Angina can cause any microorganisms that make up the conditionally pathogenic flora of the mouth. Classification of inflammatory processes in the throat is very arbitrary. These pathologies are classified according to the type of infection and stage of the lesion, but mixed forms of the disease often arise, which makes it difficult to diagnose and treat this ailment.
Without laboratory studies, it is sometimes almost impossible to establish the cause of angina and take timely measures to eliminate it, so independent diagnosis and further irrational treatment in most cases lead to serious complications.
Larynx angina
The causative agents of angina are mainly streptococci, all kinds of fungi and viruses. The disease can be limited to cold symptoms or take more severe forms, up to the need for surgical interventions. Such inflammation of the oropharynx, like laryngitis and pharyngitis, occur most often, but there are also atypical forms.
It is these pathologies that include guttural angina. In its essence, this inflammation of the tissues of the oropharynx, located in the laryngeal ventricles. Lymphatic follicles on the inner surface of the larynx are also affected.
Larynx angina causes more extensive pathological processes than the usual colds of the throat, and the infection itself can be of a mixed infectious nature.
On the photo difference of viral and bacterial angina
Causes of the disease
- Bacterial infection( streptococci, pneumococci, staphylococci).
- Complication of SARS.
- Chronic ENT diseases. Injuries of the oropharynx.
Types
- Easy degree( slight edema of the mucosa and part of the lymphoid tissue).
- Medium degree( severe swelling, damage to deep layers of muscles and cartilage).
- Severe degree( suppuration, the appearance of phlegmon and abscesses).
What is angina and how to deal with the disease, see in our video:
Provoking Factors, Risk Group
Provoke inflammatory reactions in the throat capable of:
- Subcooling.
- Presence of caries or gum disease.
- Weak immunity.
- Allergies.
- Contaminated air.
- The period after a long illness.
- Smoking.
- Strong stress.
Symptoms and signs of sore throat
In adults
- Sore throat.
- Slowness of voice.
- Increased body temperature.
- Increased pulse.
- General weakness.
- Tenderness and swelling of the submaxillary lymph nodes.
- Laryngeal edema.
- Cough.
- Nausea.
- Runny nose.
- Pain in the ears.
These symptoms may appear only partially, it depends on the degree of infection and the type of infection. Bacterial infections, in contrast to viral infections, cause purulent processes in the oropharynx, there are cases of concurrent fungal infection.
In children
The mild degree of guttural angina can occur in mild form, without raising the temperature, and then it is possible to treat the child at home. However, it should be understood that in childhood, the consequences can be significantly more dangerous, therefore constant medical supervision is necessary.
With a significant increase in temperature, you must call an ambulance and take the child to the hospital.
To the above symptoms may be added:
- Gastrointestinal disorders.
- Complete lack of appetite.
- Allergic rash.
- Symptoms of stomatitis.
- Conjunctivitis.
Diagnostics
At the first examination, the physician should describe the symptoms and the prescription of their appearance.
It is important to list recent and chronic ailments, if any.
The antibiotics used in recent times also need to be listed.
After analyzing the patient's complaints, the doctor carefully examines the throat( using pharyngoscopy), probes the submaxillary lymph nodes and directs the patient to the following examinations:
- General blood test.
- Urinalysis.
- A swab from the throat( identification of the pathogen).
- Antibioticogram.
In complicated cases, additional procedures are possible:
- ECG.
- X-ray of the joints.
- Ultrasound of the abdominal cavity.
Video demonstration of pharyngoscopy of the pharynx in the diagnosis of guttural sore throat:
Treatment of
The gyratory throat is treated either at home or in the ENT department. An average and severe degree of illness can cause severe edema and provoke suffocation, so their treatment is performed in the hospital. With streptococcal infection, the patient is placed in the infectious department.
The patient needs:
- Bed rest.
- Vitaminized food( heavy food should be excluded).
- Abundant drink.
- Failure during therapy for bad habits.
Medication
Medication therapy may include the following:
- Antibiotics intramuscularly( a series of penicillins, cephalosporins or macrolides).
- Strengthens the action of antimicrobial drugs sulfanilamides. They are also administered intramuscularly.
