1. General treatment
Pay attention to rest, drink plenty of water, defecate, and eat digestible and nutritious liquid or semi-liquid. People with high fever and headache can take antipyretic and analgesic. The disease is contagious, and patients should be properly isolated.
suppurative tonsillitis is mostly bacterial infection, and antibacterial and anti-inflammatory are the main treatment principles. Penicillin used to be the first choice. In recent years, the pathogenic role of type I bacteria and anaerobic bacteria in tonsillitis has attracted widespread attention. L-type bacteria have defects in cell wall and are different from ordinary bacteria in sensitivity to antibiotics.
Pharmacological studies show that the oxytocins mainly act on the fine brain wall and can only inhibit general bacteria. L-form bacteria are obviously resistant to Qingqiaosu. Erythromycin can inhibit the synthesis of protein in cytoplasm, but it is not easy to cross the cell wall, so its effect on L-shaped bacteria is stronger than that of ordinary bacteria.
Class II amino antibiotics and chloramphenicol are also effective for L-form bacteria, but they have great side effects, so they should be considered when taking drugs. Metronidazole and lincomycin are sensitive to bacteria in anoxic environment. For critically ill patients, the synergistic effect of different antibiotics can be considered. Bacterial culture+drug sensitivity test is more reasonable to guide drug use.
3, local treatment
Patients with tonsillitis usually have bad breath, so you can choose chlorhexidine to rinse your mouth to get rid of bad breath, and at the same time take iodine throat tablets to relieve inflammation and pain.
4. Traditional Chinese medicine
Traditional Chinese medicine believes that there is phlegm heat in this disease, the lung and stomach are not quiet, and wind and fire are exogenous, so it is necessary to dispel the wind heat, reduce swelling and detoxify, and commonly use Yinqiao Ganju Decoction or Qingyan Anticorrosive Decoction.
5. Operation
If the patient with tonsil suppuration has recurrent attacks and will have complications, tonsillectomy should be considered.
what should be paid attention to in the diet with suppurative tonsils
1. Stop all cold foods in the diet, and only eat foods that are flat and warm, such as pork, chicken, beef, pigeon meat, quail, eel, loach, green vegetables, cabbage, cabbage, soybean sprouts, potatoes, leeks and carrots (twice a week), and wait until summer. You can eat strawberries, peaches, grapes and cherries, and you can eat apples, pears and oranges in autumn.
2. Eat braised eel or drink eel soup 2-3 times a week. Unlike other fish, eel has obvious effects of enriching blood, tonifying kidney and resisting allergy, but it is not easy to get angry, but it is not dry.
3. Eat sea shrimp twice a week, about 1 at a time, and children around 7 years old can eat half a catty at a time. Sea shrimp is chicken-tailed shrimp or prawn, which has obvious effect of tonifying kidney-yang, and can be used to treat chronic tonsillitis, chronic rhinitis and chronic pharyngitis, which is completely different from that of river shrimp.
4. A tonic made of half a catty of red dates, half a catty of walnut kernels, half a catty of black sesame seeds, two ounces of donkey-hide gelatin, half a catty of rock sugar and one catty of cooking wine can replenish blood, tonify kidney and moisten dryness. Give children half a spoonful every night, instead of eating too much, eat too much to get angry.