Tonsils located in the throat are natural dampers preventing the entry of pathogens into the respiratory system. Increasing the load on the tonsils leads to the accumulation of dead immune cells on them, causing inflammation. In most cases, this is exactly what indicates the onset of tonsillitis.
More often this disease is called an angina, dividing it into groups similar in type of infection, symptomatology and extent of spread.
Angina pathogens are streptococci, spirochetes, staphylococci, fungi and viruses.
Catarrhal angina ICD code 10
The Latin word cattarus in translation means inflammation of the mucous membrane. A feature of catarrhal diseases is that the process affects only mucous membranes, without affecting deeper tissues.
Another name for this quinsy is erythematous, where the Greek word erythema( redness) characterizes the main symptom of this disease. In the international classification of diseases is the serial number J03.
Because of superficial damage and the absence of festering plugs on the tonsils, the danger of this particular type of angina is often underestimated. The disease is less acute than other species, but with the wrong treatment, it is characterized by serious complications and overgrowth into a chronic form.
Tonsils in normal condition and in inflamed
Causes of
The main cause of infections is a decrease in immunity, so the disease can often hit in the autumn-winter period, when the body is prone to vitamin deficiency, hypothermia and temperature drop.
Aggravating factors, risk group
All the factors that worsen the body's resistance, should be regarded as provoking circumstances for the development of angina. These include:
- Pathologies of the immune system.
- Weakened body after the disease.
- Hypovitaminosis( lack of vitamins).
- Unbalanced power supply.
- Sleep mode violation.
- Stress.
- Overstrain.
- Lack of fresh air.
- Harmful habits.
Symptoms and signs
In children
- There may be an increase in temperature, which is difficult to knock down.
- Redness, edema of the tonsils.
- Pain, swelling in the throat.
- Lack of appetite. Fussiness, frequent crying.
- Abundant saliva separation.
- Weakness, drowsiness.
- Very high temperature may cause seizures.
- Increased and painful lymph nodes in the throat.
- The poisoning of the body by the degradation products of immune and pathogenic cells, which can cause vomiting and diarrhea.
In adults
- In the first days the temperature rises.
- A characteristic weakness in the body.
- Depression of the tonsils.
- Possible heaviness in the head or ear pain.
- The swallowing process is hampered by painful sensations.
- The pulse rate increases.
- Subsequently, a cough may appear.
Inflamed tonsils during catarrhal angina
Diagnosis
Catarrhal angina may be just the first stage of heavier forms, so diagnosis should be done carefully. The doctor first focuses on the patient's complaints.
It is important for a specialist to establish the prescription of symptoms, the nature of the pain, the highest possible temperature of the patient. Even abdominal pain can be one of the manifestations of infection.
After initial examination of the throat, listening to the heart, lungs and palpation of the lymph nodes, the doctor directs the patient to the following diagnoses for an accurate diagnosis:
- Blood test.
- A swab from the throat to identify the pathogen.
- Pharyngoscopy( method of careful visual examination using a guttural mirror).
Initially, a therapist treats angina. In the case of recurrences and complications of
, the treatment plan is already made up of specialists of a more narrow profile, focusing on recording the medical history.
In the photo types of angina
Treatment
General recommendations:
- Bed rest.
- Exclude from the menu of sweets.
- Drinking lots of liquids( natural juices, fruit drinks, pure water).
- Mandatory refusal of alcohol and nicotine.
- Isolation of the patient from healthy people, especially from children.
If the treatment is carried out at home, and there is no way to stop contact with the patient, all hygienic and preventive measures should be taken to protect healthy people from infection( use of personal utensils, regular airing of the dwelling, wearing gauze dressings, treatment of household items used by the infected).
Medication
- Regular rinsing of the throat with disinfectant solutions.(Furacilin, Iodinol, soda, salt).
- Inhalations with calendula, chamomile and sage.
- Contraindications.
