Angina without fever: purulent, follicular, lacunar, catarrhal

Who among us has never had a sore throat? Rarely does a person not know what it is. Most people know sore throat from childhood as something terrible, accompanied by terrible discomfort and sore throat, as well as a rise in temperature to critical levels. It is the high temperature that brings the most inconvenience, in particular the need to stay in bed to avoid complications. And yet, in some cases, not all symptoms of the disease are present, for example, the temperature remains at the same levels. But no matter how strange it may sound, sore throat without temperature in this pathology is not even an exception, but one of the normal variants.

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Epidemiology

Tonsillitis is one of the most contagious diseases. Transmitted by airborne and alimentary routes, it can spread quickly among the population, and weakened immunity and unfavorable weather conditions only increase the likelihood of infection.

Most often, angina affects children aged 3-7 years. The widespread spread of the disease among children is associated with visiting child care institutions. Cases of the disease are also common among young people of working age, approximately up to 40 years old. Overwork, stress, poor nutrition and being in public places only contribute to the spread of the disease.

Catarrhal tonsillitis is most often diagnosed in patients, usually occurring without fever. Lacunar and follicular tonsillitis are slightly less common. Phlegmonous and specific types of tonsillitis are found quite rarely as a complication of the above-mentioned types of tonsillitis or against the background of other infectious diseases and diseases of the blood system.

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Causes sore throats without fever

Angina without fever is not a special type of disease. The absence of fever characterizes a milder course of the disease with the absence of a strong or deep inflammatory process. The causes of such pathology are the same as those of angina accompanied by fever.

The most common cause of angina without fever is a bacterial infection in the respiratory tract. Usually, it is a streptococcal infection. Infection with it occurs in almost 90% of cases of bacterial angina. Less often, the causative agent of angina is streptococci or pneumococci. In exceptional cases, the presence of other types of bacteria is diagnosed, which can lead to the development of an inflammatory process in the oral cavity.

These pathogens most often lead to the development of typical types of angina (common angina): catarrhal, follicular and lacunar, which have certain differences in symptoms and the course of the disease. Common angina is the most common, but only catarrhal angina can occur without an increase in temperature.

The cause of the development of unilateral tonsillitis without fever is often banal communication with a patient, since the airborne route of transmission of infection from person to person in this pathology is the most popular. However, there are frequent cases of transmission of infection by the alimentary route, including eating contaminated food, using the same dishes and household items with a patient, and insufficient hand hygiene.

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Risk factors

Risk factors for the development of angina without fever may be some conditions and pathologies already present in the body. For example, purulent inflammation of the nasopharynx (sinusitis, nasopharyngitis, rhinitis, etc.) can in themselves provoke angina, as well as vice versa.

The source of bacterial infection can also be diseased teeth (caries) and gums (periodontosis), as well as inflammatory processes in the oral cavity (glossitis, purulent pharyngitis, stomatitis, etc.). And sometimes tonsillitis is caused by the activation of autoinfections lurking in the crypts of the tonsils in completely healthy people.

There are cases when angina is caused not by a bacterial infection, but by viruses. Most often, these are herpes and flu viruses. Viral angina already refers to an atypical type of this disease.

Very often, the development of pathology is caused by the body's inability to adequately respond to changes in the environment. This means that the impetus for the development of the disease can be ordinary hypothermia, severe cooling of the lower extremities, consumption of cold food and liquid.

Predisposing factors for the disease are also various injuries to the tonsils, as well as genetic predisposition due to some constitutional anomalies (such children get tonsillitis more often than others, even when there are no special reasons).

But a bacterial or viral infection, a predisposition to the disease, or even hypothermia by themselves are not capable of causing the development of the disease. The trigger is always a decrease in the body's immunity due to various reasons: constant fatigue, a deficiency of vitamins and minerals, previous illnesses, etc.

