How to know when you need your tonsils removed

All too often people have nagging medical issues that they feel aren’t serious enough to call the doctor. Sore throats often fall in this category. It’s easy to pass off a sore throat as the symptom of a cold or just “something I get every winter.”

How do you know when a sore throat is more than just a sore throat?

Let’s learn more about a few signs that your sore throat could be something more serious like tonsillitis; when that tonsillitis might warrant having your tonsils removed, and how to recover after a tonsillectomy.

Is it just a sore throat or is it tonsillitis?

Tonsillitis is an inflammation of the tonsils caused by a viral or bacterial infection. Tonsillitis in and of itself is not contagious but the illness causing the inflamed tonsil is. Common infections that cause tonsillitis are strep throat, influenza, and mono (Epstein-Barr virus). However, not everyone with those illnesses develop tonsillitis. If you are experiencing two or more of these symptoms for more than 24 hours, it’s time to call the doctor.

• Difficulty or painful swallowing
• Fever
• Enlarged and tender glands in the neck
• Bad breath
• Visibly red and swollen tonsils
• White or yellow patches on the tonsils
• A scratchy or “lost” voice
• A stiff neck

Tonsillitis: do I have my tonsils removed

Tonsillitis is actually a very common issue and does not require a tonsillectomy in most case. The tonsillitis itself is treated by treating the illness that is causing it.

For example, if your tonsillitis is caused by strep throat—a bacterial infection—your doctor will prescribe you an antibiotic and plenty of rest. However, if you are experiencing frequent bouts of strep throat or other viruses that are causing repeated cases of tonsillitis, your doctor will most likely recommend a tonsillectomy.

Sore throats aren’t the only reason for a tonsillectomy

Sometimes a doctor may recommend a tonsillectomy even if you don’t have frequent viruses affecting your throat. For example, enlarged tonsils can cause breathing issues and affect the quality of your sleep.

How to recover from a tonsillectomy

Adults often have a harder time recovering from a tonsillectomy than children. However, regardless of the cause of the tonsillectomy or the age of the patient, the recommendations for a strong recovery are the same:

1. Manage the pain. Take the prescribed pain medications as they are prescribed so that you can stay ahead of the pain. If the pain becomes unbearable, call your doctor and ask for more or different pain medications. Adults tend to have a more painful recovery and it is important to follow your doctor’s instructions regarding all pain medications.
2. Stay hydrated. One of the reasons you don’t want to let your throat pain become unbearable is that you will need to be able to swallow liquids so that your body is hydrated and can work on healing. Popsicles or slushy drinks are a good way to get liquid into your body because their coolness feels good on your sore throat.
3. Stick with soft foods. Puddings, ice cream, jello, soups, and other soft foods are easier to swallow and will not aggravate the healing process. The sooner you eat and chew, the faster you will recover.
4. Get plenty of rest. Expect to take 7-10 days of recovery time before you return to normal activities. You may need more time before returning to athletics, exercise, or other vigorous activities. You should discuss acceptable activity levels with your doctor.

Noticing pain in your throat? Think it might be your tonsils?

The doctors at Logansport Memorial Hospital can help. Request an appointment online and a care coordinator will get back to you within three business days to set a date and time.

When Do I Need to Get My Tonsils Out?

On most days, you probably don’t give too much thought to your tonsils. They hang out in the back of your throat, do their thing, and don’t draw much attention to themselves. Or that’s how it’s supposed to work.

Your tonsils are part of your body’s immune system. They’re oval-shaped, pink lumps that sit at the back of your throat, one on either side. They don’t look like much, but they’re actually your first line of defense against viruses and bacteria that get in through your nose and mouth.

The trouble with being so close to the front lines is that your tonsils can get infected, too. That’s called tonsillitis. It’s more common in children, but adults can get it as well.

Surgery to take out your tonsils used to be much more common. But now, doctors are more likely to wait and see, using surgery only in certain cases.

Can I Take Medicine Instead?

Tonsillitis is usually caused by a virus, though bacteria can cause it as well.

Continued

If you or your child has tonsillitis because of a virus, it’s a lot like having a cold. The best you can do is try to give yourself relief from symptoms, as you would do with a sore throat or fever. Plenty of rest is a good place to start.

If bacteria are causing it, your doctor may give you antibiotics to kill them and clear up the infection.

When Would I Need Surgery?

Typically, you’d get your tonsils taken out only if tonsillitis:

• Keeps coming back
• Causes other problems, such as sleep apnea, a common disorder in which you briefly stop breathing many times a night

If the area around your tonsils gets infected and forms a pocket of pus, it’s called an abscess. These, along with tumors, are another reason to have surgery, though neither is very common.

Tonsillitis that keeps coming back: If you or your child seem to get it a lot, your doctor might talk about surgery. The number of infections that signal it’s time to have your tonsils removed is different for everybody. But your doctor may suggest it if you have tonsillitis at least:

• 7 times in 1 year
• 5 times a year for 2 years in a row
• 3 times a year for 3 years in a row

Continued

Your doctor might also suggest surgery if it’s caused by bacteria and antibiotics haven’t worked.

Your doctor may ask you to think about how much the infections affect your, or your child’s, life. For example, some parents choose to have the tonsils taken out because their child has missed so much school. Or an adult may want to consider the surgery because repeated infections are affecting their sleep.

Tonsillitis that causes other problems: Your doctor may also talk to you about surgery if the infections lead to sleep apnea.

In the short term, sleep apnea makes you tired during the day. For kids, it can even make them hyperactive. If it’s not treated, it can be serious. It may lead to obesity, heart problems, and other issues. Surgery to remove your tonsils can help.

Frequent tonsillitis makes it hard for some people to breathe or swallow. If these problems don’t improve over time, they’re another reason your doctor may bring up surgery.

How Do I Know If I Need My Tonsils Out?: Terry Baker, MD: Otolaryngology

Sore throats are very common and frequently are caused by a bacteria or virus. They account for 4% of all family physician visits. Strep throat, colds, and flu all affect the tonsils at the back of the throat. And any of these can contribute to getting tonsillitis, which is an inflammation of the tonsils that can create even more complications. But should you have your tonsils removed?

You should consult a specialist to help determine what’s best for your throat and your tonsils. Dr. Terry Baker has years of expertise in ear, nose, and throat treatment and can help you with those needs at our office in Idaho Falls, Idaho. 

In the meantime, here’s a short review of tonsillitis that can help you assess the seriousness of your condition. 

Understanding the Tonsils

Located in the back of the throat, the tonsils are actually on the frontline of the body’s immune system, helping to prevent germs and bacteria from getting through the mouth and nose. There are actually three types of tonsils, all located in close proximity to each other. They all serve the same general purpose, and they have a high concentration of white blood cells to help defend against germs.  

Of the three sets of tonsils, the ones most people are familiar with are the most visible, located in the back of the throat (called the palatine tonsils). These are the most likely to get tonsilitis and create problems.