- Drugs that lower the temperature( paracetamol, aspirin).
- Immune preparations( Immunal, Echinacea and preparations based on it).
- Vitamins.
- Compresses for lymph nodes.
- Antibiotics( Biseptolum, Sumamed, Azithromycin, Amoxiclav).
Popular drugs for the treatment of catarrhal
Folk remedies
As an additional therapy to combat inflammation of the throat, rinses based on natural components are often used. They are effective, but you can not neglect medication.
- A little vinegar is added to the beet juice( 200 ml of juice - 20 ml). The resulting mixture is used to rinse the throat 6 times a day.
- Broth from elderberry also reduces inflammation during rinsing.
- Propolis is the most effective remedy in the fight against angina. You can either just chew a piece of propolis, or use a sprays based on it to treat the throat.
- Effectively rinse your mouth with citric acid or chew lemon along with the peel.
- Inhalation for breathing with garlic or onion juice has a good antibacterial effect.
A simple and effective way to treat bluetongue with hydrogen peroxide:
Features of treatment for pregnancy
Factors complicating treatment:
- Limited drugs allowed for pregnant women.
- Many risks for the development of the child when taking antibiotics.
- Hormonal failures, weakening immunity.
- Threat of miscarriage or fetal fading due to intoxication.
Effects of angina are dangerous in any period of bearing a child, and treatment with many folk remedies in the early stages is generally not recommended. Extremely dangerous hot foot baths, as they can cause a tonic uterus.
Of antipyretics, paracetamol is allowed, but aspirin is prohibited. It can provoke bleeding and placental abruption.
Throat rinses are permitted, but it is dangerous to use multi-part herbal preparations, as the risk of allergy increases.
Timely treatment started and strict medical control is the key to successful treatment of tonsillitis during pregnancy.
Physiotherapy
With prolonged treatment after the abatement of acute processes, specialists in some cases can prescribe a course of physiotherapeutic treatment:
- Warming.
- Irradiation of the tonsils with ultraviolet light.
- Electrophoresis.
- Laser treatment.
- Light therapy.
- Magnetotherapy.
With a slight course of catarrhal sinusitis, physiotherapy is rare.
In our video, Dr. Komarovsky describes the treatment of sore throat in children:
Possible complications of
- The pharyngeal abscess( inflammation of the pharyngeal space with purulent formations) requires surgical treatment.
- Tracheobronchial and laryngeal formation( more common in children).
- Nephritis of the kidneys.
- Refusal of antibiotics can lead to rheumatoid arthritis and pericarditis.
- Endocarditis( inflammation of the cardiac membrane).
- Appendicitis.
- Infection of the blood.
- Otitis.
In case of complication of angina, the load is first of all placed on the kidneys and on the heart.
Prevention and precautions for communicating with a patient
- Prevention of the formation of focal infections.(caries, rhinitis, gum disease).
- Regular washing of the nose with saline solutions, especially during the seasonal spread of viral and infectious diseases. Body hardening, exercise.
- Full rest and vitamin nutrition.
- Avoiding contact with an infected human sore.
Wearing gauze bandage partially protects surrounding people from infection, but not 100%.Washing your hands, using personal utensils, putting special ointments in your nose, regular ventilation and a wet house cleaning will reduce the likelihood of similar symptoms occurring in relatives living next door.
Forecast
Catarrhal tonsillitis is easy to cure, but it often occurs in acute form and can cause a large number of complications. Therefore, it is extremely important at the first manifestations of this disease to begin drug therapy, taking into account all the doctor's recommendations.
The probability of complications is primarily affected by the state of the immune system. It is also necessary to take into account the accompanying diseases and age characteristics of the organism. In this case, what is dangerous for an adult, for a child is doubly dangerous, so self-treatment of children is strictly contraindicated.
Only a qualified and systematic approach to fighting the disease will help in a short time to get good results. Modern means allow to cure catarrhal tonsillitis for a week.