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Pathogenesis

Angina, or acute tonsillitis, is an infectious and inflammatory process that occurs mainly in the palatine tonsils. However, cases are possible when the pathological process spreads to other parts of the pharynx and larynx. For example, it can be diagnosed in the tongue, larynx and nasopharyngeal tonsils. Such angina is called lingual, laryngeal or retronasal (nasopharyngeal) respectively.

Angina develops as an allergic-hyperergic reaction to the impact of certain factors, whether it is an external impact or an infection that has already settled in the body due to other diseases. With an increase in the body's sensitivity (sensitization) to various irritants, factors such as a bacterial or viral infection, hypothermia, etc. can trigger the development of pathology. A hyperergic reaction is the body's response to the introduction of a pathogen in the form of antibody production, in other words, a positive reaction to the presence of a pathogen.

The inflammatory process is nothing more than a hyperergic reaction. Its development is accompanied by the entry of toxins and decay products formed during inflammation into the blood, hence we observe signs of intoxication and fever with angina.

Nerve endings also cannot stand aside when an inflammatory process is localized near them. Pain in the throat is a common nervous reaction to irritation. Irritation of the nervous system has a negative effect on the patient's overall well-being and on the functioning of many organs and systems of the body, in particular the kidneys and heart.

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Symptoms sore throats without fever

Angina is a disease with a relatively short incubation period. It can manifest itself as early as 10 hours after the infection enters the body, although in some cases this period can increase to 3 days. However, the onset of the disease is always acute. The first signs of angina can be considered discomfort in the throat and pain when swallowing, chills, as well as a sharp increase in temperature, sometimes significantly higher than 38 degrees.

There is an opinion that there is no angina without pain and temperature, most likely the diagnosis does not correspond to the real state of affairs. But if we take, for example, catarrhal angina, then its course often passes without an increase in temperature, or the t ^o indicators fluctuate within 37-38 degrees.

And with a mild degree of the disease, even the pain is so insignificant that it can simply be ignored, thereby provoking the development of more serious forms of angina. Moreover, angina begins not with pain, but with some discomfort in the throat, including dry mucous membrane, as well as irritation, tingling and burning on it, which are not always associated with the inflammatory process.

In addition to sore throats that get worse when swallowing, angina is often accompanied by a painful headache. And it is sometimes not so easy to cope with it. Many patients complain of being exhausted, quickly getting tired, drowsiness, and sometimes the so-called "ache in the bones" is felt.

Unpleasant sensations in the throat and pain when swallowing lead to a decrease in appetite. A fairly dense white coating appears on the tongue, and the tonsils and palatine arches acquire a distinct red tint due to the blood vessels shining through the mucous membrane. Very often, the back of the pharynx, hard and soft palate are also involved in the process. The tonsils swell and become larger in size, and the lymph nodes may also slightly increase in size.

All these symptoms are typical of any angina, and it does not matter whether it occurs without fever or with fever. In more severe cases, changes in the blood composition, specific plaque, purulent blisters or ulcers in the tonsil area may be observed, patients complain of muscle pain, digestive disorders, increased sweating, and heart problems.

A sore throat without fever in a child is a fairly common occurrence when it comes to children over 4-5 years old. After all, if as a result of communication with sick peers a small amount of pathogenic bacteria got to the child, there may not be an increase in temperature. In this case, it is important for parents to pay attention to other symptoms of the disease, such as lethargy, sore throat and redness, loss of appetite. Parents will notice something themselves, and the child will say something. It is important to notice the onset of the disease in time and not let it develop into a more serious form.

Children are most often diagnosed with catarrhal tonsillitis, which is considered the mildest. Usually, with appropriate treatment, it lasts only 5-6 days. If tonsillitis is not treated or not fully treated, this is fraught with the development of more severe forms of the disease, in which recovery can be noticeably delayed.

A sore throat without fever during pregnancy is rather an exception to the rule. However, it requires special attention, since the absence of fever may be a consequence of a very weak immunity of the expectant mother, and the health of the unborn baby depends on her health. A decrease in immunity in itself may indicate that not everything is in order in the pregnant woman's body, there are some health problems that have negatively affected the immune system.