Symptoms of Tonsillitis

The palatine tonsils are the most prone to inflammation in the form of tonsillitis. Tonsillitis can be viral or bacterial, which means treatments can vary depending on the cause and severity. You might suffer from tonsillitis if you have:

• Swollen tonsils
• Sore throat
• Difficulty swallowing
• Fever
• Swollen, tender lymph nodes
• Raspy or throaty voice
• Stiff neck

Reasons for Removing Your Tonsils

It may become necessary to remove the tonsils if you suffer from chronic tonsillitis, if it begins to complicate your breathing and swallowing, or if it causes sleep apnea. Sleep apnea can have further complications as well, including heart problems and obesity. In rare cases, the tonsils can become abscessed and make surgery crucial. 

The most common tonsillectomies are for airway obstruction and chronic tonsillitis and it’s still pretty common for teenagers to get them. But they are not always necessary, especially if the incidents are rare.

Prevention and Care

Since tonsillitis is infectious, the best method of prevention is good hygiene. This means:

• Washing your hands
• Avoid sharing food, utensils, and drinking glasses
• Replacing your toothbrush if you are diagnosed with tonsillitis 
• Coughing or sneezing away from others

Staying at home if you have tonsillitis will prevent others from getting it, and most non-surgical treatments include rest at home. If you’re not going to have surgery, you can expect treatments for pain and fever, saltwater gargles, lozenges, resting in humidified areas, and lots of fluids.

If your tonsillitis is long-lasting, chronic, or causing further complications, call to make an appointment with Dr. Baker today to find out the best treatment.

3 Signs You Might Need Your Tonsils Removed: Tonsillectomy In Adults

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Adults Can Have Tonsil Troubles Too

Tonsil removal is often a rite of passage for kids. Today, many adults can remember the pain and swelling, the surgery, and eating lots of ice cream afterward. But tonsil problems aren’t just a problem for kids. Some adults have the same problems. If tonsils are causing more harm than good, then a tonsillectomy may be the next best step.

What are your tonsils?

Tonsils are a small pair of glands located at the back of the throat. These are actually the palatine tonsils, 1 of 3 sets in the mouth and throat. Tonsils are an essential part of the immune system, preventing germs from entering the mouth or nose. The tonsils typically shrink with age; but for some people, this does not happen. As a result, the tonsils can become overwhelmed and infected. While tonsil infections are generally harmless, there are 3 unmistakable signs that a person needs a tonsillectomy.

1. Look for constant throat infections.

Tonsils become infected from exposure to excess bacteria or viruses, commonly called tonsilitis. The result is swelling, inflammation, soreness, and pain. Most infections go away with antibiotics and similar medications. For some adults, tonsilitis can become chronic. If the infection happens 5 or more times a year, the doctor will propose removing the tonsils.

2. Do you have trouble sleeping?

The swollen tonsils can cause sleep apnea. Sleep apnea can happen if something blocks the upper airway during sleep. As a result, some people stop breathing, start snoring or wake up gasping for breath. Long-term sleep apnea could lead to fatigue, restlessness, and even high blood pressure. If a doctor suspects the swollen tonsils can affect sleep and overall health, a tonsillectomy may help.

3. A strange growth on your tonsils

The tonsils can become swollen due to viruses and bacteria, but sometimes, there’s something else at play. Certain viruses, like human papillomavirus (HPV), can leave masses on the tonsils that may be cancerous. These masses can lead to similar symptoms related to tonsil infections. A biopsy helps to rule out the possibility of the throat or other cancers. For a doctor to complete the biopsy, a tonsillectomy happens first.

Time for a tonsillectomy

Adult tonsillectomies are similar to the procedure thousands of children have every year. The surgeon will perform the procedure under general anesthesia. While the patient is asleep, the surgeon uses a small scalpel to remove the tonsils and sometimes the adenoids. The doctor will then monitor the patient for any complications. A tonsillectomy can take about 2 weeks to heal. Speak with the doctor about any strange symptoms, as some risks come with surgery. Overall, surgery can stop the pain and discomfort that can come with constantly swollen, infected tonsils.

Follow the signs to your doctor

Tonsil infections can be mistaken for sore throats or colds. However, these swollen pieces of tissue can cause some long-term discomfort if ignored. Look for the signs that are common with infection and see a doctor right away. The doctor may try some non-surgical treatment first, but a tonsillectomy may be the best course of action.

3 Signs You Need Tonsil Surgery

Tonsil surgery, also known as a tonsillectomy, is one of the most common forms of surgery around. Ear, nose and throat (ENT) specialists are well-versed in performing tonsil surgery, but the procedure is usually associated with children because they are most impacted by tonsil problems.

Research shows that having your tonsils removed as an adult can help you cure frequent sore throats and inflammation that could cause problems in your everyday life. But how do you know if you need a tonsillectomy? In this article, we’ll be showing you three signs that you need to have tonsil surgery.

1. You get tonsillitis fairly often

Throat infections can be caused by a number of different bacteria and viruses, and one of the most common conditions is tonsillitis. Your tonsils are often used to combat viruses in your body because they produce white blood cells to help defend you. Sadly, they’re also susceptible to infection and can cause sore throats, difficulty swallowing and even headaches. If you frequently get tonsillitis, then it may be time to remove your tonsil to prevent them from constantly becoming infected. If you frequently get strep throat, then you may also suffer from similar conditions, and removing your tonsils can be beneficial.

2. You frequently snore or are at risk of sleep apnea

When your ENT diagnoses you, they’ll likely be able to determine if you have a snoring problem or, even worse, sleep apnea. Sleep apnea is a condition that causes your body to frequently stop breathing throughout the night when you sleep. This means that your body (and most importantly, your brain) doesn’t get enough oxygen. Tonsillitis is frequently linked to sleep apnea, and it’s important that you speak to your ENT specialist to help you diagnose the problem. Untreated sleep apnea can be incredibly dangerous, hence why removing your tonsils should be an urgent matter in this case.

3. You have breathing problems due to enlarged tonsils

Lastly, having enlarged tonsils is another reason to remove them. Enlarged tonsils are usually a problem that children face, but if you have difficulty breathing or swallowing, then it might be time to remove your tonsils. Enlarged tonsils can also cause sleep apnea if they grow too large. Before it gets bad enough to cause difficulty breathing, it’s wise to speak to an ENT and ask them to help you diagnose the problem. They’ll likely suggest that you remove your tonsils if they see that they have become enlarged and are big enough to obstruct your breathing.

If you’re unsure even after reading this article, make sure you contact your ENT specialist and ask them to diagnose you. The clearer the issue, the more likely it is that you’ll be able to solve your underlying health issues and become a much healthier version of yourself.

Petoskey Ear, Nose and Throat Specialists: Audiology

Your child’s tonsils, the pea-sized glands at the top of their throat, have a big job. They’re the first line of defense against bacteria and viruses. Sometimes tonsils can swell and turn red as they fight an infection, causing a sore throat and making it hard for your child to talk or swallow.

This condition, called tonsillitis, is common in children over age 2, and it can often be treated at home by drinking plenty of fluids, gargling with salt water, or using over-the-counter pain medicine. In some cases, though, a prescription for antibiotics may be required. And in other cases, especially if they continue to occur, surgical intervention may be needed.

