsillitis treatment is successfully performed by giving antibiotics, the sulfonamides. Painkillers can also be given as well as antiphlogistics to relieve local pain. Therapy should last 5-7 days.
Inflammation of the tonsils caused by bacterial infections is treated with antibiotics, usually with penicillin, unless the patient is too sensitive for some reason to the penicillin. It can be given orally, but in some cases it is given in injections. In children in whom drug therapy is insufficient and inefficient, it is recommended tonsillectomy. Tonsillectomy is a surgical removal of tonsils, and the patients recover well during the period of 10-15 days after surgery.