A sore throat, even without fever, is dangerous for pregnant women. The transition of the disease to a severe form will cause an increase in intoxication symptoms, and toxins will be delivered to the fetus through the mother's blood, poisoning the still fragile organism. This leads to various pathologies of fetal development.

In addition, angina is fraught with complications. In many cases, it primarily affects the kidneys, which already bear a heavy load during pregnancy. And kidney failure is fraught with premature birth. And heart problems in this situation can become indications for early termination of pregnancy.

Forms

Tonsillitis itself is a collective name. This term covers many types of inflammatory diseases of the throat. Some of them, such as catarrhal, lacunar and follicular, are more common, while others are much less common. All types of tonsillitis are characterized by the symptoms described above, but there are some features that distinguish one type from another. These include the localization of inflammation, pathogens, and specific symptoms.

Catarrhal, lacunar and follicular tonsillitis are considered common or non-specific tonsillitis. They are most often caused by bacterial (staphylococcus or streptococcus) infections. At the same time, streptococcal tonsillitis, especially if it occurs without fever and its treatment is not given due attention, is dangerous because it can cause dangerous heart diseases.

Lacunar tonsillitis is a more severe case of the disease and begins with a rise in temperature to 39-40 degrees with pronounced signs of intoxication and the appearance of plaque in the tonsil area. It is believed that lacunar tonsillitis cannot proceed without temperature.

Follicular tonsillitis, when the inflammatory process spreads not only to the mucous membrane of the throat, but also to the follicles, also does not go without an increase in temperature to 39 degrees.

Fibrous tonsillitis can be easily confused with lacunar or follicular tonsillitis. Its only difference is the localization of grayish-yellow plaque on the entire mucous membrane.

Incorrect approach to the treatment of lacunar and follicular tonsillitis in rare cases can lead to the development of phlegmonous tonsillitis, which is characterized as an isolated abscess in the tonsil area. This pathology is characterized by an extremely severe course, accompanied by high temperature.

All the above types of tonsillitis, with the exception of catarrhal, can be classified as purulent bacterial tonsillitis. Purulent tonsillitis always begins with high temperatures, and proceeds without temperature only after the start of taking antibiotics.

Viral tonsillitis, which is an atypical variation of tonsillitis, also cannot proceed without a rise in temperature, no matter what virus it was caused by (adenoviruses, flu viruses or herpes). True, there are cases when herpetic tonsillitis (one of the varieties of viral tonsillitis) occurs without a noticeable rise in temperature (up to 37.4 ^o C). But this only means that due to a greatly weakened immune system, the body is simply unable to fight the infection. The same applies to other types of tonsillitis.

Against the background of reduced immunity, under the influence of pathogenic bacteria, ulcerative-membranous angina (Simanovsky-Vincent's angina) can also develop, which often also occurs without fever.

If the sore throat is caused not by a viral or bacterial infection, but by a fungal infection, it is called fungal sore throat. This type of sore throat is not characterized by an increase in temperature. Usually, fungal sore throat occurs with a slight (subfebrile) temperature or without temperature and pronounced plaque. Very rarely, with acute sore throat with a strong white plaque, the temperature can rise to 38 ^o C.

Any sore throat goes through 4 stages in its development. The shortest of them are most often the incubation period and the initial stage of the disease. On the second day from the onset of the disease, the period of the peak of the disease begins, when a significant and persistent increase in temperature (or its absence) is noted. Somewhere on the 4th-5th day, the period of revalence (recovery) begins.

Complications and consequences

Angina belongs to a group of diseases that, if treated incorrectly or without any therapy, can lead to the development of serious complications affecting vital organs.

The consequences of incorrect treatment of angina are the transition of the disease to a more severe form, usually accompanied by a significant increase in temperature. And even if there is still no fever, you should not relax, because this may just be an indicator of reduced immunity. In addition, in this situation, there is a high probability of developing various complications that negatively affect the health of the heart, kidneys, and joints.