Knowing the difference between when to go with a home remedy, a prescription medication, or when to have your child’s tonsils taken out can be hard. The team at Petoskey Ear, Nose and Throat Specialists can look at your child’s situation and give you guidance. Read on to learn the telltale signs that your child may need to have their tonsils removed.  

Five signs your child’s tonsils may need to be removed

While tonsillitis is uncomfortable, the majority of children fully recover within 7-10 days. Sometimes, however, at-home treatments or antibiotics aren’t enough, and your doctor may recommend a tonsillectomy, the surgical removal of the tonsils. Here are five telltale signs your child may need to have their tonsils removed:   

1. Your child has recurring, severe sore throats

If your child has frequent, recurring cases of strep throat or tonsillitis, your doctor may recommend removing your child’s tonsils. For tonsillitis, doctors usually look for at least seven cases in the past year and 5-6 cases in preceding years. For strep throat, doctors usually look for 4-5 cases in the past year and 6-7 cases in preceding years.  

2. Your child is experiencing long-lasting tonsillitis that doesn’t respond to antibiotics

It might be necessary to have your child’s tonsils removed if they don’t respond to traditional treatments or antibiotics. This is to prevent further complications from severely damaged tonsils. The team at Petoskey Ear, Nose and Throat Specialists will discuss your child’s symptoms with you to gather a full history before discussing a tonsillectomy.

3. Your child starts breathing through their mouth

Chronic tonsillitis causes enlarged tonsils, making your child feel like their nose is plugged. The result? Your child may start breathing through their mouth. This is frequently accompanied by noticeable mouth odor, another sign of infection.

4. Your child starts snoring or pauses breathing at night

When your child lies down at night, swollen tonsils can interfere with normal breathing. As a result, you might notice that your child starts snoring or even stops breathing for short periods during sleep, a condition known as sleep apnea. You might also notice that your child is more restless at night or begins bedwetting.

5. Your child has trouble focusing at school or during regular activities

Because chronic problems with tonsils can affect sleep, you might notice your child is more tired than normal even after going to bed and getting up at the same time. If your child suffers from chronic sore throats and is having a hard time concentrating at school, or is moody and easily frustrated, it could be time for their tonsils to go.  

How do I make the decision?

It’s challenging to know when your child needs to have their tonsils removed, so it’s important to seek medical advice from experienced ear, nose, and throat doctors. The team at Petoskey Ear, Nose and Throat Specialists will evaluate your child’s symptoms to identify the best treatment to ease your child’s pain.

If your child is showing signs that it may be time to get their tonsils removed, we can help. Book an appointment online or over the phone with Call Petoskey Ear, Nose and Throat Specialists today.

What to know about tonsil removal

The tonsils, which form a protective ring around the back of the mouth and nasal cavity, are part of the immune system. A tonsillectomy is a surgical procedure to remove the tonsils, which is sometimes necessary to treat an underlying illness.

The tonsils help catch germs, such as viruses and bacteria, and prevent them from entering the body through the nose and mouth.

There are three types of tonsil:

• Palatine tonsils, which are at the top of the throat.
• Adenoids or tonsilla pharyngealis, which sit in the nasal cavity.
• Lingual tonsil or tonsilla lingualis, which are in the throat below the palatine tonsils.

Tonsils change in size over time and are typically at their largest in children before becoming smaller in older teens and adults. Children are particularly susceptible to complications, such as breathing problems, when their tonsils grow too large.

A tonsillectomy typically removes the palatine tonsils. In this article, we explain the possible reasons for a tonsillectomy and discuss the procedure and recovery.

Share on PinterestTonsillectomies can help treat breathing problems.
Image credit: Welleschik, 2001

A tonsillectomy is a surgical procedure during which a surgeon removes the palatine tonsils from the top of a person’s throat.

For many years, doctors performed tonsillectomies as a treatment for chronic tonsillitis. More recently, they have started using tonsillectomies to help treat breathing problems, particularly in children.

For children and adults, the most likely reasons for needing a tonsillectomy include:

• recurring or chronic bacterial tonsillitis
• sleep apnea
• bothersome snoring
• breathing problems resulting from swollen or enlarged tonsils
• cancer
• bleeding on the tonsils

The practice of using tonsillectomies for treating chronic tonsillitis has declined in recent years because of a growing concern that it may cause more issues than it solves. Also, it does not help treat tonsillitis when a virus is responsible for the infection.

A 2018 study involving more than a million people looked at the long-term effects of having a tonsillectomy, an adenoidectomy, or both as a child. The study concluded that these surgeries were responsible for a two- to threefold increase in the number of diseases of the upper respiratory tract later in life.

Additionally, the researchers found that the tonsillectomy had little effect on the conditions that it was supposed to be treating.

Not all studies are equally negative. For example, a 2015 study concluded that adults who received a tonsillectomy saw an overall improvement in health and quality of life. However, this study was limited to fewer than 100 participants.

A person having a tonsillectomy should be able to go home on the same day as the procedure. However, they will still need to make some preparations ahead of time.

These will include not taking anti-inflammatory medications, such as ibuprofen, for up to 2 weeks before the procedure and fasting the night before it takes place.

A person should talk to their doctor about any other medications and vitamins that they are taking. They should also make arrangements for someone to drive them home and help take care of them for the rest of the day.

The procedure itself takes about 30 minutes. There are a few different ways to remove the tonsils, and the most common methods include:

• cutting the tonsils out using a scalpel
• using ultrasonic vibration to cut the tonsils away
• cauterizing the tonsils using heat

The person will receive general anesthesia before the procedure, which will ensure that they are asleep and do not feel any pain.

Shortly after the procedure, the person will wake up in a recovery room. Here, healthcare professionals will monitor the person’s vital signs, including their blood pressure and heart rate. Once the person is stable, they will send them home with a detailed care plan.

The person will need someone else, such as a friend or family member, to drive them home. They may also need assistance and monitoring for the rest of the day.

Doctors will typically prescribe or recommend pain medications based on the person’s needs. In addition to medication, the following may aid recovery:

• drinking plenty of fluids
• eating a bland diet consisting of foods that are easy to swallow, such as mashed bananas or applesauce
• resting as much as possible

Tonsillectomies are a common procedure, but they still carry certain risks. Some potential complications that could occur during or after a tonsillectomy include:

• reactions to the anesthetic
• bleeding at the surgical site
• swelling
• infection
• fever
• dehydration
• breathing problems

A tonsillectomy is a common procedure that doctors use to treat chronic infections of the tonsils or other complications, such as breathing issues or snoring.

The procedure is usually safe, but newer research suggests that tonsillectomies may have long-term, adverse effects on health.

Before agreeing to a tonsillectomy for themselves or a child, people should discuss any concerns with a doctor.

90,000 Chronic tonsillitis – disease of any age

Inflammatory processes in the throat are a big problem for both children and adults. About their most frequent cause – chronic inflammation of the palatine tonsils – says otorhinolaryngologist of the Consultative and Diagnostic Department of the City Clinical Hospital No. 52 Zhukov Grigory Aleksandrovich .

We understand the terms.

