Fact 7: Treatment – Tonsillectomy and Other Options
The treatment of tonsillitis depends on whether the infection is viral or bacterial. Understanding the cause is crucial for effective management. In most cases of viral tonsillitis, treatment is supportive, focusing on relieving symptoms until the body’s immune system clears the infection. This includes rest, hydration, throat lozenges, and over-the-counter pain relievers like acetaminophen or ibuprofen. Antibiotics are ineffective against viruses and are therefore not used in these cases.
When tonsillitis is caused by a bacterial infection, such as streptococcus, antibiotics are prescribed. Penicillin or amoxicillin is often the first choice, with alternatives available for those allergic to penicillin. Completing the full course of antibiotics is crucial to prevent the recurrence of infection and reduce the risk of complications. Patients usually start feeling better within a few days of starting antibiotics, but it’s important to continue the medication as prescribed.
Regardless of the cause, managing pain and other symptoms is a key part of treating tonsillitis. Warm saline gargles, throat sprays, and soothing foods like broths or cold desserts can provide relief. Staying hydrated is essential, but patients should avoid irritants like smoking and excessively hot or spicy foods.
Tonsillectomy, the surgical removal of the tonsils, is considered in chronic or recurrent cases of tonsillitis, or when tonsillitis leads to severe complications such as breathing difficulties or obstructive sleep apnea. The decision for surgery takes into account the frequency and severity of episodes, the impact on the patient’s quality of life, and the response to other treatments. While tonsillectomy is more common in children, it is also performed in adults under certain conditions.
Recovery from tonsillectomy usually involves a period of rest and a specific diet to soothe the throat. Pain management post-surgery is crucial, and patients are advised to consume plenty of fluids and eat soft, bland foods. Full recovery can take up to two weeks, during which time patients should avoid strenuous activities. Regular follow-up appointments are important to ensure proper healing and to address any complications that may arise. (7)
