Tonsillitis, fever 39 degrees

Although tonsillitis will not cause fever, some people have tonsils and fever together. Because tonsils are susceptible to bacterial infection, the fever may worsen. Therefore, you should pay attention to tonsillitis and try not to undergo surgery. You can use medication for a period of time. If long-term medication has no effect and inflammation persists, you can go to the hospital for surgery.

Treatment

Drug treatment

Acute tonsillitis is contagious and should be isolated appropriately. Because this disease is mostly caused by streptococcal infection, the use of antibiotics and sulfonamides has a better therapeutic effect. Penicillin is the first choice antibiotic. Those who are allergic to penicillin can choose erythromycin, lincomycin, etc. People with high fever, headache and body aches can choose antipyretic and analgesic drugs such as aspirin. If the condition does not improve after 2-3 days of treatment, viral or other bacterial infection should be considered, and antiviral drugs, sensitive antibiotics or sulfonamides should be used instead. Adrenal cortical hormones such as prednisone and dexamethasone may be used as appropriate. In addition, you should pay attention to rest, have bowel movements, drink plenty of water, eat cold liquid food, and take appropriate amounts of antipyretic and analgesic drugs, mouthwashes, etc. Most patients can recover in about 1 week.

Acute suppurative tonsillitis: You can gargle with Dobel's solution once every 4 hours. Hot compress or ultrashort wave thermal therapy on both sides of the mandibular angle has an anti-inflammatory effect.

Surgery

There is no definitely effective conservative treatment for chronic tonsillitis, but some people have tried traditional Chinese medicine, local medication for the tonsils, freezing, physical therapy, etc. Tonsillectomy may also be performed. In the past, tonsillectomy was very common to prevent serious complications caused by tonsil lesions. In recent years, as people have come to realize that tonsils have immune functions, there has been controversy over whether tonsillectomy is beneficial. Therefore, the number of surgeries has decreased compared to before. There are also different opinions on surgical indications, surgical effects, and whether tonsillectomy will affect the body's immune function. According to recent studies, tonsils are involved in humoral immunity and cellular immunity, and can produce B lymphocytes that synthesize various immunoglobulins.

Therefore, some people believe that tonsillectomy can affect local immune function but has no effect on systemic immune function. Tonsillectomy may be performed in the following situations:

① Those with repeated acute attacks or a history of peritonsillar abscess;

②It may be the primary lesion that causes lesions in other parts of the body;

③Affect normal breathing or swallowing function. To prevent adverse effects on immune function, tonsillectomy is generally not performed before the age of 6. For those who have difficulty swallowing and breathing, one side of the tonsil can be removed to relieve the dysfunction. Surgery should not be performed if there is a bleeding tendency, surgery during the active stage of the secondary disease may cause the secondary disease to worsen, or the patient's health condition does not allow it.

There are two main methods of tonsillectomy: dissection and compression. The stripping method causes little damage to surrounding tissues and can be applied to various situations, so it is adopted by most doctors. The biggest advantage of the squeezing and cutting method is that it is fast and the operation can be completed in 1 to 2 minutes. However, it is not suitable for those with many adhesions, a history of peritonsillar abscess, or possible vascular abnormalities. Tonsillectomy itself may also cause complications, such as postoperative bleeding, infection, local injury, etc. In a few cases, dry throat and compensatory hyperplasia of pharyngeal lymphoid tissue may occur after surgery.

The effectiveness of surgery is related to whether the indications are appropriate, the quality of the surgical operation, and the patient's physiological and psychological state. As for the disease itself, it has a definite therapeutic effect on repeated acute attacks, enlarged tonsils that affect normal physiological functions, peritonsillar abscesses and benign tonsil tumors. For patients with concurrent systemic diseases such as nephritis, rheumatism, low-grade fever, etc., there are different opinions on the efficacy of the medicine. Tonsillectomy only removes a possible cause of the disease. It has no effect on organic lesions in other parts of the body and cannot affect other pathogenic factors.