The most common cause of inflammation in the pharynx is precisely the inflammation of the tonsils, or glands (this is the same thing, in fact) – accumulations of lymphoid tissue in the pharynx.Tonsils are called these formations because of the external similarity with the kernels of the almond nut, and glands – because the tonsils in translation – “little acorn.” In Latin we call them tonsillae – hence the name of organ inflammation – tonsillitis.

Why are tonsils needed?

Palatine tonsils are organs of the immune system of the human body. They are involved in the formation of an immune response when pathogens of various infections enter the body. Normally, the infectious agent must enter the tonsils, where the cells of the immune system recognize it and develop reactions aimed at combating the causative agent of the infection.

Why does inflammation of the tonsils develop?

If the lymphoid tissue does not have time or is unable to neutralize the “enemy”, there is an inflammation of the tonsils themselves – tonsillitis. Chronic inflammation (chronic tonsillitis), as a rule, occurs as a result of the transferred sore throat, when a sluggish inflammatory process persists in the tonsils.

So, chronic tonsillitis is a protracted inflammatory process in the tissues of the tonsils. It can be in both children and adults.

What does a person feel?

Patients for a long time feel discomfort and sore throat, so-called “plugs” can cough up, there is an increase in temperature to subfebrile numbers, general weakness, which makes them see a doctor.

What does the doctor see during the examination?

When examining the pharynx, the doctor discovers edema and redness of the palatine arches, enlargement and redness of the tonsils, their tissue is loose, plugs form in the lacunae of the tonsils.Tonsil plugs represent an accumulation of substance in the lacunae of the tonsils. This substance is a mixture of dead cells and waste products of pathogenic bacteria. If the corks persist for a long time, salts are deposited in their structure, so they become hard. Stoppers can be multiple and single, differ in structure, size and color. Most often these are small yellowish blotches visible in the lacunae, however, the color can vary from gray to brown.

What can a doctor prescribe in case of exacerbation of chronic tonsillitis?

Complex treatment: medication (antibiotics), local (rinsing the throat with antiseptic solutions and irrigation sprays), as well as good old physiotherapeutic procedures, after the exacerbation subsides, you can wash the tonsil lacunae from the plugs (this is done by the ENT doctor).BUT: we do not advise you to self-medicate, especially you should not take antibiotics on your own. “Wrong” prescriptions can lead to the formation of resistance of the pathogen to the antibiotic, and in the future this drug will not be effective.

What is the danger of chronic tonsillitis?

The disease proceeds with periodic exacerbations in the form of tonsillitis. In a state of chronic inflammation, the tonsils are unable to do their job and become a focus of infection. The constant presence of infection in the body causes a decrease in immunity, and therefore a tendency to frequent respiratory diseases.And if joint pains, pains and interruptions in the work of the heart join, these are signs of serious complications. That is why chronic tonsillitis in advanced cases is an indication for the removal of palatine tonsils. The operation is performed only as directed by an ENT doctor.

Removal of tonsils: where and how?

The tonsillectomy operation requires hospitalization in an ENT hospital for several days. It is performed under local or general anesthesia. In our department, we remove tonsils with a surgical method – with a scalpel, a loop.

Since a rather large wound is formed as a result of the operation, which in some cases requires suturing, we can leave the patient under observation for up to 5 days – in the postoperative period there is a high risk of bleeding. Some restrictions will be required – such as diet (liquid non-hot food), no exertion for 3-4 weeks and bed rest.

What about ice cream after surgery?

This is a famous childhood story. You can dissolve pieces of food, you can eat ice cream, but the main thing is to take good care of yourself for some time after the operation and ideally – with attention and care in the future.

90,000 Do you need to remove tonsils in adults?

Tonsils, consisting of lymphoid tissue, are a defense that prevents allergies and the penetration of pathogenic viruses and bacteria into the body. In addition, the tonsils are involved in processes such as hematopoiesis and protein synthesis.

Why are the tonsils inflamed and the symptoms of tonsillitis

The development of the inflammatory process in the tonsils is facilitated by various pathogenic microorganisms that enter the body by airborne droplets.Also, angina can begin due to internal foci of any infection (caries, boils, sinusitis). The course of the disease is aggravated by exposure to factors such as dirty air, dust and smoke. Failure to consult a doctor in such cases can lead to the removal of tonsils in adults.

Angina is characterized by the following symptoms:

• hyperemia and sharp pain in the throat;
• increased temperature;
• Painful sensations while swallowing;
• aches appear, affecting the joints and muscles;
• general poor health is observed and appetite disappears;
• lymph nodes are enlarged;
• tonsils covered with a whitish coating.

The diagnosis is made by an ENT specialist, taking into account the initial examination and a number of tests.

Indications for tonsil removal in adults

Is it possible to remove tonsils in adults? Yes, the decision about the removal of tonsils in adults is made by the attending physician. Tonsillectomy is performed at:

• enlarged lymph nodes, if antibiotics do not help in treatment;
• regular exacerbations of tonsillitis;
• abscesses in the nasopharynx;
• recurrent pustular diseases of the skin and ears;
• Difficulty breathing and swallowing due to edema;
• infectious diseases affecting the kidneys and urinary tract, joints, heart;
• chronic sinusitis;
• ineffectiveness of conservative therapy;
• hoarse.

In general, the refusal of the operation to remove tonsils in adults in the above cases can lead to serious consequences.

Before the surgery, a comprehensive examination is carried out, during which the specialist in the field of otolaryngology makes the appropriate decision and also chooses the method of performing the operation.

Tonsillectomy can be performed using classical, laser, radio wave and ultrasound techniques. Surgery is performed using anesthesia.After the procedure, the patient should follow a home regimen, reduce physical activity and adjust his diet according to the recommendations of the attending specialist.

Advantages of tonsillectomy for an adult

Should you remove tonsils for adults? The operation has its advantages. Removing the tonsils allows you to get rid of the source of the infection, so that the patient is no longer regularly bothered by diseases that affect the respiratory system. In addition, the risk of such diseases as rheumatism, myocarditis, pyelonephritis and pathologies affecting the thyroid gland is reduced.Whether it is possible to remove the tonsils for adults, in the end, only the doctor decides, who weighs all the risks and benefits of the operation.

90,000 Is it necessary to remove adenoids and tonsils in an adult?

An ordinary person, who prevents snoring from getting enough sleep, cannot even think that this is due to overgrown palatine tonsils. It is even less accepted that hearing impairment in adults is the result of adenoid hypertrophy. According to , it cannot be otherwise, because many are sure that these diseases are characteristic only of children age.With the otorhinolaryngologist of the Medical Center for Diagnostics and Treatment Rimvydas Tolochka , we are in a hurry to debunk the myths rooted in society and find out whether adenoids , as well as tonsillas, which have a more common name – tonsils , can poison the life of an adult?

– People very often do not even realize how much these tonsils affect the health of already formed people. Hypertrophy of the adenoids and palatine tonsils is not an exclusively “childhood” disease, as many believe.