The most common complications after angina, concerning the health of our "motor", are considered to be the cardiac form of rheumatism (an inflammatory process in the membranes of the heart) and myocarditis (inflammation of the muscle tissue of the heart). Such serious pathologies are the result of streptococcal angina, occurring both with and without fever, as well as other diseases caused by this microorganism.

If angina occurs without fever, patients often endure it on their feet, without thinking about the consequences. But this is the main reason for the development of the above-described complications. At first, everything seems cloudless, the disease recedes, but after a couple of weeks, other diseases come to replace it, which developed as a result of the "cured" angina.

Tonsillitis hits the kidneys especially often, as a result of its "work" pyelonephritis or a more severe pathology - glomerulonephritis, often leading to chronic renal failure, can develop. For joints, neglected tonsillitis is fraught with the development of rheumatism, arthritis, bursitis, etc. pathologies that negatively affect the mobility of the joints.

Incorrect treatment of angina can lead to the development of otitis (especially with purulent angina), laryngeal edema (threatening asphyxia), lymphadenitis (inflammation of the lymph nodes), bronchitis and even pneumonia. In adults, against the background of frequent exacerbations of angina, apnea can develop, and cardiac arrest during sleep, even short-term, is an open threat to human life. However, as well as meningitis or sepsis, developing in parallel with angina.

Even if nothing like this happens with the wrong approach to the treatment of angina, there is a high probability of the disease becoming chronic (chronic tonsillitis). This means that the disease will worsen at every "convenient" opportunity that provokes even a slight decrease in immunity. And frequent angina cannot but lead to complications.

Some patients are interested in the question: is it possible to sunbathe with a sore throat without a fever, will this not cause unpleasant complications? Doctors say that sunbathing and even swimming, if there is no fever, is quite acceptable, but you need to know the limit, i.e. do not overcool in the water and do not overheat in the sun.

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Diagnostics sore throats without fever

Special attention should be paid to the diagnosis of angina without fever, because the disease, which occurs without fever, can easily be confused with other pathologies. For example, chronic tonsillitis, reminiscent of follicular tonsillitis, very often does not cause a noticeable increase in temperature. The same can be said about infectious mononucleosis with obvious signs of purulent tonsillitis or herpetic stomatitis with ulcers localized in the tonsil area.

The symptoms of tonsillitis with normal temperature readings can also resemble the manifestations of a disease that is diagnosed as acute respiratory viral infection, especially if its causative agent is an adenovirus infection.

That is why, in order to make an accurate diagnosis in order to start effective treatment in a timely manner, the doctor should not limit himself to just listening to complaints and externally examining the patient's throat. You can distinguish tonsillitis from ARVI by enlarged lymph nodes, and to confirm or refute the diagnosis of "infectious mononucleosis", you will need to do some tests, in particular a general blood test.

Sometimes angina can develop against the background of some blood diseases. A clinical blood test will help diagnose these pathologies.

To determine the causative agent of the disease, it is sufficient to take smears from the surface of the tonsils or the back wall of the pharynx.

The main and most effective method of instrumental diagnosis of angina remains pharyngoscopy, which allows one to determine the type of angina by the appearance of the mucous membrane of the throat and distinguish it from pharyngitis, diphtheria and other pathologies.

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Differential diagnosis

Differential diagnosis of angina without fever consists of determining with great accuracy the type of angina and its pathogen based on instrumental and laboratory tests, as well as taking into account the patient's complaints, or making another diagnosis in order to begin effective treatment.

Usually, an otolaryngologist is involved in the diagnosis and treatment of tonsillitis. Although in some cases, a therapist can take on this responsibility, coordinating his diagnosis and prescriptions with the above-mentioned specialist.

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Treatment sore throats without fever

The fact that tonsillitis occurs without a fever does not mean that it is not dangerous and can be left untreated. If you ignore simple discomfort in the throat and pain when swallowing, you can get more serious illnesses as a "gift".

