Abscesses on tonsils and tonsils: causes and treatment

This unpleasant phenomenon occurs not only in the cold season. Purulent lesions of the tonsils are especially common among children and young people up to 35 years old and signal serious problems in the body.

Even in the absence of high fever and other painful symptoms, plaque and pus on the tonsils should not be ignored, as well as self-medication. Both that, and another can lead to dangerous complications.

Reasons for the formation of ulcers

To understand why ulcers appear on the tonsils (or tonsils), one needs to imagine the structure of these paired palatine formations. They consist of lymphoid tissue streaked with gaps or crypts. So-called channels with holes on the surface that opens into the oral cavity. The diameter of the holes ranges from 1 to 4 mm. They become the place of accumulation of purulent masses and the formation of white ulcers on the glands.

Photo: tonsil structure

The purpose of the tonsils is to create a barrier to the infection, which tends to get into the larynx, trachea, bronchi and lungs. When the onset of bacteria becomes too strong, symptoms of inflammation appear in the pharynx: an ulcer on the tonsil or several small ulcers, an increase in the volume of the tonsils (hypertrophy), the formation of white plaque on them, purulent accumulations in the gaps. These clusters eventually scar and turn into traffic jams.

All these are symptoms of such diagnoses as chronic tonsillitis, tonsillitis, mononucleosis, diphtheria or candidiasis (stomatitis). Various microorganisms become provocateurs of infections:

• adenovirus;
• streptococcus;
• staphylococcus;
• Pneumococcus;
• gonococcus;
• chlamydia
• diphtheria bacillus;
• fungi of the genus Candida.

To get rid of suppuration, it is important to understand which pathogen caused it - the treatment regimen will depend on this. The only way to determine this is to analyze a smear from a sore throat. That is why it is important, without wasting time on self-medication, to see a doctor faster. Especially if plaque, ulcer or ulcer on the tonsil in a child is noticed. And even if the body temperature remains within normal limits, and there is no acute sore throat.

Purulent glands: symptoms and treatment

In most cases, pustular throat lesions cause such concomitant symptoms as:

• pain when swallowing or constant pain;
• purulent taste and bad breath;
• temperature increase;
• general malaise, weakness;
• swollen lymph nodes;
• nausea, vomiting, loose stools;
• headache and ear pain.

In this case, you must immediately call a doctor. Before his arrival or before visiting the clinic, all that can alleviate the condition is heavy drinking, bed rest and hourly gargling a glass of warm weak solution consisting of soda (1/2 teaspoon), salt (1 teaspoon) and iodine (2 drops). A solution of Furacilin (a tablet in a glass of water) or a decoction from a plant with anti-inflammatory effect is also suitable:

• calendula;
• chamomile;
• yarrow;
• oak bark;
• sage;
• eucalyptus;
• succession;
• sagebrush.

Antipyretic drugs are recommended only at temperatures above 38 ° C. It is not worthwhile to remove purulent plugs on the tonsils on your own, inflammation can intensify.Moreover, you can not prescribe yourself the first antibiotics that you get. They can not only not help, but also harm, complicating further treatment.

Food should be gentle, mainly liquid. From the diet for the duration of treatment, it is necessary to remove spicy, sour and sweet foods.

It is forbidden to make compresses and in any other way to warm the inflamed tonsils - this will increase the reproduction of bacteria and the formation of pus.

Angina alone, causing ulcers and ulcers on the tonsils as in the photo, can be of different types: lacunar, follicular, phlegmonous. In all these cases, treatment is carried out in a hospital with antibiotics of the penicillin group, and if they are powerless - with macrolides, fluoroquinols, cephalosporins.

Photo: types of purulent tonsillitis

Feverish symptoms are not always observed. In a number of diseases, abscesses appear on the tonsils without fever, and the throat does not hurt from this. But this does not mean that the situation can be left to chance.

Purulent tonsils without fever: diagnoses, treatment

Angina is not always accompanied by fever and severe malaise. For this reason, many do not finish the treatment of a formidable ailment. From here begins the development of chronic tonsillitis. This is the most common disease in which an abscess on the tonsil appears without temperature and does not hurt, but poses a serious threat to the body.

Photo: chronic tonsillitis

In chronic tonsillitis, tonsils become inflamed at the slightest hypothermia, exposure to infection, or are constantly inflamed. Toxins, which are the products of the vital activity of pathogens, enter the bloodstream and systematically poison the entire body, cause allergic reactions. This leads to a decrease in immunity, against which a person becomes vulnerable to any infections. It turns out a vicious circle.

If abscesses are present on the tonsils and there is no temperature, treatment without the supervision of a doctor is also unacceptable. Chronic diseases are not treated with antibioticsso as not to upset the bacterial balance even more. Instead, they prescribe local antiseptic drugs: Grammidin, Miramistin, Lugol, Dioxidine, Octinecept. As well as therapeutic rinses and medicinal inhalations with a nebulizer.