When talking about adenoids, such a vision of the issue is not surprising, because it was believed that by the age of 16, the adenoids, even if they were in childhood, disappear. However, adenoid tissue does not disappear anywhere and can grow at any age. The appearance of adenoids after puberty is an immune response. It occurs most often with a cold. When mucus drains into the nasopharynx, the pharyngeal tonsil reacts, the adenoids increase slightly. The runny nose passed in a week – well, if it dragged on, became chronic, or turned into sinusitis, then the adenoids have no choice but to increase in size.Therefore, everyone who has suffered sinusitis, suffers from a chronic or allergic rhinitis, I strongly recommend to see a doctor.

The myth that adenoids is an exclusively childhood disease has taken root, including due to poor diagnosis. Previously, in adults, they were detected less often, since until recently doctors had a very meager set of examination instruments. The part of the nasopharynx where the adenoids are located in adults is less accessible due to a different structure compared to children.Therefore, the problem went unnoticed. Not so long ago, new, endoscopic methods began to be used studies . The doctor inserts an endoscope tube into the nasal cavity and carefully examines the nasopharynx, so that he can make a more correct diagnosis. This is how adenoids were found in adults.

Fortunately, clinical manifestations of adenoid hypertrophy speak for themselves – it is a constantly stuffy nose, a feeling of lack of air, the patient often breathes through his mouth.Large adenoids lead to hearing loss. However, to confirm the diagnosis, you need to get to a high-level medical center, compare to the Medical Diagnostic and Treatment Center in Vilnius, where the doctor has quite expensive endoscopic equipment and can say with confidence: “Yes, these are adenoids, not a polyp, for example, or a tumor “.

Conservative treatment of adenoid hypertrophy is pointless. There are no medications or physical procedures that can reduce or prevent their occurrence.You can only get rid of them surgically.

There is no hope that the overgrown adenoids in an adult will disappear after some time, but they poison life in full, especially at night, when a person takes a horizontal position and blood rushes to the head, contributing to an increase in swelling. Often from this, snoring and apnea appear, which can provoke problems with blood pressure and heart, do not allow a person to fully rest, which causes feelings of fatigue, weakness, and headaches.

Not everything is so simple with glands. People are used to believing that if it hurts, becomes inflamed or edema occurs – there is a disease, it does not hurt or there are no visible changes – the tonsils are in order. When do we, otorhinolaryngologists, insist on surgery?

The tonsils are the organs of the immune system, composed of lymphoid tissue. All their functions in the human body are not completely clear, but the main role is to protect the body from pathogenic microflora and secreted toxins, and to create local immunity.An increase in the size of these lymphoid formations is more often detected in childhood, but the likelihood of the development of hypertrophic processes in adult patients cannot be ruled out.

The exact cause of the swelling of the palatine tonsils , as well as the adenoids, is not fully understood. Their increase is most often associated with chronic tonsillitis or with inflammation of the glands and their surrounding tissues. At the moment when the body cannot cope with an excessive load of infections, be it bacteria or viruses, and often their combination, the lymphoid tissue that permeates all these organs, unable to cope with the constant “attacks” of viruses and bacteria begins to increase in size.Sometimes secondary factors such as smoking and air pollution or dryness cause enlargement of the tonsils. Almost everyone can manifest such inflammations. However, this is more a problem of heredity and reduced immunity.

Hypertrophied tonsils are sometimes found by chance, with a simple preventive examination, while the patient may not feel pain at all, as with angina. Enlarged glands form irregular nasal breathing, which leads to a cascade of pathological changes: swelling and nasal congestion (vasomotor rhinitis), concomitant damage to the auditory tube, middle ear, drying out of the mucous membrane (due to breathing through the mouth).During sleep, snoring and apnea occur, which in turn affects the quality of life, as it interferes with proper rest.

Severe tonsil hypertrophy in adults is an indication for surgery . However, in medical practice, there are cases when the tonsils are not enlarged, but doctors also insist on their removal.

We receive such “requests”, for example, from cardiologists. The fact is that the tonsils, as organs of the immune system, produce antibodies in the fight against viruses and bacteria.Unfortunately, antibodies do not always correctly recognize the “enemy”, sometimes they attack the cells of their own body, it can be the heart muscle or, for example, joints.

Surgery to remove tonsils is an extreme measure, but it is simply necessary, including for chronic tonsillitis, when up to several dozen (usually about 30) types of microorganisms – fungi and bacteria, most often streptococcal strains – can be found in the tonsils. In chronic tonsillitis, inflamed tonsils are a breeding ground for infection.The waste products of microbes from the tonsils can enter the bloodstream, causing intoxication.

It is manifested by fatigue, pain in muscles and joints, headaches, decreased mood, low-grade fever. Recently, it was possible to prove the effect of chronic tonsillitis on reproductive function in women.

To determine if the tonsils are affected, at the Medical Diagnostic and Treatment Center we take a swab from the throat for culture – a bacterial analysis performed to identify the type of bacteria.Moreover, I advise you to carry out such an analysis more than once. Since it is quite difficult to grow a microbe in laboratory conditions, the first negative result cannot serve as a 100% guarantee of reliability in diagnosis.

The patient himself cannot decide whether to remove the tonsils and adenoids. Each situation requires a detailed scrupulous examination. To summarize my story, the main thing that influences the doctor’s decision is the presence of complications in hypertrophy, or the presence of a permanent focus of infection. Operations to remove the adenoids is called adenotomy, palatine tonsils – tonsillectomy. The technique of performing surgeries for adults does not differ from surgeries for children. They are performed under general anesthesia in order to avoid the effect of the patient’s “presence” at the operating table. The most reliable, in my opinion, is classical surgery. Currently, laser removal is also practiced, but I do not welcome this method, since it does not give the desired result – to get rid of the source of the infection forever. After operations to remove tonsils and adenoids, patients who follow all the recommendations of doctors recover quickly enough.

Despite modern, high-quality equipment, many people are afraid and try to postpone the operation indefinitely, probably hoping that it will “pass by itself.” Unfortunately, any chronic infection, like chronic tonsillitis, not only does not go away, but without treatment can lead to complications and a decrease in immunity.

After talking with the patient, it turns out that most often fear is fueled by another myth that after removal of the tonsils immunity will disappear.The palatine tonsils are included in the lymphoid-pharyngeal ring along with the sublingual and pharyngeal – only six tonsils. If we remove from this chain two of them, which are still changed and are themselves a source of infection, then the other tonsils are activated, take over their immunoprotective functions and compensate for everything. We explain in detail the consequences of the late removal of the affected palatine tonsils to everyone who, after the diagnosis is made, refuses to be operated on. For example, joint pain in such patients may only decrease, but not completely disappear.Most patients are sympathetic to all our recommendations and trust our experience and professionalism, thanks to which they quickly return to a full and healthy life.

For patients from Daugavpils, registration and information by phone
in Latvia: +371 271 81 895,
in Lithuania: +370 5 247 63 69,
+370 618 05 337
or by e-mail

90,000 What to do if your throat hurts?

Sore throat, sore throat, chronic tonsillitis – there is hardly a person who has not faced at least one of these problems

The same sore throat can give very formidable complications that can affect the state of the whole organism.

