What drugs are used to treat tonsillitis

Sore throat / tonsillitis (angina)

Tried and tested home remedies often help with a mild sore throat without any further symptoms. If you take a sweat and rest cure and take vitamin C at the first signs of a sore throat and the typical feeling of weakness and "internal shivering", you can sometimes still stop the invasion of the virus. If that doesn't help any more: Go to bed, put a scarf around your neck and drink a lot, this really flushes out the virus pathogens and keeps the mucous membranes moist.

Treating a sore throat is not easy: the inflammation mainly takes place in the deeper layers of the mucous membrane, and the active ingredients in the numerous lozenges or gargle solutions that are on the market hardly get there. The effectiveness of these remedies is difficult to prove, with some (e.g. antibiotic-containing and topical anesthetics) the risk of possible side effects outweighs the risk. Antiseptics (e.g. chlorhexidine) hardly help against viruses, the most common causes of sore throats.

This helps: sweets Suck (preferably without sugar, salt lozenges), this stimulates the flow of saliva and briefly relieves the discomfort. Steam inhalations and high humidity in the room from wet towels also prevent the mucous membranes from drying out. Also drink plenty of liquid in small sips (e.g. sage tea). Also: breathe through your nose. Paracetamol helps against pain and fever.

Acetylsalicylic acid (ASA) should not be used in children because of the risk of Reye's syndrome (only in exceptional cases, if directed by a doctor).

Natural and home remedies

  • Milk with honey takes away the unpleasant irritation in the throat, but should only be drunk in moderation because of its mucous effect. Honey milk with onion works even better: finely chop a small onion, let it boil gently for five minutes together with a cup of milk, let everything cool down to drinking temperature, only then strain and add a teaspoon of honey. The milk can also be replaced with water. Lemon juice with honey also works very well. Drink everything in small sips.
  • The effectiveness of natural gargle solutions has not been proven either, but at least they don't do any harm. An exception is purulent tonsillitis: Here, the bacteria could get into the bloodstream through the mechanical effect of gargling. Otherwise gargle for one to two hours with sage infusion, sage and chamomile tea, lemon or salt water, or rattan or myrrh tincture.
  • Cold or warm neck compresses (depending on how the child feels) can help with sore throats; various additives increase the effect. The most important rule when changing diapers: they must never be uncomfortable! After applying the wrap, the patient has to go to a warm bed. It makes sense to wear a cold neck wrap at the front of the neck and drink a hot liquid at the same time.
  • Russian home remedies for older children: Put one tablespoon of horseradish, one teaspoon of honey, one teaspoon of cloves in a glass of warm water, stir well, drink the mixture in small sips, stir in between. Do not drink the cloves.

Administration of antibiotics

  • In the case of angina, a decision must be made about the need for antibiotic administration. A rapid test for ß-hemolytic streptococci is useful for this.
  • In the case of a peritonsillar abscess (the inflammation has spread beyond the tonsils), antibiotic administration should always be considered.
  • After purulent angina has been treated with antibiotics, appropriate follow-up checks are useful to identify a developing rheumatic or heart or kidney disease.
  • In the case of recurrent or chronic disease, surgical removal of the tonsils must be discussed.

Surgical removal of the tonsils

Surgical tonsil removal can be useful or is useful if purulent tonsillitis, which had to be treated with antibiotics, has occurred in the last twelve months

  • occurred between three and five times and in the next six months there was another purulent tonsillitis (in one and a half years a total of 6 purulent tonsillitis).
  • occurred six or more times.

Tonsillectomy and tonsillotomy

The tonsillotomy (partial removal of the tonsils) is characterized by a lower postoperative complication rate compared to tonsillectomy (total removal of the tonsils). This procedure can be used successfully for extremely enlarged tonsils with swallowing and sleeping disorders.

None of these decisions can be made schematically. The doctor will take into account the clinical condition and age of the child, the security of continuous care (weekend) even in the event of an unpredictable course, the reliability of the caregivers and much more.