Tonsil washing with tonsillor apparatus

At the same time, local immunity is activated with Immudon tablets or natural means: ginseng, propolis, pantocrine.

In addition to such conservative treatment methods, specialists in clinics also use modern ones:

• washing of festering gaps with the "tonsillor" apparatus;
• laser therapy;
• ultrasonic irrigation;
• ultraviolet radiation;
• vibroacoustic impact.

If, despite all the efforts for systemic treatment, chronic tonsillitis worsens more than four times a year, the affected tonsils will probably not be cured and they will have to be removed: instead of a barrier to the infection, they themselves become its chronic focus.

In addition to tonsillitis, other diseases can cause pus without fever. That is why, before starting treatment, the doctor must establish the correct diagnosis. Sometimes people think, seeing white abscesses on the tonsils, that they are a sore throat and swallow antibiotics, and analysis shows that this is candidiasis, which can only be eliminated with antifungal drugs.

Complications of purulent lesions of the tonsils

Self-treatment of tonsillitis, chronic tonsillitis and other diseases, which result in the formation of purulent plugs in the tonsils, can undermine human health for the rest of his life. As well as a negligent attitude to this problem, especially if it is not very worrying in a chronic course.

The fact that the abscess on the tonsil is not accompanied by an increase in temperature and does not hurt does not mean that you can put up with his presence.This can lead to life-threatening local events such as an abscess, abscess, and sepsis. And also cause systemic complications caused by the constant ingress of toxins and particles of pus into the lymphatic circulation and bloodstream:

• lymphadenitis;
• sinusitis;
• sinusitis;
• pyelonephritis;
• rheumatism;
• endocarditis;
• polyarthritis;
• adnexitis;
• prostatitis;
• cholecystitis.

The same consequences may result in untreated angina, when after removing the acute symptoms and improving the general condition, the patient independently stops the drug course and medical supervision. The inflammatory process, meanwhile, is slowly progressing and is moving into a new stage of exacerbation or in a chronic form.

While at least one ulcer or abscess is present on the gland, treatment should not be stopped. Moreover, some purulent plugs and ulcers can be noticeable only during a medical examination.

How to get rid of abscesses on the glands for pregnant women and children

These are special categories of patients to whom many medicines are contraindicated, while the immune system does not work at full strength. For pregnant women, tonsillitis is dangerous at any time. In the first trimester, the disease can cause severe toxicosis, the threat of miscarriage or disrupt the developmental course of the unborn child.

At any time, typical complications of the disease can occur, as well as a weakening of labor due to a general decrease in the body's defenses. Ideally, chronic tonsillitis is treated even at the stage of pregnancy planning.

In a situation when abscesses on the tonsils appeared in a pregnant woman, therapist and obstetrician-gynecologist decide how to treat the disease. First of all, local medicines, antiseptic and anti-inflammatory rinses will be prescribed.

If in a serious situation the doctor prescribes antibiotic treatment, you should not refuse: they will bring more benefits than harm.

Pustules in the throat of infants up to a year are usually treated in a hospital: the risk of rapid development of edema and severe intoxication is too great. In children older than a year, treating abscesses on the tonsils is somewhat easier: they already have their own immunity. But he is still too weak to be able to get rid of pus without antibiotic therapy.

Kids under 3 years old are very prone to allergies, therefore, without consulting a pediatrician, you can not use not only antibiotics, but also herbal remedies for their treatment.

To reduce the temperature from 38 ° C to both pregnant women and babies, do not take aspirin. Only paracetamol-based drugs are allowed. You can’t soar your legs, do steam inhalations and carry out any other warming procedures.

Prevention of purulent tonsillitis and chronic tonsillitis

If even a small amount of pus is seen on the tonsils, the treatment should be completed and fixed with a recovery course. Only this will protect against the transition of tonsillitis into a chronic form.

After antibiotic therapy, it is necessary to take drugs with bifidobacteria and lactobacilli. To restore the local bacterial balance, it is useful to rinse the throat with dairy products such as “Narine”.

To fight streptococci, staphylococci and three dozen other types of pathogens that cause pustules on the tonsils, only an organism with high immune defense can independently. To do this, you must:

• Nutrition with the presence in the diet of a sufficient amount of protein products: meat, offal, fish, milk, dairy products, as well as herbs, fruits and vegetables.
• Replacing tea and coffee with herbal and fruit fortifying decoctions.
• Hardening, which will help to endure tolerance of hypothermia. And these are not only procedures that temper the whole body, but also local ones: for the throat. The procedure consists in a gradual (0.5 degree daily) decrease in the temperature of drinks and rinses.
• Timely treatment of caries and other diseases of the teeth and gums.
• A healthy and active lifestyle with smoking cessation and abuse of alcohol, physical education and a positive attitude.

These simple rules will ensure health for many years, help to transfer infectious diseases without dangerous consequences.