How to properly treat a sore throat? When should you agree to tonsil removal? Why does the throat dry out? These and other questions on the direct line of “Komsomolskaya Pravda” answered Candidate of Medical Sciences, Associate Professor of the Department of Ear, Throat and Nose Diseases of the Belarusian State Medical University Andrey Sakovich .

***
– Andrey Renardovich, two adopted daughters have been suffering from chronic tonsillitis for about three years. How is it treated?

– Did they pass the examinations?

– They are constantly monitored by the ENT, we carry out all its assignments.

– Was the result positive?

– For a very short time. And now summer has begun, and they endlessly have traffic jams, we have already learned and are squeezing them out ourselves. And if you do not squeeze out, the disease is delayed.

– You should not squeeze out, you will additionally injure the tonsils. But if children do not have complications in the kidneys, heart, joints, then their disease is more subject to conservative treatment. But it is necessary to select drugs, consult a doctor.If there are complications, tonsil removal may be considered. But for this you need to conduct a more detailed examination – blood and urine tests, ECG, smears, antistreptolysin.

– One girl sometimes has pain in her legs and knees.

– All the more so. If such problems appear, you can consider removing the tonsils. Otherwise, there may be big health problems in the future.

Andrey Sakovich

– I am 63 years old. At the age of 30, the tonsils were removed after frequent purulent sore throats.Time passed, and I began to have chronic pharyngolaryngitis. Can they cause joint diseases now?

– Usually pharyngitis does not have a direct strong connection with articular pathology. Tonsillitis – yes. But your tonsils were removed. After removal of the tonsils, pharyngitis does happen, but we are talking about the lesser of two evils. You can use oil drops or spray emollients such as Irish algae. Either absorbable tablets or antiseptic sprays for an exacerbation.

CHRONIC TONZILLITIS IS DANGEROUS WITH COMPLICATIONS

– The son is 30 years old. He has chronic tonsillitis, but he does not even go to the clinic to see a doctor, although his illness worsens ten times a year. And my heart is already aching. I heard that they are performing an operation with a laser to cut the tonsils.

– Tonsillitis requires examination in terms of the state of internal organs. It is necessary to do both an electrocardiogram and an ultrasound of the heart, if possible. Of course, take blood tests, urine tests and biochemical tests – antistreptolysin, rheumatoid factor and c-reactive protein.It is advisable to make a smear. Then you can make some kind of decision. As for the laser: I don’t see any particular advantages over traditional surgery. In general, there are different methods for removing tonsils. In the meantime, the examinations are not done, he should be treated conservatively.

– He has been gargling this throat all his life!

– If conservative treatment does not work, changes are detected in the analyzes, it makes sense to think about removal. Unfortunately, the tonsils, as a source of infection, cause complications on the heart, kidneys and joints – the three main “target organs”.

***

– I often get sores in my throat, then it starts to hurt. I rinse with calendula or soda solution. It passes. But after a few months they reappear.

– Did you go to the doctor?

– Yes, they say laryngitis.

– And what do they say about the ulcers?

– They didn’t say anything.

– Do you feel sick, do you have cold symptoms during this period?

– Yes, although there is no temperature.

– Do you have cracks in your mouth on your tongue? Do you have diabetes?

– No, but I have my thyroid removed and I am taking hormonal drugs.

– In such situations, you can additionally try to take drugs with lysozyme. You may be missing this enzyme in your saliva.

– The son is 16 years old. And every year from September to May, almost every month he has a sore throat. Diagnoses are different – either laryngitis or pharyngitis.

– But he was not diagnosed with chronic tonsillitis?

– No.

– 16 years – the age when the body of adolescents “does not keep pace” with growth. The throat is simply the site of infection most often. You need to consult not so much with the ENT, as with the pediatrician. Discuss off-season immunization.

– Is there a danger of such frequent throat problems?

– Theoretically, there is always danger. Each cold is a certain burden on the body, especially the growing one. Therefore, it is necessary to deal with the state of the body as a whole.

DRY THROAT CAN BE A SYMPTOM OF DIABETES

– What to do with dry throat? I have chronic tonsillitis.

– Don’t you have diabetes? After all, dryness is often the case with diabetes.

– No, it’s okay.

– Most likely, you need not only anti-inflammatory drugs, but inhalations with slightly alkaline mineral waters. Also, preparations with an antiseptic effect can be used, these can be aerosol forms, for example, with silver nanocolloid, Irish algae, propolis.Or absorbable tablets with the same propolis, herbs. Give it a try and see which drug works best for you.

Throat spray

***

– I am 70 years old and have been suffering from dry throat for almost a month. How can you help?

– If you don’t have diabetes …

– No.

– … it may be related to your age. The mucous membranes themselves become somewhat drier. In such a situation, it is enough to bury ordinary oil – olive, sunflower, oil solution of vitamin A.You just need to drip through the nose, pull it in so that they flow onto the back of the pharynx. And then do not drink or eat for about 20-30 minutes, so that the oily film remains on the mucous membrane.

***

– Recently I was ill, my throat was sore, but after the treatment prescribed by the doctor, everything went away. And now a dry cough has appeared and I feel a dry throat.

– Is there a fever, sputum?

– No temperature and sputum.

– To find the cause of the cough, of course, a general practitioner should listen to you.If necessary, take a chest X-ray, blood test. So sometimes bronchitis can occur. And to alleviate the condition of the throat, you can rinse and do inhalations. There are absorbable tablets, herbal aerosols, based on Irish algae. They have an enveloping, antiseptic effect. But the main thing is to consult a therapist to clarify if you have a process in the bronchi and lungs.

***

– Due to dry throat, I cannot sleep at night. I wake up, and the cough immediately chokes.

– Do you have diabetes and how old are you?

– I am 60 years old, I have never had diabetes, and now I donated blood after a sore throat, showed sugar 6.6.

– Dry throat is common with diabetes. I always advise you to check your blood for sugar several times, especially if the indicator is slightly higher than the upper limit. Perhaps your condition will require monitoring and treatment by an endocrinologist. One more clarification: do you suffer from osteochondrosis of the spine?

– I suffer very much, cervical spine.

– Possibly, osteochondrosis is “tight” in the upper cervical region, and this can cause dry throat. In this case, it will be good for you to instill oil drops through your nose. 2 – 3 drops – and suck in so that the oil flows down the back of the throat, you should feel the taste of oil in your mouth. It will soften your throat and ease the condition.

– ENT told me to use vitamins A and E in the morning and evening.

– Better to alternate them. Both vitamins are oil-based, they will soften and nourish the mucous membrane of the pharynx.

– My throat gets dry, even if I get tired while working. Until I take a sip of water, I can’t even breathe.

– There are enveloping preparations based on Irish algae extract that work well for these symptoms. You can also use homeopathic remedies. But first of all, you need to deal with your sugar. If this begins diabetes, then you need to see a specialist as soon as possible.

