Tonsillitis: Causes, Symptoms and Treatment

Tonsils are fascinating organs that play a critical role in our body's defense system. They are part of the lymphatic system, which is responsible for protecting our body from pathogens. Tonsils are strategically located at the gateway of our respiratory and digestive tracts, ready to combat any invaders. This post will delve into the details of tonsil anatomy, their functions, and common pathologies.

Causes

Tonsillitis is an inflammatory process that affects the tonsils and possibly the surrounding tissues. It is a frequent pathological condition, especially in children. As we age, our bodies' defense system develops and strengthens, reducing the importance of the tonsils and leading to their progressive atrophy.

The majority of tonsillitis cases are due to an infection, most commonly viral, but sometimes bacterial. The tonsils are easily exposed to pathogenic microorganisms, making them susceptible to frequent inflammatory processes.

Bacterial Tonsillitis

The bacterium most commonly associated with tonsillitis is group A beta-hemolytic Streptococcus. This pathogen is widespread and often present asymptomatically in a significant number of children. When the body is weakened or respiratory tract infections are ongoing, Streptococcus multiplies, causing high fever, chills, bad breath, swelling, difficulty swallowing, and whitish plaques in the throat. If not correctly treated, this bacterium can cause considerable complications. Therefore, while most cases can be managed with over-the-counter drugs, bacterial tonsillitis may require antibiotics.

Viral Tonsillitis

Viral tonsillitis is most commonly caused by adenoviruses and rhinoviruses, which are responsible for the majority of common colds. In some instances, the Epstein Barr virus, which causes mononucleosis, can also lead to tonsillitis. Viral tonsillitis presents with a red throat, swollen lymph glands, and some fever. Typically, the disease resolves spontaneously.

Symptoms

Tonsillitis presents with symptoms such as swelling, redness, a sore throat, and pain when swallowing. It is also common for patients to experience general malaise, fever, swelling of the lymph nodes in the neck, ear pain, bad breath, and suppuration, which is the formation of plaques in the throat. In severe cases where swollen tonsils cause respiratory limitations or recurrent infections that are resistant to medical treatment, tonsillectomy, or the surgical removal of the tonsils, may be recommended.

Diagnosis

Diagnosing tonsillitis involves a complete inspection of the upper airways and digestive tracts. The doctor also determines the pathogens involved in the disorder. A throat swab can be used to distinguish between viral and bacterial tonsillitis.

Treatment

The treatment for tonsillitis varies based on its cause. For bacterial infections, antibiotics are usually prescribed. In contrast, viral tonsillitis typically resolves spontaneously within 7-10 days, and the treatment is focused on mitigating the symptoms.

Prevention measures include abstaining from smoking, avoiding direct exposure to exhaust gases, maintaining proper home humidification, and practicing frequent hand washing. To prevent the spread of the disease, it is important to isolate the patient and avoid the shared use of glasses, cutlery, and handkerchiefs.

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The Wellyme Team

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