Moreover, angina, regardless of temperature, remains just as contagious, and therefore poses a danger to others. Therefore, the question of whether they give sick leave for angina without temperature should be resolved only positively. And it is very unfortunate that this is not always the case.

Angina is an infectious disease, so the main means of its treatment are antibiotics. The fact that there is no temperature does not mean that the microorganisms that caused the disease are inactive. On the contrary, they happily multiply and have a negative effect on our body, which is unable to fight it on its own. This is where penicillin antibiotics (1st place in frequency of prescriptions) and cephalosporin antibiotics (3rd place), as well as antibacterial drugs from the macrolide group (2nd place) come to the rescue.

Popular antibiotics for sore throat without fever: Ampicillin, Amoxicillin, Flemoxin, Cephalexin, Ceftriaxone, Clarithromycin, etc.

"Flemoxin" is a strong antibiotic of the penicillin series with a gentle effect on the gastrointestinal tract. It is produced in the form of tablets with different dosages of the active substance (amoxicillin), which is very convenient when prescribing the drug.

The method of using the drug is very simple. The medicine in the prescribed dosage is taken orally regardless of food intake. The tablets can be crushed or swallowed whole, which is preferable. Crushed tablets can be used to prepare syrup, which, thanks to its pleasant fruity taste, even babies drink without objection.

The drug also requires an individual approach to dosing. In this case, both the severity of the disease and the patient's age are taken into account. For example, for the treatment of mild to moderate pathologies in patients over 10 years old, the dosage is 1000-1500 mg, evenly distributed over 2 or 3 doses. For children 3-10 years old, the daily dose is 2 times less. In the therapy of children 1-3 years old, a daily dosage of about 500 mg is adhered to, and for the smallest, the dose is calculated based on body weight - from 30 to 60 mg per 1 kg per day.

The duration of taking the drug is determined by the doctor, usually 5-10 days. The disappearance of symptoms of the disease is not a signal to discontinue the drug.

Taking the drug may be accompanied by some side effects: digestive disorders, changes in taste perception, changes in the composition of blood and urine, irritability and sleep disturbances, headaches, dizziness, difficulty breathing, allergic reactions.

Contraindications to the use of Flemoxin include hypersensitivity to this drug or antibiotics of the penicillin and cephalosporin series. In addition, caution should be exercised by patients with renal failure, gastrointestinal diseases (colitis in particular), as well as during pregnancy and lactation.

"Clarithromycin" is an antibiotic from the macrolide group. Its effectiveness is due to the fact that drugs of this group do not dissolve in the stomach, quickly forming the required concentration of the active substance in the tonsils, and rarely causing side effects.

The daily dose for adult patients ranges from 0.5 to 2 g, divided into 2 doses; for children under 12 years of age, the dosage is determined based on body weight: from 7.5 to 15 mg per 1 kg per day.

Contraindications to the use of the drug include ventricular arrhythmia and tachycardia, hypokalemia, liver failure associated with renal dysfunction, hepatitis, porphyria. The drug should not be taken in the first trimester of pregnancy and during breastfeeding.

Cephalosporins are prescribed if penicillin antibiotics and macrolides are unable to stop the development of the infectious process.

"Ceftriaxone" is an antibiotic in the form of powder for intravenous or intramuscular injections, which has virtually no contraindications, except for hypersensitivity to the components of the drug.

For sore throat without fever, the drug is usually prescribed intramuscularly at a dosage of 250 mg once a day. For children under 12 years of age, the daily dosage ranges from 20 to 50 mg per 1 kg of weight.

When the drug is administered by injection, the following may be observed: pain at the injection site, digestive disorders, hepatitis symptoms, changes in the composition and characteristics of blood and urine, allergic reactions.

"Ceftriaxone", like "Flemoxin", is excreted in breast milk in insignificant concentrations, which cannot cause significant harm to the health of the fetus.