Komsomolskaya Pravda , June 6, 2016

90,000 Washing tonsil lacunae – prices in Moscow

Washing allows you to remove pathogens that cause inflammation from the lacunae of the tonsils.Lacunas are narrow and branched cavities in the body of the tonsils, designed to allow mucus containing pathogenic microorganisms to enter them. There, they are attacked by the cells of the primary immune response: neutrophils and macrophages. But if the immune system is weakened or there are too many foreign microorganisms, the infection wins, and inflammation begins – angina or chronic tonsillitis develops. A fairly common practice is to relieve exacerbations of the disease with antibiotics, but after a while this does not bring the expected result.And we can already talk about an operation to remove the tonsils. However, there is an alternative – washing the lacunae of the tonsils, which is one of the most effective therapeutic measures.

Indication

Unfortunately, with the help of washing the lacunae of the palatine tonsils, it is impossible to completely cure chronic tonsillitis. But it is possible to introduce a chronic process into a state of long-term remission – this is a condition when the symptoms significantly weaken or disappear altogether. This means that the operation will not be required.

Exacerbation of chronic tonsillitis is usually manifested by the following conditions:

• painful sensations in the cervical lymph nodes or they are enlarged, with sore throat;

• constant feeling of weakness.

If you have these symptoms, make an appointment with your doctor – perhaps it is vacuum flushing that will relieve you of these unpleasant sensations and help you live a full life again.

Contraindications

Washing the lacunae of the tonsils is not carried out if the body temperature is elevated, regardless of the reasons for this condition.

A relative contraindication to washing the tonsils is an increased gag reflex, which does not allow the manipulation to be fully carried out. In this case, your doctor will suggest that you do local anesthesia with anesthetic solutions. The patients themselves note that after 2-3 sessions of washing the lacunae, the gag reflex decreases, so it will be possible to refuse anesthetics.

How is the procedure carried out?

Washing the lacunae of the tonsils is carried out by an otolaryngologist. You can use a special syringe, but today otolaryngologists prefer to wash with the help of special equipment – the Tonsillor apparatus. “Tonsillor” uses three factors of influence at once – ultrasound, vacuum and medical solution. Washing the lacunae of the tonsils with the help of “Tonsillor” is also called vacuum washing of the tonsils. A special nozzle is applied to the amygdala, after which a drug is injected into the lacunae of the amygdala.The creation of a vacuum allows for deep drainage of the amygdala. Parallel exposure to ultrasound facilitates mucus removal and stimulates healing. The course of treatment consists of at least 5 procedures (optimally 7-10 procedures).

Advantages of the vacuum technique

The use of “Tonsillor” for the treatment of palatine tonsils instead of a syringe has the following advantages:

• the bactericidal effect is achieved with lower dosages of drugs;

• the doctor can precisely control the overlay of the apparatus, which makes it possible to treat all pathological foci of the tonsils;

• the procedure, for all its effectiveness, is quite gentle, the tissues are not injured, therefore, after washing, there is no feeling of discomfort when swallowing.

Recommendations

Washing the tonsils’ lacunae is the first step in treating a chronic infection. In addition to the procedure, we recommend following these tips:

• After eating, rinse your mouth with special antiseptic agents – the doctor will tell you which one is better to choose.

• During the course of vacuum washing of tonsil lacunae, try to exclude very solid foods from their diet.It can injure them and provoke the development of the inflammatory process.

• Try not to hypothermia, refrain from cold drinks and foods with low temperatures (such as ice cream).

• Support your immunity – walking in the fresh air, lots of vegetables and fruits in the diet, hardening, playing sports, vitamins will help activate the body’s defenses.

You can wash the lacunae of the tonsils in Moscow at the outpatient clinics of the Family Doctor network.By paying for the entire course at once, you get a discount on the last procedure. If you pay for three procedures, the discount for the last procedure will be 30%, if you pay for five – 50%. If you pay for a course of 10 procedures, the latter will be free for you. Below are the prices for the service.

You can make an appointment with a doctor using the form on the website and in your personal account, in the mobile application, by phone. The procedure is available in various branches of the network, choose a convenient one on the interactive map.

90,000 Five ENT appointments that you usually don’t need

Why do evidence-based ENT doctors not recommend cuckoo, tonsil lavage and flora swabs? Let’s figure it out together.

Washing of lacunae of palatine tonsils

Recommended by doctors for chronic tonsillitis, including for the prevention of exacerbations of the disease. It can be carried out with a syringe with a special attachment – a cannula or a vacuum method.

Palatine tonsils are accumulations of lymphoid tissue in the pharynx, crypts are an important anatomical feature of them. Crypts are branching depressions in the tonsils, due to which the area of ​​contact of lymphoid tissue with infectious agents increases and, as a result, the immune response is carried out faster.

Tonsilloliths are also formed in crypts – caseous plugs, which are dense formations consisting of desquamated epithelium and food debris. Usually, the plugs are small and are removed by themselves, for a person this process proceeds imperceptibly. In some cases, the plugs are retained in crypts, and when bacteria and leukocytes join them, they increase in size and become denser. The presence of tonsillolitis is associated with a feeling of discomfort in the throat, perspiration, reflex cough, and very rarely, only in 3% of cases, halitosis (bad breath).Among the normal microflora of crypts, anaerobes are distinguished separately, producing volatile sulfur compounds, it is because of them that the cork acquires a characteristic unpleasant odor.

It is believed that caseous plugs do not have a negative effect on health, which means they do not pose a danger. Only in Russia and the post-Soviet space, the detection of traffic jams is associated with the presence of chronic tonsillitis. In other countries, this disease is classified as persistent inflammation and swelling in the throat, accompanied by pain, in some cases requiring the appointment of systemic antibiotic therapy.

In our country, doctors usually recommend a course of washing, consisting of 5 procedures, which are carried out every other day or less often. This approach is based not on evidence of effectiveness, but on the preferences of a particular specialist, “his personal experience” and the desire of the patient. A wide variety of solutions are used for washing – from furacilin to systemic antibiotics and bacteriophages.

Foreign doctors offer patients to remove plugs on their own in a variety of ways.It has not been proven that course lavage of the tonsils reduces the incidence of tonsillolitis. If caseous plugs give a person severe discomfort, or he is worried about bad breath, it is suggested to discuss with the attending physician the possibility of tonsillectomy (removal of tonsils). Sometimes, alas, this is the only way to get rid of traffic jams. A single lavage of the tonsils is allowed to remove tonsillolitis (not during an exacerbation of chronic tonsillitis!), If they cause severe discomfort, including psychological, and the patient cannot do it on his own.

The therapeutic effect of washing the tonsils in the prevention of exacerbations of chronic tonsillitis has not been proven. There are also no clear recommendations determining the number of procedures.

It is important to know : washing the lacunae of the tonsils is not a therapeutic or prophylactic procedure.

“Cuckoo” or nasal lavage by the method of liquid transfer according to Proetz

The method developed by the American otorhinolaryngologist Arthur Proetz more than a century ago. For many years it has been used by ENT doctors for the treatment of acute diseases of the nose and paranasal sinuses.

Russian ENT doctors appoint a “cuckoo” for almost any complaints of patients, starting with acute rhinitis and sinusitis, ending with acute adenoiditis and eustachitis. Washing technique: the patient lies on his back (less often sits), an antiseptic solution is pumped into one half of the nose, from the other it is removed using a suction. During the procedure, he is asked to say the word “cuckoo” to reduce the likelihood of the solution getting into the throat and larynx (the soft palate rises, closing the nasopharynx).However, there is still a high risk of fluid entering the respiratory tract, especially in children who do not always understand what is required of them and behave anxiously.

