Sunday, November 30, 2008

Tonsillitis

Sore throat
The tonsils are lymph nodes at the back of the throat that serve as the first line of defense against germs entering the body through the nose and mouth. Tonsillitis occurs when the tonsils themselves get infected by the micro-organisms they filter. The disorder is common in childhood but rare in adults, who usually experience sore throats or pharyngitis instead. Some children get recurring attacks.
Symptoms
  • Swollen tonsils on either side, which sometimes have white spots on them.
  • Flu-like symptoms, fever, headache : Tiredness, weakness, loss of appetite.
  • Pain when swallowing.
  • Earache.
  • Foul-smelling breath.
In children (in come cases):
  • Abdominal pain.
  • Cough.
  • Vomiting.
  • Swellings on either side of the neck due to enlarged lymph nodes (other then the tonsils).
Complications
  • Quinsy (an abscess on the tonsil).
  • Rheumatic heart disease, due to an untreated bacterial infection.
  • Kidney damage due to an untreated bacterial infection.
Cause
Viral (more common) or bacterial infection on the tonsils.
What you can do
  • Nothing. The disorder goes away on its own in a few days.
  • Stop smoking.
  • Drink plenty of fluids.
  • Gargle with mouthwashes or warm salt water.
  • Suck antiseptic lozenges or cough drops.
  • Take simple painkillers or antifever medicine. However, give a child paracetamol, not aspirin. Aspirin puts him at a risk of contracting Reye's syndrome, a rare life-threatening disease which affects the brain and liver.
  • Consult a doctor if symptoms persist for more than 2 days, you run a high fever, or pus can be seen on the tonsils.
What your doctor can do
  • Determine the cause of the infection.
  • Prescribe antibiotics for bacterial infection.
  • Treat the complications.
  • Perform tonsillectomy (surgical removal of the tonsils), in rare cases.
Prevention tips
At the first sign of a sore throat, suck antiseptic lozenges.
For products see Sore throat page 511, Oral hygiene page 435
This article is reffered to Malaysia Healthcare Guide - The family health guide, MIMS, 2nd edition, 1997, page 530.

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