But in the treatment of angina, antibiotics alone, acting on the infectious agent from the outside, are not enough. Bacteriostatic drugs from the sulfonamide series (Biseptol, Streptocide, etc.) and antiseptics come to their aid. Antiseptic anti-inflammatory drugs are prescribed for angina both for internal use in the form of lozenges (Septefril, Efizol, Faringosept), and for external use in the form of sprays and solutions for gargling (Furacilin, Kameton, Ingalipt, Geksoral, Tantum Verde, Stopangin, Chlorophyllipt, etc.).

"Efizol" - effective lozenges with antiseptic, antifungal and antibacterial properties. They have a local bacteriostatic effect on pathogenic microflora in the oral cavity. In parallel with sulfonamides, the drug is able to enhance the effect of antibiotics.

It is used to treat patients over 4 years of age. The lozenges are kept in the mouth until completely dissolved. They should be taken 1 tablet every 2-3 hours. The usual daily dose is 4-5 tablets, the maximum dosage is 10 tablets. The interval between taking the tablets and eating food should be at least half an hour.

Taking Efizol is sometimes accompanied by unpleasant sensations such as a burning sensation in the throat or dry mucous membranes. Side effects of the drug may also include nausea and vomiting, increased blood pressure, headaches and insomnia, heartburn, kidney problems, etc.

The drug is not prescribed for thrombosis and a tendency to form blood clots, diabetes mellitus, severe renal dysfunction, hypersensitivity and a tendency to allergic reactions, in early childhood (patients under 4 years of age).

Antiallergic drugs such as Suprastin or Tavegil will help prevent allergic reactions to sore throat without fever.

If angina occurs with subfebrile temperatures below 38 degrees, the use of antipyretic drugs is considered inappropriate. Thus, "Paracetamol", often prescribed for angina against the background of high fever, is usually not used if the disease occurs without fever. It can be prescribed as an anti-inflammatory drug if the temperature has risen to 38 degrees and remains there for some time.

For viral and fungal tonsillitis, antiviral and antifungal drugs, general tonics, and of course vitamins (ideally vitamin-mineral complexes) can be prescribed, which help the body gain strength to fight diseases.

Other methods of treating sore throat

Along with medication, physiotherapy is also used for treating angina without fever. Usually, these are inhalations of medicinal solutions or centimeter wave therapy. Compresses are not prohibited for angina without fever. It is better if they are made on an alcohol basis (water and alcohol in a 50/50 ratio).

Surgical treatment of angina without fever is resorted to extremely rarely. Thus, catarrhal or purulent angina in themselves are not indications for surgical intervention. It is resorted to only if the frequency of purulent angina is more than 4 times a year.

Surgical treatment of tonsillitis consists of removing the tonsils - tonsillectomy. But it should be taken into account that as a result of this, a decrease in the protective properties of the body is observed.

As an alternative to conventional surgical intervention, innovative methods of tonsil removal have come to the fore in recent years – laser lacunatomy and cryotherapy (freezing of tonsils after preliminary ultrasound treatment for the purpose of rapid tissue healing).

Folk treatment of sore throat without fever

Folk remedies for treating sore throats, which doctors do not disdain, include all sorts of throat gargles. Gargling compositions can be different, the main thing is that they have an antiseptic and soothing effect:

• warm water solution: soda plus salt
• warm water solution: salt plus iodine (1 teaspoon of salt plus 3-4 drops of iodine per glass of warm water)
• brine
• a weak solution of potassium permanganate or furacilin
• weak vinegar solution
• aqueous solution of propolis tincture (35-40 drops of tincture per glass of warm water).

In case of sore throat without fever, warm drinks also have a positive effect. Warm milk is especially effective, especially in combination with a spoonful of honey. It is not only healthy, but also tasty, as is raspberry jam, which does not allow the heat to approach.

By the way, honey can be used to lubricate reddened and swollen tonsils due to angina. Due to its antibacterial and anti-inflammatory action, honey will quickly deal with the described symptoms.