Due to the creation of negative pressure in the nasal cavity, the “cuckoo” can be traumatic for the inflamed mucous membrane of the nasal cavity, and in the presence of severe swelling in the nose and nasopharynx – painful for the ears.

The use of “complex formulations” for rinsing is less preferred than saline.Antiseptics can further dry out the inflamed nasal mucosa. Adding antibiotics to the solution also does not give a therapeutic effect (in the “cuckoo” it is often an antibiotic of the reserve series dioxidine, its side effects are dangerous: experimental studies have shown that it has a mutagenic and damaging effect on the adrenal cortex). The addition of hormonal drugs such as dexamethasone or hydrocortisone is also not justified – there are more suitable hormones for use in the nasal cavity (mometasone, fluticasone, budesonide, etc.). If indicated, these sprays can be successfully used, while they have low bioavailability, that is, they act only in the nose, without exerting a systemic effect on the body and showing no significant side effects.

Positive pressure nasal lavage (Dolphin balloon, Neti Pot) has been proven to be more effective. These washes are especially effective for allergic rhinitis and chronic sinusitis.

Important to know : For acute bacterial sinusitis, it makes sense to discuss oral antibiotics alone.Neither topical antibiotics nor topical antiseptics are indicated, even as an adjunct to treatment.

Puncture of the maxillary sinus

Practically not used in modern otorhinolaryngology. In acute bacterial sinusitis, systemic antibacterial drugs of a wide spectrum of action are shown, which successfully cope with the bacterial process without punctures and “cuckoos”.

Punctures in the bacterial process in the maxillary sinuses are generally indicated if sowing of the sinus contents is needed – as a rule, if 1-2 courses of antibiotic therapy are ineffective.

Very rarely, such punctures are performed for diagnostic purposes, when it is not possible to perform radiography or computed tomography of the paranasal sinuses. Another indication is severe pain syndrome associated with the pressure of the contents on the walls of the sinus. In this case, the puncture is done once against the background of the main treatment. Several punctures are indicated only in the case of a persistent bacterial process with two or more courses of antibiotics, while there is no possibility of endoscopic surgical intervention in the sinuses.

Proven – sinus puncture does not speed up the healing process.

It is important to know : puncture, like any invasive method, can have complications, among them – trauma to the medial wall of the orbit, nasolacrimal canal, soft tissues of the cheek, nosebleeds.

Endolaryngeal infusion

Recommended for acute laryngitis, along with nebulizers, mucolytics and many others.

The cause of acute laryngitis in most cases is a viral infection.Therefore, the main treatment here is time. The use of antibiotics is not indicated even for mild bacterial infections in the larynx, which are much less common than viral infections.

With endolaryngeal infusion, the solution goes directly to the vocal folds at the time of phonation, which means there is a very high risk of getting it into the lower respiratory tract. In cases where the larynx is poorly visible and the technique of the procedure is not followed, the doctor pours the solution into the esophagus, the patient swallows it, there is no positive effect after the procedure, even temporary.At the same time, this “blind” infusion of the solution increases the risk of aspiration (inhalation).

For infusion into the larynx, antibiotics are used, which, when applied topically, do not have a bactericidal effect. Oil solutions can be used, the positive effect of which is easily replaced with a home humidifier and ventilation. The effect of the use of hormonal agents (dexamethasone or hydrocortisone) is very short-lived. At the same time, in emergency situations, for example, with singers before a concert, preference should be given to the systemic use of hormone therapy.The use of hormones leads to a rapid disappearance of inflammation of the vocal folds and an improvement in the quality of the voice, but one has to put up with the possible side effects of this group of drugs, therefore, in standard situations, the potential risk when using them outweighs the possible benefit.

Several studies have shown that the voice is restored at an equal time – with antibiotic treatment and with a placebo.

It is important to know : viral laryngitis usually lasts 7-10 days and goes away on its own.

Swabs for flora (from nose, pharynx, ears)

In the vast majority of cases, they are not necessary. For each disease, the most common pathogens are known, and empiric therapy does its job well.

Acute bacterial sinusitis . The material should be taken either directly from the sinus (during puncture) or from the middle nasal passage under the control of an endoscope. In this case, the tampon with which the fence is performed should not touch the surrounding structures.Sometimes it is difficult to carry out, especially in children, so the technique is disturbed, which leads to the entry of the “path” microflora into the material, and the true pathogen remains in the background.

Acute tonsillitis . Two studies are recommended. Streptotest is an express diagnosis for group A β-hemolytic streptococcus (GABHS). And, if it is negative, a smear from the pharynx directly on the GABHS. Only with GABHS-tonsillitis are there absolute indications for antibiotic therapy, because only in this case there is a risk of developing acute rheumatic fever, leading to formidable complications.

Exacerbation of chronic tonsillitis . In this case, the bacteria obtained in the culture from the surface of the tonsils do not correlate with those that are inside, which means that the crops “for flora” are also not informative for determining the tactics of treatment.

Acute otitis externa or otitis media . A smear is indicated in severe cases, ineffectiveness of the prescribed treatment after 48-72 hours, frequent recurrence of otitis media, immunodeficiency, and inflammation after ear surgery.

In the vast majority of cases, swabs for flora are not necessary.

It is important to know : bacteriological examination is indicated only in case of ineffectiveness of the basic treatment, complicated course of the disease, atypical clinical picture of the disease.

Removal of tonsils

Despite the opinion of some people that the tonsils are not needed at all, they are still quite an important organ in our body. For our body, tonsils are a kind of barrier that prevents various infections and viruses from entering our body, trying to penetrate by airborne droplets.Like any other organs, they are also prone to disease.

Despite the opinion of some people that the tonsils are not needed at all, they are still quite an important organ in our body. For our body, tonsils are a kind of barrier that prevents various infections and viruses from entering our body, trying to penetrate by airborne droplets. Like any other organs, they are also prone to disease.

Alas, in some cases it is still impossible to avoid the removal of tonsils, but it is worth remembering that such a procedure should be carried out only after being examined by an experienced specialist, whom you can find in our clinic.

Indications for the removal of tonsils

If earlier tonsils were easily removed surgically, now such measures are taken only in extreme methods. Experts advise removing the inflamed tonsils only in some cases:

• a sharp decrease in immunity not justified by other diseases;
• overlapping of the airways by the tonsils;
• the occurrence of purulent areas that directly affect the larynx;
• becomes chronic tonsillitis due to recurrent sore throats;

90,057 exacerbation of angina more than four times a year.

If you are worried about at least one of these symptoms or diseases, you can contact our specialist. You can find out more detailed information on the operation on the tonsils and the price of this service by calling the contact phone number.

Removal of tonsils in the clinic “Scandinavia”

Our clinic offers its clients the removal of tonsils and other diagnostic, cosmetic and medical services. In order to receive a service in our clinic, you just need to leave your application on our website, or contact us by contact phone 600-77-77.We are always glad to see you!

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