Tonsillitis, which occurs in an acute form, is one of the most common pathologies in the field of otolaryngology. The cause of development lies in the frequent acute inflammation of the tonsils, resulting in the creation of optimal conditions for the transition of the disease to the chronic stage.
Most often, of course, pathology affects children, but adult patients often seek help from a doctor. The danger of chronic tonsillitis is that it can be of a hidden nature and cause a number of complications.
Contents
- 1 Symptoms and symptoms
- 2 Symptoms of different types of diseases
- 3 Diagnosis
- 4 Risk factors
Symptoms and signs
If to consider the general manifestations of tonsillitis occurring in chronic form, then they can include:
- pain in the throat, which are permanent;
- pain syndrome in the glands;
- edema in the nasopharynx;
- presence of stoppers in the throat;
- inflammation in the throat that occurs on food and cold water;
- high temperature may not decrease for a long time;
- bad breath;
- general malaise.
In addition, the characteristic symptom of tonsillitis remains pain, which assumes a pulling character, and aching joints. Under certain conditions, tonsillitis can be manifested by shortness of breath.
Symptoms of different types of the disease
If we talk about a simple form of chronic tonsillitis, then it is accompanied by minor symptoms. An adult patient may experience the following clinical picture:
- The presence of a foreign body when swallowing;
- pain, stabbing character, in the throat;
- bad breath;
- temperature rise;
- inflamed and enlarged in the size of the tonsils.
Since the chronic form of tonsillitis can occur in two stages - remission and exacerbation. So, the presented symptoms should be attributed to the stage of exacerbation. But for remission all of them are either weakly expressed, or completely absent.
Chronic tonsillitis accompanied by a prolonged period of recovery. It is characterized by malaise, fatigue, weakness and a slight rise in temperature.
The chronic form of inflammation can be of two kinds depending on what influenced its development - bacteria or viruses.
On video-chronic tonsillitis in adults:
The following clinical picture is typical for viral tonsillitis:
- a rare rise in temperature indices up to 39-40 degrees;
- symptoms of general poisoning: weakness in muscles, joint pain, dizziness, dyspeptic manifestations;
- visual enlargement of the tonsils;
- edema of the mucous nasal cavity, resulting in the formation of mucus is seen with great intensity;
- enhanced tearing, which is allergic.
With viral sore throat, standard antibacterial treatment will not be effective, and all manifestations of pathology will take place in 7 days.
If this did not happen, then it means that there is a connection of a secondary bacterial infection. This is due to weakened immunity.
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To manifestations of bacterial tonsillitis should be attributed:
- on the outer surface of the tongue formed a distinctive touch of gray hue;
- inflammatory process affects the mucous membrane of the oropharynx and the tongue, as a result of which they blush;
- lymph nodes, centered on the posterior surface of the pharynx, increase in size;
- in the lacunae of the tissue of the tonsils are formed corks with purulent contents;
- temperature values rise to 38 degrees or higher;
- halitosis, which is the result of the multiplication of putrefactive bacteria.
On the video signs of chronic tonsillitis in adults:
Tonsillitis in adult acute forms can be of several types taking into account the appearance of the tonsils:
- follicular - lymphoid tissue is affected by small formations;
- lacunary - numerous films are formed on the surface of the tonsils;
- diphtheria - films of a gray-yellow shade appear.
In adult patients, the clinical picture rarely appears on the background of a fungal infection. As a rule, such an ailment is formed due to immunodeficiency. For fungal inflammation the following manifestations are characteristic:
- absence of common manifestations of poisoning;
- appears on the surface of the glands and mucous membrane of white color;
- if you remove the film, then there is bleeding erosion.
Diagnostics
Before prescribing adequate treatment, the patient must undergo a series of diagnostic procedures. In general, the diagnosis includes:
- Pharyngoscopy .This is an external examination of the condition of the tonsils and the contacting areas. This method of diagnosis will identify the main symptoms of pathology.
- General clinical blood test .This method of diagnosis allows you to assess the severity of the symptoms of the inflammatory process.
- Bacteriological diagnostics of detachable from palatine tonsils .With this form of diagnosis, you can identify sensitivity to antibacterial drugs.
- Biochemical blood test .This method of investigation will reveal the markers of the immune process.
In order to finally establish the diagnosis of chronic tonsillitis, the doctor must make a thorough assessment of all the complaints the patient is talking about, and then carry out pharyngoscopy.
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Risk Factors
Tonsillitis in adult patients is formed due to the penetration of the tonsils infection. The causative agents of infection are bacteria. However, there are a number of viruses that also lead to the development of pathology. It is extremely rare to affect the formation of tonsillitis can mushrooms, chlamydia.
The following factors can affect the development of the chronic form:
- Persistent sore throats.
- Disturbed nasal breathing, which occurs due to such defects in the nasal cavity. As a curvature of the septum, the presence of polyps, hypertrophy of adenoid vegetations.
- The emergence of foci of infection in the oral and nasal cavities - caries, stomatitis, sinusitis, sinusitis.
- Reduction of the body's defenses.
- Frequent allergies that may act as a cause or complication of the disease.
On video causes of chronic tonsillitis in adults:
Most often, the onset of chronic tonsillitis is associated with untreated tonsillitis. Moreover, an acute inflammatory process that affects the tonsils of the palate does not undergo a complete reverse development. It continues as before, resulting in chronization.
Tonsillitis in chronic form has a mild symptomatology. It is most distinct during the period of exacerbation. For this reason, the goal of therapy is to prolong the period of relief as long as possible and prevent the formation of remission.