Herbal treatment of sore throat, in addition to taking anti-inflammatory infusions, also includes gargling with decoctions of medicinal herbs such as chamomile, sage, and St. John's wort. Such gargling helps relieve irritation and pain in the throat. For the same purposes, use a decoction of oak bark or eucalyptus.

Traditional healers believe that a sore throat without a fever will quickly subside if you gargle with beet juice and take the following remedy internally. Pour boiling water over chopped, peeled beets and leave for at least 6 hours. Take the strained infusion every 2 hours.

For viral tonsillitis, an effective treatment is drinking freshly squeezed lemon juice.

If the sore throat occurs without fever, then there are no contraindications to doing inhalations with medicinal herbs and decoctions, as well as aromatic oils.

And of course, warming water-alcohol (water plus vodka in a 1:1 ratio or water plus vinegar) compresses. This is a truly folk remedy, inapplicable at a temperature, but it can quickly remove pain and redness in the throat area, as well as relieve swelling of the tonsils during tonsillitis, if the temperature remains normal.

Sometimes you can hear advice that in order to quickly cure a sore throat, you need to visit a bathhouse, the warming effect of which has a beneficial effect on the patient's condition. In the heat, such pleasure is unacceptable, but with a sore throat without a fever, a bathhouse can really have a positive effect if the air and water in it are not too hot, and after visiting the bathhouse, the patient does not get hypothermia. By the way, with purulent sore throat, even if it is not accompanied by fever, such a procedure is undesirable.

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Homeopathy for sore throat without fever

Homeopathy for sore throat without fever is not aimed at relieving the symptoms of the disease, but at supporting the body in the fight against the disease, stimulating the body's defenses. Therefore, it is not surprising that many homeopathic drugs are used to treat various, sometimes unrelated health pathologies.

In this situation, it is not the name of the disease itself that plays a decisive role, but its symptoms, the stage of development of the pathology, the general condition of the patient, his constitutional and psycho-emotional characteristics. And this is one of the reasons why self-prescribing homeopathic drugs is considered unacceptable.

Ferrum phosphoricum is a drug that is effective at the beginning of the disease, when the symptoms of the disease are practically not expressed.

Apis is recommended when the symptoms of angina are already clearly visible: swollen and painful tonsils that react sharply to heat, subfebrile temperature, no thirst.

Barita muriaticum is indicated for inflammation involving the tonsils and the back wall of the pharynx.

Hepar Sulphur is prescribed if a person has chills, pain when swallowing radiates to the ears, there is a sensation of a foreign body in the throat. Relief comes from warm drinks.

Phytolacca is a drug that has a therapeutic effect on pain radiating to the ear, especially if the pain is localized on the left side. There are chills and aches in the limbs. At the same time, warm drinks worsen the condition.

All preparations are used in 30 dilutions of 3 grains per dose. The interval between doses is from 2 to 4 hours depending on the severity of the condition. Take until a stable improvement occurs. If the 3rd dose of the drug does not produce results, it is recommended to change the medicine.

Prevention

The best preventive measure when it comes to tonsillitis without fever is considered to be maintaining and strengthening the body's immune system. People with strong immunity have a negligible chance of "catching" tonsillitis. And yet, it is worth avoiding hypothermia of the extremities and the body as a whole, maintaining oral hygiene, promptly treating infectious diseases and ENT diseases, and of course replenishing your body with the vitamins and microelements it needs.

To prevent complications after a sore throat, it is important to complete the entire course of treatment, and then take vitamins A, C, D, as well as B vitamins and immunomodulators as prescribed by your doctor for another 3 weeks.

If the sore throat was caused by a streptococcal infection, after completing the course of treatment, it is advisable to take blood and urine tests, as well as an ECG.

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Forecast

The prognosis for angina without fever is generally positive if its treatment is started on time and corresponds to the actual state of affairs. Otherwise, the likelihood of developing dangerous complications increases significantly.

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