- Antihistamines.
- With strong edema, diuretics are prescribed.
- Antipyretic and anti-inflammatory drugs.
- Vitamin complexes are selected according to age, but the emphasis is on vitamins C and B.
- For local treatment, alkaline inhalations, throat sprays are used.
- Sometimes a new cancer blockade is used to relieve severe pain symptoms.
- Immunomodulators improve the natural resistance of the body.
Folk remedies
The choice of folk recipes for rinsing the sore throat is quite diverse:
- Eucalyptus herb broth. Potato or beet juice.
- Apple cider vinegar( one teaspoon of vinegar per 250 ml of water).Garlic infusion( two cloves of garlic in a glass of boiling water).
- Honey mix( a glass of water - three teaspoons of honey).Hot boiling water does not pour honey, while its useful qualities are lost.
Inhalations:
- Anise and eucalyptus oil, in equal proportions added to hot water.
- A decoction of a mixture of sage, pure potato peelings and thyme with the addition of a few drops of cedar oil.
- Infusion of pine buds.
- Collection of oregano, thyme, calendula and chamomile flowers.
- Onion juice with the addition of sodium chloride solution( 1: 2).
- Balm "Star", in a small amount added to hot water, has anti-inflammatory effect.
All of the above rinses and inhalations are effective if the application is regular. The more often the frequency of the procedures, the better and faster will be the anti-inflammatory effect. The interval should not exceed 2 - 3 hours.
Physiotherapy
Complex treatment gives faster and more effective results. After acute symptoms the doctor can prescribe the course of the following procedures:
- Electrophoresis.
- Magnetotherapy.
- Irradiation of the oropharynx by ultraviolet.
- Laser treatment.
Pregnant women physiotherapy is contraindicated.
How to treat sore throat, see in our video:
Features of treatment during pregnancy
The presence of pregnancy always increases the risk of complications. Gormor tonsillitis is very dangerous for a future mother and her baby, but a timely and correctly selected course of therapy reduces the risk of undesirable consequences to a minimum.
There may be an increase in allergic reactions, which makes it difficult to diagnose and select therapeutic agents.
- Currently, there are antimicrobial drugs that are approved for use by pregnant women. It is on them that the doctor first of all is guided by the choice of treatment.
- The emphasis is usually on regular throat rinsing and local-action antibiotics.
- Antipyretic drugs are based on paracetamol. Aspirin during pregnancy is strictly contraindicated. Its use provokes a risk of bleeding.
- Even with a complete lack of appetite, you need to eat regularly. It is better to eat in small portions, but as often as possible. Food with angina is easier to take in grinded or chopped form.
- Thermal procedures are prohibited.
It is important to strictly follow the doctor's instructions. Laryngeal tonsillitis is treated during pregnancy only in a hospital.
Possible complications than dangerous disease
In advanced stages, the disease can cause damage to deep tissues, and the infection can spread to other organs, causing a number of serious
complications:
- Perichondritis.
- of the phlegmon of the neck.
- Abscesses.
- Stenosis of the larynx.
- Asphyxiation.
- Purulent lymphadenitis.
- Infection of the blood.
- Myocarditis.
- Pyelonephritis.
- Rheumatism.
What is dangerous for angina, says the doctor:
Prevention and precautions when communicating with a patient
Preventing the development of the disease will help prevent the following preventive actions:
- Vaccination during the cold-virus epidemics.
- Visit to planned medical examinations.
- Avoidance of extensive caries.
- Regular oral hygiene.
- Strengthening of immunity.
In case of contact with a sick person, you should:
- Wear a gauze bandage.
- Exclude the use of personal belongings of the patient.
- Carry out prophylactic rinses of the throat.
- Cleaning in the room where the patient is located is performed daily, with the use of disinfectants.
Prophylaxis of the disease
Forecast
Viral forms of the laryngeal tonsillitis are cured within two weeks. Bacterial infections occur in a more acute form, but also successfully respond to treatment. Running stages, as a rule, always cause complications and therapy can drag on for months.
The greatest danger in self-treatment is asphyxiation. A person without medical assistance can simply suffocate, so it is extremely important to turn to a specialist in time.